Quality Management System and the In Vitro Diagnostic Medical Devices Regulation: a challenge to start-up companies
Quality Management System and the In Vitro Diagnostic Medical Devices Regulation: a challenge to start-up companies
Índice
The in vitro diagnostics (IVD) industry is an innovative sector that improves the outcomes of health systems, the economy and most importantly patients’ quality of life. Europe is the second largest market in the world for IVD. Since 2017, the IVD industry is experiencing very demanding regulatory change (IVDR 2017/746) to ensure products more effective, safer and can be freely marketed in the European Union. The regulation affects all IVD aspects and, of course, the companies’ quality management systems (QMS). EpiDisease S. L. is a spin-off that develops IVDs based on epigenetics markers for the diagnosis of human diseases, and hence developing its QMS is essential. A fully implemented QMS based on ISO 13485:2016 is a money/time-consuming process; most of its requirements is about production process, however some of them that do pertain to product design-development steps. Therefore, a partial QMS implementation in the pre-production phase is an extremely beneficial way to ensure compliance with product development regulations, making the full QMS implementation less burdensome. EpiDisease is applying this strategy considering key changes of the 2016 version. This approach is allowing it to build and improve their QMS as they proceed through design and development, validation testing, conducting clinical trials, and finally market launch
Gisselle Perez Machado has received a PhD from the Universidad Autónoma de Barcelona- Barcelona – Spain. She is currently Quality Manager of EpiDisease S. L. Her research interests are in the areas of IVD design and development, quality, and management
Berger, M. (2019). Startup vs. QMS – Why MedTech startups are having a hard time and how you can deal with it. https://www.linkedin.com/pulse/startup-vs-qms-why-medtech-startups-having-hard-time-michael-berger/
Chan, T., & Tong, R. K. Y. (2013). ISO 14971: Application of risk management to medical devices. Handbook of Medical Device Regulatory Affairs in Asia, 145–161. https://doi.org/10.1201/9780429504396-16
Eur-Lex. (2017). Regulation (EU) 2017/746 of the European parliament and of the council. https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32017R0746#d1e32-260-1
García-Giménez, J., Rubio-Belmar, P., Peiró-Chova, L., Hervás, D., González-Rodríguez, D., Ibañez-Cabellos, J., Bas-Hermida, P., Mena-Mollá, S., García-López, E., Pallardó, F., & Bas, T. (2018). Circulating miRNAs as diagnostic biomarkers for adolescent idiopathic scoliosis. Scientific Reports, 8(1), 2646. https://doi.org/10.1038/s41598-018-21146-x
Goodall, A., & Bos, G. (2018). ISO 13485:2003/2016—Medical Devices—Quality Management Systems—Requirements for Regulatory Purposes. Handbook of Medical Device Regulatory Affairs in Asia, 153–174. https://doi.org/10.1201/9780429504396-15
Hoffmüller, P., Brüggemann, M., Eggermann, T., Ghoreschi, K., Haase, D., Hofmann, J., Hunfeld, K. P., Koch, K., Meisel, C., Michl, P., Müller, J., Müller, C., Rabenau, H. F., Reinhardt, D., Riemenschneider, M. J., Sachs, U. J., Sack, U., Stenzinger, A., Streichert, T., … Spitzenberger, F. (2021). Advisory opinion of the AWMF Ad hoc Commission In-vitro Diagnostic Medical Devices regarding in-vitro diagnostic medical devices manufactured and used only within health institutions established in the Union according to Regulation (EU) 2017/746 (IVDR). German Medical Science : GMS e-Journal, 19, Doc08. https://doi.org/10.3205/000295
ISO 20916. (2019). ISO 20916:2019(en), In vitro diagnostic medical devices — Clinical performance studies using specimens from human subjects — Good study practice. https://www.iso.org/obp/ui/#iso:std:iso:20916:ed-1:v1:en
Korhonen, A. (2019). Specification and Adoption of an ISO 13485 Compliant Quality Management System in a Medical Device Manufacturing Start-up. https://trepo.tuni.fi/handle/123456789/27336
Mardanly, S. (2019). Current state and development trends of domestic medical device market for in vitro diagnostics in the segment of diagnostic reagents and their kits. Klinicheskaia Laboratornaia Diagnostika, 64(7), 443–448. https://doi.org/10.18821/0869-2084-2019-64-7-443-448
Market and Market. (2020). In-Vitro Diagnostics Market – Global Forecast to 2025 | MarketsandMarkets. https://www.marketsandmarkets.com/Market-Reports/ivd-in-vitro-diagnostics-market-703.html?gclid=CjwKCAjwpMOIBhBAEiwAy5M6YJGxMuWJxizno1nCnEUgAQTeDNQu_4WQ5zZm6Rwcx25LGJYwEQV_1BoCpRwQAvD_BwE
MedTechEurope. (2020a). Clinical Evidence Requirements for CE certification – MedTech Europe. https://www.medtecheurope.org/resource-library/clinical-evidence-requirements-for-ce-certification-under-the-in-vitro-diagnostic-regulation-in-the-european-union/
MedTechEurope. (2020b). Ensuring a successful transition to the new IVD Regulation in light of COVID 19. www.medtecheurope.org
Spitzenberger, F., Patel, J., Gebuhr, I., Kruttwig, K., Safi, A., & Meisel, C. (2021). Laboratory-Developed Tests: Design of a Regulatory Strategy in Compliance with the International State-of-the-Art and the Regulation (EU) 2017/746 (EU IVDR [In Vitro Diagnostic Medical Device Regulation]).
Diagnostics start-ups, ISO 13485:2016 QMS, Invitro diagnostic regulation, IVDR 2017/746