| Figures |
| Figure 2-1 Crisis as a Trigger for Change |
19 |
| Figure 4-1 Phased Approach to Evaluation of a Health Technology |
33 |
| Figure 5-1 Paediatric Investigation Plan (PIP) Approval Process |
44 |
| Figure 8-1 EU Legislative Procedure |
67 |
| Figure 8-2 Flow Chart for the Conformity Assessment Procedures Provided for in Directive 94/42/EEC on Medical Devices |
68 |
| Figure 8-3 Flow Chart for the Conformity Assessment Procedures Provided for in Directive 90/385/EEC on Active Implantable Medical Devices |
71 |
| Figure 8-4 Flow Chart for the Conformity Assessment Procedures Provided for in Directive 98/79/EC on In Vitro Diagnostic Medical Devices |
72 |
| Figure 8-5 Clinical Evaluation Cycle |
79 |
| Figure 11-1 Clinical Evaluation Flow Diagram for all Device Types |
101 |
| Figure 11-2 The Clinical Evaluation Process |
104 |
| Figure 12-1 CAPS for Active Implantable Medical Devices |
109 |
| Figure 12-2 CAP Risk Class I Medical Devices |
112 |
| Figure 12-3 CAPs for Risk Class IIa Medical Devices |
113 |
| Figure 12-4 CAPs for Risk Class IIb Medical Devices |
113 |
| Figure 12-5 CAPs for Rick Class III Medical Devices |
114 |
| Figure 12-6 CAP for all In Vitro Medical Devices |
115 |
| Figure 12-7 CAPS for Self-testing In Vitro Medical Devices |
115 |
| Figure 12-8 CAPS for Annex II List B In Vitro Medical Devices |
116 |
| Figure 12-9 CAPS for Annex II List A In Vitro Medical Devices |
116 |
| Figure 13-1 Flowchart for the CAPs Provided for in Directive 98/79/EC |
123 |
| Figure 18-1 Commencement of a Clinical Trial |
172 |
| Figure 18-2 Serious Adverse Event Reporting |
175 |
| Figure 28-1 OCABR Decision Flowchart |
275 |
| Figure 28-2 Process for Production and Licensing of Seasonal Influenza Vaccines in Europe |
278 |
| Figure 29-1 Orphan Designation Criteria |
289 |
| Figure 30-1 Consultation Procedure and Timeline |
298 |
| Tables |
| Table 4-1 REA Checklist |
37 |
| Table 8-1 European Council Weighted Votes |
66 |
| Table 8-2 New Approach Areas |
73 |
| Table 8-3 EU Member States and Affiliated Countries Competent Authorities |
74 |
| Table 8-4 European Commission Working Groups and Their Activities |
76 |
| Table 8-5 European Industrial Trade Associations |
78 |
| Table 8-6 MEDDEV Guidance Documents |
80 |
| Table 8-7 European Commission Consensus Statements |
82 |
| Table 8-8 Interpretive Documents Issues by the European Commission |
83 |
| Table 8-9 NBOG Documents |
84 |
| Table 10-1 Essential Requirement Checklist: Example (MDD (Directive 93/42/EEC), as amended—Annex I) 95 |
95 |
| Table 10-2 Hierarchy of Compliance Document for Technical Documentation |
96 |
| Table 11-1 Abbreviations, Definitions and Terms Used in This Chapter |
102 |
| Table 12-1 Conformity Assessment Documentation |
110 |
| Table 12-2 International Production Control |
117 |
| Table 12-3 EC Type-examination |
117 |
| Table 12-4 Production Quality Assurance |
117 |
| Table 12-5 Product Quality Assurance |
117 |
| Table 12-6 Product Verification |
117 |
| Table 12-7 Full Quality Assurance System |
117 |
| Table 12-8 Authorised Representative in Conformity Assessment |
118 |
| Table 13-1 Examples of General Laboratory Use Products and IVD Medical Devices |
121 |
| Table 14-1 Comparison of AIMDD and MDD Annexes |
130 |
| Table 15-1 Eudamed Data Repository |
137 |
| Table 15-2 Comparison of Safeguard Clause and Health Monitoring Measures |
140 |
| Table 16-1 Relevant Authorities in Germany |
149 |
| Table 17-1 Standard Timetable for Evaluation of a Centralised Appliation |
156 |
| Table 17-2 Mutual Recognition Procedure Flowchart |
160 |
| Table 17-3 Decentralised Procedure Flowchart |
163 |
| Table 18-1 Practical Notes for Clinical Trials |
171 |
| Table 19-1 Procedures to Obtain MA |
187 |
| Table 19-2 Centralised Procedure |
188 |
| Table 19-3 Mutual Recognition Procedure |
189 |
| Table 19-4 Decentralised Procedure |
190 |
| Table 19-5 A Comparison of the Centralised, Decentralised and Mutual Recognition Procedures |
193 |
| Table 22-1 Legal Classification Status of Selected Ingredients in the EU |
216 |
| Table 26-1 Medicinal Products Derived From Human Plasma and Their Indications |
249 |
| Table 27-1 Donor Testing for Infectious Diseases |
259 |
| Table 28-1 Vaccine Guidelines |
272 |
| Table 28-2 Adjuvants Licensed in the EU |
274 |
| Table 28-3 European Guidelines for Influenza Vaccines |
276 |
| Table 28-4 Some Organisations Involved in Vaccine Recommendations in the EU |
280 |
| Table 29-1 Comparison of the EU and US Orphan Programmes |
286 |
| Table 31-1 Annexes to the Cosmetics Directive and Cosmetic Regulation |
305 |
| Table 31-2 Ingredient Nomenclature for Labels |
308 |
| Table 32-1 Vitamins and Minerals That May Be Declared and Their Recommended Daily Allowances (RDAs) |
313 |
| Table 33-1 Legislative Framework for Registration of Veterinary Medicinal Products Within the EEA |
321 |
| Table 33-2 Competent Authorities for the Regulation of Veterinary Medicinal Products in the EEA |
330 |
| Table 33-3 Food-producing Species |
334 |
| Table 33-4 MUMS Guidelines |
337 |