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Fundamentals of EU Regulatory Affairs, Sixth Edition

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Fundamentals of EU Regulatory Affairs, Sixth Editi

This unique publication breaks down complex EU directives, regulations and guidelines into an easy-to-read format. It provides a comprehensive review of human and veterinary medicinal products, biologics, medical devices, cosmetics and food supplements, and applicable international standards and guidances.

New for this edition

Several new chapters have been added that deal with issues of growing importance to EU regulatory professionals, such as reimbursement and the health technology assessments that frequently are the basis for reimbursement decisions. There also is a new chapter on crisis management and one on the special requirements for vaccines. In light of new legislation in effect in 2012, there also is a chapter devoted to pharmacovigilance.

» View the Table of Contents

Who should use this publication?

Fundamentals is designed to be a reference resource for regulatory professionals at all levels—from those new to the field or preparing for the EU RAC exam, to senior management looking for a quick fact or information on a less-familiar product line.

Special offer:

Get the e-book version when you select the bundled option for $60 more. The e-book is compatible with any device that will read an .epub file, including iPads and most tablet readers.

The Fundamentals of Regulatory Affairs series is available for a number of regions, including:

Copyright 2012, RAPS

Fundamentals of EU Regulatory Affairs, Sixth Edition

Table of Contents

Section I: General Information
Chapter 1 EU Regulatory Affairs—An Historic Perspective 1
Chapter 2 Crisis Management 17
Chapter 3 Reimbursement in the EU 23
Chapter 4 Health Technology Assessment 31
Chapter 5 The Paediatric Regulation 41
Chapter 6 Advertising and Promotion 49
Chapter 7 Enforcement and National Authorities 57

Section II: Medical Devices
Chapter 8 The European Medical Devices Legal System 65
Chapter 9 Classification of Medical Devices 87
Chapter 10 Technical Requirements for Conformity Assessment 93
Chapter 11 Clinical Evaluation of Medical Devices 99
Chapter 12 Conformity Assessment Procedures’ Quality System Requirements 107
Chapter 13 In Vitro Diagnostic Medical Devices 119
Chapter 14 Active Implantable Medical Devices 129
Chapter 15 Medical Device Compliance: Postmarket Requirements 133
Chapter 16 Medical Device National Particularities 143

Section III: Medicinal Products
Chapter 17 Overview of Authorisation Procedures for Medicinal Products 151
Chapter 18 Medicinal Product Clinical Trials 169
Chapter 19 Registration Procedures for Medicinal Products 183
Chapter 20 Quality Systems and Inspectorate Process—Medicinal Products 197
Chapter 21 Generic Medicinal Products 205
Chapter 22 Nonprescription Medicinal Products 213
Chapter 23 Marketing Authorisations for Products Derived From Biotechnology 221
Chapter 24 Pharmaceutical Postmarket Requirements and Compliance With the Marketing Authorisation 231
Chapter 25 Pharmacovigilance 241

Section IV: Other Product Classifications
Chapter 26 Products Manufactures From Human Blood or Plasma 247
Chapter 27 Human Tissue Regulation 255
Chapter 28 Vaccines 269
Chapter 29 Orphan Medicinal Products 283
Chapter 30 Combination Products 293
Chapter 31 Cosmetic Products 301
Chapter 32 Food Supplements, Health Claims and Borderline Issues 311
Chapter 33 Veterinary Medicinal Products 319

Appendices
Comparative Matrix of Regulations, Directives and Guidelines Across Product Lines
Glossary of Terms
Index
343

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

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