Decision of the Council of the Eurasian Economic Commission from 12.02.2016 N 46
(ed. from 30.03.2023)
"On the Rules of registration and examination of safety, quality and effectiveness of medical devices"
COUNCIL OF THE EURASIAN ECONOMIC COMMISSION
DECISION
dated February 12, 2016. N 46
ABOUT THE RULES
REGISTRATION AND EXAMINATION OF SAFETY, QUALITY
AND EFFECTIVENESS OF MEDICAL DEVICES
List of amending documents
(ed. decisions of the Council of the Eurasian Economic Commission
from 24.12.2021 N 144, from 19.05.2022 N 84, from 30.03.2023 N 50)
Members of the Council of the Eurasian Economic Commission:
Approved
By the decision of the Council of the Eurasian
economic commission
dated February 12, 2016. N 46
RULES.
REGISTRATION AND EXAMINATION OF SAFETY, QUALITY
AND EFFECTIVENESS OF MEDICAL DEVICES
List of amending documents
(ed. decisions of the Council of the Eurasian Economic Commission
from 24.12.2021 N 144, from 30.03.2023 N 50)
I. General provisions
II. Procedures for registration and examination of a medical device
III. Procedure for approval of the expert opinion
IV. Settlement of disagreements regarding harmonization
expert report
V. Procedure for amendments to the registration file
VI. Procedure for amendments to the registration file
on notice
VII. Procedure for issuing a duplicate
registration certificate
VIII. Procedure for approval of the expert report
on a registered medical device
IX. Procedures for suspension or revocation
(revocation) of the registration certificate
Annex N 1
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
REGISTRATION CERTIFICATE FORM
MEDICAL DEVICE AND RULES FOR ITS COMPLETION
I. Form of the registration certificate
medical device
From the
Republic of Armenia
V.GABRIELYAN
From the
Republic of Belarus
V.MATYUSHEVSKY
From the
Republic of Kazakhstan
B. SAGINTAEV
From the
Kyrgyz Republic
O. PANKRATOV
From the
Russian Federation
I. SHUVALOV
Emblem of the Eurasian Economic Union (1)
EURASIAN ECONOMIC UNION (2)
_______________________________________________________________________
(name of the authorized body of the reference state) (3)
MEDICAL DEVICE REGISTRATION CERTIFICATE (4)
MI-XY-Z dated "__" ________ 20__. (5)
According to __________________________________________________ (6)
(number and date of the order of the authorized body
of the reference state on registration
medical device)
this registration certificate for a medical device
выдано: _______________________________________________________________ (7)
(name of the manufacturer, its location)
_______________________________________________________________________ (8)
(name of the production site (including its actual address)
or a reference to an annex if two or more are indicated
production sites)
_______________________________________________________________________ (9)
(name of the manufacturer's authorized representative
in the territories of the member states of the Eurasian Economic Union,
including its location)
is that ___________________________________________________________ (10)
(name of medical device)
potential risk class of the medical device: _________ (11)
registered and authorized for issuance in the following territories
Member States of the Eurasian Economic Union
______________________________________________________________________ (12)
(names of the reference State and the State)
(States) of recognition)
Medical device models (brands), their composition, accessories and
production sites are given in the annex (if any) to this report
registration certificate of medical device on __ pages (13)
The Annex is an integral part of this Registration Statement
of the medical device's credentials.
Term of validity of the registration certificate of a medical device:
indefinitely (14)
Date of registration of the medical device: "__" _______ 20__. (15)
Number and date of the order of the authorized body of the reference state on
amendments to the registration certificate of a medical device:
"__" _______ 20__ г. N (16)
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| (full name of the head (authorized person) of the authorized body) | |||
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| M.P. | (17) |
| (signature) | |||
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| N _____ (18) |
| ANNEX TO THE REGISTRATION CERTIFICATE OF A MEDICAL DEVICE | (1) |
| MI-XY-Z dated "__" _________ 20__. | (2) |
| N n/a | Name |
| 1. | Model (brand) of medical device (if available) |
| 2. | Composition |
| 3. | Accessories (if available) |
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| (3) |
| N n/a | Names and actual addresses of production sites |
| 1. | ... |
| ... | ... |
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| (4) |
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| (full name of the head (authorized person) of the authorized body) |
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| M.P. | (5) |
| (signature) | |||
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| Sheet __ (6) |
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| N _____ (7) |
II. Rules for filling in the registration certificate
medical device
"EURASIAN ECONOMIC UNION";
"MEDICAL DEVICE REGISTRATION STATEMENT";
"ANNEX TO THE REGISTRATION CERTIFICATE
MEDICAL DEVICE."
Annex N 2
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
FORM OF APPLICATION FOR EXPERT EXAMINATION OF A MEDICAL DEVICE
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| To the authorized body (expert organization) of a member state of the Eurasian Economic Union |
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| (name of the reference State) |
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| (name of the State(s) of recognition) |
| APPLICATION on expert examination of a medical device |
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| (full and abbreviated (if any), including company name of the person on whose behalf the registration is made (manufacturer (authorized representative of the manufacturer), legal form of the legal entity) |
| hereby requests an examination of the medical device: |
| 1. | Name of medical device |
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| 2. | Purpose of medical device |
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| 3. | A medical device for in vitro diagnostics? |
| Yes | ||||||||||||
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| No | ||||||||||||
| 4. | Field of application of a medical device (in accordance with the classifier of fields of medical application of medical devices, approved by Decision of the Board of the Eurasian Economic Commission of April 16, 2019 N 62) |
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| 5. | Potential risk class of the medical device |
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| 6. | Should a manufacturing inspection be conducted (to be specified if the medical device to be registered is a medical device of potential risk class 1 or a non-sterile medical device of potential risk class 2a and an initial manufacturing inspection has not previously been conducted)? |
| Yes | ||||||||||||
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| No | ||||||||||||||
| 7. | Code of the type of medical device (according to the nomenclature of medical devices of the Eurasian Economic Union, the rules for maintaining which are approved by Decision of the Board of the Eurasian Economic Commission of December 29, 2015 N 177) |
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| 8. | Does the medical device contain a drug product? |
| Yes | ||||||||||||
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| No | ||||||||||||||
| 9. | Model (brand) of the medical device, its composition and accessories | ||||||||||||||
| N | Name | Manufacturer | Country | ||||||||||||
| 1. | Model (brand) of medical device (if available) |
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| 2. | Composition (if any) |
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| 3. | Accessories (if available) |
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| 10. | Shelf life (warranty period) of operation |
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| 11. | Storage conditions |
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| 12. | Registration in the country of manufacture and other countries | ||||||||||||||
| N | Country name | N of the registration certificate of the medical device (if available) | Date of issue | Expiration date | |||||||||||
| 1. |
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| ... |
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| 13. | Production |
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| 14. | Manufacturer information | ||||||||||||||
| legal form, full name and abbreviated name (if any), country, (full name of individual entrepreneur) | registration number, date of registration | location (address of a legal entity, address of residence of an individual entrepreneur) | actual address | Telephone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||||||
| 15. | Information about the production site(s) | ||||||||||||||
| N | legal form, full name and abbreviated name (if any), (full name of individual entrepreneur), (full name of individual entrepreneur) | number, date and validity of the authorization document (if any) | actual address | Telephone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||||||
| 1. |
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| ... |
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| 16. | Information on the manufacturer's authorized representative (if any) | ||||||||||||||
| legal form, full name and abbreviated name (if any), country, (full name of individual entrepreneur) | registration number, date of registration | location (address of a legal entity, address of residence of an individual entrepreneur) | actual address | Telephone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||||||
| 17. | Information on the document confirming payment for the medical device expert examination procedures | ||||||||||||||
| 18. | Method of receiving notifications (decisions) from the authorized body (expert organization) of the reference state: | ||||||||||||||
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| personally signed | |||||||||||||
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| by registered mail with return receipt requested | |||||||||||||
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| electronically via telecommunication channels (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) | |||||||||||||
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| in the form of an electronic document signed with an electronic signature | |||||||||||||
| I guarantee the authenticity and identity of the information contained in registration dossier and application form | |||||||||||||||
| Date of application |
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| Full name and position of the head of the manufacturer (authorized representative of the manufacturer) |
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| Signature, stamp of the manufacturer (authorized representative of the manufacturer) |
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Annex N 3
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
APPLICATION FORM
ON THE REGISTRATION OF A MEDICAL DEVICE
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| To the authorized body of a member state of the Eurasian Economic Union |
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| (name of the reference State) |
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| (name of the State(s) of recognition) |
| APPLICATION on the registration of a medical device |
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| (full and abbreviated (if any), including company name of the person on whose behalf the registration is made (manufacturer (authorized representative of the manufacturer), legal form of the legal entity) |
| hereby requests the registration of a medical device |
| 1. | Name of medical device |
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| 2. | Purpose of medical device |
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| 3. | A medical device for in vitro diagnostics? | | Yes | ||||||||
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| | No | ||||||||
| 4. | Field of application of a medical device (in accordance with the classifier of fields of medical application of medical devices, approved by Decision of the Board of the Eurasian Economic Commission of April 16, 2019 N 62) |
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| 5. | Potential risk class of the medical device |
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| 6. | Should a manufacturing inspection be conducted (to be specified if the medical device to be registered is a medical device of potential risk class 1 or a non-sterile medical device of potential risk class 2a and an initial manufacturing inspection has not previously been conducted)? | | Yes | ||||||||
| | No | ||||||||||
| 7. | Code of the type of medical device (according to the nomenclature of medical devices of the Eurasian Economic Union, the rules for maintaining which are approved by Decision of the Board of the Eurasian Economic Commission of December 29, 2015 N 177) |
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| 8. | Does the medical device contain a drug product? | | Yes | ||||||||
| | No | ||||||||||
| 9. | Model (brand) of the medical device, its composition and accessories | ||||||||||
| N | Name | Manufacturer | Country | ||||||||
| 1. | Model (brand) of medical device (if available) |
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| 2. | Composition (if any) |
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| 3. | Accessories (if available) |
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| 10. | Manufacturer information | ||||||||||
| organizational and legal form, full name and abbreviated name (if any), country, (full name of individual entrepreneur) | number, date registration | location (address of a legal entity, address of residence of an individual entrepreneur) | actual address | phone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||
| 11. | Information about the production site(s) | ||||||||||
| N | legal form, full name and abbreviated name (if any), (full name of individual entrepreneur), (full name of individual entrepreneur) | number, date and validity of the authorization document (if any) | actual address | telephone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||
| 1. |
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| ... |
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| 12. | Information on the manufacturer's authorized representative (if any) | ||||||||||
| legal form, full name and abbreviated name (if any), country, (full name of individual entrepreneur) | registration number, date of registration | location (address of a legal entity, address of residence of an individual entrepreneur) | actual address | Telephone and fax numbers, e-mail address (if available) | Full name and position of the manager, full name and position of the contact person | ||||||
| 13. | Information on the document confirming payment for the medical device registration procedures | ||||||||||
| 14. | Method of receiving notifications (decisions) from the authorized body (expert organization) of the reference state: | ||||||||||
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| | personally signed | |||||||||
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| | by registered mail with return receipt requested | |||||||||
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| | electronically via telecommunication channels (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) | |||||||||
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| | in the form of an electronic document signed with an electronic signature | |||||||||
| 15. | Method of obtaining a registration certificate for a medical device and its annexes: | ||||||||||
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| | in person | |||||||||
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| | on paper by registered mail with return receipt requested | |||||||||
| I guarantee the truthfulness and identity of the information contained in the registration dossier and application form | |||||||||||
| Date of application |
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| Full name and position of the head of the manufacturer (authorized representative of the manufacturer) |
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| Signature, stamp of the manufacturer (authorized representative of the manufacturer) |
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Annex N 4
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
LIST
DOCUMENTS REQUIRED FOR REGISTRATION OF A MEDICAL DEVICE
| N n/a | Name of the document | Medical device of potential risk class of use | Medical device for in vitro diagnostics | Note | |||
| 1 | 2а | 2б | 3 | ||||
| 1. | Statement | + | + | + | + | + | according to the forms provided for in Annexes N 2 and 3 to the Rules for Registration and Examination of Safety, Quality and Effectiveness of Medical Devices, approved by the Decision of the Council of the Eurasian Economic Commission dated February 12, 2016. N 46 |
| 2. | Power of attorney from the manufacturer for the right to represent interests during registration (if necessary) | + | + | + | + | + | is certified in accordance with international standards of certification or standards of certification established by the legislation of the reference state |
| 3. | Contract of the manufacturer with the authorized representative of the manufacturer or its copy (if there is an authorized representative of the manufacturer). If the manufacturer's authorized representative is not a resident of the reference state, encloses a copy of the document confirming registration of the manufacturer's authorized representative as a legal entity or individual entrepreneur. | + | + | + | + | + | the copy shall be certified in accordance with international standards of certification or the standards of certification established by the legislation of the reference state |
| 4. | Copy of the authorization document for the right of production in the producer's country with attachment (if available) | + | + | + | + | + | is certified in accordance with international standards of certification or standards of certification established by the legislation of the reference state |
| 5. | Copy of the document or information confirming the registration of the manufacturer as a legal entity or individual entrepreneur | + | + | + | + | + | the copy of the document shall be certified in accordance with international standards of certification or standards of certification established by the legislation of the reference state; the information is certified by the manufacturer |
| 6. | Copy of the certificate of conformity of the quality management system to the requirements of ISO 13485 or the relevant regional or national (state) standard of a member state of the Eurasian Economic Union (hereinafter respectively - Member State, Union), issued in the name of the manufacturer of medical devices (production site) (if available) | + | + | + | + | + | is certified in accordance with international standards of certification or standards of certification established by the legislation of the reference state |
| 7. | Declaration of conformity of the medical device to the mandatory requirements of non-member states (e.g. European Union directives or regulations) or an equivalent document (if available) or a copy of such documents | + | + | + | + | + | the copy is certified by the manufacturer (authorized representative of the manufacturer) |
| 8. | Copy of the medical device registration certificate (free sale certificate, export certificate (except for medical devices manufactured for the first time in the territory of the Member State)) issued in the country of manufacturer (if available) | + | + | + | + | + | is certified in accordance with international standards of certification or standards of certification established by the legislation of the reference state |
| 9. | Information on registration in other countries with reference to valid sources of such information and an electronic file containing such information or a copy of the document certifying the registration of the medical device in other countries (if available). | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 10. | Data on marking and packaging (full-color (with indication of color coding) layouts of packages and labels), marking text in Russian and state languages of the Member States (if necessary). The text of marking in the state languages of the Member States may be submitted after the formation of a positive expert opinion | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 11. | Information on development and production: process flow diagrams, main production stages, packaging, testing and final product release procedure | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 12. | Information about the manufacturer: name, type of activity, legal address, form of ownership, management structure, list of subdivisions and subsidiaries involved in the production of the medical device applied for registration, indicating their status and authorization | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 13. | Marketing information (history if product has been on the market for more than 2 years) (if available) | - | - | + | + | + (except grades 1 and 2a) | certified by the manufacturer (authorized representative of the manufacturer) |
| 14. | Accident and recall reports (information is not provided for newly designed and engineered medical devices): | + | + | + | + | + (except Class 1) | certified by the manufacturer (authorized representative of the manufacturer) |
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| a list of adverse events (incidents) or accidents related to the use of the product and an indication of the time period during which these events occurred. |
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| If there are too many adverse events (incidents), summaries of each type of event should be provided and the total number of events of each type reported should be indicated |
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| A list of medical device market recalls and/or explanatory notices and a description of the approach to addressing and resolving these issues by manufacturers in each of these cases. |
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| A description of the analysis and/or corrective actions taken in response to these cases |
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| 15. | List of standards used by the manufacturer in the design and manufacture of the medical device (with the name and designation of the standards) | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 16. | Information on compliance of a medical device with the General requirements for safety and effectiveness of medical devices, requirements for their labeling and operational documentation for them, approved by the Decision of the Council of the Eurasian Economic Commission dated February 12, 2016. N 27 (hereinafter - the General Requirements), with the attachment of documents referenced in specified information | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 17. | A document establishing requirements to the technical characteristics of a medical device | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 18. | Protocols of technical tests conducted to prove compliance of the medical device with the General Requirements, test programs or copies of the said documents and (or) documents containing first party evidence | + | + | + | + | + (excluding reagents, reagent kits, control materials, calibrators, washing solutions and nutrient media) | copies of protocols shall be certified by the testing laboratory (center) or in accordance with the standards of certification established by the legislation of the reference state; copies of programs shall be certified by the testing laboratory (center) or by the manufacturer (authorized representative of the manufacturer); documents containing first party evidence shall be certified by the producer |
| 19. | Biologic Evaluation Report for a medical device (if applicable) | + | + | + | + | - | certified by the manufacturer (authorized representative of the manufacturer) |
| 20. | Protocols of studies (tests) to assess the biological effect of a medical device conducted to prove compliance of a medical device with the General requirements (if necessary), programs of studies (tests) or copies of the above documents | + | + | + | + | - | copies of protocols and programs shall be certified by the testing laboratory (center) or in accordance with the standards of certification established by the legislation of the reference state |
| 21. | A report on clinical evidence of efficacy and safety of a medical device or a copy thereof | + | + | + | + | + (except Class 1) | copy of the report shall be certified by the manufacturer (authorized representative of the manufacturer) |
| 22. | Report on clinical trial (research) of a medical device or report on clinical and laboratory trial (research) of a medical device for in vitro diagnostics (or its copy) | - | - | + | + | + | a copy of the report is certified by the medical organization or in accordance with the standards of certification established by the legislation of the reference state |
| 23. | Risk analysis and management report or a copy thereof | + | + | + | + | + | copy of the report shall be certified by the manufacturer (authorized representative of the manufacturer) |
| 24. | Data on medicinal products in the medical device (composition of the medicinal product, quantity, data on compatibility of the medicinal product with the medical device, registration of the medicinal product in the country of manufacturer) | + | + | + | + | - | certified by the manufacturer (authorized representative of the manufacturer) |
| 25. | Biological safety data (if available) | + | + | + | + | - | certified by the manufacturer (authorized representative of the manufacturer) |
| 26. | Data on the sterilization procedure, including information on process validation, results of testing for microbial content (bioburden), pyrogenicity, sterility (if applicable) and test methods, and data on package validation (for sterile articles). | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 27. | Information on special software (if any): manufacturer's information on software validation | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 28. | Report on stability studies or its copy (in case of submission of the report in a foreign language with translation into Russian of the results and conclusions of the studies) - for products with shelf life | + | + | + | + | + | copy of the report shall be certified by the manufacturer (authorized representative of the manufacturer), the original shall be signed by the manufacturer |
| 29. | Operational document or instructions for use of the medical device in Russian and in the official languages of the Member States (if necessary). An operational document or instructions for use of the medical device in the state languages of the Member States may be submitted after a positive expert opinion has been formed | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 30. | Service Manual - in case of absence of data in the operating documentation (if available). This document in the official languages of the recognizing States may be submitted after a positive expert opinion has been formed | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 31. | Report on the results of inspection of medical device production or its copy (if available) | + | + | + | + | + | copy of the report shall be certified by the inspection organization or the manufacturer (authorized representative of the manufacturer) |
| 32. | A plan for collecting and analyzing data on the safety and effectiveness of medical devices at post-marketing stage | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 33. | Documents confirming the results of tests of medical devices for the purpose of type approval of measuring instruments (in respect of medical devices included in the list of types of medical devices to be attributed during their registration to measuring instruments, approved by the Decision of the Council of the Eurasian Economic Commission of February 12, 2016. N 42), or copies thereof | + | + | + | + | + | copies of documents shall be certified by an organization authorized (notified) in accordance with the legislation of the Member State to perform tests on measuring instruments, or in accordance with the norms of certification established by the legislation of the reference state |
| 34. | Photographic images of the general appearance of the medical device and accessories (if available) (size at least 180 mm x 240 mm) | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
| 35. | Documents confirming the quality of a medicinal product, biological material and other substances that are part of a medical device and come into contact with the human body in accordance with the intended use of the medical product, as well as are intended for use only with regard to the intended use of the medical device defined by the manufacturer, and issued in accordance with the legislation of the country of origin of the medicinal product, biological material and other substances, or copies thereof (as applicable) | + | + | + | + | - | copies of documents shall be certified by the manufacturer (authorized representative of the manufacturer) |
| 36. | Other documents provided by the applicant | + | + | + | + | + | copies of documents shall be certified by the manufacturer (authorized representative of the manufacturer) |
| 37. | Inventory (if the registration dossier is submitted in paper form) | + | + | + | + | + | certified by the manufacturer (authorized representative of the manufacturer) |
Annex N 5
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
EXPERT OPINION
ON THE EVALUATION OF SAFETY, QUALITY AND EFFECTIVENESS
MEDICAL DEVICE
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| (name of the authorized body (expert organization) of the reference state) | |
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| APPROVED |
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| (full name of the head of the authorized body (expert organization), signature, seal) |
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| "__" ____________ 20__ г. |
EXPERT OPINION
on the evaluation of safety, quality and effectiveness
medical device
N _____ dated "__" ______ 20__.
3. general conclusion on confirmation (non-confirmation) of safety, quality and efficacy of the medical device, recommendation on possibility (impossibility) of registration of the medical device.
He is warned about the responsibility for the reliability of the information stated in the expert report on the assessment of safety, quality and efficacy of the medical device.
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| (full name of the expert, position, academic degree (title) (if any)) |
| (signature) |
Annex N 6
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
CONCLUSION
ON CONFIRMATION OF APPROVAL (NON-APPROVAL) OF THE EXPERT REPORT
CONCLUSIONS ON THE RESULTS OF SAFETY, QUALITY
AND EFFECTIVENESS OF A MEMBER STATE'S MEDICAL DEVICE
OF THE EURASIAN ECONOMIC UNION, WHICH IMPLEMENTS
MEDICAL DEVICE REGISTRATION
____________________________________________________________
(name of the authorized body (expert
(organization) States of recognition)
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| APPROVED |
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| (full name of the head of the authorized body (expert organization), signature, seal) |
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| "__" __________ 20__ г. |
CONCLUSION
on confirmation of approval (non-approval) of the expert report
the conclusion of a member state of the Eurasian Economic
of the Union that carries out the registration of the medical device,
based on the results of safety, quality
and effectiveness of a medical device
N ______ dated "__" ___________ 20__.
He was warned about the responsibility for the reliability of the information stated in the conclusion on confirmation of approval (non-approval) of the expert opinion of the reference state on the results of the examination of safety, quality and efficacy of a medical device.
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| (Name of the expert) |
| (signature) |
Annex N 7
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
APPLICATION FORM
ON AMENDMENTS TO THE REGISTRATION DOSSIER
MEDICAL DEVICE
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| To the authorized body of a member state of the Eurasian Economic Union |
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| (name of the reference State) |
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| (name of the State(s) of recognition) |
| APPLICATION on amendments to the registration dossier medical device |
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| (full and abbreviated (if any), including company name of the person on whose behalf the changes are made (manufacturer (authorized representative of the manufacturer), legal form of the legal entity) |
| hereby requests amendments to the registration dossier of the medical device |
| 1. Name of medical device |
| |
| 2. Manufacturer of the medical device (full and abbreviated name, organizational and legal form of the legal entity, location (address of the legal entity, place of residence of the individual registered as an individual entrepreneur) |
| |
| 3. Production sites (full name, address) |
| |
| 4. Authorized representative of the manufacturer (if any) (full and abbreviated name, legal form of the legal entity, location (address of the legal entity, place of residence of the individual registered as an individual entrepreneur) |
|
|
| 5. Potential risk class of the medical device |
|
|
| 6. Code of type of medical device (according to the nomenclature of medical devices of the Eurasian Economic Union, the rules for maintaining which are approved by Decision of the Board of the Eurasian Economic Commission of December 29, 2015 N 177) |
|
|
| 7. Number of the registration certificate of the medical device of the Eurasian Economic Union |
|
|
| 8. Information on the documents confirming payment for the procedure of amendments to the registration dossier in the reference state and the procedure of approval of the expert opinion in the states of recognition, as well as issuance of the registration certificate of the medical device in the reference state (if necessary) |
|
|
| 9. Method of receiving notifications (decisions) from the authorized body (expert organization) of the reference state |
| personally signed |
|
| by registered mail with return receipt requested | |
|
| electronically (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) | |
|
| in the form of an electronic document signed with an electronic signature | |
| 10. Method of obtaining the registration certificate of a medical device and (or) its annex (in case the changes introduced will entail changes in the registration certificate of a medical device and (or) its annex), as well as the previously issued registration certificate of a medical device and (or) its annex with a note on their invalidity |
| in person |
|
| on paper by registered mail with return receipt requested | |
| due to the following changes: | ||
| Amendments to the registration dossier of a medical device | ||
| N n/a | Revision before changes | Changes to be made |
| 1. | ... | ... |
| Changes in the registration dossier do not entail changes in the properties and characteristics affecting the safety, quality and efficacy of the medical device. |
| I guarantee the accuracy of the information provided. |
| I guarantee the preservation of the declared characteristics of safety and effectiveness of the medical device during the entire service life if the conditions of operation, transportation and storage of the medical device are observed in accordance with the manufacturer's requirements. |
|
|
|
|
| |
| (date of application) |
|
|
| |
|
|
|
| ||
|
| (full name and position of the head of the manufacturer (authorized representative of the manufacturer)) |
| (signature, stamp of the manufacturer (authorized representative of the manufacturer)) | |
Annex N 8
to the Rules for Registration and Examination
Safety, quality and efficiency
medical devices
EXPERT OPINION
ON THE POSSIBILITY (IMPOSSIBILITY) OF MAKING CHANGES
IN THE REGISTRATION DOSSIER OF A MEDICAL DEVICE
|
|
| (name of the authorized body (expert organization) of the reference state) |
|
| APPROVED |
|
|
|
|
| (full name of the head of the authorized body (expert organization), signature, stamp) |
|
| "__" ____________ 20__ г. |
EXPERT OPINION
on the possibility (impossibility) of making changes
in the registration dossier of a medical device
N _____ dated "__" _________________ 20__.
1. Name of medical device.
2. Manufacturer of the medical device (full and abbreviated
names, legal form of the legal entity, place of
location (address of a legal entity, place of residence of an individual,
registered as an individual entrepreneur)).
3. Authorized representative of the manufacturer (full and abbreviated
names, legal form of the legal entity, place of
location (address of a legal entity, place of residence of an individual,
registered as an individual entrepreneur))
(if available).
4. Production sites (full and abbreviated names,
organizational-legal form of the legal entity, actual address).
5. Scope and purpose.
6. Type of medical device according to the nomenclature of medical devices
of products of the Eurasian Economic Union, the rules of which are as follows
approved by the Decision of the Board of the Eurasian Economic Commission from 29
December 2015 N 177.
7. Potential risk class of the medical device.
8. Number of the registration certificate of the medical device.
9. Date of issue of the registration certificate of the medical device.
10. Amendments made:
| Data entered in the registration dossier at the time of registration | Changes to be made | Applicant's rationale for making the change |
|
|
|
|
11. Analyze and evaluate the data justifying the changes.
12. Conclusion on the possibility (impossibility) of making changes to the
the registration dossier of a medical device (in the case of a judgment of
negative conclusion - with justification of reasons).
|
|
|
|
| (full name of the expert, position, academic degree (title) (if any)) |
| (signature) |
Annex N 9
to the Rules for Registration and Examination
Safety, quality and efficiency
medical devices
APPLICATION FORM
AMENDMENTS TO THE REGISTRATION DOSSIER OF MEDICAL
PRODUCTS IN A NOTIFICATION PROCEDURE
|
| To the authorized body of a member state of the Eurasian Economic Union |
|
|
|
|
| (name of the reference State) |
| APPLICATION on amendments to the registration dossier of a medical device on notice |
|
|
| (full and abbreviated (if any), including company name of the person on whose behalf the changes are made (manufacturer (authorized representative of the manufacturer), legal form of the legal entity) |
| hereby requests that the registration dossier of the medical device be amended in a notifiable manner |
| 1. Name of medical device |
| |
| 2. Manufacturer of the medical device (full and abbreviated name, organizational and legal form of the legal entity, location (address of the legal entity, place of residence of the individual registered as an individual entrepreneur) |
| |
| 3. Production sites (full name, address) |
| |
| 4. Authorized representative of the manufacturer (if any) (full and abbreviated name, legal form of the legal entity, location (address of the legal entity, place of residence of the individual registered as an individual entrepreneur) |
| |
| 5. Potential risk class of the medical device |
| |
| 6. Code of type of medical device (according to the nomenclature of medical devices of the Eurasian Economic Union, the rules for maintaining which are approved by Decision of the Board of the Eurasian Economic Commission of December 29, 2015 N 177) |
| |
| 7. Number of the registration certificate of a medical device of the Eurasian Economic Union |
| |
| 8. Information on the documents confirming payment for the procedure of making changes to the registration dossier in the notification procedure in the reference state, as well as issuance of the registration certificate of the medical device in the reference state (if necessary) |
| |
| 9. Method of receiving notifications (decisions) from the authorized body (expert organization) of the reference state |
| personally signed |
|
| by registered mail with return receipt requested | |
|
|
| electronically (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) |
|
|
| in the form of an electronic document signed with an electronic signature |
| 10. Method of obtaining the registration certificate of a medical device and (or) its annex (in case if the changes introduced will entail changes in the registration certificate of a medical device and (or) its annex), as well as the previously issued registration certificate of a medical device and (or) its annex with a note on their invalidity |
| in person |
|
| on paper by registered mail with return receipt requested | |
| Information to be filled in when changes are made by the manufacturer of medical devices of potential application risk class 1 and non-sterile medical devices of potential application risk class 2a, who has evaluated the quality management system of medical devices, including design and development processes, in accordance with the Requirements for the implementation, maintenance and evaluation of the quality management system of medical devices depending on the potential risk of their use, approved by the Decision of the Council of the Eurasian Economic Commission from 10 N 106: | ||
| 11. number of the report on the results of the initial production inspection |
| |
| 12. name of the inspecting organization that carried out the initial inspection of production |
| |
| 13. Number of the report on the results of periodic (scheduled) inspection of production (if any) |
| |
| 14. Name of the inspecting organization that conducted periodic (scheduled) inspection of production |
| |
| due to the following changes: | ||
| Amendments to the registration dossier of a medical device | ||
| N n/a | Revision before changes | Changes to be made |
| 1. | ... | ... |
| Changes in the registration dossier do not entail changes in the properties and characteristics affecting the safety, quality and efficacy of the medical device. |
| I guarantee the accuracy of the information provided. |
| I guarantee the preservation of the declared characteristics of safety and effectiveness of the medical device during the entire service life if the conditions of operation, transportation and storage of the medical device are observed in accordance with requirements of the manufacturer. |
|
|
| (date of application) |
|
|
|
|
|
|
| (full name and position of the head of the manufacturer (authorized representative of the manufacturer)) |
| (signature, stamp of the manufacturer (authorized representative of the manufacturer)) |
Annex N 10
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
APPLICATION FORM
ON ISSUANCE OF A DUPLICATE REGISTRATION CERTIFICATE
MEDICAL DEVICE
|
| To the authorized body of a member state of the Eurasian Economic Union |
|
|
|
|
| (name of the reference State) |
| APPLICATION on issuance of a duplicate registration certificate for a medical device |
| 1. Number of the registration certificate of the medical device |
| |
| 2. Name of the medical device (indicating the model (brand) of the medical device, its composition and accessories - as an attachment to the application, stamped and signed by the head of the manufacturer of the medical device) |
| |
| I. Information on the manufacturer of the medical device | ||
| 3. legal form and full name of the legal entity or surname, name, patronymic (if any) of the individual registered as an individual entrepreneur |
| |
| 4. Abbreviated name of the legal entity (if any) |
| |
| 5. Firm name of the legal entity (if any) |
| |
| 6. Location (address of a legal entity, place of residence of an individual registered as an individual entrepreneur) |
| |
| 7. Phone number |
| |
| 8. E-mail address of a legal entity or an individual registered as an individual entrepreneur (if any) |
| |
| 9. Taxpayer Identifier |
| |
| 10. Production sites (full name, address) |
| |
| II. Information on the manufacturer's authorized representative (if any) | ||
| 11. legal form and full name of the legal entity or surname, name, patronymic (if any) of the individual registered as an individual entrepreneur |
| |
| 12. Abbreviated name of the legal entity (if any) |
| |
| 13. Firm name of the legal entity (if any) |
| |
| 14. Location (address of a legal entity, place of residence of an individual registered as an individual entrepreneur) |
| |
| 15. Phone number |
| |
| 16. E-mail address of a legal entity or an individual registered as an individual entrepreneur (if any) |
| |
| 17. Taxpayer Identifier |
| |
| III. Other information | ||
| 18. Method of receiving notifications (decisions) from the authorized body (expert organization) of the reference state |
| personally signed |
|
| by registered mail with return receipt requested | |
|
| electronically (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) | |
|
| in the form of an electronic document signed with an electronic signature | |
| 19. Method of obtaining a duplicate of a registration certificate of a medical device |
| in person |
|
| on paper by registered mail with return receipt requested | |
| 20. Grounds for issuance of a duplicate |
| loss of registration certificate |
|
| defacement of registration certificate | |
| 21. Information on the document confirming payment for issuance of the duplicate (date and number of the payment order) |
| |
|
|
| (date of application) |
|
|
|
|
|
|
| (full name and position of the head of the manufacturer (authorized representative of the manufacturer)) |
| (signature, stamp of the manufacturer (authorized representative of the manufacturer)) |
Annex N 11
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
APPLICATION FORM
ON THE HARMONIZATION OF THE EXPERT OPINION
ON A REGISTERED MEDICAL DEVICE
|
| To the authorized body (expert organization) of a member state of the Eurasian Economic Union |
|
|
|
|
| (name of the reference State) |
|
|
|
|
| (name of the State(s) of recognition not specified in the registration certificate of the medical device) |
| APPLICATION on approval of an expert opinion on a registered medical device |
|
|
| (full and abbreviated (if any), including company name of the person on whose behalf the application is submitted (manufacturer (manufacturer's authorized representative), legal form of the legal entity) |
| hereby requests the procedure for approval of the expert opinion on the registered medical device: |
| 1. Name of medical device |
| |
| 2. Details of the registration certificate of the medical device |
| |
| 3. Potential risk class of the medical device |
| |
| 4. Code of the type of medical device (according to the nomenclature of medical devices of the Eurasian Economic Union, the rules for maintaining which are approved by the Decision of the Board of the Eurasian Economic Commission of December 29, 2015 N 177) |
|
|
| 5. Full name and country of the manufacturer, including location (address of a legal entity, place of residence of an individual registered as an individual entrepreneur) |
|
|
| 6. Full names of production sites, including address |
|
|
| 7. Name of the manufacturer's authorized representative in the territories of member states of the Eurasian Economic Union, including location (address of a legal entity, place of residence of an individual registered as an individual entrepreneur) |
|
|
| 8. Information on the document confirming payment for issuance of the registration certificate in the reference state (if necessary) |
|
|
| 9. Information on the document confirming payment for the procedure of approval of the expert opinion on the registered medical device in the State(s) of recognition |
|
|
| 10. Method of receipt of notifications (decisions) from the authorized body (expert organization) of the reference state: |
| personally signed |
|
| by registered mail with return receipt requested | |
|
| electronically (when selecting this method, it is necessary to specify the e-mail address(es) to which notifications should be sent) | |
|
| in the form of an electronic document signed with an electronic signature | |
| 11. Method of obtaining a registration certificate for a medical device and its annexes: |
| in person |
|
| on paper by registered mail with return receipt requested | |
| I guarantee the truthfulness and identity of the information contained in the application. |
|
|
| (date of application) |
|
|
|
|
|
|
| (full name and position of the head of the manufacturer (authorized representative of the manufacturer)) |
| (signature, stamp of the manufacturer (authorized representative of the manufacturer)) |
Annex N 12
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
LIST
DOCUMENTS REQUIRED FOR THE PROCEDURE
APPROVAL OF THE EXPERT REPORT ON THE REGISTERED
MEDICAL DEVICE
| Name of the document | Note |
| 1. Application for approval of an expert opinion on a registered medical device | in the form provided by Annex N 11 to the Rules for Registration and Examination of Safety, Quality and Effectiveness of Medical Devices, approved by the Decision of the Council of the Eurasian Economic Commission of February 12, 2016. N 46 |
| 2. Contract of the manufacturer with the authorized representative of the manufacturer or its copy (if there is an authorized representative of the manufacturer) | the copy shall be certified in accordance with international standards of certification or the standards of certification established by the legislation of the reference state |
| 3. Power of attorney from the manufacturer or authorized representative of the manufacturer for the right to represent interests during the procedure of approval of the expert opinion on the registered medical device (if necessary) | in accordance with international assurance standards or assurance standards established in accordance with the legislation of a member state of the Eurasian Economic Union |
| 4. Data on labeling and packaging approved during registration of the medical device taking into account the changes made in the registration dossier of the medical device (full-color (with indication of color coding) layouts of packages and labels), the text of labeling in the state languages of the states of recognition specified in the application for approval of the expert opinion on the registered medical device) (if necessary) | are certified by the manufacturer (authorized representative of the manufacturer) |
| 5. operating document or instructions for use of the medical device, service manual, approved at the time of registration of the medical device, taking into account the changes made in the registration dossier of the medical device, in the state languages of the states of recognition, specified in the application for the approval of the expert opinion on the registered medical device (if necessary) | are certified by the manufacturer (authorized representative of the manufacturer) |
| 6. Registration certificate of a medical device of the Eurasian Economic Union or a duplicate thereof |
|
Annex N 13
to the Rules for Registration and Examination
safety, quality and efficiency
medical devices
APPLICATION FORM
ON REVOCATION (ANNULMENT) OF THE REGISTRATION
MEDICAL DEVICE AUTHORIZATION
|
| To the authorized body of a member state of the Eurasian Economic Union |
|
|
|
|
| (name of the reference State) |
| APPLICATION Cancellation (revocation) of the registration certificate of a medical device |
|
|
| (full and abbreviated (if any), including company name of the person on behalf of whom the application is submitted (manufacturer (manufacturer's authorized representative), legal form of the legal entity) |
| hereby requests to cancel the validity of the registration certificate of the medical device (cancel the registration certificate of the medical device) |
|
|
| (name of the medical device (specifying the model (brand) of the medical device, its composition and accessories)) |
|
|
| (date of registration of the medical device and number of the registration certificate of the medical device) |
| in connection with |
|
|
| (insert reason) |
|
|
| (date of application) |
|
|
|
|
|
|
| (full name and position of the head of the manufacturer (authorized representative of the manufacturer)) |
| (signature, stamp of the manufacturer (authorized representative of the manufacturer)) |