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Cover image for Regulatory affairs for biomaterials and medical devices
Title:
Regulatory affairs for biomaterials and medical devices
Series:
Woodhead publishing series in biomaterials ; no. 79
Publication Information:
Philadelphia, PA : Woodhead Pub., 2015
Physical Description:
xv, 185 p. ; 24 cm.
ISBN:
9780857095428
Abstract:
This book provides key information on the regulatory practices and policies relating to biomaterials and medical devices in different regions, particularly Europe, the USA and Asia.

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30000010343096 R856.6 R44 2015 Open Access Book Book
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Summary

Summary

All biomaterials and medical devices are subject to a long list of regulatory practises and policies which must be adhered to in order to receive clearance. This book provides readers with information on the systems in place in the USA and the rest of the world. Chapters focus on a series of procedures and policies including topics such as commercialization, clinical development, general good practise manufacturing and post market surveillance.


Author Notes

Dr Stephen F. Amato is a senior member of the Regulatory Affairs and Market Access Faculty at the College of Professional Studies, Northeastern University, Boston, USA. He is a consultant for the Regulatory Affairs Professional Society and has more than 20 years of global experience in the biotechnology and medical device industries. Dr Robert M. Ezzell is a graduate instructor on the Northeastern University Regulatory Affairs Graduate Program.


Table of Contents

I. KulinetsN. Scarborough and N. MukherjeeS.F AmatoS. F AmatoK.G. StevensS.F. AmatoJ.J. TobinF. TarabahK. DesaiJ.L. Wong and P. Teysseyre
List of contributorsp. ix
Woodhead Publishing Series in Biomaterialsp. xi
1 Biomaterials and their applications in medicinep. 1
1.1 Biomaterials - progression of the definitionp. 1
1.2 The history and future of biomaterialsp. 2
1.3 Types of biomaterialsp. 4
1.4 The major factors contributing to specific biomaterial choicesp. 6
1.5 Important parameters in the development of biomaterials and associated productsp. 7
1.6 Applications of biomaterialsp. 8
1.7 Sources of further information and advicep. 9
Referencesp. 10
2 Technical considerations for commercialization of biomaterialsp. 11
2.1 Introductionp. 11
2.2 General considerationsp. 11
2.3 Regulation of risks associated with medical productsp. 12
2.4 Ensuring the safety of medical productsp. 13
2.5 Demonstrating the efficacy of biomaterialsp. 16
2.6 Specific product scenariosp. 17
2.7 Biologically derived materialsp. 19
2.8 Understanding and complying with FDA guidelinesp. 21
2.9 Conclusionp. 25
Referencesp. 25
3 Regulatory strategies for biomaterials and medical devices in the USA: classification, design, and risk analysisp. 27
3.1 Food and Drug Administration (FDA) regulatory categorizations and structurep. 27
3.2 FDA classification of medical devicesp. 31
3.3 FDA Quality Systems Regulations (QSRs) for medical device and biomaterial design controlp. 35
3.4 Medical device and biomaterial risk analysisp. 38
3.5 Procurement and related processesp. 42
Referencesp. 44
4 Clinical development and endpoint strategies for biomaterials and medical devicesp. 47
4.1 Food and Drug Administration (FDA) regulatory considerations for biomaterialsp. 47
4.2 Clinical development pathways for device-based classificationp. 48
4.3 Testing considerations for biomaterials clinical evaluationp. 53
4.4 Clinical development pathways for biologic-based classificationp. 56
4.5 Clinical development pathways for combination product classificationp. 58
4.6 Clinical development elements required in biomaterials product evaluation in all regulatory pathwaysp. 59
Appendix 1 Applicable FDA guidance documents and ASTM standards for biomaterialsp. 60
Appendix 2 Applicable FDA product codes and target areas for Class II biomaterialsp. 63
5 The clinical evaluation and approval threshold of biomaterials and medical devicesp. 67
5.1 The clinical evaluation of biomaterials and medical devicesp. 67
5.2 Geographical differences in clinical evaluationsp. 69
5.3 Clinical quality assurancep. 70
5.4 Threshold for approvalp. 71
5.5 The current regulatory landscapep. 74
5.6 Future trendsp. 75
Referencesp. 77
6 Supply chain controls for biomaterials and medical devices in the USAp. 79
6.1 Introductionp. 79
6.2 Overview of supply chain risks and mitigating activitiesp. 79
6.3 Product distribution: traditional and emerging risksp. 80
6.4 Counterfeit challengesp. 82
6.5 Challenges relating to recalls, imports and environmental managementp. 84
6.6 Risk management systemp. 85
6.7 Regulatory risks affecting sponsor oversight of a supplierp. 87
6.8 Supplier risks in the supply chainp. 88
6.9 Supplier impact on product riskp. 89
6.10 Product liability risks and the supply chainp. 90
6.11 Summaryp. 92
7 Global marketing authorisation of biomaterials and medical devicesp. 93
7.1 Introductionp. 93
7.2 Placing devices on the EU marketp. 93
7.3 Placing devices on the US marketp. 105
7.4 Placing devices on the Australian marketp. 109
7.5 Placing devices on the Canadian marketp. 109
7.6 Future trendsp. 112
7.7 Sources of further information and advicep. 113
8 Good manufacturing practice (GMP) for biomaterials and medical devices in the EU and the USAp. 115
8.1 Introductionp. 115
8.2 History of GMPp. 116
8.3 The essential rules of GMPp. 117
8.4 Global overview on GMPp. 120
8.5 GMP and managementp. 121
8.6 Requirements of a GMP quality system: prior to routine productionp. 126
8.7 Requirements of a GMP quality system: preparing and performing routine productionp. 132
8.8 Particular aspects of 'EU GMP" and comparison with 21 CFR Part 820p. 134
8.9 GMP and product life spanp. 135
8.10 Future trends for GMPp. 142
8.11 Sources of further informationp. 143
Bibliographyp. 143
9 Postmarket surveillance approaches for biomaterials and medical devices in the USAp. 145
9.1 Classification-based postmarketing surveillance pathwayp. 145
9.2 Postmarketing surveillance pathway for device-based classificationp. 145
9.3 Postmarketing surveillance pathway for biologies-based classificationp. 152
9.4 Postmarketing surveillance pathway for combination-based classificationp. 154
9.5 Strengthening postmarket surveillancep. 155
Referencesp. 157
10 Fundamentals of medical device approval in the Asia Pacific regionp. 159
10.1 Introductionp. 159
10.2 Asia Pacific regulatory environment - good practicep. 160
10.3 Defining the regulatory strategy in the Asia Pacific regionp. 164
10.4 Scheduling medical device registrations in the Asia Pacific region (reducing registration lead time)p. 166
10.5 Follow-up of the device registrationp. 170
10.6 Conclusionp. 172
Referencesp. 173
Appendix: glossary of termsp. 173
Indexp. 175
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