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2025年7月17日

約5分鐘

醫療器材冰山:掌握 MDR 2017/745 下的技術文件

醫療器材冰山:掌握 MDR 2017/745 下的技術文件

在醫療器材註冊的世界中,您的技術文件 (TD) 不僅僅是表面工作。它是公告機構首先檢查的隱藏基礎。根據 MDR 2017/745,您的技術文件是器材的身份證,證明其符合嚴格的安全和性能標準。

技術文件的 7 個基本支柱

您的技術文件不應是散亂文件的集合,而應是以 MDR 附錄 II 和 III 為指導的結構化、連貫且不斷演進的系統。它由七個關鍵支柱組成:

  1. 器材描述與規範: 定義器材及其變體。
  2. 製造商提供的資訊: 標籤、包裝和使用說明書 (IFU)。
  3. 設計與製造資訊: 藍圖和用於製造器材的製程。
  4. GSPR(通用安全與性能要求): 證明符合附錄 I 的核對表。
  5. 受益-風險分析與風險管理: 貫穿產品生命週期的系統化管理。
  6. 產品驗證與確認 (V&V): 包括台架測試和臨床評估。
  7. 上市後監督 (PMS): 產品投入使用後的監測計劃。

精通 3C 原則:清晰、一致與連貫

為了避免與審查員陷入無限的反饋循環,您的文件必須遵循 3C 原則:

  • 清晰 (Clarity): 為審查員編寫。對複雜的風險或臨床數據使用簡單、精確的摘要和單頁結論。
  • 一致 (Consistency): 在所有文件中使用單一的預期用途。全程使用相同的術語和邏輯。
  • 連貫 (Connectivity): 清晰地交叉引用文件。設計的改變會影響風險,進而影響臨床數據——追蹤這些關聯。

編製最佳實踐

  • 建立 V&V 矩陣: 保持從使用者需求 (URS) 到功能需求 (FRS) 的清晰溯源性。
  • 使用可搜索格式: 確保數位文件已編索引並建立超連結,以便導航。
  • 摘要文件: 為審查員提供技術文件結構的高階路線圖。
  • 定期更新: 將技術文件視為一個活的生態系統,而不是一次性項目。

使用模板開始

您不必從頭開始。使用這些專業模板來建立符合規範的結構:

清晰的文件等於更快的審查速度和幫助患者的更快路徑。

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問與答 (5)

A
訪客

We produce standard surgical instruments that have been on the market for 20 years. Do we still need to conduct new clinical investigations for MDR or can we use "Well-Established Technology" (WET) exemptions?

ElendiLabs

The MDR is much stricter regarding clinical data. While Article 61(10) allows for some flexibility for devices where clinical data is not deemed appropriate, the "WET" exemption is generally reserved for very specific, low-risk devices (e.g., sutures, staples, dental fillings). For most instruments, you will need a robust Clinical Evaluation Report (CER) that includes a systematic literature review and post-market clinical follow-up (PMCF) data, even if a new clinical trial isn't required.

A
訪客

We manufacture non-corrective "proliferative" (aesthetic/colored) contact lenses. Since these have no medical purpose do we still need to follow the full EU MDR process and what are the "Common Specifications"?

ElendiLabs

Yes. Under Annex XVI of the MDR, products without an intended medical purpose (like aesthetic lenses) are now regulated as medical devices. You must comply with the General Safety and Performance Requirements (GSPR) and specific Common Specifications (CS) outlined in Commission Implementing Regulation (EU) 2022/2346. This includes stricter clinical evaluation requirements than the old MDD—you cannot simply rely on "equivalence" to existing products; you must demonstrate safety based on specific CS criteria.

A
訪客

We are a US-based manufacturer with no physical office in Europe. Can our EU Authorized Representative (EC REP) also act as our PRRC (Person Responsible for Regulatory Compliance)?

ElendiLabs

No. Under MDR Article 15, the PRRC and the EC REP must be distinct roles to ensure a "four-eyes" principle of oversight. While your EC REP must have their own PRRC, you (as the manufacturer) must also appoint your own PRRC. For non-EU manufacturers, the PRRC does not necessarily have to be located in the EU, but they must be "at your disposal" and meet specific qualification requirements regarding professional certifications or years of regulatory experience.

A
訪客

Our diagnostic AI software was classified as Class I under the old MDD. Does Rule 11 of the MDR automatically push us into Class IIa or higher and does this require a Notified Body?

ElendiLabs

In most cases, yes. Rule 11 has significantly raised the bar for Software as a Medical Device (SaMD). If your software is intended to provide information used to take decisions with diagnosis or therapeutic purposes, it is at least Class IIa. Because Class I (self-declared) is now very rare for software, you will almost certainly need to engage a Notified Body to audit your Quality Management System (ISO 13485) and Technical Documentation. We have experts that specialize in Rule 11 gap analysis for AI startups. [Inquire about a Gap Audit].

A
訪客

We are selling a Class IIb device under a valid MDD certificate until 2027. If we update our software's UI or change a minor raw material supplier does that count as a "significant change" that voids our legacy status?

ElendiLabs

This is a critical distinction. Under MDCG 2020-3, "significant changes" in design or intended purpose require you to move to full MDR compliance immediately. A UI update that changes how data is interpreted might be "significant," whereas a minor supplier change for a non-critical component might not. We recommend a formal Significant Change Assessment before making any modifications to ensure you don't accidentally lose your MDD transition period.

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