With so many international regulatory bodies governing different countries and industries, it can be difficult for manufacturers to stay abreast of all of the changing regulatory environments and requirements across the globe. On August 5, 2015, China Food and Drug Administration (CFDA) released its “Principle of technical review of medical device software” (2015 Order No. 50). The principle, which is only available in Chinese, signals a major change for documentation requirements for stand-alone software or software components developed by medical device manufacturers or their development partners.
In a recent UL paper, Tim Lin, senior manager at UL Medical Regulatory Advisory Services (MRAS) in the Greater China Region, named inadequate design, processes that do not produce the required software documentation and worst of all, rejected applications as three of the most common results when manufacturers are unaware of changing global regulations. To help medical device manufacturers interpret the new requirements and take necessary action, Lin explained the new principle in the UL paper and suggested three recommendations that device makers in China should follow when submitting documents for pre-market assessment.
The new regulation reflects CFDA’s current thinking and is based on the existing guidance from April 28, 2012. It provides more detail on the documentation requirements introduced therein, as well as the registration requirements for updated and revised software. CFDA emphasizes its expectation that software safety and effectiveness is to be achieved by applying risk management, quality assurance and software lifecycle processes during software development. Off-the-Shelf (OTS) software which is part of the stand-alone software or component, or fully adopted OTS software used in medical devices are also subject to the new requirements set forth in 2015 Order No. 50. Basic Premise To achieve Class A, B or C software safety classification, applicants must provide software descriptive documentation at the time of registration which should include the following elements:
Software updates must now be documented and reviewed by CFDA. The regulation distinguishes between major and minor updates, with major updates being those that impact medical device safety and effectiveness (e.g., adaptive maintenance, perfective maintenance, etc.) and minor updates being those with no impact. Device makers must submit major software updates as revisions to CFDA, while minor updates must be documented in the quality system, but need only be reviewed by CFDA at the time of license renewal or modification. 2015 Order No. 50 also outlines documentation requirements for software versions, OTS software and requirements for registering software and software components.
As the risk of an adverse event to the Chinese population increases, CFDA responds by creating more stringent medical device regulations, including this one. With requirements covering a wide spectrum of device software, this new principle can be difficult to tackle. UL offers the following recommendations to fulfill 2015 Order No. 50:
To read Lin’s complete explanation of the new CFDA medical device software requirements, access the UL paper here.
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