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家人们,医疗器械medical device、组件component、配件fitting、附件accessory、耗材consumable这几个到底咋区分?求大佬们指点,已头晕。
找了一些定义:
MDR:
‘medical device’ means any instrument, apparatus, appliance, software, implant, reagent, material or other article intended by the manufacturer to be used, alone or in combination, for human beings for one or more of the following specific medical purposes:
— diagnosis, prevention, monitoring, prediction, prognosis, treatment or alleviation of disease,
— diagnosis, monitoring, treatment, alleviation of, or compensation for, an injury or disability,
— investigation, replacement or modification of the anatomy or of a physiological or pathological process or state,
— providing information by means of in vitro examination of specimens derived from the human body, including organ, blood and tissue donations,(IVD)
and which does not achieve its principal intended action by pharmacological, immunological or metabolic means, in or on the human body, but which may be assisted in its function by such means.
The following products shall also be deemed to be medical devices:
— devices for the control or support of conception;
— products specifically intended for the cleaning, disinfection or sterilisation of devices as referred to in Article 1(4) and of those referred to in the first paragraph of this point.
‘accessory for a medical device’ means an article which, whilst not being itself a medical device, is intended by its manufacturer to be used together with one or several particular medical device(s) to specifically enable the medical device(s) to be used in accordance with its/their intended purpose(s) or to specifically and directly assist the medical functionality of the medical device(s) in terms of its/their intended purpose(s);
医疗器械监督管理条例:
医疗器械,是指直接或者间接用于人体的仪器、设备、器具、体外诊断试剂及校准物、材料以及其他类似或者相关的物品,包括所需要的计算机软件;其效用主要通过物理等方式获得,不是通过药理学、免疫学或者代谢的方式获得,或者虽然有这些方式参与但是只起辅助作用;其目的是:
(一)疾病的诊断、预防、监护、治疗或者缓解;
(二)损伤的诊断、监护、治疗、缓解或者功能补偿;
(三)生理结构或者生理过程的检验、替代、调节或者支持;
(四)生命的支持或者维持;
(五)妊娠控制;
(六)通过对来自人体的样本进行检查,为医疗或者诊断目的提供信息。
美国:Medical Device Accessories -Describing Accessories and Classification Pathways
The term “device” means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part, or accessory, which is –
(1) recognized in the official National Formulary, or the United States Pharmacopeia, or any supplement to them;
(2) intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or
(3) intended to affect the structure or any function of the body of man or other animals, and
Accessory: A finished device that is intended to support, supplement, and/or augment the performance of one or more parent devices.
Component (21 CFR 820.3(c)): “[A]ny raw material, substance, piece, part, software, firmware, labeling, or assembly which is intended to be included as part of the finished, packaged, and labeled device.”
Finished Device (21 CFR 820.3(l)): “[A]ny device or accessory to any device that is suitable for use or capable of functioning, whether or not it is packaged, labeled, or sterilized.”
Parent Device: A finished device whose performance is supported, supplemented, and/or augmented by one or more accessories.
A. Is the article an accessory?-1. Is intended for use with one or more parent devices.-2. Is intended to support, supplement, and/or augment the performance of one or more parent devices.
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