roberto carlos latini

Roberto Carlos Latini

COUNTRIES THAT HAVE STRUCTURED REGULATORY AFFAIRS SYSTEM

(FOR IVD AND MEDICAL DEVICES)

↘ ARGENTINA↘ BOLIVIA↘ BRAZIL↘ CHILE↘ COLOMBIA↘ MEXICO↘ PARAGUAY↘ URUGUAY↘ VENEZUELA

GETTING STARTEDLEGAL COMPANY

ESTABLISHMENT

REGULATORY APPROVAL

FOR THE COMPANYGMP CERTIFICATEPRODUCT

REGISTRATION/

NOTIFICATION

WAYS TO GET INTO THE LATIN AMERICA MARKET

COMPANY

LOCAL COMPANY(SUBSIDIARY)

LOCAL DISTRIBUTOR

AUTHORIZEDREPRESENTATIVE

WAYS TO GET INTO THE LATIN AMERICA MARKET

Establishment of a Subsidiary in Brazil:• Advantages: the company will own the registrations

under its name. This way, the company will be free to choose and change distributors any time that may find convenient.

• Disadvantage: this process is more time consuming, once the company has to get the state (or city) regulatory license and the federal regulatory authorization, before submit the registration of the products. The time to get the said licenses is about 10 to12 months. The average time to register products varies, as follows:

• Medical Devices / IVD: 4~6 months.• Medical Consumables and Disposables: 4~9 months

WAYS TO GET INTO THE LATIN AMERICA MARKET Registration on behalf of Distributor’s name:

• Advantages: this option is faster than the establishment of a subsidiary, once the distributor already has the regulatory licenses. The timing of this operation will be only that described below for the registration, considering that all documents were sent to the distributor by the manufacturer:

• Medical Devices / IVD: 4~6 months.• Medical consumables and disposables: 4~9 months.

• Disadvantage: the main disadvantage is that the distributor will hold the registrations, which (generally) are not transferable, unless in case of incorporation, fusion or separation of companies. If the company decides to change the distributor, then the registrations will need to be re-make by the new distributor. However, various distributors can hold the registration of the same product. In this case, each one will have its own registration number.

WAYS TO GET INTO THE LATIN AMERICA MARKET Registration Using an Authorized Representative

(Non Commercial Holder):

• Advantages: the two basic advantages of this option are that it is faster than the establishment of a local subsidiary, once the Authorized Representative (AR) company already has the regulatory licenses and the timing of this operation will be only that considered to register the products in the Local Regulatory Agencies. The other important advantage is that the mother company can change the distributor any time, once the holder (AR) of the registrations will allow the distributor to import the products using the AR’s registration number.

• Disadvantage: the holder of the registrations will not be the mother company, but another one with a legal agreement to represent it in LATAM, regarding the registration of the products only.

• Important: the holder of the product’s registration can authorize another company (local distributors) or final consumer (as Hospitals, Labs and Clinics) to import the products under the registration number of the holder. This is perfectly legal, once the holder continues to be technically and legally responsible for the product itself.

COMPANIES APPROVAL

COMPANIES APPROVAL IN LATIN AMERICA

SOCIAL CONTRACT

TAX ID CARD

BUILDING CONSTRUCTION

OR OFFICE RENTAL

HIRE TECHNICAL AND LEGAL

RESPONSIBLE

PREPARATION & SUBMISSION OF

THE BLUE PRINTS + DOSSIER


THE LOCAL LICENSE

INSPECTION


THE FEDERAL AUTHORIZATION

FINAL APPROVAL

BLUE PRINTS 1:100

DESCRIPTION OF THE

ACTIVITIES

BASIC LIST OF PRODUCTS

TO BE SOLD

ALL NEEDED LOCAL LICENSES

MD - COMPANY

COUNTRY

BP 1:100

SC OD/RD IER CTR TRP LWP NML LOP QQA MNE MFC GMP EAL FDL IRC

Argentina X X X X X X X X X X X X X X X X

Bolívia X X X X X X X X X X X X X X X X

Brazil X X X X X X X X X X X X X X X X

Colombia O X X X X X O X X X X X X O X X

Mexico X X X X X X X X X X X X X X X X

Paraguay X X X X X X X X X X X X X X X X

Uruguay X X X X X X X X X X X X X X X X

Venezuela X X X X X X X X X X X X X X X XBP Blue Prints 1:100 Scale

SC Social Contract

OD/RD Ownership Document/ Rental Document

IER Importer/ Exporter Registration

CTR Certification of Technical Responsibility (Issued by the Professional Association)

TRP Technical Responsible Professional Required

LWP Local Working Permit Required (Issued by Local Health/ Regulatory Authorities)

NML Nuclear Materials License (When Applicable)

LOP List Of Products to be Manufactured/ Imported with the Proper Technical Description

QQA Quality Controls During Manufacturing or Inspection of Importer Goods

MNE Equipments Used in the manufacturing Process (For Manufacturing Only)

MFC Manufacturing Flowchart

GMP Need of Good Manufacturing Practices System Developed

EAL Environmental Agency License (When Applicable)

FDL Fire Dpt License

IRC Periodic Insects and Rodents Control is Required.

MEDICAL DEVICES COMPANIES DOCUMENTS REFERENCE.

IVD - COMPANY

COUNTRY BP 1:100 SC OD/RD IER CTR TRP LWP NHL QCL QCE LOP MOA MNE MFC GMP EAL FDL IRC

ARGENTINA X X X X X X X X X X X X X X X X X X

BOLÍVIA X X X X X X X X X X X X X X X X X X

BRAZIL X X X X X X X X X X X X X X X X X X

COLOMBIA O X X X X X O X O O X X X X X O X X

MEXICO X X X X X X X X X X X X X X X X X X

PARAGUAY X X X X X X X X X X X X X X X X X X

URUGUAY X X X X X X X X X X X X X X X X X X

VENEZUELA X X X X X X X X X X X X X X X X X X

BP Blue Prints 1:100 Scale

SC Social Contract

OD/RD Ownership Document/ Rental Document

IER Importer/ Exporter Registration

CTR Certification of Technical Responsibility (Issued by the Professional Association)

TR Technical Responsible Professional Required

LWP Local Working Permit Required (Issued by Local Health/ Regulatory Authorities)

NML Nuclear Materials License (When Applicable)

QCL Quality Control Lab (Maybe a Third Party Lab in Case of Importers only)

QCE Quality Control of Equipments (For Own QC Lab Only)

LOP List Of Products to be Manufactured/ Imported with the Proper Techinical Description

MOA Methodology of Analysis used during the Manufacturing Process and for Finished Products

MNE Equipment's Used in the manufacturing Process (For Manufacturing Only)

MFC Manufacturing Flowchart

GMP Need of Good Manufacturing Practices System Developed

EAL Environmental Agency License (When Applicable)

FDL Fire Dpt License

IRC Periodic Insects and Rodents Control is Required.

IVD COMPANY DOCUMENTS REFERENCE.

PRODUCT REGISTRATION

MEDICAL DEVICES REGISTRATION

BASIC DOCUMENTS TO REGISTER MEDICAL DEVICES IN LATIN AMERICA

↗ COMPANY’S WORKING PERMIT (LATAM)↗ FREE SALES CERTIFICATE* (WHEN APPLICABLE)↗ LETTER OF DISTRIBUTION* (WHEN APPLICABLE)

(*) CONSULARIZATION REQUIRED IN THE CLOSEST EMBASSY/CONSULATE OF THE COUNTRIE WHERE THE PRODUCT WILL BE REGISTERED.

↗ GMP CERTIFICATE (WHEN APPLICABLE)↗ CERTIFICATE OF CONFORMITY (FOR ELECTROMEDICAL DEVICES ONLY)↗ INSTRUCTIONS OF USE / INSERTS / USER’S MANUAL↗ SERVICE / INSTALATION MANUAL↗ LABELING↗ PACKING↗ COMPOSITION OF THE MEDICAL DEVICE↗ BASIC MANUFACTURING FLOWCHART WITH OPERATIONS MADE IN EACH PHASE↗ VALIDATION OF STERILIZATION PROTOCOL (WHEN APPLICABLE)↗ PROOFS OF SAFETY AND EFFECTIVENESS (PUBLISHED PAPERS IN SPECIALIZED MAGAZINES OR

POINTS SPECIFICALLY DESCRIBED IN LOCAL LEGISLATION)

EXTRA DOCUMENTS TO REGISTER MEDICAL DEVICES IN LATIN AMERICA

For Electromedical Equipments: Manufacturing Plant Audit; Tests performed according to the IEC 60601.1 and IEC 60601.2.X; If the Brazilian Notified Body has a Memorandum of Understanding (MOU) with the

one the certified the product in the country of origin then test report can be accepted instead of new tests performed in Brazil.

Condoms and Surgical Gloves: Require local tests and certification.

In Vitro Diagnostic kits: The following IVD Kits may require local tests and certification:ABO / Rh), Hepatites (B / C), Sífilis (Treponema pallidum), HIV, Doença de Chagas (Trypanosoma cruzi) and HTLV.


• For Orthopedic Prosthesis:

Risk Analysis of the Manufacturer according with ISO 14971, EN 93/42 EEC;

All tests made to approve the raw materials including the Certificate issued by

the supplier when applicable; All mechanical tests made according to accepted international standards like

ASTM, ISO, etc.. For example: dynamic tests, fatigue, static tests, etc. Critical analysis of the efficacy of the Orthopedic Prosthesis (made by the

Technical Responsible) comparing the nominal features with those obtained in the tests and the biometrical parameters described in the scientific literature. Everything must be compared with the parameters set up during the design phase;


Technical drawings of all components with the physical dimensions and tolerances; Controls used by the manufacturer during the manufacturing phase. All Quality Certificates obtained by the Manufacturer like ISO 9001, 13485, CE

Mark, 21 CFR FDA etc.; All Quality Certificates obtained by the third party companies that work for

Manufacturer like ISO 9001, 13485, 21 CFR FDA, etc., when applicable; Clinical studies performed with the product itself or similar products to prove the

efficacy and safety If the prosthesis contain any material originated from cattle then Animal Health

Certificates issued by the Veterinary authority of the country of origin of the cattle must be presented to prove that the animals were free from spongiform encephalopathy (mad cow disease).

30

UP

TO

150

DAYS

CRITICAL ANALISYS

DOCUMENTATION FROM

MANUFACTURER

PREPARATION OF TECHNICAL

DOSSIER IN LOCAL LANGUAGE

PAYMENT OF TAXES

SUBMISSION IN LOCAL REGULATORY

AUTHORITIES

ANALISYS BY LOCAL REGULATORY AUTHORITIES

FINAL APPROVAL

CERTIFICATION or

REQUIREDLOCAL TESTS

MEDICAL DEVICE REGISTRATION FLOWCHART

MEDICAL DEVICES REGISTRATION DOCUMENTS REFERENCE TABLE

MD - PRODUCTS

COUNTRY

WP

REG GMP

Basic Documents

IMPNMF FSC PKG IU LAB WRS MFC POA COM LLG BBR USA NML VSP

ARGENTINA x x x x x x x x x x x x x x x x x

BOLIVIA x x x x x x x x x x x x x x x x x

BRAZIL x x x x x x x x x x x x x x x x x

COLOMBIA x x x x x x x x x o x x x x o o x

MEXICO x x x x x x x x x x x x x x x x x

PARAGUAY x x x x x x x x x x x x x x x x x

URUGUAY x x x x x x x x x x x x x x x x x

VENEZUELA x x x x x x x x x x x x x x x x x

WP Working Permit WRS Warning/ Risks/ Special Care

IMP Importer MFC Manufacturing Flowchart

MNF Manufacturer POA Principle of Action

REG Need of Registration COM Composition

GMP Need of Good Manufacturing Practices LLG Local Language Required

FSC Free Sales Certificate BBR Bibliographic References Requires

PKG Packaging USA Use of Symbols Accepts in the Instructions of Use/ Labels

IU Instructions of Use/ Inserts / User Manual NML Nuclear Materials, License Required (When applicable)

LAB Labelling VSP Validation of the Sterilization Process (When applicable)

.

BASIC STRUCTURE OF MEDICAL DEVICES REGISTRATION DOSSIER

1. FORMS ACCORDING TO LOCAL LEGISLATION

2. TAX PAID

3. LABELLING ACCORDING TO LOCAL LEGISLATION

4. INSTRUCTIONS OF USE / USER MANUAL ACCORDING TO LOCAL LEGISLATION

5. TECHNICAL REPORT

6. CERTIFICATE OF CONFORMITY (FOR ELECTROMEDICAL DEVICES ONLY)

7. PROOFS OF EFFICACY AND SAFETY

8. NOTARIZED COPY OF THE FREE SALES CERTIFICATE* (WHEN APPLICABLE)

9. NOTARIZED COPY OF THE LETTER OF DISTRIBUTION* (WHEN APPLICABLE)

10. LOCAL (LATAM) GMP CERTIFICATE(*) DOCUMENTS MUST BE CONSULARIZED (IN THE COUNTRIE OF ORIGIN) IN THE CLOSEST CONSULATE OF THE COUNTRIE WHERE THE PRODUCT WILL BE CONSULARIZED

IVD REGISTRATION

IVD REGISTRATION FLOWCHARTDOCUMENTATION

FROM MANUFACTURER

CRITICAL ANALISYS

PREPARATION OF TECHNICAL DOSSIER IN LOCAL LANGUAGE

PAYMENT OF TAXES

SUBMISSION IN LOCAL REGULATORY

AUTHORITIES

ANALISYS BY LOCAL REGULATORY AUTHORITIES

FINAL APPROVAL

30

UP

TO

150

DAYS

TEST IN LOCAL

LAB

BASIC DOCUMENTS TO REGISTER IN-VITRO DIAGNOSTIC (IVD) IN LATIN AMERICA

• COMPANY’S WORKING PERMIT (LATAM)

• TECHNICAL RESPONSIBILITY CERTIFICATE (LATAM)

• FREE SALES CERTIFICATE*

• LETTER OF DISTRIBUTION*

(*) CONSULARIZATION REQUIRED (IN THE COUNTRIE OF ORIGIN) IN THE CLOSEST EMBASSY/CONSULATE OF THE COUNTRIE WHERE THE PRODUCT WILL BE REGISTERED.

• INSTRUCTIONS OF USE / INSERTS

• ADITIONAL MATERIALS REQUIRED

• LABELLING

• PACKING

• COMPOSITION / QUALI-QUANTI (CENTESIMAL) FORMULA

• BASIC MANUFACTURING FLOWCHART WITH OPERATIONS MADE IN EACH STEP

• TEST REPORT FOR CRITICAL ITEMS AS SENSITIVITY, ACCURACY, CALIBRATION CURVES, ETC. (LOCAL TEST MAY BE REQUIRED)

• VALIDATION OF STERILIZATION PROTOCOL (WHEN APPLICABLE)

• PROOFS OF SAFETY AND EFFECTIVENESS

.IVD REGISTRATION DOCUMENTS REFERENCEIVD - PRODUCTS

COUNTRYWP

REG GMPBasic Documents

IMP MNF FSC PKG IU LAB WRS

EM MFC POA QQF LLG BBR USA NML VSP

ARGENTINA x x x x x x x x x x x x x x x x x xBOLIVIA x x x x x x x x x x x x x x x x x xBRAZIL x x x x x x x x x x x x x x x x x xCOLOMBIA x x x x x x x x x x o x x x x o o xMEXICO x x x x x x x x x x x x x x x x x xPARAGUAY x x x x x x x x x x x x x x x x x xURUGUAY x x x x x x x x x x x x x x x x x xVENEZUELA x x x x x x x x x x x x x x x x x x

Working Permit MFC Manufacturing FlowchartImporter POA Principle of ActionManufacturer Quali/ Quanty Formula IncludingNeed of Registration o All IngridientesNeed of Good Manufacturing Pratices o Exact Quantatity/ ConcentrationFree Sales Certificate LLG Local Language RequiredPackaging BBR Bibliographic References RequiredInstructions of Use/ Inserts USA Use of Symbols Accepts in the Instructions of Use/ LabelsLabeling NWL Nuclear Materials License Required (When applicable) Warning/ Risks/ Special Care VSP Validation of the Sterilization Process (When applicable)Evaluation Method Including

o Sensitivityo Specificityo Power/ Accurancy/ Rangeo Reference Values

QQF

BASIC STRUCTURE OF AN IVD REGISTRATION DOSSIER1. FORMS ACCORDING TO LOCAL LEGISLATION

2. TAX PAID

3. CERTIFICATE OF TECHNICAL RESPONSIBILITY

4. LOCAL WORKING PERMIT

5. FEDERAL WORKING PERMIT

6. LABELLING ACCORDING TO LOCAL LEGISLATION

7. INSTRUCTIONS OF USE / USER MANUAL ACCORDING TO LOCAL LEGISLATION

8. TECHNICAL REPORT

9. PROOFS OF EFFICACY AND SAFETY

10. NOTARIZED COPY OF THE FREE SALES CERTIFICATE*

11. NOTARIZED COPY OF THE LETTER OF DISTRIBUTION*

12. QUALI/QUANTI FORMULA ISSUED BY THE MANUFACTURER* (JUST FOR IVD)

13. LOCAL (LATAM) GMP CERTIFICATE(*) DOCUMENTS MUST BE CONSULARIZED (IN THE COUNTRIE OF ORIGIN) IN THE CLOSEST CONSULATE OF THE COUNTRIE WHERE THE PRODUCT WILL BE CONSULARIZED

Technical Concepts

Q&A

Class of Risk

• Class I (low risk)• Class II (medium risk)• Class III (medium/high risk)• Class IV (high risk)

DEFINITION OF MEDICAL DEVICE

• Product, equipment, device, material, article or system of Medical, Odontological or Laboratorial (Clinical Lab) use or application, used for prevention, diagnostic, therapeutic, rehabilitation or anti-conception that does not use pharmacological, immunological or metabolic methods to perform its main function but may be helped in its functions by these methods.

Softwares

• In general, softwares are classified as follows:– If they are designed only for images or data filing then they

will be considered as Class I products - Low Risk;– If they give to the operator the possibility to alter the

image or the collected data, then they will be considered as Class II - Medium Risk.Note: it is important to re-enforce that when a product is to be used with another higher risk class product then the first one has to be considered in the same class of risk of the second one.

Softwares

• Requires Registration, and the Good Manufacturing Practices (GMP) Certificate issued by ANVISA: Medical Software, not pre-installed in medical

devices/equipments, which performs image processing, or suggests diagnostics, or is intended to be used in surgical procedures or in ICU (intensive care unit), or directly influences the functioning of medical devices/equipments which require registration.

Used Equipment / Materials

• It is forbidden by LATAM legislation to sell used products. The equipment must be refurbished by the manufacturer or by some service company duly authorized by the manufacturer. The product must have its registration valid.

• Some materials can be re-used if re-processed properly by the hospitals.

Spare Parts

• Once one product is registered is LATAM all its parts and components are automatically considered as registered also but some accessories that can be sold separately like disposables. It is not necessary to keep the registration alive to import spare parts for servicing but the importer has to prove that the said product was imported during the validity of the registration.

Harmonization• Many norms are already harmonized in Mercosur.

Nevertheless it was expected to harmonization to be concluded and registrations accepted among the countries since 2003. The harmonization is delayed because of the economic situation of some partners and also because new technologies were introduced in the LATAM market what lead the countries to take he discussion to a totally new different level.

After Sales Monitoring (Techno Vigilance)

• The LATAM market (specially Mercosur) already adopted the Techno Vigilance system. All recalls and malfunction have to be reported to the local authorities. The Regulatory Authorities also monitor the global market looking for problems with products that can be sold in LATAM countries.

What happen when I have these changes? (1)

• Change the Manufacturing Address: it is possible to update the registration.

• Change of the Manufacturer: it is possible to update the registration but it is strongly suggested that the company applies for a new registration. It is faster and less complicated.

• My company wants to add a new manufacturing site: no problem. It is just a matter of updating the registration.

What happen when I have these changes? (2)

• When I have a major change in my product? The company should report to the RA authorities or submit a new registration.

• Can I add new products to the approved registration? Yes, if the new product fits the criteria of registration per family of products.

Family of Products

• What are the basic criteria for registration as Family of Products? Same manufacturer; Same technology; Same composition; Same use; Same side effects, warnings and special care.

Is It possible to have more than one company holding the registration of the same product?

• Yes, since the manufacturer authorizes each applicant. Then each applicant will have its own registration number.

TAKE INTO CONSIDERATION…

• REGULATORY SYSTEMS IN LATAM ARE NEW COMPARED TO EUROPE OR FDA.

• LOW EXPERIENCE OF THE REGULATORY AUTHORITIES IN SOME ISSUES AND TECHNOLOGIES.

• SYSTEM HIGHLY INFLUENCED BY POLITICAL FACTS / ENVIRONMENT.

• UNEXPECTED CHANGES MAY OCCOUR IN THE LEGISLATION.

• INFLUENCE OF OTHER AUTHORITIES THAN THE REGULATORY ONES (METROLOGY, LABOR, ETC).

Technical Notes in the Brazilian Health Surveillance Agency – ANVISA

• N° 01/2012/GQUIP/GGTPS/ANVISA: for Fitness and Wellness Products;

• N° 02/2012/GQUIP/GGTPS/ANVISA: for Electro-Medical Devices;

• N° 03/2012/GQUIP/GGTPS/ANVISA: for Medical and Non Medical

Devices Definition List;

• 04/2012/GQUIP/GGTPS/ANVISA: Software for Medical Devices.

Latini & Associados

Av. Vereador José Diniz, 2270

São Paulo / SP / Brazil

Tel.: (011) 5090-5080.

Fax.: (011) 5090-5083.

E-mail: [email protected]

Website: www.latini.com.br

Offices: São Paulo / Brasília / Rib.Preto / Rio de Janeiro

Intel Partnerships: UK (Meddiquest) and 24 other countries.

mailto:[email protected]

http://www.latini.com.br/