Medical

What is a claim:

Claim is a slogan or description of the product that allows you to present the product itself to the customer, focusing attention on the main features, allowing him to choose the most suitable cosmetic product for his needs and for the company to stand out in the market.

 

Reference regulation:

For this reason, to avoid untrue or misleading words that prevent the customer from making an informed choice and that provide an improper advantage to the company, even the claims that can be applied on the labels of cosmetic products are governed by a specific regulation.

The reference regulation is Reg. (EC) 655/2013 ” laying down common criteria for the justification of claims used in relation to cosmetic products” and in particular its only annex, which groups together the common criteria that must comply with the claims of cosmetics product.

 

Common criteria for claims:

The common criteria are divided into six points:

  1. Legal compliance

For cosmetic products no registration or authorization by the authorities are needed. For this reason, claims such as “authorized by the European Commission” or “Registered Cosmetic” are not allowed. Similarly, it is not allowed to use claims that may give the impression of a particular benefit, if this benefit is a legal requirement. For example, the claim “Not tested on animals” is not allowed because animal testing for cosmetic products and their ingredients is prohibited by the European regulation, or “Without formaldehyde” since every cosmetic product must be formaldehyde-free as an ingredient prohibited within cosmetic products.

  1. Truthfulness

If the presence of a specific ingredient is declared or a specific property of an ingredient is reported, the finished product must contain that specific ingredient or having that property itself. For example, it is not possible to report “With lemon juice” if only lemon flavor is present or “With moisturizing plant extracts” if the finished product does not have moisturizing properties. Then, commercial messages must not give the impression that the opinions expressed are verified statements, unless they are supported by verifiable evidence.

  1. Evidential support

This section establishes some criteria regarding the studies and evidence that must be presented in support of a claim. It is also specified that for claims that are clearly exaggerated or abstracted, there is no need for supporting evidence. For example, the claim “For hair as soft as a cloud” does not need proof because it is an abstracted and exaggerated comparison.

  1. Honesty

The presentation of a product’s performance should not go beyond the available supporting evidence. Furthermore, specific characteristics cannot be attributed to the product if similar products possess them and the specific conditions to which the action of a product is linked must be declared. For example, if the anti-wrinkle effect of a cream is bound to the simultaneous use of a face serum, then it must be specified. Writing “This cream makes your skin younger” is incorrect, as the consumer does not perceive that he also needs the serum to benefit from the declared effects.

  1. Fairness

Product claims must not disparage competing products or create confusion with them. For example, “Without acidic ingredients that can irritate the skin” is disparaging towards competitive products that contain them.

  1. Informed decision-making

Marketing communications shall take into account the capacity of consumers to understand the messages and be easily understandable. Furthermore, the claims are an integral part of the products and shall contain information that allows the average end user to make an informed choice.

 

For more information:

REGULATION (EU) N. 655/2013

https://eur-lex.europa.eu/legal-content/IT/TXT/?uri=CELEX%3A32013R0655

MDR con il freno tirato. Nonostante sia passato poco più di un anno dall’entrata in vigore del Regolamento (UE) 2017/745 dei dispositivi medici molte delle variazioni introdotte non sono ancora del tutto entrate a regime. Basti pensare, per esempio, alla banca dati europea Eudamed, che avrebbe dovuto essere pienamente operativa in concomitanza all’entrata in vigore del Regolamento stesso, quindi a partire dal 26 maggio 2021. Eudamed sarà costituita da un sito pubblico e da sei moduli interconnessi (registrazione operatori economici; registrazione UDI e dispositivi; organismi notificati e certificati; indagini cliniche e studi delle prestazioni; vigilanza e sorveglianza post-commercializzazione; sorveglianza del mercato). “Sarà” perché ad oggi solo i primi tre moduli sono stati resi disponibili; la piena funzionalità di Eudamed avverrà in contemporanea solo quando i diversi moduli avranno raggiunto la piena funzionalità e saranno stati sottoposti ad audit indipendenti. Nell’ultima timeline presentata dalla Commissione europea (giugno 2022) il rilascio di Eudamed è previsto tra il primo e l’ultimo quadrimestre del 2024.

 

Il nodo Eudamed:

Tutti gli operatori economici, cioè fabbricante, mandatario, importatore e produttori di sistemi e kit procedurali, saranno, quindi, tenuti a registrarsi nella banca dati europea Eudamed, prima dell’immissione sul mercato di un dispositivo diverso da uno su misura. Gli obblighi e i requisiti dei regolamenti (MDR e IVDR) relativi a Eudamed si applicheranno, però solo, a decorrere dalla data corrispondente a sei mesi dalla pubblicazione nell’Official journal of the european union (Ojeu) dell’avviso della piena funzionalità di Eudamed.

 

Resta l’obbligo di iscrizione alla banca dati nazionale…

Per gli operatori economici interessati, è possibile procedere, in modo volontario, alla registrazione, al fine di ottenere il numero di registrazione unico (SRN) e familiarizzare con l’utilizzo di Eudamed. Per gli stessi moduli resi accessibili è disponibile la corrispettiva sezione aperta al pubblico. In ogni caso è bene tenere a mente che ad oggi la registrazione in Eudamed e l’ottenimento del SRN non sostituiscono l’obbligo di adempiere alla registrazione nella banca dati nazionale. Nei prossimi mesi di uso del sistema su base volontaria, è, infatti, prevista la doppia registrazione in Eudamed e nella banca dati italiana. Come indicato all’interno dei decreti legislativi 137 e 138 del 5 agosto 2022, nel corso di questa fase, il Ministero garantisce l’implementazione di misure informatiche al fine di assicurare la connessione tra Eudamed e le banche dati esistenti o in via di implementazione, in conformità al sistema unico di identificazione del dispositivo (UDI), tenendo in considerazione anche la gestione dei legacy devices.

 

… anche per i distributori

In materia di registrazione degli operatori economici si evidenzia una differenza tra la banca dati europea Eudamed e la banca dati italiana per quanto riguarda la figura del distributore. Come indicato, infatti dai decreti legislativi 137 e 138, viene confermato l’obbligo di registrazione presso la banca dati del Ministero della Salute sia per i fabbricanti di dispositivi su misura sia per i distributori che mettono a disposizione dispositivi, diversi dai dispositivi su misura, sul territorio italiano.

 

Organismi notificati sotto pressione:

Un’altra criticità derivante dall’applicazione di questa nuova legislazione è rappresentata dall’esponenziale incremento di lavoro a cui sono sottoposti gli Organismi notificati (Nb), cioè quelle organizzazioni accreditate per il rilascio della conformità dei dispositivi medici in accordo al Regolamento 2017/745 (MDR), al quale si contrappone l’esiguo numero di Nb. I fabbricanti di dispositivi medici si ritrovano così a dover gestire tempi lunghi, nella migliore delle ipotesi, al fine di ottenere le certificazioni. Nel peggiore dei casi non hanno la certezza di poter certificare il proprio dispositivo prima della scadenza del certificato secondo Direttiva 93/42 (MDD). Questo aspetto ha ripercussioni sull’intera filiera, rischiando di rendere irreperibili molti di prodotti.

 

Si teme per la disponibilità di devices sul mercato:

La disponibilità sul mercato dei dispositivi medici è un tema decisamente attuale e critico, al punto che, ad agosto, anche il Medical Device Coordination Group (MDCG) ha sviluppato il documento “MDCG 2022-14 Position Paper Transition to the MDR and IVDR Notified body capacity and availability of medical devices and IVDs”, che indica una serie di azioni specifiche per incrementare la capacity degli Organismi notificati, consentirne l’accesso da parte delle imprese e promuovere la preparazione dei fabbricanti al fine di agevolare la transizione ai Regolamenti (UE) 2017/745 e 2017/746. Il documento risponde, infatti, all’esigenza di garantire la presenza sul mercato di dispositivi medici sicuri e in grado di fornire elevate prestazioni, semplificando le procedure pur mantenendo rigore nello scopo.

 

Le azioni da compiere:

Il MDCG ha fornito soluzioni di supporto al sistema al fine di garantire l’applicazione delle nuove regole del regolamento in maniera flessibile, invitando gli Organismi notificati a concentrare le loro risorse sulle certificazioni ai sensi dei Regolamento e promuovendo la preparazione di un atto delegato della Commissione, che preveda una rivalutazione completa degli Organismi notificati dopo cinque anni dalla designazione anziché dopo tre anni come previsto attualmente. Il documento si rivolge anche ai fabbricanti, invitandoli a compiere ogni sforzo per incentivare la transizione delle certificazioni al nuovo regime normativo. Con questo stesso presupposto, in Italia, attraverso i decreti legislativi 137 e 138, all’articolo 11 sono previste le autorizzazioni in deroga, il Ministero della Salute può, cioè, autorizzare, su richiesta debitamente motivata, l’immissione sul mercato o la messa in servizio, nel territorio nazionale di dispositivi specifici per i quali le procedure di valutazione della conformità del regolamento non sono state espletate o completate, ma il cui impiego è nell’interesse della salute pubblica o della sicurezza o della salute dei pazienti.

 

La situazione in Europa:

Anche gli altri stati membri si stanno muovendo per trovare una soluzione a questa dinamica. La Francia a settembre ha, per esempio, richiesto ufficialmente alla Commissione europea di rinviare la fine del periodo di transizione. Il governo francese ha preso atto dei rischi di interruzione dell’approvvigionamento di dispositivi medici per i pazienti, sia in città sia in ospedale. Sostenendo che rimangono meno di 20 mesi per certificare 20.000 fascicoli, mentre gli organismi notificati ne possono trattare solo 6.500 all’anno, e annunciano un termine di certificazione di 18 mesi. Con il sistema attuale, qualsiasi dossier che non sarà depositato entro il 24 novembre 2022 è quasi certo di non essere disponibile per i pazienti entro il 2024. Ancora più recentemente, il 07 ottobre, il Consiglio federale tedesco ha pubblicato una risoluzione che richiama l’attenzione sull’urgente necessità di intervenire nell’attuazione del Regolamento europeo sui dispositivi medici. Al fine di continuare a garantire la cura dei pazienti, il Consiglio federale chiede soluzioni immediate per i prodotti di nicchia rilevanti per la cura e facilitazioni tempestive per i legacy devices.

 

Un obiettivo ambizioso e oneroso:

La pubblicazione e la successiva applicazione del Regolamento dei dispositivi medici, a maggio del 2021, ha definito una sorta di rivoluzione all’interno del mondo medicale, in quanto le novità introdotte rispetto alla precedente normativa (Direttiva 93/42) hanno rappresentato e in parte continuano a rappresentare criticità importanti. Gli sforzi impiegati da parte di tutte le organizzazioni coinvolte permetteranno però di ottenere un quadro normativo solido, trasparente, prevedibile e sostenibile per i dispositivi medici, che garantisca un livello elevato di sicurezza e di salute sostenendo nel contempo l’innovazione.

The label is one of the fundamental parts of the cosmetic product. It is the element that allows the consumer to know what is inside the product, what precautions to take for its use and how long the product can be used safely.

The information to be reported on the label is listed in Article 19 of Regulation (EC) 1223/2009.

This information must be reported on the container and packaging of the product in indelible, easily legible and visible characters. The language of the information shall be determined by the law of the Member States in which the product is made available to the end user.

Information required on the label

name or registered name and the address of the responsible person.

If several names (e.g. name of the actual manufacturer of the product and name of the responsible person) or addresses are reported on the label, the one where the responsible person makes readily available the product information file shall be highlighted. Usually, to highlight it, it is reported in bold or underlined name to distinguish it from the others. In the case of an imported product, the country of origin must also be present.

nominal content at the time of packaging.

The content value must be reported by weight or volume (e.g. 5 ml or 5 g).

date of minimum durability.

It is the date until which the cosmetic product, stored in suitable conditions, will continue to perform its initial function and will remain safe for human health.

The date of minimum duration is shown next to the special symbol in point 3 of Annex VII or by the words: “best used before the end of”.

It is not necessary to report the date for products with a minimum duration of more than 30 months, but in those products shall be r

eported the Period After Opening (PAO), i.e. the period of time (expressed in months or years) after opening in which the product is still considered safe for human health. The PAO is shown together with the symbol in point 2 of Annex VII. The PAO is not necessary for disposable products or products that do not come into contact with the external environment.

special precautions for use.

Those indicated in Annexes III and IV, any precautions for professional use and those indicated by the safety assessor within the PIF must necessarily be reported

batch number.

or in any case a reference that allows to identify the product.

function of the cosmetic product

unless it is clear from its presentation.

list of ingredients.

The ingredients must be reported in descending order of weight at the time of incorporation into the finished product. Ingredients with a concentration of less than 1% can be listed in no particular order. The ingredients must be reported according to INCI nomenclature, except for the aromatic and odorant compounds that can be reported with the names “parfum” or “aroma” and the colouring compounds that must be reported with their Color Index number. For decorative cosmetic products marketed in several colour shades, all colorants other than colorants intended to colour the hair used in the range may be listed, provided that the words ‘may contain’ or the symbol “+/-” are added. Nanomaterials must be accompanied by the word “nano” in brackets.

What to do if a label cannot be applied to the product

If for practical reasons it is not possible label the list of ingredients and the special precautions for use, the information shall be mentioned on an enclosed or attached leaflet, label, tape, tag or card. The consumer must be referred to these indications applying the symbol in point 1 of Annex VII on the label

In the case of soap, bath balls and other small products where it is impossible for practical reasons for the information about list of ingredients to appear on a label, tag, tape or card or in an enclosed leaflet, this information shall appear on a notice in immediate proximity to the container in which the cosmetic product is exposed for sale.

  CLP and cosmetic label

Regulation (EC) 1272/2008 does not apply to cosmetic products, therefore hazard pictograms must not be applied on the label of cosmetic products. Sprays with propellant are an exception, as the propellant is subject to the aerosol directive (75/324/EEC). Therefore, on this type of products, the pictogram indicating flammability and other symbols may be requested.

 

In conclusion.

As cited above, label is one of the fundamental parts of the cosmetic product, within PIF. The label allows the consumer to use the product in a conscious way and avoid inappropriate and dangerous uses. Like every request of the Regulation 1223/2009, is responsibility of the responsible person to ensure that all information is correctly reported on the label.

 

Form more informations:

Regulation (EC) 1223/2009:

https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32009R1223&from=it

Council Directive (75/324/EEC) :

https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:31975L0324&from=IT

Ministero della Salute:

https://www.salute.gov.it/portale/temi/p2_6.jsp?area=cosmetici&id=146&menu=presen#:~:text=L’etichetta%20rappresenta%20il%20mezzo,livello%20di%20informazione%20circa%20le

Cosmetic packaging

Packaging material means the container (or primary packaging) that is in direct contact with the formulation.

Within the Regulation (EC) 1223/2009, article 10 says: ” In order to demonstrate that a cosmetic product complies with Article 3, the responsible person shall, prior to placing a cosmetic product on the market, ensure that the cosmetic product has undergone a safety assessment on the basis of the relevant information and that a cosmetic product safety report is set up in accordance with Annex I. ”

In Annex I, section 4, requires reporting “Impurities, traces, information on packaging material” within the safety assessment.

Requests for information on packaging is more detailed in the Commission Implementing Decision 2013/674/EU, where it is indicated that the relevant characteristics of the packaging material in direct contact with the final product are important for the safety of the product and that the reference to Regulation (EC) 1935/2004 may be useful.

Therefore, packaging of cosmetic product must be safe for consumer like the product itself.

 

Effects of packaging on product safety

The combination of packaging material, cosmetic product formulation and contact with the environment

external effects could affect the safety of the finished product, due to the following factors:

a) interaction between the product and the packaging material;

b) barrier properties of the packaging material;

c) migration of the substance from / to the packaging material.

Therefore, when evaluating the packaging, the evaluator must take into account the possible interactions between the components of the packaging and the finished product, the effectiveness of the packaging to isolate the product from the external environment (this also affects the duration of the product after opening) and the substances that can migrate from the packaging to the product and therefore come into contact with the final consumer.

 

What information is needed for packaging evaluation

As there is no specific regulation for cosmetic packaging, the European Commission recommends referring to Reg. 1935/2004 regarding materials and objects intended to come into contact with food.

This indication is taken up by Cosmetic Europe within its guidelines, where it suggests the approach to be adopted in the evaluation of packaging whether it follows the food regulation or not.

 

Packaging in compliance with food regulation

in the majority of cases, if the packaging is safe for a specific type of food, it should also be suitable for cosmetics that have similar physical chemical properties as this food.

If compliance has been based on migration into food/food simulants, the cosmetics assessor needs to decide whether the food/simulants and test conditions/assumptions are applicable to the cosmetics formulation.

Obviously, the evaluator will also have to take into account Annexes II and III of the cosmetic regulation (prohibited and restricted substances).

 

Packaging not in compliance with food regulation

A Cosmetic packaging material might not be food contact compliant because of the presence of a substance that is not authorised for food contact materials or used outside of restrictions set for such use. Non-compliance could also be linked to the material not having been manufactured according to GMP Regulation (EC) N°2023/2006. Such packaging may still be perfectly safe for use in a cosmetic application after the performance of the safety assessment. References to other standards like e.g. pharmaceutical standards or food and feed additives might be helpful in generating useful support information.

 

Sources:

 

Introduction:

In May the MDCG Guideline 2022 – 5 “Guidance on Borderline between medical devices and medicinal products under MDR 2017/745” was published, at the conclusion of a long comparison within the Community.

Borderline products are those products that by their nature are not immediately traceable to a particular sector, for which it is therefore difficult to define what is the reference legislation to be applied.

The demarcation between Regulation (EU) 2017/745 on medical devices (MDR) on the one hand and Directive 2001/83/EC on medicinal products (MPD) for human use on the other is crucial for the implementation of these legislative acts and for their correct interpretation and application.

 

General aspects:

As a general rule, a product is regulated either by the MDR or by the MPD but not both. The conformity assessment procedure or the marketing authorisation procedure to be followed prior to placing a given product on the market will therefore be governed either by the MDR or by the MPD.  The procedures of both regulatory regimes do not apply cumulatively. However, for products that have properties of both medicinal products and medical devices (e.g. medical devices incorporating as an integral part, a substance which, if used separately, would be considered to be a medicinal product), some cross-references are made within one regime to specific provisions of the other regime.

The wording of Article 2(2) of the MPD shows that it only applies if, after a case-by-case assessment, taking in consideration all the characteristics of a product, the product in question may fall within the definition of both, medical device and medicinal product. In such a case, the provisions of the MPD applies5. The MDR and the MPD may not be applied cumulatively.

The aim of this guideline is to support the uniform application of the Regulation throughout the European Union.

The document starts with the general discussion of the borderline between medical devices and medicinal products, including relevant definitions and examples. Separate chapters are dedicated to herbal products, substance-based devices and medical device and medicinal product combinations.

According to Article 1(6)(b) of the MDR, in deciding whether a product falls under the MDR or the MPD particular account shall be taken of the principal mode of action of the product. The nature of the principal mode of action i.e. whether it is pharmacological, immunological or metabolic or other is generally the same irrespective of the quantity.

According to Article 2(1) MDR a medical device does not achieve its principal intended action by pharmacological, immunological or metabolic means, in or on the human body, but may be assisted in its function by such means. The concept that a medical device may be assisted in achieving its principal intended action by pharmacological, immunological or metabolic means should be understood as covering those cases when the medical device incorporates, as an integral part, a substance which, if used separately, would be considered to be a medicinal product, and that has an action ancillary to that of the device.

Typically, the medical device’s principal intended action is achieved by physical means (including mechanical action, physical barrier such as a film, lubrication, heat transfer, radiation, ultrasound, replacement of or support to organs or body functions). Furthermore, hydration or dehydration and pH modification may also be means by which a medical device achieves its principal intended action.

The determination of the nature of the substance, i.e. whether it is “considered to be a medicinal product” is independent of the intention of the manufacturer, of the quantity of the substance in the device and of the method or route of administration.

 

Conclusion:

The document may be revised in the light of the update of technical-scientific knowledge and in the light of the results of discussions within the Borderline and Classification medical devices expert group (B&C) of the Medical Device Coordination Group.

 

For more information: https://ec.europa.eu/health/latest-updates/mdcg-2022-5-guidance-borderline-between-medical-devices-and-medicinal-products-under-regulation-eu-2022-04-26_en

One of the most significant changes introduced by the Scientific Committee on Consumer Safety (SCCS) in the Notes of Guidance with the eleventh revision of March 2021 is the use of two mathematical models for the calculation of inhalation exposure.

Cosmetic products, by definition, are designed to be applied to the external surfaces of the human body, teeth and mucous membranes of the mouth. However, sometimes these products, or some of the ingredients that compose them, can be inhaled in the form of vapours, powders and aerosols.

The first model applies to products that can generate vapours (for example liquid products that contain volatile solvents). For these products, the inhalation Systemic Exposure Dose (SEDinh) of the ingredients is calculated by multiplying the daily exposure to the product by the concentration and evaporation fraction (a value between 0 and 1).

The second model applies to powder and spray products. Spray products fall into two categories: propellant sprays (which produce a finer aerosol) and pump sprays (which produce a less fine and more difficult to inhale aerosol).

For the assessment of inhalation exposure to these types of products, the SCCS proposed the use of a 1- or 2-Box model.

In a classical 1-Box model it is assumed that the entire spray amount is instantaneously released into the air and distributed in a box of a specific size, which e.g. simulates the breathing zone. The resulting air concentration is then multiplied by the breathing rate and the time spent in the box to calculate the exposure. A 2-Box model takes into account the dilution of the substance over time. As in the 1-Box model, the assumption is that the spray is instantly released and distributed in a box around the head. There the aerosol is present for exposure over a defined time, after which the full amount of aerosol in the first box is transferred to a larger second box (representing a room where the product is used), where it is available for inhalation for a second defined time period. For a conservative approach, the air exchange (fresh air getting in, exhaust air getting out) can be assumed as zero.

In addition to the size of the two boxes and the time that the product remains in suspension, the size of the aerosol generated by the product must also be taken into account for the calculation of the SEDinh, which vary according to the type of spray used. A finer aerosol is more easily breathable and consequently the substances contained within will be more systemically available.

The application of these mathematical models allows a better characterization of exposure to the ingredients contained within cosmetic products and is a further step towards a greater guarantee of safety for the final consumer.

For more details see:

https://ec.europa.eu/health/system/files/2021-04/sccs_o_250_0.pdf

Introduction:

The end of the state of emergency will be the end of the derogation regime which, in view of the exceptional situation resulting from the SARS-cov-2 pandemic, has introduced into our legislation the possibility of placing on the market surgical masks authorised by derogation. From 1 April 2022, manufacturers who want to continue to market surgical masks in Italy will have to comply with the ordinary legislation on medical devices.

For authorised masks already placed on the market, the Circular of 4 March 2022 (https://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2022&codLeg=86093&parte=1%20&serie=null ) indicates that they may be made available only until 31 May 2022 and that only masks that are part of existing stocks available to personnel participating in efforts to contain the virus and prevent its further spread may be made available until such stocks are exhausted and at the latest by 31 July 2022.

The circular of 4 March 2022 clarified certain aspects of the procedures for placing surgical masks on the market in view of the imminent expiry of the state of emergency.

The circular recalls that from 26 May 2021 it is no longer possible to place on the market surgical masks marked CE pursuant to Directive 93/42/EEC, implemented in Italy with the d.lgs. 46/97, and it is stressed that manufacturers who intend to place on the market surgical masks, must ensure compliance with the requirements of Regulation (EU) 2017/745.

 

Technical Documentation:

According to MDR 2017/745 before placing a device on the market, the manufacturer is obliged to prepare the technical documentation that must enable it to assess its compliance with the general performance and safety requirements(GSPR) set out in Annex I to the Regulation.

This documentation shall be presented in a clear, organised, unambiguous and easily searchable format and shall include methods and test results to support compliance with the specifications. For surgical masks, these are mainly tests of bacterial filtration (BFE) efficiency, respirability (Pa/cm2), microbial contamination (cfu/g), splash resistance (kPa) (only in the cases provided, type IIR masks) and biocompatibility.

The manufacturing, design and performance requirements and test methods for surgical masks are set out in UNI EN 14683:2019 “Medical face masks – Requirements and test methods”, which, although not yet harmonised in accordance with the Regulation (cf. Circular of 12 November 2021) is the main tool for the manufacturer to demonstrate the conformity of the device.

 

Quality Management System (QMS):

To ensure that series production continues to comply with the requirements of the Regulation, the manufacturer establishes, documents, applies, maintains, updates and constantly improves a quality management system, in accordance with the obligations laid down in art. 10, paragraph 9 of the Regulation.

 

Post Market Surveillance:

The manufacturer shall establish and update a post-market surveillance system throughout the life cycle of the device.

 

In conclusion, the manufacturers of surgical masks already CE marked, in accordance with Directive 93/42/EEC, and persons who have obtained derogation authorisations for the production and marketing of surgical masks having an interest in continuing to regularly place on the EU market its own masks such as medical devices, must follow all the indications contained in the Circular and in the reference standards indicated.

 

For more information:

https://www.salute.gov.it/portale/news/p3_2_1_1_1.jsp?lingua=italiano&menu=notizie&p=dalministero&id=5834

 

 

 

 

What is IFRA?

The International Fragrance Association (IFRA), founded in 1973, represents the interests and is the voice of the fragrance industry worldwide. It promotes the safety and benefits of the fragrance industry’s products through stakeholder dialogue on a global basis.

When warranted by concerns regarding the safe use of a specific ingredient identified by the Research institute for Fragrance Materials (RIFM) safety assessment program, IFRA will issue an IFRA Standard as part of an IFRA Amendment.

IFRA Standards

To ensure the safety of fragrances, IFRA has established rules (known as IFRA Standards) recognized by government authorities and commercial entities around the world.

IFRA Standards can either prohibit, restrict or set purity requirements for specific ingredients. The safety of ingredients, whether the subject of an IFRA Standard or not, remains the responsibility of IFRA members. Compliance with IFRA Standards is therefore necessary for compliance with the IFRA Code of Practice but may not be sufficient to ensure regulatory compliance and the safety of fragrance mixtures or ingredients.

The IFRA Standards and related documents are subject to regular changes as new information relevant to the safety of fragrance ingredients become available. All these changes are part of an IFRA Amendment, which is designed pursuant to an inclusive procedure and is subject to a broad consultation of all relevant stakeholders before its Notification. Last one is the 50th Amendment, an ‘off-cycle’ amendment for one ingredient, Mintlactone, published on 30 June 2021.

The Expert Panel for Fragrance Safety is an independent panel of experts that reviews the activities of the Research Institute for Fragrance Materials (RIFM). They determine safety of use for fragrance ingredients through consideration of available information and active generation of additional data. If the Expert Panel for Fragrance Safety determine that a restriction of use is necessary for consumer and environmental protection, an IFRA Standard will be published.

All fragranced consumer products are in the scope of the IFRA Standards except for products clearly not covered in the RIFM Safety Assessments, such as:

– medical devices;

– prescriptive drugs;

– aromatherapy applications;

– consumer products used in occupational settings (e.g. shampoos applied in hair salons, hand sanitizers applied in hospitals, etc.).

A detailed list of the products covered under the scope of the IFRA Standards is provided in “Guidance for the Use of IFRA Standards”. In case a final product application is not included therein, it remains the responsibility of the final consumer product manufacturing company to adequately categorize this final product application in order to comply with the requirements of the IFRA Standards.

For practical reasons, IFRA Standards are set per product category, each covering a range of product types which can be grouped together based on risk assessment considerations.

With IFRA 49th Amendment, issued at the beginning of 2020, the number of categories in the IFRA Standard has changed from 11 categories for dermal sensitization Standards and 4 for systemic toxicity-based Standards to 12.

Product categorization is achieved by grouping consumer product types based on functional type, and major factors in habits and practices of consumers such as area of use (head, face, axillae, etc.) and whether they are rinse-off or leave-on applications.

Certificate of conformity

The Certificate of Conformity to the IFRA Standards is a document established by companies creating fragrance mixtures, which declares compliance with the requirements expressed in the IFRA Standards and confirms that a specific fragrance mixture up to a certain concentration can be used in a specified consumer product in compliance with up to and including a specific Amendment (the number and the Notification date of the Amendment should be stated in the Certificate).

The Certificate is only applicable for fragrance mixtures intended to be directly included in a finished consumer product. By using a Certificate, a fragrance supplier assures its customer that the product they supply is in compliance with the requirements set by the IFRA Standards for an intended use.

It is important to note that IFRA is not involved in its preparation and that the Certificate of Conformity declares compliance with the requirements expressed in the IFRA Standards but does not replace a safety assessment.

 

Source: https://ifrafragrance.org

THE MEDICAL DEVICE COORDINATION GROUP RELEASED A NEW GUIDANCE DOCUMENT REGARDING general principles of clinical evidence for In Vitro Diagnostic medical devices (IVDs) (mdcg 2022-2)

 

Scope:

This document outlines the general principles of clinical evidence and provides guidance on the continuous process of performance evaluation for in vitro diagnostic medical devices (hereafter referred to as IVDs), as set out in Regulation (EU) 2017/746 – In Vitro Diagnostic Medical Device Regulation (IVDR).

In this guidance is described the approach by which collection, generation and documentation of supporting data for an IVD may be conducted prior to the placing on the market or putting into service. As the performance evaluation will be updated throughout the life cycle of an IVD.

Definition of IVD according to Regulation (EU) 2017/746 – In Vitro Diagnostic Medical Device Regulation (IVDR).

Article 2(2)

IVD: any medical device which is a reagent, reagent product, calibrator, control material, kit, instrument, apparatus, piece of equipment, software or system, whether used alone or in combination, intended by the manufacturer to be used in vitro for the examination of specimens, including blood and tissue donations, derived from the human body, solely or principally for the purpose of providing information on one or more of the following:

  1. a) concerning a physiological or pathological process or state;
  2. b) concerning congenital physical or mental impairments;
  3. c) concerning the predisposition to a medical condition or a disease;
  4. d) to determine the safety and compatibility with potential recipients;
  5. e) to predict treatment response or reactions;
  6. f) to define or monitoring therapeutic measures.

Specimen receptacles shall also be deemed to be in vitro diagnostic medical devices.

As accessories for an IVD fall under the scope of the IVDR, this document also provides guidance on these devices.

 

Introduction:

Prior to placing an IVD on the market or putting it into service, the manufacturer must demonstrate compliance with all applicable requirements of the IVDR, in accordance with the appropriate conformity assessment procedure(s). Therefore, the manufacturer must demonstrate that the IVD achieves its intended purpose in accordance with the claimed performance over the lifetime of the device.

The IVDR outlines that evidence for an IVD’s conformity is established by demonstrating and substantiating the scientific validity, analytical performance and clinical performance.  Furthermore, the IVDR underlines that the necessary clinical evidence should be based on a sufficient amount and quality of data in order to allow a qualified assessment of whether the IVD is safe, performant and achieves the intended clinical benefit(s), when used as intended.

General principles of Clinical Evidence:

Clinical evidence for IVDs is established through the collection of data as a result of a performance evaluation. Performance evaluation covers the assessment and analysis of data to establish and verify the scientific validity, analytical performance and, where applicable, clinical performance of an IVD. Each indication and claimed clinical benefit specified in the intended purpose should be assessed and have the appropriate supporting clinical evidence.

Performance Evaluation:

Performance Evaluation is a structured, transparent, iterative and continuous process which is part of the quality management system and is conducted throughout the life cycle of an IVD. The general performance evaluation principles are laid down in Article 56 and Annex XIII, Part A, 1 of the IVDR and can be summarised as follows:

  • Planning (Performance Evaluation Plan, PEP);
  • Data establishment;
  • Analysis, conclusions and documentation (Performance Evaluation Report, PER);
  • Continuous monitoring and updates (Periodic <safety Update Report, PSUR; Post Market Performance Follow-up, PMPF).

The performance evaluation of an IVD must consider the benefit-risk ratio in light of the state-of-the-art. The three essential pillars of performance evaluation can be summarised as:

  • Scientific validity: the extent to which the analyte, or marker to be determined by the IVD is associated with the targeted physiological state or clinical condition.
  • Analytical performance: demonstration of the IVD’s ability to correctly detect or measure a particular analyte.
  • Clinical performance: demonstration of an IVD’s ability to yield results that are correlated with a particular clinical condition or a physiological/pathological process or state in accordance with the target population and intended user.

The risk management system should be carefully aligned with and reflected in the performance evaluation process of the IVD, considering the clinical risks to be addressed as part of the performance evaluation, performance studies, and post-market performance follow-up(s).  Due to their nature, in the majority of cases, deficiencies of IVDs do not directly lead to physical injury or damage to the health of people. If any, these devices may lead to indirect harm, rather than direct harm.

For more information: https://ec.europa.eu/health/latest-updates/mdcg-2022-2-guidance-general-principles-clinical-evidence-vitro-diagnostic-medical-devices-ivds-2022-01-27_en

New concentration limits proposed by SCCS for BHT in cosmetic products

 

Butylated Hydroxytoluene (BHT) is a lipophilic organic compound, a synthetic antioxidant widely used in multiple sectors, including food additives, cosmetics and personal care products, pharmaceuticals, plastics/rubbers and other petroleum products. Butylated hydroxytoluene is reducing the free-radical induced damage and spoilage; therefore, it helps maintain the properties and performance of products when exposed to air.

BHT is not currently regulated under the Cosmetics Regulation, however, it is included in the European database for information on cosmetic substances and ingredients (CosIng) with the reported function of antioxidant and fragrance.

On 7th November 2018, the Commission adopted the review of Reg. (EC) 1223/2009 on cosmetic products regarding substances with endocrine disrupting (ED) properties and concluded that the Regulation provides the adequate tools to regulate the use of cosmetic substances such as ED.

At the beginning of 2019, the Commission carried out a public call of data for 28 potential EDs substances, including BHT. Following the data collection, the commission began asking for opinions from the SCCS about the safety of those substances. In March 2021, the SCCS was asked to evaluate BHT safety, also considering data provided by stakeholders during the call for data.

On 3rd December 2021 the SCCS released its final opinion about BHT, which establishes the safety of BHT for human health within these limits:

  • maximum concentration up to 0,001% in mouthwash;
  • maximum concentration up to 0,1% in toothpaste;
  • maximum concentration up to 0,8% in other rinse-off and leave-on products.

BHT is also considered safe for combined use of mouthwash at a concentration of 0.001%, toothpaste at a concentration of 0.1% and other leave-on and rinse-off products at the concentration of 0.8%.

This opinion, together with the next ones that will be published in the coming months, is expected to lead the Commission to amend the Regulation annexes.