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亚太地区医疗器械领域趋同与协调的监管依赖

Regulatory reliance for convergence and harmonisation in the medical device space in Asia-Pacific.

机构信息

Department of Global Health, Peking University School of Public Health, Beijing, China.

Lead for China, Asia Pacific Medical Technology Association, Beijing, China

出版信息

BMJ Glob Health. 2022 Aug;7(8). doi: 10.1136/bmjgh-2022-009798.

Abstract

While some sort of regulatory convergence and harmonisation are often needed for achieving regulatory reliance, in reality, regulatory reliance as a strategy towards convergence and harmonisation has never been more significant in Asia-Pacific (APAC). A sustained, rapid and large-scale provision of medical devices, including articles and apparatus used in diagnosis, care, treatment or prevention of disease and softwares, etc, across national boundaries, is the key to winning the fight against future pandemics and improving people's well-being in such a populous and geographically diverse region. The COVID-19 pandemic highlighted the value of regulatory reliance to enable easier access to medical devices that have gone through regulatory approvals in countries with mature regulatory systems based on the Quality Management System and product assessment guidelines of the International Medical Device Regulators Forum. This analysis focuses on why regulatory reliance is needed, how much has been achieved, its impact on the development of the medical device industry and challenges to be addressed in the region. By drawing on the experience from the Singapore Health Sciences Authority-Thai Food and Drug Administration regulatory reliance pilot and Vietnam's inclusion of Korea Ministry of Food and Drug Safety and China National Medical Products Administration as reference markets for fast review/approval, it aims to explore next viable steps and future trend of the APAC regional regulatory harmonisation mechanism through regulatory reliance in the post-COVID-19 era.

摘要

虽然为了实现监管互认,通常需要进行某种程度的监管趋同和协调,但在现实中,监管互认作为一种趋同和协调的策略,在亚太地区(APAC)从未像现在这样重要。在这样一个人口众多、地域多样的地区,要想赢得未来对抗大流行病的斗争并改善人民福祉,关键是要在国家间持续、快速、大规模地提供医疗器械,包括用于诊断、护理、治疗或预防疾病的器械和软件等。COVID-19 大流行凸显了监管互认的价值,使人们更容易获得已在具有成熟监管体系的国家获得监管批准的医疗器械,这些国家的监管体系基于国际医疗器械监管者论坛的质量管理体系和产品评估准则。本分析重点关注为什么需要监管互认、已经取得了多少成就、它对医疗器械行业发展的影响以及该地区需要解决的挑战。通过借鉴新加坡卫生科学局-泰国食品药品监督管理局监管互认试点项目的经验,以及越南将韩国食品药品安全部和中国国家药品监督管理局作为快速审查/批准的参考市场纳入其中的经验,旨在探索在后 COVID-19 时代通过监管互认实现亚太地区监管协调机制的可行步骤和未来趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ec9/9395591/5bd4b6f42a04/bmjgh-2022-009798f01.jpg

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