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理解医疗器械法规对于加速临床转化很重要。

Importance to understand medical device regulations for accelerating clinical translation.

作者信息

Lu Qing, Hsueh Yu-Sheng, Tong Wenxue, Zhang Yuantao, Xu Jiankun, Qin Ling

机构信息

Department of Orthopedics & Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, PR China.

Innovative Orthopaedic Biomaterial and Drug Translational Research Laboratory, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong SAR, PR China.

出版信息

J Orthop Translat. 2025 Mar 20;51:290-297. doi: 10.1016/j.jot.2025.02.002. eCollection 2025 Mar.

Abstract

Clinical translation of medical devices is determined by many factors and is challenging for certain countries or regions as no regulatory body is available to approve related applications. They must rely on application for regulatory bodies of other countries or regions who have independent medical device regulatory systems, while the major markets regulatory process is different. For example, considering the market size and policy orientation, mainland China may be a good option for Hong Kong research organizations. Typically, China National Medical Products Administration (NMPA) has positioned innovation as a key growth engine and implemented various mechanisms to expedite the registration, including Marketing Authorization Holder policy (MAH), as well as the setting up of the NMPA's Guangdong-Hong Kong-Macao Greater Bay Area (GBA) Branch Office, type test reform and application for securing innovation channel application. However, there are still many challenges in the transitional process for Hong Kong universities or research institutions, to set up a company in mainland and then prepare many documental files from very beginning. In the future, taking advantage of NMPA reform and seeking cooperation with the NMPA to establish an independent regulatory body in Hong Kong to be recognized by NMPA is recommended as this alone will boost innovation in life sciences and boost in Hong Kong, and have a positive impact on the commercialization of medical devices in mainland China. Such example may also be relevant for many countries or regions who are seeking medical device approval in the designated regulatory systems.

摘要

医疗器械的临床转化受多种因素影响,对于某些国家或地区而言具有挑战性,因为没有监管机构可批准相关申请。它们必须依赖于向拥有独立医疗器械监管体系的其他国家或地区的监管机构提出申请,而主要市场的监管流程各不相同。例如,考虑到市场规模和政策导向,中国大陆可能是香港研究机构的一个不错选择。通常,国家药品监督管理局(NMPA)将创新定位为关键增长引擎,并实施了各种机制来加快注册,包括上市许可持有人政策(MAH),以及设立国家药品监督管理局粤港澳大湾区(GBA)办事处、型式试验改革和申请创新通道申请。然而,香港的大学或研究机构在向内地设立公司并从一开始就准备许多文件档案的过渡过程中仍面临诸多挑战。未来,建议利用国家药品监督管理局的改革并寻求与国家药品监督管理局合作,在香港设立一个能得到国家药品监督管理局认可的独立监管机构,因为仅此一项就能促进香港生命科学领域的创新,并对中国大陆医疗器械的商业化产生积极影响。这样的例子可能也适用于许多在指定监管体系中寻求医疗器械批准的国家或地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440f/11978296/6dec4f8c6cbc/ga1.jpg

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