Module 18 - Drug Device Combinations and Other Technologies

04/12/2023

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MDR Rule 21, Annex VIII

Devices that are composed of substances or of combinations of substances that are intended to be introduced into the human body via a body orifice or applied to the skin and that are absorbed by or locally dispersed in the human body are classified as: — class III if they, or their products of metabolism, are systemically absorbed by the human body in order to achieve the intended purpose; — class III if they achieve their intended purpose in the stomach or lower gastrointestinal tract and they, or their products of metabolism, are systemically absorbed by the human body; — class IIa if they are applied to the skin or if they are applied in the nasal or oral cavity as far as the pharynx, and achieve their intended purpose on those cavities; and — class IIb in all other cases.

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Rule 21 Devices

• Similar in formulation and dosage form to a medicinal product “Quasi Medicinal Products” • Achieve their intended purpose by a physical / simple chemical means • Must have a medical purpose and meet definition as a medical device • Generally, for use by lay persons and “over the counter” products • Must not achieve its principal intended action by pharmacological, metabolic or immunological means, but can be assisted by such means

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