Respondent details and general information
Country
Country
Australia
Which industry component(s) do you represent?
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Biomedical engineer
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Consumer
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Consumer organisation
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Dental
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General practitioner
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Government (state or territory)
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Government (federal)
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Health professional (please specify)
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Hospital
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Industry organisation or peak body
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Issuing Agency
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Laboratory professional
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Manufacturer (small)
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Manufacturer (medium)
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Manufacturer (large)
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Manufacturer (Australian)
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Manufacturer (Australian, export only)
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Manufacturer (overseas)
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Procurement
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Professional body
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Registry
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Regulator
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Regulatory affairs consultant
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Researcher or research organisation
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Software provider/developer
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Sole trader
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Specialist
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Sponsor
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Third party logistics/distributor
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Other (please specify)
Are you responding:
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As an individual
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On behalf of an organisation
Question 1 - If Australia accepts both EU and U.S. compliant labels, what might the impact be?
1.1. Which markets do you supply to or import from?
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Australia
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U.S.
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EU
Please provide further information
Manufactured overseas, imported into Australia.
1.2. If Australia is to accept labels and data from both the EU and U.S. what might the impact be for manufacturers/sponsors?
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There will be benefits
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There are no benefits
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It will increase the burden
If there are benefits, what are they?
As our legal manufacturer is based in the EU, it will be easier for us as Sponsor to facilitate data entry into the AusUDID and ensure harmonisation where possible with the EUDAMED data.
1.3. If Australia is to accept labels and data from both the EU and the U.S. what might the impact be for procurement and supply chain?
If there are benefits, what are they?
No impact for retail POS (Point of Sale) devices.
If the burden will increase, please provide more information
There will be no benefits for our products as they are retail POS devices.
1.4. If Australian is to accept labels and data from both the EU and U.S. what might the impact be for healthcare users (such as hospitals)?
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There will be benefits
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There are no benefits
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It will increase the burden
If the burden will increase, please provide more information
As our products are for retail POS, the impact to healthcare users as such hospitals is not relevant.
1.7. Might this create a scenario where there is more than one UDI for the same model of device in Australia?
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Yes
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No
If yes, under what scenarios might a device have more than one Australian UDI?
Within our organisation this will not happen as our legal manufacturer is based in the EU and will not be supplying US compliant labels to Australia and NZ as our products are CE marked.
1.8. Might Australia need to cater for two complete data sets - both EU and U.S.?
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Yes
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No
Please provide more information below
maybe - as this would align with TGA's regulatory pathway recognising comparable regulators for medical device applications.
Question 2 - What should the phased implementation approach be?
2.1. Do you plan to voluntarily comply with the UDI requirements prior to the mandatory compliance data (for assignment, labelling, and provision of data)?
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Yes
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No
2.2. If yes, for which devices?
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All
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Class III
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Class II
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Class I
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Class 4 IVD
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Class 3 IVD
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Class 2 IVD
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Class 1 IVD
2.3. Is there anything the TGA could potentially do to accelerate the compliance/provision of data for existing devices (such as using GUDID data for example?)
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Yes
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No
If yes, what would that be?
As the US currently do, recognising alternative UDIs in the form of EAN-13 barcode for retail POS devices. Additionally, as is the case for EUDAMED, data is not required for higher levels of packaging and this greatly reduces the burden especially as there is no advantage at these levels where they are already traceable through logistics systems.
2.4. For existing devices, what might the complexities be in providing UDIs for each ARTG inclusion if there is more than one device for the inclusion?
text
For retail POS products, identifying the model of device where there is one ARTG entry covering more than one device inclusion by the EAN-13, would provide a fit-for-purpose solution that reduces complexity and does not diminish the principle objectives of UDI.
2.5. Do you envisage any supply related issues in meeting the UDI requirements?
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Yes
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No
If yes, please provide more information
In the absence of UDI exemptions such as those currently in force in the US, the UDI will need to be made on the point of use labelling for retail POS products where they are supplied in a carton/outer packaging (point of sale packaging), this will provide no benefit to retail POS medical devices and has the potential to impact supply as the manufacturing process does not currently facilitate the addition of the UDI at this level. Human readable batch number and expiry as currently stated should be sufficient.
2.6. Are there any other Australian-based regulatory changes we should take into account in our considerations?
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Yes
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No
If yes, please provide more information
Retail POS products needs to be considered separately to non-retail medical devices, and in doing so there need to be regulatory changes that take into account these products and that the UDI would be fit for purpose for these. The 2 key principles the Australian UDI system focuses on are not enhanced by the addition of UDI to these types of products, and that the current barcode (EAN-13) is sufficient to meet the key principles intended by UDI in Australia.
2.7. Are there any other international regulatory changes we should take into account in our considerations?
If yes, please provide more information
Moving EUDAMED implementation timelines will impact EU UDI dates, we would like to recommend that the TGA also allow Australian implementation dates to also be flexible to allow for changes to EUDAMED which reduces dis-harmonisation. Noting the currently mandatory date for upload to EUDAMED is 24 months after it achieves full functionality.
2.8. Is there anything else we should have taken into account for the proposed phased implementation that we have missed?
If yes, please provide more information
Note in the Borderline Guidance: Devices that are supplied with a medicine to administer a medicine (e.g. syringe), the entire product is regulated as a medicine and do not have to be included in the ARTG. Therefore measuring devices supplied together with a medicine and will never be sold separately should also be exempt from UDI.
2.9. Do you have any other thoughts or suggestions on the implementation?
If yes, please provide them here
We would like to propose that the TGA mirror the general retail exemptions in the US - retail products do not require UDI because there is no benefit, as the UDI codes cannot be scanned at the retail level - imposing UDI on retail products is a burden to industry, for example adding 2D barcode is an additional investment at factory level and increases financial burden on industry.
We have already witnessed costly introduction in EU
We have already witnessed costly introduction in EU
Question 3 - Scope and exemptions
3.1. Should Class I medical devices be in scope for UDI?
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In scope
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Out of scope
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Voluntary
Please provide more information
As per the US exemptions.
3.3. Should Australia adopt a similar approach to the U.S. for consumer health products (that is, the universal product code becomes the primary identifier and data is not included in the UDI database)?
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Yes
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No
Please provide more information
It would be beneficial for the TGA to mirror the general retail exemptions in the US - retail products do not require UDI because there is no benefit, as the UDI codes cannot be scanned at the retail level - imposing UDI on retail products is burdensome to industry and require additional regulatory resources and efforts a well as at factory level, for example, adding 2D barcodes is an additional investment and increases financial burden on industry.
An approach similar to the FDA UDI alternative UDI-A160001 would be hugely beneficial and provide for more rapid identification of retail POS devices while industry establishes processes and procedures needed to comply with UDI requirements and also when accounting for the present state of technology at retail.
We would also like the TGA to consider that if an imported medical device complying to EU regulations (already "UDI'ed") then companies could still voluntarily add this information to the AusUDID to maintain consistency and harmonisation with the EU.
An approach similar to the FDA UDI alternative UDI-A160001 would be hugely beneficial and provide for more rapid identification of retail POS devices while industry establishes processes and procedures needed to comply with UDI requirements and also when accounting for the present state of technology at retail.
We would also like the TGA to consider that if an imported medical device complying to EU regulations (already "UDI'ed") then companies could still voluntarily add this information to the AusUDID to maintain consistency and harmonisation with the EU.
3.4. Should Australia adopt a similar approach to the EU in grouping Class I devices (such as the Master UDI-DI)?
Please provide more information
Currently not relevant to our organisation.
3.5. Are there any additional devices that could be exempt?
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Yes
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No
If yes, which devices and why?
Retail POS products should be exempted from the labelling requirements of UDI, as it would provide no benefit for consumers at point of sale and does not improve post market vigilance as the existing barcodes (EAN-13) is sufficient. The barcode should be recognised as an appropriate UDI alternative for these types of medical device and therefore it would be the EAN-13 information entered into the AusUDID.
We recommend the TGA to also consider UDI exemptions for measuring devices (e.g. syringe supplied with a medicine), as the measure device will not be be supplied on its own, as such direct marking with a UDI-DI isn’t required. We understand that this is aligned with the EU position.
We recommend the TGA to also consider UDI exemptions for measuring devices (e.g. syringe supplied with a medicine), as the measure device will not be be supplied on its own, as such direct marking with a UDI-DI isn’t required. We understand that this is aligned with the EU position.
3.8. Should the Australian system include ad-hoc requirements for exemptions (as the U.S. does)?
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Yes
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No
Please provide more information
There is currently a lack of retail technology to read and interpret UDIs, in the absence of such technology, we recommend the TGA to grant ad-hoc exemptions for devices sold in the retail space until Australia gains a better understanding if there are benefits of UDIs for consumer products that are medical devices (for example, condoms, lubricants, eye drops). The product EANs are presently sufficient to identify medical devices and are well established for post-market safety monitoring and surveillance activities.
3.9. Are there complexities we should consider in linking ARTG ID to UDIs if some devices in a single ARTG inclusion are exempt from UDI requirements, and others are not?
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Yes
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No
If yes, please provide more information
We would envisage that as soon as UDI requirements are applicable to 1 product, then that would take precedence over the exemption so there should not be any additional complexities.
Question 4 - Who should provide and maintain the data where there are multiple sponsors for a device?
4.1. Should there be one UDI record per combination of model of device and sponsor? That is, if one model of device is supplied by three sponsors should there be three UDI records for the same device, one per sponsor?
Please provide any feedback here
In our portfolio this scenario will not occur. If 3 separate UDI records are filed by separate sponsors, how does the TGA foresee the data will be harmonised?
Question 5 - Providing and maintaining data over the full life of the device
5.1. How many models of devices do you expect to provide data for (existing devices)?
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<10
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10-50
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51-100
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>100
5.2. Which method do you plan to use to provide UDI data to the TGA? Please rank (1=most preferred, 4=least preferred)
Please rank these from 1 to 4
Bulk - Machine to Machine (e.g. HL7 SPL)
Bulk – National Product Catalogue
Bulk file upload
2
Web-based (using the online portal)
1
Question 7 - UDI labelling and supporting documentation
7.1. Do you have any feedback on the composition of the UDI-PI for specific devices or scenarios?
Please select one item
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Yes
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No
If yes, please provide more information
The UDI-PI should be exempt for consumer health products i.e. medical devices for retail POS as it provides no benefits to what is currently already available that adequately identifies the product for post-market monitoring and vigilance.
7.2. Do you have any feedback on direct marking requirements? Are there considerations or scenarios we have not taken into account?
If yes, please provide more information
Direct marking should be exempt for medical devices when supplied together with a medicine (e.g. syringe) as it will never be sold individually and direct marking provides no benefits.
7.4. What would be your preferred method of providing Patient Information Leaflets for your devices?
If other, please provide more information
Not relevant for consumer health products for retail POS.
7.5. Do you foresee any issues or complications if the PIL repository was developed as part of the AusUDID database or the ARTG Search database on the TGA website?
If yes, please provide more information
This is not fit for purpose for medical devices sold in retail.
7.6. Are there complexities we should take into account if PILs are required for multiple devices in an ARTG inclusion?
If yes, please provide more information
This is not fit for purpose for medical devices sold in retail.
Question 8 - Global Medical Device Nomenclature
8.2. If the TGA was to require that the GMDN Term Name in the AusUDID is to remain aligned with the GMDN Agency code set over the life of the device, what might the impact be for manufacturers and sponsors?
What is the impact of aligning GMDN codes to the agency code set?
We foresee that discrepancies with GMDN codes would only occur on existing products where the GMDN agency makes older codes obsolete. In this instance the legal manufacturer would be required to update the technical dossiers, which would then flow on to Australian sponsors updating the ARTG with a newly assigned GMDN and in turn trigger an update in the AusUDID.
8.3. With the introduction of UDI in multiple countries, do you already have challenges in maintaining GMDN for your devices?
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Yes
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No
If yes, please provide more information
The correct GMDN should be determined by the legal manufacturer, not sponsor hence our understanding is that GMDN details should be uniform across different countries.
Question 9 - Regulatory burden
9.1. Given the details provided in this paper, do you envisage that the introduction of the Australian UDI will increase the burden on manufacturers or sponsors over and above complying with other countries requirements?
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Yes
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No
9.2. If yes, what might those be?
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Additional cost
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Administrative overheads
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Data management overheads
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Other
If other, please provide more information
Under the current regulatory framework, as sponsors are responsible for maintaining the regulatory data, local regulatory teams here would take on the additional workload to input and maintain UDI information on the AusUDID in addition to the legal manufacturer's basic UDI data responsibilities.
Further, as our medical devices are predominently consumer products sold in retail and UDI information has no benefits, this is an added burden on the regulatory team.
Further, as our medical devices are predominently consumer products sold in retail and UDI information has no benefits, this is an added burden on the regulatory team.
9.3. Do you see the implementation of the Australian UDI requirements as a point at which you might review the products you supply into Australia?
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Yes
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No
If yes, please provide more information
In order to ensure the correct information will be entered into the AusUDID, a review of our existing products is likely to be carried out.
Question 10 - Adoption and use
10.1. Is it possible that there will be challenges at the point of care in working out which UDI-DI to assign to the patient? For example, it could be a Direct Marked DI, Unit of Use DI or Primary DI.
If yes, please provide more information
Not applicable for medical devices sold in retail POS.
10.2. Would there be benefit in the AusUDID including a point of care DI "POC-DI" in the AusUDID?
If yes, please provide more information, including if its something that could be derived?
There will be no benefit for medical devices sold in retail POS.
10.3. Should the same apply for UDIs used for billing purposes?
If yes, please provide more information
There will be no benefit for medical devices sold in retail POS.
10.4. Are there any specific considerations we should take into account from the data users' perspective?
If yes, please provide more information
There will be no benefit for medical devices sold in retail POS as consumers would not use this information.