European expert recommendations on clinical investigation and evaluation of high‐risk medical devices for children

Author:

Guerlich Kathrin12ORCID,Patro‐Golab Bernadeta23,Barnacle Alex45,Baumann Ulrich36,Eicken Andreas789,Fraser Alan G.91011,Gruszfeld Dariusz1213,Haas Nikolaus A.14,Jonker Anneliene H.15,Kammermeier Michael2,Kenny Damien816,Kolaček Sanja317,Lapatto Risto1819202122,Maconochie Ian2324,Mader Silke25,McGauran Gearóid2627,Melvin Tom28,Muensterer Oliver2930,Piscoi Paul31,Romano Alberto32,Saxena Amulya K.3033,Schneider Dominik T.3435,Turner Mark A.1936373839,Walle Johan Vande40414243,Koletzko Berthold12319,

Affiliation:

1. Child Health Foundation (Stiftung Kindergesundheit), c/o Dr. von Hauner Children's Hospital Munich Germany

2. Division of Metabolic and Nutritional Medicine, Department of Pediatrics, Dr. von Hauner Children's Hospital LMU University Hospital, LMU Munich Germany

3. European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN)

4. Department of Interventional Radiology Great Ormond St Hospital for Children London UK

5. Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

6. Paediatric Gastroenterology and Hepatology Hannover Medical School Hannover Germany

7. German Heart Center Munich Munich Germany

8. Association for European Paediatric and Congenital Cardiology (AEPC)

9. European Society of Cardiology (ESC)

10. Department of Cardiology University Hospital of Wales Cardiff UK

11. Biomedical Alliance in Europe

12. Neonatal Department and NICU Children's Memorial Health Institute Warsaw Poland

13. European Society for Pediatric and Neonatal Intensive Care (ESPNIC)

14. Division of Pediatric Cardiology and Intensive Care LMU University Hospital, LMU Munich Germany

15. University of Twente Enschede The Netherlands

16. Children's Health Ireland (CHI) at Crumlin and Mater Hospitals Dublin Ireland

17. Medical Faculty University of Zagreb Zagreb Croatia

18. Children's Hospital Helsinki University Hospital Helsinki Finland

19. European Academy of Paediatrics (EAP)

20. European Society of Endocrinology (ESE)

21. European Society for Paediatric Endocrinology (ESPE)

22. Society for Study of Inborn Errors of Metabolism (SSIEM)

23. Imperial College NHS Healthcare Trust London UK

24. European Society for Emergency Medicine (EUSEM)

25. Parent Organisation European Foundation for the Care of Newborn Infants (EFCNI) Munich Germany

26. Health Products Regulatory Authority Dublin Ireland

27. Royal College of Physicians of Ireland

28. School of Medicine Trinity College Dublin Dublin Ireland

29. Department of Pediatric Surgery, Dr. von Hauner Children's Hospital LMU Medical Center Munich Germany

30. European Paediatric Surgeons’ Association (EUPSA)

31. Health Technology Unit B6 Directorate General for Health (DG SANTE), European Commission Brussels Belgium

32. Pediatric Oncology Unit Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy

33. Chelsea and Westminster NHS Fdn Trust Imperial College London London UK

34. Klinikum Dortmund University Witten/Herdecke Dortmund Germany

35. German Society of Pediatrics and Adolescent Medicine (Deutsche Gesellschaft für Kinder‐ und Jugendmedizin – DGKJ)

36. Department of Women's and Children's Health, Instiute of Life Cycle and Medical Sciences University of Liverpool Liverpool UK

37. Royal College of Paediatrics and Child Health

38. European Society for Developmental, Perinatal and Paediatric Pharmacology

39. conect4children

40. Department of Pediatric Nephrology University Hospital Ghent Ghent Belgium

41. European Society of Pediatric Nephrology (ESPN), Chair of the European Pediatric Dialysis Working group (EPDWG)

42. International Pediatric Nephrology Association (IPNA)

43. European Rare Kidney Disease Reference Network (ERKNet)

Abstract

AbstractSeveral high‐risk medical devices for children have become unavailable in the European Union (EU), since requirements and costs for device certification increased markedly due to the EU Medical Device Regulation. The EU‐funded CORE‐MD project held a workshop in January 2023 with experts from various child health specialties, representatives of European paediatric associations, a regulatory authority and the European Commission Directorate General Health and Food Safety. A virtual follow‐up meeting took place in March 2023. We developed recommendations for investigation of high‐risk medical devices for children building on participants' expertise and results of a scoping review of clinical trials on high‐risk medical devices in children. Approaches for evaluating and certifying high‐risk medical devices for market introduction are proposed.

Publisher

Wiley

Subject

General Medicine,Pediatrics, Perinatology and Child Health

Reference21 articles.

1. European Commission.Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices amending Directive 2001/83/EC Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009 and repealing Council Directives 90/385/EEC and 93/42/EEC (Text with EEA relevance).2017. Accessed March 17 2023.http://data.europa.eu/eli/reg/2017/745/oj

2. European Medicines Agency (EMA).Medical devices. Accessed July 10 2023.https://www.ema.europa.eu/en/human‐regulatory/overview/medical‐devices

3. Medical Device Coordination Group.MDCG 2021‐24 Guidance on classification of medical devices. October 2021. Accessed July 10 2023.https://health.ec.europa.eu/system/files/2021‐10/mdcg_2021‐24_en_0.pdf

4. Orphan Medical Devices and Pediatric Cardiology – What Interventionists in Europe Need to Know, and What Needs to be Done

5. Biomedical Alliance Europe.Clinicians concerned about limited availability of medical devices: report of the BioMed Alliance survey conducted in cooperation with the ESC and EFORT. 2023. Accessed March 17 2023.https://www.biomedeurope.org/images/news/2023/Report_survey_results_v3.pdf

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