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SFDA Regulation in Saudi Arabia (KSA) : Classification and Grouping of Medical Devices and IVDs

The medical devices and in vitro diagnostics (IVDs) market in Saudi Arabia is tightly regulated to ensure the safety, efficacy, and quality of products used within the healthcare system. The Saudi Food and Drug Authority (SFDA) plays a crucial role in overseeing this market, including the classification and grouping of medical devices and IVDs. Understanding these classifications is essential for manufacturers, importers, and distributors aiming to navigate the regulatory landscape effectively.

SFDA Regulation Medical Devices IVD Saudi Arabia

What are medical devices under SFDA Regulation in Saudi Arabia (KSA)?

In Saudi Arabia, the definition of a medical device encompasses any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software, material, or other similar or related article. The medical devices are characterized by not achieving their primary intended action in or on the human body by pharmacological, immunological, or metabolic means, but they may be assisted in their intended function by such means.

These devices are intended by the manufacturer to be used, alone or in combination, for human beings for one or more of the following specific purposes:

  • diagnosis, prevention, monitoring, treatment, or alleviation of disease; diagnosis, monitoring, treatment, alleviation of, or compensation for an injury or handicap;

  • Investigation, replacement, modification, or support of the anatomy or of a physiological process;

  • supporting or sustaining life; control of conception;

  • disinfection of medical devices; and

  • providing information for medical or diagnostic purposes by means of in vitro examination of specimens derived from the human body.

Medical Devices

Definition of Medical Device Accessories under SFDA Regulations in Saudi Arabia (KSA)

Under the SFDA regulations, an accessory is defined as a product specifically intended by its manufacturer to be used together with a medical device to enable that medical device to achieve its intended purpose.

Classification of Medical Devices under SFDA Regulations in Saudi Arabia (KSA)

Medical devices in Saudi Arabia are classified based on their intended use, duration of contact with the body, and the risk they pose to patients and users. The SFDA follows a risk-based classification system similar to international standards, categorizing devices into four main classes:

Risk Class


Level of Risk

Class A

Non Sterile, Non-measuring

Low Risk

Class A

Supplied as Sterile product

Low-Medium Risk

Class A

with Measuring function

Low-Medium Risk

Class A

Reusable surgical Instruments

Low-Medium Risk

Class B

NA

Low-Medium Risk

Class C

NA

Medium - High Risk

Class D

NA

High Risk

Grouping of Medical Devices under SFDA Regulations in Saudi Arabia (KSA)

Medical devices can be grouped for regulatory purposes based on their intended use, technology, and design. This grouping helps streamline the registration process and ensures consistency in regulatory review. The main grouping categories include:

  1. Family of Medical Devices: A group of medical devices that share common features, intended use, and classification. They must be from the same manufacturer and share similar designs and manufacturing processes.

  2. System: A set of medical devices intended to be used together to achieve a common intended purpose. The components may belong to different classes but are evaluated as a single entity.

  3. Procedure Pack: A collection of medical devices packaged together for a specific medical procedure. The pack may include devices from various classes but is reviewed as a single unit.

Family

System

Procedure Pack

  • same legal manufacturer

  • same intended use/purpose

  • same risk class

  • same GMDN code

  • common physical design, construction material and manufacturing process.

  • same legal manufacturer

  • intended to be used in combination to complete a common intended use

  • are sold under a medical devices system name

  • the labeling, instruction for use (IFU), brochures or catalogues for each constituent component states that the constituent component is intended with system

  • same legal manufacturer

  • same intended use/purpose and under the same specialty.

  • same risk class

  • A catheter with multi lengths.

  • Condoms that differ in size and color

  • Steerable guide wires that are available in various lengths and possess various tip shapes and tip flexibilities. 

  • A hip replacement medical devices system comprising of femoral and acetabular components. The components must be used in combination to achieve a common intended use of total hip replacement. The size of the components may vary.

  • An electrosurgical unit with forceps, electrodes, electrode holders, leads, plug adaptor, when used together for a common intended use/purpose.

  • An endoscopy tower, which consists of endoscopy camera, registered as a main part then the items like screen, scopes and surgical tools attached to the scope registered as accessories.

  • ENT procedure pack

  • Ophthalmic procedure pack

  • urology surgical procedure pack

  • orthodontic procedure packs 

In-Vitro Diagnostic Medical Devices

Classification of IVDs under SFDA Regulations in Saudi Arabia (KSA)

IVDs are classified separately from other medical devices due to their distinct nature and purpose. The SFDA classifies IVDs based on the risk they pose to public health and their impact on individual patient care:

Risk Class

Level of Risk

Class A

Low Individual Risk and Low Public Health Risk

Class B

Moderate Individual Risk and/or Low Public Health Risk

Class C

High Individual Risk and/or Moderate Public Health Risk

Class D

High Individual Risk and High Public Health Risk

Accessories for In Vitro Diagnostic Devices under SFDA Regulations in Saudi Arabia (KSA)

For in vitro diagnostic (IVD) medical devices, accessories are articles that are not classified as in vitro diagnostic medical devices themselves but are intended by their manufacturer to be used alongside one or several specific IVD medical devices. Their role is to enable the IVD medical devices to achieve their intended purposes or to directly assist the medical functionality of the IVD devices in terms of their specific purposes.

Grouping of IVDS under SFDA Regulations in Saudi Arabia (KSA)

When submitting an application for In Vitro Diagnostic (IVD) medical devices in Saudi Arabia, a maximum of five Technical Files (TFs) can be included in a single application. The devices included in these TFs must adhere to specific criteria to ensure they are appropriately grouped:

  • Same Risk Classification: All IVD devices within the application must fall under the same risk classification category.

  • Same Legal Manufacturer: The devices must be produced by the same legal manufacturer.

  • Same Intended Use/Same Principle of Operation: The devices should share the same intended use or operate based on the same principle.

  • Closely Similar Design and Manufacturing Process: The design and manufacturing process of the devices should be closely similar.

Additionally, the total number of IVD medical devices grouped or bundled within a single application must not exceed 50 items.

Examples of IVD Products with the Same Intended Use/Purpose:

  • Culture Media: Blood agar and MacConkey agar

  • Susceptibility Tests

  • Blood Collection Tubes: Examples include tubes with EDTA or heparin

Examples of IVD Products with Different Intended Use/Purpose:

  • Blood agar and enzyme tests

  • HIV and ABO grouping tests

  • Pregnancy kits and Hepatitis virus tests

Registration of medical device and IVD accessories under SFDA Regulations in Saudi Arabia (KSA)

If a medical device or IVD includes accessories, they may be included in the same Medical Device Marketing Authorization (MDMA) application as the main device, provided they are not marketed separately. This streamlined approach facilitates the registration process and ensures that all components essential for the medical device’s intended use are reviewed together.

Navigating the classification and grouping of medical devices and IVDs in Saudi Arabia requires a thorough understanding of the SFDA's regulatory framework. By adhering to these regulations, manufacturers and importers can ensure that their products meet the highest standards of safety and efficacy, ultimately contributing to the advancement of healthcare in the Kingdom. As the Saudi healthcare sector continues to evolve, staying informed about regulatory updates and maintaining compliance will be crucial for success in this growing market.

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