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MDA/GD-0XX June 2015 First Edition MEDICAL DEVICE GUIDANCE DOCUMENT DECLARATION OF CONFORMITY (DoC) Medical Device Authority MINISTRY OF HEALTH MALAYSIA

Contents Preface...iii 1 Introduction...1 2 Purpose...1 3 Scope...1 4 Terms and definitions...1 4.1 Audit...1 4.2 Authorised representative (AR)...1 4.3 Authority...2 4.4 Conformity Assessment...2 4.5 Conformity Assessment Body (CAB)...2 4.6 Common Submission Dossier Template (CSDT)...2 4.7 Manufacturer...2 4.8 Recognised Standards...2 4.9 Responsible Person...2 4.10 Technical Documentation...2 5 Requirements...3 6 The contents of DoC...3 7 The Signatory...5 Appendix 1A - Declaration of Conformity Template...6 MDA/GD-01; June 2015 ii

Preface This Guidance Document was prepared by the Medical Device Authority (MDA) to help the industry and healthcare professionals in their quest to comply with the Medical Device Act (Act 737) and the regulations under it. This Guidance Document shall be read in conjunction with the current laws and regulations used in Malaysia, which include but not limited to the following- a) Medical Device Act 2012 (Act 737); b) Medical Device Regulations 2012 (MDR 2012). Irrespective of the requirements of this Guidance Document, MDA has the right to request for information or material, or define conditions not specifically described in this document that is deemed necessary for the purpose of regulatory control. MDA has put much effort to ensure the accuracy and completeness of this guidance document. In the event of any contradiction between the contents of this document and any written law, the latter should take precedence. MDA reserves the right to amend any part of the guidance document from time to time. CONTACT INFORMATION For further information, please contact: MEDICAL DEVICE AUTHORITY Ministry of Health Malaysia Level 5, Menara Prisma No. 26, Jalan Persiaran Perdana Precint 3, 62675 Putrajaya MALAYSIA Fax: (03) 8892 2500 Email: mdb@mdb.gov.my Website: http://www.mdb.gov.my MDA/GD-01; June 2015 iii

DECLARATION OF CONFORMITY 1. Introduction Regulatory controls are intended to safeguard the health and safety of patients, users and the public. Declaration of Conformity is one of the regulatory requirements imposed in the Medical Device Regulation 2012. It is an attestation drawn up by the manufacturer that its medical device fully conforms to all applicable Essential Principles of Safety and Performance (EPSP) of medical device and other requirements of Act 737 and the regulations under it. 2. Purpose The purpose of this document is to explain further on the requirements of declaration of conformity to ensure compliance to the medical device regulatory requirements. 3. Scope This document specifies the requirements on declaration of conformity for medical device registration. It applies to products that fall within the definition of a medical device, as defined in Section 2 of Medical Device Act 2012 (Act 737) which is further elaborated in the Guidance Document on Definition of Medical Device (MDA/GD-01). 4. Terms and definitions For the purposes of this document, the terms and definitions in Act 737, the regulations under it and the following terms and definitions apply. 4.1 Audit A systematic and independent examination to determine whether quality activities and related results comply with planned arrangements and whether these arrangements are implemented effectively and are suitable to achieve objectives. 4.2 Authorised representative (AR) A person domiciled or resident in Malaysia or, a firm or company constituted under the laws of Malaysia and carrying on business or practice principally in Malaysia, who is appointed by a manufacturer having a principal place of business outside Malaysia. MDA/GD-02; June 2015 1

4.3 Authority The Medical Device Authority, Ministry of Health Malaysia. 4.4 Common submission dossier template (CSDT) A summary of technical documentation held or submitted for conformity assessment purposes. 4.5 Conformity assessment The systematic examination of evidence generated and procedures undertaken by the manufacturer, under requirements established by the Authority, to determine that a medical device is safe and performs as intended by the manufacturer and, therefore, conforms to the Essential Principles of Safety and Performance for Medical Devices (EPSP). 4.6 Conformity assessment body (CAB) As specified in Section 10 of the Medical Device Act 2012 (Act 737). 4.7 Manufacturer As specified in Section 2 of the Medical Device Act 2012 (Act 737). 4.8 Recognised standards Standards deemed to offer the presumption of conformity to specific essential principles of safety and performance. 4.9 Responsible person Responsible person is the person appointed/authorised by the establishment who is responsible for related legal obligations and implications under Act 737 and its subsidiary legislations, including making submission for application for establishment licensing and medical device registration. Responsible person has the overall control and authority to make decision. Depending on the setup of an establishment, example of a responsible person may include the chief executive officer, managing director or general manager for a company. 4.10 Technical documentation The documented evidence normally an output of the quality management system that demonstrates compliance of a device to the Essential Principles of Safety and Performance for Medical Devices (EPSP). MDA/GD-02; June 2015 2

5. Requirements DoC is prescribed in Appendix 3, Third Schedule of the Medical Device Regulations 2012. The manufacturer may use the DoC template in Appendix 1A to draw up a declaration of conformity to comply with the DoC format as in Part II of Appendix 3 of MDR 2012. With the DoC, the manufacturer attests that its medical device complies fully with all essential principles for safety and performance and other requirements specified in the Act 737 and its regulations. The manufacturer shall also provide sufficient documents or evidence to support its DoC. 5.1 According to Item 9, Third Schedule of Medical Device Regulations 2012: (a) The manufacturer shall be required to attest that its medical device complies fully with all essential principles for safety and performance and shall draw up a declaration of conformity in the format as specified in Appendix 3 of the Schedule. (b) The conformity assessment body shall review and confirm the adequacy of the declaration of conformity by examining the supporting documents or other evidence. (c) Notwithstanding subparagraphs (1) and (2), the conformity assessment body may require additional document or information, as it thinks fit, to complete the review. 5.2 According to Item 1, Appendix 3, Third Schedule of Medical Device Regulations 2012: (1) For the purpose of registration of a medical device, a medical device manufacturer shall i. Attest that its medical device conform to all applicable essential principles for safety and performance of medical device; ii. iii. Attest that its medical device complies fully with the requirements of the Act and its subsidiary legislations; and Draw up a written Declaration of Conformity. (2) Notwithstanding subparagraph (1), the manufacturer shall provide sufficient evidence to support its Declaration of Conformity. 6. The contents of DoC The DoC shall contain the following information: a) Name and address of legal manufacturer. MDA/GD-02; June 2015 3

b) Declaration of conformity to attest that each device that is subject to the declaration complies with the applicable essential principles for safety and performance and other requirements specified in the Act 737 and its regulations. c) Particulars of medical device as explained in Table 1 to identify the device to which the DoC applies. d) Quality management system (QMS) certification including: i) Name of CAB issuing the certification; ii) Certificate number; iii) Issuance date; and iv) Expiry date. e) List of standards that is applicable to the medical device. f) Attestation on the responsibility and acknowledgement on the implication of Section 76 of the Act. g) The name, position, and signature of the responsible person who has been authorised to complete the Declaration of Conformity on the manufacturer s behalf. Table 1: Explanation on the particulars Particulars Generic name Specified name Brand/model Manufacturer Country of origin Manufacturing site Risk-based classification Classification GMDN code (preferably, if available) Medical device registration number or any approval code Explanation The name given to a medical device that is used to identify it irrespective of trademark or etc. The name of a medical device given by its manufacturer that identifies a manufacturer s medical device distinct from those of other manufacturers. The name, term, design, symbol, or any other feature or identifier of a medical device given by its manufacturer that identifies a manufacturer s medical device distinct from those of other manufacturers. The legal manufacturer who owns the brand of the product. The country of legal manufacturer. The code to identify a medical device at generic level in a meaningful manner used by regional or national regulatory bodies. The code is an international nomenclature system provided by GMDN Agency. The registration number issued or pre-market approval code assigned by the Authority from GHTF founding members. MDA/GD-02; June 2015 4

7. The signatory The DoC should be signed by the person as detailed out below: i) For local manufacturer, the signatory is the Person Responsible as declared in the establishment licence; and ii) For foreign manufacturer, the signatory is any person in the top management category of the company. MDA/GD-02; June 2015 5

Appendix 1A Declaration of Conformity Template Name and Address of Manufacturer (please print on Company Letterhead of Manufacturer) DECLARATION OF CONFORMITY I, <please provide the name of person responsible for manufacturing the medical device>, hereby declare that the below mentioned medical device- (i) (ii) (iii) complies with all the requirements under the Act; has been classified according to the classification rules as specified in First Schedule on Rules of Classification of Medical Device; and conforms to requirements specified in APPENDIX 1 of Third Schedule on Essential Principles for Safety and Performance of Medical Devices under Medical Devices Regulations 2012. (A) Particulars of medical device Generic name: Specified name: Brand/model: Manufacturer: Country of origin: Manufacturing site: Risk-based classification: Classification rule: (Note: according to First Schedule on Rules of Classification of Medical Device) GMDN code: Medical device registration number or any approval code: (B) Quality Management System certificate ( QMS ) Conformity Assessment Body issuing the certificate: Certificate number: Issuance date: MDA/GD-02; June 2015 6

Expiry date: Note: i) For Class B, Class C and Class D medical devices, declaration of conformity to either of the following QMS standards is mandatory: (a) MS ISO 13485; or (b) Other quality management system standard recognised by the Medical Device Authority. ii) For Class A medical devices that are not manufactured under either of the above mentioned quality management system standards, certification obtained for alternative quality management system standards shall be listed in this section, if applicable. iii) For Class A medical devices with measuring function, conformity assessment certificate and calibration and metrology report, issue date, expiry date, calibration should be provided. iv) For Class A medical devices with sterilization, validation report and conformity assessment certificate number, issue date, expiry date should be provided. (C) Standard Applied Please state and list all standards applicable for the above-mentioned medical device. I am fully responsible with all the information provided in this declaration. This declaration of conformity is valid from (Day) (Month). (Year). I fully understand and acknowledge that it is an offence under Section 76 of the Medical device Act 2012 [Act 737] to make, sign or furnish any declaration, certificate or other document which is untrue, inaccurate or misleading. Authorised Signatory: Name/Position Date Note: The Declaration of Conformity, all document and certificates and attestations shall be duly certified true copy by the Applicant. MDA/GD-02; June 2015 7

MEDICAL DEVICE AUTHORITY MINISTRY OF HEALTH, MALAYSIA Contact Information: Medical Device Authority Ministry of Health Malaysia Level 5, Menara Prisma No. 26, Jalan Persiaran Perdana Precint 3, 62675 Putrajaya MALAYSIA T: (03) 8892 2400 F: (03) 8892 2500 Website: www.mdb.gov.my