Unable to find enough clinical literature.
If the imported products are class II medical devices in the original oversea listing country, it is not necessary to do the clinical trials before listing. One of the other conditions is that the product listing time is not long enough and the reference literature are also limited.
The conclusions of the clinical literature are different that the supporting evidence is not strong enough.
Although some products can find a lot of clinical literature, the conclusions of the clinical literature are not the same so they still can't be the powerful clinical evidence. Also the CFDA Appraisal Center will focus on how persuasive the evidence is but not the amount of clinical literature. If the clinical literature are persuasive and keep consistent on the conclusion, a small amount of clinical literature will be enough. Otherwise, hundreds of clinical literature with different conclusions can not be strong supporting evidence.
The difficulty of obtaining Chinese subaggregatea data.
Under the CFDA regulation, the clinical data collecting should including the Chinese population. It will always be a challenge for the imported products clinical trial data commection. On the one hand, there are not so many Chinese/Asian population involved in the European and the United States clinical trials. On the other hand, some European and the United States clinical trials will not clarify the racial of the data. As a result of this situation, it is really hard to pull out the Chinese/Asian population from the whole database. If it is unable to provide Chinese/Asian population in medical device clinical evaluation report, CFDA Appraisal Center will request the applicant to do the clinical trials in China.
Up to now, the medical device regulations are keep improving. Medical device registraton required clinical trials in China shows a positive phenomenon.
Related links
- Deepen the Evaluation and Approval Regulations’ Renovation and Encourage Medical Device Innovation
Same Variety Products Comparison for the Clinical Trials Exemption