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Post-Marketing Surveillance (PMS) Studies for Medical Devices in Japan

Patricio Ledesma

Head Of Clinical Operations at Sofpromed

2 October, 2023

Post-Marketing Surveillance (PMS) Studies for Medical Devices in Japan

If you need support to carry out a post-marketing surveillance (PMS) study in Japan, please contact us at info@sofpromed.com  

In the field of healthcare, ensuring the safety and efficacy of medical devices is of utmost importance.

This is where postmarketing surveillance (PMS) studies come into play.

In this article you will learn about:

Postmarketing surveillance is a crucial process that involves monitoring the safety and effectiveness of medical devices after they have been approved for use in the market.

In Japan, PMS studies play a significant role in safeguarding public health and maintaining the integrity of the healthcare system.

This article will delve into the postmarketing surveillance studies conducted in Japan, highlighting the regulatory framework, reporting requirements, and the importance of these studies in ensuring the safety of medical devices.

In addition, Sofpromed will be introduced as a CRO specialized in managing PMS studies in Japan.

The Importance of Postmarketing Surveillance Studies

Postmarketing surveillance studies are essential for several reasons.

Firstly, they provide valuable insights into the real-world performance and safety of medical devices.

While premarket clinical trials provide crucial data, they are often limited in terms of sample size and duration.

Postmarketing surveillance studies allow for the collection of data from a larger population over an extended period, enabling the identification of potential risks and adverse events that may not have been apparent during the premarket phase.

Secondly, postmarketing surveillance studies enable regulatory authorities to take appropriate actions in response to safety concerns.

By actively monitoring the safety profile of medical devices, regulatory bodies can identify and address any emerging risks promptly.

This may include issuing safety alerts, updating labeling information, or even initiating product recalls if necessary.

The continuous monitoring of medical devices through postmarketing surveillance studies helps ensure that any potential risks are mitigated effectively, protecting the health and well-being of patients.

The Regulatory Framework in Japan

Postmarketing surveillance studies in Japan are overseen by two key regulatory bodies: the Pharmaceuticals and Medical Devices Agency (PMDA) and the Ministry of Health, Labor, and Welfare (MHLW).

These organizations work in tandem to collect adverse event data, promote safe usage of medical devices, and take necessary regulatory actions if required.

The PMDA is an independent administrative agency responsible for reviewing and approving medical devices, conducting inspections, and collecting and analyzing adverse event reports.

The agency works closely with the MHLW to ensure the safety and quality of medical devices in Japan.

The MHLW, on the other hand, sets safety standards and regulations for medical devices, registers manufacturers, grants licenses, and monitors the PMDA’s activities.

Reporting Requirements in Japan

In Japan, manufacturers and Marketing Authorization Holders (MAHs) are required to report adverse events associated with medical devices.

Adverse events refer to any unexpected or undesirable effects that occur following the use of a medical device.

The reporting timeline depends on the severity of the adverse event.

Serious adverse drug reactions must be reported to the MHLW within 15 days, while non-serious adverse events are reported annually.

It is crucial for manufacturers and MAHs to comply with these reporting requirements to ensure the timely identification and management of potential risks.

To facilitate the reporting process, the PMDA has developed an online system called the Electronic Transmission of Individual Case Safety Reports.

This system allows for the efficient submission of adverse event reports and ensures that the necessary information reaches the regulatory authorities promptly.

Additionally, adverse events occurring in other countries with devices that are approved in Japan are also reportable to the MHLW.

Postmarketing Surveillance Process in Japan

The postmarketing surveillance process in Japan involves several key steps to ensure the ongoing safety and effectiveness of medical devices.

These steps include:

Recording and Reporting Adverse Events

Manufacturers and MAHs are responsible for recording and reporting any adverse events associated with their medical devices.

This includes both serious and non-serious adverse events, as per the reporting requirements mentioned earlier.

Data Collection and Analysis

The PMDA and the MHLW collect and analyze adverse event data to identify any potential safety concerns or emerging risks.

This involves conducting thorough assessments of the reported adverse events and determining the appropriate regulatory actions.

Safety Alerts and Product Recalls

If a safety concern is identified through postmarketing surveillance studies, regulatory authorities can issue safety alerts to healthcare professionals and the public.

In more severe cases, product recalls may be initiated to ensure the removal of potentially unsafe medical devices from the market.

Labeling Updates

Postmarketing surveillance studies may also lead to updates in the labeling information of medical devices.

This includes providing additional warnings, precautions, or usage instructions to enhance patient safety and promote appropriate device use.

Comparing Postmarketing Surveillance Strategies

Japan’s postmarketing surveillance strategy is comparable to those employed in the United States, European Union, and China.

However, there are certain unique aspects of the Japanese system that contribute to its effectiveness.

The Ministry of Health, Labor, and Welfare has taken significant steps to improve the transparency and efficiency of the review system, making the approval process in Japan equivalent to or faster than those in North American and European markets.

Additionally, Japan’s aging population and the increasing prevalence of chronic diseases have necessitated the implementation of robust postmarketing surveillance measures to ensure the safety of medical devices used by a vulnerable population.

Sofpromed: A Full-Service CRO for PMS Studies in Japan

Sofpromed is a full-service clinical research organization (CRO) specialized in managing post-marketing studies in Japan.

We provide agile and flexible support to companies from the United States, United Kingdom, Europe, and other territories that need to conduct PMS studies in Japanese cities.

Our range of services include regulatory support, study start-up, project management, data management, statistical programming, and any other local support required by the sponsor.

Conclusion

Postmarketing surveillance studies are a critical component of the regulatory framework for medical devices in Japan.

Through active monitoring and reporting of adverse events, these studies contribute to the ongoing safety and effectiveness of medical devices in the market.

The collaboration between the PMDA and the MHLW, along with the timely reporting and analysis of adverse events, allows regulatory authorities to respond swiftly to emerging safety concerns and protect the health of patients.

By adhering to the reporting requirements and actively participating in postmarketing surveillance studies, manufacturers and MAHs can contribute to the overall improvement of medical device safety and patient care in Japan.

Sofpromed is a recommended partner for medical device companies worldwide that need to conduct PMS studies in Japan with the highest levels of quality and compliance.

If you need support to carry out a post-marketing surveillance (PMS) study in Japan, please contact us at info@sofpromed.com  

Patricio Ledesma

Patricio Ledesma (B.Eng Concordia University, Montreal, Canada and Master’s Degree in Clinical Trials, University of Seville, Spain) is the Head of Clinical Operations and Founder at Sofpromed CRO. Patricio is a professional consultant providing comprehensive, one-stop expert advice and guidance to biotechnology and pharmaceutical companies worldwide in the field of clinical trials and drug development. He is personally and enthusiastically devoted to helping biotech Chief Executive, Operations, Scientific, Medical, and Regulatory Officers in the planning and execution of phase I-IV clinical trials across North America, Europe, Asia-Pacific, Latin America, and Middle East regions. You can contact Patricio at: +34 607 939 266  pledesma@sofpromed.com 

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Patricio Ledesma

Patricio Ledesma (B.Eng Concordia University, Montreal, Canada and Master’s Degree in Clinical Trials, University of Seville, Spain) is the Head of Clinical Operations and Founder at Sofpromed CRO. Patricio is a professional consultant providing comprehensive, one-stop expert advice and guidance to biotechnology and pharmaceutical companies worldwide in the field of clinical trials and drug development. He is personally and enthusiastically devoted to helping biotech Chief Executive, Operations, Scientific, Medical, and Regulatory Officers in the planning and execution of phase I-IV clinical trials across North America, Europe, Asia-Pacific, Latin America, and Middle East regions. You can contact Patricio at: +34 607 939 266 pledesma@sofpromed.com