With the changes brought by the Medical Device Regulation (MDR), there is an increasing demand for systems that can support the collection and management of clinical data. Even though plenty of Electronic Data Capture (EDC) exists, it can be an operational and financial challenge for medical device manufacturers to implement these in their current state.
This post will highlight seven things that Medical Device Manufacturers should be aware of, before choosing a system to support compliance with the MDR and its requirements on clinical data.
This highly affects the licensing modules, implementation, operation, and possible applications of these systems. Pricing is one of the decisive factors because budgets for medical device manufacturers are usually lower than those in Pharma. Look for a solution that fits your regulatory environment, clinical application, and flexible in terms of licensing and long-term use. You'll need a solution that can be applied for smaller studies and post-market surveillance, not only a full-blown GCP clinical trial
This highly affects the cost of implementation, operation, and support. Make sure to look for "Do it yourself" and "Made to Measure" solutions, as these will not only simplify your setup but lower the cost as well, due to the fewer "expert" hours needed to operate the solution. In addition, your team will also be better equipped to make adjustments and review the setup, if they understand how to operate it.
Make sure that you can access data within the system without delay. Older systems tend to have migrated multiple software solutions into one, which often results in inefficient software architecture. This can lead to delays in access to data and erroneous interoperability. Furthermore, some systems require you to wait more than 24 hours to access any live data. Modern companies need to be able to access raw data, export, and report without delay, especially if you need to review your data during an audit. You want to make sure that you can log-in and access it without any hassle.
People tend to love user-friendly solutions, whether they contain nice features or not. You can have the greatest system in the world, but if it's not user-friendly or able to live up to the modern standards for platform support and availability, you will risk lower data quality and compliance. The key to successful implementation is to have all three living up to modern standards. Nice features alone, are not enough.
One of the ways to keep the cost of data collection down is to eliminate the requirement for specific hardware. Especially when you want to involve physicians or patients in your data collection process. This means that a system has to be able to integrate with channels like email, SMS, and APIs to collect data. Look for solutions that support data collection across platforms and devices, without any custom implementation.
Most vendors provide either only eCRF (electronic Case Report Forms) or ePRO (electronic Patient Reported Outcomes) functionality. Few dare to provide multiple methods of data collection in one or have difficulties in doing so. When the time comes, you want to make sure that you are not limited to a single method of data collection. Make sure you have the possibility to combine both standard eCRF and ePRO functionality, but preferably with additional methods like surveys and integrations with an external data source via APIs.
If your data is to be eligible for complying with the MDR, you will have to use a system that is validated for clinical data collection. Make sure that the vendor you choose has the necessary quality procedures in place.
The system should be verified and validated according to the requirements specified under the ISO14155 GCP standard for medical devices, and other industry standards, such as those referring to data security. Verification and validation shall be documented and quality assured according to e.g. IEC62304, ISO13485, or similar V-model standards for software. Ask for documentation if unsure.
To conclude, this is far from being a complete list of requirements for choosing an EDC system. There are more individual and product-specific factors involved. But, by keeping these in mind, you will can evaluate and address many of the challenges we've seen our own clients experience to date.
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