Medical Device Labelling and Packaging: A Guide for Regulatory Affairs Professionals

Introduction

Medical device labelling and packaging play a crucial role in ensuring medical devices’ safety, performance, and efficacy. Properly designed and executed labelling and packaging are essential for healthcare professionals, patients, and end-users. In this post, we’ll explore best practices for labelling and packaging medical devices.

Understanding Labelling Requirements

Labelling encompasses all information associated with a medical device, including device labels, instructions for use (IFUs), and product brochures.
Each country or region has its own regulatory body with specific requirements for medical device labelling. In the U.S., the FDA provides detailed guidelines. Under the Medical Devices Regulation (MDR), the EU also has stringent labelling requirements. It’s essential to familiarize yourself with these requirements to ensure compliance. Here is a breakdown of key labelling requirements:

  • Device Identification: Labelling must clearly identify the device with its name, trade name, model number, and manufacturer details.
  • Instructions for Use (IFU): This specifies the device’s intended use/purpose and the medical conditions it addresses and provides detailed instructions for safe and effective device operation, including cleaning, storage, and disposal procedures. In addition, it shall include contraindications outlining situations where the device should not be used due to potential safety risks, warnings and precautions highlighting potential hazards associated with device use, and necessary precautions to mitigate them.
  • Symbols and Labelling Format: Utilize standardized symbols and a clear, concise format to enhance readability and comprehension for a diverse user base.

Best Practices for Effective Labelling

Complying with regulations is essential, but creating effective labelling involves more than just meeting basic requirements. Here are the best practices to consider:

  • Target Audience: Adjust the language and detail in the Instructions for Use (IFU) based on the audience, whether they are healthcare professionals or patients. It’s also important to ensure labelling is accessible to people with disabilities. This can involve incorporating Braille for users who are visually impaired.
  • Clarity and Conciseness: Use clear and uncomplicated language, steering clear of medical jargon. Break down complex instructions into straightforward, manageable steps. The main purpose of labelling is to communicate vital information in a way that is easily understandable and visible to the user. This involves stating the device’s name, its intended purpose, how to use it, any precautions, and information about the manufacturer. Opting for fonts with high contrast and lucid language can improve how easily the information can be read.
  • Detailed Instructions for Use: Clear and comprehensive instructions for use (IFU) are vital, especially for devices that require assembly, calibration, or specific operational steps. Digital versions of IFUs are becoming more accepted, but regulatory approval for digital-only IFUs varies by region.
  • Visual Aids: Include diagrams, illustrations, and flowcharts to explain how the device works and its associated risks better. Utilizing symbols and pictograms that are recognized internationally can bridge language gaps, making the labels more accessible to a global audience. The ISO 15223-1 standard offers a collection of symbols frequently employed in the labelling of medical devices.
  • Risk-Based Approach: Focus warnings and precautions on the most significant risks associated with device use.
  • Multilingual Labelling: If targeting international markets, ensure translations are accurate and culturally appropriate.

Regulatory Considerations for Packaging

Packaging is vital for safeguarding the device during shipping and storage and for conveying important information to users. Here are the key considerations from a regulatory perspective:

  • Material Selection: Packaging materials need to be suitable for the device, ensuring they protect against damage or contamination. It’s important to select packaging that is durable, particularly for devices needing sterilization or those that might face harsh conditions while being transported and stored. The adhesive used for labels should not weaken or dissolve under these conditions.
  • Labelling Requirements: Device labelling requirements often extend to the packaging, including essential product information and handling instructions.
  • Sterility: Packaging must maintain sterility throughout the shelf life for sterile devices.
  • Tamper-proof Features: Incorporate tamper-proof elements to maintain the product’s integrity and guard against falsification. Packaging that clearly shows if it has been opened or tampered with can increase patient safety, signaling any prior unauthorized access or compromise. This aspect is especially critical for products that must remain sterile or are designed for a single use.
  • Environmental Considerations: Whenever possible, select packaging materials that are sustainable and kind to the environment. The environmental consequences of medical device packaging are becoming a significant concern for both regulatory agencies and healthcare providers. Opting for recyclable materials and reducing the size of packaging can help lessen environmental waste and attract consumers and professionals who are mindful of ecological issues.

Maintaining Compliance Throughout the Product Lifecycle

Regulatory compliance for labelling and packaging isn’t a one-time event. Here are key strategies for maintaining compliance throughout the product lifecycle:

  • Version Control: Implement a robust version control system to track changes in labelling and packaging and ensure proper revisions are implemented.
  • Post-Market Surveillance: Actively monitor and document post-market feedback to identify potential labelling or packaging issues. This could involve customer complaints, adverse event reports, and evolving clinical data.
  • Labelling Updates: Be prepared to update labelling promptly in response to new safety information, changes in device functionality, or regulatory revisions.
  • Consider Global Requirements: For devices intended for global markets, consider each target country’s labelling and packaging requirements. Multilingual labelling may be necessary, and compliance with international standards can facilitate market access.

Conclusion

To sum up, medical device labelling and packaging aim to safeguard the user and ensure the device’s integrity until it’s deployed. Effective labelling and packaging are fundamental elements of a successful medical device. As a regulatory affairs professional, you can guarantee the safe and effective use of medical devices by understanding regulatory requirements, employing best practices, and maintaining compliance throughout the product lifecycle.

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Adi Ickowicz Asphalion

By Adi Ickowicz, BSc, ME

Senior Principal at the MedTech Unit of Asphalion S.L.
With over twenty-five years in the MedTech industry, Adi's extensive background includes leadership roles in regulatory affairs, clinical, and quality assurance departments across both well-established firms and start-ups. Additionally, he is a lecturer in various academic institutions.

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