The nomenclature classifier of the Medisatati has been developed. We study a new nomenclature of medical products. Nomenclature classification of medical products by classes, depending on the potential risk of their application.

Date of entry into force on 06.06.2012

In accordance with Part 2 of Article 38 of the Federal Law of November 21, 2011 N 323-FZ "On the basis of the health of citizens in Russian Federation"(Meeting of the legislation of the Russian Federation, 2011, N 48, Art. 6724) and decree of the President of the Russian Federation of May 21, 2012 N 636" On the structure of federal executive authorities "(" Russian Gazeta ", 2012, N 114) Order:

Approve:

  • nomenclature classification of medical products by type according to Appendix N 1;
  • nomenclature classification of medical products by classes, depending on the potential risk of their use according to Appendix N 2.

Minister
V.I.Skvortsov

Appendix N 1.

Russian Federation
dated June 6, 2012 N 4N

Nomenclature classification of medical devices by type

The nomenclature classification of medical devices (hereinafter - classification) by type contains a numerical designation (number) of the type of medical product, the name of the type of medical product, as well as nine-digit digital codes (AAA BB VV GG) used to determine the types of medical devices.

When classifying in the first position, the numerical designation (six-digit number) of the type of medical product (N) is located, in the second position - the name of the type of medical product (view), in the third position - three-digit digital codes (AAA 00 00 00) according to the classification sign "Purpose of medical Products "(Table 1), on the fourth position - two-digit digital codes (000 BB 00 00) according to the classification sign" The requirements of the sterilization of medical devices "(Table 2), on the fifth position - two-digit digital codes (000 00 BB 00) by classification "Technologies of the use of medical devices" (Table 3), on the sixth position - two-digit digital codes (000 00 00 gg) according to the classification feature of the "Medical Development Area" area (Table 4).

The encoding algorithm used to classify medical devices by type is shown in the scheme:

N View AAA BB VV GG
│ │ │ │ │ │
│ │ │ │ │ └──\u003e Areas of application of medical devices
│ │ │ │ │
│ │ │ │ └────\u003e Medical Appliances Technologies
│ │ │ │
│ │ │ └──────\u003e Requirements for the sterilization of medical devices
│ │ │
│ │ └─────────\u003e Purpose of medical devices
│ │
│──────────────\u003e Name of the type of medical product

└────────────────\u003e Room of Medicine View

Table 1. Appointment of medical products according to classification sign (AAA)

Appointment of medical devices

Code
Designation

prevention of diseases

diagnosis of diseases, states and clinical
Situation

cardiography

encephalography

radioscopy, radiography

angiography

cT scan

magnetic-resonant tomography

positron emission computed tomography

ultrasound diagnostics

in-Vitro Diagnostics

histological and cytological diagnostics

genetic diagnostics

endoscopy

blood gases, external parameters
breathing, composition of inhaled and exhaled air and
Gas exchange

measurements of medical characteristics and values

self-test

monitoring the state of the human body

pathologist studies

forensic-medical examination

treatment and medical rehabilitation of diseases

physiotherapy

radiotherapy

anesthesia and resuscitation

surgery

abdominal surgery

thoracic surgery

neurosurgery

cardiovascular Surgery

organs and tissue transplantation

kombstiology

maxillofacial Surgery

dental surgery

plastic surgery

restoration, replacement, change of anatomical
structures or physiological functions of the body

compensation of physical disadvantage or disability

prevention, abortion, control
Conception

mixed-hospital equipment, including medical
Products not intended for use
directly in diagnostic, therapeutic purposes or
for medical research, as well as do not provide
Direct influence on clinical status assessment
Patient, research results or treatment
Process

Table 2. Requirements for sterilization of medical devices according to classification sign (BB)

Name

Code
Designation

non-sterile disposable medical
Use

sterile Medications Disposable
Use

sterilized medical products multiple
applications whose sterility is ensured as
in the first application, and with each subsequent
Application using appropriate methods
Sterilization

non-sterile medical products multiple
Applications

equipment for sterilization of medical devices

Table 3. Technologies for the application of medical devices by classification (explosive) (AAA)

Name

Code
Designation

inactive medical products, functioning
which do not require an energy source, except
Energy generated by human body or power
gravity (gravity)

active medical products for operation
which need to use the energy source,
different from the generated human body or force
gravity (gravity)

inactive implantic medical products

active implantable medical products

biomedical products, including such materials,
as products of cellular technologies and fabric
Engineering, Bioimplants, Selfcomcommodific
Biopolymers, fabric adhesives and suture materials

surgical instruments intended for
surgical intervention (cutting, drilling,
sawing, scratching, bobbies, bonding,
Spreading, Rocking, Piercing)

prosthetic Orthopedic Products

technical means of rehabilitation of persons with disabilities

Table 4. Areas of medical use of medical devices according to classification sign (GG)

Areas of medical application

Code
Designation

obstetrics and gynecology

allergology and immunology

angiology

balneology and water bouquet

gastroenterology

hematology

genetics

hyurgy

dermatovenerology

desmurgy

diabettology

infectious diseases

cardiology

coloproctology

therapeutic physical education I. sports medicine

narcology

neurology

neonatology

nephrology

oncology

otorinolaryngology

ophthalmology (including optics)

pediatrics

psychiatry

pulmonology

rheumatology

stomatology

sudology

traumatology and orthopedics

transfusiology

urology

widespread

Appendix N 2.
to the order of the Ministry of Health
Russian Federation
dated June 6, 2012 N 4N

Nomenclature classification
Medical products for classes
Depending on the potential risk of their application

1. At the nomenclature classification of medical products by classes, depending on the potential risk of application (hereinafter - the classification of medical devices), medical products are divided into four classes. Classes have designations 1, 2a, 2b and 3.

I. Classification of medical devices (except medical
products for diagnostics in vitro)

2. When classifying medical devices, each medical device can only be assigned to one class:

  • class 1 - Low Risk Medical Products;
  • class 2a - Medical products with middle degree risk;
  • class 2B - medical products with an increased risk;
  • class 3 - Medical products with a high risk.

3. When classifying medical devices, they take into account their functional purpose and conditions of application, as well as the following criteria:

  • the duration of the use of medical devices;
  • invasiveness of medical devices;
  • the presence of contact of medical devices with a human body or interrelation with it;
  • the method of introducing medical devices to the human body (through anatomical cavity or surgical path);
  • application of medical devices for vital organs and systems (heart, central system blood circulation, central nervous system);
  • application of energy sources.

4.

4.1. Non-invasive medical products refer to class 1 if none of the provisions presented below are not applied, with the exception of the provisions set out in paragraph 4.4.1.

4.2. Non-invasive medical products intended for conducting or storing blood, liquids or body tissues, liquids or gases for the purpose of subsequent infusion, transfusion or injection into the body belong to the class 2a.

4.3. Non-invasive medical products intended to change the biological or chemical composition of blood, other body fluids or liquids intended for infusion into the body belong to class 2B. However, in cases where the therapeutic effects consists in filtration, centrifugation, gas exchange or heat exchange to change the biological or chemical composition of blood, other liquids of the body or liquids intended for infusion into the body, medical products refer to class 2a.

4.4. Non-invasive medical products that come into contact with damaged skin:

4.4.1. refer to class 1 if they are used as mechanical barriers or for compression;

4.4.2. refer to class 2B if they are used for wounds that can be heated only by secondary healing;

4.4.3. Class 2a, if they are used in all other cases (including medical products that are intended mainly to affect the microenvironment of the Russian Academy of Sciences).

4.5. Invasive medical products (with the exception of surgical invasive), the use of which is associated with anatomical cavities in the human body and which are not intended to join the active medical product:

4.5.1. class 1, if these are short-term uses (continuous use for no more than 60 minutes);

4.5.2. Class 2a, if these are temporary use (continuous use for no more than 30 days), but in cases where these medical products are temporarily used in the oral cavity to the pharynx, in a rumor passage to the eardrum or in the nasal cavity, they relate to class 1;

4.5.3. refer to class 2b if these medical products long use (continuous use for more than 30 days), however, in cases where these medical products are long used in the oral cavity to the pharynx, in a rumor passage to the eardrum or in the nasal cavity and cannot be resubbable by the mucous membrane, they relate to class 2a ;

4.5.4. All invasive medical products (with the exception of surgical invasive), the use of which is associated with anatomical cavities in the body and which are intended for attaching to an active medical product of class 2a or higher class, refer to class 2a.

4.6. Surgical invasive short-term medical products refer to class 2a, however if they are:

4.6.1. Designed for diagnosis, observation, control or correction of heart pathologies, the central circulatory system or the central nervous system In direct contact with the organs or parts of these systems, then refer to class 3;

4.6.2. are reusable surgical instruments, then refer to class 1;

4.6.3. Designed to transmit energy in the form of ionizing radiation, then refer to class 2B;

4.6.4. Designed to cause a biological effect, dissolve completely or largely, then refer to class 2B;

4.6.5. Designed for the introduction of drugs through a dosing system that uses potentially dangerous method Introduction, then refer to class 2b.

4.7. Surgical invasive medical products of temporary use refer to class 2a, however if they are:

4.7.1. Designed for diagnosis, observation, control or correction of the pathologies of the heart or the central circulatory system in direct contact with the organs or parts of these systems, then refer to class 3;

4.7.2. directly contact with the central nervous system, then refer to class 3;

4.7.3. Designed to transmit energy in the form of ionizing radiation, then refer to class 2B;

4.7.4. Designed to cause a biological effect, to dissolve completely or in a significant part, then refer to class 3;

4.7.5. Chemical changes in the body are undergoing or administered drugs, then refer to class 2B (with the exception of medical products implanted in teeth).

4.8. Implantized medical products, as well as surgical invasive medical products of long-term use refer to class 2B, but if they are:

4.8.1. Designed for implantation in the teeth, then refer to class 2a;

4.8.2. directly in contact with the heart, the central system of blood circulation or the central nervous system, then refer to class 3;

4.8.3. Designed to cause a biological effect or dissolve completely or largely, then refer to class 3;

4.8.4. Chemical changes are undergoing in the body or administered medicinal drugs into the patient's body, then class 3 (with the exception of medical products implantable in teeth).

4.9. Active therapeutic medical products:

4.9.1. Active medical products that are intended to transmit energy or energy exchange are class 2a. However, if the transfer of energy to the human body or the exchange of energy with it is a potential danger due to the characteristic features of medical devices, taking into account the effects on the body part, to which energy is applied (including active medical devices intended for creating ionizing radiation, radiation therapy), they refer to class 2b;

4.9.2. Active medical products intended to manage active therapeutic medical products of class 2B are class 2B.

4.10. Active diagnostic medical products refer to class 2a if they are intended for:

4.10.1. The transmission of energy absorbed by the human body, however, if the function of the medical product is the illumination of the patient's body in the visible range of the spectrum, they refer to class 1;

4.10.2. distributions of radiopharmaceutical drugs introduced into the patient's body;

4.10.3. ensuring direct diagnostics or control of vital functions of the body, however, if they are intended to control vital physiological parameters, the changes of which could lead to direct hazard for the patient (for example, changing the function of the heart, breathing or activity of the central nervous system), then they relate to class 2b;

4.10.4. Management of active diagnostic medical products of class 2B belong to class 2B.

4.11. Active medical products intended to be administered to the patient's medication drugs, physiological fluids or other substances and (or) eliminating them from the body belong to the class 2a. However, if the method of administration (derived) is a potential danger, taking into account the type of appropriate substances, parts of the body and methods of application, then they relate to class 2b.

4.12. Other active medical products refer to class 1.

4.13. Medical products, which include a substance, which is a drug or other biologically active agent and affecting human body In addition to the impact of the medical product, class 3.

4.14. Medical products designed to control conception or to protect against sexually transmitted diseases are classified to class 2B, however, if they are implanted or invasive medical products of long-term use, they are class 3.

4.15. Medical products intended for disinfection of medical devices belong to class 2a, however, if they are intended for cleaning, washing, disinfection contact lenses, they belong to class 2b.

4.16. Inactive medical products used to obtain diagnostic X-rays belong to Class 2A.

4.17. Medical products that were manufactured using dead animal tissues or derivatives belong to Class 3, however, if they are intended to come into contact only with intact skin, they relate to class 1.

4.18. Blood containers, blood and blood substitute drugs belong to class 2B.

5.

6. If you can use different positions when classifying to a medical device, it is applied, as a result of which the medical product class is established, which corresponds to the greatest degree of potential risk.

7.

II. Medical Classification for Diagnostics
in vitro.

8. When classifying medical devices for diagnostics in vitro (hereinafter - medical products), each medical device can only be assigned to one class:

  • class 1 - Medical products with low individual risk and low risk for public health;
  • class 2a - Medical products with moderate individual risk and / or low risk for public health;
  • class 2B - Medical products with high individual risk and / or moderate risk for public health;
  • class 3 - Medical products with high individual risk and / or high risk for public health.

9. When classifying medical devices to classes, depending on the potential risk of application, it is necessary to take into account the following provisions:

9.1. Medical products designed to identify infectious agents in the blood, blood components, blood derivatives, cells, tissues or organs in order to assess the possibility of their transfusion or transplantation, medical products intended to identify infectious agents that may cause human life threatening diseases, With high distribution risk and which provide decisive information for the setting of the correct diagnosis, refer to class 3.

9.2. Medical products, which are used to determine blood groups or types of tissues in order to guarantee the immunological compatibility of blood, blood components, cells, tissues, or organs that are intended for transfusion or transplantation belong to class 2B, with the exception of the AVO system, the rhesus of the system (C, C, D, E, E), Kell Systems, Kidd Systems and Duffy Systems belong to Class 3.

9.3. Medical products refer to class 2B if they are intended for the following purposes:

9.3.1. To identify infectious agents of sexually transmitted diseases;
to identify in the cerebrospinal fluid or blood of infectious agents with moderate risk of distribution and which provide decisive information to form a proper diagnosis;

9.3.2. To identify the presence of infectious agents when there is a significant risk that an erroneous result may be the cause of death or the loss of the patient's surveyed or fetus;

9.3.3. When screening pregnant women in order to determine their immune status in relation to infections;

9.3.4. In determining the status of infectious disease or immune status, in the presence of risk that the erroneous result will lead to a therapeutic solution that causes the inevitable danger to the patient's life;

9.3.5. when screening for choosing patients for election therapy or for diagnosis (for example, diagnosis of cancer);

9.3.6. with genetic testing when the test result leads to serious human life interference;

9.3.7. To control the levels of drugs, substances or biological components, when there is a risk that incorrect result will lead to a therapeutic solution that causes a vital situation for the patient;

9.3.8. In the treatment of patients suffering from life-threatening infectious disease;

9.3.9. In screening of congenital fruit diseases.

9.4. Medical products intended for sampling and self-control studies belong to class 2b, excluding those medical products, the result of the analysis of which is not a critical medical status or preliminarily, requires comparison with the corresponding laboratory tests, refer to class 2a.

9.5. Medical products that do not have a measuring function, which in their objective properties can be used as overall, but have special characteristics, in accordance with which the manufacturer is intended for use in the diagnostic procedures in in vitro (without specifying specific types of laboratory tests / analytes) belong to the class one.

9.6. Medical products not covered by the provisions of paragraphs 9.1 - 9.5 belong to the class 2a, including:

9.6.1. Medical products with measuring function (analyzers) with a non-fixed list of laboratory studies, which depends on the applied reagent sets (test systems). The interdependence of the analyzer and the reagents used, as a rule, does not allow to evaluate the analyzer separately, but this does not affect its classification to class 2a;

9.6.2. Medical products, when using which the therapeutic decision must be taken after further research;

9.6.3. Medical products used to monitor and treat oncological diseases.

10. If the medical device is intended for use in combination with other medical products, then classes are installed for each medical product.

11. Calibration and control materials with quantitatively and qualitatively specified values \u200b\u200binclude the same class as medical products, for controlling which they are intended.

12. For special software, which is an independent product and used with a medical product, set the same class as for the medical product itself.

Act Editorial 06.06.2012

Name DocumentOrder of the Ministry of Health of the Russian Federation of 06.06.2012 N 4N "On approval of the nomenclature classification of medical devices"
Document typeorder
Accepted byministry of Health of the Russian Federation
Document Number4N
Date of adoption04.11.2012
Date of editorial06.06.2012
Registration number in the Ministry of Justice24852
Date of registration in the Ministry of Justice09.07.2012
Statusact
Publication
  • "Russian Gazeta", N 245, 24.10.2012
NavigatorNotes

Order of the Ministry of Health of the Russian Federation of 06.06.2012 N 4N "On approval of the nomenclature classification of medical devices"

Appendix 1. Nomenclature classification of medical devices by type

The nomenclature classification of medical devices (hereinafter - classification) by type contains a numerical designation (number) of the type of medical product, the name of the type of medical product, as well as nine-digit digital codes (AAA BB VV GG) used to determine the types of medical devices.

When classifying in the first position, the numerical designation (six-digit number) of the type of medical product (N) is located, in the second position - the name of the type of medical product (view), in the third position - three-digit digital codes (AAA 00 00 00) according to the classification sign "Purpose of medical Products "(Table 1), on the fourth position - two-digit digital codes (000 BB 00 00) according to the classification sign" The requirements of the sterilization of medical devices "(Table 2), on the fifth position - two-digit digital codes (000 00 BB 00) by classification "Technologies of the use of medical devices" (Table 3), on the sixth position - two-digit digital codes (000 00 00 gg) according to the classification feature of the "Medical Development Area" area (Table 4).

The encoding algorithm used to classify medical devices by type is shown in the scheme:

N.ViewAAABBBBGG
> Medical Products
> Medical Application Technologies
> Medical sterilization requirements
>
> Name of the type of medical product
> Medical type number

Table 1. Appointment of medical products according to classification sign (AAA)

N p / nAppointment of medical devicesCode designation
1 prevention of diseases100
2 diagnosis of diseases, states and clinical situations200
3 cardiography201
4 encephalography202
5 radioscopy, radiography203
6 angiography204
7 cT scan205
8 magnetic-resonant tomography206
9 positron emission computed tomography207
10 ultrasound diagnostics208
11 in-Vitro Diagnostics209
12 Histological and cytological diagnostics210
13 genetic diagnostics211
14 endoscopy212
15 studies of blood gases, external respiratory parameters, composition of inhaled and exhaled air and gas exchange213
16 measurements of medical characteristics and values214
17 self-test215
18 monitoring the state of the human body216
19 pathologist studies217
20 forensic-medical examination218
21 treatment and medical rehabilitation of diseases300
22 therapy301
23 physiotherapy302
24 radiotherapy303
25 anesthesia and resuscitation400
26 surgery500
27 abdominal surgery501
28 thoracic surgery502
29 neurosurgery503
30 cardiovascular Surgery504
31 organs and tissue transplantation505
32 kombstiology506
33 maxillofacial Surgery507
34 dental surgery508
35 plastic surgery509
36 restoration, replacement, change of anatomical structure or physiological functions of the body600
37 Compensation of physical disadvantage or disability700
38 prevent, interrupt pregnancy, conception800
39 inspection equipment, which includes medical products, not intended to be applied directly to diagnostic, therapeutic purposes or for medical research, as well as do not directly affect the clinical assessment of the patient's condition, research results or course of therapeutic process.900

Table 2. Requirements for sterilization of medical devices according to classification sign (BB)

N p / nNameCode designation
1 non-sterile disposable medical01
2 sterile Medications Disposable Use02
3 sterilized medical products of multiple use, the sterility of which is ensured by both the first use and every one subsequent use using appropriate sterilization methods.03
4 non-sterile multi-use medical products04
5 Equipment for sterilization of medical devices05

Table 3. Technologies for the application of medical devices according to the classification feature (explosive)

N p / nNameCode designation
1 inactive medical products, the functioning of which does not require an energy source, with the exception of the energy generated by the human body or gravity (gravity)01
2 active medical products for the functioning of which it is necessary to use a source of energy other than the generated human body or gravity (gravity)02
3 inactive implantic medical products03
4 active implantable medical products04
5 biomedical products, including materials such as products of cellular technologies and tissue engineering, bioimplants, self-aromatic biopolymers, tissue adhesives and suture materials05
6 surgical tools intended for surgical intervention (cutting, drilling, sawing, scratching, bobbins, bonding, spreading, rocking, piercing)06
7 prosthetic Orthopedic Products07
8 technical means of rehabilitation of persons with disabilities08

Table 4. Areas of medical use of medical devices according to classification sign (GG)

N p / nAreas of medical applicationCode designation
1 obstetrics and gynecology01
2 allergology and immunology02
3 angiology03
4 balneology and water bouquet04
5 gastroenterology05
6 hematology06
7 genetics07
8 hyurgy08
9 dermatovenerology09
10 desmurgy10
11 diabettology11
12 infectious diseases12
13 cardiology13
14 coloproctology14
15 medical Physical Culture and Sports Medicine15
16 narcology16
17 neurology17
18 Neonatology18
19 nephrology19
20 oncology20
21 otorinolaryngology21
22 ophthalmology (including optics)22
23 pediatrics23
24 psychiatry24
25 pulmonology25
26 rheumatology27
27 stomatology28
28 sudology29
29 traumatology and orthopedics30
30 transfusiology31
31 urology31
32 widespread32

Appendix N 2.
to the order of the Ministry of Health
Russian Federation
dated June 6, 2012 N 4N

Ministry of Health of the Russian Federation

Order of June 6, 2012 No. 4N
"On approval of the nomenclature classification of medical devices"

In accordance with Part 2 of Article 38 of the Federal Law of November 21, 2011 N 323-FZ "On the Based on the Health of Citizens in the Russian Federation" (Meeting of the legislation of the Russian Federation, 2011, N 48, Art. 6724) and Decree of the President of the Russian Federation May 21, 2012 N 636 "On the structure of federal executive authorities" ("Russian Gazeta", 2012, N 114) Order:

Approve:

nomenclature classification of medical products by type according to Appendix N 1;

nomenclature classification of medical products by classes, depending on the potential risk of their use according to Appendix N 2.

Minister V.I.Skvortsova

Appendix N 1.
Russian Federation
dated June 6, 2012 N 4N

Nomenclature classification of medical devices by type

The nomenclature classification of medical devices (hereinafter - classification) by type contains a numerical designation (number) of the type of medical product, the name of the type of medical product, as well as nine-digit digital codes (AAA BB VV GG) used to determine the types of medical devices.

When classifying in the first position, the numerical designation (six-digit number) of the type of medical product (N) is located, in the second position - the name of the type of medical product (view), in the third position - three-digit digital codes (AAA 00 00 00) according to the classification sign "Purpose of medical Products "(Table 1), on the fourth position - two-digit digital codes (000 BB 00 00) according to the classification sign" The requirements of the sterilization of medical devices "(Table 2), on the fifth position - two-digit digital codes (000 00 BB 00) by classification "Technologies of the use of medical devices" (Table 3), on the sixth position - two-digit digital codes (000 00 00 gg) according to the classification feature of the "Medical Development Area" area (Table 4).

The encoding algorithm used to classify medical devices by type is shown in the scheme:

Table 1. Purpose of medical devices

according to the classification feature (AAA)

Appointment of medical devices

Code
Designation

prevention of diseases

diagnosis of diseases, states and clinical situations

cardiography

encephalography

radioscopy, radiography

angiography

cT scan

magnetic-resonant tomography

positron emission computed tomography

ultrasound diagnostics

in-Vitro Diagnostics

histological and cytological diagnostics

genetic diagnostics

endoscopy

studies of blood gases, external respiratory parameters, composition of inhaled and exhaled air and gas exchange

measurements of medical characteristics and values

self-test

monitoring the state of the human body

pathologist studies

forensic-medical examination

treatment and medical rehabilitation of diseases

physiotherapy

radiotherapy

anesthesia and resuscitation

surgery

abdominal surgery

thoracic surgery

neurosurgery

cardiovascular Surgery

organs and tissue transplantation

kombstiology

maxillofacial Surgery

dental surgery

plastic surgery

restoration, replacement, change of anatomical structure or physiological functions of the body

compensation of physical disadvantage or disability

prevention, abortion, control
Conception

inspection equipment, which includes medical products, not intended to be applied directly to diagnostic, therapeutic purposes or for medical research, as well as do not directly affect the clinical assessment of the patient's condition, research results or course of therapeutic process.

Table 2. Requirements for sterilization of medical devices

according to the classification feature (BB)

Name

Code
Designation

non-sterile disposable medical

sterile Medications Disposable Use

sterilized medical products of multiple use, the sterility of which is ensured by both the first use and every one subsequent use using appropriate sterilization methods.

non-sterile multi-use medical products

equipment for sterilization of medical devices

Table 3. Medical Appliances Technologies

according to the classification feature (explosives)

Name

Code
Designation

inactive medical products, the functioning of which does not require an energy source, with the exception of the energy generated by the human body or gravity (gravity)

active medical products for the functioning of which it is necessary to use a source of energy other than the generated human body or gravity (gravity)

inactive implantic medical products

active implantable medical products

biomedical products, including materials such as products of cellular technologies and tissue engineering, bioimplants, self-aromatic biopolymers, tissue adhesives and suture materials

surgical tools intended for surgical intervention (cutting, drilling, sawing, scratching, bobbins, bonding, spreading, rocking, piercing)

prosthetic Orthopedic Products

technical means of rehabilitation of persons with disabilities

Table 4. Medical Medical Applications Areas

products according to classification feature (GG)

Areas of medical application

Code
Designation

obstetrics and gynecology

allergology and immunology

angiology

balneology and water bouquet

gastroenterology

hematology

genetics

hyurgy

dermatovenerology

desmurgy

diabettology

infectious diseases

cardiology

coloproctology

medical Physical Culture and Sports Medicine

narcology

neurology

neonatology

nephrology

oncology

otorinolaryngology

ophthalmology (including optics)

pediatrics

psychiatry

pulmonology

rheumatology

stomatology

sudology

traumatology and orthopedics

transfusiology

urology

widespread


Appendix N 2.
to the order of the Ministry of Health
Russian Federation
dated June 6, 2012 N 4N

Nomenclature classification of medical products by classes, depending on the potential risk of their application

1. At the nomenclature classification of medical products by classes, depending on the potential risk of application (hereinafter, the classification of medical products) Medical products are divided into four classes. Classes have designations 1, 2a, 2b and 3.

I. Classification of medical devices (except medical
Products for diagnostics in vitro)

2. When classifying medical devices, each medical device can only be assigned to one class:

class 1. - medical products with low risk;

class 2A. - medical products with a medium risk;

class 2B. - medical products with an increased degree of risk;

class 3. - Medical products with a high risk.

3. When classifying medical devices, their functional purpose and application conditions, as well as the following criteria are taken into account, as well as the following criteria:

the duration of the use of medical devices;

invasiveness of medical devices;

the presence of contact of medical devices with a human body or interrelation with it;

the method of introducing medical devices to the human body (through anatomical cavity or surgical path);

application of medical devices for vital organs and systems (heart, central circulatory system, central nervous system);

application of energy sources.

4. When classifying medical devices to classes, depending on the potential risk of application, it is necessary to take into account the following provisions:

4.1. Non-invasive medical products refer to class 1 if none of the provisions presented below are not applied, with the exception of the provisions set out in paragraph 4.4.1.

4.2. Non-invasive medical products intended for conducting or storing blood, liquids or body tissues, liquids or gases for the purpose of subsequent infusion, transfusion or injection into the body belong to the class 2a.

4.3. Non-invasive medical products intended to change the biological or chemical composition of blood, other body fluids or liquids intended for infusion into the body belong to class 2B. However, in cases where the therapeutic effects consists in filtration, centrifugation, gas exchange or heat exchange to change the biological or chemical composition of blood, other liquids of the body or liquids intended for infusion into the body, medical products refer to class 2a.

4.4. Non-invasive medical products that come into contact with damaged skin:

4.4.1. refer to class 1 if they are used as mechanical barriers or for compression;

4.4.2. refer to class 2B if they are used for wounds that can be heated only by means of secondary healing;

4.4.3. Class 2a, if they are used in all other cases (including medical products that are intended mainly to affect the microenvironment of the Russian Academy of Sciences).

4.5. Invasive medical products (with the exception of surgical invasive), the use of which is associated with anatomical cavities in the human body and which are not intended to join the active medical product:

4.5.1. class 1, if these are short-term uses (continuous use for no more than 60 minutes);

4.5.2. Class 2a, if these are temporary use (continuous use for no more than 30 days), but in cases where these medical products are temporarily used in the oral cavity to the pharynx, in a rumor passage to the eardrum or in the nasal cavity, they relate to class 1;

4.5.3. refer to class 2b if these medical products for long-term use (continuous use for more than 30 days), but in cases where these medical products are long used in the oral cavity to pharynx, in a rumor passage to the eardrum or in the nasal cavity and not may be resorbable by the mucous membrane, they relate to class 2a;

4.5.4. All invasive medical products (with the exception of surgical invasive), the use of which is associated with anatomical cavities in the body and which are intended for attaching to an active medical product of class 2a or higher class, refer to class 2a.

4.6. Surgical invasive short-term medical products refer to class 2a, however if they are:

4.6.1. Designed for diagnosis, observation, control or correction of heart pathologies, the central circulatory system or the central nervous system in direct contact with the organs or parts of these systems, then refer to the class 3;

4.6.2. are reusable surgical instruments, then refer to class 1;

4.6.3. Designed to transmit energy in the form of ionizing radiation, then refer to class 2B;

4.6.4. Designed to cause a biological effect, dissolve completely or largely, then refer to class 2B;

4.6.5. Designed for the introduction of drugs through the dosing system, using a potentially dangerous method of administration, then refer to class 2B.

4.7. Surgical invasive medical products of temporary use refer to class 2a, however if they are:

4.7.1. Designed for diagnosis, observation, control or correction of the pathologies of the heart or the central circulatory system in direct contact with the organs or parts of these systems, then refer to class 3;

4.7.2. directly contact with the central nervous system, then refer to class 3;

4.7.3. Designed to transmit energy in the form of ionizing radiation, then refer to class 2B;

4.7.4. Designed to cause a biological effect, to dissolve completely or in a significant part, then refer to class 3;

4.7.5. Chemical changes in the body are undergoing or administered drugs, then refer to class 2B (with the exception of medical products implanted in teeth).

4.8. Implantized medical products, as well as surgical invasive medical products of long-term use refer to class 2B, but if they are:

4.8.1. Designed for implantation in the teeth, then refer to class 2a;

4.8.2. directly in contact with the heart, the central system of blood circulation or the central nervous system, then refer to class 3;

4.8.3. Designed to cause a biological effect or dissolve completely or largely, then refer to class 3;

4.8.4. Chemical changes are undergoing in the body or administered medicinal drugs into the patient's body, then class 3 (with the exception of medical products implantable in teeth).

4.9. Active therapeutic medical products:

4.9.1. Active medical products that are intended to transmit energy or energy exchange are class 2a. However, if the transfer of energy to the human body or the exchange of energy with it is a potential danger due to the characteristic features of medical devices, taking into account the effects on the body part, to which energy is applied (including active medical devices intended for creating ionizing radiation, radiation therapy), they refer to class 2b;

4.9.2. Active medical products intended to manage active therapeutic medical products of class 2B are class 2B.

4.10. Active diagnostic medical products refer to class 2a if they are intended for:

4.10.1. The transmission of energy absorbed by the human body, however, if the function of the medical product is the illumination of the patient's body in the visible range of the spectrum, they refer to class 1;

4.10.2. distributions of radiopharmaceutical drugs introduced into the patient's body;

4.10.3. ensuring direct diagnostics or control of vital functions of the body, however, if they are intended to control vital physiological parameters, the changes of which could lead to direct hazard for the patient (for example, changing the function of the heart, breathing or activity of the central nervous system), then they relate to class 2b;

4.10.4. Management of active diagnostic medical products of class 2B belong to class 2B.

4.11. Active medical products intended to be administered to the patient's medication drugs, physiological fluids or other substances and (or) eliminating them from the body belong to the class 2a. However, if the method of administration (derived) is a potential danger, taking into account the type of appropriate substances, parts of the body and methods of application, then they relate to class 2b.

4.12. Other active medical products refer to class 1.

4.13. Medical products, which include a substance that is a drug or other biologically active agent and affecting the human body in addition to the impact of the medical product belong to the class 3.

4.14. Medical products designed to control conception or to protect against sexually transmitted diseases are classified to class 2B, however, if they are implanted or invasive medical products of long-term use, they are class 3.

4.15. Medical products intended to disinfect medical devices belong to class 2a, however, if they are intended for cleaning, washing, disinfection of contact lenses, they refer to class 2b.

4.16. Inactive medical products used to obtain diagnostic X-rays belong to Class 2A.

4.17. Medical products that were manufactured using dead animal tissues or derivatives belong to Class 3, however, if they are intended to come into contact only with intact skin, they relate to class 1.

4.18. Blood containers, blood and blood substitute drugs belong to class 2B.

5. If the medical device is intended for use in combination with other medical products, then classes are installed for each medical product.

6. If you can use different positions when classifying to a medical device, it is applied, as a result of which the medical product class is established corresponding to the greatest degree of potential risk.

7. For special software, which is an independent product and used with a medical product, establish the same class as for the medical product itself.

II. Medical Classification for Diagnostics
in vitro.

8. When classifying medical devices for diagnostics in vitro (hereinafter - medical items), each medical device can only be attributed to one class:

class 1. - Medical products with low individual risk and low risk for public health;

class 2A. - Medical products with moderate individual risk and / or low risk for public health;

class 2B. - Medical products with high individual risk and / or moderate risk for public health;

class 3. - Medical products with high individual risk and / or high risk for public health.

9. When classifying medical devices to classes, depending on the potential risk of application, it is necessary to take into account the following provisions:

9.1. Medical products designed to identify infectious agents in the blood, blood components, blood derivatives, cells, tissues or organs in order to assess the possibility of their transfusion or transplantation, medical products intended to identify infectious agents that may cause human life threatening diseases, With high distribution risk and which provide decisive information for the setting of the correct diagnosis, refer to class 3.

9.2. Medical products, which are used to determine blood groups or types of tissues in order to guarantee the immunological compatibility of blood, blood components, cells, tissues, or organs that are intended for transfusion or transplantation belong to class 2B, with the exception of the AVO system, the rhesus of the system (C, C, D, E, E), Kell Systems, Kidd Systems and Duffy Systems belong to Class 3.

9.3. Medical products refer to class 2B if they are intended for the following purposes:

9.3.1. To identify infectious agents of sexually transmitted diseases;

to identify in the cerebrospinal fluid or blood of infectious agents with moderate risk of distribution and which provide decisive information to form a proper diagnosis;

9.3.2. To identify the presence of infectious agents when there is a significant risk that an erroneous result may be the cause of death or the loss of the patient's surveyed or fetus;

9.3.3. when screening pregnant women in order to determine their immune status in relation to infections;

9.3.4. In determining the status of infectious disease or immune status, in the presence of risk that the erroneous result will lead to a therapeutic solution that causes the inevitable danger to the patient's life;

9.3.5. when screening for choosing patients for election therapy or for diagnosis (for example, diagnosis of cancer);

9.3.6. with genetic testing when the test result leads to serious human life interference;

9.3.7. To control the levels of drugs, substances or biological components, when there is a risk that incorrect result will lead to a therapeutic solution that causes a vital situation for the patient;

9.3.8. In the treatment of patients suffering from life-threatening infectious disease;

9.3.9. In screening of congenital fruit diseases.

9.4. Medical products intended for sampling and self-control studies belong to class 2b, excluding those medical products, the result of the analysis of which is not a critical medical status or preliminarily, requires comparison with the corresponding laboratory tests, refer to class 2a.

9.5. Medical products that do not have a measuring function, which in their objective properties can be used as overall, but have special characteristics, in accordance with which the manufacturer is intended for use in the diagnostic procedures in in vitro (without specifying specific types of laboratory tests / analytes) belong to the class one.

9.6. Medical products not covered by the provisions of paragraphs 9.1 - 9.5 belong to the class 2a, including:

9.6.1. Medical products with measuring function (analyzers) with a non-fixed list of laboratory studies, which depends on the applied reagent sets (test systems). The interdependence of the analyzer and the reagents used, as a rule, does not allow to evaluate the analyzer separately, but this does not affect its classification to class 2a;

9.6.2. Medical products, when using which the therapeutic decision must be taken after further research;

9.6.3. Medical products used to monitor and treat oncological diseases.

10. If the medical product is intended for use in combination with other medical products, then classes are installed for each medical product.

11. Calibration and control materials with quantitatively and qualitatively predetermined values \u200b\u200binclude the same class as medical products for controlling which they are intended.

12. For special software, which is an independent product and used with a medical product, establish the same class as for the medical product itself.

"Pharmacy: Accounting and Taxation", 2012, N 8

Order of the Ministry of Health of Russia dated 06.06.2012 N 4N (hereinafter referred to as the order N 4N) approved the nomenclature classifications of medical devices by type and classes depending on the potential risk of their application. The article discusses the individual provisions of this document.

In accordance with paragraph 7 of Art. 55 of the Act of Appeal medicines <1> Pharmacy organizations, individual entrepreneurs who have a license for pharmaceutical activities, along with medicinal preparations They have the right to acquire and sell medical products (IS).

<1> Federal law of 12.04.2010 N 61-FZ "On the circulation of medicines".

According to Art. 38 federal law N 323-FZ<2> There are any tools, devices, devices, equipment, materials and other products used for medical purposes separately or in combination with each other, as well as with other accessories necessary to apply the specified intended products, including special software, and designed by the manufacturer for:

  • prevention, diagnosis (in vitro), treatment of diseases, rehabilitation, medical procedures, medical examinations, replacement and modification of parts of tissues, human bodies, restoration or compensation of violated or lost physiological functions, conception of conception;
  • the impact on the human body in such a way that their functional purpose is not implemented by chemical, pharmacological, immunological or metabolic interaction with the human body, but the method of their action can be supported by such means.
<2> Federal Law of 21.11.2011 N 323-FZ "On the basics of the health of citizens in the Russian Federation".

Medical products can be configured interchangeable if they are comparable to functional purposes, high-quality and technical characteristics And they are able to replace each other. They are divided into classes depending on the potential risk of their application and on species in accordance with the nomenclature classification of medical products.

In order N 4N, see:

  • Nomenclature classification of medical devices by type (Appendix 1);
  • Nomenclature classification of medical products by classes, depending on the potential risk of their application (Appendix 2).

Nomenclature classification of medical devices by type

The nomenclature classification of medical products by type contains a numerical designation (number) of the type of medical product, the name of the type of medical product, as well as nine-digit digital codes (AAA BB GG) used to determine the types of medical devices.

During the classification of the IS, the following location is provided: in the first position there is a numerical designation (six-digit number) of the type of medical product (N), on the second - the name of the type of medical product (view), on the third - three-digit digital codes (AAA 00 00 00) by classification "Purpose of medical devices" (Table 1), on the fourth - two-digit digital codes (000 BB 00 00) according to the classification sign "The requirements of the sterilization of medical devices" (Table 2), on the fifth - two-digit digital codes (000 00 BB 00) by classification The sign of "technology of application of medical devices" (Table 3), on the sixth - two-digit digital codes (000 00 00 00) according to the classification feature of the "Medical Development Area" area (Table 4).

Table 1

Appointment of medical devices according to classification sign (AAA)

N.
p / P.
Appointment of medical devices Code
Designation
1 Prevention of diseases 100
2 Diagnosis of diseases, states and clinical
situation
200
3 Cardiography 201
4 Encephalography 202
5 Radioscopy, radiography 203
6 Angiography 204
7 CT scan 205
8 Magnetic-resonant tomography 206
9 Positron emission computed tomography 207
10 Ultrasound diagnostics 208
11 In-Vitro Diagnostics 209
12 Histological and cytological diagnostics 210
13 Genetic diagnostics 211
14 Endoscopy 212
15 Studies of blood gases, external respiratory parameters,
the composition of the inhaled and exhaled air and gas exchange
213
16 Measurements of medical characteristics and values 214
17 Self-test 215
18 Monitoring the state of the human body 216
19 Patol-anatomical research 217
20 Forensic-medical examination 218
21 Treatment and medical rehabilitation of diseases 300
22 Therapy 301
23 Physiotherapy 302
24 Radiotherapy 303
25 Anesthesia and resuscitation 400
26 Surgery 500
27 Abdominal surgery 501
28 Thoracic surgery 502
29 Neurosurgery 503
30 Cardiovascular Surgery 504
31 Organs and tissue transplantation 505
32 Kombstiology 506
33 Maxillofacial Surgery 507
34 Dental surgery 508
35 Plastic surgery 509
36 Restoration, replacement, change of anatomical
structures or physiological functions of the body
600
37 Compensation of physical disadvantage or disability 700
38 Prevention, abortion, control
conception
800
39 Mixed-hospital equipment, including medical
products not intended for use
directly in diagnostic, therapeutic purposes or
for medical research, as well as do not provide
direct influence on clinical status assessment
patient, research results or treatment
process
900

table 2

Requirements for sterilization of the name of the classification feature (BB)

Table 3.

TECHNOLOGIES OF APPLICATION OF THE COLORTING SIGNS (BB)

N.
p / P.
Name Code
designation
1 Inactive medical products whose functioning
does not require an energy source, except for energy,
generated by a human body or gravity
(gravity)
01
2 Active medical products for operation
which need to use the energy source,
different from the generated human body or strength
(gravity)
02
3 Inactive implantic medical products 03
4 Active implantable medical products 04
5 Biomedical products, including materials such as
products of cellular technologies and tissue engineering,
bioimplants, self-containing biopolymers, fabric
adhesives and suture materials
05
6 Surgical instruments intended for
surgical intervention (cutting, drilling,
sawing, scratching, stuffing, bonding, spreading,
rocking, piercing)
06
7 Prosthetic Orthopedic Products 07
8 Technical means of rehabilitation of persons with disabilities 08

Table 4.

Areas of medical application IMN according to a classification sign (GG)

N.
p / P.
Areas of medical application Code
designation
1 obstetrics and gynecology 01
2 Allergology and immunology 02
3 Angiology 03
4 Balneology and water bouquet 04
5 Gastroenterology 05
6 Hematology 06
7 Genetics 07
8 Hyurgy 08
9 Dermatovenerology 09
10 Desmurgy 10
11 Diabettology 11
12 Infectious diseases 12
13 Cardiology 13
14 Coloproctology 14
15 Medical Physical Culture and Sports Medicine 15
16 Narcology 16
17 Neurology 17
18 Neonatology 18
19 Nephrology 19
20 Oncology 20
21 Otorinolaryngology 21
22 Ophthalmology (including optics) 22
23 Pediatrics 23
24 Psychiatry 24
25 Pulmonology 25
26 Rheumatology 27
27 Stomatology 28
28 Sudology 29
29 Traumatology and orthopedics 30
30 Transfusiology 31
31 Urology 31
32 Widespread 32

Nomenclature classification of medical products by classes, depending on the potential risk of their application

Under the nomenclature classification of the ISN by classes, depending on the potential risk of application, all products are divided into four classes. Classes have designations 1, 2a, 2b and 3.

When classifying medical devices (except for IMIs for diagnostics in vitro), each product can only be assigned to one class:

  • class 1 - a low risk name;
  • class 2a - IMN with an average risk;
  • class 2B - IMN with an increased degree of risk;
  • class 3 - Non with a high risk.

When classifying the name, their functional purpose and the conditions of application are taken into account, as well as the following criteria:

  • duration of use;
  • invasiveness of products;
  • the presence of contact of the product with a human body or interconnection with it;
  • the method of administering the product into the human body (through anatomical cavity or surgical path);
  • application of a product for vital organs and systems (heart, central blood circulation system, central nervous system);
  • application of energy sources.

When classifying the name for diagnostics in vitro, each medical device can only be assigned to one class:

  • class 1 - IMN with low individual risk and low risk for public health;
  • class 2A - IMN with moderate individual risk and / or low risk for public health;
  • class 2B - IMN with high individual risk and / or moderate risk for public health;
  • class 3 - IMN with high individual risk and / or high risk for public health.

* * *

In conclusion, we note that in the territory of the Russian Federation, the appeal of medical devices registered in the manner prescribed by the Government of the Russian Federation authorized by him by the federal executive body (Article 38 of the Federal Law No. 323-FZ).

According to paragraph 1.2 of the Administrative Regulation<3> Registration of the ISN is a state control and supervisory function, executed by Roszdravnadzor in order to admit the name of the name, import, sale and use in the territory of the Russian Federation.

<3> Administrative regulations Federal Service for supervision in the field of health and social Development on the execution of the state function on the registration of medical products, approved. Order of the Ministry of Health and Social Development of Russia of 30.10.2006 N 735.

Registration of IS is carried out in the name of a legal entity or an individual entrepreneur, indicated in the registration statement. When implementing state registration, the same requirements are presented to Russian and foreign immuncies.

The document confirming the fact of the registration of the IS is a registration certificate. The term of its action is not limited (paragraph 2.1.1 of the administrative regulations).

Information about the room and the date of registration of the IS should be available to the consumer (applied to packaging, the label, indicated in the instructions for use, manual), and are also contained on advertising products intended for the end user. Also, the publication of information about the registered immun is carried out by Roszdravnadzor monthly on the official website.

M.R.Zipova

Expert journal

"Pharmacy: Accounting

and taxation "

Instructions for finding species in the nomenclature classification of medical devices by type

The nomenclature classification of medical devices by type (hereinafter referred to as the nomenclature classification) approved by the Order of the Ministry of Health of the Russian Federation of June 6, 2012 No. 4N "On Approval of the Nomenclature Classification of Medical Developments".

The nomenclature classification is placed in electronic form on the official website of the Federal Health Supervision Service in the Internet Information and Telecommunications Network.

The nomenclature classification contains:

Numeric designation of the type of medical product - a six-digit identification unique entry number, presented on the site in the first column of the table (Code column),

Name of the type of medical product (Column "Name"),

Description of the type of medical product (column "Description").

The name of the species is not a standardized name of a particular medical product, but determines the view or a species group, which is a set of products with the same or similar purpose and device (design).

The search for a species is performed primarily by name. To clarify the classification, a search for a description description is applied, which contains a description of the properties and classification features of the medical product.

The search for a nomenclature classification is possible to carry out in the following ways:

    The search for the word or part of the word in the name of the species is made by placing the word or its part in the name search string.

    The "Advanced Search" string allows you to navigate:

    In the code code;

    According to the word or part of the word in the description of the form;

    According to the word or part of the word in the title of the section.

    On the left side of the page there is a list of sections and subsections that allows you to select the species contained in this section (subsection). One species can relate to several sections (subsections). If you can not find a keyword view, it is recommended to carefully view the views included in the appropriate section. This allows you to choose additional keywords to search for species.

Simultaneous use of search for name and description, or simultaneous search on the name and selection of the appropriate section (subsection) allows you to narrow the search for the desired type.

An example of search.

Product name: Coronary Cobalt-chrome stents.

Step 1.

In the search bar to enter the word "stent". The table selected 174 types of species containing words, which include this combination of letters.

Step 2.

To narrow the search, you can simultaneously in the "extended search" in the line "Description" to introduce a part of the word "Coronary". Selected 14 records, in them - 6 different types (some species are repeated, as they relate to several subsections).

Step 3.

Viewing the species displayed allows you to choose the desired view:

218190 "Stent for coronary arteries uncoated metal. "

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