Exclusive: it can take years before the Apple ECG functi is approved for the UK, says regulator

If you're in the UK and you're wdering how lg it can take before Apple can turn the ECG feature the Apple Series 4, the news does not look good.

Apple has been given permissi to use the feature in the US just a day before the FDA launch, although Apple has not yet enabled it. But despite a study suggesting an accuracy rate of 98% when detecting AFib, Apple may face a much more difficult battle in obtaining a similar clearance in the UK …

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I asked the medicines and care products regulator (MHRA) what it would have to do and how lg the process would normally take.

The good news is that the process itself is not so complicated.

ECG self-mitoring devices are listed as 2a and the manufacturer requires a notified body to perform a cformity assessment. The most comm assessment route is through the audit of the complete quality assurance system.

In other words, the MHRA would examine the documentati that Apple provides, and ensure that it is cvinced that the quality assurance system indeed guarantees the effectiveness and reliability of the functi.

However, Apple may also be asked to cduct a clinical trial & # 39; – or a medical examinati – to test the effectiveness of the AFib detecti. You might think that this would be simple enough, since Apple has already de research like this, so basically ly the data and the findings could be handed over.

But this probably would not meet the MHRA. It requires companies to inform them in advance about the intenti to carry out the research.

You may need to perform a clinical trial as part of the process to obtain a CE mark for your medical device. You must inform MHRA if you intend to do so at least 60 days before you begin your research [providing] some basic informati about the research device, the target populati, the type of research and the estimated applicati date.

The MHRA then has 60 days to approve the study. If there are any questis, the clock stops until it has received a satisfactory answer to the problems raised.

ce that time has passed, Apple can start the investigati. Depending the scale of the research and the period over which it must run, this can be an extremely lengthy process.

The latter factor could be the most time-csuming and could potentially add years to the CE marking process.

There is a small possibility that Apple has already received the necessary approval to cduct its existing research. Although the MHRA is the official British body, because the UK is (for the time being) in the EU, Apple would have the possibility to get permissi from the equivalent agency in another European country. The MHRA would not necessarily be aware of this.

But at this moment it seems likely that those in the UK and other European countries can wait for the Apple Series 5, 6, 7 or 8 before the feature is turned …


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