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Technovigilance & Adverse Event Reporting Technovigilance Complying with Brazil's medical device adverse event reporting requirements is of outmost importance if you want to maintain your product in the market . Brazil’s National Health Surveillance Agency (ANVISA) requires medical device manufacturers selling in the country to comply with a technovigilance system for post-market monitoring and field safety corrective actions . Resolutions RDC No. 67/2009 and RDC No. 551/2021 provide critical information on terminology, timelines, and other technovigilance reporting requirements in Brazil. Companies that fail to accurately report incidents could face severe penalties . Unawareness is not an acceptable excuse for not reporting incidents, so manufacturers must be proactive. As the device manufacturer, you and your Brazilian Registration Holder (BRH) are equally responsible for reporting adverse events to ANVISA. An adverse event report (also known as "Notivisa ") must be submitted if a device malfunction or misuse results in death or serious injury , could lead to death or to serious injury if it were to recur, or in other applicable circumstances, as described in the regulation. A technical complaint must also be reported under certain circumstances if a reoccurrence could lead to a severe adverse event. Manufacturers must notify ANVISA if a field safety action or recall is necessary to reduce the risk of death or serious injury. An alert must also be reported to ANVISA and distributed to consumers detailing the necessary corrective action. To report an adverse event to ANVISA, you must first inform your BRH that a reportable adverse event has occurred and if a field action is necessary, obeying the applicable timeline depending on the nature of the event. How we can help How we can help How we can help How we can help Submit Adverse Event Reports and Recalls If we act as your Registration Holder, our team in Brazil can submit adverse event reports and recall information to ANVISA on your behalf. Receive and Evaluate Incident Reports Our experienced consultants can help determine when incidents are reportable and ensure that final incident reports are submitted to ANVISA on time. Post-Market Surveillance We have experience assisting numerous manufacturers with post-market surveillance and notifying ANVISA in compliance with the applicable timeline depending on the nature of the event. Organize Recalls and Other Field Actions We can issue an alert message to consumers when a field safety action is needed, submit monitoring reports and final adverse event reports to ANVISA, coordinate product withdrawal, reverse logistics and rework, when necessary. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Nossos Serviços Autorização de Mercado: Registro de Dispositivos Médicos O primeiro passo é determinar a classificação do dispositivo médico. No Brasil, os dispositivos são divididos em quatro classes, com base no seu risco (Classes I a IV, de risco muito baixo a muito alto) e as autorizações de comercialização são emitidas pela Anvisa dependendo da classe de risco. A QualiThings realizará as análises para garantir a correta classificação dos produtos com base nas normas brasileiras. Após, nossa equipe se dedicará a adequar a documentação do produto, conforme exigência da Anvisa. elaborar o dossiê técnico do produto, que deverá incluir ficha técnica completa contendo dados clínicos, estudos de biocompatibilidade, testes de desempenho, etc. Agende uma reunião Book a meeting Boas Práticas de Fabricação, Armazenamento e Distribuição As Boas Práticas são um conjunto de procedimentos obrigatórios criados pela Anvisa para garantir padrões mínimos de qualidade na fabricação, armazenamento, transporte e distribuição de produtos para a saúde. O principal objetivo é garantir que todos os produtos sejam seguros, eficazes e de alta qualidade. As Boas Práticas aplicam-se a todas as empresas de dispositivos médicos localizadas em território nacional ou no estrangeiro. Os fabricantes de dispositivos médicos Classe III e IV devem ser certificados em conformidade com os requisitos das BPFs antes de poderem registrar seus produtos no Brasil. A QualiThings pode ajudar as empresas a aderir às Boas Práticas brasileiras por meio de seus serviços de consultoria. Agende uma reunião Book a meeting Marketing & Vendas Depois que o dispositivo médico for aprovado para comercialização pela Anvisa, a venda do produto pode representar outro desafio. No Brasil, o mercado de saúde é orientado pelos preços. O Governo brasileiro, patrocinador de vários hospitais, é o principal comprador de produtos de saúde para abastecer o Sistema Público de Saúde brasileiro (SUS), o maior do gênero no mundo, através de licitações. A QualiThings possui um banco de dados ativo contendo os principais stakeholders de dispositivos médicos no Brasil, incluindo mais de 6.000 hospitais públicos e privados. Nossos serviços de vendas estão conectados aos sistemas de compras públicas e privadas do Brasil, abrangendo licitações em todo o território brasileiro, inclusive em grandes hospitais com alta demanda por produtos para saúde. Marque uma reunião Book a meeting Âncora 1 Âncora 2 Âncora 3 Vigilância Pós-Mercado & Estratégias Quer você seja um fabricante de pequeno ou de grande porte, a expansão de seus negócios, as melhorias contínuas e a satisfação do cliente dependem principalmente dos padrões de qualidade de seu negócio. Nossos serviços pós-registro envolvem a avaliação de requisitos e a sugestão de informações para os processos de negócios, projetados para garantir a satisfação do cliente e a conformidade dos produtos. Agende uma reunião Book a meeting Âncora 4 Distribuição, Armazenamento e Logística 4PL A QualiThings pode auxiliar empresas nacionais e estrangeiras criando estratégias de distribuição por meio de centros de distribuição especializados em produtos para saúde. Nossa empresa possui inúmeros parceiros em todo o Brasil, o que nos permite garantir que os produtos sejam entregues em suas localidades em condições adequadas e no prazo. Temos a capacidade de reduzir os prazos de entrega e, ao mesmo tempo, beneficiar os clientes. Marque uma reunião Book a meeting Âncora 5 Planejamento Tributário e Gestão de Contas a Receber Operar no Brasil oferece um desafio adicional relacionado ao planejamento tributário. As leis e regulamentos são complexos e difíceis de entender. A QualiThings conta com profissionais capacitados para analisar, planejar e desenvolver estratégias considerando o que é benéfico para seus parceiros e em conformidade com as legislações brasileiras. Além disso, podemos gerenciar o contas a receber criando procedimentos específicos de acordo com o porte e necessidade de cada cliente. Nossa empresa irá trocar arquivos com bancos, registrar, conciliar e dar baixa de contas pagas, bem como resolver problemas operacionais e logísticos que possam afetar nossos parceiros. Agende uma reunião Book a meeting Âncora 7 Hospedagem de Registros e da Conformidade dos Produtos Os certificados de registro de produto são válidos por 10 anos e o pedido de renovação deve ser apresentado em tempo hábil. Quaisquer alterações pós-aprovação realizadas nos dispositivos médicos deverão ser encaminhadas à Anvisa, com os documentos pertinentes de acordo com as exigências vigentes. Como parte de nossa rotina diária, a QualiThings acompanha todas as publicações oficiais, mantendo-se atualizada com as últimas novidades e alterações regulatórias. Podemos alertar oportunamente as empresas parceiras caso seja necessária alguma ação imediata para manter o registro do produto válido e evitar penalidades. Agende uma reunião Book a meeting Âncora 6 ... and much more! Check out our full business scope here Contact us Book a meeting Get a free quote Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

CONHEÇA NOSSOS CLIENTES Presente e passado O(A) Qualithings tem orgulho de servir clientes da região de São Paulo . Temos a necessidade de estrutura para fornecer as soluções que você precisa e o suporte para tornar seus objetivos realidade. Vamos sempre além para encontrar formas inovadoras de resolver desafios existentes e futuros. Entre em contato se quiser fazer parte da nossa lista de clientes satisfeitos. HERA Desde um pequeno negócio Depois de muitos anos no mercado, este cliente pediu nossa ajuda no processo de transição para um novo segmento. Desde nossas primeiras conversas até hoje, nossa parceria fez sucesso em um novo mercado. MACHADOS Um novo começo O(A) Qualithings trabalhou com este cliente desde o início e estamos muito felizes com a parceria criada durante esta jornada. Juntos alcançamos resultados notáveis e temos sido um prazer com o crescimento de seus negócios. VOLVA Dados do Parceiro(a) de longa Este cliente nos contatou para consultar como fazer a transição de uma pequena empresa local para um negócio regional maior. Nossa colaboração tem sido realmente notável e estamos felizes por ver esse negócio prosperar como líder em seu ramo. NOSSAS AVALIAÇÕES Acreditamos que ações valem mais do que palavras Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! S. Bonifácio Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! C.Davi Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! R.Torres

Hosting, Registry Maintenance & Regulatory Compliance Hosting │ BRH The Brazilian Registration Holder (BRH , also known as Host or Hosting service provider ) – in Portuguese “detentor do registro ” – is the company that “owns” the registration and responds directly to ANVISA as the entity legally liable for the medical device in Brazil. The BRH possesses the right to sell and distribute your devices in the Country and is responsible for ensuring the quality and safety of your products in the Brazilian territory. The BRH’s responsibility doesn’t end when the registration is granted . The BRH is also responsible for continuously monitoring the product use, answering to complaints, issuing warning and field actions, keeping the document repository updated, acting as a link between the manufacturer, ANVISA and the users, emitting import and distribution authorizations, etc. So, you need to truly trust your BRH and count on them for sustainable growth. Document Repository In 2020, ANVISA created an online repository for publicly storing and accessing digital documentation of medical devices. With Resolution RDC 751/2022, registration holders are required to add their medical device’s Instructions for Use (IFU) to the repository and ensure that this information is kept updated. The BRHs of newly registered medical products or of previously registered products that undergo changes must ensure that the product’s IFUs are added to Anvisa’s online repository within 30 days of these being published in the Official Federal Gazette (DOU). It is important to note that any public advertising or communication regarding medical devices must be consistent with the information submitted to ANVISA by the BRH. Registry Maintenance & Regulatory Compliance Product Registration Certificates are valid for 10 years and the renewal application must be submitted in a timely manner. Any post-approval changes made to the medical devices must be sent to Anvisa, with relevant documents according to the current requirements. As part of our daily routine, QualiThings follow all official publications, keeping updated with the latest news and regulatory changes. How we can help How we can help How we can help How we can help More Than Just a BRH Where most Brazilian Registration Holders focus only on the registration processes and others only on sales, we work with Regulatory Affairs, Quality Assurance and all aspects related to nationalization, distribution, and commercialization of medical devices. Boutique Services We work as a boutique office with modular services - our clients are free to make their own decisions and pick-and-choose which services they want to hire. Network of Partners We can connect you with our network of partners, distributors, and clients, to expedite market growth. Flexibility to Transfer or Change Distributors Brazilian legislation allows the BRH to give import permits authorizing the distributor(s) of your choice to import your devices, which means you will have full control over your registration, your technical documents, and your products. Keep your Company and Product Compliant We can timely alert the foreign companies in case any prompt action is required to maintain the product registration valid and avoid penalties. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Packages We at QualiThings offer highly specialized, high-quality, customized solutions, tailored to each client’s needs. Since we work with customized solutions, our services are modulable : you can pick and choose the services you are interested in, and we will prepare a package (or “bundle”) that suits you the most. You pay only for what you really need! Get a Free Quote ... or ... Choose a Package No strings attached! Learn the benefits Get a Free Quote Fill in the information and pick which services you are looking for. You will receive a free quotation soon - No strings attached! First Name Last Name Email Send Thanks for submitting! One of our specialists will contact you shortly.

Quem Somos A resposta para seu sucesso A QualiThings é uma empresa especializada e com profundo conhecimento do intrincado mercado de produtos médicos no Brasil. Nossos especialistas se destacam em fornecer soluções personalizadas. Estamos aqui para compartilhar nossa expertise com empresas estrangeiras e auxiliá-las em sua trajetória no mercado brasileiro. Entrar num novo mercado traz múltiplos desafios, especialmente para fabricantes de produtos altamente regulamentados, como dispositivos médicos. Mas com um planejamento cuidadoso e assistência adequada, empresas de todos os portes podem ter oportunidades de negócios frutíferas e sucesso no mercado brasileiro. Na verdade, as potenciais recompensas superam quaisquer desafios. Vantagens Os Diferenciais da QualiThings Soluções integradas : de serviços regulatórios e logísticos até assistência administrativa e jurídica, nossa rede de parceiros abrange tudo Serviços tipo boutique : soluções regulatórias personalizadas, altamente especializadas e de alta qualidade, exclusivas para as necessidades de sua empresa Tranquilidade : garantimos que todos os serviços prestados estão em total conformidade com as complexas regulamentações do mercado brasileiro Liberdade de escolha : sua empresa pode escolher entre utilizar nossa rede de parceiros ou escolher os seus próprios Menos burocracia : cuidamos da papelada para você Entrega pontual com o mais alto padrão de qualidade Equipe de especialistas com experiência prática Processos de negócios eficazes e compatíveis Reduza despesas , mitigue riscos e, o mais importante, concentre-se nas competências centrais do seu negócio Alcance mais clientes : Acesso rápido a potenciais fornecedores e clientes de longo prazo Obtenha insights sobre as especificidades do mercado brasileiro com custos operacionais reduzidos Obtenha insights sobre as especificidades do mercado brasileiro com custos operacionais reduzidos QualiThings is more than just a service provider; we are a strategic partner guiding businesses through the complexities of the Brazilian medical device market. With our knowledge , networks , and commitment , entering one of the globe's most dynamic markets is not only possible – it’s a smart way to growth. Nosso time Saiba mais sobre nossos especialistas A Qualithings tem orgulho de ter alguns dos melhores consultores em nossa equipe. Suas experiências, habilidades e paixão são essenciais para o sucesso do nosso negócio. ROGÉRIO FILOMENA Especialista de Produto e Sócio-Fundador O Sr. Filomena é um dos nossos profissionais seniors e sabe bem o que faz um negócio ter sucesso. Com mais de 30 anos de experiência, a Sr. Filomena possui o conhecimento necessário para guiá-lo no caminho ao sucesso. PATRICIA HUBER Diretora de Qualidade e Sócia-Fundadora As habilidades excepcionais e a verdadeira paixão da Sra. Huber inspiraram um tremendo crescimento. Trabalhando com motivação e foco em resultados, nossa Especialista em Assuntos Regulatórios e Diretora de Qualidade ajudou a empresa a chegar onde está hoje. Agende uma reunião

BGPM Certification BGMP (Brazilian Good Manufacturing Practices ) is a set of mandatory procedures created by Anvisa to ensure minimum quality standards in the manufacturing, storage, transportation, and distribution processes of health products. The main objective is to ensure that all products are safe, effective, and of high quality. BGMP apply to all companies that manufacture medical devices, located either on national territory or abroad. Manufacturers of Class III and IV medical devices must be certified in compliance with BGMP requirements before they can register their products in Brazil. How to Obtain On-site Audit Review of the QMS MDSAP Note BGMP Certification can be obtained t hrough: Anvisa’s on-site audit Review of the QMS documentation Analysis of the MDSAP (Medical Device Single Audit Program) audit report Please note that MDSAP certificate can facilitate obtaining BGMP Certification, but it doesn’t mean that a MDSAP certificate will automatically grant a BGMP Certification! MDSAP certification is only a good reference to accelerate BGMP certification, however it does not replace it. MDSAP is based on ISO 13485 and is a way that medical device manufacturers can be audited once for compliance with the standards and regulatory requirements of up to five different markets: Brazil, Australia, Canada, Japan, and United States. Undergoing an MDSAP audit may accelerate the process for BGMP certification, since Anvisa may use the MDSAP report in lieu of a premarket audit. Anvisa's on-site audit is very similar to ISO 13485 audits Slowest route Least expensive option Certificate is valid for 2 year Anvisa may choose to perform a remote audit instead If the Quality Management System documentation is sufficient, Anvisa may grant BGMP certification without the need of an audit. Faster route Least expensive option Certificate is valid for 2 year The BGMP certificate is valid for 2 to 4 years , depending on the route. After the first years of GMP Certification, the manufacturer should provide a self-inspection report. After an assessment based on documental analysis (audit report within the scope of ISO 13485 or MDSAP), ANVISA usually renews the GMP certification without the need of a re-inspection. How we can help How we can help How we can help How we can help Adherence to GMP We can help manufacturers adhere to the Brazilian Good Manufacturing Practices through our consulting services. Evaluation of the QMS Our Quality Assurance experts will analyze your company’s QMS documentation to ensure compliance with Anvisa’s requirements, according to ISO 13485 and RDC 665. Mock Inspection We can perform a remote or on-site “mock inspection” (pre-audit), which is recommended for proper gap analysis and to ensure the manufacturer complies with BGMP requirements – so you have time to correct any points before the actual Anvisa inspection. Inspection Report We will issue an audit report outlining any nonconformities found and suggest corrective and preventive actions (CAPA) to avoid potential audit findings and penalties. Accompany the Inspection Our team of experts and trained auditors are available to accompany the Anvisa inspection and help bridge the language barrier to overcome any misunderstandings. File BGMP Petition to Anvisa We will fill out all necessary forms, gather the proper documents, adjust them to fit the required norms, and submit the file for Anvisa’s approval. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Market Authorization: Registering a Medical Device Risk Classification Before the medical devices can be marketed in Brazil, they must comply with Anvisa’s requirements , which vary significantly depending on the product’s risk class. Therefore, the first step is to determine the medical device classification . In Brazil, in accordance with RDC 751/2022, chapter II, medical devices are divided into four classes, based on their risk (Classes I, II, III and IV, from very low to very high risk ). The market authorizations are issued by Anvisa depending on the product's risk class : Notificação (Notification) or Registro (Registration). Notificação is an abbreviated registration process and applies to class I and II medical devices. For class III to IV medical devices there is a more complex registration process, with more documents, GMP certification and often other certifications required. Very similar to Annex VIII Classification rules of MDR in Europe, there are 22 classification rules determined by RDC 751/2022. Brazilian risk classes I and IV can be equivalently seen as European classes I and III, and Brazilian risk classes II and III correspond to European classes IIa and IIb, roughly. How we can help How we can help How we can help How we can help Product Categorization We will confirm whether your product is categorized as a medical device, cosmetic, drug, food, or combination product. Product Risk Classification We will ensure proper risk classification in accordance with RDC 751/2022 and through comparison with similar products before beginning the registration process. ...and much more! Check out our full business scope Get more information Sign up to receive additional details. First Name Last Name Email Subscribe Thanks for submitting!

Address R. Luiz Voelcker, n. 835, sala 5, Bairro Três Figueiras, Porto Alegre / RS - Brazil Phone +55 (11) 2050-2252 +55 (51) 3937-8726 Email contato@qualithings.com Connect ENTRE EM CONTATO COM NOSSOS ESPECIALISTAS Name Email Subject Message Enviar Agradecemos sua mensagem! Um de nossos especialistas entrará em contato em breve. HORÁRIO DE ATENDIMENTO Segunda a Sexta-Feira: 9h00 - 18h00 Sábado/Domingo: FECHADO

Additional Certification INMETRO Certification The National Institute of Metrology, Standardization and Industrial Quality (INMETRO) mandates accredited Certification Bodies (OCP/CB) to conduct certification. In February 2022, INMETRO launched its new regulatory framework which is more aligned with international best practices. The framework reduces the number of products under regulation, so that only products with a safety or environmental concern remain covered, allows for a greater use of self-declaration of suppliers and producers, when appropriate, as well as on the acceptance of international tests. INMETRO certification is mandatory for all electro medical devices subject to IEC 60601, PPEs, needles, syringes, breast implants, condoms, and some other products. Minimum documentation required for initial INMETRO certification: Quality Manual Packaging and Labelling Risk Management Software Validation, when applicable Usability Test Report Electric Schematics, when applicable List of Critical Components Diagram of Isolation, when applicable Customer Complaints Tests performed overseas are usually accepted. So, instead of sending the medical device to Brazil, this option can help foreign companies save cost and time. After certification and approval by Anvisa, the medical device must bear an INMETRO label. The INMETRO certificate doesn’t expire, but the manufacturer must undergo an annual maintenance inspection by the certification body. ANATEL Certification The Agência Nacional de Telecomunicações (ANATEL) certificate applies to medical devices that use radiofrequency (RF) spectrum or wireless communication, e.g. Bluetooth, Wi-Fi, etc. For this certification, the device must be sent to Brazil for tests. Steps for ANATEL Certification and Homologation: How we can help How we can help How we can help How we can help Evaluate if Additional Certification is Required We will determine whether any local certification requirements apply to your device, such as ANATEL or INMETRO certification. Bridge the Gap We will review the required documents and help you bridge any gaps for rapid and successful certification. Network of Partners We can connect you with our network of partners and specialists to expedite the certification processes. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

BEM-VINDO À QUALITHINGS Garantia da Qualidade e Assuntos Regulatórios t para Empresas de Dispositivos Médicos Sobre nós A QualiThings é uma empresa especializada e com profundo conhecimento do intricado mercado brasileiro de dispositivos médicos. Nossos especialistas se destacam na entrega de soluções personalizadas . Estamos aqui para compartilhar nossa expertise com empresas de todos os portes e auxiliá-las em sua trajetória no mercado brasileiro. Saiba mais Podemos atuar como um elo entre sua empresa e a Anvisa A legislação brasileira estabelece que apenas empresas nacionais podem registrar dispositivos médicos, e essas empresas devem possuir licenças sanitárias locais e federais. As empresas estrangeiras que desejarem registrar seus produtos no Brasil deverão ter uma empresa parceira legalmente constituída no Brasil, como a QualiThings, que será detentora da autorização emitida pela Anvisa e legalmente responsável pelos produtos importados e distribuídos no território brasileiro. Podemos atuar como um elo entre sua empresa e seus clientes Nomear um representante junto à Anvisa dá mais flexibilidade e controle sobre seus produtos do que nomear um distribuidor para essa função. Isso significa que não há necessidade de escolher um distribuidor previamente: você pode iniciar seu processo de cadastro enquanto conhece o mercado brasileiro e conhece os distribuidores. A legislação brasileira permite que o detentor do registro conceda licenças de importação autorizando o(s) distribuidor(es) de sua escolha a importar seus dispositivos. Como podemos ajudar Âncora 1 Entrar num novo mercado traz múltiplos desafios, especialmente para fabricantes de produtos altamente regulamentados, como dispositivos médicos. Mas com planejamento cuidadoso e assistência adequada, empresas de todos os portes podem ter oportunidades de negócios frutíferas e ter sucesso no mercado brasileiro. Na verdade, as recompensas potenciais superam quaisquer desafios . Registo de Produto & Autorização de Mercado Nossos especialistas podem elaborar o dossiê técnico do produto, que inclui uma ficha técnica completa contendo dados clínicos, estudos de biocompatibilidade, testes de desempenho, instruções de uso e demais documentos exigidos pela Anvisa. Armazenamento, Distribuição e Logística 4PL A QualiThings pode auxiliar empresas brasileiras e estrangeiras criando estratégias de distribuição por meio de centros logísticos especializados em produtos para saúde. Boas Práticas (BPF e BPDA) As Boas Práticas de Fabricação (BPF) e as Boas Práticas de Distribuição e/ou Armazenagem (BPDA) são procedimentos exigidos pela Anvisa para garantir padrões mínimos de qualidade dos produtos para a saúde e se aplicam a todas as empresas de dispositivos médicos. Planejamento Tributário & Contas a Receber Nossos profissionais são treinados para analisar, planejar e desenvolver estratégias considerando o que é benéfico para seus parceiros e em conformidade com a legislação. Vigilância Pós-Mercado & Estratégias Nossos serviços pós-registro envolvem a avaliação de requisitos e a sugestão de informações para os processos de negócios, projetados para garantir a satisfação do cliente e a conformidade do produto. Regularização de Empresas e de Produtos Podemos auxiliar na obtenção de AFE e de licenças sanitárias, na elaboração de respostas a notificações e a não conformidades, e nas ações de tecnovigilância. Saiba mais Why Brazil? A continuously expanding healthcare sector with great purchasing power - Brazil represents a significant market opportunity for medical device manufacturers. Find out why you should consider selling your medical devices in Brazil and how. Learn More Contato BRASIL - RS - PORTO ALEGRE Rua Luiz Voelcker, 835, Porto Alegre, RS 91330-190 +55 (51) 3937-8827 patricia.huber@qualithings.com EUA - FL - MIAMI 1150 NW 72nd Ave #455, Miami, FL 33126, EUA +1 (689) 233-9730 rodrigo@qualithings.com Nome Sobrenome Email Mensagem Obrigada pela mensagem! Enviar Subscription Form Join Thanks for subscribing!

Market Authorization: Registering a Medical Device Document Compilation - The Technical Dossier After defining the product’s grouping, risk class and type of registration (Notificação or Registro ), it is necessary to gather the mandatory technical documents and submit them to Anvisa for evaluation. The Technical File, also known as Technical Dossier or “Dossiê Técnico ”, is the regulatory bundle that presents the medical device characteristics, intended use, mechanism of action, potential risks, manufacturing processes and additional information. It shall include IFUs, labeling, packaging, clinical information, and the List of Essential Safety and Performance Requirements (Lista dos Requisitos Essenciais de Segurança e Desempenho ). This is in alignment with the International Medical Device Regulators Forum (IMDRF) guidance. The technical dossier must be structured and organized as described in RDC 751/2022 (Annex II) and according to the product's risk class . For those RA experts who are familiar with compilation of European MDR Technical Documentation Files or IMDRF-compliant documents, this should be a similar experience; however, knowledge on device grouping and other Brazilian legal requirements is paramount. Notification (“Notificação”) Anvisa’s authorization for risk class I and II devices is achieved through a simplified process. The product's technical dossier, proposed labeling, and instructions for use in Portuguese, must be submitted to Anvisa for analysis. Class I and II notifications do not expire but must be reviewed periodically, as they might be canceled upon request in case of reassessment, irregularities, or when fraud is observed. Registration (“Registro”) Risk class III and IV medical devices must take a regulatory route which requires BGMP certification prior to product’s authorization. This includes submitting to Anvisa a complete technical dossier containing clinical data, biocompatibility studies, performance tests, etc. Class III and IV registrations are valid for 10 years and may be renewed for equal and successive periods. After compilation of documents, the dossier (in Portuguese) must be submitted to Anvisa for approval . The submission of documents to Anvisa must be made in electronic format through Anvisa‘s Electronic Petitioning System. Our company has the knowledge and expertise to prepare the product’s technical dossier and to assist you with every step of the preparation and submission of your application – for all risk classes ! From the “easy” class I devices to the “more difficult” class IV high-risk electronic devices. We will also accompany the progress of the petition and act proactively for fast and reliable solutions. Responding to ANVISA's Requirements After document submission, Anvisa will evaluate if the product’s dossier is complete and if the medical device is proven to be effective and safe. If the Anvisa’s officers find the dossier incomplete or if any questions arise, they will issue a request called “exigencia ” (requirement upon incompleteness). The next obstacle is replying to Anvisa’s requests in a timely manner, which relies majorly on the legal manufacturer’s ability to provide the documents and answers as quickly as possible. With organized and strategic product registration, there is no doubt of successful approval in the end. Market Authorization When ANVISA is satisfied with the contents presented, they will approve the request and issue the market authorization (notification or registration) number for the device. This approval is published in the Official Federal Gazette (DOU). The market authorizations for class I and II medical devices don’t expire. The product certificate for class III and IV medical devices is valid for 10 years. How we can help How we can help How we can help How we can help Prepare Technical Dossier We will review the technical information, intended use, and claims for your device, ensuring proper classification and grouping before beginning the registration process. Direct Contact with Anvisa We will communicate with Anvisa on your behalf during and after the registration process as needed. Regulatory Strategy Our in-depth knowledge of the Brazilian medical device market allows us to provide the most efficient and cost-effective regulatory strategy for your devices. Monitor the Petition Our team will closely monitor the progress of your petition and take proactive steps to ensure fast and reliable solutions. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Regulatory Strategies The Brazilian legislation establishes that only national companies can register medical devices in Brazil , and these companies must have local and federal sanitary licenses. Foreign companies that wish to sell their products in Brazil must establish a local Brazilian manufacturing unit or a local office. Another option is to appoint a partner company legally constituted in Brazil , such as Qualithings , that will be the holder of the authorization issued by Anvisa (the Brazilian Registration Holder, or BRH) and legally responsible for the products imported to and distributed in the Brazilian territory. In other words, foreign manufacturers must have a Brazilian agent who has a business license in Brazil and will communicate with Anvisa in Portuguese on your behalf. The BRH will be responsible for maintaining the registration during its lifetime. Product Registration Options If you choose an Authorized Representative or Hosting Services to be your BRH: Authorized Representative To simplify sales activities of medical devices in Brazil, an excellent solution is appointing an authorized representative. An authorized representative is usually an importer that has solid knowledge of its area of expertise and extensive market share. In most cases, they are large companies with a complete structure dedicated to international business. These companies will usually bear all the expenses from product registration to customs fees, with a counterpart: have exclusive rights over the product in Brazil. The main advantage is having sound experience and rapidly enter the market, without the need to establish a subsidiary in Brazil and get all the licenses required by Anvisa. Hosting Services To simplify the registration process, an option is to hire hosting services. With hosting services, product registration will be issued on behalf of a third consulting party that owns and hosts the registration and provides an import authorization for any distributors designated by the manufacturer. In this case, the consulting party will only act as the BRH and will not perform any marketing, distribution, or sales activities. This option gives more flexibility and control of the manufacturer over the product than appointing an importer for that role. And there’s no need to choose an importer or distributor beforehand. It also reduces time and costs without binding to one agent. The "QualiThings" Advantage: We take the best out of both options and bring them to your company! QualiThings is licensed to act as your BRH – and more! Where most Brazilian Registration Holders focus only on the registration processes and others only on sales, QualiThings works with Regulatory Affairs , Quality Assurance and all aspects related to nationalization , distribution , and commercialization of medical devices. We are a consulting company and work as a boutique office with modular services , which means that we leave our clients free to make their own decisions and pick-and-choose which services they want to hire. This way, our clients know exactly what they are paying for and, overall, it turns out cheaper for them. Learn More The Brazilian legislation allows the BRH to give import permits authorizing the distributor(s) of your choice to import your devices, which means you will have full control over your registration and technical documents. Once your product is registered in Brazil, you can choose if you want to work with your own distributors or if you want to use our network. If you decide to use your own distributors and they cannot import products into Brazil, you can choose to hire your own importation partner or you can hire QualiThings . Learn More Choosing a... Representative ... as your BRH: Pros: L arge companies with solid knowledge and extensive market share Minimal short-term investment required Customer service Sound market experience Cons: Exclusive rights (the manufacture can sell the products only to the authorized representative) The BRH “owns” the product registration Choosing... Hosting Services ... as your BRH: Pros: More flexibility and control over the product and the registration No binding to one agent – the manufacturer can choose the distributor(s) Sound Regulatory Affairs experience Cons: More investment Lesser control of the market Distributors are usually small companies with little knowledge of the market The BRH is a third-party with no knowledge of the market Services provided are limited to regulatory affairs Choosing... QUALITHINGS ... as your BRH: Pros: Sound experience in Regulatory Affairs, Quality Assurance, import, distribution, and related areas of the Brazilian market for medical devices Overall reduced costs Flexibility No binding to one agent Extensive network of specialized experts Modular services (you pay only for what you really need), no hidden costs Customer service Less bureaucracy - There's no need to establish a subsidiary or get all the licenses required to sell in Brazil Cons: We can't think of any! Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Regulation of Medical Devices in Brazil Brazil is the largest medical device market in Latin America and has a well-established but complex regulatory system. The Brazilian medical device market has an attractive potential – currently, it is worth approximately US$10.5 billion, and imported medical devices account for 80 percent of the market. ANVISA, the Brazilian Health Regulatory Agency, is responsible for monitoring medical devices, as well as drugs, pesticides, food, cosmetics, sanitizing agents, pharmaceutical supplies, blood, tissues and organs, pharmacies and drugstores, ports, airports and borders, and tabaco. ANVISA keeps the Brazilian regulatory framework up-to-date at international level. In 2012 it co-founded the International Medical Device Regulators Forum (IMDRF). The most important regulations (laws, decrees, and others) can be accessed below: Access Access ANVISA’s online compilation of regulations Request Request the English version

Marketing & Sales After the medical device is approved for commercialization by Anvisa, selling the product might pose another challenge . In Brazil, the healthcare market is price-driven, with products that are manufactured in-country having a distinct price advantage. The Government of Brazil, which is the sponsor of several hospitals, is the main buyer of healthcare products to supply the Brazilian public healthcare system (SUS ), which is the largest of its kind in the world. Foreign companies can participate in bids, as long as they have a Local Representative . QualiThings has an active database containing the main medical device suppliers, importers, distributors, and clients in Brazil, including over 6,000 public and private hospitals. This system keeps market information updated in real-time. Moreover, our sales services are connected to the public procurement systems in Brazil, allowing foreign companies to access bids throughout the Brazilian territory. Our company also has access to private procurement systems that include opportunities in large hospitals with high demand for health products. Post-Market Surveillance & Customer Satisfaction Assurance Whether you are a small or a large-scale manufacturer, your business expansion , continual improvements , and customer satisfaction rests mainly on the quality standards of your business. Our post-registration services involve evaluating your requirements and suggesting inputs to the business processes that are designed to assure customer satisfaction as well as compliance. How we can help How we can help How we can help How we can help Connect with Clients We offer access to our active database of potential clients, so your company can enter the Brazilian medical device market more quickly. Marketing & Sales Our sales team will focus on lead generation, brand building, and customer engagement, as well as closing deals and generating revenue for your company. Participate in Bids We can work as an Authorized Representative for foreign companies wishing to participate in bids. Customer Satisfaction We will evaluate customer feedback and suggest inputs to the business processes to assure customer satisfaction and compliance. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.