Guidance Document: Classification of Products at the (Medical) Device-Drug Interface
February 7, 2018
Our file number: 18-101137-616
Subject: Guidance Document: Classification of Products at the (Medical) Device-Drug Interface
This guidance document was first published on January 30, 2013 as “Factors Influencing the Classification of Products at the Device-Drug Interface”. The present revision is intended to reflect the changes to the definition of (medical) device made to the Food and Drugs Act (the Act) following the enactment of the Protecting Canadians from Unsafe Drugs Act (Vanessa’s Law) on November 6, 2014, and to bring greater clarity to the description of how Health Canada classifies healthFootnote 1products at the device-drug interface.
The classification of a health product determines which set of regulations it will fall under. Although the majority of products can be readily classified according to the definitions in the the Act and its associated regulations, it is sometimes difficult to determine which set of regulations applyparent. Classification guidance documents describe the factors that influence these decisions by Health Canada, and are intended to increase transparency and predictability.
This document addresses the classification of two health product groups (i.e., medical devices and drugsFootnote 2). It complements other guidance documents, including "Classification of Products at the Food-Natural Health Product Interface: Products in Food Formats" and "Guidance Document: Classification of Products at the Cosmetic-Drug Interface", which address Health Canada's classification of products at other interfaces.
This document reflects an approach that considers the Act's definitions of "device" and "drug" in a contextual manner.
For questions on classification of products at the device-drug interface, please email:
Published by authority of the Minister of Health
- Date Adopted: 2013-01-30
- Revised Date: 2018-02-07
- Effective Date: 2018-02-07
Guidance documents are meant to provide assistance to industry and health care professionals on how to comply with governing statutes and regulations. Guidance documents also provide assistance to staff on how Health Canada mandates and objectives should be implemented in a manner that is fair, consistent and effective.
Guidance documents are administrative instruments not having force of law and, as such, allow for flexibility in approach. Alternate approaches to the principles and practices described in this document may be acceptable provided they are supported by adequate justification. Alternate approaches should be discussed in advance with the relevant program area to avoid the possible finding that applicable statutory or regulatory requirements have not been met.
As a corollary to the above, it is equally important to note that Health Canada reserves the right to request additional information or material, or define conditions not specifically described in this document, in order to allow the Department to adequately assess the safety, efficacy or quality of a therapeutic product. Health Canada is committed to ensuring that such requests are justifiable and that decisions are clearly documented.
This document should be read in conjunction with the accompanying notice and the relevant sections of other applicable guidance documents.
Table of contents
- 1 Introduction
- 2 Guidance
1.1 Policy Objectives
- To make stakeholders aware of the factors used in the classification of a health product as either a deviceFootnote 3 or a drug.
- To facilitate consistent and predictable decision-making when determining the regulatory pathway for devices and drugs.
1.2 Scope and Application
This guidance is intended to assist in the classification of products at the device-drug interface when the appropriate regulatory framework is not immediately evident. Products at the device-drug interface are those that do not readily fall within the definition of “device” or “drug” as set out in the Food and Drugs Act (the Act), and therefore present a challenge when determining which set of regulations apply.
The classification of device-drug combination products, which combine at least one device component and one drug component, is outside the scope of this guidanceFootnote 4. This guidance is also not intended to address the classification of cells, tissues and organs.
In Canada, medical devices and drugs are regulated under the Act and its associated regulations. Section 2 of the Act defines a device and a drug as follows:
- "device" Footnote 5 means an instrument, apparatus contrivance or other similar article, or an in vitro reagent, including a component, part or accessory, of any of them, that is manufactured, sold or represented for use in
- diagnosing, treating, mitigating or preventing of a disease, disorder or abnormal physical state, or any of their symptoms, in human beings or animals,
- restoring, modifying or correcting the body structure of human beings or animal or the functioning of any part of the bodies of human beings or animals,
- diagnosing pregnancy in human beings or animals,
- caring for human beings or animals during pregnancy or at or after the birth of the offspring, including caring for the offspring, or,
- preventing conception in human beings or animals;
- diagnosing, treating, mitigating or preventing of a disease, disorder or abnormal physical state, or any of their symptoms, in human beings or animals,
- however, it does not include such an instrument, apparatus, contrivance or article, or a component, part or accessory of any of them, that does any of the actions referred to in paragraphs (a) to (e) solely by pharmacological, immunological or metabolicFootnote 6 means or soley by chemical means in or on the body of a human being or animal.
- and includes a contraceptive device but does not include a drug.
- "drug" includes any substance or mixture of substances manufactured, sold or represented for use in
- the diagnosis, treatment, mitigation or prevention of a disease, disorder or abnormal physical state, or its symptoms, in human beings or animals,
- restoring, correcting or modifying organic functions in human beings or animals, or
- disinfection in premises in which food is manufactured, prepared or kept.
In most cases, the distinction between devices and drugs is clear and these products can be easily classified according to the definitions. As new health products and technologies emerge, however, it is sometimes difficult to identify the appropriate regulatory framework that applies. In circumstances where a product does not clearly fall under the existing definitions, guidance is warranted on how classification decisions are likely to be made by Health Canada.
The definitions of "device" and "drug" in the Act provide the basis for Health Canada's classification of these two product lines. Health Canada interprets the definitions of device and drug in a manner that considers not only how a product achieves its therapeutic/health effect, but also how its composition, characteristics, and intended use are represented and perceived in the marketplace and by its users. The list of factors provided in this section is based on these two definitions.
Health Canada acknowledges that its classification of devices and drugs has evolved. Additionally, the emergence of new scientific and/or other evidence may prompt the reconsideration of previous classification decisions. As such, previous classification decisions may no longer feflect how a given product is to be classified. In these cases where the classification of a product or group of products is to be changed the affected sponsor are provide with advanced notice of the change to allow them time to obtain the necessary market authorization under the appropriate set of regulations.
2.1 Health Claims
To determine if a product is subject to the Act as a health product, Health Canada considers its associated claims and how these align with the definitions in the Act.
A product may be classified as a device or a drug even in the absence of an explicit health claim. Explicit claims are stated with no ambiguity with regard to their meaning or intent. In contrast, implicit claims in the representation of a product indirectly suggest a health benefit. Product representation includes the appearance, labeling promotion, and advertising of a product.
In the absence of either an explicit or implicit health claim, a product may still be classified as a health product if its intrinsic properties are such that it has no other possible use. For example, acetaminophen has no other use but as a drug, so the absence of a health claim would not change its classification as a drug as one can still conclude that it is manufactured and sold as a therapeutic product.
Conversely, the presence of a health claim would not necessarily result in a product being ultimately considered meeting the definition of a device or a drug as that health claim may be either nonvalid or not supported by sufficient evidence. Claims that are false, misleading, deceptive or likely to create an erroneous impression cannot be associated with devices and drugs by virtue of sections 20 and 9, respectively, of the Food and Drugs Act. If a health claim for a product is inappropriate, false or misleading the product could also be subject to compliance actions under of the Canada Consumer Product Safety Act or the Competition Act.
2.2 Product Purpose/Intended Use
The entire definitions of both device and drug are taken into account when determining which is the most applicable to a product and how it works. For example, a liquid for use as a body cavity filler, with no pharmacological, immunological, metabolic or chemical properties, could be classified as a drug when considering only paragraph (a) of the drug definition. However, since it is intended to play a structural role once it has filled the volume of a cavity, it is best characterized as an article that modifies a body structure. Therefore, such as product would more reasonably be classified as a device.
2.3 Product Composition and Form
The composition and form of a product also helps to distinguish a device from a drug. A device can exhibit structure in its final form, (i.e., the structure of the product when it is achieving its desired effect). The structure of a device can contribute directly to its effect. In contrast, the physical structure of a drug product (i.e., in its dosage form, such as a tablet or an ointment, not its chemical structure) does not usually contribute directly to its health effect.
As an example, solid substances formed by polymeric reactions, such as dental cements, or through evaporative mechanisms such as with liquid bandages, are initially applied to the patient in semi-solid or liquid states. In each case, however, the final therapeutic form exhibits a definable structure and the product is more appropriately classified as a device, rather than a drug.
2.4 Product Function/Health Effect
Consideration is also given to the health effect of a product and how this effect is achieved. In the Act, paragraphs (b) of the device and drug definitions differ respectively in whether a product is used to restore, correct or modify the body structure or functioning of any body part, or organic.
Under the drug definition, "organic function" is generally interpreted as including the various "functions of life" that occur without conscious assistance, such as digestion, metabolism, growth, secretion, excretion, circulation, and respiration. Effects that modify an organic function may be either local or systemic in nature.
When considering a claim associated with a product, it is important to confirm whether more than one property could contribute to the overall effect of the product when used for the corresponding indication. For example, when a substance is shown to modify a body structure or function as well as an organic function then both device and drug definitions can be satisfied. In this case, to make the necessary distinction, a comparative assessment could be carried out. If it determines that the predominant effect is associated with the modification of body structure or function, the product would be more appropriately classified and regulated as a medical device.
The current definition of “device” in the Act explicitly excludes products that accomplish their effect “solely by pharmacological, immunological or metabolic means or solely by chemical means in or on the body of a human being or animal.” This wording allows for some substances to be classified as medical devices. Specifically, a substance could be a device if its mode of action were not accomplished by pharmacological, immunological or metabolic means, or by chemical means in or on the body. However, this should not be interpreted as suggesting that every substance that does not act by pharmacological, immunological, metabolic, or by chemical means in or on the body, is a medical device. Instead, the entirety of the respective definition of “device” and “drug” must be considered when determining whether a substance is a device or a drug.
A product considered to be an accessory to a device may itself be classified as a device under the “device” definition. A device accessory is distinguished by its intended purpose/associated claim(s) to enable or support the intended use of the primary device. For example, a gel used as a lubricant to assist in the insertion and use of a probe would be considered a device accessory. Moreover, a liquid solution intended to disinfect or sterilize a medical device could also be considered an accessory to that device.
2.5 Influence of Subordinate Regulations
Once a product has been classified as a drug and not as a device at the level of the Act, further classification is required to determine whether it is subject to the Food and Drug Regulations or to the Natural Health Products Regulations (NHPR). This subsequent classification is guided by the definition of a NHP in section 1 of the NHPR, the exclusion of prescription drugs in section 2(2) of the NHPR, and the inclusive and exclusive lists of substances respectively set out in Schedules 1 and 2 to the NHPR. For example, Echinacea is a drug under the Act and an NHP under the NHPR.
2.6 Evidence Requirements
To be granted the necessary authorization to market a health product in Canada, a sponsor must submit to Health Canada satisfactory evidence demonstrating the product's safety, efficacy and quality. The requirements for filing a device licence application, a drug submission or a natural health product licence application are specific to each product line. These filing requirements are not taken into consideration when a health product is classified by Health Canada; devices and drugs are classified, first and foremost, in accordance with their respective definitions in section 2 of the Food and Drugs Act.
2.7 Product Classification by Foreign Regulatory Authorities
There are differences between the definitions in the Canadian legislation and those used by other regulatory authorities. In addition, the interpretations by other regulators of their own definitions may further affect whether they classify a product as a device or a drug.
Health Canada may consult the classification decisions of foreign regulatory authorities as a tool to assist in interpreting and applying the definitions of the Act. While Health Canada seeks to align device/drug classifications globally when feasible, a product still needs to meet the definitions in the Act and its regulations.
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