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AI, MDR, and Beyond: Lessons from RAPS Lisbon

Following the recent RAPS Euro Convergence in Lisbon, we sat down with one of our college Dr. Leigh-Anne Dell-Brown to reflect on the key discussions, emerging trends, and practical insights shaping the medical device industry. 

From the evolving role of artificial intelligence in regulatory processes to the growing emphasis on transparency and patient-centered communication, the conference offered a valuable platform for exchange and collaboration. In this interview, we explore the most impactful takeaways from the sessions, how current perspectives are being challenged, and what these developments mean for day-to-day regulatory practice.

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What were your key takeaways from the sessions you attended, and why did they stand out to you?

First, it is acceptable to use AI in regulatory practice; however, the expert needs to remain in the loop. This really emphasizes the importance of using AI as a tool to supplement the expert, not to replace them.

Another point that stood out was the reaction to MDR 2.0. Although it is only a draft, many organizations are scurrying in absolute panic. In my view, the emphasis should instead be on ensuring that current documents and workflows are MDR 1.0 compliant. If this is done, then regardless of what appears in the finalized version of MDR 2.0, organizations will already be on the fast track, and any transition will be much smoother.

I also found it very interesting that the EMA is creating a pilot project to support the development of ‘breakthrough’ medical devices. This is a great initiative to help fast-track the certification of innovative devices, so they can reach patients sooner.

Finally, “regulatory sandboxes” was a term that kept coming up throughout the conference. It highlights the growing openness—and need—for discussion and conversation when making regulatory decisions, and it could be a useful way to iron out grey areas before formal implementation.

Did any presentation or discussion change or challenge your current perspective on regulatory, clinical, or quality topics? If so, how?

After presenting our SSCP session, we received insight from an individual about the importance of quantification of risks in the SSCP. As an expert, what may seem like an insignificant risk to me, could be very impactful for a patient and the choice between undergoing a medical procedure or not. We need to ensure that there is sufficient context to the percentages and quantifications provided in the SSCP and that this information is transparently and unambiguously communicated to the patient.

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What practical insights or lessons learned can be applied directly to our day to day work?

It is becoming accepted practice to use different forms of AI to complete regulatory tasks or prepare regulatory documents. However, in using AI, we must ensure that the human stays in the loop and that any AI generated content is validated by an expert.

Which topic or discussion do you think will have the biggest impact on the medical device industry in the near future?

The use of AI in regulatory will have the biggest impact on the medical device industry in the near further, in the form of preparation of documents for CE certification or recertification or the review of documents by Notified Bodies.

The general question that came up is whether this is acceptable and there are mixed opinions on the topic. If the use of AI saves time and enhances patient safety, then it will have a positive impact on the medical device industry.

The current drawback is that many organizations are AI-illiterate and need training before AI can be implemented. Furthermore, the use of AI is not a one size fits all solution; it is merely a tool that can be implemented to aid manufacturers, consultants and notified bodies and the degree of implementation depends on the task that needs to be completed.

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If you had to summarize the conference experience in one short paragraph, what would you highlight as most valuable?

The RAPS Euro Convergence is an immersive sandbox for individuals and organizations interested in regulatory topics and themes.

The transparency and expertise of the expert panels as well as the encouragement to simply communicate are the driving forces needed to reboot anyone who is feeling ‘stuck’ in a regulatory spiral.

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