Commission Implementing Decision (EU) 2020/350 of 28 February 2020 amending Decision 2002/364/EC as regards definitions of first–line assays and confirmatory assays, requirements for devices for self-testing and requirements for HIV and HCV rapid tests, confirmatory and supplementary assays (notified under document C(2020) 1086) (Text with EEA relevance)

• CELEX: Implementing Decision (EU) 2020/350
• Articles: 4

Article 1

The Annex to Decision 2002/364/EC is amended in accordance with the Annex to this Decision.

Article 2

1.   This Decision shall apply from 2 March 2021.

2.   Notwithstanding paragraph 1, from 2 March 2020 until 1 July 2020 Member States shall apply the presumption of compliance laid down in Article 5(3) of Directive 98/79/EC for all in vitro diagnostic medical devices that comply with any of the following:

(a)

the common technical specifications laid down in Decision 2002/364/EC as amended by Commission Decision 2011/869/EU  ( 4 ) ;

(b)

the common technical specifications laid down in Decision 2002/364/EC as amended by Commission Implementing Decision (EU) 2019/1244  ( 5 ) ;

(c)

the common technical specifications laid down in Decision 2002/364/EC as amended by this Decision.

3.   Notwithstanding paragraph 1, from 2 July 2020 until 1 March 2021 Member States shall apply the presumption of compliance laid down in Article 5(3) of Directive 98/79/EC for all in vitro diagnostic medical devices that comply with either of the following:

(a)

the common technical specifications laid down in Decision 2002/364/EC as amended by Implementing Decision (EU) 2019/1244;

(b)

the common technical specifications laid down in Decision 2002/364/EC as amended by this Decision.

Article 3

This Decision is addressed to the Member States.

Schedules & Appendices

ANNEX

ANNEX

The Annex to Decision 2002/364/EC is amended as follows:

1.

Section 2 is amended as follows:

(a)

the following definition of ‘First line assay’ is inserted between the definition of ‘Whole system failure rate’ and the definition of ‘Confirmation assay’:

‘

First-line assay

First-line assay means an assay used to detect a marker or analyte, and which may be followed by a confirmatory assay. Devices intended solely to be used to monitor a previously determined marker or analyte are not considered first-line assays.’;

(b)

the definition of ‘Confirmation assay’ is replaced by the following:

‘

Confirmatory assay

Confirmatory assay means an assay used for the confirmation of a reactive result from a first-line assay.’;

2.

Section 3 is amended as follows:

(a)

Sub-section 3.1.1 is replaced by the following:

‘3.1.1.

Devices which detect virus infections shall meet the requirements for sensitivity and specificity set out in Table 1, Table 3, Table 4 and Table 5, which apply to them taking account of the intended purpose of the devices concerned, virus type and entities to be detected (antigen and/or antibody). See also principle 3.1.11 for first-line assays.’;

(b)

Sub-section 3.1.3 is replaced by the following:

‘3.1.3.

Devices for self-testing shall meet the same CTS requirements for sensitivity and specificity as respective devices for professional use. Relevant parts of the performance evaluation shall be carried out (or repeated) by appropriate lay users to validate the operation of the device and the instructions for use. The lay users selected for the performance evaluation shall be representative of the intended users groups.

Performance evaluation of a device for self-testing shall include, for each body fluid claimed for use with the device, e.g. whole blood, urine, saliva, etc., at least 200 lay users that are known positive for the infection and at least 400 lay users that do not know their status, of which at least 200 are at high risk of acquiring the infection. The sensitivity and specificity of the device for self-testing in the hands of lay users shall be defined against the confirmed patient infectious status.’;

(c)

Sub-section 3.1.9 is replaced by the following:

‘3.1.9.

Performance evaluation of first line assays shall include 25 positive (if available in the case of rare infections) ‘same day’ fresh serum samples (≤ 1 day after sampling).’;

(d)

Sub-section 3.1.11 is replaced by the following:

‘3.1.11.

For performance evaluations for first line assays (Table 1 and Table 3) blood donor populations shall be investigated from at least two blood donation centers and consist of consecutive blood donations, which have not been selected to exclude first time donors.’;

(e)

Sub-section 3.4.2 is replaced by the following:

‘3.4.2.

The manufacturer’s batch release testing for first line assays shall include at least 100 specimens negative for the relevant analyte.’.

3.

Table 1 is replaced by the following:

‘Table 1

First-line assays, excluding rapid tests: anti-HIV 1/2, HIV 1/2 Ag/Ab, anti-HTLV I/II, anti-HCV, HCV Ag/Ab, HBsAg, anti-HBc

anti-HIV 1/2, HIV 1/2 Ag/Ab

Anti-HTLV-I/II

anti-HCV, HCV Ag/Ab

HBsAg

Anti-HBc

Diagnostic sensitivity

Positive specimens

400 HIV-1

100 HIV-2

including 40 non-B-subtypes, all available HIV/1 subtypes shall be represented by at least 3 samples per subtype

300 HTLV-I

100 HTLV-II

400 (positive samples)

Including samples from different stages of infection and reflecting different antibody patterns.

Genotype 1-4: > 20 samples per genotype (including non-a subtypes of genotype 4);

5: > 5 samples;

6: if available

400

including subtype-consideration

400

including evaluation of other HBV-markers

Sero-conversion panels

20 panels

10 further panels (at notified body or manufacturer)

To be defined when available

20 panels

10 further panels (at notified body or manufacturer)

20 panels

10 further panels (at notified body or manufacturer)

To be defined when available

Analytical sensitivity

Standards

0,130 IU/ml ( WHO International Standard: Third International Standard for HBsAg, subtypes ayw1/adw2, HBV genotype B4, NIBSC code: 12/226)

Specificity

Unselected donors (including first-time donors)

5 000

5 000

5 000

5 000

5 000

Hospitalized patients

200

200

200

200

200

Potentially cross-reacting blood-specimens (RF+, related viruses, pregnant women, etc)

100

100

100

100

100’

4.

Table 3 is replaced by the following:

‘Table 3

Rapid tests: anti-HIV 1/2, HIV 1/2 Ag/Ab, anti-HCV, HCV Ag/Ab, HBsAg, anti-HBc, anti-HTLV I and II

anti-HIV 1/2, HIV 1/2 Ag/Ab

anti-HCV, HCV Ag/Ab

HBsAg

anti-HBc

anti-HTLV I and II

Acceptance criteria

Diagnostic sensitivity

Positive specimens

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Sero-conversion panels

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Same criteria as in Table 1

Diagnostic specificity

Negative specimens

2 1 000 blood donations

1 000 blood donations

1 000 blood donations

1 000 blood donations

1 000 blood donations

≥ 99 %

(anti-HBc: ≥ 96 %)’

200 clinical specimens

200 clinical specimens

200 clinical specimens

200 clinical specimens

200 clinical specimens

200 samples from pregnant women

200 samples from pregnant women

200 samples from pregnant women

200 samples from pregnant women

100 potentially interfering samples

100 potentially interfering samples

100 potentially interfering samples

100 potentially interfering samples

100 potentially interfering samples

5.

Table 4 is replaced by the following:

‘Table 4

Confirmatory and supplementary assays for anti-HIV 1/ 2, HIV 1/2 Ag/Ab, anti-HTLV I and II, anti-HCV, HCV Ag/Ab, HBsAg

anti-HIV 1/2, HIV 1/2 Ag/Ab confirmatory assays

anti-HTLV I and II confirmatory assays

anti-HCV, HCV Ag/Ab supplementary assays

HBsAg confirmatory assays

Acceptance criteria

Diagnostic sensitivity

Positive specimens

200 HIV-1 and 100 HIV-2

Including samples from different stages of infection and reflecting different antibody patterns

200 HTLV-I and 100 HTLV-II

300 HCV (positive samples)

Including samples from different stages of infection and reflecting different antibody patterns.

Genotypes 1 – 4: > 20 samples (including non-a subtypes of genotype 4;

Genotype 5: > 5 samples;

Genotype 6: if available

300 HBsAg

Including samples from different stages of infection

20 ‘high pos’ samples (>26 IU/ml); 20 samples in the cut-off range

Correct identification as positive (or indeterminate), not negative

Sero-conversion panels

15 sero-conversion panels/low titre panels

15 sero-conversion panels/low titre panels

15 sero-conversion panels/low titre panels

Analytical sensitivity

Standards

Third International Standard for HBsAg, subtypes ayw1/adw2, HBV genotype B4, NIBSC code: 12/226

Diagnostic specificity

Negative specimens

200 blood donations

200 blood donations

200 blood donations

10 false positives as available from the performance evaluation of the first line assay  ( 1 ) .

No false-positive results/  ( 1 ) no neutralisation

200 clinical samples including pregnant women

200 clinical samples including pregnant women

200 clinical samples including pregnant women

50 potentially interfering samples, including samples with indeterminate results in other confirmatory assays

50 potentially interfering samples, including samples with indeterminate results in other confirmatory assays

50 potentially interfering samples, including samples with indeterminate results in other supplementary assays

50 potentially interfering samples

( 1 )   Acceptance criteria: no neutralisation for HBsAg confirmatory assay.’