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《医疗器械临床试验质量管理规范》英文版

《医疗器械临床试验质量管理规范》英文版
《医疗器械临床试验质量管理规范》英文版

State Food and Drug Administration

National Health and Family Planning Commission

Number twenty-fifth

< medical equipment specification for the quality control of clinical trial of > has been state food and Drug Administration in the executive meeting of the, national health and Family Planning Commission, director of the committee meeting examined and adopted, is hereby promulgated, since June 1, 2016 implementation.

Director Bi Jingquan

Director Li Bin

March 1, 2016

Standard for quality management of medical device clinical trials

Chapter one is the first chapter

The first is to strengthen the management of medical device clinical trials, the maintenance process for clinical trials of medical devices in rights and interests, and to guarantee the medical device clinical trials process specification, real results, science, reliable and traceable, according to < the supervision and administration of Medical Devices Regulations > formulated this specification.

Article 2 within the territory of the people's Republic of China to carry out the clinical trial of medical apparatus and instruments, shall comply with the specification. This specification covers the whole process of medical device clinical trials, including design of clinical trials, the implementation of, monitoring, verification, inspection, and data acquisition, record, and analyze the summarizing

and reporting.

The third section of this specification referred to in the clinical trial of medical apparatus and instruments, refers to in the accreditation of medical instrument clinical trial institution, intends to apply for the registration of medical device in the normal conditions of use is safe and effective for confirmation or verification

process.

Fourth clinical trials of medical devices shall comply with the principles of law,

ethical principles and scientific principles.

Article 5 at or above the provincial level food and drug supervision and management departments responsible for the supervision and management of medical device clinical trials. Health and family health department in charge, within its scope of functions and duties, strengthen the clinical trial of medical apparatus and instruments management. Food and drug supervision and management departments, health and family health departments should establish the medical quality of clinical trial management information reporting mechanism, strengthen the class III medical devices, included in the national configuration of large medical equipment quality management objective of medical apparatus and instruments to carry out examination and approval of clinical trials and the corresponding clinical trial supervision and management of data communications.

The second chapter is the preparation before clinical trial

Article 6 the clinical trial of medical apparatus and instruments shall have sufficient scientific basis and the clear purpose of the test, and weigh on expected and the

public health benefit and risk, expected benefit should exceed the possible damage. Article 7 before clinical trials, the sponsor shall test done in preclinical studies of medical apparatus and instruments, including product design (structure, working principle and mechanism of action, is expected to use and scope of application, the applicable technical requirements and quality inspection, animal testing and risk analysis and results should be able to support the clinical trial. Quality inspection results including self inspection report and a qualified inspection agency issued a year within the product registration inspection report.

Prior to the eighth clinical trials, the applicant should prepare adequate testing of medical equipment. The development of the test with medical equipment shall meet the applicable requirements of the medical device quality management

system.

The nine clinical trials of medical devices shall be in two or more than two medical device clinical trial institution. Selected testing institutions shall be without qualification accreditation of medical instrument clinical trial institution, and facilities and conditions shall meet the safety effectively clinical trial experience. Researchers should be able to bear the clinical trials of specialty, qualification and ability and trained. Qualification of medical instrument clinical trial institution identified management measures shall be formulated separately by the State Food and drug administration shall, jointly with the Ministry of health and Family

Planning Commission.

Article 10 before clinical trials, the sponsor and clinical trial institutions and

researchers should test design, test quality control, test the division of responsibilities, sponsor to bear the costs associated with the clinical trial and test in may occur damage dealing with principles to reach a written agreement.

Article 11 clinical trials should obtain consent of the clinical trial of medical apparatus and instruments institutional ethics committee. Included in the need for clinical trials and approval of class III medical devices directory, should also be approved by the State Food and drug administration.

Article 12 prior to clinical trials, the sponsor shall be to the location of provinces, autonomous regions, municipal food and drug supervision and management departments for the record. Accept filing of food and drug supervision and administration department shall record the situation informed clinical trial institution is located at the same level of food and drug supervision and management departments, as well as health and family health departments.

The third chapter is the protection of the rights and interests of the subjects Thirteenth clinical trials of medical devices shall comply with the ethical standards set by the Helsinki declaration of the world medical assembly.

The fourteenth ethical review and informed consent are the main measures to protect the rights and interests of the subjects. The parties involved in clinical trials should assume the corresponding ethical responsibilities according to their respective responsibilities.

Article 15 the sponsor should avoid undue influence or misleading to subjects, clinical trials and research and clinical trial participants or related party. Clinical trial

institutions and researchers should avoid undue influence or misleading to subjects, the sponsor and other participants in clinical trials or interested parties. Sixteenth applicants, clinical trials and researchers should not exaggerate the compensation measures involved in clinical trials, to mislead the participants to participate in clinical trials.

Seventeenth pre clinical trials, the applicant shall submit the following documents to the ethics committee by researchers and clinical trial institution of medical instrument clinical trial management: (a) clinical trial program; (two) researchers manual; (three) written informed consent document and any other available to participants (; four) recruiting subjects and procedural documents to its propaganda; (five) the case report form text; (six) self inspection report and product registration inspection report; (seven) researchers resume, professional expertise, skills, training and other documents to prove their qualifications; (eight) clinical trial institution the facilities and conditions to meet the test review; (nine) with the development of medical devices in accordance with the relevant requirements of medical quality management system for the test statement; (ten) other documents related to ethical review. Ethics committee shall uphold the principles of ethics and science, review and supervise the implementation of clinical trials.

Eighteenth one of the following circumstances occur in the course of clinical trials, researchers should report to the clinical trial institution of medical instrument clinical trial management department, and the timely notification of the applicant, the ethics committee report: (a) serious adverse events; (two) progress report,

including a summary of safety and deviation reports; (three) for any amendment has been approved by the ethics committee of the file, does not affect the rights and interests of the subjects, safety and health, non substantive changes without prior reports or clinical trials with the purpose or end not related, but afterwards shall notify in writing; (four) to suspend, terminate or suspend the request after the recovery of clinical trials (five;) affect the rights and interests of the subjects, from clinical trials or clinical trial safety and health science, including the deviation of request and report the deviation. For the protection of subjects Where a person's rights, security and health are not immediately reported in an emergency, it shall be reported in written form as soon as possible in accordance with the relevant provisions.

Article 19 in the process of clinical trials, as amended clinical trial protocols and informed consent documents, request deviation, resume a paused clinical trials should be can continue to implement until it obtain the written approval of the ethics committee.

It is good to the health article 20 should be avoided as far as possible selection of minors, pregnant women, elderly, persons with mental obstacle in life critical patients as subjects, that really need to be selected, it shall abide by the ethics committee of the additional requirement. In clinical trials for their health is specially designed, and should be.

article 20 should be avoided as far as possible selection of minors, pregnant women, elderly, persons with mental obstacle in life critical patients as subjects, that really need to be selected, it shall abide by the ethics committee of the additional requirement. In clinical trials

for their health is specially designed, and should be.

Article 21 in subjects in clinical trials, researchers should fully to subjects or no capacity for civil conduct, the guardian of the person of civil action competence limit that the details of the clinical trials, including the known, it can be predicted the risk and possible adverse events. After full and detailed explanation by the subjects or their guardians in informed consent Book sign your name and date, researchers also need to in informed consent Book sign your name and date.

Twenty-second general consent shall include the following contents and description of matters: (a) the researchers name and relevant information; (two) the name of clinical trial institution; (three) the name of the trial, purpose, method, content; (four) test process, test period; (five) the sources of funds and the possible conflicts of interest; (six) the expected participants may benefit and known, risk can be foreseen and adverse events may occur; (seven) alternative treatment subjects can obtain the information and its potential benefits and risks; (eight) when needed, that subjects may be assigned to different groups of experiments; (nine) subjects participated in the experiment should be voluntary, and at any stage of the test has the right to withdraw without discrimination or revenge, the medical treatment and The rights and interests are not affected; (ten) told the subjects in the study of personal data is confidential, but the ethics committee, food and drug supervision and management departments, health departments or sponsor at work when necessary in accordance with the prescribed procedures, can refer to the subjects in the study of personal data; (eleven) as happened with the related test the hurt, the subjects could get treatment and economic compensation; (twelve) the subjects can understand the related information during the test; (thirteen) free clinic project participants may be obtained during the test and other related subsidies. Informed consent shall be adopted by the subjects or guardians can understand the language and text. Informed consent shall not contain any cause subjects to give up the legitimate rights and interests and exemption from clinical trial institutions and researchers, the sponsor or The agent shall be responsible for the content.

Twenty-third obtain informed consent shall also meet the following requirements: (a) the subjects incapacitated, if the ethics committee agreed in principle, researchers believe that the subjects participating in a clinical trial with its own interests, can also enter clinical trials, but should try and marked by the Guardian Signature Date prior.; (two) the subjects or their guardians without reading ability, in the process of knowledge should have a witness present, after a detailed explanation of the informed consent, witnesses read the informed consent and oral informed content, agreed to by the subjects or their care population head, witnesses in informed consent the book of signature and date, signature

of witness and the researcher's signature should be on the same day.; (three) minors as subjects, should obtain the consent of the guardian and signed informed consent Department informed consent, minors on whether to participate in testing an intention, should also be their consent.; (IV) found relates to medical apparatus and instruments of important information or are expected to test the clinical impact of shall be of informed consent book content is modified, the modified informed consent by the ethics committee approval shall be by the test or its guardian re signature confirmation.

Article 24 informed consent book shall be indicated in the formulation of date or revised versions of date. Such as informed consent in the test in the process of revision, revised version of the informed consent implement the book before again by the ethics committee agreed to. Revised edition of informed consent books clinical trial mechanism after, all before the end of the test process of the subjects were as affected by the shall signed the informed consent for the newly revised.

Twenty-fifth subjects have the right to withdraw from any stage of clinical trials and are not subject to any financial responsibility.

The fourth chapter clinical trial program

Twenty-sixth to carry out clinical trials of medical devices, the applicant should be in accordance with the categories of medical equipment testing, risk, intended use, and other organizations to develop scientific and rational clinical trials program.

Article 27 not inside and outside the approved the listing of new products, safety and performance has not been confirmed by medical, clinical trial design should first conduct a feasibility test for small samples, to be initially recognized for their safety, according to the statistical requirements to determine the sample size to carry out the following clinical trial.

Twenty-eighth clinical trials protocol should include the following: (a) general information; (two) the background data in clinical trials; (three) the purpose of the experiment; (four) experimental design; (five) safety evaluation method; (six) effectiveness evaluation method; (seven) statistical considerations; (eight) the provisions for clinical trials program; (nine) the provisions of adverse events and equipment defect report; (ten) direct access to the source data file; (eleven) clinical trials involving ethical issues and instructions and informed consent document; (twelve) data processing and record keeping; (thirteen) financial and insurance; (fourteen) agreement. The test results were published part of the contents can be included in other related documents such as project researchers. Handbook of clinical trials Specific information about the organization, the results of the trial published agreement, finance and insurance can be expressed in the test plan, you

can also make a separate agreement to be specified.

Twenty-ninth multi center clinical trial by a number of researchers in the same test program in clinical trials in different period. The design and implementation of the test plan shall at least include the following contents: (a) the test plan and the clinical trial institutions and researchers to discuss identified by the applicant organization, and a clear lead the unit of clinical trial institution for the coordination of researchers; (two) the researchers responsible for coordinating the work of coordination between the institution of clinical trial process of clinical trials, clinical trials in early, middle and late organization researchers meeting, responsible for the implementation and the sponsor of the whole test together; (three) the institution of clinical trial the principle should be carried out over the same period and the end of clinical trials; (four) the institution of clinical trial test sample size and distribution, with statistical analysis to For reason; (5) the sponsor and the clinical test units on experimental training plan and training records requirements; (VI) established test data transfer, management, query and verification procedure, especially clear requirements of the institution of clinical trial testing the data should be the lead unit centralized management and analysis; (7) after the end of the multi center clinical trials, each clinical trial institutions researchers should respectively issued a summary of clinical trials, together with a case report table in accordance with the provisions of the audited over by coordinating research summary report.

Fifth chapter ethics committee duties

Article 30 medical device clinical trial institution ethics committee shall be by at least five members, including medical professionals, medical professionals, which should be the members of the different gender. Non medical specialty committee at least a legal worker and a name for the clinical trial institution other than the personnel. The ethics committee should be with the assessment and evaluation of the clinical trials of science, medicine and ethics, and other aspects of qualification or experience. All members should be familiar with ethical guidelines for the clinical trial of medical apparatus and instruments and relevant regulations and abide by the ethics committee of the constitution. Article 31 medical ethics committee shall comply with the provisions of the < world medical assembly declaration of Helsinki > ethical standards and food and drug supervision and administration department and establish the corresponding working procedures and the formation of the file and work in accordance with the procedures perform their duties. The ethics committee independent to members of the researchers and the sponsor has the right to comment and participate in relevant test vote.

Article 32 The Ethics Committee meeting shall be notified in advance, to

participate in the review and the number of voting can not be less than five, make any decision should be by an ethics committee composed by more than half of the members. Researchers can provide information on any aspect of the relevant test, but should not participate in the review, vote or comment. Ethics committee in the review of some special test, can invite experts in related fields.

Thirty-third from the ethics committee shall safeguard the rights and interests of the subjects of the perspective of strict consideration test scheme and related documents, and shall focus on the following: (a) the researchers qualifications, experience and whether there is sufficient time to participate in the clinical trial. (two) clinical trial institution staffing and equipment conform to the test. (three) the subjects may suffer a degree of risk and benefit compared to the expected test is appropriate. (four) test program is fully considered the ethical principles, with scientific research purposes, including the appropriateness of subjects' rights are protected, other persons may suffer the risk and protection method participants are science. (five) subjects were selected to test the method, the relevant information of the subjects or their guardians provided The information is complete, whether the subjects could understand, obtaining informed consent is appropriate; when necessary, the ethics committee shall organize the participants on behalf of the level of understanding of the test data, the evaluation of informed consent is appropriate, the assessment results shall be the end of the 10 year written record and save to clinical trials (six.) subjects if the occurrence of clinical trial related injury or death, treatment and insurance measures for adequacy. (seven) whether the proposed amendments to the test scheme is acceptable. (eight) whether can be carried out in clinical trials in regular evaluation may harm to subjects from (nine). The test plan may affect the rights and interests of the subjects, safety and health, or affect the scientific nature, the integrity of the test, whether it can be accepted.

Ethical review thirty-fourth multicenter clinical trial should be led by the ethics committee responsible for the establishment of collaborative review procedures to ensure consistency and timeliness of the review work. The beginning of each clinical trial institution before the test should be led by the ethics committee responsible for examination and test scheme of ethical rationality and scientificity, participate in the test of other clinical trial institution ethics the Committee in the prerequisite of accepting the lead unit ethics committee review comments, can be used to review or file review, review the feasibility of the trials in this clinical trial institutions, including the qualification and experience of the equipment and conditions, generally no longer on the design scheme of the test proposed amendments, but not right approved test in clinical trials.

Article 35 The Ethics Committee receives the application of clinical trials of medical devices shall convene a meeting, discuss the review, issue a written opinion, seal, and attached to attend the meeting of the personnel list, professional and personal signature. The views of the ethics committee may be: (a) consent; (II) modifications necessary consent; (III) without consent; (IV), to suspend or terminate the test has been approved.

Article 36 The Ethics Committee shall be of clinical trials of this clinical trial institution tracking supervision, it is found that the subjects' rights and interests can not get security situation, can be in any time upon written request to suspend or terminate the trial. Clinical trials have been suspended, without the consent of the ethics committee should not be allowed to resume.

Thirty-seventh ethics committees shall retain all records relating to the completion of clinical trials for at least 10 years.

The sixth chapter is the responsibility of the applicant

Article 38 The sponsor is responsible for initiating, application, organization and monitoring of clinical trials and the authenticity of clinical trials, responsible for reliability. The sponsor is usually the medical device production enterprise. The sponsor for overseas institutions shall in accordance with the provisions within the territory of the people's Republic of China appointed agent.

Article 39 The sponsor is responsible for organizing the formulation and revision of the Handbook, the clinical trials protocol, informed consent, case report form, the standard operating procedures and other relevant documents and is responsible for organizing the training of clinical trials necessary.

Article 40 the sponsor should according to the characteristics of medical apparatus and instruments used for testing, in the accreditation of medical instrument clinical trial institution selection mechanism test and research were. The sponsor before the clinical trial agreement signed in clinical trial institution shall clinical trial institutions and researchers to provide the latest research manual and other relevant documents, for its decision whether they can afford the clinical trials. Article 41 the manual shall include the following main contents: (a) the applicant, researchers of information; (II) test summary of medical devices for; (III) support test medical devices expected overview of the use and clinical trial design in reason and evaluation; and (IV) test with medical device manufacturing with suitable medical equipment quality management system requirements of the statement.

Article forty-second the applicant in the organization of the development of clinical trials program may not exaggerate the mechanism and efficacy of medical devices.

Article 43 in clinical trials, the sponsor to get important information about clinical trials shall modify the Handbook of research and related documents in time, and through the clinical trial institution of medical instrument clinical trial management departments submit ethics review committee agreed.

Forty-fourth the applicant should with clinical trial institutions and researchers to reach a written agreement on the following issues: (a) clinical trial implementation in accordance with the relevant laws and regulations and the clinical trial program, and accept the inspection, verification and inspection; (two) according to the data recording and reporting procedures; (three) retain the basic documents and test the less than less than the statutory time, clinical trials and research institutions are no longer need to notice until the sponsor of the documents so far; (four) the applicant from the ethics committee approval, medical equipment is responsible to the clinical trial institutions and researchers to provide test, and determine the conditions of transport and storage conditions, storage time, period of validity; (five) test of medical devices should be qualified, it is easy to identify, the correct encoding and labeled "test" of the special logo, and according to the clinical test Program requirements for appropriate packaging and preservation; (6) the applicant shall formulate a clinical trial quality control related SOPs, transportation of medical devices such as test, receiving, storage, distribution, processing, recycling, clinical trials research organizations and donor follow.

Article 45 the sponsor to test with medical device in clinical trials of the security responsibility. When found may influence test implementation may change the ethics committee approval test continues to, the sponsor shall immediately notify all clinical testing machine structure and study their safety or test, and make corresponding processing.

Article 46 the sponsor decided to suspension or termination of the clinical trials, it shall notify all clinical trial institution of medical device clinical trial management department in 55 days, and explain the reasons in written form. Clinical trials clinical trials of medical devices management department shall timely notify the corresponding research and ethics committee. The suspension of clinical trials, without the consent of the ethics committee and shall not resume. After the end of the trial, the applicant shall be informed in writing of the province where the, autonomous regions and municipalities food and drug supervision and administration department.

Article 47 the applicant shall ensure the implementation of all researchers in clinical trials, strictly follow the scheme of clinical trials, clinical trials and found that does not comply with the relevant laws and regulations, this specification and the clinical trial protocol, it shall timely pointed out and corrected, if severe or sustained do not

change shall be termination of the trial, and to clinical trial institution, the seat of the provincial, autonomous regions and municipalities food and drug supervision and management departments and the State Food and drug administration report.

Article 48 the sponsor shall occur and clinical trials related to the injury or death of subjects who bear the cost of treatment and the corresponding economic compensation, but damage caused by medical institutions and medical personnel and the fault in the medical activities except.

Article 49 The sponsor shall bear the liability for the monitoring of clinical trials, and choose to comply with the requirements of the arbitrator to perform the duty of monitoring. Monitoring of the number of members and the monitoring times depending on the complexity of clinical trials and trial participation institution of clinical trial number.

Article 50 the arbitrator shall have corresponding clinical medical, pharmaceutical, biomedical engineering, statistics and other related professional background and after the necessary training, familiar with relevant laws and regulations and the rules, tests are related to familiar with non clinical and similar products in the clinical information of medical devices and clinical trial protocol and related documents.

Sixtieth clinical trials should be in accordance with the terms of the applicant's agreement to properly preserve the clinical trial records and basic documents.

Study on the sixty-first responsible for clinical trials should meet the following conditions: (a) associate professor is deputy director of the physician, in the clinical trial institution, associate deputy high above the relevant professional titles and qualifications; (two) with professional knowledge and experience test for medical instruments required, when necessary, shall be subject to relevant training; (three) familiar with the applicant and the requirements related to clinical trial data, documents; (four) the ability to coordinate, personnel and equipment of the test of control and use, and have the ability to deal with adverse events of medical test and other related events; (five) familiar the relevant national laws, regulations and the code.

Sixty-second clinical trials, clinical trials of medical device clinical trials management department should cooperate with the applicant to apply to the ethics committee, and in accordance with the provisions of the relevant documents submitted.

Article 63 researchers should ensure that participating in the trial of the relevant staff familiar with the test with the principle of medical apparatus and instruments, scope of application, product performance,

methods of operation, installation requirements and technical indicators, understanding the test medical devices pre clinical study data and safety information, master clinical trials can produce risk prevention and emergency treatment.

Article 64 researchers should ensure that all clinical trial participants fully understand the clinical trial protocol, relevant regulations, test characteristics of medical apparatus and instruments and duties associated with clinical trials, and to ensure that a sufficient number and in accordance with the inclusion criteria of a clinical trial program by participants in clinical trials, to ensure that the trial period as stipulated in the agreement of enough time and in accordance with the relevant provisions of the safe implementation and completion of clinical trials.

Sixty-fifth researchers should ensure that the trial use of medical devices only for the clinical trial of subjects, and shall not charge any fees.

Article 66 researchers should strictly follow the clinical trial protocol, without the consent of the sponsor and the ethics committee, or not in accordance with the provisions approved by the State Food and drug administration, shall not deviate from the plan or substantive changes in the program. But in the subjects face direct risk to immediately eliminate the emergency can also be afterwards report in written form. Article 67 the researchers responsible for recruiting subjects, and subjects or their guardians conversation. Researchers have the responsibility to the subjects that test medical devices and clinical trials related details, informed subjects may benefit and known, foreseeable risks and obtain subjects or their guardians signed and dated informed consent.

Sixty-eighth researchers or other people who participated in the test should not be forced or induced by other unfair means to participate in the trial.

Article 69 researchers in clinical trials found that test medical devices expected adverse events should be and bid together on informed consent related content to modify, in accordance with the procedures ethics review committee agreed, by the affected subjects or their guardians to modify after informed consent was re signed.

Article 70 researchers responsible for make and clinical trials related to medical decision, in the clinical trial related adverse events occurred, the clinical trial institutions and researchers should guarantee to provide enough, timely treatment and processing subjects. When subjects appear concurrent disease in need of treatment and treatment, researchers should timely inform the subjects.

Article 71 in clinical trials appear serious adverse events, researchers should take appropriate treatment measures on the subjects immediately,

also submit a written report to the medical devices in clinical trial institution of clinical trial management department, and after the written notice to the applicant. Medical appliance and clinical trial management departments should be in within 24 hours of a written report to the corresponding ethics committee, and clinical trial institution of the province where the, autonomous regions, municipal food and drug supervision and management departments and health meter health departments. To death and clinical trial institutions and researchers should when to the ethics committee and the applicant to provide all the information needed.

Article 72 researchers should record of all adverse events occurring in the process of clinical trials and found the device defects, and bid with the common analysis cause of the incident, to form a written analysis reports, put forward to continue, suspension or termination of the trial, the clinical trial institution of medical device clinical trial management department, be submitted to the ethical review committee. Article 73 researchers should ensure that the clinical trial data will exact, complete, clear, timely loading case report form. Case report table name by the signature of the researchers, any data change shall by researchers and signed and dated, while retaining the original records, the original records should be clearly identifiable.

Seventy-fourth clinical trials and researchers should ensure that the data, documentation and records of clinical trials are true, accurate, clear, and secure.

Article 75 clinical trials and research should accept the sponsor of the monitoring, verification and the ethics committee of supervision and provide required related to test all the records. Food and drug supervision and management departments, health and family supervisor Department inspectors to carry out inspection and clinical trial institutions and researchers should be fit.

Article 76 clinical trial institutions and researchers found that risk than may benefit, or have been drawn to determine test medical devices safety and validity of the results, need to suspend or terminate clinical trials shall be notified by subjects, and secure the appropriate treatment and follow-up of subjects, and in accordance with the provisions of the report and provide detailed written explanation. When necessary, report to the local province, autonomous regions, municipal food and drug supervision and administration department. Researchers received a bid or ethics committee to pause and notice of termination of clinical trials shall promptly notify the subjects, and secure the appropriate treatment and follow-up of subjects.

Article 77 clinical trial institutions and researchers for sponsor violation of relevant provisions or request to change the test data, the conclusion should be to bid for the seat of the provincial, autonomous

regions and municipalities food and drug supervision and administration department or the State Food and drug administration report.

Article 78 at the end of the clinical trial, the researchers should ensure the completion of the record report. At the same time, researchers should also ensure that the received test medical devices and the, abandoned or return the number of consistent to ensure that the remaining test medical devices properly good treatment and record keeping.

Article 79 researchers can according to the need of clinical trials, authorization relevant personnel of the subjects were recruited, and sustained communication, clinical trial data record test with medical equipment management. Researchers should authorize the staff for training and the formation of the corresponding file.

The eighth chapter records and reports

Medical records of medical test in Article 80 clinical trials, researchers should ensure that any observation and findings are correct and complete to be recorded, and carefully fill in the case report form. Records shall at least include: (a) the use of medical equipment information, including name, models, specifications, receiving date, batch number or serial number, etc.; (II) each subjects related to the history and the progress of the disease and other medical records, nursing records; (III) for each subject using test equipment, including each use the date, time, test equipment, etc.; (IV) records the signature and date.

Article 81 clinical trial records as raw materials, shall not be arbitrarily changed. Where it is really necessary to make the change shall explain the reasons, signed and dated. To deviate significantly from the clinical trials protocol or beyond the range of acceptable clinical data should be verified, by researchers as a necessary explanation.

Article 82 the sponsor shall be accurate and complete records and clinical trial related information, including: (a) test medical devices shipping and handling records, includes the name, models, specifications, batch number or serial number, the recipient's name, address, the delivery date, returned to the maintenance or after the clinical trial of medical devices sample recovery and disposal date causes and treatment methods; (II) and clinical trial institution signed the agreement; (III) audit reports, verification report; and (IV) serious adverse events and may lead to serious adverse events of equipment defect records and reports. Article 83 researchers should be in accordance with the requirements of the clinical trials protocol design, verification or validation test with safety and effectiveness of medical equipment and complete clinical trials report. The multi center clinical trial reported in clinical trials should contains the center of the sub clinical trials of small nodes. Article 84 for multi center clinical trial, the summary of the center of the sub clinical trials should include at least the general situation of

clinical trials, clinical data test with medical devices and control information of medical equipment is used to describe, safety and efficacy data sets, adverse events and treatment, regimen deviated from the account of the circumstances and attached case report form.

Eighty-fifth clinical trials report should be consistent, and the clinical trial program include: (a) general information; (two) abstract; (three) introduction; (four) clinical trial; (five) clinical trial methods; (six) clinical trial; (seven) clinical data; (eight) test medical equipment and medical equipment control or control treatment; (nine) statistical analysis methods and evaluation methods; (ten) clinical evaluation criteria; (eleven) clinical trial organization; (twelve) ethical situation; (thirteen) clinical trial results; (fourteen) adverse events found in clinical trials and its treatment; (fifteen) analysis, the results of clinical trials are discussed, especially the indications, contraindications and precautions scope. Items; (sixteen) clinical trial conclusions; (seventeen) the problems and suggestions for improvement; (eighteen) the list of test personnel; (nineteen) the other needs to be explained.

Article 86 clinical test report shall be signed by the researchers, dated, the clinical trial institution of medical device clinical trials management audit opinions issued, dated and stamped with the seal of the institution of clinical trial after the sponsor. Multi center clinical trials, various heart clinical summary of the experiment should be by researchers in the center signed and dated, through the center of the medical device clinical trials management audit, indicating date and shall be affixed with the seal of the institution of clinical trial after the lead unit.

In the ninth chapter, the management of medical equipment

Eighty-seventh applicants should refer to the provisions of the State Food and Drug Administration on medical device specifications and label management, the test of medical equipment for appropriate labeling, and marked the "test".

Article 88 test records of medical apparatus and instruments including the production date, product batch number, serial number and other records related to production, quality and stability of products and related inspection records, transportation, maintenance, delivery of the institution of clinical trial records, and after the test back with the date of disposal and other aspects of information collection.

Article 89 the test with the use of medical devices by clinical trial institutions and researchers responsible for, the researchers should ensure all test for medical use only for the clinical trial subjects. During the test in accordance with the requirements of storage and custody trials with a medical instrument, in clinical test in accordance with the relevant provisions of the state and the sponsor agreement to test for

medical equipment for processing. The process required by the person responsible for the record and. Researchers not to test medical devices to transmit any not participating in the clinical trial.

The tenth chapter basic document management

Article 90 institution of clinical trial, the researchers, the sponsor shall establish the basic file system. The basic documents of clinical trials according to the clinical trial stage divided into three parts: document preparation stage, to document and termination or after the completion of the file.

Article ninety-first clinical trial institutions shall keep clinical trials data to 10 years after the end of the clinical trial. The applicant shall keep the clinical trial data to be used without the use of the medical device.

Article 92 clinical test basic file can be used to assess the applicant and execution of clinical study institutions and researchers to the relevant requirements of this specification and food and drug supervision and management departments, food and drug supervision and management departments can check on the basic documents of clinical trials.

The eleventh chapter

Ninety-third of the following terms used in this specification: the meaning of clinical trials of medical institutions, refers to the State Food and Drug Administration in conjunction with the national health and family planning commission that bear the medical device clinical trials of medical institutions. If no special instructions, the specification of "clinical trial institution" refers to "the medical institution of clinical trial" for testing of medical devices, refers to the clinical trials on its safety, confirmation or medical intends to apply for registration verification of the effectiveness of the sponsor, refers to the clinical trials initiated, management and provide financial support to institutions or organizations. The researchers, is responsible for the implementation of clinical trials in clinical trials in person. If in clinical trial institution is composed of a group of personnel to carry out the test, then the researchers refer to the person in charge of the group, also known as the main The researchers. The ethics committee refers to the review of the clinical trial setting mechanism of clinical trial project medical science and ethics of independent institutions. Medical clinical trial management department, is responsible for the clinical medical settings clinical trial institution test management and quality control departments or offices. The center of clinical trials, is in accordance with the same clinical trial program, in more than three (including three) clinical trial implementation of clinical trial institution. The subjects were enrolled, refers to the medical device clinical trials. Informed consent is the subjects to inform clinical trials, by the subjects voluntarily participate in the confirmation

process of the trial, should be dated and signed informed consent documents. As informed consent, refers to the subjects Said that documents voluntarily participate in clinical trials. Audit refers to the sponsor for clinical trials to ensure development can follow the clinical test plan, standard operating procedures, requirements of this specification and applicable management, send specialized personnel of institution of clinical trial, researchers evaluated investigation, verification and recording and reporting activities the clinical test data. The arbitrator, refers to the specialized personnel of the sponsor selected clinical trial program of medical audit. Verification refers to the system of independent inspection by the applicant organization of clinical trial related activities and documents, to determine the type of execution, data recording, analysis and report whether it meets the clinical test plan, standard operating procedures, requirements of this specification and applicable management. Inspectors, refers to the sponsor of the Medical Commission Device clinical trial project verification personnel. Inspection refers to the supervision department of the relevant documents, to the clinical trial facilities, records and other aspects of the supervision and management activities. The inspector, refers to the supervision department appointed to inspect the clinical trial project of medical personnel. Deviation refers to intentionally or unintentionally, did not follow the requirements the clinical trial protocol. Case report form, refers to the clinical trial scheme specified in the design documents, all the information and data obtained for each record in the process of test subjects. The end is used for assessment of clinical trial hypothesis index. The data source, refers to the clinical clinical trials found that the original record of observation and other activities as well as its information by all certified copies of the test can be used for clinical reconstruction and evaluation. The source file, Refers to the printed document contains the source data, video files or electronic documents. Adverse events, refers to the adverse medical events occur in the course of clinical trials, regardless of whether the test and medical instruments. Serious adverse events, refers to cause death or serious deterioration of the health status of clinical trials, including fatal the illness or injury, permanent defect body structure or body function, requiring hospitalization or prolonged hospitalization, the need for medical or surgical intervention to avoid the structure of the body or body function caused permanent defects; cause of fetal distress, fetal death or congenital abnormalities, congenital defect. Event refers to the equipment defects. Clinical trials of medical devices exist unreasonable risks that may endanger human health and life safety under the condition of normal use, such as Label error and quality problems, fault and so on. Standard operating procedures, is refers to the clinical trials in each work of the proposed standards and detailed

written procedures to effectively implement and complete. Clinical data is obtained in the clinical use of relevant documents or medical device safety performance information.

Ninety-fourth medical device clinical trials of ethical review of the application for examination and approval form template by the State Food and drug administration shall be formulated separately.

Ninety-fifth this specification does not apply to in accordance with the medical device management of in vitro diagnostic reagents.

Ninety-sixth this specification since June 1, 2016 the implementation of the.2004 January 17th release of the medical device clinical trials (the State Food and drug administration order No. fifth) was repealed simultaneously.

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1.4实验原理 十字板剪切试验的原理,即在钻孔某深度的软粘土中插入规定形状和尺寸的十字板头,施加扭转力矩,将土体剪切破坏,测定土体抵抗扭损的最大力矩,通过换算得到土体不排水抗剪强度u c 值(假定0≈?)。十字板头旋转过程中假定在土体产生一个高度为H (十字板头的高度)、直径为D (十字板头的直径)的圆柱状剪损面,并假定该剪损面的侧面和上、下底面上每一点土的抗剪强度都相等。在剪损过程中土体产生的最大抵抗力矩M 由圆柱侧表面的抵抗力矩1M 和圆柱上、下底面的抵抗力矩2M 两部分组成,即21M M M +=。其中: 2 1D DH c M u ? =π3 226 1 232412D c D D c M u u ππ=???=)3 (2161223H D D c D c D DH c M u u u +=+? =πππ

式中 —十字板抗剪强度;—u c —十字板头直径;—D —十字板头高度。—H 对于普通十字板仪,上式中的M 值应等于试验测得的总力矩减去轴杆与土体间的摩擦力矩和仪器机械摩阻力矩,即 R f p M f )(-= 式中 剪损土体的总作用力;——f p —施力转盘半径。—R 代入得: 上式右端第一个因子,对一定规格(D 和H 均为十字板几何尺寸)的十字板仪为一常数,称为十字板常数k 即 )(H D D M c u += 3 22π杆脱离进行测定; 与轴 试验时通过使十字板仪力和仪器机械阻力,在—轴杆与土体间的摩擦—f ) ()3 (22f p H D D R c f u -+= π) 3 (22H D D R k += π

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