Directorate General

POST authorisation

competent for all activities following approval of the first marketing authorisation for a medicine or health product

Marketing Authorisation Division (variations and renewals)

Applications for variations and renewals of marketing authorisations

6308
files submitted
6196
files concluded

Closed marketing authorisations for parallel import

Contact centre

1565
questions answered

Trend

In 2022, we observed that the statutory deadline for concluding IA/IB variations of mutual recognition procedures, with or without a minor impact on the official documents, once again could not be met as effectively. This year once again and in total, fewer case files concerning variations and renewals of marketing authorisations for medicinal products for human use have been concluded than were received. The contact centre answered fewer questions in 2022 than in 2021.

Vigilance Division

12991
notifications received
4895
vigilance dossiers received

Medicinal products for human use

12664
notifications received
95
updated safety reports received

Notifications of adverse reactions for medicinal products
for human use

Trend

The number of reports of adverse events involving medicinal products for human use is lower than in 2021. In that year, we observed the effect of the national vaccination campaign to combat COVID-19. The number of reports is still greater than in 2020 (before the COVID-19 crisis).

Medicines for veterinary use

327
notifications received
18
signals received on a national level

Notification of adverse reactions for medicinal products
for veterinary use

New

In 2022, Belgium participated in a European working group on the signal management process and the following up of signals in accordance with Regulation (EU) 2019/6 on veterinary medicinal products.

In the context of pharmacovigilance applied to veterinary medicinal products, the signal management process has become “the gold standard” with regard to the following up of the benefits-risks evaluation. The signal management process can actually lead to a recommendation that certain measures be taken.

Medical devices

4782
case files received

Notifications for medical devices

Trend

The number of reports of serious incidents increased in 2022 by 10 % compared to 2021. This confirms the rising trend observed in preceding years.

Human Body Material Unit

Haemovigilance (blood and labile blood components)

1570
reports of incidents and serious adverse events received
11
reports via the rapid alert system

Biovigilance (cells and tissues)

280
reports of incidents and serious adverse events received
23
reports via the rapid alert system

Trend

In 2022, we observed a slight decrease in the number of reports of serious adverse events and of incidents involving cells and tissues.

Trend

The number of reports of incidents and serious adverse events involving blood and labile blood components is increasing. In 2022, the FAMHP received the highest number of reports since the reporting system began in 2006.

Health Products Division

Medical Devices

662
new actors

(manufacturers, legal representatives, distributors, importers) were registered via the online registration system

1928
free sale certificates of medical devices
527
free sale certificates of in vitro diagnostic medical devices
768
applications for marketing authorisations for class I medical devices received
5744
applications for marketing authorisations for class I in-vitro diagnostic medical devices received
384
registrations of FAMHP-approved actors in EUDAMED
391325
reports of the implantation and explantation of medical devices in the central tracing register (CTR)

Implants and invasive medical devices notified to the FAMHP

New

Since 2022, we have observed a significant increase in the number of case files being submitted to the new internal advisory body known as the “advisory board”, which has replaced the former Evaluation Committee for Medical Aids.

The advisory body handles various types of case files, such as applications for derogation from the CE marking; decisions regarding the status, classification and validation of clinical studies; the need to conduct a product recall. Various divisions of the FAMHP work together on the advisory body.

In 2022, a total of 26 meetings took place, during which various case files were handled.

  • 7 approvals of derogations in accordance with Article 59 of Regulation (EU) 2017/745 (medical devices, the CE marking of which has lapsed and that need to be kept on the market in the interests of public health)
  • 2 refusals of derogations in accordance with Article 59
  • 5 approvals in accordance with Article 97 (special cases in which the certification process is suffering from a delay, mostly due to a delay within the body applied to, and to enable the marketing of a medical device to continue, subject to specific conditions, after the CE certificate has expired)
  • 5 refusals of derogations in accordance with Article 59

Proper Use Division

Information about medicinal products and medical devices

741
questions from citizens answered

Database

1216
new authorisations for medicinal products in Belgium (in the Medicinal Product Management database)
1109
concerning medicinal products for human use
107
concerning medicinal products for veterinary use
1206
amendments to centrally authorised medicinal products (in the Medicinal Product Management database)

Availability of medicinal products for human use

Notifications on the unavailability of medicinal products for human use

Impact of new temporary unavailability

433
questions from citizens answered
7
meetings of the task force in cases of critical unavailability

Availability of medicinal products for veterinary use

Notifications on the unavailability of medicinal products for veterinary use

Additional risk minimisation activities

70
dossiers for risk-limiting activities approved

Advertising of medicinal products for human use directed at the general public

667
new notifications of advertising handled
106
renewals of notifications of advertising handled
34
new approvals for radio or television advertising issued
17
renewals of approvals for radio or television advertising issued
2
new approvals for an information campaign on radio or television issued

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