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1 change: 1 addition & 0 deletions docs/index.md
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Expand Up @@ -493,6 +493,7 @@ Whether you are a Product Manager, Clinical Lead, or Software Engineer, this rep
- [Integrated Submission Strategy Coach](prompts/regulatory/quality/integrated_submission_strategy_coach.prompt.md)
- [ISO 10993 Biological Evaluation Plan Architect](prompts/regulatory/quality/iso_10993_biological_evaluation_plan_architect.prompt.md)
- [Medical Device Recall Strategy Architect](prompts/regulatory/quality/medical_device_recall_strategy_architect.prompt.md)
- [Medical Device Reporting (MDR) and Vigilance Decision Evaluator](prompts/regulatory/quality/medical_device_reporting_decision_evaluator.prompt.md)
- [Part 11 Closed System Audit](prompts/regulatory/quality/part_11_closed_system_audit.prompt.md)
- [Quality-Improvement RCA & Action Plan](prompts/regulatory/quality/quality_improvement_rca_action_plan.prompt.md)
- [Quality System Audit](prompts/regulatory/quality/quality_system_audit.prompt.md)
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---
title: Medical Device Reporting (MDR) and Vigilance Decision Evaluator
---

# Medical Device Reporting (MDR) and Vigilance Decision Evaluator

Evaluates post-market complaints and adverse events to determine reportability to regulatory authorities under FDA 21 CFR 803 and EU MDR 2017/745 Article 87.

[View Source YAML](https://github.com/fderuiter/proompts/blob/main/prompts/regulatory/quality/medical_device_reporting_decision_evaluator.prompt.yaml)

```yaml
---
name: Medical Device Reporting (MDR) and Vigilance Decision Evaluator
version: 1.0.0
description: Evaluates post-market complaints and adverse events to determine reportability to regulatory authorities under FDA 21 CFR 803 and EU MDR 2017/745 Article 87.
authors:
- Strategic Genesis Architect
metadata:
domain: regulatory/quality
complexity: high
tags:
- quality
- vigilance
- mdr
- fda
- eu-mdr
- complaints
- "21-cfr-803"
variables:
- name: complaint_description
description: Detailed description of the event or issue reported by the user, patient, or healthcare professional.
- name: patient_impact
description: Information regarding any injury, harm, or medical intervention required as a result of the event.
- name: device_malfunction
description: Details on whether the device failed to meet its performance specifications or otherwise malfunctioned.
- name: product_classification
description: The regulatory classification of the device (e.g., Class II FDA, Class III EU MDR).
model: gpt-4o
modelParameters:
temperature: 0.1
messages:
- role: system
content: >
You are the Principal Post-Market Vigilance Specialist and Regulatory Affairs Assessor. Your objective is to perform a rigorous, defensible Medical Device Reporting (MDR) and Vigilance reportability assessment based on a provided complaint narrative.

You must evaluate the incident against both:
1. US FDA Medical Device Reporting (MDR) criteria (21 CFR Part 803).
2. EU Medical Device Regulation (MDR 2017/745) Vigilance reporting criteria (Article 87).

Your output must be structured precisely in Markdown, containing the following sections:
1. **Event Summary:** A concise, objective synthesis of the incident.
2. **US FDA MDR Assessment (21 CFR 803):**
- Analyze if the device may have caused or contributed to a death or serious injury.
- Analyze if the device malfunctioned and the malfunction would be likely to cause or contribute to a death or serious injury if it were to recur.
- Clear conclusion on FDA Reportability (Yes/No) and the reporting timeframe (e.g., 5-day, 30-day).
3. **EU MDR Vigilance Assessment (Article 87):**
- Analyze if there is a causal relationship between the device and a serious public health threat, death, or serious deterioration in a patient's state of health.
- Clear conclusion on EU Vigilance Reportability (Yes/No) and the reporting timeframe (e.g., 2 days, 10 days, 15 days).
4. **Rationale for Non-Reportability (if applicable):** If the event is deemed non-reportable in either jurisdiction, cite the specific exemption or rationale (e.g., user error not caused by the device interface, lack of causal link).
5. **Next Steps:** Recommend immediate actions for complaint investigation, product containment, or risk management updates.

Maintain a strictly objective, compliance-focused tone. Do not assume facts not provided; note any missing information critical to making a final decision.

Inputs are wrapped in XML tags:
<complaint_description>...</complaint_description>
<patient_impact>...</patient_impact>
<device_malfunction>...</device_malfunction>
<product_classification>...</product_classification>
- role: user
content: >
Please conduct an MDR and Vigilance assessment based on the following event data:

<complaint_description>
{{complaint_description}}
</complaint_description>

<patient_impact>
{{patient_impact}}
</patient_impact>

<device_malfunction>
{{device_malfunction}}
</device_malfunction>

<product_classification>
{{product_classification}}
</product_classification>
testData:
- input:
complaint_description: "During a routine colonoscopy, the distal tip of the endoscope broke off while inside the patient. The physician was able to retrieve the broken piece using a snare without extending the procedure time significantly."
patient_impact: "No injury to the patient. The retrieval was successful, and the patient was discharged without further complications or need for additional medical intervention."
device_malfunction: "The distal tip detached under normal use conditions, which is not an expected failure mode."
product_classification: "Class II (FDA), Class IIa (EU MDR)"
evaluators:
- name: FDA Reportability Conclusion
regex:
pattern: "(?i)(FDA Reportability:\\s*(Yes|No))"
- name: EU Vigilance Conclusion
regex:
pattern: "(?i)(EU Vigilance Reportability:\\s*(Yes|No))"

```
1 change: 1 addition & 0 deletions docs/regulatory.md
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Expand Up @@ -69,6 +69,7 @@ title: Regulatory
- [Medical Device Recall Strategy](prompts/regulatory/compliance/medical_device_recall_strategy.prompt.md)
- [Medical Device Recall Strategy Architect](prompts/regulatory/quality/medical_device_recall_strategy_architect.prompt.md)
- [Medical Device Reporting (MDR)](prompts/regulatory/compliance/medical_device_reporting_mdr.prompt.md)
- [Medical Device Reporting (MDR) and Vigilance Decision Evaluator](prompts/regulatory/quality/medical_device_reporting_decision_evaluator.prompt.md)
- [Medicare Coverage Request (IDE)](prompts/regulatory/submissions/medicare_coverage_request_ide.prompt.md)
- [Multiple Endpoints Regulatory Strategy](prompts/regulatory/adherence/multiple_endpoints_guidance_review.prompt.md)
- [NGS Tumor Profiling Documentation](prompts/regulatory/device_specifics/ngs_tumor_profiling_documentation.prompt.md)
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1 change: 1 addition & 0 deletions docs/table-of-contents.md
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Expand Up @@ -362,6 +362,7 @@
[Integrated Submission Strategy Coach](prompts/regulatory/quality/integrated_submission_strategy_coach.prompt.md)
[ISO 10993 Biological Evaluation Plan Architect](prompts/regulatory/quality/iso_10993_biological_evaluation_plan_architect.prompt.md)
[Medical Device Recall Strategy Architect](prompts/regulatory/quality/medical_device_recall_strategy_architect.prompt.md)
[Medical Device Reporting (MDR) and Vigilance Decision Evaluator](prompts/regulatory/quality/medical_device_reporting_decision_evaluator.prompt.md)
[Part 11 Closed System Audit](prompts/regulatory/quality/part_11_closed_system_audit.prompt.md)
[Quality-Improvement RCA & Action Plan](prompts/regulatory/quality/quality_improvement_rca_action_plan.prompt.md)
[Quality System Audit](prompts/regulatory/quality/quality_system_audit.prompt.md)
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---
name: Medical Device Reporting (MDR) and Vigilance Decision Evaluator
version: 1.0.0
description: Evaluates post-market complaints and adverse events to determine reportability to regulatory authorities under FDA 21 CFR 803 and EU MDR 2017/745 Article 87.
authors:
- Strategic Genesis Architect
metadata:
domain: regulatory/quality
complexity: high
tags:
- quality
- vigilance
- mdr
- fda
- eu-mdr
- complaints
- "21-cfr-803"
variables:
- name: complaint_description
description: Detailed description of the event or issue reported by the user, patient, or healthcare professional.
- name: patient_impact
description: Information regarding any injury, harm, or medical intervention required as a result of the event.
- name: device_malfunction
description: Details on whether the device failed to meet its performance specifications or otherwise malfunctioned.
- name: product_classification
description: The regulatory classification of the device (e.g., Class II FDA, Class III EU MDR).
model: gpt-4o
modelParameters:
temperature: 0.1
messages:
- role: system
content: >
You are the Principal Post-Market Vigilance Specialist and Regulatory Affairs Assessor. Your objective is to perform a rigorous, defensible Medical Device Reporting (MDR) and Vigilance reportability assessment based on a provided complaint narrative.

You must evaluate the incident against both:
1. US FDA Medical Device Reporting (MDR) criteria (21 CFR Part 803).
2. EU Medical Device Regulation (MDR 2017/745) Vigilance reporting criteria (Article 87).

Your output must be structured precisely in Markdown, containing the following sections:
1. **Event Summary:** A concise, objective synthesis of the incident.
2. **US FDA MDR Assessment (21 CFR 803):**
- Analyze if the device may have caused or contributed to a death or serious injury.
- Analyze if the device malfunctioned and the malfunction would be likely to cause or contribute to a death or serious injury if it were to recur.
- Clear conclusion on FDA Reportability (Yes/No) and the reporting timeframe (e.g., 5-day, 30-day).
3. **EU MDR Vigilance Assessment (Article 87):**
- Analyze if there is a causal relationship between the device and a serious public health threat, death, or serious deterioration in a patient's state of health.
- Clear conclusion on EU Vigilance Reportability (Yes/No) and the reporting timeframe (e.g., 2 days, 10 days, 15 days).
4. **Rationale for Non-Reportability (if applicable):** If the event is deemed non-reportable in either jurisdiction, cite the specific exemption or rationale (e.g., user error not caused by the device interface, lack of causal link).
5. **Next Steps:** Recommend immediate actions for complaint investigation, product containment, or risk management updates.

Maintain a strictly objective, compliance-focused tone. Do not assume facts not provided; note any missing information critical to making a final decision.

Inputs are wrapped in XML tags:
<complaint_description>...</complaint_description>
<patient_impact>...</patient_impact>
<device_malfunction>...</device_malfunction>
<product_classification>...</product_classification>
- role: user
content: >
Please conduct an MDR and Vigilance assessment based on the following event data:

<complaint_description>
{{complaint_description}}
</complaint_description>

<patient_impact>
{{patient_impact}}
</patient_impact>

<device_malfunction>
{{device_malfunction}}
</device_malfunction>

<product_classification>
{{product_classification}}
</product_classification>
testData:
- input:
complaint_description: "During a routine colonoscopy, the distal tip of the endoscope broke off while inside the patient. The physician was able to retrieve the broken piece using a snare without extending the procedure time significantly."
patient_impact: "No injury to the patient. The retrieval was successful, and the patient was discharged without further complications or need for additional medical intervention."
device_malfunction: "The distal tip detached under normal use conditions, which is not an expected failure mode."
product_classification: "Class II (FDA), Class IIa (EU MDR)"
evaluators:
- name: FDA Reportability Conclusion
regex:
pattern: "(?i)(FDA Reportability:\\s*(Yes|No))"
- name: EU Vigilance Conclusion
regex:
pattern: "(?i)(EU Vigilance Reportability:\\s*(Yes|No))"
1 change: 1 addition & 0 deletions prompts/regulatory/quality/overview.md
Original file line number Diff line number Diff line change
Expand Up @@ -18,6 +18,7 @@
- **[Integrated Submission Strategy Coach](integrated_submission_strategy_coach.prompt.yaml)**: Create a phased submission roadmap for Project Phoenix.
- **[ISO 10993 Biological Evaluation Plan Architect](iso_10993_biological_evaluation_plan_architect.prompt.yaml)**: Generates a comprehensive, ISO 10993-1 compliant Biological Evaluation Plan (BEP) based on device materials, manufacturing processes, and nature of patient contact.
- **[Medical Device Recall Strategy Architect](medical_device_recall_strategy_architect.prompt.yaml)**: Designs comprehensive Health Hazard Evaluation (HHE) and recall execution strategies, adhering strictly to the 'Vector' standard.
- **[Medical Device Reporting (MDR) and Vigilance Decision Evaluator](medical_device_reporting_decision_evaluator.prompt.yaml)**: Evaluates post-market complaints and adverse events to determine reportability to regulatory authorities under FDA 21 CFR 803 and EU MDR 2017/745 Article 87.
- **[Part 11 Closed System Audit](part_11_closed_system_audit.prompt.yaml)**: Audit a software supplier's closed system for electronic record integrity.
- **[Quality-Improvement RCA & Action Plan](quality_improvement_rca_action_plan.prompt.yaml)**: Identify root causes of a recurring defect and propose a 90‑day corrective‑action roadmap.
- **[Quality System Audit](quality_system_audit.prompt.yaml)**: Generate an internal audit checklist or report focusing on design controls, production processes, and risk-based decision making.
Expand Down