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Evidence gap analysis

Strategic analysis of the sufficiency of evidence to obtain reimbursement and HTA approval in Europe and recommendations about evidence generation

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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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Possibility of reprocessing and further reuse of single-use medical devices approved in Denmark

On January 1, 2025, an amended Executive Order on Medical Devices entered into force, which makes it possible to send single-use medical devices for reprocessing and further reuse. At the same time, it ensures that the reprocessed devices are safe and effective to use on an equal footing with the original CE-marked devices:

  • The climate and health agenda is generally receiving increasing attention – including how medical devices can help reduce the impact of climate change. In addition, there is concern about the supply of medical devices in the European Union;
  • The amendment is based on Article 17(2) of the Medical Devices Regulation (MDR);
  • As a result of the amendment, the so-called reprocessor takes over all the manufacturer's obligations and responsibilities for the device. The reprocessor also CE-marks the device again and is responsible for its safety and performance;
  • Rules for in-house reprocessing have not yet been established.

Previously, in August 2023, the Ministry of Interior and Health set up a working group to help establish national rules for the reprocessing and further reuse of single-use devices. The Danish Medicines Agency acted as coordinator for the working group, which made its recommendations in May 2024. A monitoring group consisting of relevant external stakeholders has also been established in parallel with the working group. The working group recommended allowing Article 17(2) of the Medical Devices Regulation (MDR) via an amendment of the Executive Order on Medical Devices. The Danish Medicines Agency (Lægemiddelstyrelsen) can be contacted in case of any questions via email.

See the full details in Danish here and here.

This news is just one of about 300 market access news collected by our team in the premium subscription service Market Access Monitor every week from more than 80 organizations. Access our paid service to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). Access is organized as an online Database and email alert formats. Contact us to get a free, three-month, no-obligation trial.