Pacific Bridge Medical
Publications/Japan

Updates on Japan's Expanding Medical Device Market
$400
Presented in Pacific Bridge Medical's Webcasts
February 2008
By Pacific Bridge Medical

As the second largest medical market in the world, Japan is constantly striving to improve its regulatory system to meet demand. New consultation sessions, plans to increase staff and reviewers, and goals to enforce shorter review times are just some of the new changes Japan’s Pharmaceuticals and Medical Devices Agency is implementing. Learn more about Japan’s medical device regulatory environment and make sure you are prepared for the new year. This 90-minute session will include a 60-minute presentation, followed by 30 minutes of Q&A.


Japan Audit for Medical Device Registration
$400
Presented in Pacific Bridge Medical's Webcasts
October 2007
By Pacific Bridge Medical

Make sure you are prepared for your Japan medical device registration by fully understanding the QMS auditing process. Audits can either consist of a document review or an on-site inspection. This webcast CD will describe how to prepare for your audit and what the process entails. This 90-minute session will include a 60-minute presentation, followed by 30 minutes of Q&A.


Japan Audit and Accreditation for Foreign Medical Device Manufacturers
Published in MDDI
October 2007
By Ames Gross and John Minot

Japan’s long recession is over. After a frustrating period of starts, stops, and even reverses in economic growth (1990-2002), Japan’s GDP growth has stayed near or above 2% since 2003.

With its affluent and aging population, Japan is the second-largest medical market in the world. Over the past ten years, Japan has seen its elderly population rise sharply, with those over 65 years of age increasing from 10% of its total population to over 20%. With a declining overall population, a low birthrate, and a shrinking ratio of productive population to aging population, maintaining adequate healthcare has been a priority of the Japanese government. From 1997 to 2003, government spending on healthcare increased from 6.8% of GDP to approximately 8.0%. Japan remains a key market for medical devices, especially higher-end products, with its medical device market still towering over the rest of Asia’s at $25 billion.


Medical Device Reimbursement in Japan
Published by Regulatory Affairs Focus
January 2007
By Ames Gross and Momoko Hirose
The Japanese economy has rebounded over the last few years, after almost 15 years of stagnation. The unemployment rate hit an eight-year low of 4.0 percent in May 2006 and private consumption has risen at an annual rate of 1.2 percent since 2002 . Domestic sales growth has also grown by about 2 to 3 percent. Japan’s medical device market is no exception, being worth over $25 billion -- a considerable portion of the total Asian medical device market of approximately $36 billion. With its rising elderly population, demands for medical devices and healthcare continue to increase in the country.

Japan Audit and Accreditation for Foreign Device Manufacturers Webcast
$400
Presented in Pacific Bridge Medical Webcasts
November 2006
By Pacific Bridge Medical
This webcast provides an overview of Pharmaceuticals and Medical Devices Agency (PMDA) inspections of foreign device manufacturers and foreign device manufacturer accreditation system in Japan. Topics covered include who will be inspected, what items will be reviewed during audit, best ways to prepare for the audit, among others.

Medical Device Regulatory Update: China and Japan
Published in Medical Device & Diagnostic Industry
September/October 2006
By Ames Gross and Nancy Loh
The Asian economy has experienced tremendous GDP growth over the past decade, and is expected to continue at a healthy pace for the next several years. In particular, the medical device market has been growing quite rapidly. More and more companies are going to Asia to sell and manufacture their medical devices. In addition, Asian governments are developing new or more rigorous regulatory regimes to raise the quality of medical devices in their countries to international standards. This article highlights some of the recent regulatory developments for medical devices in China and Japan.

Japan Device Reimbursement Webcast
$400
Presented in Pacific Bridge Medical Webcast
June 2006
By Pacific Bridge Medical

This webcast provides an overview of the medical device reimbursement and pricing systems in Japan. Topics covered in the webcast include the reimbursement categories for medical devices, recent revisions of the reimbursement system, how to fill out the key documents, new trends in the reimbursement system, among others.

New Japanese Medical Device Regulations After April 2005 Through January 2006
$750
Published by Pacific Bridge Medical January 2006
 
 

This report provides a detailed overview of Japan’s most recent medical device regulations post April 1, 2005. All new regulatory material cover s issues from April 2005 through January 2006. This report outlines more details on the regulations beyond what was covered in the January 26, 2006 webcast. Specific topics include the new requirements for master file registration, new requirements for applying for a foreign manufacturer certificate, new requirements for GCP compliance review, new post-marketing safety measures, new labeling requirements, and new adverse event reporting requirements, among others.


New Japanese Medical Device Regulations Webcast
$400
Presented in Pacific Bridge Medical Webcast
January 2006
By Pacific Bridge Medical

This webcast provides an overview of Japan ’s most recent medical device regulations post April 1, 2005.  Topics covered in the webcast include the new requirements for master file registration, new requirements for applying for a foreign manufacturer certificate, new requirements for GCP compliance review, new GVP requirements, among others.


The New Market Authorization Holder (MAH) System for Medical Devices in Japan
Published by AdvaMed
June 2005
By Ames Gross and Rachel Weintraub

Japanese healthcare standards are among the highest in the world and the Japanese spend close to $300 billion per year on healthcare. Even though this number is far less than the $1.8 trillion spent by the United States every year, Japan’s demand for better and safer healthcare is rising as the country’s elderly population continues to increase. Subsequently, the Ministry of Health, Labor and Welfare (MHLW) has become more aware of the need to improve the country’s regulatory and safety environment for medical devices.


Japan's New Regulatory Environment for Medical Devices
Presented by Ames Gross
June 2005

This presentation will provide an overview of the changing regulatory environment for medical devices in Japan .  Information outlined in the presentation includes the changes in Japan ’s medical device registration process following the implementation of the new Pharmaceutical Affairs Law in April 2005, and the new Market Authorization Holder system.


How to Do Business in Japan
Published by Pacific Bridge Medical
April 2005
By Ames Gross
U.S. companies need to carefully consider their regulatory and business strategies in order to be successful in the Japanese medical device market. This presentation outlines strategies on conducting a distributor search, setting up an office in Japan, and also provides an overview of the Japanese medical device market. Information is provided on locating and signing up a distributor, including how to establish a good relationship with a distributor and how to handle distributor problems. Various types of Japanese business structures and their basic requirements are described, such as a representative office, branch office, subsidiary and joint venture. In addition, this presentation outlines Japan’s medical device regulatory environment, including the Ministry of Health, Labor and Welfare (MHLW), Pharmaceutical and Medical Device Agency (PMDA), New Pharmaceutical Affairs Law (PAL), and new Market Authorization Holder (MAH).

How to Get the Right Regulatory Assistance in Japan
Published in Regulatory Affairs Focus, a publication of the Regulatory Affairs Professionals Society (RAPS)
March 2004
By Ames Gross and Caroline Tran
Japan’s complex medical marketplace has been significantly deregulated in the past several years. The government has also taken some measures to be more open to foreign businesses, thus allowing more foreign companies to enter Japan’s medical market. Several business and regulatory strategies need to be considered so foreign companies can be successful in Japan’s marketplace. This article discusses how foreign businesses can find the right consultants, In Country Caretakers (ICCs) and Contract Research Organizations (CROs) to keeps costs and time to a minimum. As of April 2005, the Pharmaceutical Affairs Law (PAL) will require foreign manufacturers to seek one representative to perform regulatory functions, product registration, testing, and sales and marketing.

Recent Revisions in Japan's Pharmaceutical Affairs Law for Medical Devices
Published in Regulatory Affairs Focus, a publication of the Regulatory Affairs Professionals Society (RAPS) September 2003
By Ames Gross and Caroline Tran
The Asian medical market is facing rapid changes as modernization greatly enhances the development of new and improved medical devices. Japan’s recently revised Pharmaceutical Affairs Law (PAL) has maintained its basic purpose since 1948: to guarantee safety, efficiency and quality of medical products in the Japanese market. However, Japanese PAL revisions will also take into consideration the rapidly changing medical products of the 21st century and will bring Japan’s medical market up to speed with international standards. The Ministry of Health, Labor and Welfare (MHLW) is reorganizing its main authoritative bodies in order to assist the government’s reform efforts. This article examines the additional steps that the MHLW is taking to modify medical device standards.

Global Perspective: The Regulatory Environment for Medical Devices in Japan
Published in Regulatory Affairs Focus, a publication of the Regulatory Affairs Professionals Society (RAPS)
May 2002
By Ames Gross and Shawna Lepage
Foreign companies looking to penetrate medical device markets in Asia need to pay close attention to the regulatory environment in order to handle the difficulties that await them. Japan’s medical device market is the second largest market in the world, worth almost US$23 billion. The Japanese government, through the Ministry of Health, Labour, and Welfare (MHLW), is making an effort to liberalize the medical device market and revise its guidelines to improve healthcare for its citizens and keep healthcare expenditure to a minimum. Previously, clinical trials in Japan were conducted under the Good Clinical Practice Standards (GCP) and followed by the Post Marketing Assessment (PMA) reporting. Recently, the U.S. and Japan signed the Market-Oriented, Sector-Selective (MOSS) agreement, which will allow foreign firms to use foreign clinical testing data, saving them a great deal of time and money. Clinical trials are just one of the issues being tackled. This article examines the many steps that the Japanese government is taking to expand its medical device market.

Direct Registration of Medical Products in Japan: A Case Study
Published by Pacific Bridge Medical
October 2001
By Ames Gross
This case study examines the issue of registering medical device products in Japan. The two main components, Company X and Importer Y, are used to demonstrate how a U.S. manufacturer can have direct registration of their medical device products, which allows the manufacturer to have control over its business in Japan, rather than the distributor. Additionally, direct registration allows Company X to appoint multiple distributors, unlike indirect registration.

Opportunities in Japan’s Medical Device Market
Published by Pacific Bridge Medical
August 2001
By Ames Gross
As Asian countries continue to deal with growing elderly populations and the proliferation of heart disease and cancer as leading causes of death, healthcare systems are being revised and new medical device imports are in high demand. Despite Japan’s strict regulatory regime for medical devices, the Ministry of Health, Labor, and Welfare (MHLW), has been making efforts to deregulate Japan’s medical market. These efforts will accommodate the demand for modern medical devices, including advanced cardiology products, MRI equipment, CT equipment and home healthcare service products. This article talks about Japan’s medical device market, focusing on the regulatory environment and deregulation process. It also discusses advertising and promotion, and market entry strategies, with examples of foreign medical companies’ strategy success stories in Japan.

2000 Update on Japan's Medical Device Market
Published by Pacific Bridge Medical
2000
By Ames Gross
This article is a review of Japan’s transforming medical device market. Topics include Japan’s medical community, the economy, deregulation issues, pricing and reimbursement, the eldercare market, market entry strategies, and distribution strategies. Figures and statistics are included as guides for each topic. Moreover, accounts of U.S. medical device companies, such as ArthroCare Corporation, Palomar Medical Technologies Inc., and AngioDynamics Inc., and their strategies with Japanese distributors are also included.

Japan 2000 Pharmaceutical Change: New Good Clinical Practice (GCP) Requirements
Published by Pacific Bridge Medical
July 2000
By Ames Gross
Clinical trials are essential in monitoring the safety and quality of all pharmaceuticals. Japan’s Ministry of Health and Welfare (MHW) and the drug organization (KIKO) are working with the Pharmaceutical and Medical Device Evaluation Center in Japan to guarantee that safety standards, protocol, raw data checks, and consultations with companies are all followed through under the new Good Clinical Practice (GCP) guidelines. The previous Good Clinical Practice standards were vague on the responsibilities of the sponsor, chief investigator, Institutional Review Board (IRB), medical institutions and patients. This article discusses the details of the new GCP requirements and future reforms by the MHW regarding pharmaceuticals.

Japan Medical Device Market 2000
Published by Pacific Bridge Medical
2000
By Ames Gross
Japan’s medical device market is worth about $23.4 billion and is the second largest in the world, after the U.S. This article goes over some of the key factors in Japan’s medical device market, including product registration, reimbursement approval and market entry strategies. Foreign device companies should pay particular attention to information regarding distributors, joint ventures, direct marketing, manufacturing in Japan, and the setting up of offices. These factors are essential for understanding how to successfully enter the Japanese medical device market.

Japan: 1999 Year-End Medical Device Update
Published in BioPharm
December 1999
By Ames Gross
Despite the difficulties foreign companies sometimes face when entering the Japanese medical device market, strong demand for more technologically advanced products and sophisticated medical treatment has opened up the market more to manufacturers who can meet this demand. The Japanese government is making an effort to keep rising costs for patients down, as a person can pay up to $2,200 for one year’s worth of medical treatment. The government is also aiming to find foreign companies capable of supplying cost-effective advanced medical technology, thus giving foreign medical companies plenty of opportunity to enter the market. However, there are a few issues that hamper entry into the market, including regulatory approval delays and complications. This articles discusses the key issues in Japan’s medical device market and the government’s reform efforts to address foreign companies’ concerns.

Entering the Japanese Medical Device Market
Published in Medical Device Executive Portfolio
September 1999
By Ames Gross
Japan’s recent economic recession has not slowed the great demand for technologically innovative products that are flooding the Western medical markets. The country’s aging population and the government’s efforts at deregulating the distribution process are some of the main factors pushing Japan’s medical device market to new levels. Subsequently, Western companies have numerous opportunities to take advantage of the Japanese market demands, and may utilize several different methods when penetrating the medical market. Some of these methods include marketing through a distributor, marketing through a joint venture, going through another foreign company, and using direct marketing. Foreign companies may also find success within the market by manufacturing in Japan, as well as setting up representative offices to promote the company. This article highlights some of the main factors that are increasing demand within the Japanese medical market, deregulation efforts, and market entry strategies.

Japan Pharmaceutical Update
Published by Pacific Bridge Medical
September 1999
By Ames Gross
Recent deregulation reforms within the Japanese pharmaceutical market have been applauded by international pharmaceutical companies and associations alike. Major reform efforts include: withdrawal of the reference pricing system, speeding up the approval process for new drugs, more acceptance of foreign clinical data, increased deregulation of the healthcare sector, and restructuring of the Japanese healthcare system. In addition, the Ministry of Health and Welfare (MHW) is making an attempt to educate physicians, dentists and various other medical personnel through the internet with vital information about new drugs and their effects. This article explains the detailed deregulation efforts made by the government and the effects on the Japanese pharmaceutical market.

Japan Medical Regulatory Update
Published by Pacific Bridge Medical
May 1999
By Ames Gross
This article contains a series of news briefs and updates with regard to Japan’s medical device and pharmaceutical markets. Topics include: hospital roles in billing, reimbursing, and controlling medical equipment; pharmaceutical deregulation; liberalized procurement policy for medical products; and drug pricing policy.

All Medical Devices in Japan - 1999 Update on Japan's Medical Device Market.
Published by Pacific Bridge Medical
1999
By Ames Gross and Gayatri B. Koolwa
The Japanese medical market is on the rebound and is expected to grow to 6% annually over the next several years. With 20% of the population over the age of 65 and a growing number of diseases like cancer and heart disease being diagnosed, advanced medical technology from the West is in great demand. This article covers deregulation issues, revision of the National Health Insurance (NHI) system, Japan’s home care market, nursing care for the elderly, pricing and reimbursement, and market entry strategies. As Japan’s government makes changes to its medical market regulations, foreign medical device companies will have growing prospects in the market.

Regulatory Changes in Japan's Pharmaceutical Industry
Published by Pacific Bridge Medical
November 1998
By Ames Gross
 

New Trends in Japan's Medical Device Market
Published in FT Healthcare, a division of Financial Times Professional Limited.
August 1998
By Ames Gross
 

Japan's Medical Device Industry: A Growing Market for Foreign Companies
Published by Pacific Bridge Medical
June 1998
By Ames Gross and Gayatri B. Koolwal
 

Reorganization of the Japanese Pharmaceutical Industry
Published by Pacific Bridge Medical
April 1998
By Ames Gross
 

Patient Disclosure Rights in Japan's Healthcare System
Published by Pacific Bridge Medical
March 1998
By Ames Gross and Gayatri B. Koolwal
 

Japanese Patent Law: An Introduction for Medical Companies
Published by Pacific Bridge Medical
January 1998
By Ames Gross
 

Japan’s Contact Lens Industry: Antitrust Issues and the Role of the JFTC
Published by Pacific Bridge Medical
August 1997
By Ames Gross
 

Direct Product Registration in Japan: The ICC System
Published in Compliance Engineering
May/June 1997
By Ames Gross
 

Keeping Up with Changes in the Japanese Medical Device Market
Published in Medical Device & Diagnostic Industry
May 1997
By Ames Gross
 

Entering the Japanese Market: Huge Opportunities, Complex Regulations
Published in RA Focus, a publication of the Regulatory Affairs Professionals Society (RAPS)
April 1997
By Ames Gross
 

Registering Medical Products in Japan
Published in FDLI Update, a publication of The Food and Drug Law Institute
January/February 1997
By Ames Gross
 

The In Country Caretaker System in Japan
Published by Pacific Bridge Medical
January 1997
By Ames Gross and Daniel Guthrie
 

Marketing and Distributing Medical Products in Japan
Published in Medical Device & Diagnostic Industry October 1996
By Ames Gross and Elaine Conavay
 

U.S.-Japan Trade Talks Produce Medical Technology Arrangement
Published in Medical Device & Diagnostic Industry September 1995
By Ames Gross
 

Changing Regulatory Environment in Japan's Medical Device Industry Opens New Opportunities for American Companies
Published in Medical Device & Diagnostic Industry January 1995
By Ames Gross and Tricia Hwang
 

 

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