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Table 1 Final criteria and scoring functions

From: A multicriteria decision analysis (MCDA) tool to purchase implantable medical devices in Egypt

Criterion

Scoring options

Score

Technical characteristics of the medical device (To assure fulfilling the technical specifications)

Fulfills 100% of the technical specifications required

100%

 

Fulfills 90– < 100% of the technical specifications required

80%

 

Fulfills 80– < 90% of the technical specifications required

60%

 

Fulfills 70– < 80% of the technical specifications required

10%

 

Fulfills < 70% of the technical specifications required

Exclusion

Country of origin

Reference countries* for both legal and actual manufacturer or local product

100%

 

Reference country* of the legal manufacturer or actual manufacturer

75%

 

Non reference countries for both

40%

Use in reference countries (To assure previous use in countries with good standards of quality)

CFG certificate from FDA

100%

 

Canadian free sale certificate + ((medical device active license + MDSAP certificate) or medical device establishment license)

80%

 

European CE certificate + free sale certificate from a reference country*

75%

 

European CE certificate only (for local products only)

50%

Supplier reliability (To assure the reliability of the supplier concerning quantities and delay)

Supplier fulfilled more than 90% of the committed requirements in the last 3 years

100%

 

Supplier fulfilled 70–90% of the committed requirements in the last 3 years

80%

 

Supplier fulfilled 50–70% of the committed requirements in the last 3 years

60%

 

Did not supply previously

50%

 

Supplier fulfilled < 50% of the committed requirements in the last 3 years

10%

Previous use of the product

Listed in the UPA platform

100%

 

Supplied to governmental or non-governmental organizations in the previous 2 years

70%

 

Was not supplied previously

45%

Instant replacement within product variety (To assure supplier flexibility)

Supplier provides instant replacement within product variety (During surgery on shelf stock)

100%

 

Supplier does not provide product replacement for different sizes/ types

15%

Pharmacovigilance system

  

(EDA will provide evidence for the efficiency of the pharmacovigilance system from 1 year as a maximum)

Supplier has an efficient pharmacovigilance system

100%

 

Supplier has a moderate quality pharmacovigilance system

70%

 

Supplier has a low-quality pharmacovigilance system

20%

 

No pharmacovigilance system

Exclusion

Refund/Replacement within product variety (To assure replacing unwanted or expired products)

The product was present in the stagnant report 1 time or less in the last year

100%

 

The product was present in the stagnant report 2 times subsequently in the last year

70%

 

The product was present in the stagnant report 3 times subsequently in the last year

50%

 

The product was present in the stagnant report 4 times in the last year

20%

  1. CFG: Certificate to Foreign Government, FDA: Food and Drug Administration, UPA: The Egyptian Authority for Unified Procurement, Medical Supply, and Technology Management, EDA: Egyptian Drug Authority, CE: Conformitè Europëenne, MDSAP: Medical Device Single Audit Program
  2. *List of reference countries: Australia, Austria, Belgium, Canada, Denmark, Germany, Finland, Iceland, France, Ireland, Luxemburg, The Netherlands, New Zealand, Norway, Sweden, Switzerland, USA, UK, Japan, Italy, Spain, Portugal[21]