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Meditsiiniseadme seaduse muutmise ja sellega seonduvalt teiste seaduste muutmise seadus (pädevuse andmine Ravimiametile)

avaldatud riigiteatajasEstonia· Riigikogu· ET

Introduced

3 June 2024

Last action

6 November 2024 · Accepted

Status

AVALDATUD_RIIGITEATAJAS

Sponsors

Eero Merilind, Vabariigi Valitsus

Subjects

Discovery layer

Source updated

6 November 2024

Summary

Eelnõu näeb ette viia meditsiiniseadmete valdkonnaga tegelemise pädevus Terviseametist Ravimiametisse. Meditsiiniseadmed on väga varieeruv ja suur rühm tooteid, mille kasutamine on igapäevane tervishoiuteenuse osutamisel kui ka väga paljudes kodudes. Meditsiiniseadmed on näiteks plaastrid, termomeetrid ja kiirtestid, aga ka keerukad süsteemid, mida kasutatakse tervishoiuasutustes. Samuti on meditsiiniseadmetena määratletavad mõned tarkvarad, mida kasutatakse tervishoius ja meditsiinilistest toimingutes. Kavandatud muudatuse eesmärk on valdkonda korrastada, et ülesandeid paremini täita. Praegu tegeleb meditsiiniseadmete valdkonnaga Terviseamet, mille peamine tegevusvaldkond on tervisekaitse- ja tervishoiuteenused. Ravimiameti peamine tegevusvaldkond on toodete (ravimid) ohutuse, kvaliteedi ja efektiivsuse tagamine. Kuna ravimid ja meditsiiniseadmed on mõlemad oma olemuselt ja Euroopa Liidu õiguse tähenduses tooted, on mõistlik, et nendega tegeleb sama asutus. Koos ülesannetega viiakse Ravimiametisse üle ka need ametnikud, kes seni on Terviseametis meditsiiniseadmete valdkonnaga tegelenud. Seega on tagatud ülesannete järjepidev täitmine. Lisaks antakse eelnõu kohaselt Ravimiametile õigus määratleda, milline toode on meditsiiniseade. Pädeva asutuse õigus teha otsuseid toodete meditsiiniseadmena määratlemise osas on oluline nii valdkondliku järelevalve teostamise vaates (näiteks olukorras, kus tootja on lasknud turule toote, mis vastab meditsiiniseadme definitsioonile, kuid mille osas tootja ise on võtnud eksliku seisukoha, et tegemist ei ole meditsiiniseadmega ning jätnud kohalduvad nõuded täitmata) kui ka selleks, et pädev asutus saaks anda ettevõtjatele vajaliku selguse nende toodete õigusliku staatuse osas (näiteks turule laskmisele eelnevas ehk arendamise etapis). Tervishoiuasutuste halduskoormuse vähendamiseks tunnistatakse kehtetuks kohustus esitada meditsiiniseadmete pädevale asutusele dokumente asutusesiseselt valmistatavate ja kasutatavate seadmete kohta. Sellised seadmed on kõige sagedamini laboratoorseteks analüüsideks kasutatavad vahendid (näiteks DNA analüüs asutusesiseselt välja töötatud metoodikaga), kuid võivad olla ka erinevad tarkvaralised lahendused (näiteks otsustustugi tervishoiuteenuse osutajale) ja ka muud vahendid, mida tervishoiuasutus kasutab meditsiinilisel otstarbel, kuid mida nad ei ole saanud nõuetele vastavana turult hankida. Selleks, et tagada ka nende seadmete puhul ohutus ja toimivus, tuleb tervishoiuasutustel täita ELi määrustes esitatud tingimused, sh koostada valdava osa seadmete kohta nende tootmist ning omadusi kirjeldav dokumentatsioon. Kehtiv seadus kohustab dokumentatsiooni esitama pädevale asutusele. Eelnõuga muudetakse seda kohustust nii, et tervishoiuasutus esitab pädevale asutusele selliste meditsiiniseadmete loetelu, kes küsib täiendavaid andmeid ja dokumente üksnes vajaduse korral. Samuti antakse eelnõu kohaselt Terviseametile juurdepääs tervise infosüsteemile juhul, kui amet teostab riiklikku ja haldusjärelevalvet. Ka praegu on ametil õigus andmeid töödelda, kuid seda on turvalisem teha, kui on otsejuurdepääs andmetele. Praegu saadakse andmed krüpteeritult, kuid andmekogus enda töötlus on turvalisem. Eelnõuga kavandatud muudatused mõjutavad vähesel määral meditsiiniseadmete tootjaid ja kasutajaid. Eelkõige tuleb kohaneda teise asutuse poole pöördumisega, kuid pakutav teenus jääb samaks. Meditsiiniseadmete andmekogu alusel on Eestis ligikaudu 200 meditsiiniseadmete tootjat ja 650 levitajat.

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Timeline

  1. 3 June 2024

    AVALDATUD_RIIGITEATAJAS

    Source: SE

  2. 6 November 2024

    Accepted

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