| Clinical investigation of a medical device — tacit approval(Notification of a clinical investigation to the Agency by the manufacturer or the importer of the medical device (Law čl. 120(1))) Čl. 118(1) of the Law provides that if the applicant receives no negative response from the Agency within 30 days of receipt of the notification, the clinical investigation may begin — a tacit-approval clock, not an express approval. Čl. 118(2) requires the Agency, within 30 days of a complete notification, to give the reasons for refusal by decision, which is final in the administrative procedure with no appeal but is subject to an administrative dispute. Čl. 118(3) stops the clock on the day the Agency requests supplementary data or explanations and restarts it only when the request is satisfied. The clinical-investigation fee is 3,000 KM for the authorisation and 1,000 KM for the notification of a device already entered in the Register (Pravilnik 70/09 čl. 21(a) and (b)). |