The GMDN project

The project brought together a team of experts from industry and regulatory bodies to create a single global medical device nomenclature. This involved the implementing of the new European and International Standard EN ISO 15225 Nomenclature - Specification for a nomenclature system for medical devices for the purpose of regulatory data exchange, which defines the format and structure of terms for medical devices both for written communication and electronic databases.

An important feature of the project has been the maintenance of traceability between the new and old nomenclature terms. This will assist users changing to the new nomenclature to use and interpret data collected over time without having to establish a new set of records.

Six different existing nomenclatures with around 13 500 terms, some are common others are ifferent, have been used as the source for the new global nomenclature. These nomenclatures cover a wide range of terms defining medical devices.

The six chosen nomenclatures were:

The work of reviewing and amending the terms and preparing new ones has been done using the basic rules of the project. It was carried out by a carefully screened and selected group of approximately 60 medical device experts organized in 12 different Device Expert Task Groups (DETG) each containing teams of 2 - 10 specialists from Europe, USA and Japan. The Nordic countries have contributed with 9 of these experts.

The GMDN has been prepared in English, and the first version will have some 6 200 preferred GMDN terms, each with a unique code and definition. These are supported by some 700 templates and 8 900 synonyms to assist the user when searching for specific nomenclature terms.

The work has been overviewed by the Expert Advisory Team (EAT), a top expert advisory group consisting of 6 pre-selected nomenclature/language experts with special knowledge in medical device nomenclatures. These experts have worked according to the rules and guidelines laid down for the production of the GMDN and have provided the very foremost expertise on all nomenclature aspects. This group was involved in the project planning, build-up of the various systems involved, the training programmes, QA, and the approval processes of the nomenclature work.

The project began on 17 September 1997 with the first meeting in London of the Project Council. The initial phase of the work involved preparation and training of the groups of experts followed by the main task of selecting and amending terms for the global medical device nomenclature. Overall, the project has taken 43 months.

Following the project, an organization will need to be identified to maintain the nomenclature for the future. Since industry is continually developing new technology and clinical practices will improve, new terms will need to be produced to reflect the changes in the medical devices used world-wide.

The project organization

Project organization

  1. CEN is the formal owner of the project and will be the owner of the GMDN.
  2. CEN TC/257 SC1 is the technical committee responsible for the standard, and which has recommended the GMDN output for approval by CEN. TC257 SC1, using the "Vienna Agreement" works together with ISO 210 WG3 taking care of the international interests. These two committees hold joint meetings.

    Chairman: Mike Barwick, Scotland
    Secretary: Ian Wilson, BSI, UK

  3. Project Council. Within the project the project council has been the board which task was to take care of the political and top level decision making. On this board have been members from the EU Commission, CEN, ISO, FDA, and Japan.

    The Nordic interests have been handled by Mr. Jacob W. Nordan (recently retired from the Norwegian Board of Health).

    Robert Allen Manager Medical Device Agency (MDA) UK
    Ian Wilson Secretary British Standards Institution UK
    Vivian Coates Member ECRI USA
    Rich Farb Member Baxter Healthcare Corp. USA
    Maurice Freeman Member MTC (Medical Technology Consultants Ltd.) UK
    Tom Gross Member FDA - Division of Surveillance Systems USA
    Leighton Hansel Member FDA Division of Surveillance Systems USA
    Bo Højdefors Member Commission of the European Communities (CEC) Sweden
    Naito Masaaki Member Nihon Kohden Corp. Japan
    R. Moore Member EUCOMED Belgium
    Jacob W. Nordan Member Recently retired from the Norwegian Board of Health Norway
    Werner Stoeber Member DIMDI Germany

  4. EAT (Expert Advisory Team). A top expert advisory group consisting of 6 pre-selected nomenclature/language experts. This group provided the very foremost expertise on all nomenclature aspects and was also involved in the project planning, build-up of the various systems involved, the training programmes, QA, and approval processes of the nomenclature work.

    Alan Fields NKKN Norway
    Brock Hefflin FDA USA
    Jordi Gol AETS Spain
    Pierre Guizier CHdV France
    Beth Richardson ECRI USA
    Manfred Wolf EMTEC Germany

  5. DETG (Device Expert Task Group). 12 groups were established, one for each of the 12 device categories. 56 product specialists from Europe, USA and Japan had been carefully screened and selected. These experts were trained according to the rules and guidelines laid down for the production of the GMDN. The Nordic countries contributed with 9 experts.
    Each DETG had a convenor who's job was to assure consensus within the group regarding its effort and proposed output.

The 12 different DETG's

No.: Device category Convenor Country
DETG 01 Active implantable devices Sven Erik Jensen Denmark
DETG 02 Anaesthetic and respiratory devices Ann A. Graham USA
DETG 03 Dental devices Corrado Paganelli Italy
DETG 04 Electro-mechanical devices Elisabeth G. Boberg Norway
DETG 05 Hospital hardware Margrethe Os Norway
DETG 06 In vitro diagnostic devices Cecilia Brown UK
DETG 07 Non-active implantable devices Bob Smith UK
DETG 08 Ophthalmic and optical devices Mo Jalie UK
DETG 09 Reusable instruments Joseph Mertis USA
DETG 10 Single use devices Paul Evans USA
DETG 11 Technical aids for disabled persons Birgitta Thaning Sweden
DETG 12 Diagnostic and therapeutic radiation devices Sharon F. Dillard USA