The Portuguese product safety regulatory regimes for medical devices and other healthcare products are essentially defined by European Union law, which is implemented or transposed by national legislative acts.
Following the solutions adopted by EU law, Portuguese law regulates each product category through specific pieces of legislation.
In addition, specific topics related to certain products are regulated by administrative regulations issued by local regulatory authorities or by the Portuguese government.
Medical Devices
The safety of medical devices (including software-based medical devices) is primarily ruled by:
Special measures on safety are established in Decree-Law No 145/2009, which states that local regulatory authorities shall adopt the necessary measures to ensure the protection and safety of health and/or compliance with public health requirements. As such, the authority may decide on a withdrawal from the market or suspension, or may restrain or impose specific conditions on the placement into the market and the putting into service of medical devices; any such measures shall be notified to the European Commission.
Medical Instruments
Medical instruments are legally qualified as medical devices, so the above-mentioned medical devices regimes apply.
Personal Protective Equipment (PPE)
PPE may be qualified as a medical device and thereby become subject to the medical devices regimes.
Other product safety regulatory regimes that apply to PPE include:
The Portuguese legal framework on healthcare products is essentially defined by EU law and the respective national acts of implementation or transposition, and eventual administrative regulations.
Cosmetics
The safety of cosmetics is primarily ruled by:
Biocides
The safety of biocides is primarily ruled by:
Food
The safety of food, including genetically modified organisms (GMOs) and nutrition supplements, is primarily ruled by:
Several other acts may also be applicable to specific foodstuffs.
The Portuguese legal framework on medicines is essentially defined by EU law and the respective national acts of implementation or transposition, and eventual administrative regulations.
Pharmaceuticals
The safety of pharmaceuticals is primarily ruled by Decree-Law No 176/2006, of 30 August 2006, as amended, which approves the Portuguese Medicines Act.
The clinical trials of medicinal products are primarily ruled by:
Blood Products
Blood products are partially subject to the Portuguese Medicines Act (Decree-Law No 176/2006, of 30 August 2006, as amended), which is the safety regulatory regime applicable to pharmaceuticals, as stated above, and to a specific piece of legislation: Decree-Law No 267/2007, of 24 July 2007, which approves the legal framework applicable to the quality and safety of human blood and blood components.
Psychedelics
Psychedelics are partially subject to the Portuguese Medicines Act (Decree-Law No 176/2006, of 30 August 2006, as amended), which is the safety regulatory regime applicable to pharmaceuticals, as stated above, and to specific pieces of legislation: Decree-Law No 15/93 of 22 January 1993, as amended, which approves the regime applicable to trafficking and consumption of narcotic drugs and psychotropic substances, as well as Regulation-Decree No 61/94, of 12 October 1994, as amended, which regulates the Decree-Law No 15/93.
Cannabis for medicinal purposes is subject to specific legislation:
CBD
CBD, as a cannabinoid, when intended to be used for medicinal purposes, is subject to the legislation outlined above applicable to medicinal products and, specifically, to the legislation applicable to medicines, preparations and substances based on the cannabis plant for medicinal purposes.
Medical Apps, Telemedicine and Wearables
Portugal follows the discussions on the regulation of new products/technologies that occur at an EU level.
Therefore, medical apps or the software, apps or instruments used in telemedicine (the regulation of which, in Portugal, is limited to some ethical standards that apply to physicians), as well as wearables with medical purposes, are not subject to specific product safety regulatory regimes. However, once those apps, software or instruments fall within the legal definition of “medical device”, the medical devices regulatory regime becomes applicable.
Stem Cells
The safety of stem cells is primarily ruled by Law No 12/2009, of 26 March 2009, as amended, which approves the legal framework on quality for the donation, procurement, testing, processing, preservation, storage, distribution and application of human tissues and cells.
Due to their characteristics, some products may fall within the scope of more than one of the regimes identified in previous sections, which determine the applicable regulatory obligations (see 2. Commercialisation and Product Life Cycle).
In general terms, the regime applicable to a specific borderline product is defined by taking into consideration the intended purpose of the product in question and the mechanism by which the main intended effect is achieved in the human body. Some specific rules may be applied.
European entities and INFARMED, I.P. (the local Regulatory Authority – please see 3.1 Regulatory Authorities) usually issue some guidance on how to define which specific regime the product comes under.
Entities that manufacture medical devices, pharmaceuticals, cosmetics and food products of animal origin are subject to specific requirements, as established in the legal acts outlined in 1. Applicable Product Safety Regulatory Regimes, as follows.
Medical Devices
The manufacture of medical devices is subject to previous notification to INFARMED, I.P., at least 60 days prior to the beginning of the activity, and such activity shall be under the supervision of INFARMED, I.P..
The manufacturer is required to appoint a qualified person to be technically responsible for assuring the quality of the activities to be performed, and to have suitable facilities and equipment to ensure the manufacture, storage and preservation of medical devices, in order to maintain their performance and safety requirements.
The minimum standards applicable to the manufacture of medical devices are those set forth in European Standard EN ISO 13485:2003.
Medicines
The manufacture of medicines in Portugal is subject to previous authorisation from INFARMED, I.P.
Authorisation shall only be granted if the applicant has duly licensed facilities and adequate equipment with the characteristics established in the applicable legislation, and complies with the good manufacturing practices established by law.
Manufacturing operations are to be carried out in compliance with the Good Manufacturing Practices and the granted manufacturing authorisation.
The manufacturer must appoint a qualified person to act as a technical director, and must have sufficient competent and appropriately qualified personnel.
The manufacturing premises and equipment shall be located and designed, constructed, adapted and maintained in a manner appropriate to the operations to be carried out, minimising the risk of error and also to allow effective cleaning and maintenance to avoid contamination, cross-contamination and, in general, any adverse effect on product quality.
Cosmetics
The manufacture of cosmetic products shall comply with the Good Manufacturing Practices (approved by Order issued by Minister of Health) to ensure the highest level of protection of human health.
Manufacturers must ensure the quality of the raw materials and finished products, namely by having a control laboratory for the purposes of performing the necessary verification, either itself or through the services of a third party.
Manufacturers must be assisted by a qualified technician.
Food Products of Animal Origin
These products shall be prepared and handled exclusively in premises that comply with the hygiene requirements set out in Annex II of Regulation (EC) No 852/2004. The manufacturing premises shall be registered with the Regulatory Authority and, in some cases, previous approval of such premises may be required.
There are no specific legal obligations regarding corporate social responsibility, environment and sustainability throughout the life cycle of medical devices and consumer health products.
The products listed in 1. Applicable Product Safety Regulatory Regimes are subject to the general advertising legal regime, approved by Decree Law No 330/90, of 23 October 1990, as amended (the ”Advertising Code”).
According to the Advertising Code, advertising should be governed by the principles of lawfulness, identifiability, truthfulness and respect for consumer rights. Testimonials and comparative advertising are subject to specific and strict requirements.
In addition, the advertising of products listed in 1. Applicable Product Safety Regulatory Regime is subject to some specific requirements. The advertising of medicines and medical devices is subject to very detailed and restrictive advertising regimes, which are approved by the acts outlined in 1. Applicable Product Safety Regulatory Regime, among others.
Medical Devices
The Medical Devices Act establishes specific prohibitions on the advertising of medical devices, as follows:
Specific rules are also imposed on the advertising of medical devices to the general public and healthcare professionals, as follows.
Advertising to the general public
The advertising of devices shall be unequivocally identified as such and shall expressly indicate that it is related to a medical device, and shall contain the following:
The advertisement cannot contain any reference that:
Any form of comparative advertising is prohibited.
Advertising to healthcare professionals
Medical devices, the use of which requires the assessment and decision of healthcare professionals – eg, implantable devices, long-term invasive devices, devices that include a medicine or stable derived from human blood or plasma, and devices manufactured with cells and tissues of animal origin – can be advertised solely to healthcare professionals.
Medicines
The Medicine Act establishes separate sets of rules for the advertising of medicines to the general public and to healthcare professionals.
Advertising to the general public
Only non-prescription medicines may be advertised to the general public, provided they are not under state reimbursement and the advertisement complies with the same specific requirements as those listed above for the advertising of medical devices to the general public.
The advertising should be unequivocally identified as such and shall expressly state that it corresponds to a medicinal product. It shall include the following information:
Comparative advertising is not permitted.
Advertising to healthcare professionals
Advertisements of medicines shall include the following in a comprehensible way in the respective advertising material:
The information contained in the advertising material must be accurate, up-to-date, verifiable and sufficiently complete to allow the correct assessment of the therapeutic value of the medicine. The references and the illustrative material of medical publications or scientific works shall be correctly reproduced and should mention the respective source.
Cosmetics
In the advertising of cosmetics, text, names, trade marks, pictures and figurative or other signs shall not be used to imply that these products have characteristics or functions they do not have.
Biocides
The following is to be noted in the advertising of biocides:
Food
The advertising of food shall be accurate, clear and easy for the consumer to understand.
It shall not be misleading, particularly:
Food Supplements
The labelling and advertising of these products shall not include any mention that:
The labelling, presentation and advertising of food supplements, whether written, audiovisual or broadcast only by auditory means, shall include the term “Food Supplement” with sufficient and appropriate prominence, which unequivocally identifies the product as such.
Nutrition and health claims shall be subject to the specific EU legal requirements.
The placing on the market of some of the products outlined in 1. Applicable Product Safety Regulatory Regime is subject to compliance with specific requirements, ranging from previous notification to conformity assessments by independent third parties or obtaining administrative authorisations.
Medical Devices
The following requirements are to be followed:
Medicines
Only medicines with Marketing Authorisation may be placed onto the market.
Marketing Authorisations may be granted by national regulatory authorities or by the European Medicines Agency, subsequent to the valid submission of the respective request applications and documentation listed by the applicable law, including the results of pharmaceutical, pre-clinical and clinical trials.
The decision to grant a Marketing Authorisation shall be based on objective scientific criteria regarding the quality, safety and therapeutic efficacy of the medicinal product.
The Marketing Authorisation is valid for five years and is renewable; after the first renewal it can be renewed for an indefinite time.
Personal Protective Equipment
Before being placed on the market, PPE should undergo a conformity assessment procedure, to be carried out by a notified body (ie, a third-party entity able to carry out conformity assessment tasks under the applicable regulation). The PPE shall be classified according to the risk categories set out in Regulation (EU) No 2016/425; the conformity assessment procedures vary according to each of the risk categories.
CE marking is affixed to PPE that conforms with the applicable requirements.
Cosmetics
Cosmetics are subject to safety assessment before they are placed on the market. The safety assessment shall be conducted in accordance with good laboratory practice.
Prior to placing the cosmetic product on the market, a notification shall be submitted to the European Commission, by electronic means.
Biocides
Only authorised biocidal products may be made available on the market.
Authorisation can be requested from the national or the European regulatory authority, and may be granted for a single biocidal product or for a biocidal product family.
The authorisation shall be granted for a maximum period of ten years.
Biocidal products shall be used in accordance with the terms and conditions defined by the authorisation.
Food Supplements
The placing on the Portuguese market of a food supplement is to be previously notified to the regulatory authority.
If the regulatory authority does not issue a decision within 60 business days of receiving the notification, its decision shall be deemed favourable.
GMO
GMO for food use, food containing GMO or food produced from or containing ingredients from GMO may only be placed on the market if they are covered by an authorisation granted in accordance with the applicable European legal framework.
The increasing approximation between the legal systems of the EU, driven by EU legislative initiatives, is an important factor in promoting the internationalisation of products.
Some difficulties may arise from the need to comply with some local requirements that are indispensable for the respect of consumer rights (such as compliance with language requirements), and from the limitations that are sometimes imposed on the free movement of goods between EU Member States, on the grounds of the need to safeguard public health.
The regulatory regimes outlined in 1. Applicable Product Safety Regulatory Regimes contain the following post-marketing obligations.
Medical Devices
As an integral part of the manufacturer's quality management system, for each device, manufacturers shall plan, establish, document, implement, maintain and update a post-market surveillance system in a manner that is appropriate for the risk class and the type of device.
The post-market surveillance system is aimed at actively and systematically gathering, recording and analysing relevant data on the quality, performance and safety of a device, addressing the necessary conclusions, and at determining, implementing and monitoring any preventative and corrective actions.
Manufacturers shall prepare post-market surveillance and safety update reports.
Manufacturers of devices made available on the EU market shall report to the relevant competent authorities any serious incident involving such devices and any field safety corrective action, as well as any statistically significant increase in the frequency or severity of incidents.
Following the reporting of a serious incident, the manufacturer shall perform the necessary investigations in relation to the serious incident and the devices concerned, including a risk assessment of the incident and field safety corrective action. During the investigations, it shall co-operate with the competent authorities and with the notified body concerned (where relevant).
Medicines
All agents that act in the commercialisation of medicines have a general duty of collaboration and information regarding post-market surveillance. However, specific obligations are imposed on different agents, as stated in the Portuguese Medicines Act.
Manufacturers
The specific obligations for manufacturers are as follows:
Marketing Authorisation holders
Marketing Authorisation holders should adopt and operate a pharmacovigilance system that includes a set of rules and material and human resources aimed at collecting information on the risks of medicines for patients or public health, the scientific evaluation of all the information obtained, the consideration of appropriate safety measures to prevent or minimise risks, and the compliance with reporting duties.
Blood Products
Blood products are subject to a specific hemovigilance system that includes a system of traceability and notification of adverse reactions.
Personal Protective Equipment
Manufacturers, importers or distributors who consider or have reason to believe that PPE they have placed on the market does not conform with the applicable regulation shall immediately take the necessary corrective measures to bring that PPE into conformity, to withdraw it or to recall it, as appropriate.
Manufacturers shall immediately inform the competent national authorities of the Member States in which PPE is available on the market whenever such equipment presents a safety risk, and shall provide the details, particularly concerning non-conformity and any corrective measures taken.
Cosmetics
Manufacturers, importers or distributors who consider or have reason to believe that a cosmetic product they have placed on the market does not conform with the applicable Regulation shall immediately take the corrective measures necessary to bring that product into conformity, or to withdraw or recall it, as appropriate.
In the case of non-compliance, manufacturers, importers or distributors may be required by the competent authorities to execute such measures.
Distributors shall co-operate with the competent authorities on any action to eliminate the risks of the products they have made available on the market, namely by providing all the information and documentation necessary to demonstrate the conformity of the product with the applicable requirements.
In the event of serious undesirable effects, the manufacturer or importer and distributors shall, without delay, notify the competent authority of the Member State where the serious undesirable effect occurred.
Biocides
The holder of an authorisation to place a biocide on the market shall notify the authorities of the information that may affect the authorisation, namely:
Food
Food business operators shall put in place, implement and maintain permanent procedures based on the Hazard Analysis and Critical Control Point principles.
The relevant regulatory authorities for the product categories outlined in 1. Applicable Product Safety Regulatory Regimes are as follows:
INFAREMD, I.P., IGAS and ASAE
These agencies have supervisory powers over market agents’ compliance with the applicable laws and regulations and the compliance of their respective products; they also have enforcement powers.
They may execute inspections and audits of the agents under their supervision and impose preventative or corrective measures. They may also initiate administrative offences procedures and, consequently, impose fines and eventually accompanying sanctions (please see 4.1 Product Safety Offences).
In Portugal, offences against the product safety regulatory regimes outlined in 1. Applicable Product Safety Regulatory Regimes are essentially sanctioned through administrative offences procedures, which culminate in the imposition of fines and, whenever applicable, accompanying sanctions.
The sanctions regimes are framed by:
Specific sanctions are established by the legal framework applicable to the following products.
Medical Devices
The sanctions framework is established by the Portuguese Medical Devices Act and the Portuguese In Vitro Medical Devices Act, according to which the violation of the respective legal provision is sanctioned by fines varying from EUR2,000 to 15% of the business volume of the infringer, or EUR180,000, whichever is lower (under the Portuguese In Vitro Medical Devices Act, the maximum amount is reduced to EUR3,700 if the infringer is a natural person).
In the infringement of legal provisions regarding advertising, the decision on the imposition of fines may also determine the publication on social media of the essential elements of the condemnation and the suspension of advertising of the relevant medical device for a maximum period of two years.
Personal Protective Equipment
In the specific case of PPE, Decree-Law No 118/2019, as amended, and the Regime on Economic Administrative Offences provide for fines of between EUR65,000 and EUR150,000 if the infringer is a natural person, or between EUR170,000 and EUR2.4 million if the infringer is a legal person, depending on the size of the company.
The following accompanying sanctions may be imposed, depending on the seriousness of the infraction and the level of fault:
Medicines
The sanctions framework is defined by the Portuguese Medicines Act, according to which fines may vary from EUR2,000 to 15% of the business volume of the infringer or EUR180,000, whichever is lower.
The following accompanying sanctions may also be imposed, depending on the seriousness of the infraction and the level of fault:
In the infringement of legal provisions regarding advertising, the specific following accompanying sanctions may also apply:
Blood Products
The respective specific regime provides for fines of between EUR500 and EUR1,500 if the infringer is a natural person, or EUR44,000 if the infringer is a legal person.
Cosmetics
The sanctions framework is defined by the Portuguese Cosmetics Act, according to which the fines may vary from EUR2,000 to 15% of the business volume of the infringer or EUR180,000, whichever is lower.
Biocides
The sanctions framework is defined by Decree-Law No 140/2017, as amended, and by the Regime on Economic Administrative Offences. The established fines may vary between EUR150 and EUR7,500 if the infringer is a natural person and depending on the seriousness of the infraction, or between EUR250 and EUR90,000 if the infringer is a legal person and depending on the seriousness of the infraction and the size of the company.
The following accompanying sanctions may also be imposed, depending on the seriousness of the infraction and the level of fault:
Food
Several sanctions are provided for each specific regime outlined in 1. Applicable Product Safety Regulatory Regimes, as follows:
Accompanying sanctions may be imposed in each case.
The legal bases for product liability claims in Portugal are:
Under these acts, product liability claims may be grounded on the Liability Regime for Defective Products or on the general civil liability mechanisms (non-contractual or contractual) contained in the Civil Code. Civil liability may occur whenever damages arise from the infringement of civil law (non-contractual) or of contractual provisions (contractual).
According to the Liability Regime for Defective Products, the following applies:
Damages resulting from death or personal injury and damage to something other than the defective product are compensable.
Under the civil liability mechanisms, all damages are compensable. The requirements for a civil liability claim, which must be proved by the claimant, are as follows:
As a rule, the Portuguese courts have jurisdiction to resolve claims if the defendants are domiciled in Portugal.
Under Regulation (EU) No 1215/2012 of the European Parliament and of the Council of 12 December 2012 on jurisdiction and the recognition and enforcement of judgments in civil and commercial matters, the following applies:
According to the internal legal order (the Civil Procedure Code), the territorial jurisdiction is defined by the domicile of the defendant.
In terms of costs, product liability claims are subject to the rules that apply to judicial claims in general, which means that they are subject to trial costs as established by law.
Trial costs include the judicial fee (a fee paid by the claimants and by the opponents to the court) and all the costs of the process – ie, all the expenses resulting from the process, such as the fees for interpreters or translators, or for experts appointed by the judge.
The trial costs are to be paid by the losing parties in proportion to their lack of success, which means the trial costs may be split between the parties according to their respective lack of success.
In addition, the losing parties shall pay compensation to the successful parties, corresponding to 50% of the judicial fees paid by all the parties.
Besides product liability claims (see 4.2 Product Liability), the most common product-related contentious claims are those arising from the judicial review of decisions made by regulatory authorities.
Final decisions made by regulatory authorities may be challenged before the courts, whether they are of a sanctioning nature (decisions imposing fines and, eventually, accompanying sanctions) or not.
Portuguese law provides for the popular action (governed by Law No 83/95 of 31 August 1995, as amended) of a collective claim that can be brought by those seeking compensation for offences against public health, quality of life or the consumption of goods.
Besides judicial dispute resolution, the following ADR mechanisms are available in the context of civil liability legal actions in Portugal:
The same facts may constitute one or more administrative offences and, furthermore, grounds for product liability claims.
If the facts constitute several administrative offences, several sanctions may be imposed.
If the facts constitute several administrative offences and are investigated by different regulatory authorities, the simultaneous investigations should proceed, since each regulatory authority should act and decide on the facts in accordance with the scope of its specific responsibilities and legal competence.
On the other hand, there is no direct interrelation between administrative offence procedures and judicial claims.
If potential criminal conduct is found by the regulatory authorities in the context of the respective investigations or by the court in the context of the judgment of the liability claim, the facts should be reported to the public prosecutor for criminal enforcement purposes.
In relation to product safety and the liability of the products referred to in 1. Applicable Product Safety Regulatory Regimes, the implementation of relevant developments of EU law is still expected, mainly the following:
There is currently no public information on legislative reforms in progress in respect of products listed in 1. Applicable Product Safety Regulatory Regimes. However, considering the relevant developments recently introduced by EU law (see 5.1 Policy Development), legislative reforms aimed at adapting Portuguese legislation to the new EU legal framework are expected.
Artificial Intelligence has played an important role in the development of new products falling within the categories listed in 1. Applicable Product Safety Regulatory Regimes.
At the regulatory level, products incorporating Artificial Intelligence are not subject to specific product safety regimes. However, once those products fall within the legal definition of any of the listed products, the respective regulatory regime becomes applicable.
Portugal follows the discussions and initiatives on Artificial Intelligence that occur at an international and EU level.
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