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Reporting Timelines

15-day reports

A 15-calendar-day report is required when:

  • A patient died and there is reasonable possibility the device was involved
  • A patient suffered a serious injury and there is reasonable possibility the device was involved
  • An overseas regulatory authority issued a recall, safety alert, or withdrawal related to the device

The 15-day clock starts when the MAH first becomes aware of the event — not when the investigation is complete. If the investigation is ongoing, the MAH files an initial report within 15 days with available information, and a follow-up report when the investigation concludes.

30-day reports

A 30-calendar-day report is required when:

  • A malfunction occurred that could cause death or serious injury if it were to recur
  • Overseas adverse event information is received that meets reportability criteria (in some cases 15 days applies — check the specific event type)

Periodic summary reports

For certain device types and categories of malfunction, MHLW allows MAHs to submit periodic summary reports instead of individual event reports. Periodic summary reports aggregate events over a defined period (typically quarterly or annually) and are submitted as a batch. MHLW specifies which event types and device categories are eligible for periodic reporting.

Clock start — when does the timeline begin?

The reporting clock starts when the MAH becomes aware of information that reasonably suggests a reportable event has occurred. This includes:

  • Receipt of a complaint from a healthcare institution or patient
  • Receipt of a report from the overseas manufacturer
  • Identification of a reportable event in the literature
  • Receipt of an overseas regulatory action affecting the device

The clock does not restart if additional information is received later — the initial awareness date is the start. If an event is initially unclear (e.g. a complaint that does not clearly indicate a serious injury), the MAH must use judgment about the start date, erring toward the earlier date when in doubt.