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Compassionate Use

Overview

Compassionate use allows seriously ill patients to access unregistered medical devices where no comparable registered therapy exists and the benefit-risk balance is favourable. Legal basis: TPA Art. 9 para. 4.

Eligibility Conditions

Swissmedic may authorise compassionate use where:

  • Patient has a life-threatening, severely debilitating, or serious condition
  • No comparable registered therapy is available in Switzerland
  • Available clinical data supports a favourable benefit-risk balance for this patient population
  • A motivated application is submitted by the treating physician

Authorisation Process

  1. Treating physician (or manufacturer/CH REP supporting the physician) submits application to Swissmedic
  2. Application includes: patient details (anonymised); diagnosis and treatment history; device description; available clinical/pre-clinical data; risk-benefit assessment
  3. Swissmedic reviews and issues authorisation (or rejection) — typically weeks; urgent cases handled faster
  4. Device supplied to the named patient following authorisation

Reporting Obligations

Serious adverse events during compassionate use must be reported to Swissmedic via eVigilance. Swissmedic may request follow-up data.

Official Sources

Disclaimer

AI-assisted navigation aid only. Always verify against official Swissmedic and Fedlex sources. Not legal or regulatory advice.