The question that needs to be asked is what do the MHRA describe as complex? The line "For simple mechanical devices" would in my opinion apply to something like trolleys and then the line "For more complex devices" seems to imply that anything more complicated than a simple mechanical device would be complicated. So I suppose in theory you could then claim that according to this a nebulizer is complex and something like a syringe driver is specialist! Doesn't really work without a clean definition of complex.
Then again the MHRA has been coming out with some dubious advise recently so I take it you have to take this with a pinch of salt.