The answer is exactly what it says in the section you bolded - the principal applicant's family members need to have medicals done even if they aren't coming with you. This is the CIC definition of "family":
"An applicant’s closest relatives, in the context of an application to IRCC. It is defined as a spouse or common-law partner, dependent children, and their dependent children."
I assume you have dependent children and/or your children have dependent children who are not coming with you. Each one of them must have medicals done and submitted to CIC, not just you. You do not need to resubmit your medical. Your dependent children and their dependent children just need medicals submitted before the deadline.
I do not have any children. That is something surprising. This is a family Class sponsorship, being sponsored by my husband who is a PR. I do not have any dependent but got such a message. Thank you for your reply