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Agile project of global registration of medical device

Product code, product classification and type of product registration

Ahead of Medical Device Registration in China

Prerequisite of Medical Device Registration


One of the most important prerequisites to register medical device in China is country of origin approval: e.g. Declaration of Conformity (EU)/ Certificate to Foreign Government (US). The exception of this prerequisite is for innovative products.


It is ideally that you have a basic technical documentation.


Then you have to find a Chinese agent for foreign manufacturers who submits product dossier to NMPA and acts as a liaison between authority and legal manufacturer.

From preparation to submission of technical dossiers, it usually takes long. The country of origin approval must be ready latest at the point of dossier submission to NMPA. Till the final product approval it is unpredicted time-demanding considering the type testing and additional requests by NMPA.


Product classification and product code of Medical Device

Similar to product code at FDA, you can classify your produce by yourself!


Product classification of medical device in China


There are three classes (I, II and III) of medical device in China. The higher risk the medial device undertakes, the higher classification it belongs to. Class I medical device need just listing (file filing) and Class II and III medical device require extensive approval process (article 13, 15 and 16, state council order 739, 2021).


The certificate of class I MD is without expiration and the one of Class II and III MD are valid for 5 years.


To classify your product, you need intended use, then match with classification catalog in China. The rule of classification is just supporting but not deciding guidance.


Here is example of three classifications in China. With more risk, more requirements in term of dossier and clinical dokumentation are needed.


Product classification in China

Chinese Product Code


As product code (or regulation number) at FDA in US there is also a product code system for medical device in China. The classification of medical device based on the product code catalog (only in Chinese) was issued in 2018 by NMPA. The product code is 6 digits. There are 22 main product categories. Depending on intended use, medical device can be categorized into precise 6 digits product code and belonging classification.


So far in 2023 there are 1834 generic product codes in China compared to 1700 generic device stype in US composed of 16 product panels.


Chinese product code is deciding for product classification and different than certification number after product approval.


We list hereby 22 main product categories which build the first 2 digit of 6 digit-product code up.


  •   01  Active Surgical Devices
  •    02  Passive Surgical Devices
  •    03  Neurological and Cardiovascular Surgical Devices
  •    04  Orthopaedic Surgical Devices
  •    05  Radiotherapy Devices
  •    06  Medical Imaging Devices
  •    07  Medical Diagnostic and Monitoring Devices
  •    08  Respiratory, Anaesthetic and First-aid Devices
  •    09  Physiotherapy Devices
  •    10  Blood Transfusion, Dialysis and Extracorporeal Circulation Instruments
  •    11  Disinfection and Sterilization Devices of Medical Devices
  •    12  Active Implantable Devices
  •    13  Passive Implantable Devices
  •    14  Injection, Nursing and Protection Devices
  •    15  Patient Bearing Devices
  •    16  Ophthalmic Devices
  •    17  Dental instruments
  •    18  Gynaecological and Obstetrical, Assisted Reproduction and Contraceptive Devices
  •    19  Medical Rehabilitation Devices
  •    20  Equipment Used in TCM
  •    21  Medical Software
  •    22  Clinical Examination Instruments



We established a first classification TOOL to look product code in English up. By giving the product keywords in English you can search the product code easily.



As shown in figure 2, the example of medical software belongs to 21-xx-xx (Stand alone Medcial Software). Among 5 sub-categories the product matches the therapeutic planning software 21-01-xx. Compare to the last 2 digits with different intended uses at catalog, it leads to the result of product code 21-01-01, Radiotherapy planning software, class III.   

Man starts to compare intended use of subject medical device with it in product code catalog. To underscore is that your medical device must be WITHIN the scope of description in product code catalog, must NOT be the same, however NOT exceed the description. The classification of medical device is given in catalog.


Known the product code, you can have a screen on exemption catalog for clinical study. As well you should compare to the description in this catalog. Under the same product code it can be exempted for clinical study or in opposite depending on the intended use.


In the end you can search product specific guidance and standards with identified product code.


Good trend!


Every year NMPA issues a revised list of determined new product classification. The good trend is there are more and more medical devices down classified due to less safety concerns and raising quantity of equivalent products at market.



How to determine classification if no product code is found in released catalog

(free of charge at authority)


If you cant match your medical device with classification catalogue, you can apply (for free) for determination of product class.


The results can be

1.      No medical device

2.      Medical device matching which product code, class I or II and III

3.      Class III medical device


New in 2024

The typical document to submit is product description (intended use, about similar product...), product photo or video, risk management file, product technical requirement, ANY overseas approval, instruction for use (draft) and other technical supporting material.


It is free of charge and take around 30 calenda days.


Contact us via info@easychinapprov.com, if you want to match your Chinese product code and classification.


It is not a fix determination of product class, you can adjust your Chinese intended use, you can shorten your indication for use, you can make an intended use for non medical device and another one with intended medical use.


Related link of international product code (classification code, JMDN, GMDN, MDR code)


Global Medical Device Nomenclature (GMDN)

FDA, product code

PMDA, Japanese Medical Device Nomenclature (JMDN)

Europe, MDR code


Type of Registration of Medical Device


There are three types of product registration of medical device in China:
 

  • Initial registration
  • Change registration (in administration matter and in significant change/modification matter)
  • Extension/Renewal

 

As in figure 4 shown, change registration applies normally to new product release which needs new "declaration of conformity". The product certificate is not unlimited valid. The certificate of class II and III medical device is only 5 years valid.



1. Initial registration
It applies to all medical devices which are initially marked in China.


2. Change registration or Re-registration
There are two types of change registration: in administration matter and significant change/modification matter.


*The change registration in significant modification matter is abbreviated in text to change registration at whole website



Change registration (in administration matter)
By change of:

 

  • name or address of overseas manufacturer
  • name or address of Chinese agent

 


Change/modification registration (in significant modification matter)
By change of:
 

  • Address of overseas manufacturing site
  • Models, specifications, structure, composition, intended use on certificate!
  • Annex of certificate: product technical requirement (PTR)!
  • Model, variant
  • Composition, configuration, core component, material
  • Intended use
  • New features with different functional performance specifications
  • New software version in significant change matter!

(e.g. Version 1.0 to Version 2.0 bearing the change of software environment or safety level or significant cybersecurity etc.)

  • Obligatory standards!

 

Unlike in EU and US there is no official guidance published in China indicating all significant changes in term of change registration in modification matter.  In general all changes that significantly affect safety or effectiveness of product represents significant changes of medical device. 

If new or revised product-specific guidances and obligatory standards apply, it is recommended to prepare next change- and extension registration compliant with new requirements in time.


Nevertheless the new "Regulations on the Supervision and Administration of Medical Devices" in 2021 reveal in brief formulation the significant/substantial changes. Please understand significant/substantial changes not as just notification them after implementation of changes in 30 days to NMPA, it means a new change registration.


Article 21 The design, raw materials, production process, scope of application, method of use, etc. of registered II and III medical device have undergone substantial changes. If it is likely to affect the safety and effectiveness of the medical device, the registrants shall apply to the original registration department to go through the procedures for changing the registration; if other changes occur, it shall be filed or reported in accordance with the regulations of the drug regulatory department of the State Council.

Change registration at international markets When to submit new registration (amendment) in China?

3. Extension (Renewal of certificate every 5 years)


The NMPA certificate is 5 years valid. Normally you should start preparing the renewal of NMPA certificate 6 months before the expiration date of certificate if there is no significant change of product or new valid regulation. Similar to change registration if new obligatory product specific standards apply to your product, you have to start FIRSTLY a change registration and SECONDLY a renewal and to initial oft new type testing ca. 1-2 years before the expiration time of certificate.


It is not uncommon at the moment NMPA asks for a shelf life test due to the recently valid standards of shelf life, usability test will probably come soon.

Article 22 at Regulations on the Supervision and Administration of Medical Devices in 2021


In any of the following circumstances, the registration shall not be renewed:

(1) An application for renewal of registration has not been filed within the prescribed time limit;

(2) The mandatory standards for medical devices have been revised, and the medical devices applying for renewal of registration cannot meet the new requirements;

(3) Conditionally approved medical devices fail to complete the items specified in the medical device registration certificate within the prescribed time limit.


Binding regulation of 6 months prior to apply for renewal (2021)

 

If a medical device registration certificate expires and needs to be renewed, the registrant should apply for renewal of registration 6 months before the expiry of the medical device registration certificate and submit the application information in accordance with the relevant requirements. Due to incomplete application information or does not meet the statutory form need to correct information, the authority will provide “notice of correction” indicating the time of the registrant's first application for renewal. When the registrant applies for renewal of registration again after correction, he shall submit the notice of correction. The authority will determine whether the application for renewal of registration is made 6 months before the expiry of the registration certificate of the medical device according to the time of the registrant's first application for renewal of registration as stated in the notice of correction, and will review the application information in accordance with the provisions of the measures.


Binding regulation of actions of obligatory standard at renewal (2021)


Since October 1, 2021, if there are new mandatory standards, national standard released and implemented during the validity period (5 years) of the medical device registration certificate, the registered products should comply with the new mandatory standards, national standard, the registrant should first apply for change of registration, obtain the original approval and then submit application for renewal. If the requirements are met, the application shall be accepted for review and approval. If the requirements are not met, the registrant will be notified in writing to make corrections.

If the registration is being or will be changed, the registrant should also apply for renewal of registration 6 months before the expiry of the medical device registration certificate, and the authority will handle the renewal of registration in accordance with the relevant provisions of this circular.



Related link of change registration, re-registration, notification of change or licence amendment


FDA, new 510k

Canada, Licence amendment

Malaysia, RE-REGISTRATION OF REGISTERED MEDICAL DEVICE


Global trend of medical device


Do you know that prerequisite, classification, product code (group), registration pathway, type of registration is essential part of professional proposal?

Below was an exceptional tool in Singapore to evaluate device classification and registration requirement.


We garantee always a free consulting stage with medical device manufacturer to define registration gap analysis in global registration.

Automatic classification tool in Hongkong Automatic classification tool in Singapore
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