To handle Class C medical device registration under the Medical Device Administrative Control System (MDACS) in Hong Kong, you must follow a structured process established by the Medical Device Division (MDD) of the Department of Health. Although MDACS is currently voluntary, it is required for participation in public hospital procurement and widely accepted in Hong Kong’s healthcare market.
Below is a step-by-step guide covering how to successfully prepare, apply, and manage Class C medical device registration in Hong Kong.
Under MDACS (aligned with the GHTF/IMDRF framework), Class C devices are medium to high-risk and often include:
Infusion pumps
Patient monitors
Diagnostic imaging systems (e.g., ultrasound)
Invasive surgical devices with short- to long-term use
Use Guidance GN-01 to confirm classification.
Refer to GN-01 to confirm the device falls under Class C
Document the rationale for classification
A Hong Kong-based Local Responsible Person (LRP) is mandatory if the manufacturer is located outside of Hong Kong.
The LRP will:
Submit and maintain the registration
Be the legal representative for regulatory matters
Handle post-market surveillance and reporting
📄 Submit Form MD100 and a Letter of Authorization from the manufacturer.
The device must be approved in at least one of the following reference markets:
European Union (CE marking under MDR or MDD)
United States (FDA 510(k) or PMA)
Australia (ARTG listing)
Canada (MDL certificate)
Japan (Shonin/PMDA approval)
📎 Prepare:
Valid certificates
Free Sale Certificate (if available)
Declaration of Conformity
If the manufacturer has not already been registered in Hong Kong, submit:
📄 Form MD101 with:
Manufacturer details
Valid ISO 13485 certificate
Device manufacturing site info
Manufacturer's Declaration of Conformity
The dossier should be prepared following GN-02 and GN-03, including:
| Section | Contents |
|---|---|
| 📘 Device Description | Model, features, classification rationale |
| 📄 Labeling | IFU, labels in English or Chinese |
| ⚠️ Risk Analysis | Based on ISO 14971 |
| 🧪 Test Reports | Biocompatibility, electrical safety, EMC, etc. |
| 💻 Software Validation | If device includes software (follow IEC 62304) |
| 📈 Clinical Data | Performance data or equivalence evaluation |
| ✅ Essential Principles Checklist | Using GN-03 |
| 🧾 CE/FDA certificates | From recognized reference market |
🖨️ Submit 1 printed copy and 1 USB/CD with identical content.
Fill and sign Form MD102 (device listing)
Include all required documents and a submission letter
📬 Submit to:
Medical Device Division
Department of Health
Room 3101, 31/F, Hopewell Centre
183 Queen's Road East, Wan Chai, Hong Kong
📌 Note: There is currently no application fee for MDACS registration.
MDD will:
Acknowledge your submission
Conduct administrative and technical review
Send Request for Further Information (RFI) if clarification is needed
⏱ Typical duration: 3–9 months
Respond to RFIs promptly to avoid delays.
If approved:
Your device will be listed on the MDACS website
You’ll receive a Listing Confirmation Letter and HKMD No.
The LRP becomes responsible for ongoing post-market obligations
After approval, you must:
| Obligation | Description |
|---|---|
| 🛡️ Adverse Event Reporting | Submit Form MD151 for incidents |
| 🔄 Update MDD on Changes | Manufacturer, labeling, IFU, certificates |
| 📋 Field Safety Actions | Notify of recalls/corrections |
| 🧾 Record Keeping | Retain records for at least 5 years |
| 📦 Labeling Compliance | Ensure IFU/labeling is up to date and accurate |
| Document | Purpose |
|---|---|
| MD100 | LRP registration |
| MD101 | Manufacturer registration |
| MD102 | Device listing |
| GN-01 | Device classification guidance |
| GN-02 | Submission Dossier Template |
| GN-03 | Essential Principles of Safety and Performance |
| MD151 | Adverse Event Reporting |
| Task | Completed? |
|---|---|
| Confirm classification (GN-01) | ☐ |
| Appoint LRP and submit MD100 | ☐ |
| Prepare manufacturer registration (MD101) | ☐ |
| Collect reference market approvals | ☐ |
| Compile technical dossier (GN-02, GN-03) | ☐ |
| Submit application with MD102 | ☐ |
| Respond to MDD RFIs (if any) | ☐ |
| Receive listing and HKMD number | ☐ |
| Maintain post-market compliance | ☐ |

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