Preparing for Class D medical device registration under Hong Kong’s Medical Device Administrative Control System (MDACS) requires a comprehensive understanding of the regulatory framework and careful preparation of technical, administrative, and quality documentation. Since Class D devices pose the highest risk (e.g., implantables, life-support devices, high-sensitivity IVDs), the pre-submission preparation must be rigorous to avoid delays or rejection.
Below is a detailed guide to the preparation steps and required items before applying:
GN-01 (for general medical devices)
GN-02 (for IVDs)
TR-003 / TR-006 (technical references for classification)
Class D includes:
Implantable or life-sustaining devices (e.g., pacemakers, defibrillators)
In vitro diagnostics for high-risk conditions (e.g., HIV, blood group typing)
✅ Action: Document rationale for Class D classification.
The LRP is the only party permitted to submit MDACS applications on behalf of foreign manufacturers.
Acts as the regulatory liaison with the Department of Health (DoH)
Maintains the technical documentation in Hong Kong
Coordinates vigilance reporting, recalls, and post-market surveillance
✅ Action: Ensure your chosen LRP is a legally registered entity in Hong Kong and has experience with MDACS.
Hong Kong’s MDACS requires that your device is already registered or approved in one or more GHTF/IMDRF markets, such as:
| Country | Acceptable Approval |
|---|---|
| EU | CE (MDR/IVDR) |
| USA | FDA (510(k), PMA, De Novo) |
| Canada | Health Canada MDL |
| Australia | ARTG inclusion |
| Japan | PMDA/MHLW approval |
| China | NMPA license |
| South Korea | MFDS license |
| Singapore | HSA registration |
✅ Action:
Prepare Certificate of Free Sale or equivalent
Collect copies of registration certificates
The manufacturer must hold a valid ISO 13485:2016 certificate for the product and manufacturing site(s), issued by a recognized Notified Body or Certification Body.
✅ Action:
Ensure certificate is valid and in English
Include the certificate in the submission package
You will need to prepare a technical dossier that demonstrates compliance with the Essential Principles of Safety and Performance.
| Required Documents | Example Standards |
|---|---|
| Risk Management File | ISO 14971 |
| Clinical Evaluation Report (CER) | MEDDEV 2.7/1 Rev 4 or IMDRF |
| Biocompatibility Reports | ISO 10993 series |
| Electrical Safety Tests | IEC 60601-1 |
| Software Validation | IEC 62304 |
| Sterilization Validation | ISO 11135, 11137 |
| Post-Market Surveillance Plan | ISO 13485:2016 (Clause 8.2.1) |
| Labeling & IFU | ISO 15223, EN 1041 |
✅ Action:
Organize documents in PDF format
Use clear filenames (e.g., Risk_Management_ISO14971.pdf)
All labeling must be available in English and/or Traditional Chinese and must include:
Device name, model
Manufacturer and LRP details
Intended use and indications
Warnings, contraindications
Sterility, shelf life, lot/serial number
CE or FDA regulatory statement (if available)
✅ Action:
Design and finalize product packaging artwork
Confirm labeling complies with GN-07
The checklist demonstrates how your device meets each applicable Essential Principle in GN-01 (MDs) or GN-02 (IVDs).
✅ Action:
Fill out the official Essential Principles Checklist
Cross-reference each principle to supporting evidence in the tech file
This is a formal declaration from the manufacturer that the device:
Meets all applicable Essential Principles
Complies with relevant standards
Is safe and effective for its intended use
✅ Action:
Use official MDACS format for the declaration
Ensure it is signed and dated by authorized person
The application is submitted through the Medical Device Information System (MDIS) online platform.
✅ Action:
Ensure LRP is registered on MDIS
Organize all documents in a format ready for upload
Validate PDF file sizes and naming conventions
Post-market surveillance obligations require the LRP to:
Monitor adverse events
Respond to field safety actions
Maintain complaint logs
✅ Action:
Draft or review internal SOPs for:
AE reporting (based on GN-10)
FSCA and recalls (based on GN-11)
Complaint management
Before submission:
Perform an internal audit or third-party pre-review
Check for missing items, inconsistencies, or outdated documents
Prepare cover letter summarizing device, classification, and GHTF approvals
| Task | Status |
|---|---|
| Confirm device is Class D | ✅ |
| Appoint and contract with LRP | ✅ |
| Obtain overseas approvals (e.g., CE/FDA) | ✅ |
| Confirm ISO 13485 certificate | ✅ |
| Prepare complete technical documentation | ✅ |
| Draft labeling and IFU (EN/TC) | ✅ |
| Complete Essential Principles Checklist | ✅ |
| Sign Declaration of Conformity | ✅ |
| Register on MDIS | ✅ |
| Draft post-market surveillance SOPs | ✅ |
| Conduct internal QA review | ✅ |
Would you like an editable checklist, document templates, or a submission timeline tracker tailored for your specific Class D device? I can generate that for your regulatory team upon request.
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