The Class D medical device registration process under the Medical Device Administrative Control System (MDACS) in Hong Kong is a structured and voluntary system administered by the Medical Device Division (MDD) of the Department of Health (DoH). Class D represents the highest-risk category of medical devices (e.g., implantables, life-support equipment, high-risk IVDs), and the application requires a robust technical file, compliance with essential principles, and overseas regulatory approval.
Below is a step-by-step guide to the registration process for Class D medical devices under MDACS:
| Stage | Description |
|---|---|
| Step 1 | Classify your device and confirm eligibility |
| Step 2 | Appoint a Local Responsible Person (LRP) in Hong Kong |
| Step 3 | Prepare documentation and technical dossier |
| Step 4 | Submit the application via MDIS portal |
| Step 5 | MDD review and clarification process |
| Step 6 | Approval and listing of the device |
| Step 7 | Post-market compliance and periodic updates |
Use GN-01 (for general MDs) or GN-02 (for IVDs) to determine the classification.
Class D includes:
Devices that support or sustain life
Devices implanted into the human body
IVDs for detecting serious infectious diseases (e.g., HIV, HBV, blood grouping)
✅ Action: Document your classification rationale for submission.
Only a Hong Kong-registered entity can act as the LRP.
The LRP is responsible for:
Submitting the application
Communicating with MDD
Handling post-market obligations
✅ Action: Formalize a contract between the manufacturer and LRP. Register the LRP under the MDACS framework (LRP application).
Prepare a full technical file covering all applicable standards and requirements.
Key Documents Include:
| Category | Required Items |
|---|---|
| Manufacturer credentials | ISO 13485 certificate, company profile |
| Regulatory approval | CE certificate (MDR), FDA 510(k)/PMA, TGA, etc. |
| Device description | Product overview, photos, model list |
| Essential Principles checklist | Based on GN-01/GN-02 |
| Risk management file | ISO 14971-based |
| Clinical evaluation report (CER) | If required for Class D |
| Safety and performance testing | Biocompatibility, electrical, EMC, etc. |
| Labeling and IFU | In English and/or Traditional Chinese |
| Declaration of Conformity | Signed by manufacturer |
| Post-market plan | PMS, vigilance SOPs, AE report templates |
✅ Tip: Follow IMDRF/GHTF documentation structure for Class D.
The MDIS (Medical Device Information System) is the online submission platform.
The LRP must log in and:
Fill out the device registration form
Upload required documents (PDF format)
Pay any applicable administrative fees (note: MDACS is voluntary and currently free in most cases)
✅ Action: Keep digital copies organized and ensure each document is clearly labeled (e.g., “ISO13485_certificate.pdf”).
MDD will conduct:
Administrative screening (completeness of submission)
Technical review (compliance with essential principles)
MDD may request:
Additional data or clarifications
Updated documents (if expired or unclear)
✅ Typical Review Timeline:
3 to 6 months for Class D devices
Longer if the product is novel, or technical files are incomplete
If approved:
The device is listed on the MDACS website
A Listing Number is issued (e.g., MDXXXXX)
A Letter of Acceptance is sent to the LRP
✅ Note: This is not a marketing authorization under law but serves as recognition of compliance and facilitates hospital tenders and private procurement.
Once the device is listed, you must:
| Obligation | Description |
|---|---|
| Adverse Event Reporting | Submit AE reports via MDIS (per GN-10) |
| Field Safety Actions | Notify MDD for recalls or FSCA (per GN-11) |
| Periodic Updates | Submit renewals every 5 years |
| Change Notification | Report any changes to device, labeling, manufacturing |
| Maintain QMS | Keep ISO 13485 and foreign approvals valid |
| Label Compliance | Maintain compliant packaging and IFU (GN-07) |
text复制编辑[1] Device Classification → [2] Appoint LRP → [3] Prepare Dossier → [4] Submit via MDIS → [5] MDD Review & Clarification → [6] Approval & Listing → [7] Post-Market Compliance
| Item | Purpose |
|---|---|
| Pre-submission checklist | Ensure complete document set |
| SOPs for PMS and AE | Required for Class D |
| Device master file (DMF) | Internal reference for audits |
| Translation into Traditional Chinese | For labeling, IFU, AE reports |
| Regulatory timeline tracker | Monitor renewal and expiry dates |
Would you like a downloadable Class D MDACS registration checklist, editable document templates, or a sample MDIS submission package structure? I can generate them based on your specific device type (general or IVD).
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