Applying for Class D medical device registration under Hong Kong’s Medical Device Administrative Control System (MDACS) is a voluntary process managed by the Medical Device Division (MDD) of the Department of Health (DoH). Class D represents the highest risk category (e.g. implantable devices, life-supporting equipment, HIV test kits, etc.), and thus requires the most stringent documentation and regulatory compliance.
Use the official classification guidance:
GN-01: For general medical devices
GN-02: For in vitro diagnostic (IVD) medical devices
🔎 Class D includes:
Life-sustaining or life-supporting devices (e.g. pacemakers)
Implantables (e.g. orthopedic implants)
IVDs used to detect transmissible diseases (e.g. HIV, HBV)
📌 Tip: Prepare a written classification rationale and keep for submission.
Only a Local Responsible Person (LRP) can submit an application to MDACS.
Be a Hong Kong-registered company
Have technical and regulatory capacity to:
Maintain the technical documentation
Submit and manage the application via MDIS
Handle post-market obligations (vigilance, FSCA, recalls)
📌 Required documentation:
LRP registration form
Business Registration Certificate
Manufacturer Authorization Letter (MAL)
Prepare the required documents according to MDACS standards and GHTF/IMDRF guidelines.
| Category | Example Documents |
|---|---|
| Manufacturer Information | ISO 13485 certificate, company profile |
| Regulatory Approval | CE certificate (MDR), FDA 510(k)/PMA, TGA, etc. |
| Risk Management | ISO 14971-compliant Risk Management File |
| Clinical Evaluation | Clinical Evaluation Report (CER) or literature review |
| Performance Testing | Electrical, biocompatibility, EMC, software validation |
| Labeling & IFU | In English and/or Traditional Chinese |
| Declaration of Conformity | Signed by manufacturer |
| Essential Principles Checklist | Based on GN-01 or GN-02 |
| Post-Market Surveillance Plan | AE handling, complaint SOPs, FSCA procedure |
All submissions are done through the online portal:
👉 MDIS Website: https://mdis.mdco.gov.hk
LRP registers and logs into the MDIS portal
Select “Apply for Listing of Medical Device”
Fill out the online form (device information, overseas approval, manufacturing site, etc.)
Upload supporting documents in PDF format
Submit electronically
📌 No physical submission is needed.
After submission:
Administrative Review: MDD checks for completeness (2–4 weeks)
Technical Review: Detailed assessment of compliance with safety, performance, and essential principles (3–6 months)
Clarification Requests: MDD may request additional data, explanations, or updated files
📌 You must respond to clarification requests typically within 10–30 calendar days.
If the application passes all checks:
MDD issues a Letter of Acceptance
Device is added to the List of Medical Devices on the MDACS website
A unique Listing Number (e.g., MDXXXXXX) is assigned
📌 Listing is valid for 5 years and must be renewed before expiry.
| Document | Required for |
|---|---|
| ISO 13485 Certificate | QMS compliance |
| CE/FDA/TGA Certificate | Regulatory recognition |
| Manufacturer Authorization Letter | LRP appointment |
| Technical Dossier | Risk, clinical, performance, labeling |
| Declaration of Conformity | Manufacturer accountability |
| Essential Principles Checklist | Demonstrating compliance |
| Post-Market Surveillance SOP | Vigilance and FSCA readiness |
| Labeling & IFU | Language and safety info |
| Stage | Time |
|---|---|
| Pre-application preparation | 1–3 months |
| MDACS submission review | 3–6 months |
| Clarification rounds | 1–2 months (if needed) |
| Final approval and listing | 1–2 weeks |
👉 Total estimated time: 4–9 months
👉 Faster if submission is complete and compliant from the start.
| Item | Note |
|---|---|
| Application Fee | Currently free (subject to change) |
| Language | Documents must be in English and/or Traditional Chinese |
| Post-Market Obligations | AEs, recalls, renewals, and changes must be reported |
| Renewals | Required every 5 years |
| Listing Status | Voluntary, but often required for public tenders and hospitals |
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