The timeline for Class D medical device MDACS registration in Hong Kong typically ranges from 4 to 9 months, depending on the completeness of the submission, the complexity of the device, and how quickly the applicant and their Local Responsible Person (LRP) respond to the Medical Device Division (MDD) of the Department of Health.
Since Class D devices represent the highest-risk category, the review is more rigorous, especially for clinical evidence, risk management, and post-market surveillance systems.
| Phase | Activity | Estimated Duration |
|---|---|---|
| 1. Preparation | Appoint LRP, prepare documents | 1–3 months |
| 2. Submission | Online submission via MDIS | 1 week |
| 3. Administrative Screening | MDD checks format, completeness | 2–4 weeks |
| 4. Technical Review | In-depth review of safety, efficacy, risk, testing | 3–6 months |
| 5. Request for Clarification (if any) | Response from applicant | 2–8 weeks per round |
| 6. Final Decision & Listing | Issuance of MDACS listing number | 1–2 weeks |
✅ Total estimated timeline: 4–9 months
⏳ For complex or novel devices (e.g. software with AI, new materials, first-of-its-kind IVD), the process may take up to 12 months.
| Factor | Impact |
|---|---|
| ✅ Complete & well-organized dossier | Speeds up review |
| ❌ Missing or inconsistent documents | Delays, clarification rounds |
| ✅ Valid CE/FDA/TGA approval | Reduces depth of technical review |
| ❌ Poor risk analysis or clinical data | Triggers additional questions |
| ✅ Timely LRP responses to MDD | Avoids long pauses in review |
| ✅ Properly labeled, translated IFU/labeling | Minimizes back-and-forth |
ISO 13485 certificate (QMS)
CE certificate / FDA 510(k) / TGA approval
Essential Principles Checklist (GN-01 / GN-02)
Clinical Evaluation Report
Risk Management File (ISO 14971)
Biocompatibility, electrical safety, EMC test reports
IFU and device labeling
Post-market surveillance and FSCA procedures
| Date Range | Event |
|---|---|
| Jan–Feb | LRP appointment and document preparation |
| March 1 | MDACS application submitted via MDIS |
| March 15 | Admin screening completed |
| April–July | Technical review by MDD |
| Aug 1 | MDD issues RFC (request for clarification) |
| Aug 15 | Applicant submits response |
| Sept 1 | Final review and approval |
| Sept 10 | Listing number issued (device approved) |
📌 Total: ~6 months
✅ Use a professional LRP with MDACS experience
✅ Submit a clean and indexed technical file
✅ Include strong clinical and risk management evidence
✅ Translate labeling into Traditional Chinese
✅ Respond to MDD clarifications within 10 working days
✅ Ensure all certificates (e.g. ISO, CE) are valid and relevant
Although MDACS is voluntary, listing is often required for public hospital tenders, clinical trials, and import clearance.
After approval, the listing is valid for 5 years, and the renewal process should begin at least 6 months before expiry.
Would you like a Gantt chart template or a customized timeline tracker for Class D MDACS registration based on your device type and current progress?
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