A Leap for Medical Devices Regulation in India and its Comparison with United States and European Union Regulations

Authors

  • Rupak Kumar Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0000-0001-6929-9176
  • Meeta Mukherjee Verma Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0009-0004-3992-2595
  • Jyoti Batra Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0009-0000-1939-5661
  • Garima Singhal Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0009-0003-4745-5109
  • Aarti Sahu Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0009-0007-3964-243X
  • Deepak K. Gupta Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0000-0001-5927-440X
  • Suchita Markan Medical Device and Diagnostics Mission Secretariat, Division of Development Research, Indian Council of Medical Research (ICMR), New Delhi – 110029 https://orcid.org/0009-0000-2819-5813

DOI:

https://doi.org/10.70411/MJHAS.2.1.2025147

Keywords:

Medical Device, Device Classification, Medical Devices Rules., Quality Management System, Risk Assessment

Abstract

The Indian medical devices sector is the sunrise sector and holds the potential to quickly become one of the top countries in the global medical devices market share. In the patient-centric era, this paper aims to comprehensively analyze medical device regulations in India and compare them horizontally with United States U.S. and European Union (EU) regulations. Data from open sources, such as reports, different search engines, etc., were considered for an in-depth analysis of the regulatory landscape in India, the US, and the EU. One of the significant comparative findings indicated that CE (European Conformity) is essential to EU regulation for ensuring medical devices' safety and effectiveness (efficacy). In contrast, notified bodies/central licensing authority (CLA) in India and U.S. Center for Medical Devices and Radiological Health (CDRH) perform the same. Variations in device classification, pre-market approval requirements, post-market surveillance, validity period, and quality management systems were also observed.

Despite significant developments in the medical devices rules (MDR)-2017, various challenges such as specific compliances for software as medical devices (SaMD), futuristic healthcare technologies regulations, and limited designated labs for performance evaluation of In-vitro diagnostics (IVD) medical devices, which needs to be addressed enabling multiple fold increment in the medical device market share.  Recommendations include creating a unique quick response (QR) code for each medical device, creating a database of technical information on approved devices, and strengthening materiovigilance. These steps are essential to ensuring the quality and safety of medical devices and enhancing their competitiveness in the global market.

References

Act 68 of 1982: Drugs and Cosmetics. (1982). https://www.casemine.com/act/in/5a979db54a93263ca60b72d0#1001_1_FN0001

Boosting the Indian Medical Device Industry (2023). https://pharmaceuticals.gov.in/sites/default/files/Final%20Boosting%20of%20Medical%20Devices%20Industry%20-%20Report%20-%202023.pdf

Central Drugs Standard Control Organization, Ministry of Health and Family Welfare notification number: F. No. 29/Misc/03/2022-DC (257), Regulation of all Class A & B Medical Devices under Licensing regime, w. e. f 01.10.2022, as per G.S.R. 102(E) dated 11.02.2020 https://cdsco.gov.in/opencms/export/sites/CDSCO_WEB/Pdf-documents/mdgsr.pdf

Central Drugs Standard Control Organization, Ministry of Health and Family Welfare notification number: F. No. 29/Misc/3/2017-DC (288), List of notified bodies registered with CDSCO under MDR-2017 dated 31.07.2019. https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadPublic_NoticesFiles/ListofNotifiedmd.pdf

Checklist for PSUR Submission of New Medical Devices [approved for Manufacturing or Import in India. https://cdsco.gov.in/opencms/export/sites/CDSCO_WEB/Pdf-documents/PSUR_PV_AEFI/PSUR-Submission-checklist.pdf.

Contardi, M. (2019). Changes in the medical device's regulatory framework and its impact on the medical device's industry: from the medical device directives to the medical device regulations. Erasmus L. Rev., 12, 166. https://www.elevenjournals.com/tijdschrift/ELR/2019/2/ELR-D-19-00012

Customs market insights; India Medical Equipment Market 2024–2033. (2024). https://www.custommarketinsights.com/report/india-medical-equipment-market/

Deloitte, NATHEALTH Medical devices making in India-a leap for Indian healthcare. (2016). https://www2.deloitte.com/content/dam/Deloitte/in/Documents/life-sciences-health-care/in-lshc-medical-devices-making-in-india-noexp.pdf

European Commission Medical Devices Directives. https://health.ec.europa.eu/medical-devices-sector/directives_en

Final Report, Survey of Medical Devices Clusters, . (2023). M. o. C. F. Department of Pharmaceuticals.

Force, G. H. T. (2012). Definition of the Terms ‘Medical Device’and ‘In Vitro Diagnostic (IVD) Medical Device’. Study Group, 1.

Gazette of India notification, G. S. R. 78(E), January 31, 2017. (2017). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MzMzNg==

Gazette of India notification, G.S.R. 102 (E). (2020). . https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=NTU0OQ

Gazette of India notification, G.S.R. 102 (E). (2020). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=NTU0OQ==

Gazette of India notification, G.S.R. 174 (E). (2022). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=ODIyOA==

The Gazette of India notification, G.S.R. 224 (E). (2019). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=NDI1OQ==

Gazette of India notification, G.S.R. 356 (E). (2022). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=ODQ4OQ==

Gazette of India notification, G.S.R. 409 (E). (2023). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MTAzMjg=

Gazette of India notification, G.S.R. 450 (E). (2022). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=ODYxOQ==

The Gazette of India notification, G.S.R. 627 (E). October 7, (2005). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MzI3Mw==

The Gazette of India notification, G.S.R. 729 (E). (2018). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MzE4Mg==

Gazette of India notification, G.S.R. 754 (E). (2022). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=OTA4MA==

Gazette of India notification, G.S.R. 777 (E). (2022). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MTAwMzE=

Gazette of India notification, G.S.R. 787 (E). (2019). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=NTE3NQ==

Gazette of India notification, G.S.R. 918 (E). . (2021). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=ODEzOQ==

Gazette of India notification, S.O. 648(E). (2020). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=NTU0OA==

Guidelines for import and manufacture of medical devices. . (2018). https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadImmunization/11GUIDELINES1.pdf

A History of Medical Device Regulation & Oversight in the United States. https://www.fda.gov/medical-devices/overview-device-regulation/history-medical-device-regulation-oversight-united-states

India imports 80% of its requirement of medical devices: MoS Ashwini Choubey. (2024). https://economictimes.indiatimes.com/small-biz/sme-sector/et-make-in-india-sme-regional-summit-to-kick-off-2025-with-bengaluru-on-january-18/articleshow/117224688.cms

Indian Medical Device Market, Annual Report – 2022- 2023. https://pharmaceuticals.gov.in/sites/default/files/Annual%20Report%202022-23%20Final-3.pdf

inovation, J. J. (2010). ASR Hip System Recall. https://www.jnj.in/div-class-cms-textalign-center-b-asr-hip-system-recall-b-div

Investment Opportunities in Textiles and Apparel Textiles and Apparel. Invest India. https://www.investindia.gov.in/sector/textiles-apparel

Launching of National Single Window System (NSWS) Portal. (2024). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MTA4MTE=

List of notified bodies https://cdscomdonline.gov.in/NewMedDev/ListOfNotifiedBody

List of Testing Laboratories https://cdscomdonline.gov.in/NewMedDev/ListOfTestingLaboratory

Marketing Authorization of Medical devices: in vitro devices. (2024). https://cdsco.gov.in/opencms/opencms/system/modules/CDSCO.WEB/elements/download_file_division.jsp?num_id=MTEzNTg=

Medical Device & Diagnostics. https://cdsco.gov.in/opencms/opencms/en/Medical-Device-Diagnostics/Medical-Device-Diagnostics/

The Medical Devices Bill, explained. (2019). https://healthissuesindia.com/2019/12/20/the-medical-devices-bill-explained/#:~:text=The%20Bill%20%E2%80%93%20in%20full%2C%20the,an%20estimated%20Rs%2039%2C000%20crore.&text=The%20Government%20would%20also%20establish%20a%20National%20Register%20of%20Medical%20Devices

Medical devices regulation in India: tracing its evolution to gets cues on its future development. (2020). https://www.ikigailaw.com/article/223/medical-devices-regulation-in-india-tracing-its-evolution-to-gets-cues-on-its-future-development#_ftn

Medical devices, World Health Organization. https://www.who.int/health-topics/medical-devices#tab=tab_1

Medtronic Recalls Implantable Defibrillators, U.S. Food &Drug Administrator. (2023). https://www.fda.gov/medical-devices/medical-device-recalls/medtronic-recalls-implantable-cardioverter-defibrillators-icds-and-cardiac-resynchronization-therapy

National Medical Devices Policy. (2023). https://pharmaceuticals.gov.in/sites/default/files/Gazette%20Notification%20%20National%20Medical%20Devices%20Policy%202023.pdf

New Drugs medical devices and cosmetics Bill. https://main.mohfw.gov.in/sites/default/files/Drugs%2C%20Medical%20Devices%20and%20Cosmetics%20Bill.pdf

NITI Aayog plans to bring all medical devices under one regulatory regime. (2019). https://www.business-standard.com/article/economy-policy/niti-aayog-plans-to-bring-all-medical-devices-under-one-regulatory-regime-119121900025_1.html

Note on Health and Pharmaceutical Sector. Invest India. (2024). https://www.investindia.gov.in/sector/medical-devices

PCR Kits approved for testing of Covid-19 (2022). https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadPublic_NoticesFiles/PCRKit20.06.2022.pdf

Product Recall, CDSCO, Directorate General of Health Services. Ministry of Health and Family Welfare, Government of India. https://cdsco.gov.in/opencms/opencms/en/consumer/Product-Recall/

S. O. 1468(E), (October 06, 2005)

(2012). http://www.egazette.nic.in/WriteReadData/2005/E_1077_2012_007.pdf

Schedule M-III in Drugs and Cosmetics Rules, 1945 By Govt. of India Notification No. G.S.R. 109(E), w.e.f. 22.2. (1994). http://www.egazette.nic.in/WriteReadData/1994/E-0395-1994-0082-15199.pdf

Textiles Committee (2020). Ministry of Textiles, Govt. of India, India becomes world's second largest manufacturer of PPE body coveralls. . https://textilescommittee.nic.in/india-becomes-worlds-second-largest-manufacturer-ppe-body-coveralls

Updates on the medical device regulations in India (September 1, 2009), Pacific Bridge Medical, U.S. Bethesda, MD 20814 https://www.pacificbridgemedical.com/publication/updates-on-the-medical-device-regulations-in-india/

World Health Organization, Good Manufacturing Practices, Health products policy and standards. https://www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/gmp

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Published

2025-03-15

How to Cite

Kumar, R., Mukherjee Verma, M., Batra, J., Singhal, G., Sahu, A., K. Gupta, D., & Markan, S. (2025). A Leap for Medical Devices Regulation in India and its Comparison with United States and European Union Regulations. Modern Journal of Health and Applied Sciences, 2(1), 12–34. https://doi.org/10.70411/MJHAS.2.1.2025147