State & Municipal VISA Bodies
BR-unique
State and municipal Vigilância Sanitária (VISA) bodies have independent enforcement authority and licensing powers that directly affect device companies' ability to operate — regulation does not stop at the federal ANVISA level.
State VISA bodies
Each of Brazil's 26 states and the Federal District has its own VISA body. Their key roles include:
- GMP inspections of manufacturers and importers;
- Market surveillance — pulling non-compliant products from the market;
- Issuing or revoking state-level endorsements for AFE applications; and
- Enforcing ANVISA decisions locally.
Municipal VISA bodies
Municipal VISA bodies are responsible for issuing the Licença de Funcionamento (operating licence) to premises, required in addition to the federal AFE.
Navigating the three levels
A device company must typically hold:
- ANVISA AFE (federal) — for the company entity;
- State VISA endorsement — for GMP-related activities (in some states);
- Municipal Licença de Funcionamento — for each physical site.