Borderline & Combination Products
Borderline productsโ
A borderline product is one where it is unclear whether it should be regulated as a medical device, drug, cosmetic, or food. Common borderline areas in India:
- Device/drug combinations โ e.g., drug-coated stents, drug-eluting bone cement;
- Device/cosmetic โ e.g., UV-protective eyewear, teeth whitening kits;
- Device/AYUSH โ traditional preparations used with device claims;
- Wellness software vs SaMD.
How CDSCO handles borderline casesโ
CDSCO will determine the primary mode of action. If the device component is primary and the drug component is secondary, MDR 2017 applies (and the drug component requires a separate drug licence). If the drug is primary, drug regulation applies.
There is no formal pre-submission borderline classification procedure equivalent to the EU SCENIHR process, but manufacturers can seek informal guidance from CDSCO before investing in a full submission.
Combination productsโ
India does not yet have a dedicated combination product regulation equivalent to 21 CFR Part 3 (USA) or Article 1(8) EU MDR. A pragmatic approach โ seek guidance from CDSCO โ is recommended before submission.