Class A · B · C · D — Overview
Class A — Low risk
Characteristics: Non-invasive; minimal or no direct contact with patient; lowest potential harm.
Examples: Tongue depressors, examination gloves, non-sterile wound dressings, walking frames, hospital furniture.
Licensing:
- Import: Form MD-15 (registration / self-declaration)
- Manufacture: State Licensing Authority (SLA)
GMP: Schedule 5 Part I (basic GMP requirements).
Class B — Low-to-medium risk
Characteristics: Invasive (short-term or non-surgical), or active therapeutic devices with low risk.
Examples: Hypodermic needles, blood pressure monitors, infusion sets, hearing aids, breathing tubes.
Licensing:
- Import: Form MD-14 via CDSCO / SUGAM
- Manufacture: State Licensing Authority (SLA)
GMP: Schedule 5 Part I.
Class C — Medium-to-high risk
Characteristics: Invasive for long-term use, implantable (non-cardiac), or active devices with significant energy delivery.
Examples: Spinal implants, vascular grafts, haemodialysis machines, long-term urinary catheters, ventilators.
Licensing:
- Import: Form MD-14 via CDSCO / SUGAM
- Manufacture: CDSCO
GMP: Schedule 5 Part I and additional requirements for the device type.
Class D — High risk
Characteristics: Implantable cardiac/CNS devices, devices in direct contact with the central cardiovascular system, or life-sustaining devices.
Examples: Cardiac pacemakers, implantable defibrillators, drug-eluting coronary stents, neurostimulators, HIV diagnostic kits (IVD Class D).
Licensing:
- Import: Form MD-14 via CDSCO / SUGAM
- Manufacture: CDSCO
GMP: Schedule 5 Part I and Part II (full quality system requirements comparable to ISO 13485).