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Combination Products & Borderline Devices

Some products combine a medical device with a medicine, biologic, or human tissue, or sit on the boundary between different regulatory categories. These require careful classification before determining the applicable pathway.

Device-medicine combination products

A product that incorporates both a device component and a medicinal component is regulated based on its primary mode of action:

  • If the device component is primary and the medicine is ancillary → regulated as a medical device under Decree 98/2021
  • If the medicine is primary and the device is ancillary → regulated as a medicine under the Law on Pharmacy

Examples:

  • Drug-eluting stents — the stent is the primary component; the drug coating is ancillary → medical device
  • Pre-filled syringes — the drug is primary; the syringe is ancillary → medicine (but the syringe may require device certification as a component)
  • Antibiotic-impregnated wound dressings — case-by-case determination

Device-biologic combination products

Products combining a device with cells, tissues, or biological materials are assessed individually. Some biologic-device combinations (e.g. bone grafts incorporating living cells) may require consultation with both DAV and the Department of Science and Technology.

Accessories to medical devices

An accessory that is specifically intended to be used together with a medical device to enable it to perform its intended purpose is itself regulated as a medical device. The accessory is classified separately from the principal device — it may be the same class or a different class depending on its own risk profile.

Kits and procedure packs

A kit or procedure pack containing multiple medical devices:

  • Each device component retains its individual classification
  • The kit as a whole is generally classified at the highest class of any of its components
  • If a kit contains a medicine alongside devices, it may require separate regulatory approaches for each component

Second-hand and refurbished devices

Second-hand, reconditioned, and refurbished medical devices are a specific area of Vietnamese regulatory attention. See Special Device Types for the applicable rules.

Requesting a formal determination

For any genuinely borderline product, submit a formal written query to DAV before investing in a full dossier. Provide:

  • A clear description of the product and its components
  • The proposed intended purpose
  • Labelling and IFU drafts
  • Any applicable technical standards

DAV will issue a written response indicating the applicable regulatory category and, where applicable, the classification.