CDSCO License for elbow joint humeral (hemi- elbow) metallic uncemented prosthesis
Medical Device Information
Intended Use
A device intended to be implanted made of alloys, such as cobalt- chromium-molybdenum, that is used to replace the distal end of the humerus formed by the trochlea humeri and the capitulumhumeri

Comprehensive Guide to CDSCO Licensing for Elbow Joint Humeral (Hemi-Elbow) Metallic Uncemented Prosthesis
Navigating the regulatory landscape for medical devices in India can be complex, especially for specialized orthopaedic implants like the elbow joint humeral (hemi-elbow) metallic uncemented prosthesis. This device, intended to replace the distal end of the humerus, is classified under Risk Class C, necessitating strict compliance with CDSCO regulations. With over 25 years of experience assisting 500+ manufacturers and importers, we provide you with a detailed roadmap to secure your CDSCO license efficiently and confidently.
Understanding the Elbow Joint Humeral Prosthesis and Its Regulatory Importance
This prosthesis is an implantable orthopaedic device made from cobalt-chromium-molybdenum alloys designed to substitute the trochlea humeri and capitulum humeri. Given its critical role in joint functionality and patient safety, regulatory oversight ensures that manufacturers meet stringent quality and safety criteria before market entry.
CDSCO Regulatory Framework for Orthopaedic Implants (Class C Devices)
The Central Drugs Standard Control Organisation (CDSCO) regulates medical devices under the Medical Device Rules, 2017. Orthopaedic implants like the hemi-elbow prosthesis fall under Class C—medium to high risk. These devices require a Central Licensing Authority approval through the MD9 manufacturing license process.
Manufacturers must comply with all relevant guidelines, including testing, quality management systems, and clinical evidence to demonstrate safety and efficacy.
Risk Classification and License Requirements for Class C Devices
- Risk Class: C (Medium to High)
- License Type: MD9 Manufacturing License (Application Form MD7)
- Authority: Central Licensing Authority (CDSCO HQ)
- Process Duration: Approximately 4-5 months
Class C devices require a more rigorous evaluation, including product testing, quality audits, and compliance documentation.
Manufacturing License Process for Elbow Joint Humeral Prosthesis (MD9 License)
- Test License Application (Form MD13): Before full manufacturing approval, you must obtain a test license. This involves submitting your initial documents and product samples for testing.
- Product Testing: Conducted at CDSCO-approved laboratories to validate material composition, biocompatibility, and mechanical performance. Explore the list of testing laboratories for authorized centers.
- Document Preparation: Comprehensive technical documentation, including Device Master File (DMF), Plant Master File (PMF), and Risk Management File, is prepared.
- Application Submission (Form MD7): Submit the manufacturing license application via the CDSCO MD Online Portal.
- CDSCO Inspection and Audit: Regulatory inspectors conduct a thorough audit of manufacturing facilities and QMS implementation.
- Queries Resolution: Address any additional information requests or non-conformities raised during audit.
- Grant of License (Form MD9): Upon satisfactory review, the manufacturing license is granted.
Manufacturing License Documents Required for MD9
- Company Constitution/Registration Certificates
- Proof of Ownership or Lease Agreement of Manufacturing Premises
- Technical Staff Qualifications and Experience Certificates
- Fire No Objection Certificate (NOC)
- Pollution Control Board NOC
- Device Master File (DMF): Detailed design, manufacturing process, and specifications (See our detailed guide)
- Plant Master File (PMF): Facility details and quality systems (Learn more)
- Essential Principles Checklist
- Risk Management File in line with ISO 14971 (Risk Management insights)
- Test Reports from approved labs
- Product Labels and Instructions for Use (IFU)
- Quality Management System Documents (ISO 13485:2016 certified)
Import License Process for Class C Devices (MD15 License)
If you are importing the elbow joint prosthesis, you must apply for the MD15 import license through the Central Licensing Authority.
Process steps include:
- Document preparation (including Manufacturing License, Free Sale Certificate from country of origin, CE Certificate)
- Submission of application on CDSCO MD Online Portal
- Resolution of queries
- License grant
Typical timeline: 5-6 months.
Import License Documents Required
- Valid Manufacturing License (MD9) from the country of origin
- Free Sale Certificate
- ISO 13485:2016 Certificate
- CE Certificate or equivalent
- Device Master File and Plant Master File
- Wholesale Drug License
- Company Constitution
Timeline and Processing Duration for MD9 License
- Test License (Form MD13): 1.5-2 months
- Product Testing: 1-2 months (concurrent or overlapping with Test License)
- Document Preparation: 2-3 weeks
- Application Review and Audit: 1.5-2 months
- Total Estimated Time: 4-5 months
Government Fees and Costs
- Application Fee: INR 50,000
- Per Product Fee: INR 1,000
- Testing Charges: Variable depending on test scope and lab
- Audit Charges: Paid to notified bodies (CDSCO provides a list of notified bodies)
Common Challenges and Practical Solutions
Challenge: Delays due to incomplete documentation or non-compliance in audits.
Solution: Engage regulatory experts to conduct a pre-audit readiness check and ensure all documentation is robust and compliant.
Challenge: Extended product testing timelines.
Solution: Prioritize submission to CDSCO-approved, reputed testing labs. Early engagement can streamline testing.
Challenge: Managing queries from CDSCO or notified bodies.
Solution: Prepare a dedicated team to respond promptly with clear, evidence-backed replies.
Expert Consultation and Support
Having successfully guided over 500 companies, we understand the nuances of CDSCO licensing for Class C orthopaedic implants. Our tailored consultancy ensures:
- Comprehensive gap analysis before application
- Assistance with Device and Plant Master Files
- Coordination with notified bodies and testing labs
- End-to-end application management on the CDSCO MD Online Portal
- Post-approval compliance support
Getting Started with Your CDSCO License Application
- Evaluate your device classification: Confirm your product as Class C using resources like our Medical Device Classification guide.
- Initiate the Test License (MD13): Prepare and submit your initial application to begin product testing.
- Prepare comprehensive documentation: Use our guides on DMF and PMF to ensure compliance.
- Select a notified body for audit: Reference the list of notified bodies and schedule your audit.
- Submit the MD9 application: Once testing and audits are complete, apply for your manufacturing license.
Embarking on the CDSCO licensing journey for your elbow joint humeral prosthesis requires strategic planning and expert execution. Reach out to us to leverage our industry expertise and accelerate your market entry with confidence.