CDSCO License for Gastrointestinal Tube
Medical Device Information
Intended Use
A gastrostomy tube (also called a G- tube) is a tube inserted through the abdomen that delivers nutrition directly to the stomach

Comprehensive Guide to CDSCO Licensing for Gastrointestinal Tubes (Class B Medical Device)
As seasoned regulatory consultants with over 25 years of experience and having assisted more than 500 companies in navigating the Indian medical device market, we understand the complexities and nuances of obtaining CDSCO licenses for devices such as Gastrointestinal Tubes (G-tubes). These tubes, classified as Class B medical devices under the category of catheters, require careful adherence to regulatory mandates to ensure timely market entry.
Introduction: Understanding Gastrointestinal Tubes and Their Regulatory Significance
A Gastrointestinal Tube, commonly known as a G-tube, is a critical medical device that enables direct nutritional delivery to the stomach via an abdominal insertion. Given its direct contact with internal tissues and its role in patient nutrition, regulatory oversight by CDSCO is stringent to ensure safety and efficacy. The device falls under Class B risk category as per the CDSCO notification [29/Misc/3/2017-DC (292)] dated 06.06.2018.
CDSCO Regulatory Framework for Gastrointestinal Tubes
The Central Drugs Standard Control Organization (CDSCO) governs the registration, manufacturing, and import of medical devices in India. For Gastrointestinal Tubes (Class B), the regulatory pathway involves obtaining an MD5 license, issued by the respective State Licensing Authority. The approval process ensures compliance with the Medical Device Rules, 2017, aligning with Indian and international quality and safety standards.
Risk Classification and License Requirements for Class B Devices
Class B devices are considered low to moderate risk. Accordingly, the CDSCO mandates a Manufacturing License (MD5) for domestic production, which requires:
- Application through Form MD3
- Prior Test License (Form MD13)
- Testing at CDSCO-approved laboratories
- Audit by a notified body
For imports, an MD15 license from the Central Licensing Authority is required.
For detailed device classification, manufacturers may refer to the Medical Device Classification guide.
Manufacturing License Process (MD5) for Gastrointestinal Tubes
Obtaining an MD5 license involves several sequential steps:
Test License Application (Form MD13): Initiate process by applying for a test license, valid for conducting requisite product testing. This typically takes 1.5 to 2 months.
Product Testing: Samples of the Gastrointestinal Tube must be tested at government-approved labs listed on the CDSCO Testing Laboratories page.
Document Preparation: Compile comprehensive documentation including Device Master File, Plant Master File, Quality Management System (QMS) documents, risk management files, and labeling.
License Application (Form MD3): Submit manufacturing license application via the CDSCO MD Online Portal.
Audit by Notified Body: A notified body, selected from the list of notified bodies, conducts an on-site audit of the manufacturing facility.
Query Resolution: Address any observations or queries raised by the licensing authority or notified body promptly.
Grant of MD5 License: Upon satisfactory compliance, the license is granted on Form MD5.
Manufacturing License Documents Required for Gastrointestinal Tubes
The following documents are essential for the MD5 application:
- Company Constitution (Incorporation Certificate)
- Proof of Ownership or Lease Agreement of Manufacturing Premises
- Details and Qualification Certificates of Technical Staff
- Fire Safety NOC and Pollution Control Board NOC
- Device Master File (DMF) detailing design, specifications, and manufacturing process (Refer to our Device Master File guide)
- Plant Master File outlining the manufacturing environment and equipment (See Plant Master File Guide)
- Essential Principles Checklist
- Risk Management File demonstrating hazard analysis and mitigation (Explore Risk Management basics)
- Test Reports from government-approved labs
- Product Labels and Instructions for Use (IFU)
- Quality Management System Documentation (e.g., ISO 13485:2016 compliance)
Import License Process (MD15) for Gastrointestinal Tubes
For importers of Gastrointestinal Tubes, an MD15 license issued by the Central Licensing Authority is mandatory. The process includes:
Document Preparation: Includes obtaining a valid manufacturing license from the country of origin, Free Sale Certificate, ISO 13485:2016 certification, CE Certificate if applicable, Device Master File, Plant Master File, and Wholesale License.
License Application: File Form MD14 via the CDSCO MD Online Portal.
Query Resolution: Promptly respond to any department queries.
License Grant: MD15 license issued allowing import and sale in India.
Import License Documents Required
- Valid Manufacturing License from Country of Origin
- Free Sale Certificate
- ISO 13485:2016 Certificate
- CE Certificate (if applicable)
- Device Master File
- Plant Master File
- Wholesale License for import
- Company Constitution Documents
Timeline and Processing Duration
License Type | Steps Involved | Approximate Timeframe |
---|---|---|
MD5 (Manufacturing) | Test License, Testing, Document Prep, Audit, Query Resolution | 3 to 4 months total |
MD15 (Import) | Document Prep, Application, Query Resolution | 5 to 6 months total |
The test license phase alone takes about 1.5 to 2 months, followed by testing and audit stages. Early and thorough preparation of documents can significantly reduce delays.
Government Fees and Costs
For a Class B device like the Gastrointestinal Tube, the fees for manufacturing license (MD5) are:
- Application Fee: Rs. 5,000
- Per Product Fee: Rs. 500
Additional costs include fees for testing at approved labs and notified body audit fees, which vary by entity.
For imports (MD15), fees depend on device class and number of products; consult the CDSCO portal for exact figures.
Common Challenges and Solutions
- Delayed Testing Reports: Engage early with CDSCO-approved labs to schedule testing and avoid bottlenecks.
- Incomplete Documentation: Utilize comprehensive checklists and expert guidance to ensure all documents (DMF, PMF, risk files) are complete and compliant.
- Audit Non-Compliance: Conduct internal pre-audits to identify gaps before notified body audits.
- Query Resolution Delays: Assign dedicated personnel to promptly address CDSCO queries to avoid processing delays.
Expert Consultation and Support
Navigating the CDSCO licensing process can be daunting, especially for first-time manufacturers or importers. Partnering with experienced regulatory consultants can streamline application submission, document preparation, and audit readiness. Our expertise in handling Gastrointestinal Tube registrations ensures a robust application, minimizing rejections and expediting approvals.
Getting Started with Your CDSCO License Application for Gastrointestinal Tubes
Assess Device Classification: Confirm your device as Class B under CDSCO guidelines.
Initiate Test License (Form MD13): Apply early to kickstart testing.
Prepare Comprehensive Documentation: Leverage our Device Master File and Plant Master File guides.
Plan for Audit: Select an appropriate notified body from the official list.
Submit Applications via the CDSCO MD Online Portal: Efficient electronic submission ensures traceability and faster processing.
Engage Expert Support: To navigate complexities and accelerate approvals, reach out to consultants with proven track records.
By following this structured approach, manufacturers and importers can confidently pursue CDSCO licensing for Gastrointestinal Tubes, ensuring compliance, patient safety, and successful market entry in India.