CDSCO License for Hand/wrist continuous passive motion exerciser
Medical Device Information
Intended Use
A mains electricity (AC-powered) deviceIntenedd to continuously move the metacarpal/interphalangeal joints (e.g., flexion and extension) without patient assistance during continuous passive motion (CPM) exercise therapy usually following surgery or trauma to the joints.

Introduction to Hand/Wrist Continuous Passive Motion Exerciser and Regulatory Importance
The Hand/Wrist Continuous Passive Motion (CPM) Exerciser is an essential medical device designed to aid patients in rehabilitating the metacarpal and interphalangeal joints by enabling continuous passive movement without requiring patient effort. Typically AC-powered, this device is widely used post-surgery or trauma to restore joint mobility effectively. Given its critical role in physical support therapy and patient recovery, regulatory compliance is paramount to ensure safety, efficacy, and market access in India.
As a Class B medical device under the CDSCO framework, the Hand/Wrist CPM Exerciser necessitates obtaining the MD5 manufacturing license before production or sale. With over 25 years of experience assisting more than 500 companies, we understand the nuances involved in securing this license efficiently and cost-effectively.
CDSCO Regulatory Framework for Hand/Wrist CPM Exercisers
India’s Central Drugs Standard Control Organization (CDSCO) governs medical device regulation via a risk-based classification system. The Hand/Wrist CPM Exerciser falls under Class B due to moderate risk factors associated with its use. Regulatory oversight ensures the device meets essential principles of safety, quality, and performance.
Manufacturers of Class B devices must comply with the MD5 license process, administered by the State Licensing Authority. The process includes initial test licensing, product testing, audit by a notified body, and submission of comprehensive documentation.
Risk Classification and License Requirements
The Hand/Wrist CPM Exerciser is classified as Class B under the CDSCO classification system, which categorizes devices based on intended use and risk to patients. Class B devices require:
- An MD5 Manufacturing License (Form MD3 application) granted by the State Licensing Authority
- A Test License (Form MD13) before commercial manufacturing
- Product testing from government-approved laboratories
- Audit by a notified body listed on the CDSCO Notified Bodies List
This regulatory pathway ensures moderate-risk devices undergo stringent evaluation without the extended timelines required for Class C or D devices.
Manufacturing License Process for MD5 (Form MD3)
- Apply for Test License (MD13): Initiate by submitting Form MD13 via the CDSCO MD Online Portal. This license permits limited batch manufacturing strictly for testing purposes.
- Product Testing: Conduct tests at CDSCO-approved testing laboratories. Testing evaluates electrical safety, mechanical durability, and biocompatibility relevant to the CPM exerciser.
- Document Preparation: Compile technical documentation, including Device Master File, Plant Master File, risk management, and quality management system (QMS) records.
- Application Submission (MD3): Submit the MD5 license application on the CDSCO portal.
- Audit by Notified Body: An audit of manufacturing site and quality systems is conducted by an authorized notified body to verify compliance.
- Query Resolution: Address any queries or deficiencies raised by the CDSCO or the notified body promptly.
- Grant of License: After successful audit and document review, the State Licensing Authority issues the MD5 license (Form MD5).
For detailed guidance, refer to our comprehensive MD5 License Guide.
Manufacturing License Documents Required
Preparing the correct documentation is crucial for a smooth application process. For the Hand/Wrist CPM Exerciser (Class B), you will need:
- Company Constitution Documents: Incorporation certificate, partnership deed, or LLP agreement
- Proof of Premises Ownership/Lease: Valid document establishing manufacturing site
- Technical Staff Credentials: Qualification and experience details of responsible technical personnel
- Fire and Pollution NOCs: No Objection Certificates from local authorities
- Device Master File (DMF): Detailed design, specifications, and manufacturing process (See DMF guide)
- Plant Master File (PMF): Details of manufacturing infrastructure and quality controls (PMF guide)
- Essential Principles Checklist: Compliance matrix with CDSCO’s essential principles
- Risk Management File: Documentation of risk analysis and mitigation measures (Risk management tips)
- Test Reports: Certificates from government-approved labs
- Labels and Instructions for Use (IFU): Final artwork and user manuals
- Quality Management System (QMS) Documents: ISO 13485 certification and internal SOPs
Import License Process for Hand/Wrist CPM Exerciser (MD15)
If you plan to import this device instead of manufacturing locally, you must apply for the MD15 import license via the Central Licensing Authority. The process entails:
- Document Preparation: Gather manufacturing license from country of origin, Free Sale Certificate, ISO 13485:2016, CE certificate, Device Master File, Plant Master File, and Wholesale License.
- Application Submission: File Form MD14 through the CDSCO MD Online Portal.
- Query Resolution: Respond promptly to CDSCO inquiries.
- License Grant: Receive MD15 license permitting import and distribution in India.
The typical timeline is 5-6 months. For detailed steps, see our Import License Guide.
Import License Documents Required
- Valid manufacturing license from the country of origin
- Free Sale Certificate or equivalent
- ISO 13485:2016 certification
- CE Certificate or equivalent regulatory approval
- Device Master File
- Plant Master File
- Wholesale license in India
- Company Constitution documents
Timeline and Processing Duration
The entire MD5 license process for a Class B Hand/Wrist CPM Exerciser typically takes 3-4 months, broken down as follows:
- Test License (MD13): 1.5 to 2 months
- Product Testing: 4-6 weeks depending on lab workload
- Document Preparation: Concurrent with testing
- License Application and Audit: 4-6 weeks
- Query Resolution and Final Approval: 2-3 weeks
Experience shows that proactive preparation and timely responses can minimize delays.
Government Fees and Costs
- Test License (MD13): No separate fee but required for manufacturing batches for testing
- MD5 License Application Fee: Rs 5,000 per application
- Product Fee: Rs 500 per product
- Testing Costs: Variable, typically Rs 50,000 - 1,00,000 depending on lab and test scope
- Audit Charges: Paid directly to notified body; ranges from Rs 30,000 to Rs 70,000
Budgeting realistically for all these components ensures smooth cash flow during the licensing cycle.
Common Challenges and Solutions
- Delayed Test Reports: Choose CDSCO-approved labs with proven turnaround times from the Testing Laboratories List.
- Incomplete Documentation: Use detailed checklists and consult expert guides to avoid rejections.
- Audit Non-Compliance: Pre-audit internal assessments can identify gaps in QMS or facility compliance.
- Slow Query Responses: Assign dedicated team members to monitor and promptly respond to CDSCO communications.
Practical tip: Maintain organized digital records and backups of all submissions for quick reference.
Expert Consultation and Support
Navigating CDSCO licensing for Hand/Wrist CPM Exercisers requires specialized knowledge. Our team, with over 25 years and 500+ successful licenses, offers:
- Comprehensive document preparation and review
- Coordination with notified bodies and testing labs
- Guidance on regulatory updates and compliance strategies
- Post-approval support for renewals and audits
Partnering with us reduces risks, accelerates approvals, and ensures your device reaches the Indian market seamlessly.
Getting Started with Your CDSCO License Application
- Classify Your Device: Confirm risk class as B using the Medical Device Classification resource.
- Register on CDSCO MD Online Portal: Create your account and familiarize yourself with the submission interface.
- Apply for Test License (MD13): Prepare basic company documents and submit early to initiate testing.
- Select Notified Body: Choose an audit agency from the official Notified Bodies List to schedule your audit.
- Prepare Documentation: Develop your Device Master File, Plant Master File, and Risk Management File with expert templates.
- Plan Testing: Engage CDSCO-approved labs for necessary product testing.
- Submit MD5 Application: After test license and reports are in hand, file your license application.
- Prepare for Audit: Conduct internal mock audits to ensure readiness.
By following these actionable steps and leveraging our expertise, manufacturers and importers can confidently navigate CDSCO licensing for Hand/Wrist Continuous Passive Motion Exercisers and successfully enter the Indian healthcare market.