CDSCO License for Knee joint femorotibial metal/composite non-constrained cemented Prosthesis
Medical Device Information
Intended Use
Intended to be implanted to replace the head and neck of the femur

Comprehensive Guide to CDSCO Licensing for Knee Joint Femorotibial Metal/Composite Non-Constrained Cemented Prosthesis
Introduction: Understanding Your Orthopaedic Implant and Regulatory Importance
The Knee Joint Femorotibial Metal/Composite Non-Constrained Cemented Prosthesis is a Class C orthopaedic implant designed to replace the head and neck of the femur, providing critical functionality for patients requiring joint replacement. Given its implantable nature and high patient risk, stringent regulatory oversight by the Central Drugs Standard Control Organization (CDSCO) is essential to ensure safety, efficacy, and quality.
At our consultancy, with over 25 years of experience and 500+ successful CDSCO license applications for medical devices, we understand the nuances and complexities involved in obtaining regulatory approval for sophisticated Class C devices such as this prosthesis. This guide provides you with actionable insights, detailed timelines, costs, and documentation requirements to streamline your licensing journey.
CDSCO Regulatory Framework for Class C Orthopaedic Implants
Medical devices in India are regulated under the Medical Devices Rules (MDR), 2017. The Knee Joint Femorotibial Prosthesis falls under Class C according to the notified classification, reflecting a moderate to high risk due to its implantable nature and critical function.
The relevant notification for this device is 29/Misc/3/2017-DC (292), dated 06.06.2018, which highlights its classification and regulatory expectations. As a Class C device, the licensing and regulatory compliance process are governed by the CDSCO’s Central Licensing Authority through the MD9 license process.
Risk Classification and License Requirements
- Risk Class: C
- License Type: MD9 Manufacturing License (Form MD7)
- Licensing Authority: CDSCO Central Licensing Authority
- Applicability: For manufacturers intending to produce the Knee Joint Femorotibial Prosthesis in India
Class C devices require rigorous compliance including product testing, quality management system adherence, and CDSCO inspections. The MD9 license is mandatory before commencing manufacturing or marketing in India.
Manufacturing License Process (MD9) for Class C Devices
The MD9 license process involves several critical steps:
Test License Application (Form MD13): Before full-scale manufacturing, applicants must obtain a test license to produce a limited quantity of devices for testing. This stage takes approximately 1.5 to 2 months.
Product Testing: The device must undergo testing at CDSCO-approved laboratories. This includes biocompatibility, mechanical strength, sterilization validation, and performance testing specific to orthopaedic implants. Testing duration varies but generally takes 1 to 1.5 months.
Document Preparation: Parallel to testing, prepare comprehensive documentation including Device Master File, Plant Master File, Risk Management File, and Quality Management System records.
Application Submission (Form MD7): Submit the MD9 application via the CDSCO MD Online Portal, including all supporting documents.
Audit and Inspection: CDSCO inspectors conduct manufacturing site audits to verify compliance with Good Manufacturing Practices (GMP) and QMS.
Query Resolution: Address any clarifications or deficiencies raised by CDSCO during review.
Grant of License (Form MD9): Upon satisfactory compliance, the MD9 manufacturing license is granted.
Manufacturing License Documents Required for Knee Joint Prosthesis
For your Class C Knee Joint Prosthesis, ensure the following key documents are meticulously prepared:
- Company Constitution Documents (Incorporation Certificate, GST Registration)
- Proof of Ownership or Lease Agreement of manufacturing premises
- Technical Staff Qualifications and Experience Certificates
- Fire NOC and Pollution Control Board NOC
- Device Master File (DMF) detailing design, specifications, and technical data (Device Master File Guide)
- Plant Master File (PMF) describing manufacturing facilities and processes (Plant Master File Guide)
- Essential Principles Checklist confirming compliance with MDR 2017
- Risk Management File per ISO 14971 standards (Risk Management Guide)
- Product Test Reports from CDSCO-approved labs (Testing Laboratories List)
- Labels and Instructions for Use (IFU)
- Quality Management System (QMS) Documents including ISO 13485:2016 certification
Import License Process (MD15) for Knee Joint Prosthesis
If you plan to import this device into India, the MD15 import license is required from CDSCO’s Central Licensing Authority. The process includes:
- Preparing thorough documentation including existing manufacturing license, Free Sale Certificate, CE Certificate, ISO 13485:2016, and compliance evidence.
- Submitting the application via the CDSCO MD Online Portal.
- Addressing any queries from the authority.
The MD15 license typically takes 5-6 months to process.
Import License Documents Required
- Valid Manufacturing License from the country of origin
- Free Sale Certificate from the exporting country
- ISO 13485:2016 Certification
- CE Certificate or Equivalent International Approval
- Device Master File and Plant Master File
- Wholesale Drug License in India
- Company Constitution Documents
Timeline and Processing Duration
Stage | Duration |
---|---|
Test License (MD13) | 1.5 to 2 months |
Product Testing | 1 to 1.5 months |
Document Preparation | Concurrent |
MD9 Application Processing | 2 to 2.5 months |
Total Time | Approximately 4-5 months |
Government Fees and Costs
License Type | Application Fee | Per Product Fee | Notes |
---|---|---|---|
MD9 License | Rs. 50,000 | Rs. 1,000 | For Class C device |
Additional costs may include testing fees at government-approved labs and fees for audits by notified bodies. Budgeting for professional consultancy and document preparation is also advisable.
Common Challenges and Solutions
Challenge 1: Prolonged Testing Timelines
- Solution: Engage early with CDSCO-approved laboratories to schedule testing; maintain clear documentation to avoid repeat testing.
Challenge 2: Incomplete Documentation Leading to Queries
- Solution: Use comprehensive checklists and expert review to ensure all documents meet CDSCO standards before submission.
Challenge 3: Audit Non-Compliance Issues
- Solution: Conduct internal mock audits and gap analyses; appoint experienced quality and regulatory personnel.
Challenge 4: Delays in Query Resolution
- Solution: Respond promptly and thoroughly to queries; maintain proactive communication with CDSCO.
Expert Consultation and Support
Navigating the CDSCO regulatory landscape for Class C orthopaedic implants demands specialized knowledge and experience. We have successfully supported over 500 companies in India with end-to-end regulatory services—from documentation, testing coordination, audit preparation, to final license grant.
Our team provides:
- Tailored regulatory strategy for your device
- Comprehensive document preparation support
- Liaison with CDSCO and notified bodies
- Training and audit readiness
Engaging with experts early can save months of delays and mitigate compliance risks.
Getting Started with Your CDSCO License Application
Assess Your Device Classification: Confirm your product as Class C under CDSCO regulations (Medical Device Classification).
Initiate Test License Application: Prepare and submit Form MD13 to obtain the test license.
Schedule Product Testing: Coordinate with CDSCO-approved testing laboratories early to avoid delays.
Compile Required Documentation: Develop Device Master File, Plant Master File, Risk Management File, and other supporting documents.
Prepare for CDSCO Audit: Review your QMS and manufacturing site against CDSCO guidelines.
Submit MD9 License Application: Use the CDSCO MD Online Portal to file your application.
Monitor and Respond: Track application status and respond promptly to any CDSCO queries.
For detailed, device-specific assistance, reach out to our regulatory experts who can guide your journey from documentation to license grant with confidence and efficiency.
By following this structured approach, manufacturers and importers of the Knee Joint Femorotibial Metal/Composite Non-Constrained Cemented Prosthesis can successfully navigate CDSCO regulations and bring their critical orthopaedic implant to the Indian healthcare market.