CDSCO License for Multi-patient dialysis fluid delivery system
Medical Device Information
Intended Use
Intended to prepares dialysis fluid for hemodialysis using an artificial kidney, capable of supplying dialysis fluid for two or more patients.

Introduction: Multi-patient Dialysis Fluid Delivery System and Its Regulatory Importance
The multi-patient dialysis fluid delivery system plays a critical role in nephrology and renal care by preparing and supplying dialysis fluid for hemodialysis to two or more patients simultaneously. Given its direct impact on patient safety and treatment efficacy, this device is classified as a Class C medical device under the CDSCO regulatory framework. Ensuring compliance with CDSCO regulations is not just a legal mandate but a crucial step towards guaranteeing quality, safety, and performance in the Indian healthcare market.
With over 25 years of experience and having assisted more than 500 companies in navigating the complexities of CDSCO licensing, we understand the nuances of securing approvals for such high-risk devices. In this guide, we provide an expert-level roadmap tailored specifically for manufacturers and importers of multi-patient dialysis fluid delivery systems.
CDSCO Regulatory Framework for Multi-patient Dialysis Fluid Delivery Systems
The Central Drugs Standard Control Organization (CDSCO) governs the import, manufacturing, and sale of medical devices in India. Your device falls under the nephrology and renal care category and is notified via 29/Misc./03/2020-DC (143) dated 13.9.2021. As a Class C device, regulatory oversight is managed centrally, and compliance with all stipulated norms is mandatory before market entry.
Risk Classification and License Requirements
Class C devices are considered moderate to high risk due to their invasive nature and critical clinical applications. As per CDSCO guidelines, manufacturing such devices requires an MD9 license, while imports require an MD15 license. The MD9 license is issued by the Central Licensing Authority and involves a rigorous process including product testing, documentation, and an audit.
More details about medical device classification can be found in our comprehensive Medical Device Classification guide.
Manufacturing License Process (MD9)
Obtaining an MD9 license for your multi-patient dialysis fluid delivery system involves several distinct steps:
Test License Application (Form MD13): Initially, apply for a test license to conduct product testing in government-approved laboratories. This takes approximately 1.5 to 2 months.
Product Testing: Submit your device samples for testing at notified laboratories. A list of Testing Laboratories approved by CDSCO is accessible for your reference.
Document Preparation: Concurrently, prepare all required documents including Device Master File, Plant Master File, Risk Management File, and QMS documents.
MD9 License Application (Form MD7): After successful testing, submit your application for the manufacturing license.
Audit by CDSCO Inspectors: CDSCO will conduct a detailed audit of your manufacturing facility, quality management system, and documentation.
Queries and Clarifications: Address any queries raised during the audit or application review promptly.
Grant of License (Form MD9): Once compliance is verified, the manufacturing license is granted.
For a detailed walkthrough, refer to our MD9 License Guide.
Manufacturing License Documents Required
To streamline your MD9 license application, ensure the following documents are meticulously prepared:
- Company Constitution and Incorporation Certificate
- Proof of Ownership or Lease Agreement of Manufacturing Premises
- Details and Qualifications of Technical Staff
- Fire and Pollution No Objection Certificates (NOCs)
- Device Master File (DMF) detailing device specifications and design (Device Master File guide)
- Plant Master File (PMF) describing manufacturing processes (Plant Master File guide)
- Essential Principles Checklist confirming compliance with Indian standards
- Comprehensive Risk Management File (Risk Management guide)
- Test Reports from government-approved laboratories
- Labeling and Instructions for Use (IFU) documents
- Quality Management System (QMS) documentation compliant with ISO 13485:2016
Attention to detail in document preparation significantly reduces processing delays.
Import License Process (MD15)
For importers of multi-patient dialysis fluid delivery systems, the MD15 license is mandatory. The process is centralized and includes:
Document Preparation: Compile required documents including manufacturing license from the country of origin, Free Sale Certificate, ISO 13485:2016 certification, CE Certificate, Device Master and Plant Master Files, wholesale license, and company constitution.
License Application Submission (Form MD14): Apply via the CDSCO MD Online Portal.
Application Review and Queries: Respond promptly to any CDSCO department questions.
Grant of Import License (Form MD15): Upon satisfactory review, the import license is issued.
More insights on import licensing are available in our Import License Guide.
Import License Documents Required
- Valid Manufacturing License from the country of origin
- Free Sale Certificate
- ISO 13485:2016 Certificate
- CE Certificate or equivalent
- Device Master File and Plant Master File
- Wholesale License
- Company Constitution Documents
Timeline and Processing Duration
For a Class C device such as the multi-patient dialysis fluid delivery system, expect the following timelines:
- Test License (MD13): 1.5 to 2 months
- Product Testing: 1 to 1.5 months, depending on lab capacity
- MD9 License Application to Grant: Approximately 2 to 2.5 months including audit and query resolution
Overall, the entire manufacturing license process spans approximately 4 to 5 months.
For imports, the MD15 license process typically takes 5 to 6 months.
Government Fees and Costs
The fee structure for MD9 license applications is as follows:
- Application Fee: ₹50,000
- Per Product Fee: ₹1,000 per product
These fees are payable online during application submission via the CDSCO MD Online Portal.
Import license fees vary by device class and site but for Class C devices, expect:
- ₹3,00,000 per site
- ₹1,50,000 per product
These fees reflect the higher regulatory oversight required for import of critical devices.
Common Challenges and Solutions
Manufacturers and importers often face the following pain points:
Delayed documentation readiness: Proactively prepare Device Master File, Plant Master File, and Risk Management documentation well in advance.
Testing delays: Engage with notified government labs early. For guidance, consult the list of notified testing laboratories.
Audit non-compliance: Conduct internal mock audits and ensure QMS adherence prior to CDSCO inspection.
Query resolution bottlenecks: Maintain open communication channels and respond promptly to departmental queries.
Our extensive experience enables us to anticipate and mitigate these challenges efficiently.
Expert Consultation and Support
Navigating the CDSCO licensing landscape for Class C devices demands expert knowledge and proactive management. We provide end-to-end regulatory consultancy—from document preparation to audit readiness and application submission. Our support has empowered over 500 companies to achieve timely approvals with minimal hassle.
Getting Started with Your CDSCO License Application
To embark on your regulatory journey:
Assess Your Device Classification: Confirm Class C status and regulatory requirements (Medical Device Classification guide).
Register on CDSCO MD Online Portal: Submit initial applications and track progress via the official portal.
Prepare Test License Application (MD13): Begin product testing authorization.
Compile Critical Documents: Device Master File, Plant Master File, Risk Management File, and QMS documents.
Engage with Notified Bodies: Schedule audits post-testing phase by selecting from the list of notified bodies.
Plan for Audit and Query Management: Prepare your team for inspection and ensure prompt query resolution.
Submit MD9 License Application (Form MD7): Following successful testing and audit.
By following these actionable steps and leveraging expert guidance, your multi-patient dialysis fluid delivery system can achieve regulatory compliance efficiently, enabling market entry in India’s growing nephrology sector.
For personalized assistance or detailed queries, please contact our regulatory specialists who have a proven track record in CDSCO licensing success.