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CDSCO License for Neuro-controlled ambulation exoskeleton

Medical Device Information

Device Class
Class C

Intended Use

Intended to assist a patient with a walking disability (neurogenic, muscular, or osseous in origin) regain lost motor function by transmission of the patient’s residual nerve function,  via cutaneous electrodes, to the device motor assembly.

Manufacturing License
MD9
Import License
MD15
CDSCO License for Neuro-controlled ambulation exoskeleton

Introduction: Understanding Neuro-Controlled Ambulation Exoskeletons and Regulatory Importance

The neuro-controlled ambulation exoskeleton represents a cutting-edge physical support device designed to assist patients with walking disabilities stemming from neurogenic, muscular, or osseous origins. By transmitting residual nerve function through cutaneous electrodes to the device motor assembly, it facilitates motor function recovery, offering significant therapeutic benefits. Given its sophisticated technology and critical intended use, securing the appropriate regulatory approval from the Central Drugs Standard Control Organization (CDSCO) is essential for market entry in India.

We bring over 25 years of experience, having guided 500+ companies through the complexities of CDSCO licensing, ensuring compliance and smooth market access.

CDSCO Regulatory Framework for Neuro-Controlled Ambulation Exoskeletons

Under India's medical device regulatory framework, devices are categorized and regulated based on risk classification and intended use. The neuro-controlled ambulation exoskeleton is classified as a Class C device due to its invasive interface with the human nervous system and the potential impact on patient health.

The regulatory oversight for Class C devices falls under the Central Licensing Authority, with a comprehensive licensing protocol that ensures safety, efficacy, and quality standards are met before manufacturing or import.

For detailed classification criteria, refer to our Medical Device Classification guide.

Risk Classification and License Requirements for Class C Devices

Class C devices like the neuro-controlled ambulation exoskeleton require an MD9 manufacturing license for domestic manufacturing and an MD15 import license for foreign manufacturers or importers. The MD9 license is issued by the CDSCO Central Licensing Authority and involves stringent documentation, testing, and audit processes.

The licensing process ensures that high-risk devices meet all regulatory benchmarks to safeguard patient safety.

Manufacturing License Process (MD9) for Neuro-Controlled Ambulation Exoskeletons

The MD9 license application process for Class C devices typically spans 4 to 5 months and involves several critical steps:

  1. Test License (Form MD13): Before full-scale manufacturing, applicants must obtain a test license, which takes approximately 1.5 to 2 months. This allows limited production for testing.

  2. Product Testing: The device must be tested in CDSCO-approved laboratories to validate safety and performance. Check the list of testing laboratories authorized by CDSCO.

  3. Documentation Preparation: Prepare detailed technical files including Device Master File (DMF), Plant Master File (PMF), Essential Principles Checklist, Risk Management File, and Quality Management System (QMS) documentation.

  4. License Application (Form MD7): Submit the application through the CDSCO MD Online Portal, including all required documents.

  5. Audit by CDSCO Inspectors: A thorough audit of the manufacturing premises, quality systems, and documents is conducted.

  6. Query Resolution: Address any clarifications or deficiencies raised during audit.

  7. License Grant: Upon successful compliance, the MD9 license is granted.

For detailed guidance on the MD9 license, see our MD9 License Guide.

Manufacturing License Documents Required

For the neuro-controlled ambulation exoskeleton, the following documents are critical:

  • Company Constitution and Incorporation Certificates
  • Proof of Ownership or Lease of Manufacturing Premises
  • Technical Staff Qualification and Experience Documents
  • Fire and Pollution No Objection Certificates (NOCs)
  • Device Master File (DMF): Detailing design, components, and manufacturing processes. Our Device Master File guide can assist.
  • Plant Master File (PMF): Information on manufacturing plant and quality controls. Refer to our Plant Master File Guide.
  • Essential Principles Checklist: Compliance with Indian Medical Device Rules.
  • Risk Management File: Comprehensive risk assessment and mitigation strategies aligned with ISO 14971. See our Risk Management resource.
  • Test Reports: From CDSCO-approved labs verifying device safety and performance.
  • Labels and Instructions for Use (IFU): Clear, compliant labeling and user manuals.
  • Quality Management System (QMS) Documents: ISO 13485:2016 certification and internal quality procedures.

Import License Process (MD15) for Neuro-Controlled Ambulation Exoskeletons

Foreign manufacturers or importers must obtain the MD15 import license from CDSCO's Central Licensing Authority. The process generally takes 5 to 6 months and includes:

  1. Document Preparation: Collect all mandatory import documentation.

  2. License Application (Form MD14): Submit through the CDSCO MD Online Portal.

  3. Query Resolution: Respond promptly to CDSCO queries.

  4. License Grant: After satisfactory review, the MD15 license is issued.

Note: Unlike manufacturing licenses, no test license is required prior to the import license application.

For import-specific details, consult our Import License Guide.

Import License Documents Required

Key documents for MD15 license include:

  • Valid Manufacturing License from Country of Origin
  • Free Sale Certificate
  • ISO 13485:2016 Certificate
  • CE Certificate or Equivalent International Approvals
  • Device Master File (DMF)
  • Plant Master File (PMF)
  • Wholesale Drug License (if applicable)
  • Company Constitution and Incorporation Documents

Timeline and Processing Duration

License TypeTimeline
MD9 Manufacturing4 to 5 months
Test License (MD13)1.5 to 2 months
MD15 Import5 to 6 months

These timelines assume prompt documentation and proactive query resolution. Delays often arise due to incomplete submissions or audit non-compliance.

Government Fees and Costs

License TypeApplication FeePer Product Fee
MD9 License₹50,000₹1,000
MD15 ImportClass C/D: ₹3,000/site₹1,500/product

Additional costs include testing fees at government-approved labs, audit charges by notified bodies, and consultancy fees if availed.

Common Challenges and Solutions

  • Incomplete Documentation: Many applicants face delays due to missing or improperly compiled DMFs and PMFs. We recommend using detailed checklists and expert review prior to submission.

  • Audit Non-Compliance: Pre-audit readiness and mock audits significantly improve success rates. Our team provides audit preparation support.

  • Testing Delays: Engage early with notified testing labs to schedule device evaluation and avoid bottlenecks.

  • Query Resolution: Timely and comprehensive responses to CDSCO queries prevent processing delays. Maintain clear communication channels.

  • Understanding Regulatory Updates: The CDSCO framework evolves; subscribing to official updates and expert newsletters can keep your team informed.

Expert Consultation and Support

Our extensive experience with over 500 successful CDSCO licenses enables us to offer tailored support including:

  • Regulatory strategy and classification advice
  • Documentation preparation and review
  • Coordination with CDSCO, notified bodies, and testing labs
  • Audit support and training
  • Post-approval compliance guidance

Partnering with seasoned consultants can reduce time-to-market and mitigate regulatory risks.

Getting Started with Your CDSCO License Application

  1. Assess Classification: Confirm that the neuro-controlled ambulation exoskeleton is a Class C device.

  2. Gather Documentation: Begin compiling critical documents such as DMF, PMF, QMS certifications, and technical files.

  3. Apply for Test License (if manufacturing): Initiate the test license application (MD13) via the CDSCO MD Online Portal.

  4. Plan Testing and Audit: Schedule product testing at approved labs and prepare for CDSCO audits.

  5. Submit License Application: Complete and submit the MD9 or MD15 license application through the portal.

  6. Engage Experts: Consider consulting with experienced regulatory professionals to streamline the process.

We encourage manufacturers and importers to start early, maintain meticulous documentation, and stay proactive throughout the application lifecycle to ensure timely approval. For personalized assistance, reach out to our team to leverage over two decades of regulatory expertise.


Embark on your CDSCO licensing journey confidently with our proven approach tailored for advanced devices like the neuro-controlled ambulation exoskeleton.

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About the Author

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Tails Azimuth
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