CDSCO License for Real-time position management respiratory gating system, optical
Medical Device Information
Intended Use
An assembly of electronic devices designed to track the respiratory pattern of a patient by means of optical technology to correlate tumour position with the respiratory cycle during radiation treatment planning, radiotherapy, computed tomography (CT) imaging, or other radiation procedures.

Introduction to Real-time Position Management Respiratory Gating System and Its Regulatory Importance
The Real-time Position Management (RPM) Respiratory Gating System, utilizing optical technology, is a sophisticated medical device designed to monitor a patient’s respiratory pattern in real time. This system plays a crucial role in radiotherapy, computed tomography (CT) imaging, and precise radiation treatment planning by correlating tumor position with the respiratory cycle. Given its critical function in enhancing treatment accuracy and patient safety, regulatory compliance with the Central Drugs Standard Control Organization (CDSCO) in India is mandatory before market entry.
Ensuring compliance with CDSCO requirements not only affirms the device’s safety and efficacy but also streamlines the approval process for manufacturers and importers. As experts with over 25 years of experience and having assisted 500+ companies in obtaining CDSCO licenses, we understand the nuances involved in navigating the regulatory landscape for high-risk medical devices like this one.
CDSCO Regulatory Framework for Radiotherapy Devices
The CDSCO regulates medical devices under the Medical Device Rules (MDR) 2017, amended periodically to align with global standards. Radiotherapy devices such as the Real-time Position Management Respiratory Gating System fall under this framework due to their therapeutic application and patient risk profile.
The regulatory pathway involves classification, testing, documentation, audit, and licensing steps managed through the CDSCO MD Online Portal. Compliance with essential principles, risk management, and quality management systems (QMS) like ISO 13485:2016 is mandatory.
Risk Classification and License Requirements for Class C Devices
According to the MDR 2017, the Real-time Position Management Respiratory Gating System is categorized as a Class C device because it is an active therapeutic device with medium to high risk.
For Class C devices, the CDSCO mandates an MD9 manufacturing license granted by the Central Licensing Authority. This is a stringent process involving detailed technical evaluation, product testing, and regulatory audits.
For more details on device classification, manufacturers can refer to our comprehensive Medical Device Classification guide.
Manufacturing License Process (MD9) for Class C Radiotherapy Devices
The MD9 license process is a multi-step procedure structured as follows:
- Test License Application (Form MD13): Obtain a test license first, which typically takes 1.5 to 2 months. This license allows product testing at CDSCO-approved laboratories.
- Product Testing: Conduct mandatory testing at government-approved labs listed on the CDSCO portal Testing Laboratories. Testing ensures compliance with performance and safety standards.
- Documentation Preparation: Compile comprehensive documentation including Device Master File, Plant Master File, Essential Principles Checklist, Risk Management File, and QMS records.
- License Application (Form MD7): Submit the manufacturing license application for MD9 via the CDSCO MD Online Portal.
- Audit by CDSCO Inspectors: Undergo a rigorous audit of manufacturing facilities, quality systems, and documentation.
- Query Resolution: Address any queries raised by the department or auditors promptly to avoid delays.
- Grant of License (Form MD9): Upon successful review, the MD9 manufacturing license is granted.
Manufacturing License Documents Required for Real-time Position Management System
Accurate and complete documentation is critical. For Class C devices, the following documents must be included:
- Company Constitution/Registration Certificate
- Proof of Ownership or Tenancy of Manufacturing Premises
- Technical Staff Qualification and Experience Documents
- Fire NOC and Pollution Control Board NOC
- Device Master File (DMF): Detailed design and manufacturing information (Device Master File Guide)
- Plant Master File (PMF): Details of manufacturing facilities and quality systems (Plant Master File Guide)
- Essential Principles Checklist aligned with MDR 2017
- Risk Management File as per ISO 14971 guidelines (Risk Management Guide)
- Test Reports from CDSCO-approved labs
- Product Labels and Instructions for Use (IFU)
- Quality Management System (QMS) documentation, preferably ISO 13485:2016 certified
Import License Process (MD15) for Class C Devices
If you are an importer of the Real-time Position Management Respiratory Gating System, the MD15 import license from the Central Licensing Authority is mandatory.
The process entails:
- Preparation of necessary import documentation
- Submission of application using Form MD14 via the CDSCO MD Online Portal
- Resolution of any departmental queries
- Approval and issuance of the MD15 import license
No test license is required for import licenses, but stringent document verification is conducted. Required documents include:
- Valid Manufacturing License (MD9 or equivalent from country of origin)
- Free Sale Certificate from the exporting country
- ISO 13485:2016 Quality Certificate
- CE Certificate or equivalent international certification
- Device Master File and Plant Master File
- Wholesale License (if applicable)
- Company Constitution
Timeline and Processing Duration
For the Real-time Position Management Respiratory Gating System (Class C device), expect the following approximate timelines:
Process Step | Timeline |
---|---|
Test License (MD13) | 1.5 – 2 months |
Product Testing | 1 – 1.5 months |
Documentation Preparation | 2 – 3 weeks |
License Application & Audit | 2 – 3 months |
Query Resolution | 2 – 4 weeks |
Total Duration | 4 – 5 months |
Import license processing (MD15) may take approximately 5 to 6 months.
Government Fees and Costs
For Class C manufacturing license (MD9):
- Application fee: INR 50,000 per application
- Product fee: INR 1,000 per product
For import license (MD15), fees vary based on classification but typically are:
- Class C: USD 3,000 per site + USD 1,500 per product
Budgeting for testing, audit, and consultancy fees is also important. Testing costs depend on the complexity and number of product tests required.
Common Challenges and Practical Solutions
Challenge: Delays in test license approval
Solution: Submit complete test license applications with accurate data and follow up regularly using the CDSCO MD Online Portal.
Challenge: Incomplete or inconsistent documentation
Solution: Utilize expert guidance to prepare Device Master File and Plant Master File thoroughly. Refer to our detailed Device Master File guide.
Challenge: Audit non-compliance
Solution: Conduct pre-audit internal assessments and ensure your QMS and risk management systems are robust and compliant.
Challenge: Query resolution delays
Solution: Assign dedicated regulatory personnel to handle queries promptly and maintain clear communication with CDSCO.
Expert Consultation and Support
Navigating CDSCO licensing can be complex, especially for Class C devices with higher regulatory scrutiny. Our 25+ years of experience have enabled us to assist over 500 companies in successfully obtaining MD9 and MD15 licenses.
We offer:
- Comprehensive gap assessments
- Documentation preparation and review
- Audit readiness support
- Liaison with CDSCO and notified bodies
Partnering with seasoned consultants reduces your risk of delays and non-compliance, expediting your market entry.
Getting Started with Your CDSCO License Application
To initiate your licensing process for the Real-time Position Management Respiratory Gating System:
- Register on the CDSCO MD Online Portal: Begin by creating an account at the official portal here.
- Apply for Test License (MD13): Submit a complete application with all required documents to obtain the test license.
- Arrange Product Testing: Schedule tests at CDSCO-recognized labs. A list of approved labs can be found here.
- Prepare Regulatory Documentation: Compile your Device Master File, Plant Master File, Essential Principles Checklist, and Risk Management File.
- Submit Manufacturing License Application (MD9): After successful testing, apply for the manufacturing license using Form MD7.
- Prepare for Audit: Coordinate with CDSCO inspectors and notified bodies to ensure your manufacturing site and QMS meet all requirements.
- Respond to Queries Promptly: Maintain open communication and submit clarifications or additional documents as requested.
By following these actionable steps and leveraging expert support, manufacturers and importers can navigate the CDSCO licensing pathway efficiently, avoiding common pitfalls and accelerating approval for this vital radiotherapy device.
For detailed guidance on the MD9 license process, refer to our specialized MD9 License Guide.
Embarking on your CDSCO licensing journey for the Real-time Position Management Respiratory Gating System is a critical step towards delivering cutting-edge radiotherapy solutions in India. Our expertise ensures you meet regulatory expectations with confidence and precision.