CDSCO License for Tibial nerve percutaneous incontinence- control electrical stimulation system
Medical Device Information
Intended Use
Intended to treat urinary and/or faecal incontinence with electrical stimuli applied to the sacral nerve via percutaneous tibial nerve stimulation (PTNS).

Understanding Tibial Nerve Percutaneous Incontinence-Control Electrical Stimulation System and Its Regulatory Importance
The Tibial Nerve Percutaneous Incontinence-Control Electrical Stimulation System is a cutting-edge neurological medical device designed to treat urinary and fecal incontinence. It works by delivering electrical stimuli to the sacral nerve through percutaneous tibial nerve stimulation (PTNS), offering a minimally invasive alternative for patients with incontinence issues. Given its critical therapeutic role and invasive nature, this device is classified as a Class D medical device under the CDSCO framework, reflecting the highest risk category.
Regulatory compliance for such devices is paramount to ensure patient safety, efficacy, and market access in India. Navigating the CDSCO licensing process for Class D devices requires meticulous preparation, understanding of regulatory requirements, and adherence to prescribed timelines.
CDSCO Regulatory Framework for Class D Neurological Devices
The Central Drugs Standard Control Organization (CDSCO) governs the approval and regulation of medical devices in India. For Class D devices like the Tibial Nerve PTNS system, the regulatory oversight is stringent and centralized. The CDSCO mandates manufacturers and importers to obtain the MD9 manufacturing license or the MD15 import license, respectively, to legally market the device in India.
This regulatory framework ensures that devices with higher potential risks undergo thorough evaluation, including product testing, quality management audits, and compliance verification with essential principles.
Risk Classification and License Requirements for Tibial Nerve PTNS System
As a neurological device intended for invasive stimulation, the Tibial Nerve PTNS system falls under Class D — the highest risk category. This classification entails:
- Manufacturing License: MD9 License (Form MD7), granted by the Central Licensing Authority.
- Import License: MD15 License (Form MD14), also granted by the Central Licensing Authority.
This classification demands rigorous documentation, testing, and inspections to safeguard patient health.
Manufacturing License Process for Class D Devices (MD9 License)
Obtaining the MD9 license for manufacturing involves several critical steps:
Test License Application (Form MD13): The first prerequisite is securing a test license, which typically takes 1.5 to 2 months. This license allows the manufacturer to produce the device samples for testing.
Product Testing: Samples must be tested at CDSCO-approved government laboratories. You can find an updated list of testing laboratories authorized for this purpose.
Documentation Preparation: Compile all required documents, including Device Master File, Plant Master File, risk management and QMS documentation.
MD9 License Application (Form MD7): Submit the application through the CDSCO MD Online Portal.
Audit & Inspection: CDSCO inspectors conduct site audits to verify compliance.
Query Resolution: Address any queries raised during the audit or document review.
License Grant: Upon satisfactory compliance, the MD9 manufacturing license is granted.
For detailed insights, refer to our comprehensive MD9 License Guide.
Manufacturing License Documents Required for Tibial Nerve PTNS System
For your Class D neurological device, prepare the following documents meticulously:
- Company Constitution (Memorandum and Articles of Association)
- Proof of Ownership or Lease of Manufacturing Premises
- Technical Staff Qualifications and Experience Certificates
- Fire NOC and Pollution Control NOC
- Device Master File (DMF): Detailed device description, specifications, design, and manufacturing process. Our Device Master File guide can assist in preparation.
- Plant Master File (PMF): Information on the manufacturing facility, equipment, and quality control measures. Learn more in our Plant Master File guide.
- Essential Principles Checklist confirming compliance with Indian regulations
- Risk Management File demonstrating hazard identification and mitigation strategies. See best practices in our Risk Management resource.
- Test Reports from CDSCO-approved labs
- Labeling and Instructions for Use (IFU)
- Quality Management System (QMS) Documents, preferably ISO 13485:2016 certified
Import License Process for Class D Devices (MD15 License)
If you plan to import the Tibial Nerve PTNS system, the MD15 license is mandatory. The process differs slightly:
Document Preparation: Assemble all required documents, including manufacturing licenses from the country of origin, Free Sale Certificate, ISO 13485:2016 certification, CE Certificate, and others.
Application Submission: File Form MD14 for the import license via the CDSCO MD Online Portal.
Query Resolution: Respond promptly to any departmental questions.
License Grant: Once compliance is verified, CDSCO issues the MD15 import license.
Refer to our detailed Import License Guide for practical tips.
Import License Documents Required for Tibial Nerve PTNS System
Ensure you have the following documents ready for MD15 application:
- Valid Manufacturing License from the country of origin
- Free Sale Certificate demonstrating the product’s market approval
- ISO 13485:2016 Quality Management System Certificate
- CE Certificate or equivalent international certifications
- Device Master File and Plant Master File
- Wholesale Drug License (if applicable)
- Company Constitution and other corporate documents
Timeline and Processing Duration for Class D Licenses
MD9 Manufacturing License: Approximately 4 to 5 months total.
- Test License (MD13): 1.5 to 2 months
- Product Testing: 4 to 6 weeks
- Audit and Application Processing: 1.5 to 2 months
MD15 Import License: Around 5 to 6 months.
Being proactive with documentation and timely responding to queries can significantly streamline this timeline.
Government Fees and Costs for Tibial Nerve PTNS System Licensing
MD9 License Fees:
- Application Fee: ₹50,000
- Product Fee: ₹1,000 per product
MD15 License Fees:
- Site Fee: $3,000 (approx. ₹2.4 lakh)
- Product Fee: $1,500 (approx. ₹1.2 lakh) per product
Note: Fees are subject to change; always verify current rates on the CDSCO portal.
Common Challenges and Solutions When Licensing Class D Devices
Incomplete Documentation: Missing or inconsistent documents often delay approvals. Use our Device Master File guide and Plant Master File guide to ensure completeness.
Delays in Product Testing: Coordinate early with approved testing laboratories to schedule testing.
Audit Non-Compliance: Prepare thoroughly for audits by conducting internal mock audits and addressing gaps beforehand.
Query Management: Maintain clear communication with CDSCO and respond promptly to avoid bottlenecks.
Expert Consultation and Support for Your CDSCO License Application
With over 25 years of experience assisting 500+ companies in navigating CDSCO regulations, we understand the nuances of Class D device licensing. Our expert team offers:
- End-to-end application support
- Document preparation and review
- Coordination with testing labs and notified bodies
- Audit readiness and training
- Query resolution assistance
Partnering with seasoned consultants can reduce your time to market and ensure compliance.
Getting Started with Your CDSCO License Application for Tibial Nerve PTNS System
To initiate your CDSCO licensing journey:
Assess Your Device Classification: Confirm your device as Class D using resources like our Medical Device Classification guide.
Prepare Test License Application: Begin by applying for the test license (MD13) via the CDSCO MD Online Portal.
Engage Approved Testing Labs: Schedule your device testing early to avoid delays.
Compile Required Documents: Use our guides on DMF, PMF, and risk management to prepare robust documentation.
Submit MD9 or MD15 Application: After successful testing, submit your manufacturing or import license application.
Prepare for Audit: Ensure your facility and QMS are audit-ready.
Monitor and Respond to Queries: Stay engaged and responsive throughout the process.
Starting with a clear roadmap and expert support ensures your Tibial Nerve Percutaneous Incontinence-Control Electrical Stimulation System reaches Indian patients safely and compliantly. Contact us today to streamline your CDSCO licensing process and secure timely approvals.