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CDSCO License for Toe joint  phalangeal (hemi-  toe) polymer prosthesis

Medical Device Information

Device Class
Class C

Intended Use

Intended to be implanted to replace the base of the proximal phalanx of the toe.

Manufacturing License
MD9
Import License
MD15
CDSCO License for Toe joint  phalangeal (hemi-  toe) polymer prosthesis

Comprehensive Guide to CDSCO Licensing for Toe Joint Phalangeal (Hemi-Toe) Polymer Prosthesis

As a specialized regulatory consultancy with over 25 years of experience and having successfully supported 500+ companies in obtaining CDSCO licenses, we understand the complexities involved in bringing advanced orthopaedic implants like the Toe Joint Phalangeal (Hemi-Toe) Polymer Prosthesis to the Indian market. This device, classified as a Class C medical device under the Central Drugs Standard Control Organization (CDSCO) regulations, requires stringent compliance given its implantable nature and associated risks.

Understanding the Device and Regulatory Importance

The Toe Joint Phalangeal polymer prosthesis is an implant intended to replace the base of the proximal phalanx of the toe, restoring function and mobility in patients with severe joint damage. Being an orthopaedic implant, it falls under Class C, signaling a moderate to high risk which demands thorough scrutiny for safety, efficacy, and quality.

Proper CDSCO licensing is not just a regulatory formality but a critical step ensuring patient safety and market access. Failure to comply can lead to legal repercussions and market withdrawal.


CDSCO Regulatory Framework for Orthopaedic Implants: Class C Devices

Orthopaedic implants like the hemi-toe polymer prosthesis come under the purview of the Medical Device Rules (MDR) 2017, notified under the Drugs and Cosmetics Act. The CDSCO regulates these devices centrally due to their risk classification.

For Class C devices, the key regulatory licenses are:

  • MD9 Manufacturing License (Application Form MD7)
  • MD15 Import License (Application Form MD14)

These licenses are mandatory for manufacturers and importers respectively to legally produce and market the device in India.

Risk Classification and License Requirements

Class C devices, including orthopaedic implants, are considered moderate-high risk. Consequently:

  • Manufacturing License (MD9) must be obtained from the Central Licensing Authority.
  • Import License (MD15) is also granted by the Central Licensing Authority.

Understanding this classification is crucial; you can verify device class and related requirements through trusted resources such as our Medical Device Classification guide.

Manufacturing License Process (MD9) for Toe Joint Phalangeal Prosthesis

Obtaining the MD9 license involves several detailed steps:

  1. Test License (Form MD13): Initially, a test license is required to manufacture the device prototype for testing, which takes approximately 1.5 to 2 months.

  2. Product Testing: The device must be tested at CDSCO-approved laboratories. You can find a list of these testing laboratories here.

  3. Document Preparation: Comprehensive documentation including Device Master File, Plant Master File, Risk Management File, and Essential Principles Checklist must be compiled.

  4. Application Submission: Submit the application on the CDSCO MD Online Portal using Form MD7.

  5. Audit & Inspection: CDSCO inspectors will conduct an on-site audit verifying compliance with QMS and manufacturing standards.

  6. Query Resolution: Address any queries raised by the CDSCO or inspectors promptly.

  7. Grant of License (Form MD9): Upon successful review and audit, the manufacturing license is granted.

For detailed guidance, our MD9 License Guide is an excellent resource.

Manufacturing License Documents Required for MD9

  • Company Constitution/Registration Certificate
  • Proof of Ownership or Lease of Manufacturing Premises
  • Qualification and Experience Documents of Technical Staff
  • Fire Safety NOC
  • Pollution Control Board NOC
  • Device Master File (detailing design, specifications) – see our Device Master File guide
  • Plant Master File (manufacturing environment and process details) – refer to our Plant Master File guide
  • Essential Principles Checklist
  • Risk Management File (including hazard analysis and mitigation strategies) – learn more about risk management
  • Test Reports from CDSCO-approved labs
  • Labels and Instructions for Use (IFU)
  • Quality Management System Documents (ISO 13485:2016 compliant)

Import License Process (MD15) for Toe Joint Phalangeal Prosthesis

For importers aiming to bring this Class C implant into India, the MD15 license must be secured from CDSCO. This process typically takes 5 to 6 months and involves:

  1. Document Compilation: Unlike manufacturing, a test license is not required for imports. However, comprehensive documentation including manufacturing license from the country of origin, Free Sale Certificate, ISO 13485:2016 certification, CE certificate, and device-specific files are necessary.

  2. Application Submission: Submit the application on the CDSCO MD Online Portal via Form MD14.

  3. Queries & Clarifications: Promptly address queries raised by the regulatory authority.

  4. Approval and License Grant: Once compliance is verified, the MD15 import license is granted.

Refer to our detailed Import License guide for stepwise assistance.

Import License Documents Required

  • Valid Manufacturing License from the country of origin
  • Free Sale Certificate
  • ISO 13485:2016 Certificate
  • CE Certificate (if applicable)
  • Device Master File
  • Plant Master File
  • Wholesale License in India
  • Company Constitution Documents

Timeline and Processing Duration

Process StepDuration
Test License (MD13)1.5 to 2 months
Product Testing1 to 1.5 months
Application Review1 to 2 months
Audit & Inspection1 month
Query Resolution2 to 4 weeks
Total (MD9 License)Approximately 4 to 5 months
Import License (MD15)Approximately 5 to 6 months

Government Fees and Costs

License TypeApplication Fee (INR)Per Product Fee (INR)
MD9 (Manufacturing)50,0001,000
MD15 (Import) Class CApprox. 2,20,000 INR*Approx. 1,10,000 INR*

*Import fees are calculated based on site and product count, converted approximately from USD (3,000persite+3,000 per site + 1,500 per product) depending on exchange rates.

Manufacturers should budget for additional costs such as testing fees, notified body audits, and consultancy charges.

Common Challenges and Practical Solutions

Challenge 1: Delays in product testing due to backlog at labs.

Solution: Plan testing well in advance and select CDSCO-approved labs with capacity. Our Testing Laboratories list helps identify suitable labs.

Challenge 2: Incomplete documentation leading to query cycles.

Solution: Utilize comprehensive checklists and expert consultation during document preparation. Refer to our detailed master file guides to ensure compliance.

Challenge 3: Non-conformance findings during audit.

Solution: Conduct internal audits and gap assessments before CDSCO inspection. Maintaining a robust QMS aligned with ISO 13485 reduces risks.

Challenge 4: Regulatory changes and updates.

Solution: Engage with experienced consultants who monitor regulatory amendments and provide timely updates.

Expert Consultation and Support

Navigating the regulatory landscape for a Class C implant like the toe joint phalangeal polymer prosthesis requires specialized expertise. We offer end-to-end support including:

  • Regulatory strategy and classification
  • Documentation preparation and review
  • Coordination with notified bodies and testing labs
  • Application submission and follow-up
  • Audit readiness and training

Our track record with 500+ successful CDSCO license approvals demonstrates our commitment to streamlined, compliant market access.

Getting Started with Your CDSCO License Application

To initiate your journey:

  1. Assess Device Classification: Confirm the Class C status using reliable classification tools.

  2. Prepare Documentation: Begin compiling Device and Plant Master Files, Risk Management File, and QMS documents early.

  3. Apply for Test License (MD13): Submit your test license application on the CDSCO MD Online Portal to start prototype production for testing.

  4. Plan Product Testing: Engage with approved testing laboratories promptly.

  5. Schedule Audit Preparation: Develop a timeline for internal audits and corrective actions to ensure compliance.

  6. Submit MD9 Application: After successful testing and preparation, apply for the manufacturing license on the portal.

  7. For Importers: Assemble required certifications and apply for the MD15 import license accordingly.

Taking these actionable steps early can significantly reduce approval timelines and facilitate smoother market entry.


Embarking on the CDSCO licensing process for your toe joint phalangeal polymer prosthesis need not be daunting. With meticulous preparation, adherence to regulatory norms, and expert guidance, you can achieve timely approval and bring your innovative orthopaedic implant to Indian patients safely and legally. Reach out to us for personalized consultation tailored to your device and business needs.

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Tails Azimuth
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