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CDSCO License for Tracheostomy  Tube/Tracheal Tube

Medical Device Information

Device Class
Class B

Intended Use

A breathing tube inserted into a  tracheotomyused to obtain a closed circuit for ventilation

Manufacturing License
MD5
Import License
MD15
CDSCO License for Tracheostomy  Tube/Tracheal Tube

Comprehensive Guide to CDSCO Licensing for Tracheostomy Tube (Class B Medical Device)

Tracheostomy tubes, classified under catheters in the medical device category, play a vital role in respiratory care by providing a closed circuit for ventilation through a tracheotomy. As a Class B device under CDSCO regulations, manufacturers and importers must comply with specific licensing requirements to ensure safety, efficacy, and market access in India. With over 25 years of experience assisting 500+ companies in navigating CDSCO licensing, we provide an expert, step-by-step guide tailored for Tracheostomy Tube regulatory approval.


CDSCO Regulatory Framework for Tracheostomy Tubes

The Central Drugs Standard Control Organisation (CDSCO) regulates all medical devices in India, including Tracheostomy Tubes, per the Medical Device Rules (MDR) 2017 notification [29/Misc/3/2017-DC (292)] dated 06.06.2018. The device falls under Class B (low to moderate risk) requiring a State Licensing Authority-issued MD5 manufacturing license or an MD15 import license.

The regulatory framework ensures manufacturers follow stringent quality management systems, product testing, and compliance with essential principles for safety and performance. The process includes test licensing, government-approved lab testing, audits by notified bodies, and final license issuance.

Risk Classification and License Requirements for Tracheostomy Tubes

Under the MDR 2017, Tracheostomy Tubes are classified as Class B devices due to their moderate risk profile. This classification mandates the following:

  • Manufacturing License: MD5 license issued by the State Licensing Authority
  • Import License: MD15 license issued by the Central Licensing Authority

For Indian manufacturers, the MD5 license process involves an initial test license (MD13), product testing, and audit by a notified body before full license grant. Importers require an MD15 license with comprehensive documentation but no test license.

For detailed classification, visit our Medical Device Classification guide.

Manufacturing License Process for Tracheostomy Tubes (MD5 License)

The MD5 license is essential for manufacturing Tracheostomy Tubes in India. Here's a clear breakdown:

  1. Obtain Test License (Form MD13): Apply for a test license to conduct product testing. This process takes approximately 1.5 to 2 months.
  2. Product Testing: Submit the Tracheostomy Tube samples to government-approved laboratories for testing. Refer to the Testing Laboratories list for accredited labs.
  3. Documentation Preparation: Compile required documents including Device Master File, Plant Master File, and risk management documentation.
  4. License Application (Form MD3): Submit the application for the MD5 license through the CDSCO MD Online Portal.
  5. Audit by Notified Body: A notified body conducts a thorough audit of your manufacturing facility and QMS compliance. You can find the list of notified bodies authorized for this audit.
  6. Query Resolution: Address any queries raised by the CDSCO or notified body promptly to avoid delays.
  7. Grant of MD5 License: Upon successful audit and compliance, the State Licensing Authority issues the MD5 license.

The entire process typically spans 3 to 4 months from test license application to license grant.

Manufacturing License Documents Required for Tracheostomy Tubes

For a smooth MD5 license application, ensure the following documents are prepared:

  • Company Constitution (Certificate of Incorporation, PAN, GST registration)
  • Proof of Ownership or Lease Agreement of Manufacturing Premises
  • Details and Qualification Certificates of Technical Staff
  • Fire No-Objection Certificate (NOC)
  • Pollution Control Board NOC
  • Device Master File (DMF): Detailed description of device design, specifications, and manufacturing process. Our Device Master File Guide helps you prepare this critical document.
  • Plant Master File (PMF): Comprehensive information about your manufacturing facility. Learn how to create it effectively via our Plant Master File Guide.
  • Essential Principles Checklist confirming compliance with Indian MDR
  • Risk Management File per ISO 14971 standards. For best practices, visit our Risk Management resource.
  • Product Test Reports from government-approved labs
  • Product Labels and Instructions for Use (IFU)
  • Quality Management System (QMS) documentation, typically ISO 13485:2016 certified

Import License Process for Tracheostomy Tubes (MD15 License)

Importers of Tracheostomy Tubes must secure an MD15 license from CDSCO’s Central Licensing Authority. The process includes:

  1. Document Preparation: Gather all required import license documents.
  2. Application Submission (Form MD14): File your application via the CDSCO MD Online Portal.
  3. Department Queries: Respond promptly to any queries or clarifications raised by CDSCO.
  4. License Issuance: Upon satisfactory review, the MD15 import license is granted.

Notably, no test license or product testing is required for import licensing.

Import License Documents Required for Tracheostomy Tubes

Prepare the following documents for MD15 application:

  • Valid Manufacturing License from the country of origin
  • Free Sale Certificate or equivalent regulatory approval
  • ISO 13485:2016 Certification
  • CE Certificate or Equivalent Regulatory Approvals
  • Device Master File and Plant Master File
  • Wholesale License (if applicable)
  • Company Constitution Documents

Timeline and Processing Duration

License TypeProcess DurationNotes
MD5 License (Manufacturing)3 to 4 monthsIncludes test license, lab testing, audit, and license grant
MD13 Test License1.5 to 2 monthsPre-requisite for MD5 license
MD15 License (Import)5 to 6 monthsNo test license required

Efficient document preparation and proactive query resolution can significantly minimize delays.

Government Fees and Costs

License TypeApplication FeePer Product FeeTotal Estimate for Tracheostomy Tube (Class B)
MD5 LicenseRs 5,000Rs 500Approx Rs 5,500 + audit and testing costs
MD15 License$2,000 (per site)$1,000 (per product)Approx $3,000

Additional costs include product testing fees at government-approved labs and audit fees charged by notified bodies.

Common Challenges and Solutions

Challenge: Delays in test license approval and product testing.

Solution: Submit complete and accurate test license applications; engage with notified labs early to schedule testing promptly.

Challenge: Incomplete or inconsistent documentation leading to audit non-compliance.

Solution: Maintain up-to-date Device and Plant Master Files; implement robust QMS and risk management systems.

Challenge: Responding to regulatory queries causing prolonged timelines.

Solution: Assign dedicated regulatory personnel to manage and respond to CDSCO queries swiftly.

Expert Consultation and Support

Given the complexity of the CDSCO licensing process, especially for Class B devices like Tracheostomy Tubes, leveraging expert consultation is invaluable. Our team has successfully guided over 500 companies through every stage—from test license acquisition to final audit and license issuance.

We assist with document preparation, audit readiness, regulatory liaison, and post-license compliance to ensure a smooth market entry.

Getting Started with Your CDSCO License Application for Tracheostomy Tubes

  1. Assess Your Regulatory Path: Confirm device classification and decide between manufacturing (MD5) or import (MD15) license.
  2. Prepare Documents: Start compiling your Device Master File and Plant Master File using our detailed guides.
  3. Apply for Test License (MD13) if Manufacturing: Submit via the CDSCO MD Online Portal.
  4. Schedule Product Testing: Coordinate with government-approved labs early to avoid bottlenecks.
  5. Engage a Notified Body: Identify and contract an authorized notified body for audit services.
  6. Maintain Compliance: Implement and document a compliant Quality Management System.
  7. Submit License Application: File Form MD3 for MD5 or Form MD14 for MD15 through CDSCO’s online portal.
  8. Monitor and Respond: Stay proactive in addressing any department or audit queries.

For a seamless experience, reach out to our regulatory experts who specialize in Tracheostomy Tube licensing and ensure your product enters the Indian market without delay.


By following this comprehensive roadmap, manufacturers and importers of Tracheostomy Tubes can confidently navigate the CDSCO regulatory landscape, ensuring compliance, market access, and patient safety in India.

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About the Author

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Tails Azimuth
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