CDSCO License for Wrist joint metal constrained cemented prosthesis
Medical Device Information
Intended Use
Intended to be implanted to replace a wrist joint

Introduction to Wrist Joint Metal Constrained Cemented Prosthesis and Regulatory Importance
The Wrist Joint Metal Constrained Cemented Prosthesis is a critical orthopaedic implant designed to replace the wrist joint, restoring mobility and functionality for patients suffering from severe joint damage or arthritis. Given its implantable nature and complexity, this device falls under Class C risk classification, demanding stringent regulatory compliance in India. Ensuring adherence to the Central Drugs Standard Control Organization (CDSCO) regulations is essential not only for legal market entry but also for patient safety and product credibility.
As regulatory consultants with over 25 years of experience, having successfully guided more than 500 companies through CDSCO licensing, we understand the nuances and challenges in obtaining approvals for such advanced medical devices. This detailed guide provides actionable insights, timelines, costs, and document requirements specifically tailored for Wrist Joint Metal Constrained Cemented Prosthesis under CDSCO’s framework.
CDSCO Regulatory Framework for Wrist Joint Metal Constrained Cemented Prosthesis
The CDSCO governs the import, manufacture, and sale of medical devices in India under the Medical Device Rules 2017, and the Wrist Joint Metal Constrained Cemented Prosthesis is regulated under notification 29/Misc/3/2017-DC (292) dated 06.06.2018. Being an orthopaedic implant intended for permanent implantation, it is categorized under Class C as per the risk classification system.
Class C devices, due to their moderate to high risk, are regulated by the Central Licensing Authority, requiring manufacturers to obtain an MD9 manufacturing license and importers to secure an MD15 import license for market authorization.
For more details on device classification, refer to our comprehensive Medical Device Classification guide.
Risk Classification and License Requirements for Class C Devices
Class C devices like the Wrist Joint Metal Constrained Cemented Prosthesis require:
- Manufacturing License: MD9 License (Application Form MD7)
- Import License: MD15 License (Application Form MD14)
The MD9 license is granted by the CDSCO Central Licensing Authority after a thorough evaluation process, including product testing, documentation review, and on-site audits. The MD15 import license is mandatory for importers and involves detailed scrutiny of technical and compliance documents.
Manufacturing License Process for Class C Devices (MD9 License)
Obtaining an MD9 manufacturing license for Class C devices involves several critical steps:
Test License Application (Form MD13): Initially, you must apply for a test license which enables the production of limited devices for testing purposes. This process takes approximately 1.5 to 2 months.
Product Testing: The manufactured devices must be tested in CDSCO-approved laboratories. Testing parameters include biocompatibility, mechanical strength, sterilization validation, and clinical performance data where applicable.
Documentation Preparation: Comprehensive documentation must be assembled including Device Master File, Plant Master File, Essential Principles Checklist, Risk Management File, and detailed Quality Management System (QMS) records.
Submission of MD9 Application (Form MD7): After successful testing, the license application is submitted through the CDSCO MD Online Portal.
Audit by CDSCO Inspectors: A mandatory audit of the manufacturing site and QMS is conducted by CDSCO inspectors.
Queries Resolution: Any queries raised by CDSCO during the review or audit process must be promptly addressed.
Grant of License: Upon satisfactory compliance, the MD9 license is granted.
For an in-depth look at the MD9 license process, visit our MD9 License Guide.
Manufacturing License Documents Required for Wrist Joint Metal Constrained Cemented Prosthesis
The following documents are essential for the MD9 license application:
- Company Constitution (Incorporation Certificate, MOA, AOA)
- Proof of ownership or lease of the manufacturing premises
- Technical staff qualifications and experience details
- Fire No Objection Certificate (NOC)
- Pollution Control Board NOC
- Device Master File (detailing design, specifications, and manufacturing processes) – refer to our Device Master File guide
- Plant Master File (describing the manufacturing facilities and quality controls) – see our Plant Master File guide
- Essential Principles Checklist demonstrating compliance with Indian regulations
- Risk Management File, including hazard analysis and mitigation strategies – learn more at our Risk Management resource
- Test Reports from CDSCO-approved laboratories
- Product labels and Instructions for Use (IFU)
- Quality Management System documents, preferably ISO 13485:2016 certification
Import License Process for Class C Devices (MD15 License)
For companies intending to import the Wrist Joint Metal Constrained Cemented Prosthesis, the MD15 import license is mandatory and involves:
Document Preparation: Collate documents including manufacturing license, Free Sale Certificate from the country of origin, ISO 13485:2016 certificate, CE Certificate (if applicable), Device Master File, Plant Master File, and wholesale license.
Application Submission: Submit the application on the CDSCO MD Online Portal using Form MD14.
Review and Queries: The CDSCO Central Licensing Authority reviews the application and may raise queries.
License Grant: On satisfactory resolution, the MD15 license is granted.
Our Import License Guide provides detailed insights into this process.
Import License Documents Required
Key documents for the MD15 application include:
- Valid Manufacturing License for the device in the country of origin
- Free Sale Certificate or equivalent
- ISO 13485:2016 Certification
- CE Certificate or other international certifications
- Device Master File
- Plant Master File
- Wholesale license for distribution in India
- Company Constitution
Timeline and Processing Duration
MD9 Manufacturing License: Approximately 4 to 5 months. This includes 1.5 to 2 months for the test license (MD13), product testing, documentation, audit, and final approval.
MD15 Import License: Approximately 5 to 6 months due to thorough documentation review and compliance verification.
Planning for these timelines is crucial. Early engagement with CDSCO-approved testing laboratories and notified bodies can help streamline the process.
Government Fees and Costs
MD9 License: Application fee of Rs. 50,000 plus Rs. 1,000 per product.
MD15 License: Fees vary by risk class and site, Class C devices typically incur Rs. 2,10,000 to Rs. 3,00,000 per site plus Rs. 1,500 per product (converted approximately from USD fees).
Additional costs include fees for testing, audit by notified bodies, and document preparation assistance.
Common Challenges and Practical Solutions
Delayed Test Reports: Testing at government-approved labs can take longer than anticipated. Engaging labs early and tracking progress closely helps mitigate delays.
Incomplete Documentation: Missing or inconsistent files are common rejection reasons. Using detailed checklists and expert consultation can ensure completeness.
Audit Non-compliance: Manufacturing facilities sometimes lack adequate QMS or documentation during audits. Conducting internal mock audits and training staff can improve audit readiness.
Query Resolution Delays: Slow response to CDSCO queries prolongs timelines. Assign dedicated regulatory personnel to manage communications effectively.
Confusion over Classification: Misclassification leads to incorrect license applications. Verify device classification carefully, referencing the latest CDSCO notifications.
Expert Consultation and Support
Navigating CDSCO licensing for Class C orthopaedic implants like the Wrist Joint Metal Constrained Cemented Prosthesis can be complex. Our extensive experience guiding over 500 companies ensures you receive tailored, practical support at every stage—from documentation to audits.
We recommend leveraging expert consultants to prepare Plant and Device Master Files, coordinate with testing labs, and manage application submissions through the CDSCO MD Online Portal.
Getting Started with Your CDSCO License Application
To initiate your CDSCO licensing journey for your Wrist Joint Metal Constrained Cemented Prosthesis:
Confirm Device Classification: Review the latest CDSCO notifications and classification guidelines.
Prepare Essential Documents: Begin compiling your Device Master File, Plant Master File, risk management documentation, and QMS certificates.
Engage CDSCO-Approved Testing Labs: Schedule product testing early to avoid bottlenecks. Refer to the list of CDSCO Testing Laboratories.
Apply for Test License (MD13): Submit your test license application promptly to initiate manufacturing for testing.
Plan for Audit: Identify and coordinate with notified bodies or CDSCO inspectors for the audit process.
Submit Application on CDSCO Portal: Use the official CDSCO MD Online Portal to apply for the MD9 manufacturing license or MD15 import license.
Prepare for Queries and Follow-ups: Assign a dedicated team to address CDSCO queries swiftly.
Starting early with a clear, stepwise approach and expert guidance significantly improves your chances of timely approval and market entry. We invite you to contact us for a personalized consultation tailored to your device’s regulatory needs.