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CDSCO License for X-ray/CT combined linear accelerator system

Medical Device Information

Device Class
Class C

Intended Use

A combined system of a linear accelerator system and an X-ray CT system for radiotherapy planning.

Manufacturing License
MD9
Import License
MD15
CDSCO License for X-ray/CT combined linear accelerator system

Comprehensive Guide to CDSCO Licensing for X-ray/CT Combined Linear Accelerator System (Class C Medical Device)

As a trusted regulatory consultant with over 25 years of experience and a track record of assisting 500+ companies in successfully navigating the Indian medical device regulatory landscape, we understand the complexities involved in obtaining a CDSCO license for Class C devices like the X-ray/CT combined linear accelerator system. This device, a sophisticated radiotherapy tool integrating a linear accelerator and X-ray CT for precise cancer treatment planning, falls under a higher risk category demanding rigorous regulatory compliance.

CDSCO Regulatory Framework for X-ray/CT Combined Linear Accelerator System

The Central Drugs Standard Control Organization (CDSCO) regulates medical devices under the Medical Devices Rules (MDR) 2017, with devices classified into four risk categories: Class A (low risk), B (low-moderate risk), C (moderate-high risk), and D (high risk). The X-ray/CT combined linear accelerator system is classified as Class C, reflecting its significant clinical risk and complexity.

For Class C devices, the CDSCO issues the MD9 manufacturing license, governed centrally, requiring thorough documentation, testing, and audit processes to ensure safety and efficacy.

Risk Classification and License Requirements for Class C Devices

Class C devices like the X-ray/CT combined linear accelerator system require:

  • Manufacturing License (MD9) granted by the Central Licensing Authority
  • Compliance with all safety, quality, and performance standards
  • Test license (MD13) prior to full manufacturing license
  • Product testing at CDSCO-approved laboratories
  • Audit by CDSCO inspectors

You can review detailed classification criteria on our Medical Device Classification guide.

Manufacturing License Process (MD9) for X-ray/CT Combined Linear Accelerator System

The end-to-end process for an MD9 license typically takes about 4-5 months and involves these key steps:

  1. Apply for a Test License (Form MD13): This initial license allows limited manufacturing for the purpose of product testing. Processing time is approximately 1.5-2 months.
  2. Product Testing: Conduct mandatory testing at CDSCO-recognized testing laboratories to validate device safety and performance. Testing duration depends on the lab’s workload but expect 4-6 weeks. Refer to the Testing Laboratories list.
  3. Document Preparation: Assemble comprehensive technical documentation including Device Master File (DMF), Plant Master File (PMF), Essential Principles Checklist, Risk Management File, and Quality Management System (QMS) records.
  4. Submit MD9 Application (Form MD7): File your manufacturing license application via the CDSCO MD Online Portal, attaching all required documents.
  5. CDSCO Audit: Inspectors will conduct a detailed onsite audit covering manufacturing facilities, QMS compliance, and technical documentation.
  6. Resolve Queries: Address any clarifications or deficiencies raised during audit or technical review.
  7. Grant of License (Form MD9): Upon satisfactory compliance, CDSCO issues the MD9 license, authorizing manufacturing.

Manufacturing License Documents Required for MD9

For a Class C device like the X-ray/CT combined linear accelerator system, prepare the following documentation meticulously:

  • Company Constitution and Incorporation Certificates
  • Proof of Ownership or Lease of Manufacturing Premises
  • Details and Qualifications of Technical Staff
  • Fire and Pollution NOCs
  • Device Master File (DMF): Detailed device description, design, manufacturing process, and specifications. Our Device Master File guide offers practical tips.
  • Plant Master File (PMF): Manufacturing site details, infrastructure, equipment, and quality controls. See our Plant Master File guide.
  • Essential Principles Compliance Checklist
  • Risk Management File: Evidence of implementation aligned with ISO 14971. Learn more in our Risk Management resource.
  • Test Reports from CDSCO-approved Labs
  • Labels, Instructions for Use (IFU), and Packaging Details
  • Quality Management System Documentation (ISO 13485:2016 certification is highly recommended)

Import License Process (MD15) for Class C Devices

If you are an importer intending to bring the X-ray/CT combined linear accelerator system into India, the import license process is handled by the Central Licensing Authority and usually takes 5-6 months. Unlike manufacturing, no test license is required.

Key steps include:

  • Document preparation including valid manufacturing license, Free Sale Certificate, ISO 13485:2016, CE Certificate (if applicable), DMF, PMF, wholesale license, and company constitution.
  • Application submission on the CDSCO MD Online Portal.
  • Resolution of any queries by CDSCO.
  • License grant on Form MD15.

Government fees vary by risk class; for Class C devices, expect:

  • $3000 per site
  • $1500 per product

Refer to our detailed Import License guide for more.

Timeline and Processing Duration

Process StepTimeframe
Test License (MD13)1.5 - 2 months
Product Testing4 - 6 weeks
Document PreparationConcurrent/Varies
MD9 Application Review1 - 1.5 months
Audit and Query Handling1 - 1.5 months
Total (Manufacturing)4 - 5 months
Import License (MD15)5 - 6 months

Government Fees and Costs

For the MD9 manufacturing license (Class C devices):

  • Application fee: Rs 50,000 per application
  • Product fee: Rs 1,000 per product

Additional costs include product testing fees at approved laboratories (variable depending on device complexity) and audit expenses.

Common Challenges and Solutions

  • Incomplete Documentation: Missing or inconsistent technical files cause significant delays. We recommend early preparation of DMF, PMF, and Risk Management files with expert review.

  • Testing Delays: Limited slots and complex testing protocols can extend timelines. Scheduling tests well in advance with CDSCO-approved labs mitigates delays.

  • Audit Non-Compliance: Facility or QMS gaps can result in audit failures. Conduct internal pre-audits and staff training to ensure readiness.

  • Query Resolution: Slow responses to CDSCO queries prolong licensing. Assign dedicated regulatory personnel to manage communications promptly.

Expert Consultation and Support

Navigating the CDSCO licensing process for Class C devices such as the X-ray/CT combined linear accelerator system requires specialized knowledge and experience. Our team has successfully supported over 500 companies in securing timely approvals by:

  • Conducting gap assessments of documentation and quality systems
  • Assisting with preparation of Device and Plant Master Files
  • Coordinating with notified bodies and testing labs
  • Providing strategic guidance on audit readiness
  • Managing end-to-end submission and follow-up on the CDSCO MD Online Portal

Getting Started with Your CDSCO License Application

  1. Verify Device Classification: Confirm your device is Class C per CDSCO guidelines.
  2. Initiate Test License Application (MD13): Prepare and submit your test license application to begin product testing.
  3. Engage CDSCO-Approved Testing Laboratory: Schedule testing early to avoid bottlenecks.
  4. Prepare Comprehensive Documentation: Start compiling DMF, PMF, Risk Management, and other required files.
  5. Plan for Audit: Ensure your manufacturing site and QMS meet CDSCO expectations.
  6. Submit MD9 Application (MD7): Once testing is successful and documents are ready, apply via the online portal.
  7. Communicate Promptly: Respond to audit and regulatory queries without delay.

Our expert consulting services are available to guide you through each step, minimizing risks and expediting approvals for your X-ray/CT combined linear accelerator system. Contact us today to leverage our proven expertise in CDSCO licensing for advanced radiotherapy medical devices.

For detailed insights, visit our dedicated MD9 License Guide.

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About the Author

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Tails Azimuth
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