medical device registration and global market

The market for medical device has grown significantly in recent years. Recent estimates suggest that the global market for medical devices will reach $612.7 billion by 2025. However, competition is fierce, and medical device companies of all sizes have questions about where and how to register their device?

So, lets see where and how can you market your brand-new medical device?

The solution is clear. A proper marketing strategy and a good understanding of the market help you to attract customers, increase sales, and grow a thriving business. Registering a product can vary depending on the country you choose. Each country has its own set of rules and regulations.

The market, the approval, time for the approval process, considerations, requirements, and rules and regulations may depend on the country where you will market your device.

Before entering into details, lets understand different of medical devices.

What are different type of medical devices

Active medical device: 

Any medical device that depends on electricity or any form of energy other than that produced directly by the human body or gravity is an active medical device.

An implantable active medical device

Any active medical device we insert surgically or medically, entirely or partially into the human body or through a natural orifice to remain there after the procedure.

In vitro diagnostic medical devices (IVD devices)

Any medical device that is a reagent, reagent product, calibrator, control material, kit, instrument, apparatus, equipment, or system, whether used alone or in combination, and intended by the manufacturer to be used in vitro for the examination of specimens, including blood and tissue donations, derived from the human body, with the sole or primary goal of providing information regarding

  • A physiological or pathological condition.
  • A congenital deficiency.
  • To assess the suitability and safety of potential recipients.
  • To track treatment interventions.

Now, if you have a new medical device, you will have basic questions like

  • Which country would be the best to register and market your medical device?,
  • Regulatory that applies for your medical device in respective countries, and
  • What are the regulatory requirements?

Step 1: Understanding the Global Market

In 2021, the estimated market for medical equipment was USD 488.98 billion. By 2029, the market is expected to grow from USD 495.46 billion in 2022 to USD 718.92 billion, registering a CAGR of 5.5 percent.

Medical device global market

Below table show figures of current market and market estimates in the year 2025 by various reports.

#CountryCurrent marketEstimated market growthCAGR
1Australia4.78 bn(2022)6.21 bn (2025)10%
2Europe48.9 bn(2020)61.4 bn (2025)4.7%
3Japan4.5 bn(2018)6.27 bn(2025)4.6%
4USA176.7 bn(2020)221.4 bn(2025)5%
5Singapore2.11 bn(2020)3.45 bn (2025)8.4%
6Malaysia2.00 bn (2022)2.45 bn (2025)7.5%
7Myanmar456 M(2017)711.36 M(2025)7%

Step 2: Understanding the global regulations

A system of laws known as the Medical Device Regulation (MDR) controls 

  • The development
  • Manufacturing
  • Distribution of medical devices. 

Medical device manufacturers who want to sell their products on the market must accept this law. Under the medical device legislation, manufacturers should disclose more accurate clinical data to support their performance and safety. The purpose of establishing these regulations is to assure patients and caregivers with confidence that the tool they are using is safe and efficient. And helping patients is the ultimate goal of medical device development. If your equipment is unsafe, you run the risk of hurting patients. 

Understanding the regulatory standards for medical devices is mandatory before you market your medical device. There are several regulatory standards, and different countries may require different standards.

Let’s now look at few regulatory standards for medical device available globally

CE Marking

You need to obtain CE Marking for your product to sell medical equipment. The CE Marking certifies your medical device’s compliance with all relevant EU regulations and permits the sale of your goods. Whether you outsource some or all of your manufacturing operations, as a manufacturer, it is your responsibility to maintain regulatory compliance and obtain CE marking for your product.

Interestingly most of the countries accept CE marking. These countries include Europe, Singapore, Malaysia, Myanmar,
Australia, Japan, and the USA accept CE marking.

ISO

ISO is a regulatory standard for organizations engaged in design, production, installation, and maintenance of medical devices. Additionally, it can be utilized by internal and external parties, including certification organizations, to support their auditing procedures.

The countries that accept ISO include Australia, Europe, Japan, the USA, Singapore, Malaysia, and Myanmar.

T Mark & R Mark

T Mark

According to the Japanese Telecommunications Business Law, while using terminal equipment across a telecommunications carrier network, a device that uses an Ethernet terminal connection must pass the telecommunications carrier’s connectivity test and demonstrate compliance with standards. Your device will have a T-Mark and be able to connect to networks when the device is approved.

R Mark

This is Japan’s radio law that applies to all products using the 3 THz radio band. This can sometimes apply to items like discharge lamps and induction heating units that aren’t radio communications devices.

T Mark & the R Mark are only applicable in Japan.

QMS

An organized set of protocols and processes known as a medical device quality management system (QMS) addresses all facets of design, production, supplier management, risk management, complaint handling, clinical data, storage, distribution, product labelling, and more.

The QMS system is followed in Australia, Europe, Japan, the USA, Singapore, Malaysia, and Myanmar.

Lets look further details about the most familiar ISO globally.

ISO

The International Organization for Standardization is an international standard development organization composed of representatives from the national standards organizations of member countries.

The most popular ISO reference standards that device makers should follow

Reference standardStandard for?Most current version
ISO 13485The standard for medical device management systems.ISO 13485:2016 
ISO 14971The Standard for risk management of medical devicesISO 14971:2019
ISO 9001The standard for company quality management systemISO 9001:2015
ISO 62304The standard for software used in medical devices ISO 62304:2006.
ISO 11135  The standard for ethylene oxide sterilization of medical devices.ISO 11135:2014
ISO 11137  The standard for sterilization of medical devices using radiation. 
ISO 11607The standard for sterilized product packaging for medical devices. 
IEC 60601The standard for safety and essential performance of medical electrical equipment. 

Step 3: Classify your medical device

Different regions classify medical devices differently according to the potential risk. Australia, Europe, Japan, and the USA follow the class I to class IV scheme. Singapore, Malaysia, and Myanmar follow the A-D scheme. Below mentioned tables show a common classification that may provide a brief idea regarding the potential risk and examples for each category.

Classification of medical devices in Australia, Europe, Japan, and USA

Classriskexamples
Class IlowSurgical retractors, tongue depress depressors
Supplied sterile (Class I)Incorp. a measuring function) (Class I)Class IIaLow-mediumHypodermic needles, suction unitMedicine cup with specific units of measurementDigital or infrared thermometers
Class IIIHighHeart valves, Knee replacement implants,devices containing medicines or tissues,cells or substances of animal, biological ormicrobiological origin
class IV -AIMD(Active Implantable Medical DevicesHighImplantable defibrillator

Classification of medical devices in Singapore, Malaysia, and Myanmar

ClassRiskExamples
Alow-riskWheelchairs or tongue depressors
BLow to moderateHypodermic needles or suction equipment
CModerate to high-riskVentilators or bone fixation plates
DHigh-riskImplantable defibrillators or heart valves
**Note: Please note that these classifications are just for informative purpose and these classifications are not final. To clarify to which class does your medical device belong, please contact us at helpdesk@credevo.com or complete the form below with brief product details.

Step 4: understand the regulatory requirements

The fundamental requirements for medical device marketing vary depending on the country. Most generic requirements management principles are a good place for medical device makers to start. 

Practically any industry can benefit from basic guidelines for needs planning, defining, prioritizing, etc. Medical device regulations must concern several essential components that other businesses might not require. The creation of medical devices must take compliance, risk management, and traceability into account. 

CountryGeneral requirements
AustraliaPre-market assessment, Conformity assessment-Before requesting a Conformity Assessment (CA) or inclusion on the Australian Register for Therapeutic Goods, the manufacturer must demonstrate compliance with the Essential Principles (EP) (ARTG). Having a CE marking Inclusion in the ARTG, Regulatory flow- Fill out a device application based on the medical device’s category and pay any associated TGA fees. Post market assessment.
EuropeCE marks strategic plan, Define product classification and intended use, Conformity to essential requirements and a quality management system (QMS), Procedure for conformity assessment. Documentation Relating to the DOSSIER. Report of Clinical Evaluation (CER).
JapanPre market approval (PMA), Follow the regulatory policies, The Japan PMD Act, Follow the regulations of Pharmaceuticals and Medical Devices Agency (PMDA) which collaborates with MHLW. Having CE marking, T mark and R mark, Conformity to essential requirements and a quality management system (QMS)
USAPremarket Approval (PMA) Investigational Device Exemption (IDE) for clinical research, Establishment Registration, Medical Device Listing, Premarket Notification 510(k), Quality System (QS) Regulation, Labeling Requirements, Medical Device Reporting (MDR)
SingaporeHSA’s Class A Medical Device Register for local maker or local importer. Singapore Registrant to handle the organization of and submission of your device registration application to the HSA. CE marking, ISO marking, Conformity to essential requirements and a Quality Management System (QMS).
MalaysiaCreate a condensed version of your technical file that includes the certification from your reference nation, test results, a description of Malaysia’s Essential Principles, a Malaysian Declaration of Conformity, a QMS Certificate, etc. CAB verification Certificate following a successful audit, Review of MDA and their application response CE marking, ISO marking

Conclusion

The market for medical products is growing day by day. The secret to success is choosing a good marketplace with a better understanding of the process. Each country has its own rules for the marketing process. The steps of the marketing process, rules and regulations, and the classification of medical products may vary depending on the country you choose.


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