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CDSCO Certificate for Cardiovascular Medical Devices in India - Complete Registration & Compliance Services

A life-saving cardiac device is used to maintain the heartbeat, regulate blood circulation, or check on any heart problem. However, before being distributed to patients, there is a need to subject the devices to thorough tests and approvals.

Due to the rising need for advanced cardiac technologies in India, compliance has become an essential part that the manufacturer, importer, and distributor must take into consideration. Since there is an impact of these devices such as pacemakers, coronary stents, heart valves, and monitoring systems on the health of patients, therefore, their safety and reliability are of prime importance.

Regulatory-wise, getting the CDSCO certificate for Cardiovascular medical devices is very essential for all the companies manufacturing and distributing such devices in India.

CDSCO is an agency operating under the Directorate General of Health Services (DGHS), a regulatory body that functions under the Ministry of Health & Family Welfare, Government of India. CDSCO regulates Medical Devices as per the provisions of the Medical Devices Rules, 2017.

UMSPCS has also been successful in getting all the CDSCO registration for cardiovascular devices.

What Are Cardiovascular Medical Devices?

Cardiovascular medical devices refer to the devices where their primary use is aimed at diagnosing, monitoring, preventing, and treating heart disease.

There are many types of cardiovascular medical devices present in the market that help in curing various illnesses including coronary artery disease, heart arrhythmia, heart failure, and vascular diseases, among others.

Some of the examples of the most common medical devices for cardiovascular purposes regulated by CDSCO are:

  • Cardiac pacemakers
  • Coronary stents
  • Angioplasty balloon catheters
  • Heart valves
  • ICDs
  • Cardiac monitors
  • Vascular grafts, and implantable devices.

What does CDSCO Certificate for Cardiovascular Medical Devices mean?

CDSCO certificate for cardiovascular medical device is a formal certificate issued by CDSCO for the permission of the firms in the field of cardiovascular medical device manufacturing, importing, selling, and distributing medical devices in India.

Medical devices are classified into different types according to the Medical Devices Rules, 2017, which are based on their use, risk and device class.

Manufacturers of cardiovascular devices have to comply with all the regulations prior to entering the Indian market.

Steps involved in the approval include:

  • Classifying the device
  • Evaluation of technical documents
  • Safety/performance assessment
  • Quality system verification
  • Filing of the application through CDSCO’s portal
  • Assessment of the regulatory filing by CDSCO

Without the approval, it will not be possible to market/distribute cardiovascular devices in India.

Classification of Cardiovascular Medical Devices

Medical devices are categorized depending on their risk class.

Class

Risk Level

Examples

Class A

Low Risk

Basic monitoring devices

Class B

Low Moderate Risk

Certain diagnostic devices

Class C

Moderate High Risk

Cardiac monitoring equipment

Class D

High Risk

Pacemakers, implants, heart valves

Implantable cardiovascular devices are classified in high-risk categories owing to their potential effect on the health of humans.

CDSCO Updated Risk-Based Classification List

Pursuant to CDSCO Notice F. No. MED-16015(11)/1/2025-eoffice, the Central Licensing Authority regulates cardiovascular devices under a strict risk-based approach. Below is a comprehensive, updated list of representative cardiovascular medical devices, their intended uses, and their official risk classifications:

S.No.Device nameIntended use

Risk

class

1Active-implantable-device communicatorIt is intended to communicate (e.g., via radio-frequency) with an active MR-conditional implantable device (e.g., a pulse generator) to receive information on device and/or physiologic performance, and/or to select and actuate MRI settings.Class D
2Aneroid manual sphygmomanometer

A device intended to measure blood pressure consisting of a manually inflatable cuff that fits around a limb (arm or thigh), an inflation bulb for controlling the air pressure within the cuff, an aneroid

manometer, and tubing.

Class B
3Aortic annuloplasty ring

A circular band intended to be implanted in the heart during open heart surgery to support an aortic valve annulus for the

reconstruction and/or remodelling of an insufficient aortic valve.

Class D
4Aortic bi-leaflet mechanical heart valve prosthesisIt is an artificial substitute for a natural aortic heart valve intended to be implanted during open heart surgery typically to treat acquired or congenital valvular disease.Class D
5Aortic bi-leaflet mechanical heart valve prosthesis/biologic-polymer aorta graft

An artificial substitute for a natural aortic heart valve fitted with a length of biologic-polymer blood vessel (vascular graft) intended to be implanted during open heart surgery to simultaneously replace a dysfunctional aortic heart valve and repair/replace a damaged or diseased ascending aorta (e.g., in cases of

aneurysm, dissection or dilatation).

Class D
6Aortic heart valve bioprosthesisA xenograft (e.g., porcine or bovine heart valve) intended to be implanted in a patient during open heart surgery to repair or replace a dysfunctional aortic heart valve.Class D
7Aortic transcatheter heart valve bioprosthesis, stent-like framework

An implantable xenograft (e.g., bovine, porcine) intended to be used to repair/replace a stenosed and/or regurgitant aortic heart valve, or previously-implanted aortic heart valve prosthesis, and which is designed to be implanted with a catheter via transarterial access (e.g., femoral, subclavian, aortic) or transapical

access while the heart is beating.

Class D
8Apexcardiograph (vibrocardiograph)

An apex cardiograph (vibrocardiograph) is a device used to amplify or condition the signal from an apex cardiographic transducer and to produce a visual display of the motion of the heart; this device also

provides any excitation energy required by the transducer.

Class B
9Apheresis KitIntended for the collection and separation of blood componentsClass C
10Arrhythmia Detector And Alarm (Including St-Segment Measurement And Alarm)The arrhythmia detector and alarm device monitors an electrocardiogram and is designed to produce a visible or audible signal or alarm when atrial or ventricular arrhythmia, such as premature contraction or ventricular fibrillation, occurs.Class C
11Arterial cannulaInserted into an artery, commonly the radial artery, and is used during major operations and in critical care areas to measure beat-to-beat blood pressure and to draw repeated blood samples.Class D
12Arterial catheterIntended to be used in conjunction with steerable guidewires in order to access discrete regions of the coronary and peripheral arterial vasculature.Class D
13Arteriovenous shunt

An implanted device intended to provide a passage for blood to flow between an artery typically located in an arm, and a peripheral vein, central vein or right atrium, creating a graft fistula that provides blood access for external procedures, especially

haemodialysis.

Class D
14Atherectomy coronary catheterA catheter containing a rotating cutter a collecting chamber for debris, used for atherectomy and endarterectomy.Class D
15Atherectomy laser system beam guide-catheter, coronary

It is intended to be connected to an atherectomy laser system to invasively direct and deliver laser energy into the coronary arteries for the ablation of atherosclerotic plaques in completely

occluded vessels.

Class D
16Atherectomy peripheral catheterIntended for use in atherectomy of the peripheral vasculature.Class D
17Automated external defibrillator, rechargeable/non-rechargeable

This electronic device is intended to automatically detect cardiac arrhythmias (ventricular fibrillation/pulseless ventricular tachycardia) in a sudden cardiac arrest (SCA) patient, after which it audibly/visually instructs an operator to enable it to activate defibrillation of the heart through application of electrical shocks to the chest

surface.

Class C
18Automatic-inflation electronic sphygmomanometer, professional use, non-portableAn electronic device intended to be used in indirect (noninvasive) measurement of blood pressure using a self-contained software program that regulates automatic arm-cuff inflation and measurement cycles. In addition to systolic and diastolic pressures, it also usually displays heart rate and mean arterial pressure.Class B
19Automatic-inflation electronic sphygmomanometer, professional use, portable

A portable device designed to noninvasively measure blood pressure using a self-contained software program that regulates automatic arm/wrist-cuff inflation and measurement cycles. It typically displays current heart rate and

mean arterial pressure in addition to systolic and diastolic blood pressures.

Class B
20

Ballistocardiograph cardiac output

unit

A device used to record the body movement (toward the head and feet) caused by cardiac protrusion when blood is ejected by cardiac contraction.Class B
21Balloon dilatation vessel catheterIntended for use in Percutaneous Transluminal Angioplasty (PTA) of the renal, tibial, popliteal, femoral and peroneal arteries. These catheters are not for use in coronary arteries.Class B
22Bare-metal coronary artery stentA non-bioabsorbable stent intended to be implanted in a coronary artery or saphenous vein graft of the heart to maintain luminal patency and improve luminal diameter typically in a patient with symptomatic atherosclerotic heart disease.Class D
23Bifurcation stentIntended for improving the side branch luminal diameter of arterial bifurcation liaisons.Class D
24Biventricular pacemaker

An MR conditional pulse generator, intended to be implanted in the chest and used with pacing leads placed in the and around the heart to stimulate the heart to beat at a faster rate when it senses bradycardia and provides cardiac resynchronization therapy (CRT) through biventricular electrical stimulation to synchronize right and left ventricular contractions to treat symptoms of heart failure (e.g., easy fatigue) and serious heart-rhythm problems [CRT pacemaker

(CRT-P)]; it is not intended for defibrillation therapy.

Class D
25Biventricular pacemaker/defibrillator

An MR conditional, implantable device intended to provide cardiac resynchronization therapy (CRT) through biventricular electrical stimulation to synchronize right and left ventricular contractions for more effective blood pumping to treat symptoms of heart failure (e.g., shortness of breath, easy fatigue) and serious heart-rhythm problems [CRT defibrillator (CRT-D)]. It enables

conventional pacing and defibrillation functions also.

Class D
26Cardiac ablation laser system beam guide-catheter

A steerable catheter intended to be used as part of a cardiac ablation laser system to invasively direct and deliver laser energy to the endocardium of a beating heart for the ablation of specific areas in the treatment of cardiac arrhythmias. It is intended to be

introduced into the heart via venous access (e.g., femoral vein).

Class D
27Cardiac ablation solid-state laser system

A device assembly in which input energy (e.g., flashlamp, diode laser) is used to excite a doped glass/crystal medium to emit a high-power laser beam intended for endocardial ablation procedures for the treatment of atrial fibrillation. A laser beam guide catheter and angioscope may be

included

Class D
28Cardiac ablation system applicator introducer/sizer

It is a flexible device intended to determine the appropriate size of a cardiac tissue ablation system applicator [to determine the appropriate number of transducers (ablation cells) required to treat the target tissue] and/or used to introduce and guide

it into position, or used to help fix the applicator in position.

Class C
29Cardiac ablation system irrigation tubing set

A set consisting of sterile flexible tubing and associated items that may include clamps, filters, and connectors, intended to deliver irrigation and/or cooling solution (saline) to an ablation device (e.g., an ablation catheter or a cardiac tissue ablation system applicator) at a specified flow rate during a cardiac electrophysiology

(EP) ablation procedure.

Class B
30Cardiac ablation thoracic motion sensorA small electronic device intended to be placed on a patient’s chest during a cardiac ablation procedure to sense diaphragmatic movement as a means to assess potential phrenic nerve damage.Class B
31Cardiac arrest hypothermia kit

A collection of devices intended to lower the core body temperature of a patient in the short term following a cardiac arrest event to induce and sustain mild hypothermia for improvement of neurological and cognitive prognoses. It typically includes blankets, caps, axilla pads and groin pads, which are filled with a thermally-retentive material (e.g., non-toxic

polymer gel) that can be cooled in a freezer.

Class B
32Cardiac catheterization kit

Cardiac catheterization is a general term for a group of procedures that are performed using this method, such as coronary angiography and left ventricle

angiography.

Class C
33Cardiac catheterization laboratory computerA dedicated computer intended to calculate, store, and analyse haemodynamic parameters, and other cardiac-related measurements, based on data from catheterization laboratory monitoring/recording. Such data can be pressure measurements that are converted into useful parameters, e.g., cardiac output, pressure gradients, valve areas, shunt flows, vascular resistance, diastolic filling period or systolic ejection period.Class C
34Cardiac catheterization monitoring system

An assembly of devices intended to continuously obtain, amplify, and record various signals generated during procedures usually performed in the cardiac catheterization laboratory. The system is intended to be used for procedures such as left heart catheterization, right heart catheterization ventriculograms, coronary angiography, and pacemaker insertions; also used in procedures intended for the determination of most haemodynamic characteristics,

evaluation of therapies, and planning of surgical approaches.

Class D
35Cardiac cryosurgical system

A mobile assembly of mains electricity (AC-powered) devices intended to cryogenically ablate areas of the endocardium of a

beating heart in the treatment of cardiac arrhythmias.

Class D
36Cardiac cryosurgical system catheter (Cardiac cryoablation balloon catheter)

It is intended to be used as part of a cardiac tissue cryosurgical system to cryogenically ablate areas of the endocardium of a beating heart in the

treatment of cardiac arrhythmias.

Class D
37Cardiac cryosurgical system remote control

A hand-operated electronic unit intended to control the operational functions of a cardiac cryosurgical system and its components (e.g., cardiac tissue ablation catheter) from a distance via a connected

cable or wirelessly, during a surgical intervention.

Class C
38Cardiac defect occluder

An implantable device intended to be used for the minimally-invasive closure of cardiac defects towards the treatment of cardiac disorders that may include (but not limited to) atrial septal defect (ASD), ventricular septal defect (VSD), patent

foramen ovale (PFO), or patent ductus arteriosus (PDA).

Class D
39Cardiac electroacoustic transducerA device intended to be used to detect the vibrations created by the heart's beating and which are transmitted through organs and tissue to the body surface.Class B
40Cardiac electrophysiology analysis system

An assembly of devices intended to perform several diagnostic tests and therapeutic treatments of the heart in patients with arrhythmic or conduction disorders, including analysis of the atrioventricular conduction system, defibrillator function, and/or the induction/termination of ventricular

tachycardia.

Class C
41Cardiac electrophysiology stimulation systemAn assembly of devices intended to deliver precisely timed electrical impulses to the heart, during spontaneous and paced rhythms, for diagnostic cardiac stimulation. It is intended to be used for performing physiologic cardiac tests such as to determine the function of various components of the atrioventricular conduction, factors required for induction and termination of tachycardia, and/or to assess sinus node function.Class C

Eligibility Requirements for CDSCO Registration of Cardiovascular Devices

The firms that seek CDSCO Registration for Cardiovascular Devices need to satisfy some criteria.

For Indian manufacturers:

  • Should have a valid manufacturing unit
  • The facility should be in line with relevant quality norms
  • The product should comply with CDSCO norms
  • Testing reports should be ready
  • For foreign manufacturers:

    Foreign manufacturers should have an authorized representative in India. The AIR will work as a bridge between the manufacturer and CDSCO authorities.
    Foreign manufacturers should provide:
  • Authorization for manufacturing
  • Approval letters from the native country (in case they exist)
  • Technical documents
  • Quality certificates
  • Applicable Tests and Quality Requirements for Cardiovascular Devices

    These cardiovascular devices need thorough testing to ensure their safety and effectiveness. Some examples of tests that can be conducted are:
    • Biocompatibility Testing
    • Sterility Testing
    • Mechanical Testing
    • Electrical Safety Testing
    • Software Testing

    CDSCO Registration Process for Cardiovascular Devices in India

    The process of obtaining a CDSCO Certificate for Cardiovascular Medical Devices involves several steps.

    Step 1: Registration of Applicants on CDSCO Sugam Portal

    First of all, applicants have to register their companies and themselves on the CDSCO Sugam portal by providing basic information about the company and applicant to start the process of registration.

    Step 2: Submit Application

    Fill the relevant application form of CDSCO with necessary details pertaining to the cardiovascular device, manufacturing procedure, uses, and previous regulatory authorizations.

    Step 3: Submission of Necessary Documents

    Submission of all necessary documents such as technical specifications, Device Master File, Plant Master File, test results, quality certification and other relevant documents.

    Step 4: Payment of Government Fees

    Payment of CDSCO Government fees according to category of the device and its risk classification and importing from abroad or manufacture in India.

    Step 5: Issuance of CDSCO Certificate

    Approval of the certificate after examining all the application and documents where the device satisfies all safety standards and the issuance of certificate permits the legal manufacturing, importation, sale and distribution of cardiovascular medical devices.

    Documents Required for CDSCO Certificate for Cardiovascular Medical Devices

    Important documents are as follows:

    • Form MD 40
    • Challan TR6
    • Power of Attorney
    • Device Master File
    • Covering Letter
    • Plant Master File
    • Quality Assurance Certificate
    • Declaration of Conformity
    • Covering Letter
    • Certificate of Incorporation
    • Approval Documents

    CDSCO Registration Fees and Cost Factors

    Factors contributing to the Cost of Getting a CDSCO Certification for Cardiovascular Medical Devices:

    • Classification of Device
    • Number of devices
    • Import or Manufacturing Category
    • Tests required
    • Complexity of Documentation
    • Consultancy Fees

    Timeline for CDSCO Registration of Cardiovascular Devices

    The review period varies based on the complexity of the device and documentation preparedness, and may take the following time periods:

    • Low-risk devices: 3-6 months
    • Higher risk implantable devices: 6-12 months or more

    Possible reasons for delay are:

    • Lack of documentation
    • Request for additional information
    • Delay in testing
    • Regulatory questions

    Benefits of CDSCO Registration for Cardiovascular Devices

    1. Legal Market Access-A CDSCO certificate enables companies to trade and distribute cardiac devices within India.

    2. Patient Safety Assurance-The registration guarantees that the devices are safe and meet the prescribed standards.

    3. Increase in Customer Credibility-Medical devices with a certificate of approval have more credibility among hospitals, physicians, and healthcare providers.

    4. Prevents Fines from Authorities-It reduces the probability of:

    • Product recalls
    • Limitation on market access
    • Legal action

    5. Facilitates Business Expansion-The approval facilitates the expansion of the company in the Indian healthcare industry.

    Challenges in Obtaining CDSCO Approval

    Businesses encounter challenges during the registration process because of the following reasons:

    • Complex Documentation
    • Difficulties in Device Classification
    • Testings
    • Regulatory Amendments
    • Foreign Manufacturer Compliance

    How UMSPCS Helps With CDSCO Registration for Cardiovascular Devices

    UMSPCS offers complete CDSCO Consultant Services for Medical Devices to assist businesses with their registration process.

    Having 6+ years of experience with 600+ product compliances, UMSPCS can help you obtain the regulatory approval of your device in an efficient manner.

    Our services include:

    • Assistance in product classification
    • CDSCO regulatory consulting
    • Documentation
    • Technical files review
    • CDSCO portal application
    • Testings
    • Licenses for manufacture
    • Regulatory query handling

    Conclusion

    The medical devices used in cardiovascular cases have an influence on human beings and it is therefore necessary to ensure regulatory compliance before marketing in the Indian healthcare system.

    Getting the CDSCO Certificate for Cardiovascular Medical Devices guarantees that your products conform to all the required safety and quality regulations in India.

    Be it an Indian company or a foreign entity wishing to import cardiovascular medical devices in India, UMSPCS will help you out through CDSCO Registration for Cardiovascular Devices.

    With our vast experience in handling 600+ product compliances, we offer efficient services in the approval process. Also can get more information about

    Get in touch with UMSPCS today for professional CDSCO approval assistance

    Frequently Asked Questions (FAQs)

    Yes, it is mandatory for cardiovascular medical devices to obtain CDSCO approval for their manufacture, import, sales and distribution in India.

    It is the regulatory certificate issued by CDSCO declaring the conformity of the device with the Indian safety and quality requirements.

    Some of these devices include pacemaker, coronary stent, heart valve, angioplasty balloon catheter, defibrillator and cardiac monitors.

    The time of the approval process depends on various factors but may take several months.

    Yes, it is possible for foreign manufacturers to obtain CDSCO approval through an Authorized Indian Representative.

    They are device Master File, Plant Master File, ISO 13485 certification, test reports, free sale certificate, and others.

    It varies depending on many factors such as classification of the device, testing required, government costs, and documentation costs.

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