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CDSCO Certification for Respiratory Devices

CDSCO Certification for Respiratory Devices

Explore CDSCO registration and regulatory requirements for neurological medical devices in India. UMSPCS offers expert compliance support for manufacturers and importers.

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CDSCO Certification for Respiratory Devices in India - Process, Documents, Cost & Requirements

A respiratory medical device may be as simple in design as a public respirator or as sophisticated as a therapeutic ventilator; what ties them together is the fact that their intended use can have a direct impact on breathing, oxygen delivery, airway management, diagnosis, or respiratory monitoring. Because of this, meeting regulatory requirements is an important aspect when introducing such products into the Indian market.

It is necessary for anyone who manufactures or imports a respiratory medical device to secure the correct approval or licence within India's medical device regulatory system. There isn’t, however, any one licence that would be equally applicable to all respiratory products, and the process will differ depending on the nature of the product, its application, and the category it falls into.

The Central Drugs Standard Control Organisation (CDSCO) has come up with a particular classification of medical devices in relation to respiratory products as per the Medical Devices Rules, 2017. Some of the medical devices included in this list include oxygen concentrators, spirometers for diagnosis, pulse oximetry telemetric monitoring systems, respiratory apnoea monitoring system, ventilators, inhalers, humidifiers, and tracheostomy devices.

What Does CDSCO Certification of Respiratory Devices Entail?

The certification of respiratory devices by CDSCO involves the regulatory approval, licensing, or registration requirements that apply to respiratory medical devices within India's medical device framework.

The Medical Devices Rules of 2017 make use of a system of classification which is based on risk. Medical devices are in general classified as:

  • Class A - Low Risk
  • Class B - Low-Moderate Risk
  • Class C - Moderate-High Risk
  • Class D - High Risk

The regulatory pathway, the licensing authority, and the compliance requirements that apply to the product are all determined by the classification.

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What is the Importance of CDSCO Certification for Respiratory Devices?

Respiratory equipment is capable of carrying out a variety of functions, ranging from simple relief of symptoms to monitoring and ventilation associated with life support.

For example, the steam inhaler is designed for the inhalation of steam in order to alleviate the symptoms connected with upper respiratory disorders and is therefore given a classification of Class A; on the other hand, the therapeutic positive pressure breathing ventilator is classified as Class C and is intended for use in therapeutic rehabilitation together with the distribution of aerosolized pharmacological agents to the airways and lungs.

It shows why the regulatory route cannot be assumed just because the word "respiratory" is used.

Having the proper CDSCO certification in India enables manufacturers and importers to show that the device has adhered to the relevant regulatory pathway prior to its commercial distribution.

It also supports:

  • Regulatory compliance
  • Market entry in India
  • Product safety and performance documentation
  • Import and manufacturing compliance
  • Traceability of the approved product
  • Confidence among healthcare institutions and distributors

Respiratory Medical Device Classifications (CDSCO)

The following is the full and official classification table for respiratory medical devices as notified by the Drugs Controller General of India pursuant to the Medical Devices Rules, 2017.

Sr. No.

Medical Device Name

Intended Use

Risk Class

1

Activated-oxygen generator

It is a device that makes activated oxygen (singlet oxygen), which is mixed with room air and produces activated water as a by-product.

B

2

Argon gas analyser

An instrument intended to measure the concentration (partial pressure) of argon (Ar) in a gas mixture sample to aid in determining a patient's ventilatory status.

B

3

Artificial airway tube cuff pressure monitor

A device intended to intermittently or continuously measure the internal pressure in the cuff of an endotracheal (ET)/endobronchial/tracheostomy tube when this has been situated into the tracheal passage.

B

4

Bulk oxygen concentration system

An assembly of devices designed to concentrate medical-grade oxygen (O2) from ambient air and then deliver the concentrated O2, with purity of up to 93%-99.5%, to the hospital medical gas supply system for therapeutic use on patients in the hospital.

A

5

Cardiopulmonary resuscitation mask

A device intended to be placed over a patient's mouth to administer "mouth-to-mask" exhaled air from the user to the patient during cardiopulmonary resuscitation (CPR).

A

6

Cerebral oximeter

A device used as an adjunct monitor for the regional haemoglobin oxygen saturation of blood in the brain of a patient.

B

7

Chest-oscillation airway secretion-clearing system

Devices designed to provide high-frequency chest wall oscillation (HFCWO) for external chest wall manipulation intended to loosen excessive airway secretions to promote airway clearance and improve bronchial drainage for patients with respiratory disease.

B

8

Chest-percussion airway secretion-clearing system

Devices designed to provide external mechanical percussion (rapid tapping) to the chest wall of a patient to loosen excessive airway secretions to promote airway clearance and improve bronchial drainage for patients with respiratory disease.

B

9

Coldair-diagnostic inhalation system

An assembly of devices intended to be used in the assessment of a patient suffering from asthma.

B

10

Cough long-term ambulatory recording system

An assembly of devices intended for long-term detection and recording of the number of times a patient coughs during daily activities or sleep.

A

11

Cricothyrotome

A hand-held manual surgical instrument intended to be used to perform a cricothyrotomy,y providing airway access within seconds for immediate ventilation of the patient and necessary suction procedures.

B

12

Dry powder inhaler

A hand-held device designed to administer powdered medicine through the mouth and into the bronchial airways.

A

13

Dry salt therapy device

A hand-held inhaler prefilled with salt crystals and used to provide an inhalation of salt particles through the mouth and into the bronchial airways to induce natural self-cleansing mechanisms that flush away the impurities from the surface of cells and mechanically clean the airways.

A

14

Electroacoustical airway secretion-clearing system

An assembly of devices designed to provide externally applied vibrations to the chest wall of a patient via an electroacoustical transducer (the applicator) to loosen excessive airway secretions to promote airway clearance and improve bronchial drainage for patients with respiratory disease.

B

15

Endotracheal tube introducer

A device designed to help with the insertion of an endotracheal (ET) tube into the airways of a patient during intubation.

A

16

Exhaled-gas oesophageal intubation detector

A device designed to verify proper endotracheal (ET) tube placement by detecting/assessing escaping levels of exhaled carbon dioxide (CO2) during airway management, disclosing potential incorrect intubation.

A

17

Foetal pulse oximeter

A photoelectric device designed for the monitoring of intrapartum foetal oxygen saturation (FSpO2) in the presence of a non-reassuring foetal heart rate (FHR) pattern during labour.

B

18

Gas pipeline/supply system air compressor

A device designed to create compressed medical-grade air and supply it to a hospital or institution's gas pipeline/supply system for patient use.

B

19

Heated respiratory humidifier

A device designed to heat and humidify air/oxygen inspired by a patient to help maintain the mucous membranes of the respiratory tract typically during periods of prolonged respiratory support/therapy.

B

20

Home-use sleep apnoea recording system

A device intended to continuously measure and record patient physiological parameters during sleep in the home, to facilitate the diagnosis of sleep apnoea.

B

21

Hyperbaric chamber

The intended use of the Hyperbaric Chamber is to administer 100% oxygen at pressure greater than ambient.

C

22

Hypopnea sensor/alarm

An electronic device intended to be used to indicate patient hypopnea by monitoring the movement of the thorax and abdomen with each breath and provides a signal, according to predetermined settings.

B

23

Impedance pneumography recording/analysis system

An assembly of electronic devices intended for continuous recording of a patient's pulmonary function parameters using impedance pneumography (IP).

B

24

Implantable sleep apnoea treatment system

An assembly of devices intended for home management of obstructive sleep apnoea (OSA) using an implanted stimulator to provide electrical stimulation to the hypoglossal nerve.

C

25

Infant apnoea monitor

A device that is used to register the respiratory rate of an infant and which gives an alarm signal (e.g., audible/visual) when the pre-set limits are exceeded, caused by an extended interruption or cessation (apnoea) of theinfant'ss breathing pattern; a condition known as sudden infant death syndrome (SIDS).

B

26

Manual chest percussor

A hand-held device designed to facilitate manual percussion (rapid tapping) to provide external vibrations to the chest wall of a patient to loosen excessive airway secretions to promote airway clearance and improve bronchial drainage for patients with respiratory disease.

B

27

Nitrogen monoxide analyser

A device intended to measure nitric oxide (N), in exhaled air to facilitate diagnosis and management of asthma.

B

28

Nitrous oxide analyser

An instrument used to measure the concentration of nitrous oxide (N2O) in a sample of a gas mixture taken from an enclosed environment such as a healthcare facility, a compressed medical air or gas system, and/or devices used for anaesthesia administration or respiratory therapy.

B

29

Pulse oximetry telemetric monitoring system

An assembly of devices designed to continuously measure and wirelessly transmit haemoglobin oxygen saturation (SpO2) signals from a patient to a receiving location for viewing.

B

30

Respiratory apnoea monitoring system

An assembly of devices designed to detect the cessation of breathing (apnoea) in patients who are at risk of respiratory failure to alert a parent or attendant of the life-threatening episode(s).

B

31

Steam inhaler

An electrically-powered, hand-held device designed for the inhalation of steam for the relief of the symptoms (congestion and pressure) associated with upper respiratory disorders.

A

32

Stress test treadmill

A device used as a component of a stress test system that permits the evaluation of a patient's physiologic response to physical stress.

A

33

Therapeutic air ionizer

A device that produces small, biologically-active, negatively-charged ions of oxygen (O2), pulsed at various selected frequencies, that are emitted into the ambient air and absorbed into the bloodstream via the lungs to potentially produce a therapeutic effect.

A

34

Therapeutic positive pressure breathing ventilator

A device used for therapeutic rehabilitation of patients with chronic respiratory diseases, and for the distribution of aerosolized pharmacological agents to the patient's airways and lungs.

C

35

Thoracic bioconductance measurement system

An assembly of devices designed to measure and store bioconductance measurements, analyse the stored data and provide information that can aid a clinician in their evaluation of lesions suspicious of lung cancer.

B

36

Thoracic electrical impedance segmentography system

An assembly of devices designed to perform thoracic bio-impedance measurements to continuously record the distribution of air across 4 quadrants of the lungs, commonly of a neonatal/infant patient, to detect changes in lung ventilation at a regional level, to assist in the diagnosis of lung conditions.

B

37

Thoracic electrical impedance tomography system

An assembly of devices designed to perform continuous bio-impedance measurements throughout a cross-section of the thorax, to provide real-time feedback of lung function of a ventilated patient.

C

38

Thoracic suction pump

A device intended to generate negative pressure specifically for aspiration, to remove fluids, secretions and air to allow for the normal expansion/function of the lungs and/or mediastinum.

B

39

Tongue-adjustment sleep apnoea treatment system

An assembly of devices intended for home management of obstructive sleep apnoea (OSA) by monitoring breathing parameters during sleep to detect the onset of an apnoea event and reducing pharyngeal obstruction by the tongue.

B

40

Tracheostoma protective filter

A device designed as a filter for protecting a stomal opening in the windpipe against harmful external influences.

A

41

Tracheostoma protector

A patient-worn device in the form of a patch, collar, or cloth designed to be fastened around the neck to protect a tracheostoma orifice against harmful external influences. It is not intended to be used as a shower shield.

A

42

Tracheostomy tube lubricant

A substance made of oil designed to be applied by healthcare staff or a patient to the outer surface of a tracheostomy tube inner cannula to facilitate its easy sliding into the outer cannula.

A

43

Transcutaneous blood gas monitoring system

An assembly of devices designed for the continuous and transcutaneous measurement of a patient's blood gas parameters detected through the jugular vein (SjvO2).

B

44

Valsalva manoeuvre mouthpiece

A device intended to be inserted into a patient's mouth to facilitate performance of the Valsalva manoeuvre.

A

45

Video intubation laryngoscope handle/monitor

A component of a bladed video intubation laryngoscope intended to enable the positioning of the blade into the oral cavity to manipulate the tongue, preventing it from obstructing the oropharynx and enabling a clear view of the trachea for the insertion of an endotracheal (ET) tube prior to the delivery of inhalation anaesthesia and/or ventilation.

A

46

Whole-body plethysmograph

A graphic recorder designed for determining and registering airway resistance and thoracic gas volume to assess pulmonary function.

B

47

Diagnostic Spirometer

A device designed to measure several or all respiratory gas volume and flow parameters needed to evaluate basic pulmonary function.

B

48

Monitoring Spirometer

A device designed to continuously measure a patient's tidal volume or minute volume for the evaluation of the patient's ventilatory status.

B

49

Oxygen Concentrator

A device designed to concentrate oxygen (O2) from ambient air and deliver the concentrated O2 to the patient.

B

50

Pulmonary function analysis system

A device used to measure the function of the respiratory system in adults and compliant children.

B

51

Public respirator (2 ply, 3 ply face mask)

A filtering mask designed to be placed over the nose and mouth of a member of the general public to permit normal breathing while protecting the wearer from exposure to pathogenic biological airborne particulates during a public health medical emergency.

A

CDSCO Certification Process for Respiratory Devices

The regulatory process should start with classification and finish with ongoing compliance after approval.

Step 1: Classification of the Medical Device

Start by identifying the proper classification of the operation theatre device in accordance with the Medical Devices Rules, 2017, on the basis of its intended use, nature, functionality, and the risk associated with it.
Key Points:
  • Identify Class A, B, C, or D
  • Assess intended use and purpose
  • Review technical characteristics
  • Verify applicable CDSCO classification
  • Step 2: Preparation of Required Documents

    Prepare the documents needed in accordance with the device and the relevant regulatory pathway.
    Key Documents:
  • Device Master File (DMF)
  • Plant/Site Master File (PMF/SMF), where applicable
  • ISO 13485 Certificate
  • Technical specifications
  • Test reports, where applicable
  • Risk management documents
  • Labels and artwork
  • Instructions for Use (IFU)
  • Manufacturer and applicant/importer details
  • Step 3: Preparation of CDSCO Application

    Fill out the relevant CDSCO application with correct and consistent details regarding the product and the manufacturer.
    Key Points:
  • Select the applicable application form
  • Provide product and model details
  • Mention intended use and risk class
  • Add manufacturer/site details
  • Upload supporting documents
  • Ensure consistency across all records
  • Step 4: Online Filing of Application

    Send the finished application via the relevant online regulatory system together with the necessary government fees.
    Key Points:
  • Upload required documents
  • Enter accurate information
  • Pay applicable fees
  • Submit the application
  • Maintain submission records
  • Step 5: CDSCO Scrutiny & Assessment

    The CDSCO examines the application, the technical documents, the test reports and the manufacturing information and may ask for queries, further documents or inspections.
    Key Points:
  • Document and technical review
  • Test report assessment
  • Manufacturing information review
  • Respond to queries or deficiencies
  • Inspection/audit, where applicable
  • Step 6: Grant of CDSCO Licence

    Once the relevant regulatory requirements have been met, a CDSCO licence or approval will be issued for manufacturing or import, as appropriate.
    Key Points:
  • Grant of applicable licence
  • Manufacturing/import authorization
  • Maintain regulatory records
  • Follow quality and safety requirements
  • Ensure ongoing compliance with MDR 2017
  • CDSCO Certification Cost for Respiratory Devices

    CDSCO certification for respiratory devices does not involve any fixed fee; the total cost varies according to the type of respiratory device, its risk classification, the relevant regulatory pathway, the testing requirements, and the documentation needed.

    Cost Component

    Cost Depends On

    Government Fees

    Device class and application type

    Product Testing

    Device type and applicable tests

    Laboratory Charges

    Testing requirements and selected laboratory

    Clinical Evaluation

    Whether applicable to the device

    Documentation

    Complexity of technical documentation

    Inspection/Audit

    Whether applicable to the regulatory pathway

    Consultancy

    Scope of regulatory support

    Import Compliance

    Manufacturer and applicable import requirements

    The government fees in question are set out in the Second Schedule to the Medical Devices Rules of 2017 and can differ according to the type of application and the regulatory route taken.

    CDSCO Certification Timeline for Respiratory Devices

    The length of time needed to get CDSCO certification in India depends on the kind and class of the respiratory device; for instance, the requirements for a Class A public respirator are different from those for a Class B oxygen concentrator or a Class C therapeutic positive pressure breathing ventilator.

    Factors Affecting the Timeline

    • Medical device classification
    • Completeness of documentation
    • Technical file requirements
    • Product testing and laboratory time
    • Clinical evaluation, where applicable
    • Application preparation and submission
    • CDSCO scrutiny and queries
    • Inspection or audit, where applicable

    Process Stage

    Estimated Timeline

    Product Classification

    2 - 5 Working Days

    Documentation Preparation

    1 - 3 Weeks

    Application Preparation & Submission

    2 - 5 Working Days

    CDSCO Review & Query Handling

    Varies by device

    Grant of Licence/Approval

    Subject to successful regulatory review

    It should be noted that these timelines are only indicative and not the standard processing times; the actual time taken may differ according to the respiratory device, the risk classification, the testing requirements, the documentation, the regulatory queries, and the applicable approval pathway.

    CDSCO Certification for Foreign Manufacturers

    Any foreign manufacturers who intend to sell respiratory devices in India should take special care to consider their regulatory representation and method of import in India.

    The documentation may involve:

    • Overseas manufacturer details
    • Indian authorized representative information
    • Manufacturer authorisation
    • Product technical file
    • Quality-management documentation
    • Test and performance reports
    • Free Sale Certificate or equivalent documentation, where applicable
    • Label and packaging information
    • Regulatory declarations

    Before any arrangements for shipping are made, a foreign manufacturer should plan for obtaining certification from the CDSCO for medical devices.

    An appropriate example is provided by a manufacturer in a foreign country who produces diagnostic spirometers; as the CDSCO classification regards a diagnostic spirometer as belonging to Class B, the manufacturer must set up the relevant regulatory pathway and the necessary documentation prior to importing the product into India.

    What Makes UMSPCS the Choice for CDSCO Certification?

    Medical-device compliance can become complicated when the matters of classification, testing, technical documentation, and regulatory submissions all have to be coordinated.

    UMSPCS assists manufacturers and importers with a structured approach to regulatory compliance, including:

    • Product classification assistance
    • CDSCO applicability assessment
    • Documentation support
    • Testing and laboratory coordination
    • Technical file preparation support
    • SUGAM application assistance
    • Regulatory query support
    • Import compliance guidance
    • Foreign manufacturer support

    Conclusion

    Respiratory medical equipment includes a surprisingly wide variety of products, such as inhalers and masks as well as spirometers, oxygen concentrators, and therapeutic ventilators. The classification system used by the CDSCO takes into account this diversity by assigning different risk categories according to the nature and intended use of each device.

    The respiratory classification officially covers 51 medical devices, with the range of these products extending from Class A to Class C.

    For manufacturers and importers, the very first thing that is most important is not merely applying for CDSCO certification in India, but rather identifying the product correctly, working out its risk classification, and then proceeding down the appropriate regulatory pathway.

    If you are an Indian manufacturer who is designing a new respiratory device or if you are a manufacturer from another country intending to enter the Indian market, carrying out regulatory planning at an early stage can make the approval process more structured and predictable.

    Can I get some assistance with certification from CDSCO for respiratory devices?

    Contact UMSPCS for a product-specific classification and compliance consultation.

    Read more also about CDSCO Certification for Neurological Devices.

    Frequently Asked Questions (FAQs)

    Respiratory treatment-related medical devices that come under the purview of the medical device regulatory regime must conform to the applicable CDSCO/MDR requirements; the type of regulatory pathway will depend on the type of device and its risk category.

    The respiratory classification system of CDSCO includes oxygen concentrators, spirometers, inhalers, respiratory monitors, humidifiers, ventilators, and all kinds of devices that are related to the airways.

    They are classified based on the risk-based framework outlined in the Medical Devices Rules, 2017, and the CDSCO classification system includes respiratory devices, which are divided into Class A, Class B, and Class C.

    The documentation may consist of technical specifications, the intended use, the risk classification, test reports, QMS documents, labelling, the instruction for use, manufacturing information, risk-management documents, and other evidencethath is specific to the product.

    Foreign manufacturers can enter the Indian market via the relevant import regulatory procedure and have to meet the appropriate documentation, authorization, and regulatory requirements.

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