Class-D Medical Devices are intrusive surgical products and these products are meant to be used for a short period. These Class D Medical Devices expose high risk, have tricky patterns, and have straight access to the human body’s “Central Nervous System”. This category of medical devices is generally used for the diagnosis, detection, and correction of heart and central circulatory system issues.

List Of Class D Medical Devices

All the Class D Medical Devices with proper device description are mentioned below:-

Category – Anesthesiology

S.No	Medical Device Name	Intended Use	INDIA
1	Electronic epidural space locator control unit	A device intended to be used with an epidural needle and an electronic epidural space locator pressure-sensing set, to aid a user in locating the epidural needle tip within the epidural space for subsequent anesthesia administration.	D
2	Epidural anaesthesia kit	A collection of devices intended to be used to deliver an analgesic or anesthetic agent to the epidural space for pain management.	D
3	Spinal needle bioimpedance navigation unit	A device designed to transmit and receive electrical signals to/from a dedicated spinal needle and to analyze bioimpedance data in real-time, to predict needle tip location	D

Category – Pain Management 

S.No	Medical Device Name	Intended Use	INDIA
1	Implantable intrathecal infusion pump	A device designed to be implanted in a patient for the storing and subarachnoid (intrathecal) administration of narcotics/drugs to manage intractable pain and muscle spasms of malignant or non-malignant origin.	D
2	Implantable lumbar neuromuscular electrical stimulation system	The system is designed to deliver episodic electrical stimulation to nerves that innervate lumbar muscles to elicit contraction for the treatment of chronic low back pain (CLBP)	D

Category – Cardiovascular

S.No	Medical Device Name	Intended Use	INDIA
1	Ventricular bypass (assist) device	A ventricular bypass (assist) device is a device that assists the left or right ventricle in maintaining circulatory blood flow. The device is either totally or partially implanted in the body	D
2	Implantable pacemaker pulse generator	An implantable pacemaker pulse generator is a device that has a power supply and electronic circuits that produce a periodic electrical pulse to stimulate the heart. This device is used as a substitute for the heart’s intrinsic pacing system to correct both intermittent and continuous cardiac rhythm disorders. This device may include triggered, inhibited, and asynchronous modes and is implanted in the human body	D
3	Pacemaker programmers.	A pacemaker programmer is a device used to noninvasively change one or more of the electrical operating characteristics of a pacemaker.	D
4	Pacemaker repair orreplacement material.	A pacemaker repair or replacement material is an adhesive, a sealant, a screw, a crimp, or any other material used to repair a pacemaker lead or to reconnect a pacemaker lead to a pacemaker pulse generator	D
5	Carotid sinus nerve stimulator	A carotid sinus nerve stimulator is an implantable device used to decrease arterial pressure by stimulating Hering’s nerve at the carotid sinus.	D
6	Replacement heart valve.	A replacement heart valve is a device intended to perform the function of any of the heart’s natural valves. This device includes valves constructed of prosthetic materials, biologic valves (e.g., porcine valves), or valves constructed of a combination of prosthetic and biologic materials	D
7	Cardiopulmonary bypass pulsatile flow generator.	A cardiopulmonary bypass pulsatile flow generator is an electrically and pneumatically operated device used to create pulsatile blood flow. The device is placed in a cardiopulmonary bypass circuit downstream from the oxygenator	D

Category – Dental 

S.No	Medical Device Name	Intended Use	INDIA
1	Zinc polycarboxylate dental cement	A non-sterile substance intended for professional use as a dental cement (e.g., luting agent, liner, base) and/or direct dental restorative material whereby the majority of the setting reaction is based on the hardening reaction between zinc oxide (ZnO) and aqueous solutions of polycarboxylic acid (e.g., polyacrylic acid).	D

Category – ENT

S.No	Medical Device Name	Intended Use	INDIA
1	Tympanic membrane contact hearing aid	A tympanic membrane contact hearing aid is a prescription device that compensates for impaired hearing by vibrating the tympanic membrane through a transducer that is in direct contact with the tympanic membrane.	C

Category – Gastroenterology

S.No	Medical Device Name	Intended Use	INDIA
1	Fistula-repair biomatrix implant	A sterile, bioabsorbable, animal-derived substance intended to be injected into a fistula tract (e.g., anal or rectal fistula) to close it by adding volume and promoting the ingrowth and neovascularization of host tissue.	C
2	Gastrointestinal anastomosis coupler, bioabsorbable	An implantable device intended to be used to join and transect excess tissue of gastrointestinal structures through the coupling of two ring-shaped components that are inserted into the ends of the segments to be attached.	C

Category – Respiratory  

S.No	Medical Device Name	Intended Use	INDIA
1	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

Category – Neurological

S.No	Medical Device Name	Intended Use	INDIA
1	Analgesic spinal cord electrical stimulation system	Implantable device intended to treat acute and/or chronic intractable pain, where the use of drug therapy is undesirable or no longer effective.	D
2	Aneurysm clip.	An aneurysm clip is a device used to occlude an intracranial aneurysm (a balloonlike sac formed on a blood vessel) to prevent it from bleeding or bursting	D
3	Antiseizure/psychiatric-therapy vagus nerve electrical stimulation system	An implantable device intended to apply periodic electrical stimuli to the vagus nerve to help control seizures and/or to help treat psychiatric disorder symptoms (e.g., depression).
4	Atrial cerebrospinal fluid catheter	Intended to be implanted as the distal component of a ventriculoatrial shunt to channel cerebrospinal fluid (CSF) to the right atrium where it can be absorbed into the body	D
5	Bare-metal intracranial vascular stent	Intended to be implanted into the base or parent artery of an intracranial aneurysm.	D
6	Bladder/bowel-evacuation implantable electrical stimulation system	Intended to empty the urinary bladder and/or the bowels by applying electrical stimuli typically to the cone-shaped end of the spinal cord (conus medularis).	D
7	Brain-responsive electrical stimulation system	Intended to continuously monitor brain activity and deliver electrical stimuli to seizure foci in response to neurological disorders (e.g., epilepsy).	D
8	Cardiac-therapy vagus nerve electrical stimulation system	Intended to apply periodic stimuli to the vagus nerve as a treatment for cardiac failure.	D
9	Cerebral perfusion catheter	Intended for brain protection during profound hypothermic circulatory arrest during aortic surgery	D
10	Coma-arousal vagus nerve electrical stimulation system	Intended to apply periodic stimuli to the vagus nerve for the purpose of exciting the patient to arousal from a vegetative state (i.e., a deep coma).	D
11	Cortical electrode.	A cortical electrode is an electrode which is temporarily placed on the surface of the brain for stimulating the brain or recording the brain’s electrical activity	D
12	Cranial electrotherapy stimulator	A cranial electrotherapy stimulator is a device that applies electrical current to a patient’s head to treat insomnia, depression, or anxiety	D
13	Cryogenic surgical device	A cryogenic surgical device is a device used to destroy nervous tissue or produce lesions in nervous tissue by the application of extreme cold to the selected site	D
14	Deep brain electrical stimulation system	Designed to apply electrical stimuli to specific areas of the deep brain for the treatment of movement disorders, psychiatric disorders and/or to treat chronic, severe, intractable pain.	D
15	Diskectomy system, percutaneous, automatic	Intended for the percutaneous (through the skin) removal of the nucleus pulposus from the lumbar disc.	D
16	Extramuscular diaphragm/phrenic nerve electrical stimulation system	Intended to provide ventilatory support to a patient with diaphragm dysfunction of neuromuscular origin through electrical stimulation of the phrenic nerve, to contract the diaphragm rhythmically (using extramuscular electrodes) and cause the patient to draw breath in a manner similar to natural breathing.	D
17	Gait-enhancement electrical stimulation system, implantable	Intended to improve the gait in a patient suffering from partial paralysis of the lower extremities or other neuromuscular disorders by applying internal electrical simulation	D
18	Human dura mater	Human dura mater is human pachymeninx tissue intended to repair defects in human dura mater	D
19	Implantable intrathecal infusion pump, programmable	Intended to be implanted in a patient for the storing and subarachnoid (intrathecal) administration of narcotics/drugs (e.g., morphine sulfate, baclofen) to manage intractable pain and muscle spasms of malignant or non-malignant origin	D
20	Implantable lumbar neuromuscular electrical stimulation system pulse generator	Intended to deliver episodic electrical stimulation to nerves that innervate lumbar muscles to elicit contraction for the treatment of chronic low back pain (CLBP).	D
21	Implantable pulse generator mesh bag, bioabsorbable	Intended to envelop an implantable pulse generator (IPG) (e.g., cardiac pacemaker/defibrillator, neurostimulator) to stabilize the implant in the subcutaneous pocket in which it is implanted.	D
22	Implantable sleep apnoea treatment system	Intended to deliver electrical stimulation to the hypoglossal nerve [targeted hypoglossal nerve stimulation (THN)] for the home management of obstructive sleep apnoea (OSA).	D
23	Implantable sleep apnoea treatment system, respirationsensing	Intended to deliver electrical stimulation in synchronous with respiration during sleep, to the hypoglossal nerve [targeted hypoglossal nerve stimulation (THN)] for the home management of obstructive sleep apnoea (OSA).	D
24	Implanted cerebellar stimulator	An implanted cerebellar stimulator is a device used to stimulate electrically a patient’s cerebellar cortex for the treatment of intractable epilepsy, spasticity, and some movement disorders. The stimulator consists of an implanted receiver with electrodes that are placed on the patient’s cerebellum and an external transmitter for transmitting the stimulating pulses across the patient’s skin to the implanted receiver	D
25	Implanted diaphragmatic/phrenic nerve stimulator.	An implanted diaphragmatic/phrenic nerve stimulator is a device that provides electrical stimulation of a patient’s phrenic nerve to contract the diaphragm rhythmically and produce breathing in patients who have hypoventilation (a state in which an abnormally low amount of air enters the lungs) caused by brain stem disease, high cervical spinal cord injury, or chronic lung disease. The stimulator consists of an implanted receiver with electrodes that are placed around the patient’s phrenic nerve and an external transmitter for transmitting the stimulating pulses across the patient’s skin to the implanted receiver	D
26	Implanted intracerebral/subcortical stimulator for pain relief.	An implanted intracerebral/subcortical stimulator for pain relief is a device that applies electrical current to subsurface areas of a patient’s brain to treat severe intractable pain. The stimulator consists of an implanted receiver with electrodes that are placed within a patient’s brain and an external transmitter for transmitting the stimulating pulses across the patient’s skin to the implanted receiver	D
27	Implanted neuromuscular stimulator.	An implanted neuromuscular stimulator is a device that provides electrical stimulation to a patient’s peroneal or femoral nerve to cause muscles in the leg to contract, thus improving the gait in a patient with a paralyzed leg. The stimulator consists of an implanted receiver with electrodes that are placed around a patient’s nerve and an external transmitter for transmitting the stimulating pulses across the patient’s skin to the implanted receiver. The external transmitter is activated by a switch in the heel in the patient’s shoe	D
28	Implanted spinal cord stimulator for bladder evacuation.	An implanted spinal cord stimulator for bladder evacuation is an electrical stimulator used to empty the bladder of a paraplegic patient who has a complete transection of the spinal cord and who is unable to empty his or her bladder by reflex means or by the intermittent use of catheters. The stimulator consists of an implanted receiver with electrodes that are placed on the conus medullaris portion of the patient’s spinal cord and an external transmitter for transmitting the stimulating pulses across the patient’s skin to the implanted receiver	D
29	Intracranial pressure monitor device	Intended for intermittent or continuous measurement and display of intracranial pressure (ICP). It is used in conjunction with an invasive intracranial device	D
30	Intramuscular diaphragm/phrenic nerve electrical stimulation system	Intended to provide ventilatory support to a patient with diaphragm dysfunction of neuromuscular origin through electrical stimulation of the phrenic nerve to contract the diaphragm rhythmically (using intramuscular electrodes) and cause the patient to draw breath in a manner similar to natural breathing.	D
31	Meningeal prosthesis	Intended to repair the meningeal membrane (meninges).	D
32	Nerve guide, bioabsorbable, animal-derived	The collagen matrix material is intended to be used to create a tunnel through which a discontinuous peripheral nerve can regenerate to bridge the proximal and distal nerve stumps.	D
33	Nerve guide, bioabsorbable, synthetic	Synthetic material is intended to be used to create a tunnel through which a discontinuous peripheral nerve can regenerate to bridge the proximal and distal nerve stumps.	D
34	Nerve guide, nonbioabsorbable	Non-bioabsorbable material is intended to be used to create a tunnel through which a discontinuous peripheral nerve can regenerate to bridge the proximal and distal nerve stumps.	D
35	Rheoencephalograph	A rheoencephalograph is a device used to estimate a patient’s cerebral circulation (blood flow in the brain) by electrical impedance methods with direct electrical connections to the scalp or neck area	D
36	Scoliosis-treatment electrical stimulation system	Intended to apply electrical stimuli to the spinal musculature to produce a force that stabilizes or limits the progression of the spinal lateral curvature (i.e., scoliosis).	D
37	Stereotactic radiosurgical system	Intended to deliver a therapeutic radiation dose to an anatomical region from external beams produced from multiple radionuclide sources arranged in a fixed focal point collimated array; typically used to treat brain, neck, breast, and spinal tumors.	D
38	Tibial nerve percutaneous incontinence-control electrical stimulation system	Intended to treat urinary and/or faecal incontinence with electrical stimuli applied to the sacral nerve via percutaneous tibial nerve stimulation (PTNS)	D
39	Transvenous phrenic nerve electrical stimulation control unit	Intended to configure/deliver stimulation of the phrenic nerve, via a transvenous electrode, to cause contraction of the diaphragm in conjunction with mechanical ventilation to assist earlier ventilation weaning.	D

Category – Obstetrical and Gynecological

S.No	Medical Device Name	Intended Use	INDIA
1	Fallopian tube occlusion insert	Contraceptive implantable device implanted into the uterine end of the fallopian tubes to function as a contraceptive by obstructing the natural fallopian tube passage	D

Category – Ophthalmic

S.No	Medical Device Name	Intended Use	INDIA
1	Aqueous/vitreous humour replacement medium kit	A collection of sterile devices, including a fluid or semifluid substance, used in combination to replace the fluid of the eye.	D

Category – Interventional Radiology

S.No	Medical Device Name	Intended Use	INDIA
1	Transilluminator for breast evaluation	A transilluminator, also known as a diaphanoscope or lightscanner, is an electrically powered device that uses low intensity emissions of visible light and near-infrared radiation (approximately 700-1050 nanometers (nm)), transmitted through the breast, to visualize translucent tissue for the diagnosis of cancer, other conditions, diseases, or abnormalities.	D

Category – Pediatrics and Neonatology

S.No	Medical Device Name	Intended Use	INDIA
1	Craniofacial bone screw, bioabsorbable	A small, sterile, threaded rod with a slotted head used for craniofacial bone (including the maxilla and/or mandible) fracture fixation by being screwed into bone to hold plates to bone or to provide direct interfragmentary stabilization of bone; it is made of a material that is chemically degraded and typically absorbed via natural body processes (e.g., degradable polymers). The device may be selfdrilling/self-tapping. Its uses include repair of orbital fractures and fractures around the cranial sinuses, paediatric reconstructive surgery, and craniotomy flap fixation	D
2	Polyglyconate suture	A sterile, single-strand (monofilament), synthetic, bioabsorbable thread made from polyglyconate (prepared from a copolymer of glycolic acid and trimethylene carbonate) intended to join (approximate) the edges of a soft-tissue wound or incision by stitching or to ligate soft tissues (especially in paediatric cardiovascular surgeries). It may include an attached needle intended to be disposed of after single use. The thread provides extended temporary wound support, until the wound sufficiently heals to withstand normal stress, and is subsequently absorbed by hydrolysis. This is a single-use device	D

Category – Oncology

S.No	Medical Device Name	Intended Use	INDIA
1	Alternating electric field antimitotic cancer treatment system	An assembly of portable devices designed to apply low-intensity, intermediate frequency (100-300 kHz) alternating electric fields to treat certain forms of recurrent or newly-diagnosed cancer; typically glioblastoma multiforme (GBM) [malignant brain tumour]	D
2	Brain brachytherapy system applicator, manual	A device specifically designed to be used in radiation therapy treatments of the brain. It has individual or modular device configurations designed to facilitate manual placement, e.g., puncture, endoscopically guided placement or diagnostic imaging guided placement, and removal of single or multiple radioactive sources at a treatment site within the brain.	D
3	Brain brachytherapy system applicator, remote-afterloading	A remote afterloading brachytherapy applicator specifically designed for use in radiation therapy treatments of the brain. It is designed for temporary implantation within the body and serves as a guide for computer-controlled placement and removal of single or multiple radioactive sources in the brain.	D
4	Breast transilluminator	A mains electricity (AC-powered) transilluminating device with a built-in light source using low-intensity emissions of visible light and near-infrared radiation (700 to 1050 nm) that is transmitted through the female breast to visualize translucent tissue for the diagnosis of cancer, or other conditions, diseases or abnormalities. This device may also be known as a diaphanoscope.	D
5	Coronary artery brachytherapy system applicator, manual afterloading	A sterile flexible tube intended to deliver/remove radiation therapy sources into a coronary artery, typically into the lumen of an implanted stent, as part of a manual-afterloading brachytherapy system. It is introduced into the patient and subsequently connected to the brachytherapy system source transfer device; it includes radiopaque markers to monitor the position of the radiation source. Disposable devices associated with the procedure may be included (e.g., syringes, connectors). This is a single-use device.	D
6	Extravascular-circulation hyperthermia system	An assembly of devices designed to produce and control heated fluids circulated within a vessel applied to the body (e.g., vest, mattress, jacket, band, pad, body wrap, catheter, probe) for systemic or localized heating to treat malignant tumours, benign growths, or other disease-related conditions.	D
7	Extravascular-circulation hyperthermia system applicator, intracorporea	A component of a hyperthermia system that typically consists of catheterenclosed tubing which is introduced into the body either manually or endoscopically. Heated fluid is circulated through the applicator’s tubing for localized heating to treat malignant tumours, benign growths, or other diseaserelated conditions. The applicator (also called an interstitial applicator or probe) typically includes a thermometry component that monitors the temperature of the applicator during operation; it also includes tubing, cables, and connectors that interface with the hyperthermia system’s control unit during treatments. It is typically used in an oncology department. This is a single-use device.	D
8	Flexible ultrasound bronchoscope	An endoscope with a flexible inserted portion intended for the visual examination and treatment of the trachea, bronchi, and lungs. It is inserted through the mouth or nose during bronchoscopy. Anatomical images are transmitted to the user by the device typically through a fibreoptic bundle or a video system, and an ultrasound probe. The probe may be built-in or inserted through a dedicated lumen so that its distal tip is positioned adjacent to that of the endoscope. It is commonly used to diagnose lung infections, pneumonia, or lung cancer, and allows physicians to view the insides of the lungs and take biopsies and samples of secretions. This is a reusable device.	D

Category – Radiotherapy

S.No	Medical Device Name	Intended Use	INDIA
1	Absorbable tissue spacer for radiotherapy	An absorbable material used to reduce radiation exposure of normal tissue during radiotherapy by implanting surgically or percutaneously between tissue, internal organs, etc. , to make a space between the malignant tumor and normal tissue.	D
2	Blood vessel manual brachytherapy applicator	A manual brachytherapy applicator designed exclusively for blood vessel radiotherapy. Most commonly, it is used to prevent formation of plaque, stenosis and restenosis in blood vessels after surgery. A single or module device designed to facilitate manual placement (placement and removal under endoscopy or using an image diagnostic system) of single or multiple therapeutic radiation sources in the treatment site.	D
3	Blood vessel remote afterloading brachytherapy applicator	A remote controlled brachytherapy applicator designed exclusively for radiotherapy in blood vessels. This treatment is used to prevent plaque formation. and stenosis in blood vessels after surgery. It is designed for temporary implantation in a blood vessel, and serves as a guide for computer-controlled temporary placement and removal of single or multiple therapeutic radiation sources at treatment sites.	D
4	Brain manual brachytherapy applicator	An applicator specifically designed for brain radiotherapy. A single or module applicator designed to facilitate manual placement (puncture, placement under endoscopy, or placement and removal using an image diagnostic system) of single or multiple therapeutic radiation sources in the brain.	D
5	Brain remote afterloading brachytherapy applicator	A remote controlled brachytherapy applicator designed exclusively for brain radiotherapy for temporary implantation in the body. It serves as a computer-controlled guide for temporary placement and removal of a single or multiple therapeutic radiation sources in the brain.	D
6	Central circulatory general-purpose manual brachytherapy applicator	A single or module applicator designed to facilitate manual placement (puncture, local placement, placement under endoscopy or placement and removal using an image diagnostic system) of single or multiple therapeutic radiation sources in treatment sites in the central circulatory system.	D
7	Central circulatory general-purpose remote afterloading brachytherapy applicator	Intended to be temporarily implanted in the body. It serves as a guide for computer-controlled temporary placement and removal of a single or multiple therapeutic radiation sources at treatment sites in the central circulatory system.	D
8	Central circulatory manual brachytherapy therapeutic radionuclide system	A device that places a radiation source manually or automatically at the treatment site in the central circulatory system for providing a required radiation dose during radiotherapy. This device does not equip a remotely controlled radiation source transporter.	D
9	Central circulatory permanent implant manual brachytherapy therapeutic radionuclide source	A device for the central circulatory system to be placed permanently in the body for radiotherapy which is necessary for treatment and symptomatic therapy, and uses natural radioisotopes or radioisotopes produced by an accelerator or a nuclear reactor. The radiation source, which is permanently placed manually, is designed to achieve compatibility with tissues. The radiation source can be selected from the following forms – e.g., microsphere, globe, stent, seed, and wire-in order to generate low-energy photons, beta particles, or alpha particles	D
10	Central circulatory remote afterloading brachytherapy therapeutic radionuclide source	A device for the central circulatory system used as a radiation source to deliver a high or low dose rate with an afterloading brachytherapy device designed for radiotherapy which is necessary for treatment and symptomatic therapy, and uses natural radioisotopes or radioisotopes produced by an accelerator or a nuclear reactor.	D
11	Central circulatory remote afterloading brachytherapy therapeutic radionuclide system	A device that places a radiation source temporarily at the treatment site in the central circulatory system for providing a required radiation dose during radiotherapy. This device equips a remotely controlled radiation source transporter	D
12	Central circulatory temporary placement manual brachytherapy therapeutic radionuclide source	A device for the central circulatory system that uses natural radioisotopes or radioisotopes produced by an accelerator or a nuclear reactor, and is placed in the body temporarily, and removed after the pre-determined treatment period. The radiation source, which is temporarily inserted manually, is supplied in various forms – e.g., encapsulated, sealed, plated, foiled, or embedded.	D

Category – Nephrology and Renal Care

S.No	Medical Device Name	Intended Use	INDIA
1	Absorbable peritoneum catheter cuff	Intended to maintain stable contact between the skin and the peritoneal dialysis catheter, and prevent bacterial invasion from the outlet. It is embedded subcutaneously at the outlet of the peritoneal dialysis catheter.	D
2	Collagen-containing peritoneum absorbable catheter cuff	A cuff that consists of biodegradable porous material containing collagen, is intended to be embedded subcutaneously at the outlet of the peritoneal dialysis catheter.	D

Refrence – http://cdscomdonline.gov.in/

What is the Process of Class D Medical Devices Registration In India?

The easy process for Class D Medical Devices Registration in India is mentioned below:-

• Sugam Registry – Users need to visit Sugam Portal and register there.
• Plan out the Application – First draft the application for the easy process of Class-D Medical Device Registration.
• Sync Documents – Now verify the checklist of Form MD-8 and following procedure upload all the documents.
• Payment – Pay the Registration Government Fees.
• Application Submission – To get the license one surely needs to fill out the application on the SUGAM online portal.
• CDSCO Reviewing Procedure – After all the steps CDSCO will review the application.
• Inspection Process – The Medical Device inspection officer will inspect the manufacturing or production site. The result time, where will be decided if you are ticking all the checklists of the process.
• License Issuing – Here in this step CDSCO will issue the License in Form MD-9.

To Know a detailed version of Class-C Medical Devices check out this https://medicaldeviceregistration.com/list-of-class-c-medical-devices/

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