MD-9 Licence to Manufacture for Sale or Distribution of Class C & Class D Medical Devices

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If you manufacture moderate-high or high-risk medical devices in India, Form MD-9 is your mandatory manufacturing Licence under the Medical Devices Rules, 2017. Without it, manufacturing and selling Class C or Class D devices is a regulatory violation — regardless of your company size or device type.

What Is Form MD-9?

Form MD-9 is the Licence to Manufacture for Sale or for Distribution of Class C or Class D Medical Devices, issued by the Central Licensing Authority (CLA) — CDSCO under Rule 26 of the Medical Devices Rules, 2017 (MDR 2017).

To obtain MD-9, manufacturers must first apply using Form MD-7 (the application form) through the SUGAM online portal. Once reviewed, inspected, and approved by CDSCO, the MD-9 licence is issued — authorising the manufacturer to produce and commercially distribute their specified Class C or Class D medical devices from the approved manufacturing site.

Form MD-9 is the Licence to Manufacture for Sale or for Distribution of Class C or Class D Medical Devices, issued by the Central Licensing Authority (CLA) — CDSCO under Rule 26 of the Medical Devices Rules, 2017 (MDR 2017).

To obtain MD-9, manufacturers must first apply using Form MD-7 (the application form) through the SUGAM online portal. Once reviewed, inspected, and approved by CDSCO, the MD-9 licence is issued — authorising the manufacturer to produce and commercially distribute their specified Class C or Class D medical devices from the approved manufacturing site.

Important: Unlike Class A and Class B devices (which fall under State Licensing Authority jurisdiction), Class C and Class D devices are regulated directly by CDSCO — the Central Licensing Authority — due to their higher risk profile.

Understanding Class C and Class D Medical Devices

Under MDR 2017, all medical devices are classified into four risk-based categories. Class C and D represent the higher-risk tiers:

Class

Risk Level

Examples

Licensing Authority

Class A

Low

Surgical dressings, thermometers, tongue depressors

State Licensing Authority (SLA)

Class B

Low–Moderate

Hypodermic needles, suction equipment, hearing aids

State Licensing Authority (SLA)

Class C

Moderate–High

Lung ventilators, bone fixation plates, haemodialysis machines, infusion pumps

CDSCO (Central)

Class D

High

Heart valves, implantable defibrillators, neural stimulators, HIV diagnostic kits

CDSCO (Central)

Correct classification is the foundation of your entire application. Misclassifying your device — even unintentionally — can lead to application rejection, requirement to restart the process, or post-licensing regulatory action.

Who Needs to Obtain Form MD-9?

Any person or entity intending to manufacture Class C or Class D medical devices in India for commercial sale or distribution must obtain MD-9. This includes:

  • Indian manufacturers producing Class C/D devices for domestic market
  • Indian manufacturers producing Class C/D devices for export
  • Companies performing final assembly, packaging, labelling, or sterilization of Class C/D device components within India — even if all parts are imported
  • Loan licence manufacturers (producing on behalf of another brand/company)

Note: If you are importing Class C or Class D devices (not manufacturing), you need Form MD-15 (Import Licence) — not MD-9. Learn about MD-15 →

2025 Regulatory Update: Non-Notified Class C & D Devices Now Under Licensing

As per notification No. G.S.R. 102(E) dated 11.02.2020, all non-notified medical devices of Class C & Class D categories entered the mandatory licensing regime with effect from 01.10.2023. This means even devices that were previously unregulated or operating under transitional provisions now require a valid MD-9 licence for manufacturing.

Additionally, the CDSCO FAQ Addendum No. 03 (November 2025) provided further clarification on post-approval change procedures and documentation requirements — including updated guidance on sterilization outsourcing. As of DTAB’s 92nd meeting (April 24, 2025), manufacturers no longer need a separate loan licence for outsourcing sterilization — provided the sterilization facility already holds a valid MD-3 or MD-9 licence.

Documents Required for MD-7 Application (to Obtain MD-9)

The application is submitted in Form MD-7 on the SUGAM portal. A complete, accurate dossier is the single biggest factor in avoiding CDSCO queries that delay approval. Required documents include:

Facility & Business Documents

  • Certificate of Incorporation / Business registration proof
  • GST registration certificate
  • Details of manufacturing premises (address, area, layout)
  • Proof of ownership or lease of premises
  • List of plant and machinery with specifications
  • List of technical staff with qualifications

Quality Management System (QMS) Documents

  • Undertaking of QMS compliance — signed declaration that the manufacturing site complies with the Fifth Schedule of MDR 2017 (mandatory for Class C & D)
  • QMS manual and standard operating procedures (SOPs)
  • ISO 13485 certificate (not mandatory under MDR 2017 but strongly preferred by CDSCO for Class C/D devices and recommended for international compliance)

Technical Device Documents

  • Device Master File (DMF) — technical specifications, design details, intended use, indications
  • Site Master File (SMF) — manufacturing site details, process description
  • Risk analysis and risk management documentation (as per ISO 14971)
  • Essential Principles Checklist (as per MDR 2017 requirements)
  • Test reports / quality control data (generated under a valid Test Licence where applicable)
  • Labelling and proposed pack artwork (compliant with MDR 2017 labelling rules)
  • Standards compliance declaration (BIS / ISO / IEC — as applicable)

Additional Documents (if applicable)

  • Loan licence agreement (if manufacturing under loan licence arrangement)
  • Sterilization facility licence / documentary proof (if sterilization is outsourced)
  • Free Sale Certificate may be required in specific cases (such as predicate justification), but is generally not a primary requirement for domestic manufacturing licences.
  • Clinical investigation data (for novel devices without predicate)

Step-by-Step Process to Obtain Form MD-9

  1. Device Classification

Confirm your device falls under Class C or Class D as per Part I of the First Schedule of MDR 2017. This single step controls your entire application path — forms, inspection requirements, and fees. Getting classification wrong at this stage causes months of rework.

2. Obtain Test Licence (Form MD-12 → MD-13)

In certain cases, obtaining a Test Licence (MD-13) can help generate supporting data before applying for the full commercial MD-9 licence, but it is not mandatory for all applications.  This allows you to manufacture small quantities for testing, evaluation, clinical investigation, or demonstration. Quality control data generated under a valid Test Licence strengthens your MD-9 application significantly.

3. Prepare Manufacturing Facility

Your facility must comply with Good Manufacturing Practices (GMP) as per MDR 2017 and the Quality Management System requirements of the Fifth Schedule. Prepare your Device Master File and Site Master File as per MDR 2017 format before applying — incomplete technical documentation is the most common cause of CDSCO queries and delays.

4. Register on SUGAM Portal & File MD-7 Application

Register on the SUGAM portal at cdscoonline.gov.in and select the Form MD-7 application. Fill in all device and facility details, upload the complete document dossier, and pay the applicable government fee online. Ensure every detail entered matches your supporting documents — any mismatch will trigger a CDSCO query.

5. CDSCO Review & Site Inspection

CDSCO reviews your submitted dossier. For Class C and Class D devices, a mandatory physical inspection of your manufacturing premises is conducted by CDSCO inspectors. They assess facility compliance with GMP and QMS requirements, staff qualifications, equipment adequacy, and documentation systems. If deficiencies are found, a query is raised and you must respond with corrective evidence.

6. MD-9 Licence Issued

Once the review and inspection are satisfactory, CDSCO issues the Form MD-9 Manufacturing Licence. The MD-9 licence is valid in perpetuity, subject to payment of retention fee every 5 years and continued compliance under MDR 2017.  Each manufacturing site requires a separate MD-7 application and separate MD-9 licence — multiple sites cannot be covered under a single application.

Timeline & Fee Structure

 

Stage

Estimated Time

Document preparation & facility readiness

4 – 12 weeks

SUGAM account approval

3 – 5 working days

CDSCO dossier review

30 – 90 days (complete dossier)

Site inspection scheduling & visit

1 – 3 months (post review)

Query response & re-review

+4 – 8 weeks per query cycle

Total realistic timeline

6 – 12 months (complete & accurate dossier)

Fees: Application fees for Class C and Class D devices (MD-7) are higher than Class A/B, and vary by device type and number of devices. The fee structure is revised periodically by the Ministry of Health and Family Welfare. Contact us for the current applicable fee schedule for your specific device.

Licence Validity & Retention

  1. Validity: Perpetual, subject to payment of retention fee every 5 years
  2. Retention: Retention fee must be paid every 5 years along with applicable compliance documents. A late fee of 2% per month applies. Prolonged non-payment may lead to suspension or cancellation of the licence as per CDSCO action. 
  3. Post-approval changes: Any major change in intended use, device design, or manufacturing site must be updated via post-approval change procedures on the SUGAM portal — as clarified in CDSCO’s FAQ Addendum (2024–2025)
  4. Site-specific: Each manufacturing site requires its own MD-9 licence. A separate MD-7 application with requisite fees and documents is required for each actual manufacturing site

Common Mistakes That Delay MD-9 Approval

 

Mistake

Consequence

Incorrect device classification (C vs D)

Wrong fee, wrong form — application rejected

DMF/SMF not prepared as per MDR 2017 format

CDSCO query, significant delay

QMS compliance undertaking missing

Mandatory for Class C/D — rejection without it

Data mismatch between form and uploaded documents

Query raised, timeline extended by weeks

Facility not ready before inspection

Failed inspection — re-inspection required

Applying for all sites under one application

Rejection — separate application required per site

No Test Licence data submitted

Weak application — queries on safety/performance

Standards compliance not addressed

CDSCO expects BIS/ISO/IEC compliance evidence

How We Help: MD-9 Licence Services

Obtaining an MD-9 licence for Class C or Class D devices is one of the most documentation-intensive regulatory processes in India’s medical device sector. Our team provides end-to-end support — from pre-application assessment to licence in hand:

Device Classification

Accurate Class C/D classification under MDR 2017 — before a single document is prepared.

DMF & SMF Preparation

Complete Device Master File and Site Master File preparation as per MDR 2017 format requirements.

Facility Gap Analysis

Pre-inspection audit of your facility against MDR 2017 Fifth Schedule GMP requirements — close gaps before CDSCO visits.

SUGAM Portal Filing

End-to-end MD-7 application filing on SUGAM portal — accurate, complete, and ready for CDSCO review.

Query Response Handling

Complete, evidence-backed responses to CDSCO queries — addressing every point to avoid repeat queries.

Retention & Post-Approval 

Timely renewal filing and post-approval change management to keep your MD-9 licence current and compliant.

Frequently Asked Questions

Is ISO 13485 mandatory for obtaining MD-9?

ISO 13485 is not an explicit mandatory requirement under MDR 2017. However, CDSCO may prefer or expect manufacturers to demonstrate ISO 13485 certification — particularly for higher-risk Class C and D devices. It is strongly recommended as it also supports compliance with US FDA and EU MDR requirements.

Can one MD-9 licence cover multiple manufacturing sites?

No. A separate MD-7 application along with requisite fees and documents is required for each actual manufacturing site. Each site receives its own MD-9 licence.

Do I need a Test Licence before applying for MD-9?

A Test Licence (MD-13) is not always mandatory before applying for MD-9, but it is strongly recommended. Quality control data generated under a valid Test Licence significantly strengthens your MD-9 application and reduces the likelihood of CDSCO queries on safety and performance data.

How long does it take to get the MD-9 licence?

Realistically, 6 to 12 months from start to finish — including facility preparation, dossier compilation, CDSCO review, and site inspection. Incomplete applications or query response delays can extend this significantly. Starting with a complete, accurate dossier is the most effective way to minimise the timeline.

What happens if I fail to pay the retention fee for my MD-9 licence? 

Failure to pay the retention fee may lead to suspension or cancellation of the MD-9 licence under MDR 2017. A late fee of 2% per month may apply for delayed payment, and prolonged non-payment may require a fresh application depending on CDSCO action.

I do only final assembly / packaging of Class D components in India. Do I need MD-9?

Yes, absolutely. Final assembly, packaging, labelling, or sterilisation of medical device components within India — even if all parts are imported — requires a valid CDSCO manufacturing licence. This is explicitly stated in MDR 2017 and there are no exemptions to this rule.

Ready to Apply for Your MD-9 Manufacturing Licence?

Don’t let documentation gaps or facility deficiencies push your approval timeline by months. Our regulatory experts have handled Class C and Class D device applications across multiple product categories — and we know exactly what CDSCO looks for.