It is important to have a reliable partner in China for the communication with the Authorities. He should have detailed understanding of the regulatory requirements.

The medical deices are classified in three classes 1, 2, 3. Based on the intended use devices will fall under certain product categories listed in the database referencing the individual class.

The class I products more or less follow a listing procedure but for the higher classes an intense two stage review by the NMPA is mandatory and require tremendous review fees. Product testing based on Chinese national Standards in Chinese Laboratories is a prerequisite.

Although the current regulations do not explicitly require a quality system to be audited by the NMPA prior to the registration of foreign manufacturers' medical devices the Chinese Authorities started a program auditing foreign manufacturers.

Not only the labeling must be translated into Chinese language but also the manufacturers' names. 

The Japanese PMD Act makes use of many GTHF principles. Unlike other countries it is mandatory to have a Marketing Approval Holder (MAH) in Japan.

For the classification into the classes I, II, III, and IV the Japanese PMD Act uses and references the GHTF classification rules.

The Japanese regulatory system includes three different procedures for product registration:

- todokede (notification)

- ninsho (certification)

- shonin (approval)

Based on the review results and the QMS inspection a Marketing Authorization will be granted to the Japanese partner.

In order to comply with the quality system of the Ordinance 169 requirements in Japan the manufacturer as well as his MAH need to be covered e.g. by a MDSAP audit.

The registration fees for high class products with new technologies are extremely high.

The Malaysian system for registration of medical devices is well developed, easy to follow up and database driven.

Four Classes 1,2,3,4

Product registration in Malaysia is supported by an online database that requires to upload the product documentation based on the Common Submission Dossier Template (CSDT) as published by the AHWP.

Quality system requirements rely on existing quality system certifications such as ISO 13485. No additional audits are performed for foreign manufacturers but for the Importer / distributor in Malaysia.

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The system for registration of medical devices in Singapore is well developed, easy to follow up and database driven.

Four Classes 1,2,3,4

Product registration in Singapore can be simplified to a minimum if the products are already reviewed by other authorities such as the GHTF countries. The product documen-tation is based on the Common Submission Dossier Template (CSDT).

Quality system requirements rely on existing quality system certifications such as ISO 13485. No additional audits are performed for foreign manufacturers but for the Importer / distributor in Singapore.

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India is introducing changes to the medical device regulations for some years now.
The latest legislation is called: "Medical Device Rules, 2017"

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The Thai FDA published a new version of the Medical devices act (issue 2) 2019.

The Thai FDA, under the Thai Ministry of Public Health (MOPH), regulates medical devices in Thailand. Medical devices are categorized into one of three classes: Class I (Licensed Medical Devices, highest class), Class II (Notification Medical Devices), and Class III (General Medical Devices).

Since Thailand has aligned with the ASEAN AMDD, the medical device risk classification will adhere to guidelines on risk classifications as outlined by the AMDD.