Insight into the Medical Devices Market in India 

Over the last decade, the medical device industry in India has experienced remarkable growth, driven by increasing demand for a diverse range of medical devices, including consumables, dental products, diagnostic imaging equipment, orthopedics and prosthetics, patient aids, and more. To encourage and regulate this burgeoning sector, the government has introduced a range of reforms and policies. These initiatives aim to foster innovation, ensure quality and safety, and address the diverse needs of the healthcare system. 

Despite this progress, a significant gap still exists between India’s current demand and the supply of medical devices. To address this, the government has made essential changes to the FDI policy to promote the import of medical devices into India. 

In this blog, we will explore the medical device industry in India and discuss how foreign medical device companies can enter the Indian market. 

Market Size of Medical Devices in India

India is the 4th largest medical devices market in Asia, following Japan, China, and South Korea, and is among the top 20 medical device markets worldwide. Let’s delve into the numbers related to the market size of India’s medical devices sector:

  • In 2022, the medical device market in India was valued at Rs. 90,000 crore (approximately US$ 11 billion). It is projected to expand to US$ 50 billion by 2030, reflecting a compound annual growth rate (CAGR) of 16.4%.
  • The diagnostic equipment market is anticipated to reach US$ 6 billion by 2027, and likely to expand at a CAGR of 16.4% between 2020 and 2030. 
  • India’s dependency on imported medical devices has increased between November 2022 and October 2023, with a 21% rise in imports, totaling Rs. 61,262.84 crore (US$ 7.23 billion). 

Key Market Drivers

There are several factors contributing to the booming medical devices sector in India. The key ones are: 

  • Growing Population: With a population of over 1.4 billion, the demand for medical devices to cater to chronic diseases, diagnostic needs, and advanced treatment options is also increasing.

  • Aging Demographic: According to the National Statistical Office (NSO) report, India's aging population was 138 million in 2021, expected to rise to 194 million by 2030. With a growing number of elderly citizens, there is a rising demand for devices related to diagnostics, mobility aids, and chronic disease management.

  • Increasing Chronic Diseases Due to Lifestyle Changes: According to a report by the International Diabetes Federation, the prevalence of diabetes in India is projected to reach around 74 million by 2025. Not only diabetes but other chronic diseases like cardiovascular conditions, and cancer are also becoming more common due to lifestyle changes, requiring more diagnostic and therapeutic devices.

Key Market Drivers for Medical Device Sector in India

Key Market Drivers for Medical Device Sector in India

  • Increasing Health Insurance Coverage: India’s national health insurance program “Ayushman Bharat” aims to provide healthcare coverage to 500 million individuals. This has led to a substantial increase in the number of patients seeking medical care, thereby boosting the demand for medical devices.  
  • Growing Middle-Class and Health Awareness: It is estimated that 8 percent of Indians will earn more than USD 12,000 per annum by 2026 and around 73 million households will turn into middle-class category in the next ten years. The rising income and awareness of medical devices are leading to higher spending on healthcare including the use of wearable health tech and home diagnostic devices. 
  • Rise of Private Healthcare: The private
    healthcare sector in India has been expanding rapidly. As of 2019, 393 hospitals received accreditation from the National Accreditation Board for Hospitals & Healthcare Providers (NABH). This growth has driven the need for high-quality medical devices to meet accreditation standards. 
  • Medical Tourism: Approximately 2 million patients visit India annually from 78 countries for medical, wellness, and IVF treatments, generating $6 billion for the industry which is expected to reach $13 billion by 2026. This is backed by the Indian government's “Heal in India” initiative making India a hub for medical tourism and driving the demand for medical devices.
  • Favorable Regulatory EnvironmentSeveral positive changes to the Indian regulatory framework, pivotal being the Medical Devices Rules, 2017, have made it easier for local manufacturers and importers to enter the Indian market.These factors collectively contribute to the robust growth of the medical devices sector in India.

How Can Foreign Medical Devices Players Access the Indian Market

Foreign medical device players who wish to enter the Indian market must follow the steps that are mentioned below:  

  • Conduct Market Research: Research on factors such as market demand, competition, pricing, and regulatory requirements to identify the potential export opportunities in India.   
  • Regulatory Compliance: Foreign medical device companies must understand India's regulatory framework. The Central Drugs Standard Control Organization (CDSCO) is the regulatory authority for medical devices in India and all medical devices must be registered with CDSCO before entering the market 

For detailed information on the registration of medical devices, read our blog “The   Complete Guide to CDSCO Medical Device Registration”.  

  • Government Initiatives: Leverage the benefits of government initiatives, such as the reduction of customs duties on essential medical devices, which ease the import of high-quality medical devices into the Indian market. Other initiatives include regulatory harmonization by CDSCO, AIFTA, CEPA, and more. 
  • Quality Assurance: Ensure that the medical devices conform to the standards set by the Bureau of Indian Standards (BIS), the International Organization for Standardization (ISO), or the International Electrotechnical Commission (IEC). This will enhance credibility and trust among Indian consumers.  

To learn more about the BIS standards for medical devices, read our blog “Ensuring Quality in Healthcare: The Role of BIS Standards for Medical Devices”.   

  • Regulatory Support: You can partner with regulatory consultants specializing in the Indian medical device sector to understand the regulatory pathway specific to your product portfolio and the associated requirements They can help you in a successful registration of your medical device in India.

Future Perspective

With the Indian government’s ongoing support and advancements in technology, the medical devices market in India is set for significant expansion. The government’s initiatives to streamline regulatory processes, support innovation, and develop a robust manufacturing ecosystem are paving the way for easier market access for exporters. These efforts are crucial in facilitating a smoother entry for international medical device companies and enhancing their ability to tap into India's growing healthcare sector. 

We, at Regulatory Solutions India (RSI), specialize in regulatory consulting services for medical devices, IVD’s and cosmetics. We are eager to partner with you and script your success story in India. Drop us a message here for your specific requirements and we will take it forward from there.

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Understanding the Validity and Renewal of CDSCO Medical Device Import License

Introduction :

As per the Medical Device Rule, 2017, the medical device import license in India needs to be renewed every five years from the date of issuance. The manufacturers/Importers who obtained their medical device import license in 2018 during the initial phase of the Medical Device Rule's 2017 implementation are scheduled to expire in 2023. In this blog, we will take you on a journey through the CDSCO medical device import license renewal process and provide you with the guidance you need.

How to Obtain a CDSCO Medical Device Import License in India?

Acquiring a CDSCO medical device import license in India involves a meticulous and time-consuming process that entails comprehensive documentation. Follow these essential steps to obtain the import license for your medical device:
Step 1: Register yourself on Sugam Portal.
Step 2: Pay the fee prescribed by CDSCO.
Step 3: Submit online application in Form MD-14 with the required documents.
Step 4: The Concerned Authority will review your application and supporting documents. If found satisfactory, they will issue an import license in MD Form-15.

For more information on the process of registration and obtaining a medical device import license in India, read our blog on “The Complete Guide to CDSCO Medical Device Registration.

Understanding the Validity and Renewal Process:

According to the Medical Device Rule of 2017, the import license remains valid perpetually unless cancelled or voluntarily surrendered. To ensure its ongoing validity, the license holder must pay the retention fee and submit updated documents to the Central Drugs Standard Control Organization (CDSCO), the government agency responsible for regulating medical devices in India.

The license holder is required to pay this fee for each overseas manufacturing site and each licensed medical device before every five years from the date of issuance. If payment is not made within the specified timeframe, there is an additional 90 days to pay, albeit with a late fee of two percent per month. Failure to pay the retention fee within the given period results in the license being considered cancelled.

Renewing the medical device import license requires two steps:
1. Pay the retention fee.
2. Submit the updated documents.

CDSCO Medical Device License Application and License Renewal Process

Documents Required for Medical Device Import License Renewal:

The following documents are required for CDSCO medical device import license renewal:

1. Covering letter with purpose of application.
2. Details of Base license and endorsement license, if any.
3. List of products to be removed (if applicable) with reasons.
4. Requisite Fees breakup basis the product class and manufacturing sites.
5. An undertaking by the manufacturer, that there is no change in Device master file (DMF) and Plant master file (PMF).
6. Post marketing surveillance data (Vigilance reporting) during last 5 yrs.
7. Valid Free Sale Certificate/Marketing Authorization from the country of origin (if any) and from any of the following countries viz USA, EU, UK, Canada, Japan, Australia.
8. Sales data of each device in India during last 5 yrs.
9. Valid copies of Quality Certificate ISO 13485 and applicable EC design certificates.
10. An undertaking by the manufacturer and authorized agent, stating that they are agreed for further retention of the Import License.
11. Details of Post Approval Change Application, If Any.

Import License Retention Fee:

The retention fees for the import license vary depending on the type and class of the medical device. Here's a breakdown of the retention fees:




Retention Fee Table


S.R. No.Types of DevicesRetention Fee
1.One overseas site, Manufacturing Class A medical device (excluding in vitro diagnostic)$1000
2.One overseas site, Manufacturing Class B medical device (excluding in vitro diagnostic)$2000
3.One overseas site, Manufacturing Class C or Class D medical device (excluding in vitro diagnostic)$3000
4.Each distinct Class A medical device (excluding in vitro diagnostic)$50
5.Each distinct Class B medical device (excluding in vitro diagnostic)$1000
6.Each distinct Class C or Class D medical device (excluding in vitro diagnostic)$1500
7.One overseas site, Manufacturing Class A or Class B in vitro diagnostic medical device$1000
8.One overseas site, Manufacturing Class C or Class D medical device (excluding in vitro diagnostic)$3000
9.Each distinct in vitro diagnostic medical device of Class A or Class B$10
10.Each distinct in vitro diagnostic medical device of Class C or Class D$500


Conclusion:

Renewing your medical device import license is crucial to comply with the requirements of the Medical Device Rule of 2017. The renewal process involves paying the retention fee and submitting the updated documents. Regulatory Solutions India can assist you with the renewal process and ensure that your license remains valid.

Contact us today to learn more about our services and discover how we can support you in meeting your regulatory requirements.

FAQ’s

Q-1 What is MD Form-14?

MD Form-14 is an online application form for obtaining a medical device import license in India.

Q-2 In which form is a medical device import license issued in India?

The medical device import license in India is issued in the form of MD 15. The license is valid perpetually as long as the applicant pays the retention fee.

Q-3 What is the validity of an import license issued for MD 15 in India?

The import license issued for MD-15 in India is valid indefinitely as long as the retention fees are paid, and updated documents are submitted every five years.