Forms

Forms

The Medical Device Division (MDD) has introduced a new Medical Device Information System (MDIS) on 2 April 2024, which will offer a one-stop e-service for the industry to submit online applications for listing of medical devices (MDs) and traders under the Medical Device Administrative Control System (MDACS), as well as to report safety alerts and adverse events related to MDs.

On receiving an application, the Medial Device Division (MDD) will acknowledge the receipt via notification to the applicant’s registered email. Please note that the MDD shall take 2 weeks to acknowledge the receipt of application and assign the application number (such as ANXXXXXX, IANXXXXXX, DANXXXXXX, LMANXXXX). Applicants are advised to submit their applications as early as possible. If an applicant does not receive the acknowledgement by 2 weeks after submitting an application, he may contact the MDD to check if the submission has been received by the MDD.

The vetting and approval of an application should normally be completed within 12 weeks following the submission of the application and all the required supporting information.

To facilitate smooth transition from paper-based to online submission of the application, the key dates of rollout of e-services of MDIS and ceasing to accept paper-based submissions are set out in the MDIS theme page.

Forms are available below:

Application for Inclusion on the List of Importers/ Distributors (MD-IP+D) (via MDIS)
Application for Recognition (or Change of Scope of Recognition) Under the Conformity Assessment Body Recognition Scheme of the MDACS (MD401)
Application for the Listing of In Vitro Diagnostic Medical Devices (IVDMD) (MD102) (via MDIS)
Application for the Listing of Local Manufacturers (LM) (via MDIS)
Application for the Listing of Class II/III/IV General Medical Devices (MD101) (via MDIS)
Application Form for Certificate to National Medical Products Administration (MD107)
Change Application Form for Listed Medical Devices (MD105)
Essential Principles Conformity Checklist (MD-CCL)
PDF
Essential Principles Conformity Checklist for In Vitro Diagnostic Medical Devices (MDIVD-CCL)
PDF
Medical Device Adverse Event Report Form - for Local Responsible Persons (AIR-LRP)
Medical Device Adverse Event Report Form - for Medical Device Users (AIR-USER)
Medical Device Safety Alert Report Form
WEB
Post-Market Surveillance Report Form (MD108)
Renewal and Change Application Form for Listed Importers/Distributors (MD203)
Renewal / Change Form for Listed Local Manufacturers (MD204)
Renewal Form for Listed Medical Devices (MD-Renewal)
Supplementary Information Sheet for Medical Devices Procured by the Hospital Authority (HA)(MD111)
Takeover Form for Listed Medical Devices (MD110)
Update Information for Listed Traders and Conformity Assessment Bodies (CAB) under Medical Device Administrative Control System (MDACS)
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Only submissions with duly completed application forms and required documents will be processed. Materials provided with any submission will not be returned.