Medical Devices

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Regulatory overview

According to the National Medicines Regulatory Authority Act No. 05 of 2015 the National Medicines Regulatory Authority shall be responsible for the regulation and control of registration, licensing, manufacture, importation and all other aspects pertaining to medical devices in a manner compatible with the National Medicines Policy;

Definition of a medical device:

As defined in the Act a “medical device” means any instrument, apparatus, appliance, software, material or any other article, whether used single or in combination, including the software necessary for its proper application intended by the manufacturer used in or on human beings for the purpose of:

  • Diagnosis, prevention, monitoring, treatment or alleviation of disease;
  • Diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap;
  • Investigation, replacement or modification of the anatomy or of a physiological process;
  • Control of conception;

and which does not achieve its intended action in or on the human body by pharmacological, immunological or metabolic means but which may be assisted in its function by such means;

A medical device does not include an Ayurveda device or a Homeopathy device;

Scope and Responsibilities of the NMRA in the approval of medical devices

The National Medicines Regulatory Authority (NMRA) is responsible to build a healthier nation by ensuring that medical devices available for supply in Sri Lanka are of acceptable quality, safety and fit for their intended purpose. As such all Medical devices which are categorized as in above definition and should be registered with the Authority and license to be obtained for manufacturing, importation, re-packaging, sale, distribution and offered for sale in Sri Lanka.All foreign medical device manufactures should submit application for registration through a Marketing Authorization Holder (local agent) in Sri Lanka who shall be responsible for the registration, licensing, importation, sale and distribution, handing of quality failures and all aspects pertaining to the particular medical device in Sri Lanka.

Medical Device Evaluation Committee (MDEC)

The Medical Device Evaluation Committee (MDEC) formed under NMRA Act carries out technical evaluation of the medical devices forwarded for registration by considering the quality, safety, effectiveness, need and cost of such devices. The MDEC consist of experts drawn from various specialties in medical and pharmaceutical fields who meets monthly to decide on applications submitted for marketing authorization of medicines and to make policy decisions relevant to marketing authorization of medicines.

How to register your product

Responsibility of the Marketing Authorization Holder
  • The applicant should be responsible for the product and all information supplied in support of his application for registration of the product
  • The applicant should be responsible for updating any information relevant to the product/ application. The NMRA should be informed in a timely manner any change in product information during the course of evaluation, and after product registration, especially if the information pertaining to rejection/ withdrawal, additional data on product quality, effectiveness and safety or current Good Manufacturing Practice (cGMP) compliance of the manufacturers
  • The applicant should provide additional documents for renewal of registration, six months before the expiry of certificate of registration
  • The marketing authorization holder must assume responsibility for the quality, safety and effectiveness of his products
Flow chart of registration process of medical devices is as follows

Steps involved for registration of medical devices

Submission of registration application

Documents for obtaining sample import license
  • Fulfilled application Form C schedule IV of Cosmetics, Devices and Drugs Regulations (The gazette of the Democratic Socialist Republic of Sri Lanka (Extraordinary) No. 378/3 of 1985)
  • A copy of business registration certificate of the applicant [should indicate details of the board of directors, secretarial board (Form 48)]
  • letter of authorization from the manufacturer appointing the Market Authorization Holder
  • Copy Free Sale Certificate of particular product from relevant health authority of country of origin
  • Price comparison and CIF price (Separate applications should be submitted for different manufactures)
Application for medical device registration
  • The application for registration shall be made along with the required documents in Schedule I, Form A (link to forms) of Cosmetics, Devices and Drugs Regulations (The gazette of the Democratic Socialist Republic of Sri Lanka (Extraordinary) No. 378/3 of 1985)
  • Documents should be in English, in a legible font size, printed in one side A4 and submitted in a hard file cover (Box file) and all pages should be numbered from top to bottom and vice versa with an index. Certified English translations should be submitted if the original certificates or licenses issued in any other languages by relevant competent authorities
  • The applications for registration are processed only if they are complete and as per specifications
  • Separate applications should be made in respect of each device to be registered. [i.e. products containing different specifications, different brands] . Products of foreign manufacturers should be submitted through a Marketing authorization Holder
Submission of applications for Orthopedic Implants and Instruments

This is to inform you that Sri Lanka Orthopedic Association has submit a new guideline for classification of orthopedic implants and instruments for the purpose of submission of applications for sample import license and registration to NMRA (Annex 1). As such you should follow below mention procedure for submission of applications for orthopedic implants and instruments.

Step 1 - Categorized the implants or instruments to main categories
              (i) Orthopedic implants or instruments
              (ii) Oral Maxillofacial (OMF) implants or instruments
              (iii) Neuro implants or instruments


    Step 2 - Classification of main group
             For orthopedic products separate dossiers to be submitted according to the classification for main six (6) groups.


    Step 3 - Classification of sub group
            Sub groups intended to register under each main group should be clearly categorized by the manufacturer based on the Free Sale Certificate.          

                         Eg: Main group - Adult plates and screws.


           Sub groups - Large fragment locking plates and screws, Mini fragment locking plates and screws, small fragment locking plates and screws.
           The NMRA will coordinate with the applicants those who has already submitted registration dossiers for re-arrangement according to the above guideline requirements.

Multiple Applications
  • A separate application is required for each product i.e. product containing different specifications or by a different manufacturer shall require a separate application for product registration
  • Separate application to be submitted when a medical device consists of different constituents/ components. Each and every component of that system is registered separately.
  • Orthopedic system - separate applications should be produced for bone plates, nails, pins, screws
  • Dental appliances
  • A medical device although the manufacturing process is same and shares a common intended purpose is registered separately
  • Condoms with different texture (flavor)
  • Syringes with different volumes
  • CV catheters, hemodialysis catheters, blood bags (for single, double and triple)
  • In vitro diagnostic devices that consist of reagents or article intended to be used in combination to complete a specific intended purpose is registered as a group
  • Hematology analyzer with standards, program and reagents or as separately
  • Blood grouping reagent, blood glucose monitoring system with components

A medical device consisting a collection of devices and has a common intended purpose is registered as a group.

Electro surgical unit with standard accessories (electrodes, electrode holders, leads, Plates, plug adopter)

Anesthesia machine with standard accessories

Nebulizer system

Data requirement for preparation of Medical Device application

General Documents/ Requirements

Fulfilled Schedule I, Form A & Form B

  • Copy of sample import license
  • Free sale certificate or certificate to foreign government issued from relevant health authority of country of origin and certified by Sri Lankan Embassy of country of origin or foreign affairs
  • Fully packed samples (two) of devices in the form that is intended to be marketed (including Lot no., Man. Date, Exp. date, Manufacturer’s & Importers details and when required sufficient quantity for analysis)
  • Letter of authorization from the manufacturer appointing the Market Authorization Holder
  • List of countries which the device is approved or registered for sale with copies to prove registration status
Technical Documents

Following documents should be submitted in addition to the basic documents where necessary / if available

Final product inspection report (for electro medical equipment and machines) and finished product test report for other products Submit relevant report issued by the manufacturer or third-party laboratory for batch release of the product

Test reports for below mentioned items

  • Independent analytical certificates (original report) from Industrial Technology Institute (ITI), Sri Lanka or govt. accreted laboratory in of the country of origin for products which are directly in contact with the blood stream
  • Eg: disposable syringes, disposable needles, IV cannulas IV catheters, fistula needles etc.
  • Test reports are to be submitted according to pharmacopeia standards where the standards are available
  • Analytical test reports from Sri Lanka Standard Institute (SLSI) for products feeding bottles, tooth brushes and medical gas cylinders
  • Analytical test reports from Industrial Technology Institute (ITI)
  • Eg: plasters, gauze, sanitary napkins, bandages, latex condoms, surgical and examination gloves etc.
  • In addition, reports from NMQAL may be requested

Material test report for sutures, medical instruments such as forceps, scissors etc.

Certification for quality management system according to ISO 13485 from authorized notified body in order to access the design, development, manufacturing as well as for post marketing monitoring of safety and performance of the manufacturer

CE accreditation from authorized notified body in order to prove the quality assurance system of the product and EC design examination certificate (if applicable)

Stability data for entire shelf life of the finished products should be provided (if applicable)

In addition, following requirements should be fulfilled for Absorbable sutures with the application

  • All the samples of absorbable sutures will be kept at the NMRA for six (6) months before sending for evaluation to the relevant consultant

Details of the raw material sources, purchasing details should be provided

Where necessary certificate of approval from relevant authorities should be provided

For radiation emitting devices approval obtained from Atomic energy Authority of Sri Lanka

Certification from the relevant health authority of the country of manufacturer that the product is free from BSE (Bovine Spongiform Encephalopathy) should be obtained for animal derived products

Surgical Catgut

Biological evaluation/biocompatibility test report of medical device as per ISO standards (if applicable)

Risk management analysis as per ISO standard (if applicable)

Recently issued validation report for sterilization process for two commercial batches (if applicable)

Product Label (primary and secondary)Submit original label including following information

Name of product [Approved name and brand name (if any)]

Name and address of the actual manufacturer

Whether the product is sterile and mode of sterilization

Storage conditions specifying the temperature

Manufacturing date, Expiry date and Lot no/ batch no. (if applicable)

Patient information Leaflet

Product information leaflet for the products which are individually handled by the patient in the household should be in both Sinhala and Tamil languages
Eg : Glucometers, Hearing aids, spacer device etc.

Validity Period of registration

The Provisional Registration for a period of one year (or two) will be issued for first time registration and is specified in the certificate

The Full Registration of a product is valid for a period of five years and is specified in the certificate

When additional data are requested, the applicant will have to furnish additional information requested by the authority within 3 months to facilitate further evaluation

If the product is rejected, the market authorization holder will be able to appeal for registration

Renewal of Registration

Application for renewal should be made before six months from the date of expiry of registration

A grace period will extend until the decision is given to the application for renewal

If the requirements for registration are not satisfactory the application will be rejected completely

Approval for post approval variation

Any change in product name, product specifications, packaging, indications, contents of product label, package insert, or product literature, or any relevant particulars of the registered product should not be made without the prior approval of the authority.

The registration of the product maybe cancelled if changes are made without the prior approval of the authority.

Any change of product which affects quality, safety & efficacy of the product should require a new application for registration.

Approval of Manufacturig sites

Regulatory Overview

This section explains the process for approval of manufacturers who would be eligible to apply for registration of their products in Sri Lanka.

Information is also given to provide guidance on the type of applications and how to apply for the approval of relevant manufacturing facilities.

Approval of Foreign Manufacturing Facilities

Introduction & Scope:

The process applies for overseas manufacturing sites who intended to get marketing authorization for their products in Sri Lanka. The procedure includes a desk review of essential documents including the site master file. A GMP inspection of the site may be necessary before approval of the site.

A foreign manufacturer who wants to register products in Sri Lanka needs to appoint a Sri Lankan business entity as its local authorized agent. The local agent will furnish applications on behalf of its principal company, the foreign manufacturer. A separate application needs to be submitted to each manufacturing site from which the manufacturer plans to export products to Sri Lanka.

Application has to be submitted online via NMRA’s web portal eNMRA which requires uploading of essential information and documents to enable a desk review. If all documents indicate fulfilment of NMRA requirements, the next step would be to carry out a GMP inspection of the facility. The NMRA Act, No. 5 of 2015 (section 51) & regulations 2 to 10 of part I of medicines regulations pronounce the legal requirements. The NMRA would exempt onsite GMP inspection if the particular site had been inspected by a stringent NRA or WHO, in terms of regulation 24 of the medicines regulations. After these procedures, an approved foreign manufacturer can submit an application for marketing authorization of its products through the local agent.

Flow Chart- Foreign Manufacturing Site Approval

Licensing of Local Manufacturing facilities

The process applies for local manufacturing sites who intended to get marketing authorization for their products in Sri Lanka. The procedure includes a desk review of essential documents including the site master file and several GMP Inspections.

A local manufacturer who wants to register products in Sri Lanka needs to furnish applications regarding his manufacturing facilities. A separate application needs to be submitted to each manufacturing site.

Application has to be submitted online via NMRA’s web portal eNMRA which requires uploading of essential information and documents to enable a desk review and GMP Inspections.

The NMRA Act, No. 5 of 2015 (section 51) & regulations 26 to 30 of part II of medicines regulations pronounce the legal requirements.

After these procedures, an approved Local manufacturer can submit application for formulation approvals.

After obtaining the formulation approval and GMP approval for commercial manufacturing of the facility, local manufacturer can apply for the product registration. After that, local manufacturer can apply for the manufacturing license.

Stages for beginners;

  1. Local manufacturer’s profile creation
  2. Approval of the proposed layout of the manufacturing plant
  3. Initial land inspection (optional)
  4. Approval for the formulations
  5. Initial building inspection -during the construction (Optional)
  6. Inspection of the plant before installing the manufacturing equipment and machineries after completion of construction of the building
  7. Application to request inspection of the plant after completion of the installment of manufacturing equipment and machineries including necessary qualifications (Complete SMF)
  8. Approval of the manufacturing facility (Licensing of manufacturing site)
  9. Inspection of the plant to get approval for commercial batch manufacturing (GMP Inspection)
  10. Application for GMP certificate (Optional)
  11. Application for product registration
  12. Application to get manufacturing licenses for individual products
  13. Application to get COPP/FSC (Optional)

Site Master Files

Site Master Files are submissions to NMRA used to provide confidential, detailed information about facilities, processes, or articles used in the manufacturing, processing, packaging, and storing of Medicines, Medical Devices, Borderline products and cosmetics.

Guidance for Site master Files

References:

  • WHO guideline for drafting a site master file, Annex 14, WHO TRS No. 961, 2011
  • Explanatory notes for pharmaceutical manufacturers on the preparation of a site master file; PE 008 – 4, 1 January 2011, Pharmaceutical Inspection Co-operation Scheme (PIC/S)
Good Manufacturing Practices (GMP)

Good manufacturing practice (GMP) is that part of quality assurance which ensures that products are consistently produced and controlled to the quality standards appropriate to their intended use and as required by the marketing authorization.

The National Medicines Regulatory Authority Act No. 5 of 2015 interprets GMP guidelines as ‘good manufacturing guidelines issued by the World Health Organization’. As such, the National Medicines Regulatory Authority (NMRA) adopts the WHO GMP guidelines along with its subsequent updates for the purpose of regulation of pharmaceutical manufacture. The manufacturers are expected to adhere to the Good Manufacturing Practices throughout their activities.

Pharmaceutical manufacturers who intend to apply for marketing authorization in Sri Lanka may be subjected to one or several GMP inspections prior to their site approvals.

GMP Guidelines available on WHO website:

https://www.who.int/teams/health-product-and-policy-standards/standards-and-specifications/norms-and-standards-for-pharmaceuticals/guidelines/production

WHO good manufacturing practices for pharmaceutical products: main principles:

https://www.who.int/medicines/areas/quality_safety/quality_assurance/TRS986annex2.pdf?ua=1

WHO good manufacturing practices for sterile pharmaceutical products:

https://www.who.int/docs/default-source/medicines/norms-and-standards/guidelines/production/trs961-annex6-gmp-sterile-pharmaceutical-products.pdf?sfvrsn=61682f0c_0

WHO good manufacturing practices for biological products:

https://www.who.int/publications/m/item/annex-2-WHO-gmp-for-biological-products

Guidelines

Guideline on Approval of an Overseas Manufacturing Plant of Medicines

Guideline on Preparation of Site Master Files

Guideline for preparation and conduct of the GMP inspection

Wavier Of Registration

  • Procedure of applying for wavier of registration (WOR)

Those who are willing to apply for Waiver of registration for Medical Device please be kind enough to submit your properly filled application form and relevant documents to office of Sate Ministry of Production, Supply and Regulations & Pharmaceuticals.

Download WOR Application from here : WOR Application

Documents Required for Waiver of Registration.

Mandatory Documents

  • Request Letter from the Applicant
  • Completed Waiver of Registration Application
  • Commercial invoice / Proforma Invoice
  • Letter of Authorization from the manufacturer
  • Product Information Leaflet / Catalogs
  • Labels of the product
  • Relevant Test Reports for the Applied Product
  • Free sale Certificate issued by Health Authority of Country of Origin of the Product
  • ISO certificate for quality management system
  • CE self-declaration by manufacturer/ EC certificate for full Quality Assurance system
  • Report of Technical Evaluation Committee (TEC)
  • Approval of Procurement Committee

Where Applicable

  • Agency transfer letter issued by NMRA
  • Sample import license issued by NMRA
  • Certificate of Registration issued by NMRA
  • Registration of Medical Council – Sri Lanka
  • Ethic review committee approval(Applicable for research items)
  • No Objection Letter (NOL) from local agent – (For the products already registered to another Local Agent)
  • Sri Lanka Custom Detained Document
  • Recommendation of Professional bodies
  • Request of Professional bodies

Note: Incomplete application will not be tabled to WOR Committee.

List of issued WORs for IR Thermometers
List of issued WORs for PCR kits
List of issued WORs for pulse Oximeter
Waiver of Registration Approved List - Device ( September 2021 to December 2021 )

Report adverse events

Healthcare professional such as doctors, dentists, pharmacists and nurses are encouraged to report suspected adverse events encountered in their day to day practice. Using the ADR google form given by the following link here, you can report Adverse Events.

Report Adverse Events

Address :

Director General / CEO

National Medicines Regulatory Authority,

No: 120, Norris Canal Road,

Colombo 10.

Telephone :

+94 112 698 896, +94 112 698 897

Fax :

+94 112 689 704

A copy of the form shall be forwarded to Adverse Drug Reaction Monitoring Unit of the Department of Pharmacology, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 08. (TP/ Fax: +94 112 697 483).

Importance of Reporting Adverse Events

Technical Unit
Chemical Division
microbiology Division
Biology Division

Advertisements & promotions

The Advertising Evaluation Sub Committee of the NMRA regulates advertisements - printed and electronic material - related to medicines, devices, borderline products to ensure such advertisements are ethical, accurate and appropriate.

Working definition & general rules

Advertisement includes any representation by any means whatsoever, for the purpose of promoting directly or indirectly the manufacture, sale or disposal of any medicine medical device, borderline product.

  • Any person who wishes to advertise or promote a medicine, medical device, borderline product should get prior written approval of the Authority to do so.
  • Medicines, medical devices, borderline products should not be advertised or promoted to the general public for the treatment, prevention or cure of any of the prescribed diseases, disorders or abnormal physical states.
Our Scope & Responsibility
  • Provide standards and general requirements that must be adhered to when producing commercials, infomercials and public service announcements, which are relevant to medicines, medical devices, and borderline products.
  • Scrutinize each advertisement and ensure it complies with the advertisement guidelines that are published in the NMRA website before granting approval or rejecting an application.
  • Provide assistance to applicants regarding general interpretation of advertising guidelines related to medicines, medical devices, and borderline products prior to advertise.
Procedure for applying approval for advertisements

All the applicants who which to obtain approval for the advertisement on medicines, medical device and borderline products should be followed below procedure.

1. Submit the duly filled application (Please mention email address correctly for sending evaluation sheet) along with copy of valid registration certificate, story board of the advertisement to the accepting counter on every Friday (From 9.00 am to 3.30 pm)for obtaining the payment note for processing fee (1000USD).

2. Payment Receipt issued by account division should be submitted NMRA after the payment along with the application with following documents to accepting pharmacist (Every Friday from 9.00 am to 3.30 pm). Application should be submitted in a file. Accepting pharmacist accepts the application and assign a reference number.

Documents need to be enclosed with application,

a. Duly filled and signed application

b. Copy of the valid registration certificates

c. 3 sets of printed copies/story board of the advertisement (If advertisement is containing any sound/ video, story board and 2 CD s including the video clip or sound clip need to be submitted)

d. Supportive documents (Clinical data, test report etc.) for proving any claims

3. All the applications will be tabled to the committee (Once a month) and evaluation reports will be emailed to the applicants.

4. Approved letters can be collected from the issuing counter.in the advertisements

Applicants should consider the following when designing an advertisement:

Medical Device File Accepting

Procedure for submission of Dossier & other applications for Medical device registration

All dossiers and other applications for medical device registration will be accepted after applying by filling out the Google form linked below or scanning the provided QR code.

https://docs.google.com/forms/d/e/1FAIpQLSf8-B5VcCc1VXW7WL0fUhRiiap2BH6fQ6DvN2a2Yj1JpzLXig/viewform?usp=sf_link

Medical device dossier accepting Google form QR code

Fill out the following relevant checklist and submit two copies along with the dossier to the accepting point.