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**Executive Summary:**
This document classifies medical devices pertaining to personal protective equipment (PPE). It assigns risk classes (A or B) based on intended use, helping to regulate and standardize these devices. The classification covers a range of PPE, including gloves, gowns, radiation protection, and other items used in medical and dental settings.
**Key Points / Main Content:**
* **Incontinence Protection:**
* Protective Incontinence Garments are Class A devices.
* **Disinfection:**
* Biosanitizers for medical device surfaces are Class B devices.
* **Face and Eye Protection:**
* Face shields are Class A devices.
* Radiation protection goggles, face protectors, operator spectacles are Class A devices
* **Gloves:**
* Latex and nonlatex surgical gloves are Class B devices.
* Nonlatex and Latex medical examination gloves are Class A devices.
* **Radiation Protection:**
* Radiation protection gloves, partial hand radiation protectors, radiation protection aprons, radiation protection mittens, gonadal radiation protectors, radiation protection blankets, radiation protection collars, radiation protection caps, and mobile radiation protection barriers are Class A devices.
* **Gowns:**
* Sterile surgical gowns and Sterile Isolation Gowns are Class B devices.
* Non-Sterile surgical gowns, Non-Sterile Isolation Gowns, Patient Gowns and Professional Examination Gowns are Class A devices.
* **Other PPE:**
* Chemotherapy spill cleanup kits and Medical Cadaver Body Bags are Class A devices.
* Personal Protective Equipment kits are Class B devices.
* Surgical Helmets, Surgical Caps, and Operating Room Shoe Covers are Class A devices.
* Surgical Drape and Drape accessories are class B devices.
**Impact Analysis**
* **Manufacturers of Medical Devices:**
* *Impact:* Need to classify their PPE according to this document to comply with regulatory standards.
* *Action Required:* Review product lines and ensure correct classification and compliance.
* **Healthcare Providers (Doctors, Nurses, Technicians, etc.):**
* *Impact:* Provides clarity on the risk classification of different PPE items used in their practice, potentially informing purchasing decisions and usage protocols.
* *Action Required:* Familiarize themselves with the classification of PPE they use and adhere to relevant guidelines.
* **Patients:**
* *Impact:* Indirectly benefits from the standardized classification of PPE, as it contributes to safer medical procedures and reduced risk of infection.
* *Action Required:* No direct action required.
* **Central Drugs Standard Control Organisation (CDSCO):**
* *Impact:* This classification aids in the regulation and oversight of medical devices, ensuring quality and safety standards are met.
* *Action Required:* Enforce the classification guidelines and monitor compliance in the market.
Key Entities Referenced
Drugs Controller General India: A key regulatory authority in India responsible for drug regulation and control, as indicated by its mention at the beginning of the document.
Central Drugs Standard Control Organisation: The national regulatory body for pharmaceuticals and medical devices in India, under the Directorate General of Health Services.
New Delhi: The location of the FDA Bhawan and the Central Drugs Standard Control Organisation (CDSCO).
Medical Device: A general term for instruments, apparatus, implements, machines, appliances, implants, in vitro reagents or calibrators, software or similar or related article, which is used to diagnose, prevent, monitor, treat or alleviate disease.
Personal Protective Equipment: Equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses.
Radiation protection apron: A personal protection device used in medical and dental settings to shield patients and personnel from radiation exposure.
Surgical gown Sterile: A sterile garment made of natural andor synthetic materials intended for surgical procedures to help protect both the patient and operating room personnel from the transfer of microorganisms, body fluids, and particulate material
Isolation Gown NonSterile: A nonsterile garment made of natural andor synthetic materials intended to be worn by healthcare providers or visitors to isolate themselves from patients to protect the themselves from a contagious agent which has infected the patient
Appendix-A
File No. 29/Misc./03/2020-DC (186)
Drugs Controller General (India)
Directorate General of Health Services
Central Drugs Standard Control Organisation
FDA Bhawan, Kotla Road, New Delhi
Notice
Classification of Medical Devices Pertaining to Personal Protective
Equipment
S. Medical Device Risk
Intended Use
No. Name Class
Garment,
Intended to protect an incontinent patient's garment from the
1 Protective for A
patient's excreta.
Incontinence
Intended for surface disinfection of medical devices, non
Biosanitizer for
2 porous hard-surfaces, medical-equipment, units, as well as B
Medical devices
in-depth cleaning of small surfaces.
Intended to protect the wearer's entire face (or part of it)
from hazards such as chemical splashes (in laboratories or
3 Face shield A
in industry), or potentially infectious materials (in medical and
laboratory environments).
Natural rubber based glove intended to protect the patient
Latex surgical
4 and wearer from cross infection when used in medical or B
glove
dental surgery.
Synthetic material glove intended to protect the patient and
Non-latex
5 wearer from cross infection when used in medical or dental B
surgical glove
surgery.
A personal protection device that completely protects the
Radiation hands of the operator and other personnel from unnecessary
6 A
protection gloves exposure to primary radiation and scattered radiation
associated with diagnosis and therapeutic measures.
A flat pad with straps or partial gloves that protect part of
Partial hand
hands and fingers from unnecessary exposure to primary
7 radiation A
radiation and scattered radiation associated with diagnosis
protector
and therapeutic measures.
A standard length or half-length apron to protect the patient,
Radiation the operator, and other personnel from radiation exposure
8 A
protection apron during a medical or dental procedure. Some have a fixed or
removable collar to protect the neck and thyroid.
A personal protection device that protects the hands of the
operator and other personnel from unnecessary exposure to
Radiation primary radiation and scattered radiation associated with
9 A
protection mitten diagnosis and therapeutic measures. The mittens are also
called mitts, and protect the thumb and other fingers
individually or together.
Page 1 of 4A personal protection device that protects the eyes of the
Radiation
operator and other personnel from unnecessary exposure to
10 protection A
primary radiation and scattered radiation associated with
goggles
medical/dental procedures for diagnosis and treatment.
A transparent or opaque personal protection device that
protects the face and eyes of medical personnel and other
Radiation face
11 personnel from unnecessary exposure to primary radiation A
protector
and scattered radiation associated with diagnosis and
treatment.
A personal protection device that protects the eyes of the
Operator operator and other personnel from unnecessary exposure to
radiation primary radiation and scattered radiation associated with
12 A
protection diagnosis and treatment.The device comes in non-correction
spectacles (non-prescription) glasses and visual acuity correction
(prescription) glasses.
A personal protection device that attenuates unnecessary
Gonadal
radiation exposure in diagnostic, medical or dental
13 radiation A
procedures, and shields the gonad of the patient and the
protector
operator.
A personal protection device that protects specific body parts
Radiation
of the patient, operator, and other personnel from
14 protection A
unnecessary radiation exposure in medical/dental
blanket
procedures for diagnosis and treatment.
A personal protection device that protects the neck or thyroid
Radiation of the patient, the operator, and other personnel from
15 A
protection collar unnecessary radiation exposure in medical/dental
procedures for diagnosis and treatment.
A personal protection device that protects the head of the
Radiation operator and other personnel from unnecessary exposure to
16 A
protection cap primary radiation and scattered radiation associated with
medical procedures for diagnosis and treatment.
A stand-alone, movable barrier that protects the operator etc.
Mobile radiation
17 from unnecessary exposure to radiation used for medical A
protection barrier
diagnosis, treatment and dental procedures.
Non-latex Gloves made of synthetic materials, and used to protect the
medical patient and users from cross infection during examination,
18 A
examination check-up, treatment and handling of contaminated medical
glove materials except for surgery.
Natural rubber gloves used to protect the patient and users
Latex medical
from cross infection during examination, check-up, treatment
19 examination A
and handling of contaminated medical materials except for
glove
surgery.
chemotherapy Designed to safely clean and dispose of Chemotherapy drug
20 A
spill clean-up kit spills.
Medical/Cadaver Intended for transporting a human corpse without any spread
21 A
Body Bags of biohazard/infectious agent.
Page 2 of 4A sterile garment made of natural and/or synthetic materials
Surgical gown intended for surgical procedures to help protect both the
22 B
(Sterile) patient and operating room personnel from the transfer of
microorganisms, body fluids, and particulate material.
A non-sterile garment made of natural and/or synthetic
materials intended for surgical procedures to help protect
Surgical gown
23 both the patient and operating room personnel from the A
(Non-Sterile)
transfer of microorganisms, body fluids, and particulate
material.
A sterile garment made of natural and/or synthetic materials
intended to be worn by healthcare providers or visitors to
Isolation Gown)
24 B
isolate themselves from patients to protect the themselves
( Sterile)
from a contagious agent which has infected the patient.
A non-sterile garment made of natural and/or synthetic
materials intended to be worn by healthcare providers or
Isolation Gown
25 visitors to isolate themselves from patients to protect the A
(Non-Sterile)
themselves from a contagious agent which has infected the
patient.
A garment made of natural and/or synthetic materials (e.g.,
paper, cloth, plastic) intended to be worn by patients in a
clinical setting (e.g., during hospitalization, during
26 Patient Gown A
examination in a doctor's office). A patient gown is usually
short-sleeved and may be closed by ties at the back/side of
the garment.
A garment made of natural and/or synthetic materials
intended to be worn by healthcare providers, sometimes
Professional over scrub suits, while examining patients. It can be fluid
27 Examination resistant or impervious to fluid. An examination gown is used A
Gown during patient examination procedures to protect both the
patient and staff from the transfer of contaminants such as
microorganisms or body fluids.
PPE kit used to acts as a barrier between infectious
materials such as viral and bacterial contaminants and skin,
Personal mouth, nose, or eyes. It refers to protective clothing,
28 Protective helmets, gloves, face shields, goggles, facemasks and/or B
Equipment respirators or other equipment designed to protect the
wearer from injury or the spread of infection or illness.
Intended to protect healthcare workers from contaminants &
29 Surgical Helmet A
debris on head.
Intended to protect face of patient & the operating room
30 Surgical Cap personnel from the transfer of micro-organisms, body fluids A
& particulate material.
Intended to be worn by operating room personnel during
Operating Room surgical procedures to protect foot of both the surgical
31 A
Shoes Cover patient & the operating room personnel from transfer of
micro-organisms, body fluids, and particulate material.
Page 3 of 4A surgical drape & drape accessories is a device made of
Surgical Drape &
natural or synthetic materials intended to be used as a
32 Drape B
protective patient covering to isolate a site of surgical
Accessories
incision from microbial & other contamination.
Page 4 of 4