Home India Ministry of Health and Family Welfare Updation of classification in IVD medical devices under the ...
Date: 2023-10-25 Category: Not Applicable State: Union Government Country: India

Updation of classification in IVD medical devices under the provision of MD Rules 2017

Issued by Ministry of Health and Family Welfare · Central Drugs Standard Control Organization

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Executive Summary & Key Takeaways

Gazette Notification Overview

  • This gazette notification provides an updated list of In-Vitro Diagnostic Medical Devices (IVD Analyzers, Instruments, Software and Specimen Receptacle) regulated under the Medical Devices Rules, 2017.
  • The notification specifies the category, name, risk class, and intended use for each listed IVD device.
  • The list is issued by the Drugs Controller General (India), Central Drugs Standard Control Organisation.

Key Changes

  • The notification updates Annexure A, which lists IVD Analyzers, specifying their category, name, risk class (A, B, C, or D), and intended use. Examples include Alcohol body-fluid analyser (Class A and C), Amino acid analyser (Class A), Bilirubinometry analyser (Class A and C) and many others.
  • Annexure B is updated with a list of IVD Instruments, including Blood smear cassette (Class A), Blood smear instrument (Class A), Blood tube mixer (Class A), Blood component separator (Class A), and other instruments used in diagnostic procedures.
  • Annexure C details IVD Software, categorizing them by risk class and intended use, such as Cancer cell marker/morphology image-analysis software (Class C), Cancer risk assessment interpretive software (Class C), Cardiovascular risk/probability assessment interpretive software (Class C), Human genomic analysis interpretive software (Class C), Laboratory instrument/analyser application software (Class A) and Microbial identification interpretive software (Class A).
  • Annexure D is added and lists IVD Specimen Receptacles, including Blood Collection Tube with/without coating (Class A), Sample containers (Class A), Arterial Blood Gas (ABG) Sampler (Class A), Microcuvette (Class A) and Other Specimen Receptacles (Class A).
  • Annexure E is added and lists additional In-Vitro Diagnostic Medical Devices, including COVID-19 IVD tests (Rapid/ELISA/CLIA, RT-PCR/LAMP, Antigen Test, Antigen Home test) all classified as Class C, RNA and DNA extraction kits (Class C), Viral Transport Medium (VTM) (Class A) and Reagents/kits for detection markers for congenital disorders such as Sickle Cell IVD (Class C).

Impact Analysis

Manufacturers of IVD Devices

  • Action Items: Review the updated list, classify their products accordingly, and update their regulatory filings and quality control processes.

Healthcare Providers and Diagnostic Labs

  • Action Items: Update procurement processes to align with the risk classifications, ensure staff are trained on the appropriate use of each device, and implement quality control procedures as per the device's risk class.

Patients

  • Action Items: No direct action required, but patients can be informed about the regulatory oversight of IVD devices for increased confidence in diagnostic results.

Regulatory Bodies

  • Action Items: Utilize the updated list for inspections, market surveillance, and enforcement actions to ensure compliance and patient safety.

Key Entities Referenced

In-Vitro Diagnostic Medical Devices (IVD): Medical devices used for examining specimens derived from the human body for diagnostic purposes. Drugs Controller General (India): The issuing authority for this notification, responsible for regulating drugs and medical devices in India. Central Drugs Standard Control Organisation (CDSCO): The national regulatory body for pharmaceuticals and medical devices in India. Medical Devices Rules, 2017: The regulatory framework governing the manufacture, import, sale, and distribution of medical devices in India.
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Annexure A (Updated) File No. IVD/Misc/196/2020 Drugs Controller General (India) Directorate General of Health Services Central Drugs Standard Control Organisation FDA Bhawan, Kotla Road, New Delhi List of In-Vitro Diagnostic Medical Devices (IVD Analyzers) under provisions of sub-rule (2) rule 4 of the Medical Devices Rules, 2017 Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 1 Clinical Alcohol body- A An analyzer (other than near-patient testing) chemistry fluid analyser intended to determine the concentration of alcohol in a body-fluid specimen. It is intended for in-vitro diagnostic use. C An analyzer intended to be used for near- patient testing to determine the concentration of alcohol in a body-fluid specimen. It is intended for in-vitro diagnostic use. 2 Amino acid A An analyzer intended to be used for the analyser qualitative and/or quantitative in vitro determination of individual amino acids in a protein sample obtained from a clinical specimen. It is intended for in-vitro diagnostic use. 3 Bilirubinometry A A device (other than near-patient testing) analyser that measures directly or indirectly the bilirubin concentration in blood or other samples. It is intended for in-vitro diagnostic use. C A device intended to be used for near- patient testing that measure directly or indirectly the bilirubin concentration in blood or other samples. It is intended for in-vitro diagnostic use. 4 Catecholamine A A device that measures catecholamine s analyser concentration in biological samples. It is intended for in-vitro diagnostic use. Page 1 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 5 Clinical Chemilumines A An analyzer intended to be used for the chemistry cent qualitative and/or quantitative in vitro immunoassay determination of chemical and/or biological analyser markers in a clinical specimen. It is intended for in-vitro diagnostic use. 6 Chloride A An analyzer intended to be used for the coulometric quantitative measurement of chloride in a titration clinical specimen using a coulometric analyser titration. It is intended for in-vitro diagnostic use. 7 Cholesterol A A device that measures the cholesterol in analyser serum/whole blood. It is intended for in-vitro diagnostic use. 8 Clinical A An analyzer intended to be used for the chemistry qualitative and/or quantitative determination analyser of one or multiple clinical chemistry analytes in a clinical specimen. It is intended for in- vitro diagnostic use. 9 Creatinine A A device that measures creatinine analyser concentration in urine or serum sample. It is intended for in-vitro diagnostic use. 10 Enzyme A A device that measures the enzymatic analyser activity of the sample for diagnosis. It is intended for in-vitro diagnostic use. 11 Glycated A An analyzer intended to be used for the haemoglobin quantitative measurement of glycated (HbA1C) haemoglobin (HbA1c) in a clinical analyser specimen. It is intended for in-vitro diagnostic use. 12 High A An analyzer designed to use high performance performance liquid chromatography (HPLC) liquid for the qualitative and/or quantitative in vitro chromatograph determination of chemical and/or biological y analyser markers in a clinical specimen. It is intended for in-vitro diagnostic use. 13 Identification A A device that identifies infectious/ and Antibiotic pathogenic microorganisms by photometry susceptibility such as absorption, fluorescence and analyser luminescence, and measures the susceptibility to therapeutic drugs. It is i ntended for in-vitro diagnostic use. Page 2 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 14 Clinical Ion-selective A An analyzer intended to be used for the chemistry analyser quantitative measurement of electrolytes and/or other ions in a clinical specimen. It is intended for in-vitro diagnostic use. 15 Lactate A An analyzer used to determine the analyser concentration of lactate in various body fluids using the lactate oxidase fixation electrode. It is intended for in-vitro diagnostic use. 16 Lipid profile A An analyzer intended to be used for the analyser qualitative and/or quantitative in vitro determination of lipid profile analytes in a clinical specimen. It is intended for in-vitro diagnostic use. 17 Nitrogen body- A An analyzer used to analyse the nitrogen fluid-sample (N2) content in a body fluid. It is intended for analyser in-vitro diagnostic use. 18 Protein A A device used to measure concentration analyser and to identify specific proteins present in a clinical specimen. It is intended for in-vitro diagnostic use. 19 Radioimmunoa A An analyzer intended to be used for the ssay analyser qualitative and/or quantitative in vitro determination of chemical and/or biological markers in a clinical specimen using an immunological method which utilizes a radiometric detection system to detect the presence of immune complexes labelled using a radioisotope. It is intended for in- vitro diagnostic use. 20 Urine analyser A An analyzer (other than near-patient testing) intended to be used for the qualitative and/or quantitative in vitro determination of various chemical and cellular constituents of a clinical urine specimen. It is intended for in-vitro diagnostic use. C An analyzer intended to be used for near- patient testing for the qualitative and/or quantitative in vitro determination of various chemical and cellular constituents of a clinical urine specimen. It is intended for in- vitro diagnostic use. 21 Clinical Biochemistry A An analyzer intended for measuring and chemistry Analyzer analyzing various biologic and chemical elements of human body fluid. It is intended for in-vitro diagnostic use. Page 3 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 22 Breath-alcohol A A device intended to measure alcohol in the test system human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication. 23 Nitric oxide B A device intended to measure fractional breath nitric oxide in human breath. Measurement analyzer of changes in fractional nitric oxide concentration in expired breath aids in evaluating an asthma patient's response to anti-inflammatory therapy, as an adjunct to establish clinical and laboratory assessments of asthma. It is intended for in- vitro diagnostic use. 24 Osmolality test A A device intended to measure ionic and system non-ionic solute concentration in body fluids, such as serum and urine. Osmolality measurement is used as an adjunct to other tests in the evaluation of a variety of diseases, including kidney diseases (e.g., chronic progressive renal failure), diabetes insipidus, other endocrine and metabolic disorders, and fluid imbalances. It is intended for in-vitro diagnostic use. 25 Osmometer A A device intended to measure the osmotic pressure of body fluids. Measurements obtained by this device are used in the diagnosis and treatment of body fluid disorders. It is intended for in-vitro diagnostic use. 26 Plasma A A device intended to measure plasma oncometer oncotic pressure, which is that portion of the total plasma osmotic pressure contributed by protein and other molecules too large to pass through a specified semipermeable membrane. Because variations in plasma oncotic pressure are indications of certain disorders, measurements of the variations are useful in the diagnosis and treatment of these disorders. It is intended for in-vitro diagnostic use. Page 4 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 27 Refractometer A A device intended to determine the amount of solute in a solution by measuring the index of refraction (the ratio of the velocity of light in a vacuum to the velocity of light in the solution). The index of refraction is used to measure the concentration of certain analytes (solutes), such a plasma total proteins and urinary total solids. Measurements obtained by this device are used in the in-vitro diagnosis and treatment of certain conditions. 28 Urea Breath A An analyzer intended for the use in the Analyzer detection of urease (using breath sample) associated with H. pylori in the human stomach and is indicated as an aid in the initial diagnosis of H. pylori infection. It is intended for in-vitro diagnostic use. 29 Viscosimetric A A device that measures the resistance of analyser fluid against the flow by intermolecular force. It is also used for the analysis of whole blood, serum or plasma. It is intended for in-vitro diagnostic use. 30 Other Other Clinical A Clinical chemistry chemistry analyser a nalyser (other than near patient testing) 31 Other Clinical C chemistry analyser (intended to be used near patient testing) 32 H ematology ABO/Rh(D) A A lab based analyzer (other than near- blood grouping patient testing) intended to be used to analyser perform blood group testing to determine the ABO and Rh(D) status of clinical specimens. It is intended for in-vitro diagnostic use. D An analyzer (for near-patient testing) intended to be used to perform blood group testing to determine the ABO and Rh(D) status of clinical specimens. It is intended for in-vitro diagnostic use. Page 5 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 33 Blood cell A A device that quantifies the formed count analyser elements in the blood (i.e., erythrocytes, leukocytes, and platelets) by electro impedance, optical scattering or dye binding. It is intended for in-vitro diagnostic use. 34 Blood A An analyzer (other than near-patient coagulation testing) intended to be used for the analyser qualitative and/or quantitative in vitro determination of one or multiple coagulation components involved in haemostasis in a clinical specimen. It is intended for in-vitro diagnostic use. C An analyzer intended to be used for near- patient testing for the qualitative and/or quantitative in vitro determination of one or multiple coagulation components involved in haemostasis in a clinical specimen. It is intended for in-vitro diagnostic use. 35 Blood A An analyzer intended to be used to perform group/antibody pre-transfusion blood group testing, red cell screening antibody screening/identification and/or red analyser cell phenotyping of clinical specimens or donor specimens in order to determine suitability for transfusion or transplantation. It is intended for in-vitro diagnostic use. 36 Co-oximetry B An analyzer intended to be used for the analyser quantitative in vitro measurement of oxygen saturation, haemoglobin derivatives and other calculated haemoximetry parameters in a whole blood specimen. It is intended for in-vitro diagnostic use. 37 Erthrocyte A An analyzer intended to be used to sedimentation determine the erythrocyte sedimentation rate (ESR) rate (ESR) of red blood cells in an analyser anticoagulated whole blood specimen. It is intended for in-vitro diagnostic use. 38 Flow cytometry A An analyzer intended to be used to count, analyser examine and/or sort cells or microscopic particles in a clinical specimen. It is intended for in-vitro diagnostic use. 39 Heparin A A device that measures heparin analyser concentration in blood samples. It is intended for in-vitro diagnostic use. Page 6 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 40 Osmotic A An analyzer intended to be used for the fragility determination of the osmotic fragility of red analyser blood cells in a whole blood specimen. It is intended for in-vitro diagnostic use. 41 Reticulocyte A An analyzer intended to be used for the analyser qualitative and/or quantitative in vitro determination of reticulocytes, or immature red blood cells in a clinical specimen. It is intended for in-vitro diagnostic use. 42 Blood gas A An analyzer (other than near-patient testing) analyser intended to be used for the quantitative in vitro measurement of blood pH, partial pressure of oxygen (pO2) and/or partial pressure of carbon dioxide (pCO2), and the calculation of other blood gas parameters in a clinical specimen. It is intended for in-vitro diagnostic use. C An analyzer intended to be used for near- patient testing for the quantitative in vitro measurement of blood pH, partial pressure of oxygen (pO2) and/or partial pressure of carbon dioxide (pCO2), and the calculation of other blood gas parameters in a clinical specimen. It is intended for in-vitro diagnostic use. 43 Haemoglobin A An analyzer intended to be used to analyser determine the concentration of haemoglobin in a clinical specimen. It is intended for in- vitro diagnostic use. 44 Hematology A An analyzer intended to analyze in-vitro Analyzer samples of whole blood to provide complete blood count, leucocyte differential count, classify and/or enumerate various parameters using the impedance and spectrophotometry techniques. It is intended for in-vitro diagnostic use. 45 Thromboelastr A An analyzer intended to provide a ogram (TEG) quantitative and/or qualitative indication of Hemostasis the hemostasis state of a blood sample by Analyzer monitoring, measuring, analyzing and reporting hemostasis parameter information, in order to assist in the assessment of patient clinical hemostasis conditions. It is intended for in-vitro diagnostic use. Page 7 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 46 Platelet A An analyzer intended to be used for the aggregation qualitative and/or quantitative in vitro analyser examination of platelet function in a clinical specimen, by inducing platelet aggregation through the addition of platelet aggregating agents. It is intended for in-vitro diagnostic use. 47 Other Other A hematology hematology a nalyser analyser (other than near p atient testing) 48 Other C hematology analyser (intended to be used near p atient testing) 49 Immunology Densitometry A An analyzer intended to be used for the analyser qualitative and/or quantitative in vitro determination of the staining pattern intensity on film, acetate or other composite medium to separate and/or visualize the individual components of a clinical specimen. It is intended for in-vitro diagnostic use. 50 Enzyme A An analyzer intended to be used for the immunoassay qualitative and/or quantitative in vitro (EIA) analyser determination of chemical and/or biological markers, in a clinical specimen, using an immunological method. It is intended for in- vitro diagnostic use. 51 Fluorescent A An analyzer intended to be used for the immunoassay qualitative and/or quantitative in vitro analyser determination of chemical and/or biological markers in a clinical specimen. It is intended for in-vitro diagnostic use. Page 8 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 52 Immunology A An analyzer used to identify and detect the analyzer concentration of specific substances in a sample, using immunoassay methodologies. It is intended for in-vitro diagnostic use. 53 Immunofluores A A device used to measures the volume of cent analyser antigen/antibody present in the components of body fluids. It is intended for in-vitro diagnostic use. 54 Microarray A An analyzer intended to be used for the in analyser vitro determination of multiple target analytes in a single clinical specimen using oligonucleotide capture molecules arranged in a consistent pattern on a slide, chip or membrane. It is intended for in-vitro diagnostic use. 55 I mmunology Particle- A A device for immunological measurement counting by counting latex aggregates based on the immunoassay light scattering. It is intended for in-vitro analyser diagnostic use. 56 Photometric A An analyzer, intended to be used to scan an immunoassay immunoassay reagent vehicle after analyser exposure to a clinical specimen, to provide a quantitative, semi-quantitative and/or qualitative in vitro determination of chemical substances and/or biological markers in a clinical specimen, using photometry. It is intended for in-vitro diagnostic use. 57 Microbiology Antimicrobial A An analyzer intended to be used for the in susceptibility vitro determination of an antimicrobial analyser susceptibility profile by monitoring the growth rate of a microbiological organism from a clinical specimen and/or culture isolate when exposed to a range of antimicrobials. It is intended for in-vitro diagnostic use. 58 Blood culture A An analyzer intended to be used for the analyser qualitative and/or quantitative in vitro determination of microorganism growth in a blood culture preparation or other clinical specimen, with or without subsequent identification of the organism. It is intended for in-vitro diagnostic use. Page 9 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 59 Gene analyser A A device that analyzes the sequence information of nucleic acid molecules extracted from biological samples. It is intended for in-vitro diagnostic use. 60 Immunoturbidi A A light scattering analyzer that quantifies the metric analytes in the body fluid by measuring the analyser light scattering intensity from the immune complex generated in the reaction between analyte and antibody. It is intended for in- vitro diagnostic use. 61 Microbiology Microorganism A An analyzer intended to be used for the identification identification of bacteria and/or yeast analyser isolated from clinical specimens by characterizing their morphology, substrate utilization and/or biochemical reactivity, using growth detection technology. It is intended for in-vitro diagnostic use. 62 Nucleic acid A An analyzer intended to amplify target amplification deoxyribonucleic acid (DNA) or ribonucleic (PCR) acid (RNA) in a clinical specimen. It is analyser intended for in-vitro diagnostic use. 63 Yeast/fungi A An analyzer intended to be used for the identification identification of yeast and/or fungi isolated analyser from clinical specimens by characterizing their morphology, substrate utilization and/or biochemical reactivity, using growth detection technology. . It is intended for in- v itro diagnostic use. 64 Clinical Gas A An analyzer intended to be used for the chemistry / chromatograph qualitative and/or quantitative in vitro Microbiology y analyser determination of chemical and/or biological / Toxicology markers in a clinical specimen. It is intended for in-vitro diagnostic use. 65 Clinical Mass A An analyzer intended to be used for the chemistry / spectrometry qualitative and/or quantitative determination Microbiology/ analyser of the chemical composition of a clinical Hematology specimen by ionizing the specimen and separating the resulting ions according to mass using an electrical and magnetic field. It is intended for in-vitro diagnostic use. Page 10 of 11Sr. Category Name of the Risk Intended use No. In-Vitro Class as Diagnostic per Medical Part II, Devices First (IVD Schedule Analyzers) of MDR 2017 66 Clinical Nephelometry A An analyzer intended to be used for the chemistry / immunoassay qualitative and/or quantitative in vitro Immunology analyser determination of chemical and/or biological markers in a clinical specimen using an immunological method which utilizes a nephelometric detection system. It is intended for in-vitro diagnostic use. 67 Gastroentero Faecal occult A An analyzer intended to be used for the logy and blood qualitative and/or quantitative in vitro Urology immunoassay determination of faecal occult blood, using analyser an immunological method to detect or measure haemoglobin in a clinical stool (faeces) specimen. It is intended for in-vitro diagnostic use. 68 Obstetrical Spermatozoa/s A An analyzer intended to be used for the and emen analyser qualitative and/or quantitative in vitro Gynecologic examination of a semen specimen to al assess volume, spermatozoa concentration, motility and/or morphological characteristics. It is intended for in-vitro diagnostic use. 69 Immunology Automated A A device that acquires, analyzes (results), indirect stores, and displays digital images of immunofluores indirect immunofluorescent slides. It is cence intended to be used as an aid in the microscope determination of antibody status in clinical samples. It is intended for in-vitro diagnostic use. 70 Immunology ELISA Plate A An analyzer intended for in vitro diagnostic Reader use to measure radiant energy emitted, transmitted, absorbed, or reflected under controlled conditions and interpret ELISA test results. It is intended for in-vitro diagnostic use. 71 Microbiology Microscope A A device intended to enlarge images of specimens, preparations and/or cultures (to gain its physiological or morphological information) for in-vitro diagnostic use. 72 Toxicology Lead test A A device intended to measure lead, a heavy analyser metal, in blood and urine. Measurements obtained by this device are used in the diagnosis and treatment of lead poisoning. . It is intended for in-vitro diagnostic use. Page 11 of 11Annexure B (Updated) File No. IVD/Misc/196/2020 Drugs Controller General (India) Directorate General of Health Services Central Drugs Standard Control Organisation FDA Bhawan, Kotla Road, New Delhi List of In-Vitro Diagnostic Medical Devices (IVD Instruments) under provisions of sub-rule (2) rule 4 of the Medical Devices Rules, 2017 Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 1 Blood smear cassette A A device designed to be inserted into an automated microscope slide processing instrument to create a blood smear on a microscope examination slide for subsequent staining and/or microscopic analysis. It is intended to be used for an in vitro diagnostic procedure. 2 Blood smear A A manual laboratory instrument instrument intended to be used to create a blood smear on a microscope examination slide for subsequent staining and/or microscopic analysis. It is intended to be used for an in vitro diagnostic procedure. 3 Blood tube mixer A An instrument intended to be used for the mixing of blood or other biological fluids contained in blood tubes or other similar specimen receptacles using continuous motion or agitation. It is intended to be used for an in vitro diagnostic procedure. 4 Blood component A A device designed for the separation separator of whole blood or previously centrifuged blood into components for further processing or storage. It is typically used for an in vitro diagnostic procedure, and is not donor or patient connected. Page 1 of 6Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 5 Cell washer A An instrument intended to be used to separate red blood cells from whole blood and wash the intact red blood cells, to remove plasma, debris and/or any other extraneous material so they are free from interfering substances. It is intended to be used for an in vitro diagnostic procedure. 6 Colony counter A A device designed to count bacterial coloniesin a culture. It is intended to be used for an in vitro diagnostic procedure. 7 Inoculating loop A A device intended to be used to transfer and spread inoculum from a clinical specimen and/or culture isolate into a culture medium for subsequent in vitro diagnostic processing and/or testing. 8 Magnetic particle A An instrument intended to be used for separation instrument the automated pre-analytical extraction of specific molecules from a clinical specimen using magnetic particle separation techniques. It is intended to be used for an in vitro diagnostic procedure. 9 Microbial A A device intended to provide ideal incubator/imaging conditions for microbial growth with an system incubator, and to capture digital images of the specimens contained within the incubator at specified time intervals. It is intended to be used for an in vitro diagnostic procedure. 10 Microplate seal roller A A manually-operated device intended to firmly apply a seal to a microplate. It is intended to be used for an in vitro diagnostic procedure. Page 2 of 6Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 11 Microplate washer A An instrument intended to be used for washing microplates. It is intended to be used for an in vitro diagnostic procedure. 12 Microscope slide A An instrument intended to be used to coverslipper apply a coverslip over a microscope examination slide to protect the fixed/stained specimen from mechanical forces or environmental exposure prior to microscopic examination and/or long-term storage of the slide. It is intended to be used for an in vitro diagnostic procedure. 13 Microscope slide A An instrument intended to be used for hybridization/ the incubation of microscope slides for denaturation the denaturation and/or hybridization incubator of a clinical specimen as part of an in situ hybridization (ISH) and/or fluorescence in situ hybridisation (FISH) protocol. It is intended to be used for an in vitro diagnostic procedure. 14 Microscope slide A An instrument intended to be used to maker/stainer prepare, transfer or fix blood, tissue or other clinical specimens onto microscope examination slides, and then stain the slides using one or more biological or cytochemical staining solutions in preparation for subsequent microscopic analysis. It is intended to be used for an in vitro diagnostic procedure. 15 Microscope slide A An instrument intended to be used for washer washing microscope slides by applying a flow of washing solution as part of the processing steps required to perform an in vitro diagnostic assay. It is intended to be used for an in vitro diagnostic procedure. Page 3 of 6Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 16 Nucleic acid sample A An instrument intended to be used for preparation instrument the pre-analytical preparation of samples for downstream nucleic acid analysis. It is intended to be used for an in vitro diagnostic procedure. 17 Slide-mounted-tissue A An assembly of devices designed to dissection system be used for dissection of microscope- slide-mounted tissue specimens under digital image guidance, allowing the user to digitally preselect the target dissection area with high precision. Excised tissues are suctioned into a sample tube for subsequent histopathology analysis. It is intended to be used for an in vitro diagnostic procedure. 18 Specimen processing A An instrument or platform intended to instrument be used for the automated pre- analytical preparation of a clinical specimen (excluding specimens for microbial culture), which may include the sampling, diluting, and/or aliquoting of clinical specimens and/or any post-analytical processing required, including labelling, storage and/or location data. It is intended to be used for an in vitro diagnostic procedure. 19 Cell-freezing A A device used to freeze human red apparatus blood cells. It is intended to be used for an in vitro diagnostic procedure. 20 Centrifuge A An instrument intended to separate, sediment, spin down aqueous solutions and solvent suspensions of differing densities in compatible sample containers. It is intended to be used for an in vitro diagnostic procedure. Page 4 of 6Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 21 Cold plate A A device intended for chilling and blocking out of histological tissue samples in paraffin blocks. It is intended to be used for an in vitro diagnostic procedure. 22 Electrophoresis A An instrument intended to separate apparatus molecules or particles, including plasma proteins, lipoproteins, enzymes, and hemoglobulins on the basis of their net charge in specified buffered media. This device is used in conjunction with certain materials to measure a variety of analytes as an aid in the diagnosis and treatment of certain disorders. It is intended to be used for an in vitro diagnostic procedure. 23 Hot plate A A device designed with heating plate with high heat output and precise temperature control, suitable for flattening and drying cut histological tissue specimens in molten paraffin. It is intended to be used for an in vitro diagnostic procedure. 24 Microscope glass A A device intended for mounting slide Formalin Fixed Paraffin Embedded (FFPE) tissue sections/ specimens, suitable for cellular and tissue specimen preparation for microscopic analysis intended to be used for an in vitro diagnostic procedure. 25 Paraffin Dispenser A Paraffin or Wax dispenser is an instrument that melts the solid paraffin, maintains it in its molten form and dispenses it as and when required. The dispenser is separately heated to maintain the same temperature as the paraffin reservoir. It is used in Histopathology, Forensic Medicine and Anatomy Lab, where wax embedded moulds or blocks are prepared for in vitro diagnostic procedure. Page 5 of 6Sr. Name of the Risk Class Intended use No. In-Vitro Diagnostic as per Medical Devices Part II, First (IVD Instruments) Schedule of MDR 2017 26 Paraffin flotation bath A A device designed for use as a heated, distilled water floating out bath for the manipulation and location of paraffin wax sections onto glass slides, it is used for in vitro diagnostic procedure. 27 Pipette/ Micropipette A An instrument designed and constructed for accurate and precise liquid handling, specifically intended by the manufacturer to be used for in vitro diagnostic examinations/procedures. It is intended to dispense liquid (sample/specimen/buffer solutions) in appropriate volume range in combination with matching pipette tips. 28 Tissue embedding A An instrument meant for embedding system histological tissue specimens in molten paraffin for use in pathology laboratories. It is intended to be used for an in vitro diagnostic procedure. 29 Any other instrument A intended for diagnostic purpose Page 6 of 6Annexure C File No. IVD/Misc/196/2020 Drugs Controller General (India) Directorate General of Health Services Central Drugs Standard Control Organisation FDA Bhawan, Kotla Road, New Delhi List of In-Vitro Diagnostic Medical Devices (IVD Software) under provisions of sub-rule (2) rule 4 of the Medical Devices Rules, 2017 Sr. Name of the Risk Intended use No. In-Vitro Diagnostic Class as Medical Devices per (IVD Software) Part II, First Schedule of MDR 2017 1 Cancer cell C A software program with specific image analysis marker/morphology algorithms intended to be used in a digital pathology image-analysis laboratory to assist in the analysis of software immunohistochemically- or histologically-stained clinical specimens for the quantitative detection of cell markers or changes in tissue architecture and/or cell morphological/physiological characteristics associated with any type of cancer, performed during in vitro diagnostic (IVD) testing. 2 Cancer risk C An interpretive software program intended to be used assessment in the assessment of risk for developing cancer, by interpretive software using IVD results of the qualitative and/or quantitative detection of one or multiple cancer-specific biomarkers in a clinical specimen. 3 Cardiovascular C An interpretive software program intended to be used risk/probability in the assessment of risk/probability for having a assessment cardiovascular condition or event, by using results of interpretive software the qualitative/quantitative clinical specimen in vitro diagnostic (IVD) tests. 4 Congenital C An interpretive software program intended to be used defect/syndrome risk in the assessment of risk for the presence of a assessment congenital medical defect and/or condition of a foetus. interpretive software in vitro diagnostic (IVD) results of various maternal/foetal biochemical, hormonal and/or ultrasound markers. Page 1 of 2Sr. Name of the Risk Intended use No. In-Vitro Diagnostic Class as Medical Devices per (IVD Software) Part II, First Schedule of MDR 2017 5 Human genomic C An interpretive software program intended to be used analysis interpretive for the analysis and visualization of human genome software data from in vitro diagnostic (IVD) results obtained through molecular genetic testing. It provides predictive and/or diagnostic information used in the assessment of adverse health condition risk, disease prevention, and/or health management. 6 Laboratory A A software program intended to be used with an in vitro instrument/analyser diagnostic instrument/analyser or a data management application software device connected to the IVD instrument/analyser, to facilitate user-controlled device function. 7 Microbial A An application software program intended to be used identification to identify microbial species (bacterial, fungal) using interpretive software results from microbial cultures and laboratory biochemical tests. Results from an in vitro diagnostic medical device (IVD) are input and the name(s), and reliability of possible microbial species returned. It is intended for use in a microbiology laboratory. 8 Osteoporosis risk A An interpretive software program intended to be used assessment in the assessment of risk for developing osteoporosis. interpretive software This interpretive software program typically combines patient demographics and the in vitro diagnostic (IVD) results of the qualitative and/or quantitative detection of one or multiple proteins in a tissue sample to establish an individual risk score that may be used to guide patient management. Note:  Software, which drives a device or influences the use of a device, falls automatically in the same class.  Software that is not incorporated in an in vitro diagnostic medical device shall be classified using the classification provisions as specified in paragraph 2 of Part II of First Schedule of Medical Devices Rules, 2017. Page 2 of 2Annexure D (Added) File No. IVD/Misc/196/2020 Drugs Controller General (India) Directorate General of Health Services Central Drugs Standard Control Organisation FDA Bhawan, Kotla Road, New Delhi List of In-Vitro Diagnostic Medical Devices (IVD- Specimen receptacle) under provisions of sub-rule (2) rule 4 of the Medical Devices Rules, 2017 Sr. Name of the Risk Class Intended use No. In-Vitro as per Diagnostic Part II, Medical Devices First (IVD Instruments) Schedule of MDR 2017 1 Blood Collection A A device, whether vacuum type or not, Tube with/without coating (coating such as EDTA, heparin, silicones, blood clot activators, inhibitors, etc.), specifically intended by its manufacturer for the primary containment of predetermined volume of blood derived from human or animal body, for the purpose of in vitro diagnostic examinations. 2 Sample A A device specifically intended by its containers manufacturer for the primary containment of specimens derived from human or animal body, for the purpose of in vitro diagnostic examinations. 3 Arterial Blood A A device (sampler/syringe) for Blood Gas Gas (ABG) Analysis (without needle) which is preheparinized, electrolyte-balanced Sampler intended for the collection of arterial blood samples and to connect with a Blood Gas Analyzer for pH, blood gas, oximetry, electrolyte and metabolite analysis. It is intended for the purpose of in vitro diagnostic examinations. 4 Microcuvette A A device intended for sample collection and to measure appropriate volume of blood (Capillary, venous and arterial whole blood) directly from the skin surface by capillary action. It is intended for the purpose of in vitro diagnostic examinations. Page 1 of 2Sr. Name of the Risk Class Intended use No. In-Vitro as per Diagnostic Part II, Medical Devices First (IVD Instruments) Schedule of MDR 2017 5 Other Specimen A Receptacles (vacuum type or not) without needle used for the collection of Blood, Urine, Stool, Sputum, Semen, etc., for purpose of specimens collection intended for in- vitro diagnostics purpose. Page 2 of 2Annexure E(Added) File No. IVD/Misc/196/2020 Drugs Controller General (India) Directorate General of Health Services Central Drugs Standard Control Organisation FDA Bhawan, Kotla Road, New Delhi List of In-Vitro Diagnostic Medical Devices under provisions of sub-rule (2) rule 4 of the Medical Devices Rules, 2017 Sr. Category Name of the In- Risk class Intended use No. Vitro Diagnostic as per Part Medical Devices –II First Schedule of MDR 2017 1. COVID-19 IVD Rapid/ELISA/CLIA C Used for In-Vitro (Serology based) diagnosis of covid-19 RT-PCR/LAMP C Used for In-Vitro (Molecular Based) diagnosis of covid-19 Antigen Test C Used for In-Vitro diagnosis of covid-19 Antigen Home test C Used for In-Vitro diagnosis of covid-19 2. RNA extraction Ribonucleic acid C Ribonucleic acid kits (RNA) Extraction (RNA) Extraction Kits Kits intended for specimen derived from human or animal body for In- Vitro diagnostics purpose. 3. DNA extraction Deoxyribonucleic C Deoxyribonucleic kits acid (DNA) acid (DNA) Extraction Kits Extraction Kits intended for Page 1 of 2specimen derived from human or animal body for In- Vitro diagnostics purpose. 4. Viral Transport Viral Transport A Viral Transport Medium (VTM) Medium (VTM) Medium (VTM) for specimen derived from Human or animal body intended for In-Vitro Diagnosis. 5 Reagents/kits Sickle Cell IVD C Used for In-Vitro for detection diagnosis of Sickle markers for Cell congenital disorders Page 2 of 2

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