ArmeniaBrazil ANVISA ยท EU conformity assessment ยท US FDA ยท Health Canada ยท Singapore HSA ยท UK MHRA ยท South Korea MFDS ยท Japan MHLW / PMDA ยท NMPA ยท Australia TGA ยท Tรผrkiye conformity assessment Prior approval / evidence record
Import of an unregistered device requires proof of authorisation in the country of manufacture or in an IMDRF member country
reliance.origin-country-or-imdrf-authorisation-evidence-for-unregistered-import
Fact-level verifiedโ- Statement
A device that has no Armenian state registration can still be imported, but the import (conformity) certificate file must contain a document confirming that the device is authorised for use โ state registration or free circulation โ in its country of manufacture or in an IMDRF member country, or a reasoned reference to such a document, including a Declaration of Conformity with references to the relevant registers. This is the origin-country free-sale certificate requirement: a Turkish, Korean, Chinese or European exporter must produce its home-country registration/free-sale evidence (or an IMDRF-country equivalent) even though the device is not registered in Armenia. The document is mandatory paperwork; the Armenian expert organisation still examines the file and the Ministry of Health still decides.
- Source Approval
Registration / free circulation in the country of manufacture, or in any IMDRF member country โ US FDA, EU member states (CE), Japan PMDA, Korea MFDS, China NMPA, Canada, Australia, Brazil, Singapore, UK โ evidenced by a registration certificate, free-sale certificate or a Declaration of Conformity with register references
- Edge Type
Origin Country Evidence
- Market Access Strength
Evidence Only
- Regulatory Layer
Import Control
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The obligation attaches to the import (conformity) certificate for devices without Armenian state registration; for devices that do have Armenian state registration the equivalent item is a copy of the Armenian registration certificate, and the origin-country evidence is not required.
- One of the ten statutory grounds for refusing the import certificate is that the imported device has no Armenian state registration, except in the cases the Law allows (Article 47.2(7)(8)). The origin/IMDRF evidence does not cure that ground where registration was required; it is the supporting document for the unregistered-device import cases the Law permits.
- The file also requires, for every batch, a quality conformity certificate or equivalent, and the instructions for use or a reference to their electronic version (Annex 2, para. 2(2)(b), (c)).
- The document list was extended by Government Decree No. 1731-ี of 12.10.2023 and No. 1619-ี of 17.10.2024.
Language: Armenian. Verbatim, Government Decree No. 429-ี of 30.03.2023, Annex No. 2, para. 2(2)(a): "ีบีฅีฟีกีฏีกีถ ีฃึีกีถึีธึีด ีนีธึีถีฅึีธีฒ ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีซ ีฐีกีดีกึี ีก. ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีซ ีกึีฟีกีคึีธีฒ ีฅึีฏึีธึีด ีฏีกีด ิฒีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีซ ีฏีกึีฃีกีพีธึีธีฒ ีดีกึีดีซีถีถีฅึีซ ีดีซีปีกีฆีฃีกีตีซีถ ีฐีกีดีกีชีธีฒีธีพีซ (IMDRF) ีกีถีคีกีด ีฅึีฏึีถีฅึีธึีด ีฏีซึีกีผีดีกีถ ีฉีธึีตีฌีฟีพีธึีฉีตีธึีถีจ (ีบีฅีฟีกีฏีกีถ ีฃึีกีถึีธึีดีจ, ีกีฆีกีฟ ีฏีซึีกีผีธึีดีจ) ีฐีกีพีกีฝีฟีธีฒ ึีกีฝีฟีกีฉีธึีฒีฉ ีฏีกีด ีคึีก ีพีฅึีกีขีฅึีตีกีฌ ึีกีฝีฟีกึีฏีพีกีฎ ีฟีฅีฒีฅีฏีกีถึ, ีกีตีค ีฉีพีธึีดี ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีซ ีฐีกีดีกีบีกีฟีกีฝีญีกีถีธึีฉีตีกีถ ีฐีกีตีฟีกึีกึีกีฃีซึ (Declaration of Conformity) ีฐีกีดีกีบีกีฟีกีฝีญีกีถ ีฃึีกีถึีกีดีกีฟีตีกีถีถีฅึีซ ีฐีฒีธึีดีธีพ". Translation: "for medical devices without state registration: a. a document confirming authorisation for use (state registration, free circulation) in the country of manufacture of the medical device or in member countries of the International Medical Device Regulators Forum (IMDRF), or a reasoned reference thereto, including a Declaration of Conformity for the medical device with reference to the relevant registers".
ArmeniaBrazil ANVISA ยท EU conformity assessment ยท US FDA ยท Health Canada ยท Singapore HSA ยท UK MHRA ยท South Korea MFDS ยท Japan MHLW / PMDA ยท NMPA ยท Australia TGA ยท IMDRF member authorities ยท WHO Prior approval / evidence record
Simplified national registration for a device registered in an IMDRF member country or prequalified by WHO
reliance.imdrf-member-or-who-prequalified-simplified-registration
Fact-level verifiedโ- Statement
Armenia registers medical devices under two national procedures: a general procedure and a simplified procedure. The simplified procedure applies to a device that is registered in a country that is a member of the International Medical Device Regulators Forum (IMDRF) or that is prequalified by the World Health Organization. IMDRF members include the United States (FDA), the EU member states (CE marking), Japan (PMDA), Korea (MFDS), China (NMPA), Canada, Australia, Brazil, Singapore and the United Kingdom, so a US FDA 510(k)/PMA clearance, an EU CE mark, a Japan PMDA approval and a Korea MFDS approval all satisfy the gate. The device is still registered in Armenia by the Armenian authority โ the foreign registration opens the shortened procedure, it does not replace the Armenian certificate.
- Source Approval
Registration in any IMDRF member country โ US FDA 510(k)/PMA, EU CE marking under MDR/IVDR (any EU member state), Japan PMDA, Korea MFDS, China NMPA, Health Canada, Australia TGA, Brazil ANVISA, Singapore HSA, UK MHRA โ or WHO prequalification of the device
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The provision is written as an annex to part 3 of the same article: 'under the procedure laid down by part 3 of this article' devices are registered under the general and simplified procedures. Part 3 is itself the Armenia-only route, and a footnote to Article 46 states that part 3 operates only until the end of the transitional period set by Article 11 of the EAEU Agreement of 23 December 2014 (footnote inserted by Article 3(2) of the Law of 5 December 2024 ีี-502-ี). The transitional period was extended by the Protocol signed in Moscow on 29 December 2025, which replaced '2025' with '2027' in the first paragraph of Article 11 of that Agreement and '2026' with '2028' in the third and fourth paragraphs.
- Bounded claim: the Law names IMDRF membership and WHO prequalification as the gate for the simplified procedure. It does not name the FDA, the CE mark, the PMDA or the MFDS; those follow from their countries' IMDRF membership, not from the text.
- The operational content of the 'simplified procedure' (dossier list, clocks, certificate form) sits in the Government procedure that Article 46(3) contemplates; that instrument was not located in this session (see unresolved: registration-pathways).
- Devices are registered by the Ministry of Health (the ีฌีซีกีฆีธึ ีดีกึีดีซีถ / authorised body) with the examination carried out by the expert organisation designated by Government decision (Article 46(2), (5)).
Language: Armenian. Verbatim, Article 46(4): "ีีธึีตีถ ีฐีธีคีพีกีฎีซ 3-ึีค ีดีกีฝีธีพ ีฝีกีฐีดีกีถีพีกีฎ ีฏีกึีฃีซ ีฐีกีดีกีฑีกีตีถี ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีจ ีฃึีกีถึีพีธึีด ีฅีถ ีจีถีคีฐีกีถีธึึ ึ ีบีกึีฆีฅึีพีกีฎ ีจีถีฉีกึีกีฏีกึีฃีฅึีธีพ: ีีกึีฆีฅึีพีกีฎ ีจีถีฉีกึีกีฏีกึีฃีจ ีฏีซึีกีผีพีธึีด ีง ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีซ ีทึีปีกีถีกีผีธึีฉีตีธึีถีจ ีฏีกึีฃีกีพีธึีธีฒ ีดีกึีดีซีถีถีฅึีซ ีดีซีปีกีฆีฃีกีตีซีถ ีฐีกีดีกีชีธีฒีธีพีซ (IMDRF) ีกีถีคีกีด ีฅึีฏึีธึีด ีฃึีกีถึีพีกีฎ ีฏีกีด ิฑีผีธีฒีปีกีบีกีฐีธึีฉีตีกีถ ีฐีกีดีกีทีญีกึีฐีกีตีซีถ ีฏีกีฆีดีกีฏีฅึีบีธึีฉีตีกีถ ีถีกีญีกีธึีกีฏีกีพีธึีกีฎ ีขีชีทีฏีกีฏีกีถ ีกึีฟีกีคึีกีฟีฅีฝีกีฏีถีฅึีซ ีฐีกีดีกึ:" Translation: "Under the procedure laid down by part 3 of this article, medical devices are registered under general and simplified procedures. The simplified procedure applies to medical devices registered in a member country of the International Medical Device Regulators Forum (IMDRF) or prequalified by the World Health Organization." Article 46 was amended by the Law of 5 December 2024 ีี-502-ี; the consolidated expression is the version in force from 31.05.2026.
BotswanaIMDRF member authorities ยท WHO ยท MDSAP Prior approval / evidence record
The broad reliance and mutual-recognition provisions in the 2025 Act and the draft 2026 Regulations are not yet an operating route
reliance.draft-2026-regulations-reliance-provisions-not-in-force
Fact-level verifiedโ- Statement
The Medicines and Related Substances Act, 2025 introduces reliance on decisions by trusted authorities and mutual recognition agreements, and the draft Medical Devices Regulations, 2026 would let BoMRA rely on approvals from IMDRF member authorities, African Medical Devices Forum recognised authorities, WHO prequalification, WHO Listed Authorities and Maturity Level 3/4 authorities, and on MDSAP audit outcomes. Neither instrument is in force: the Act's commencement is 'ON NOTICE' and the Regulations are unpublished drafts. A holder of a foreign approval therefore has no route under these provisions today.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The document is an unpublished draft: its cover reads '(Published on __________, 2026)' and the companion Fees Regulations read 'Made this ___ day of ___, 2026'.
- BoMRA's press release of 31 August 2026 states the regulations are 'both still in draft form and open for stakeholder input'.
- The 2025 Act on which the draft depends has its commencement 'ON NOTICE'.
- Draft reg. 17(3) preserves BoMRA's power to request Botswana-specific information, impose local conditions, conduct independent assessment and take independent regulatory action.
Status is official-source-verified for the text of the draft; the conditions and the reliance-recognition value record that the instrument is not in force. This is the deliberate 'do not upgrade a policy aspiration into an operating route' fact for Botswana. The draft would also give registration a five-year term (draft reg. 20(1)).
CanadaNMPA ยท US FDA ยท Australia TGA ยท Japan MHLW / PMDA ยท UK MHRA ยท Swissmedic ยท South Korea MFDS ยท Singapore HSA ยท Brazil ANVISA Regulatory reference
Health Canada maintains a List of Regulatory Agencies (around 40 authorities including US FDA, ANVISA, TGA, MHRA, PMDA/MHLW, COFEPRIS, MFDS, HSA, Swissmedic and NMPA) incorporated by reference into MDR ss.61.2 and 68.3; decisions of these agencies trigger Canada's 72-hour foreign risk notification duty.
Conditions
- Applies to Class II-IV licence holders and importing MDEL holders.
- Class I authorization holders excluded.
Page issued 2024-01-03, modified 2024-01-24.
CroatiaUS FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No recognition route for FDA, PMDA, MFDS or NMPA approvals
reliance.no-route-for-non-ce-approvals
Fact-level verifiedโ- Statement
Croatia is an EU member state: a device may be placed on the Croatian market only if it complies with Regulation (EU) 2017/745 (MDR) or Regulation (EU) 2017/746 (IVDR). A US FDA 510(k)/PMA clearance, a Japan PMDA approval, a Korea MFDS approval or a China NMPA registration certificate is not recognised by HALMED and opens no abridged, documentary, fast-track or reciprocal route; the holder must obtain CE marking through a notified body under MDR/IVDR before the device may lawfully be placed on the Croatian market. The only exception is a public-health derogation under Article 59 MDR / Article 54 IVDR, which Croatia implements nationally in Article 14 of NN 100/2018 and which authorises a specific device for a limited purpose; it is not recognition of a foreign approval.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Croatia applies MDR and IVDR directly; the national implementing act (NN 100/2018) adds national duties and penalties but no separate product approval for CE-marked devices.
- A third-country approval can be used inside the technical documentation as supporting evidence, but no Croatian or Union provision examines or accepts it in place of conformity assessment.
- Derogation route (Article 14 NN 100/2018, MDR Article 59 / IVDR Article 54): Agency decision on a justified request with the health minister's consent, notified to the Commission and the other member states.
- Applies equally to medical devices and to in vitro diagnostic devices, which are not CE-marked but carry the CE marking under IVDR.
Source is the English consolidated MDR text on EUR-Lex. Verbatim: "A device may be placed on the market or put into service only if it complies with this Regulation when duly supplied and properly installed, maintained and used in accordance with its intended purpose." The IVDR equivalent is Article 5(1) of Regulation (EU) 2017/746. The Croatian implementing act's only gateway for a non-conforming device is Article 14 (national derogation).
CubaIMDRF member authorities Regulatory reference
Prior registration in origin/IMDRF country exempts listed evidence
reliance.imdrf-evidence-exemption
Fact-level verifiedโPer Article 47 of the Reglamento (acรกpite 3.2.4), devices with prior registration in their country of origin or in another country with a device regulatory program based on the same essential safety/efficacy requirements as the Cuban program (such as IMDRF members) are exempt from presenting: software validation report, biological pre-clinical evidence, safety/environmental/parametric test reports, raw-material certificates of analysis, and stability study. In lieu they present the Certificate of Registration of the origin country or an internationally recognized regulatory program; where the device circulates under manufacturer responsibility without registration, a manufacturer declaration plus evidence of circulation suffices.
Conditions
- Foreign registration must be current at the time of the Cuban application (Proceder B requirement).
Effective from 2016-07-29
Reinforced by E 132-25 epรญgrafe 3.8: the CECMED will, as appropriate, take into account decisions of other regulatory authorities and regional/international bodies.
CyprusUS FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No Cypriot market-access route on the basis of a US FDA, Japan PMDA, Korea MFDS or China NMPA approval
reliance.no-route-for-non-ce-approvals
Fact-level verifiedโ- Statement
Cyprus, as an EU Member State, operates no abridged, fast-track or recognition pathway for a foreign device approval. A device holding only a US FDA, Japan PMDA, Korea MFDS or China NMPA approval cannot be placed on the Cypriot market: Regulation (EU) 2017/745 (MDR) and Regulation (EU) 2017/746 (IVDR) are directly applicable and permit placing on the market only of a device that complies with them, and CYMDA's own description of how a manufacturer affixes the CE marking describes only the Union conformity assessment procedure, with no national pre-market approval step and no reference to any third-country approval.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
No
- Target Decision Retained
Yes
Conditions
- Regulation (EU) 2017/745 has applied since 26 May 2021 and Regulation (EU) 2017/746 since 26 May 2022; both are binding in their entirety and directly applicable in Cyprus, so there is no Cypriot transposition act and no Cypriot approval decision for a CE-marked device.
- The only Union exception is the public-health derogation (Article 59 MDR / Article 54 IVDR), by which a Member State may authorise a device that has not undergone the applicable conformity assessment; that authorisation rests on a public-health or patient-safety ground, is not recognition of a third-country approval, and does not extend outside the authorising Member State.
- The extended transitional periods of Regulation (EU) 2023/607 benefit only devices covered by a Directive 90/385/EEC or 93/42/EEC certificate, or whose pre-26 May 2021 declaration of conformity did not require a notified body; an FDA, PMDA, MFDS or NMPA approval confers nothing under those provisions.
- Cyprus has no separate national device-approval instrument: the only national acts located are Decree No. 6 (language) and Decree No. 7 (notification), both made under article 59(1)(ฮถ) of the Basic Requirements laws, plus market-surveillance penalties under Law 225(I)/2022.
Effective from 2021-05-26
English source (Regulation (EU) 2017/745). The excerpt is the Union rule that governs placing on the Cypriot market. The Cypriot side of the same answer is CYMDA's conformity-assessment page (source res-cy-conformity-assessment), which describes only the Annex I essential-requirements plus notified-body route, and CYMDA's statement that it has imposed no additional requirement beyond Union and national law (source res-cy-importer-notice-2025). No Cypriot or Union instrument consulted names an FDA, PMDA, MFDS or NMPA approval as a basis for placing a device on the Cypriot market.
Prior approval / evidence record
Japan PMDA and Korea MFDS
- Authority
Japan PMDA and Korea MFDS
- Benefit
Neither is named in the Resoluciรณn No. 000004 recognition list โ Japan appears there only as NIHS โ so a PMDA or MFDS marketing approval confers no simplified-procedure eligibility and the application is assessed under the ordinary route. DIGEMAPS' IMDRF affiliate membership creates no recognition route.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
Regulatory reference
From 28 January 2027, the simplified procedure requires registration from an authority that satisfies BOTH high-vigilance status and IMDRF membership (Article 31). Article 32 additionally requires device marketing in an IMDRF Management Committee country, device-scope authorisation and ARCSA risk classification I-IV. IMDRF membership alone is not sufficient, and NMPA eligibility is not established by this general rule.
Conditions
- Apply both authority conditions together; the route is not in force before 2027-01-28.
- Maximum 100 references for DMI/DMNI/DMA and 50 for IVD; the remaining requirements in Articles 33-34 still apply.
Effective from 2027-01-28
Recognition opens a simplified procedure; it is not a full reliance approval.
Regulatory reference
For imported devices, a Certificate of Free Sale (CLV) or equivalent is accepted from the country of manufacture or export, from a high-vigilance agency, or from an IMDRF member country; if the CLV or the product-owner authorization states no validity date, ARCSA considers it valid for a maximum of two years from issuance. Electronic CLVs are accepted without apostille when verifiable on the issuing authority's website.
Conditions
- Applies to imported devices; CLV must state commercial name, product codes/references, manufacturer and manufacturing sites.
Effective from 2027-01-28
Current regime already requires a CLV/Certificate of Exportation for imports (2016 Art. 16.a).
EthiopiaUS FDA ยท Japan MHLW / PMDA ยท Australia TGA ยท Singapore HSA ยท EU conformity assessment ยท UK MHRA ยท Health Canada ยท South Korea MFDS Prior approval / evidence record
Registration route for devices approved by a listed Stringent Regulatory Authority (FDA, EU, Japan, Australia, Singapore, UK, Canada, Korea)
reliance.sra-verification-route
Fact-level verifiedโ- Statement
A medical device that already holds a marketing authorisation, registration certificate or free-sale certificate from one of the authorities EFDA lists as a Stringent Regulatory Authority can be filed on the SRA route (EFDA/GDL/046 ยง9.4). The applicant still submits the complete administrative and technical dossier required by the ordinary registration guidelines, but EFDA reviews it as a verification exercise focused on the genuineness of the submitted information rather than a de-novo assessment, so the application takes shorter processing time. EFDA keeps the right to conduct a full assessment and to request further information whenever it deems necessary.
- Source Approval
US FDA marketing authorisation / registration certificate / free-sale certificate; Japan MHLW; Australia TGA; Singapore HSA; a competent authority of one of the 27 EU Member States (Directive 93/42/EEC, Directive 98/79/EC, MDR 745/2017, IVDR 746/2017); UK MHRA; Health Canada; South Korea MFDS
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The route is a shortened review, not a dossier waiver: 'The applicants should submit all documentation required for registration of medical devices through full assessment path way, but it takes shorter processing time as it will focus on verifiying genuinness of submitted information.'
- The claim must be supported by a marketing authorisation certificate or registration certificate or free-sale certificate issued by the listed authority (or by WHO/UNFPA prequalification evidence).
- EFDA determines eligibility for the SRA route after screening the eRIS submission; an application filed as SRA on misleading information is rejected at screening or evaluation.
- EFDA may still carry out a full assessment and request further information where a foreign approval does not provide the same assurance for use in Ethiopia.
- The SRA list is published in GDL/046 ยง9.4 and 'will be updated as deemed necessary'.
- The same list also appears (without Singapore HSA, UK MHRA and Korea MFDS) in the non-IVD and IVD registration requirement guidelines, which state that registration with those authorities is 'considered to be registered with Stringent Regulatory Authority approved devices registration procedures'.
Effective from 2026-06-25
Verbatim: 'At present, EFDA accepts the registration submissions as an SRA or prequalified products application if they're supported by one or more of the following document(s). 1. A Marketing Authorization certificate or registration certificate or free sale certificate issued by one of the following competent national regulatory authority: US Food and Drug Administration; Ministry of Health, Labour and Welfare, Japan; Trapeutic Goods Administration, Australia; Health Science Authority, Singapore; Competent Authorities from one of the 27 Member States of the European Union who are responsible in Europe for the oversight of Directive 93/42/EEC, Directive 98/79/EC, MDR 745/2017, IVDR 746/2017.; Medicine and Healthcare Products Regulatory Agency, UK; Health Canada, Canada; Ministry of Food and Drug Safety, South Korea'. The passage also states: 'The applicants should submit all documentation required for registration of medical devices through full assessment path way, but it takes shorter processing time as it will focus on verifiying genuinness of submitted information.' Typographical errors are reproduced as they appear in the source.
GuatemalaWHO ยท US FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS Prior approval / evidence record
Homologation on a WHO-listed-authority approval exists but is scoped to medicines and vaccines, not devices
reliance.homologation-who-listed-authority-medicines-vaccines-only
Fact-level verifiedโ- Statement
Guatemala does operate a reliance route: Norma Tรฉcnica 77 versiรณn 8-2023 homologates a Guatemalan health registration on a registration already granted by a WHO-listed authority of high maturity and performance (WLA/ACO, ML3+). Article 2 confines that route expressly to pharmaceutical specialities of chemical synthesis and to vaccines (biological and biotechnological). It does not reach medical devices or in vitro diagnostics.
- Source Approval
Approval by a WHO-listed authority (WLA/ACO, maturity level 3 or above) โ e.g. US FDA, EMA, Japan PMDA, Korea MFDS โ for chemical-synthesis medicines and vaccines only
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Scope limited to especialidades farmacรฉuticas de sรญntesis quรญmica and vacunas (biolรณgicas y biotecnolรณgicas).
- Not available for medical devices or IVDs; marketAccessStrength is 'none' for those domains because the route exists but gives them nothing.
- The WHO-listed authorities eligible are those published in the DRCPFA's own official lists.
Spanish source (Guatemala). Translation: "Article 2. Scope of application. This Technical Norm applies to pharmaceutical specialities of chemical synthesis and vaccines (biological and biotechnological) that hold a Health Registration granted by high-maturity-and-performance Regulatory Authorities as defined by the World Health Organization (WHO), published in the official lists of the Department of Regulation and Control of Pharmaceutical and Related Products, hereinafter THE DEPARTMENT." The norm's own title is 'HOMOLOGACIรN DEL REGISTRO SANITARIO DE MEDICAMENTOS Y VACUNAS'. Art. 4.3 of the same norm defines the WLA/ACO concept and states that authorities reaching at least general maturity level 3 (ML3) qualify.
GuatemalaUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS Prior approval / evidence record
WHO-listed authorities of high maturity and performance (US FDA, EMA, Japan PMDA, Korea MFDS and others)
- Authority
WHO-listed authorities of high maturity and performance (US FDA, EMA, Japan PMDA, Korea MFDS and others)
- Benefit
A foreign marketing approval is not among the NT-37 Art. 5.1 dossier items and opens no recognition route for devices. A Certificate of Free Sale from any competent origin-country authority is required paperwork, and a manufacturing-guarantee certificate from a named authority (FDA, DGKC, IFCC, ISO or a GMP certificate) satisfies one dossier item (NT-37 Arts. 5.1.5-5.1.6 and 6.12.6). The full local review still runs.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
Hong KongNMPA ยท US FDA ยท EU conformity assessment ยท Australia TGA ยท Health Canada ยท Japan MHLW / PMDA ยท South Korea MFDS ยท Singapore HSA Regulatory reference
Pathway 2 accepts marketing approval documents from eight recognised jurisdictions (Chinese Mainland NMPA, USA FDA, EU, Canada, Japan, Singapore, South Korea MFDS, Australia TGA); for example the USA accepts 510(k), PMA or De Novo, and all model/code variants must be covered by the certificate.
Conditions
- Applies to Class II/III/IV GMD listings.
- The same eight jurisdictions apply to Class B/C/D IVD listings under GN-06.
A valid Certificate of Free Sale may be requested; certificates must remain valid during assessment (GN-02 clause 8.1).
Prior approval / evidence record
South Korea MFDS
- Authority
South Korea MFDS
- Benefit
Product Licence satisfies D002; pairs with a KGMP certificate as QMS evidence
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-30
IcelandUS FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No Icelandic route exists for non-CE approvals (FDA, PMDA, MFDS, NMPA and similar)
reliance.non-ce-approvals-no-route
Fact-level verifiedโ- Statement
An approval from a non-EEA regulator gives no market-access route and no abridgement in Iceland. Act No. 132/2020 and the Regulations provide no reference-country fast track, no abridged review based on a foreign approval, and no acceptance of a foreign registration certificate in place of CE marking. A US FDA 510(k)/PMA clearance, a Japan PMDA approval, a Korea MFDS approval or a China NMPA registration can be carried in the technical documentation as supporting evidence but substitutes for nothing: without CE marking and an EU declaration of conformity the device may not lawfully be placed on the Icelandic market.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Product Marketing
- Local Application Required
No
- Target Decision Retained
Yes
Effective from 2021-05-26
Verified negative. The Act states an exhaustive single condition for placing on the market (CE marking per Annexes IXโXI) and the Act and Regulations nowhere name a foreign regulator or a reference-country route; the agency's guidance likewise describes CE marking and the EU declaration of conformity as the route. The only non-CE access is the national exemption route in Article 9 and the Union derogations recorded under special-access-derogation, which are discretionary and are not recognition of a foreign approval.
LatviaUS FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No Latvian market-access route on the basis of an FDA, PMDA, MFDS or NMPA approval
reliance.no-foreign-approval-route
Fact-level verifiedโ- Statement
Latvia operates no abridged, fast-track or recognition pathway for a foreign device approval. A device holding only a US FDA, Japan PMDA, Korea MFDS or China NMPA approval cannot be placed on the Latvian market: the Latvian pre-market notification procedure (paziลoลกanas procedลซra) requires a copy of the EU declaration of conformity and copies of valid notified-body certificates issued under Regulation (EU) 2017/745, and no Latvian or Union instrument names a third-country approval as a basis for market access.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
No
- Target Decision Retained
Yes
Conditions
- The only non-CE pre-market route in Latvian law is the exceptional national authorisation under MK noteikumi Nr. 461 paragraphs 35-38 (public health or patient safety need, no conforming alternative), which is assessed against MDR Annex I essential requirements, harmonised standards and test results, not against any foreign approval.
- Class I devices that are not placed on the market sterile and have no measuring function are not subject to the paragraph 9 notification at all, but still require conformity with Regulation (EU) 2017/745 (source res-lv-mdr, Article 5(1) and Article 52(1)).
- The notification route for in vitro diagnostic devices is the parallel procedure in MK noteikumi Nr. 582 paragraph 8 (source res-lv-mk582).
Effective from 2023-08-23
Latvian source; translation: '9. Persons who in the territory of the Republic of Latvia start placing on the market class IIa, IIb and III medical devices shall submit to the agency a completed notification form (Annex 1) and attach a copy of the EC (EU) declaration of conformity, as well as copies of valid certificates issued by notified bodies (hereinafter - the notification procedure).' The excerpt shows that the only Latvian pre-market procedure is conditioned on EU documentation, i.e. on CE marking; the Union-side rule that a device may be placed on the market only if it complies with the Regulation is evidenced by the separately declared source res-lv-mdr (Article 5(1), Article 52(1)). No Latvian or EU instrument consulted names FDA, PMDA, MFDS or NMPA approval as a market-access basis.
LatviaEU conformity assessment ยท US FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
MDR transitional periods benefit only holders of Directive 90/385/EEC or 93/42/EEC certificates
reliance.mdr-transitional-periods-only-for-mdd-aimdd-certificates
Fact-level verifiedโ- Statement
The extended MDR transitional periods run only for devices covered by a certificate issued under Directive 90/385/EEC or Directive 93/42/EEC, or whose pre-2021 declaration of conformity did not require a notified body. As at 15 September 2026 the extended dates are 31 December 2027 for all class III devices and class IIb implantable devices other than certain well-established technologies, and 31 December 2028 for other class IIb devices, class IIa devices and class I devices placed on the market sterile or with a measuring function. A US FDA, Japan PMDA, Korea MFDS or China NMPA approval confers no transitional benefit because it is not a Directive certificate.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
No
- Target Decision Retained
Yes
Conditions
- Benefiting devices must continue to comply with the applicable Directive, have no significant changes in design and intended purpose, present no unacceptable risk, and the manufacturer must have put in place an MDR Article 10(9) quality management system by 26 May 2024 and lodged a notified-body application with a written agreement signed by 26 September 2024 (Article 120(3c) as inserted by Regulation (EU) 2023/607).
- Regulation (EU) 2023/607 also deleted the sell-off deadline, so devices lawfully placed on the market during the transitional period may continue to be made available.
- A Commission proposal of 16 December 2025 to revise the MDR and IVDR was pending when checked and is not reflected in the dates above.
Effective from 2023-03-20
English source. The excerpt is quoted from the amending act; the inserted text uses the defined terms of Regulation (EU) 2017/745 / 93/42/EEC / 90/385/EEC and names no third-country approval.
LebanonUS FDA ยท EU conformity assessment ยท Australia TGA ยท Health Canada ยท Japan MHLW / PMDA ยท IMDRF member authorities Prior approval / evidence record
Prior approval / evidence record
GHTF/IMDRF member countries โ free-sale certificate (ุดูุงุฏุฉ ุจูุน ุญุฑ)
- Authority
GHTF/IMDRF member countries โ free-sale certificate (ุดูุงุฏุฉ ุจูุน ุญุฑ)
- Benefit
A mandatory document rather than a route: Decision 1506/1 Art. Four requires the registration application to carry a free-sale certificate issued by a country belonging to the GHTF/IMDRF group, meaning the device is sold in one of those countries whatever its origin, and the Ministry's service records require a free-sale certificate with an ISO 13485 certificate where the goods are made outside the reference states or the listed documents cannot be produced. No examination period is shortened by it.
Ministry of Public Health โ administrative service record for ุทูุจ ุงูู
ูุงููุฉ ุนูู ุฅุฏุฎุงู ุฃู ุฅุณุชูุฑุงุฏ ุฃุฌูุฒุฉ, form MPH12-26: required documents, the Atomic Energy stamp condition, the LBP 1,000 fiscal stamp, submission on all official working days, and 'ู
ุฏุฉ ุงูุชูุงุก ุงูู
ุนุงู
ูุฉ: ุจูู ุฃุณุจูุน ูุฃุณุจูุนูู'Ministerial Decision No. 455/1 of 16 April 2013 โ ุชูุธูู
ุฅุฏุฎุงู ูุงุณุชุนู
ุงู ุงูู
ูุงุฏ ุงูุทุจูุฉ ุงูู
ุฎุชููุฉ: the conformity certificate (Art. One), the Industrial Research Institute as the issuing body (Art. Three), entry permits, the statutory charge and customs stamping (Art. Four), and the pre-registration dossier for implantables with the Department of Programs and Projects (Art. Six)Ministerial Decision No. 1506/1 of 1 September 2014 โ ุฃุญูุงู
ุชูุถูุญูุฉ ูุชุทุจูู ุงููุฑุงุฑ ุฑูู
1/455: GMDN classification (Art. Two), the four risk levels and the reference-regulator class table (Art. Three), the GHTF/IMDRF free-sale certificate (Art. Four), and the import stop-date for implantables not recorded with the Department of Programs and Projects (Art. Six) Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
LebanonSouth Korea MFDS ยท NMPA ยท ISO Prior approval / evidence record
Products originating outside the EU/USA/Canada/Australia/Japan enter on an ISO 13485 certificate instead of a reference-authority approval
reliance.non-reference-origin-iso-13485-documentary-route
Fact-level verifiedโ- Statement
For products whose countries of origin are other than the European Union, the USA, Canada, Australia and Japan, the accepted conformity document is a certificate of conformity of the manufacturer's quality management system to ISO 13485, in place of a reference-authority approval certificate. This is the documentary channel through which a device carrying only a Korean MFDS or Chinese NMPA approval can be filed, together with the manufacturer's authorisation for the local distributor.
- Source Approval
Korea MFDS; China NMPA; any other authority outside the EU, USA, Canada, Australia and Japan
- Edge Type
Origin Country Evidence
- Market Access Strength
Evidence Only
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The ISO 13485 certificate is documentary evidence only: it substitutes for the foreign approval certificate in the file, it does not create a shortened or abridged review, and the MOPH health technology unit still performs its own evaluation.
- It sits in tension with section 6.3 provision 24, which requires conformity to at least one of the five listed regulations; the procedure resolves that by drafting the ISO 13485 bullet specifically for origins outside the five, so a non-reference-origin product is admitted on QMS evidence rather than on a reference-authority approval.
- The device may instead be certified by the Industrial Research Institute against Lebanese or reference international specifications for national products or products from countries not listed.
- The manufacturer's authorisation for the distributor to commercialise the products on the Lebanese market is required in every case.
Effective from 2013-11-01
Source language French. Original: "Un certificat de conformitรฉ ร la norme ISO 13485 du systรจme de gestion de la qualitรฉ du fabricant pour les produits dont les pays d'origine sont autres que l'Union Europรฉenne, USA, Canada, Australie et Japon." Translation: "A certificate of conformity to the ISO 13485 standard for the manufacturer's quality management system, for products whose countries of origin are other than the European Union, USA, Canada, Australia and Japan."
Prior approval / evidence record
No reliance route for Korean MFDS, Chinese NMPA or other non-GHTF approvals โ a separate evaluation track applies
reliance.no-reliance-route-non-ghtf-approvals
Fact-level verifiedโ- Statement
A Korean MFDS, Chinese NMPA or other approval from outside the GHTF reference set is named in neither the closed five-jurisdiction conformity list nor the GHTF conformity requirement, and it opens no abridged or recognition route. The procedure instead provides a distinct evaluation track for medical devices that have no approval obtained from one of the regulatory authorities of the GHTF countries, so such a device is assessed on its own dossier rather than through reliance.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The reference set is the GHTF founding countries โ Canada, Australia, Japan, the United States and the EU member states โ as fixed by section 6.3 provision 24 and section 6.3 provision 28 ("au moins un systรจme rรฉglementaire des pays fondateur de la GHTF").
- The device is not barred from the market: it moves to the separate evaluation track for devices without a GHTF-authority approval, and may still qualify documentarily under the ISO 13485 bullet for non-reference origins.
- The procedure's terminology shifts between GHTF (2013 national procedure) and IMDRF (Decision 1506/2014 and the certificate menu); the IMDRF shift widened the accepted certificate sources โ it added Brazil ANVISA โ but did not widen the market-authorisation conformity list.
- No regional mutual-recognition instrument applies: Lebanon is not a GCC member state and no GHTF/IMDRF reliance agreement binds it beyond the provisions of this procedure.
Effective from 2013-11-01
Source language French. Original: "Evaluation des dispositifs mรฉdicaux qui n'ont pas d'approbation obtenue de l'une des autoritรฉs rรฉglementaires des pays de la GHTF." Translation: "Evaluation of medical devices that do not have an approval obtained from one of the regulatory authorities of the GHTF countries." This is the procedure's own separate step for devices lacking a GHTF-authority approval; read with section 6.3 provision 24, whose list of jurisdictions is closed.
Prior approval / evidence record
Free sale certificate / certificate for foreign government from an IMDRF member country is a mandatory registration document
reliance.imdrf-free-sale-certificate-mandatory
Fact-level verifiedโ- Statement
In addition to the documents required by Article Six of Decision No. 455/1 of 16 April 2013, a registration application must be accompanied by a free sale certificate or a certificate for foreign government issued by one of the countries belonging to the IMDRF (International Medical Devices Regulators Forum) โ that is, proof that the device is sold in one of those countries, whatever its origin. This is a separate and mandatory documentary condition, not a route to a shortened review. (Decision No. 1506/1 of 1 September 2014, Article Four.)
- Source Approval
Free sale certificate or certificate for foreign government issued by an IMDRF member country (the decision names the IMDRF group rather than individual authorities)
- Edge Type
Origin Country Evidence
- Market Access Strength
Evidence Only
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Mandatory whatever the origin of the device: the decision states the device must be sold in one of these countries regardless of where it is manufactured.
- This is a documentary requirement and does not itself shorten the Lebanese assessment; it is filed alongside the conformity certificate menu.
- Decision 1506/1 Annex 2 (form DMI-02) lists the accepted certificates as FDA 510K/PMA, the CE certificate types (FullQAS, TypEC, VerifEC, ProdtnQAS, ProdctQAS, DesEC, DeclEC), Canada CMDCAS, Japan JIS, Australia TGA, Brazil ANVISA, free sale certificate, certificate for foreign government and the IRI certificate.
Effective from 2014-02-18
Source language Arabic; the PDF is a scan with no text layer and the text was recovered by OCR (pdftoppm -r 300 -png + tesseract -l ara+eng), so the wording is an OCR reading and Arabic-Indic digits are unreliable โ hence source-backed-partial. OCR original: "ุฅุถุงูุฉ ุงูู ุงูู
ุณุชูุฏุงุช ุงูู
ุทููุจุฉ ูู ุงูู
ุงุฏุฉ ุงูุณุงุฏุณุฉ ู
ู ุงููุฑุงุฑ ุฑูู
1/455 ุชุงุฑูุฎ 2013/4/16ุ ูุฑูู ุจุทูุจ ุงูุชุณุฌูู ุดูุงุฏุฉ ุจูุน ุญุฑ Free sale certificate ุฃู certificate for foreign government ุตุงุฏุฑุฉ ุนู ุงุญุฏู ุงูุฏูู ุงูู
ูุชู
ูุฉ ุงูู ู
ุฌู
ูุนุฉ IMDRF (International Medical Devices Regulators Forum) ุงู ุงููุง ุชุจุงุน ูู ูุงุญุฏุฉ ู
ู ูุฐู ุงูุฏูู ู
ูู
ุง ูุงู ู
ูุดุคูุง." Translation: "In addition to the documents required under Article Six of Decision No. 455/1 of 16/4/2013, the registration application shall be accompanied by a free sale certificate or a certificate for foreign government issued by one of the countries belonging to the IMDRF (International Medical Devices Regulators Forum); that is, that it is sold in one of these countries, whatever its origin." The article number (ุงูู
ุงุฏุฉ ุงูุฑุงุจุนุฉ, Article Four) is legible in the OCR.
LebanonSouth Korea MFDS ยท NMPA ยท ISO Prior approval / evidence record
Korea MFDS, China NMPA and other non-reference approvals, and the manufacturer's ISO 13485 certificate as the documentary route for goods from other origins
- Authority
Korea MFDS, China NMPA and other non-reference approvals, and the manufacturer's ISO 13485 certificate as the documentary route for goods from other origins
- Benefit
Not accepted as a reference authorisation: Decision 455/1 Art. Six lists the European Union, the United States, Switzerland, Australia, Canada and Japan, and Decision 1506/1 Art. Four the GHTF/IMDRF group, but neither names Korea or China. A device made in or imported from a country outside that list follows the Industrial Research Institute's certificate against Lebanese or international reference specifications, with the manufacturer's ISO 13485 certificate accepted as evidence in the service records for sterile instruments and reagents โ a documentary route that carries no recognition and shortens no period.
Ministry of Public Health โ administrative service record for ุทูุจ ุงูู
ูุงููุฉ ุนูู ุฅุฏุฎุงู ุฃู ุฅุณุชูุฑุงุฏ ุฃุฌูุฒุฉ, form MPH12-26: required documents, the Atomic Energy stamp condition, the LBP 1,000 fiscal stamp, submission on all official working days, and 'ู
ุฏุฉ ุงูุชูุงุก ุงูู
ุนุงู
ูุฉ: ุจูู ุฃุณุจูุน ูุฃุณุจูุนูู'Ministerial Decision No. 455/1 of 16 April 2013 โ ุชูุธูู
ุฅุฏุฎุงู ูุงุณุชุนู
ุงู ุงูู
ูุงุฏ ุงูุทุจูุฉ ุงูู
ุฎุชููุฉ: the conformity certificate (Art. One), the Industrial Research Institute as the issuing body (Art. Three), entry permits, the statutory charge and customs stamping (Art. Four), and the pre-registration dossier for implantables with the Department of Programs and Projects (Art. Six)Ministerial Decision No. 1506/1 of 1 September 2014 โ ุฃุญูุงู
ุชูุถูุญูุฉ ูุชุทุจูู ุงููุฑุงุฑ ุฑูู
1/455: GMDN classification (Art. Two), the four risk levels and the reference-regulator class table (Art. Three), the GHTF/IMDRF free-sale certificate (Art. Four), and the import stop-date for implantables not recorded with the Department of Programs and Projects (Art. Six) Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
MaltaUS FDA ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No route for a third-country approval (FDA, PMDA, MFDS, NMPA)
reliance.no-third-country-approval-route
Fact-level verifiedโ- Statement
Malta gives no market-access route, abridged review or recognition to a US FDA 510(k)/PMA clearance, a Japan PMDA approval, a Korea MFDS approval or a China NMPA registration. The only pre-market route onto the Maltese market is the EU conformity assessment under Regulation (EU) 2017/745 (MDR) Annexes IX to XI โ Regulation (EU) 2017/746 (IVDR) for IVDs โ followed by CE marking; S.L. 458.59 defines a 'medical device' solely by reference to those two Union Regulations, so the national regime has no approval of its own that a third-country clearance could feed. A holder of only a third-country approval must obtain a CE certificate (or use the MDR Art. 59 / IVDR Art. 54 public-health derogation) and appoint an EU authorised representative.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Applies to medical devices under the MDR and IVDs under the IVDR placed on the Maltese market.
- A manufacturer not established in a Member State may place a device on the Union market only if it designates a sole authorised representative (MDR Art. 11(1); IVDR Art. 11(1)).
- The national definition of a device is derivative: S.L. 458.59 reg. 2 refers to MDR Art. 2(1) and IVDR Art. 2(2).
- The only non-CE entry route is a derogation under MDR Art. 59 / Art. 97 or IVDR Art. 54 / Art. 92 (S.L. 458.46 Schedule 5, fee EUR 1,000), which is granted on public-health or patient-safety grounds and is not a recognition of a foreign approval.
Effective from 2021-05-26
Verbatim passage supports the mandatory-and-exclusive character of the EU conformity route. Regulation (EU) 2017/746 Art. 48(1) is identically worded for IVDs (source res-eu-ivdr-2017-746): 'Prior to placing a device on the market, manufacturers shall undertake an assessment of the conformity of that device, in accordance with the applicable conformity assessment procedures set out in Annexes IX to XI.' Neither Regulation contains any provision recognising, or providing an abridged route on the basis of, a third-country marketing authorisation of the kind issued by FDA, PMDA, MFDS or NMPA; that absence is the basis of this fact rather than a quotable clause.
MexicoNMPA ยท US FDA ยท EU conformity assessment ยท Australia TGA ยท Health Canada ยท Japan MHLW / PMDA ยท UK MHRA ยท Swissmedic ยท South Korea MFDS ยท Singapore HSA ยท Brazil ANVISA ยท IMDRF member authorities ยท MDSAP ยท WHO Prior approval / evidence record
Vรญa regulatoria abreviada โ ARR equivalence (COFEPRIS-04-050)
- Name
Vรญa regulatoria abreviada โ ARR equivalence (COFEPRIS-04-050)
- Description
The single reliance route since the DOF Acuerdo of 18 July 2025, which took effect 30 working days after publication and abrogated every individual equivalence agreement issued between 2012 and June 2025 โ the separate FDA, Swissmedic, European Commission, Health Canada, TGA and WHO prequalification acuerdos no longer exist. COFEPRIS now recognises the decision of any Reference Regulatory Authority from a country sitting on the IMDRF Management Committee, and MDSAP full membership for GMP certificates. The dossier drops to an administrative-legal section plus technical information under RIS Art. 31.
- Timeline Reduction
Resolution within a maximum of 30 working days
- Eligibility
- Prior authorisation by a Reference Regulatory Authority in one of the twelve IMDRF Management Committee jurisdictions: Australia, Brazil, Canada, China, the European Union, Japan, Russia, Singapore, South Korea, Switzerland, the United Kingdom, the United States
- MDSAP full members are recognised for the good-manufacturing-practice certificate
- Filed under homoclave COFEPRIS-04-050 rather than the ordinary COFEPRIS-04-060 registration
- Post-market surveillance or technovigilance evidence from the reference market, translated into Spanish under RIS Art. 153
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-30
MexicoUS FDA ยท Health Canada ยท Japan MHLW / PMDA ยท IMDRF member authorities ยท MDSAP Prior approval / evidence record
Class II
- Pathway
Registration or Equivalency
- Verification Status
official-verified
- Official Source
- Title
RIS Art. 179 โ statutory resolution periods by class (COFEPRIS)
- Url
https://salud.gob.mx/unidades/cdi/nom/compi/ris.html
- Prior Approval Benefits
- FDA 510(k)
- Health Canada
- Japan PMDA
- IMDRF Committee Members
- MDSAP
- Notes
- RIS Art. 179: Clase II resolved within 35 calendar days (15 days with a favourable Tercero Autorizado dictamen)
- ARR equivalence route (COFEPRIS-04-050, Lineamientos DOF 18-07-2025): maximum 30 working days
- Equivalency route much faster if FDA approved
- Clinical Trial Required
No
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-30
MexicoUS FDA ยท Health Canada ยท Japan MHLW / PMDA ยท IMDRF member authorities ยท MDSAP Prior approval / evidence record
Class III
- Pathway
Registration or Equivalency
- Verification Status
official-verified
- Official Source
- Title
RIS Art. 179 โ statutory resolution periods by class (COFEPRIS)
- Url
https://salud.gob.mx/unidades/cdi/nom/compi/ris.html
- Prior Approval Benefits
- FDA 510(k)/PMA
- Health Canada
- Japan PMDA
- IMDRF Committee Members
- MDSAP
- Notes
- RIS Art. 179: Clase III resolved within 60 calendar days (15 days with a favourable Tercero Autorizado dictamen)
- ARR equivalence route (COFEPRIS-04-050): maximum 30 working days
- Equivalency pathway best option with FDA
- Clinical Trial Required
Yes
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-30
MexicoIMDRF member authorities ยท MDSAP Regulatory reference
For medical devices, COFEPRIS recognizes as Autoridades Regulatorias de Referencia (ARR): countries that are members of the IMDRF Management Committee, and full members of the Medical Device Single Audit Program (MDSAP) for Good Manufacturing Practice certificates. Device registrations can be obtained through equivalence with prior ARR approvals via trรกmite COFEPRIS-04-050.
Conditions
- Device and approval must fall within the current Lineamientos scope; local application and decision retained by COFEPRIS.
Effective from 2025-07-19
Effective date assumed day after DOF publication (18-07-2025) per standard transitorio wording of this type of Acuerdo; the mechanism is also described on the COFEPRIS reliance page.
MongoliaUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
FDA 510(k)/PMA, EU CE marking, Japan PMDA, Korea MFDS, China NMPA or any other foreign device approval
- Authority
FDA 510(k)/PMA, EU CE marking, Japan PMDA, Korea MFDS, China NMPA or any other foreign device approval
- Benefit
Mongolia recognises none of them and names none of them. Art. 33.2 requires the Agency to take into account that the device has been placed on the market in its country of manufacture, Order A/136 ยง3.6 permits the foreign risk grade to be considered, and Annex Two ยงยง3.9.5 and 3.10.5 require a marketing authorisation or free-sales certificate โ but no authority, country or reference list appears anywhere in the Law, in Order A/206 or in Annex Two, the foreign element is evidence of origin-country market placement rather than a recognised authorisation, no clock is shortened, and the Medical Devices Council still takes the decision.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
MoroccoJapan MHLW / PMDA ยท South Korea MFDS Prior approval / evidence record
Japan PMDA / Korea MFDS / other non-listed approvals
- Authority
Japan PMDA / Korea MFDS / other non-listed approvals
- Benefit
No Moroccan device instrument examined in this round names them, and the AMMPS reliance framework is scoped to medicines and vaccines, so they carry no listed documentary route for a device.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
Prior approval / evidence record
No route exists for non-EU approvals (FDA, PMDA, MFDS, NMPA and similar)
reliance.non-eu-approvals-no-route
Fact-level verifiedโ- Statement
An approval from a regulator outside the European Union gives no market-access route and no abridgement in North Macedonia. The Law recognises conformity assessment only through institutions recognised in the European Union or bodies authorised by the Minister of Health, and the device registration rulebook distinguishes only between devices that hold an EC certificate and devices that do not. A US FDA 510(k) clearance or PMA approval, a Japan PMDA approval, a Korea MFDS approval or a China NMPA registration can be placed in the technical documentation as supporting material but substitutes for nothing: without the EC certificate or EC declaration of conformity the full quality, safety and efficacy dossier under Article 8 of the 151/10 rulebook applies, together with an Agency opinion on efficacy.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The negative is drawn from an exhaustive enumeration: Article 118(1) names two and only two conformity-assessment routes, and Article 119(3) names the EC mark as the marking that follows from a recognised notified body. No non-EU regulator is named anywhere in the Law's device chapter.
- The counter-check is Article 8 of the 151/10 rulebook, which applies the full dossier when the device does not hold an EC certificate โ the rulebook contemplates no third category based on a non-EU approval.
- A device manufactured outside the EU is not shut out entirely: it reaches the market either through a notified body recognised in the EU, through a body authorised by the Minister of Health, or on the non-EC full dossier route.
Verified negative. Macedonian. Article 118(1) is exhaustive in form ('ะะพััะฐะฟะบะฐัะฐ ะทะฐ ะพัะตะฝะฐ ะฝะฐ ัะพะพะฑัะฐะทะฝะพััะฐ ะฝะฐ ะผะตะดะธัะธะฝัะบะธัะต ััะตะดััะฒะฐ ัะต ะฒััะธ: โฆ ะธะปะธ โฆ'). The same conclusion is reached on the origin-country side: the free-sale certificate is required from the manufacturer's own country whatever that country is, which shows the Law is not operating a reference-country recognition list. FDA, PMDA, MFDS and NMPA were searched for in the consolidated Law and in the device rulebooks and appear nowhere.
ParaguayEU conformity assessment ยท US FDA ยท South Korea MFDS ยท Japan MHLW / PMDA Prior approval / evidence record
Compassionate-use import where the device is authorised by a listed reference agency
reliance.compassionate-use-foreign-authorised-product
Fact-level verifiedโ- Statement
A device that has no Paraguayan sanitary registration may be imported for compassionate use where it has been authorised by a foreign reference regulatory agency included in the annual official list under Ley Nยฐ 7256/2024, and is required to treat a patient or group of patients urgently as determined by the treating specialist or the MSPBS. The route is an import authorisation, not a registration.
- Source Approval
Authorisation by a foreign reference regulatory agency included in the Listado Anual Oficial under Ley Nยฐ 7256/2024 (2026 list: US FDA, EU Commission/EMA, Japan MHLW/PMDA, Korea MFDS, ANMAT, ANVISA, ISP and others)
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- No DINAVISA registration may exist for the product.
- Urgency determined by the treating specialist or by the MSPBS.
- Requires an import authorisation under the resolution's requirements (Art. 3 et seq.).
- Companion limb (Art. 2(a)) covers products in the investigational phase, where no foreign authorisation is required.
Effective from 2025-06-30
Source language: Spanish. Translation: 'Medicines or medical devices Registered by a Regulatory Authority: Medicines or medical devices that have been authorised by a foreign reference regulatory agency included in the official annual list pursuant to Law Nยฐ 7256/2024 or its updates, that do not have a sanitary registration issued by DINAVISA and that are required to treat a patient or group of patients urgently, determined by the treating specialist physician, or the Ministry of Public Health and Social Welfare.' Art. 12 (OCR renders it 'Artรญculo 129') sets the resolution in force from 30 June 2025.
Prior approval / evidence record
PAHO/WHO reference authority or IMDRF Management Committee member authority
- Authority
PAHO/WHO reference authority or IMDRF Management Committee member authority
- Benefit
Operative for class II, III and IV IVDs, which enter the Proceso Simplificado de Registro Sanitario under Resoluciรณn DINAVISA Nยฐ 44/2024 with a 15-business-day validation and approval by positive silence.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
ParaguayEU conformity assessment ยท US FDA ยท South Korea MFDS ยท Japan MHLW / PMDA Prior approval / evidence record
Annual official list names FDA, EU, PMDA and MFDS but every entry is scoped to medicines or vaccines
reliance.annual-official-list-device-scope-gap
Fact-level verifiedโ- Statement
The Listado Anual Oficial that Res. 226/2024 Art. 8(a) incorporates by reference does name US FDA, the European Commission (DG SANTE)/EMA, Japan MHLW/PMDA and Korea MFDS โ but every entry's stated 'Alcance' is medicamentos and/or vacunas. No listed authority, and no separate list entry, is scoped to dispositivos mรฉdicos, so on the published instrument the simplified device route is not anchored to any device-scoped reference authority.
- Edge Type
International Listing
- Market Access Strength
none
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The 2026 list is emitted by Resoluciรณn DINAVISA Nยฐ 182/2026 in compliance with Art. 3 of Ley Nยฐ 7256/2024; it abrogates Resoluciรณn DINAVISA Nยฐ 148/2024 and Resoluciรณn DINAVISA Nยฐ 192/2025.
- The listed agencies' own names include medical devices (AEMPS, JAZMP, URPL), but their stated Alcance in this list is medicamentos y vacunas.
- This fact records the list's stated scope only; it is not evidence that DINAVISA refuses device reliance in practice, and no DINAVISA instrument was found that scopes the device route to a named device authority.
Effective from 2026-05-01
Source language: Spanish. Translation of the quoted entries: 'United States: US FDA. Scope: Medicines and vaccines.' / 'European Commission (DG SANTE); European Medicines Agency (EMA); National Regulatory Authorities. Scope: Medicines and vaccines.' / 'Republic of Korea: Ministry of Food and Drug Safety (MFDS). Scope: Medicines and vaccines.' / 'Japan: Ministry of Health, Labour and Welfare/Pharmaceuticals and Medical Devices Agency (MHLW/PMDA). Scope: Medicines' and a second Japan entry 'Pharmaceuticals and Medical Devices Agency (PMDA). Scope: Vaccines'. The resolution is dated 'de mayo de 2026'; the day glyph is illegible in the scan and is not reproduced. effectiveFrom is the month of signature only.
ParaguayEU conformity assessment ยท US FDA ยท South Korea MFDS ยท Japan MHLW / PMDA Prior approval / evidence record
Simplified registration route for class II-IV devices authorised by a listed reference authority
reliance.annual-official-list-simplified-route
Fact-level verifiedโ- Statement
A class II, III or IV medical device already authorised by an authority of a country on the Listado Anual Oficial (emitted under Ley Nยฐ 7256/2024 Art. 3) or by an authority with a published bilateral recognition agreement enters the 'Proceso simplificado de Registro Sanitario' instead of full integral analysis. The applicant still files every Art. 6 requirement and still needs a Paraguayan registration, but DINAVISA re-examines only items b), c), d), g) and h) of Art. 6 rather than the whole dossier.
- Source Approval
Any marketing authorisation issued by an authority of a country on the Listado Anual Oficial โ the 2026 list (Resoluciรณn DINAVISA Nยฐ 182/2026) names US FDA, European Commission (DG SANTE)/EMA and EU national authorities, Japan MHLW/PMDA, Korea MFDS, Singapore HSA, Indonesia BPOM, ANMAT, ANVISA and ISP โ each entry stated as scoped to medicamentos and/or vacunas
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Applies to applications for IMPORTED class II, III and IV medical devices and their accessories: Art. 8's chapeau reads 'las solicitudes de inscripciรณn de Dispositivos Mรฉdicos importados deberรกn ajustarse y tramitarse segรบn la Clase... (Clase II, III y IV)'.
- The foreign authorisation must come from an authority of a country on the Listado Anual Oficial emitted under Ley Nยฐ 7256/2024, or from an authority with a bilateral recognition agreement that so provides, published on the DINAVISA website.
- The applicant still files all requirements of Art. 6; DINAVISA evaluates the technical information declared in DINAVISAPy and the documents filed for items b), c), d), g) and h).
- Only if the conditions do not differ from what the origin regulatory authority authorised.
- 45-business-day evaluation clock under Art. 9.
- Res. 226/2024 Art. 8(a) names the 2024 list (Resoluciรณn DINAVISA Nยฐ 148/2024); that list was replaced by Res. 192/2025 and then by Res. 182/2026, the text referring to the list 'y sus actualizaciones'.
Effective from 2024-09-16
Source language: Spanish. Translation: 'Applications for registration of products classified by DINAVISA as class II, III and IV medical devices that are authorised by authorities of the countries on the Annual Official List emitted in Resoluciรณn DINAVISA Nยฐ 148/2024 and its updates, as well as those Regulatory Authorities with which bilateral agreements for the recognition of authorisations exist, which so provide, published on the DINAVISA website, shall be subject to the simplified Sanitary Registration Process.' OCR of the two-column official PDF was normalised: 'Clase l' rendered as 'Clase II' and 'N*148/2024' as 'Nยฐ148/2024'.
ParaguayBrazil ANVISA ยท EU conformity assessment ยท US FDA ยท Health Canada ยท Singapore HSA ยท IMDRF member authorities ยท Portugal ยท Spain ยท South Korea MFDS ยท Japan MHLW / PMDA ยท UK MHRA ยท NMPA ยท Taiwan TFDA ยท Australia TGA ยท WHO Prior approval / evidence record
IVD simplified registration (PSR) for products authorised by PAHO/WHO, IMDRF or bilateral-partner authorities
reliance.ivd-psr-reference-authorities
Fact-level verifiedโ- Statement
Class II, III and IV in-vitro diagnostic products already authorised and commercialised in countries regulated by PAHO/WHO reference regulatory authorities, by authorities of IMDRF Management Committee member countries, or by authorities with bilateral agreements with DINAVISA enter the Proceso Simplificado de Registro Sanitario (PSR). DINAVISA has 15 business days to validate and decide, and approval follows by positive silence if no report is issued.
- Source Approval
PAHO/WHO reference regulatory authorities; authorities of IMDRF Management Committee member countries (the IMDRF committee includes US FDA, EU, Japan PMDA/MHLW, Health Canada, TGA, ANVISA, China NMPA, Korea MFDS, Singapore HSA and UK MHRA); authorities with bilateral agreements with DINAVISA
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Applies to class II, III and IV IVDs (Res. 44/2024 Art. 7: 'Clases II, III y IV'); class I IVDs are registered automatically under Res. 266/2022 Art. 14.
- The IVD must actually be commercialised in one of those countries and the foreign registration must correspond specifically to the same product being registered.
- 15 business days to validate; approval by positive silence.
- Objections may be answered only once (Art. 3), with 30 business days to rectify.
- Not applicable to the cases in Arts. 13 and 16 of Res. DINAVISA Nยฐ 266/2022 (Art. 11).
Effective from 2024-01-30
Source language: Spanish. Translation of the operative part of Art. 2: 'Applications for sanitary registration of In Vitro Diagnostic Products ... that are authorised and commercialised in countries regulated by: PAHO/WHO Reference Regulatory Authorities; Regulatory Authorities of member countries of the Committee of the International Medical Device Regulators Forum - IMDRF; Regulatory Authorities with which bilateral agreements with DINAVISA exist, shall be subject to the Simplified Sanitary Registration Process (PSR).' and 'DINAVISA shall have a term of 15 (fifteen) business days to validate the required documentation and decide thereon. Once the term has elapsed with no report from DINAVISA, the application shall be approved.' Article numbering confirmed by reading the page image of the official PDF.
Prior approval / evidence record
Proceso simplificado de Registro Sanitario (PSR) para productos para diagnรณstico de uso in vitro
- Name
Proceso simplificado de Registro Sanitario (PSR) para productos para diagnรณstico de uso in vitro
- Description
Class II, III and IV IVDs (Res. 44/2024 Art. 7) already authorised and commercialised by a recognised reference authority are validated in 15 business days with approval by positive silence, instead of the 30, 45 or 120 business days of the ordinary IVD route.
- Timeline Reduction
From 30-120 business days down to 15 business days
- Eligibility
- Product classified as class II, III or IV under Resoluciรณn DINAVISA Nยฐ 266/2022 Art. 9
- Current authorisation and commercialisation in a country regulated by a PAHO/WHO reference regulatory authority, by an IMDRF Management Committee member authority, or by an authority with a bilateral agreement with DINAVISA
- The foreign registration must correspond specifically to the same product being registered in Paraguay
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
PeruUS FDA ยท UK MHRA ยท Health Canada ยท Japan MHLW / PMDA ยท Australia TGA ยท Swissmedic ยท South Korea MFDS ยท Germany ยท France ยท Netherlands ยท Spain ยท Italy ยท Belgium ยท Portugal ยท Ireland ยท Austria ยท Hungary ยท Denmark ยท Norway ยท Sweden Prior approval / evidence record
Paรญs de Alta Vigilancia Sanitaria (art. 9 D.S. 016-2011-SA): United States, Canada, Japan, Australia, Switzerland, South Korea, United Kingdom, Germany, France, Netherlands, Spain, Italy, Belgium, Portugal, Ireland, Austria, Hungary, Denmark, Norway, Sweden
- Authority
Paรญs de Alta Vigilancia Sanitaria (art. 9 D.S. 016-2011-SA): United States, Canada, Japan, Australia, Switzerland, South Korea, United Kingdom, Germany, France, Netherlands, Spain, Italy, Belgium, Portugal, Ireland, Austria, Hungary, Denmark, Norway, Sweden
- Benefit
The Peruvian route to relying on a foreign approval is documentary, not procedural. A certificate of free sale or a GMP certificate issued by a high-surveillance authority is accepted directly, and if the issuing authority appears on the Resoluciรณn Directoral 169-2014-DIGEMID list the document does not need an apostille. Everything else still goes through DIGEMID certification.
- Timeline Savings
None published โ the TUPA period is set by class, not by origin
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-30
RwandaUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS ยท WHO Prior approval / evidence record
Abridged assessment route taking account of prior assessment and inspection outcomes from WHO prequalification or a competent NRA, on a sameness declaration with SRA / WHO PQ / EAC registration
reliance.abridged-assessment-sra-who-pq-eac
Fact-level verifiedโ- Statement
Rwanda FDA operates an abridged assessment procedure for medical device registration. Abridged assessment is defined as a limited independent assessment of specific parts of the dossier, taking into account prior assessment (dossier review and/or independent performance evaluation) and inspection outcomes from WHO prequalification or any National Regulatory Authority the Authority deems competent. The cover letter template for an abridged application (Appendix 1 of DHT/GDL/024) requires the applicant to confirm that the product dossier submitted is the same in all aspects as the product registered with the relevant SRA, WHO PQ and EAC. The statutory basis is Article 16 of the device registration regulations, which allows the Authority to rely on regulatory decisions of regional, international and other stringent regulatory authorities for product market authorisation. For devices under abridged assessment, QMS compliance of the manufacturing site is confirmed by desk review rather than an on-site inspection, although the Authority may still conduct an on-site inspection if necessary.
- Source Approval
US FDA; EU CE marking under MDR 2017/745 / IVDR 2017/746 or the predecessor directives; Japan PMDA/MHLW; Korea MFDS; and any other authority the Rwanda FDA deems competent under the SRA concept, where the product is registered with that authority as an SRA; WHO Prequalification; EAC registration
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The applicant must declare sameness of the dossier with the product registered with the relevant SRA, WHO PQ and EAC; the declaration is a tick-box on the Appendix 1 cover letter marked 'Only for Abridged Applications' (p. 67).
- The abridged procedure is assessed within 60 working days, against 180 working days for full assessment.
- QMS audit compliance for abridged devices is confirmed by desk review; the Authority may nevertheless conduct an on-site inspection where necessary.
- Neither DHT/GDL/024 nor the reliance guideline names US FDA, the EU, Japan or Korea as SRAs; the SRA concept is incorporated by reference and eligibility of a specific authority is determined by the Authority.
- Class C and Class D devices under the ordinary route must file a Rwanda FDA QMS audit certificate or proof of QMS audit application.
Effective from 2025-11-01
Verbatim (Glossary 2): "'Abridged assessment' a limited independent assessment of specific parts of the dossier, or regulatory submission of data for suitability of use under local conditions and regulatory requirements, taking into account prior assessment (including dossier review and/or independent performance evaluation) and inspection outcomes from WHO prequalification or any National Regulatory Authority (NRA) deemed by the Authority as competent to inform the latter in its decision." Verbatim (application form): 'I confirm that the Product Dossier information submitted is the same in all aspects as the product registered with the relevant SRA, WHO PQ and EAC (Only for Abridged Applications)'.
RwandaUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS Prior approval / evidence record
FDA 510(k) / PMA, EU CE marking, Japan PMDA, Korea MFDS
- Authority
FDA 510(k) / PMA, EU CE marking, Japan PMDA, Korea MFDS
- Benefit
Handled through the SRA concept rather than by a substitute approval; the Rwandan registration and certificate are still issued by Rwanda FDA and the reliance decision is discretionary.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
TunisiaJapan MHLW / PMDA ยท South Korea MFDS Prior approval / evidence record
Japan PMDA / Korea MFDS / other non-listed approvals
- Authority
Japan PMDA / Korea MFDS / other non-listed approvals
- Benefit
Not named anywhere in the ANMPS device dossier guide: a product holding only a PMDA or MFDS approval has no listed documentary route and must rely on the agency's reservation clause permitting it to request other documents.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
UgandaWHO ยท IMDRF member authorities ยท ISO Prior approval / evidence record
WHO Prequalification, or quality-system certification from a certification body accredited by a regulatory authority in an IMDRF founding-member country, or any other international organisation recognised by NDA
- Authority
WHO Prequalification, or quality-system certification from a certification body accredited by a regulatory authority in an IMDRF founding-member country, or any other international organisation recognised by NDA
- Benefit
Track 2: accepted as a documentary substitution for an IMDRF-country licence under DAR/GDL/028 ยง4.12.2 โ the foreign element that unlocks the route is the quality-system certification and its accreditation rather than a product approval, and no shortened period is published for it.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
UgandaWHO ยท IMDRF member authorities ยท ISO Prior approval / evidence record
Track 2: WHO Prequalification or QMS certification from an IMDRF-accredited body substitutes for an IMDRF-country licence
reliance.track-2-who-prequalification-or-imdrf-accredited-qms
Fact-level verifiedโ- Statement
A product that is not licensed in an IMDRF founding-member country can still enter Track 2 by producing documented evidence of conformity to an accepted quality system standard from a certification body accredited by a regulatory authority in one of the IMDRF founding member countries, or WHO Prequalification, or any other international organisation recognised by NDA. This is a documentary substitution: the foreign element that unlocks the route is the quality-system certification and its accreditation, not a product approval. NDA's Medical Devices page states the same route for products 'prequalified by WHO or registered in SRA countries'.
- Source Approval
WHO Prequalification, or ISO 13485/ISO 13488 (or the country-equivalent QS) certification issued by a certification body accredited by a regulatory authority in an IMDRF founding-member country; more broadly, registration in a country NDA treats as a stringent regulatory authority
- Edge Type
Qms Audit Reliance
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- Track 2 requires documented evidence of conformity from a certification body accredited by a regulatory authority in one of the IMDRF founding member countries, OR WHO Prequalification, OR any other international organisation recognised by NDA.
- A Certificate of Analysis confirming compliance to a quality system standard in Table 3 must also be filed.
- The accepted standards in DAR/GDL/028 Table 3 are ISO 13485 or ISO 13488 (Australia, Canada, European Union), GMP QS Standard for medical appliances #1128 (Japan) and QS 21 CFR part 820 (United States).
- Track 2 still requires evidence of repeat sales in the country of manufacture and a completed submission checklist, and NDA retains the registration decision.
Effective from 2020-08-14
edgeType 'qms_audit_reliance' is reused from the existing vocabulary (4 prior uses): the mechanism is reliance on a third party's quality-system certification rather than on a product approval. NDA's page wording for this route ('Track 2 for Products prequalified by WHO or registered in SRA countries') is carried by the supporting source. The guideline does not define 'SRA'; the page's SRA language and the guideline's 'accredited by a regulatory authority in one of the IMDRF founding member countries' are not identical, and the fact is bounded to what the guideline says.
UgandaAustralia TGA ยท Health Canada ยท EU conformity assessment ยท Japan MHLW / PMDA ยท US FDA ยท IMDRF member authorities Prior approval / evidence record
Track 1: an IMDRF founding-member licence opens an abridged evaluation (Australia, Canada, EU, Japan, USA)
reliance.imdrf-reference-country-licence-track-1
Fact-level verifiedโ- Statement
A device already licensed in one of the IMDRF founding-member countries goes into Track 1, which NDA describes as an expedited review with shortened registration timelines whose evaluation process is abridged by the foreign approval. The applicant does not re-submit the full technical dossier: Track 1 requires a covering attestation, abbreviated product and manufacturer details, a notarized copy of the IMDRF-country licence, a Certificate of Analysis confirming compliance to an accepted quality system standard, evidence of repeat sales in the country of manufacture, product samples where practicable, and a completed submission checklist. The approval recognised is the one listed for the country in DAR/GDL/028 Table 2.
- Source Approval
Australia: TGA GMPALS licence or CE mark; Canada: appliance licence; European Union: CE mark; Japan: MHLW appliance licence; United States: FDA 510(k) letter
- Edge Type
Abridged Or Recognition Route
- Market Access Strength
facilitated
- Regulatory Layer
Premarket Review
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The recognised approval is country-specific: DAR/GDL/028 Table 2 names GMPALS licence or CE mark for Australia, an appliance licence for Canada, CE mark for the European Union, an appliance licence for Japan, and a 510K appliance letter for the United States.
- Track 1 still requires a national application on Form 7 and NDA retains the registration decision; the foreign licence abridges the evaluation, it does not replace the registration.
- Track 1 additionally requires a Certificate of Analysis confirming compliance to a quality system standard from DAR/GDL/028 Table 3 (ISO 13485 or ISO 13488 for Australia, Canada and the EU; GMP QS Standard for medical appliances #1128 for Japan; QS 21 CFR part 820 for the United States) and evidence of repeat sales in the country of manufacture.
- CE-marked products enter track 1 via the European Union founding-member entry; there is no separate CE-only track.
Effective from 2020-08-14
Excerpt joins the s. 4.12.1 heading with items (d) and (e) of the same list and with Table 2 verbatim, separated by [...]. NDA's Medical Devices page restates the same mechanism in its own words for the customer question: 'Foreign manufacturers entering the Ugandan market can leverage their existing approvals in recognized reference markets (Australia, Canada, European Union countries, Japan, and the United States) with expedited reviews and shortened registration timelines.' That page sentence is the supporting source's contribution and is why this is not marked source-backed-partial.
UgandaAustralia TGA ยท Health Canada ยท EU conformity assessment ยท Japan MHLW / PMDA ยท US FDA ยท IMDRF member authorities Prior approval / evidence record
Licence or approval from an IMDRF founding-member country โ Australia, Canada, the European Union, Japan, the United States
- Authority
Licence or approval from an IMDRF founding-member country โ Australia, Canada, the European Union, Japan, the United States
- Benefit
Track 1: an abridged evaluation in which the foreign approval carries the technical assessment, with a much smaller submission (attestation, abbreviated product and manufacturer details, notarized copy of the licence, Certificate of Analysis to an accepted quality-system standard, evidence of repeat sales and product samples where practicable). It is an expedited review with shortened registration timelines, but NDA publishes no number for the shortening and the final decision remains NDA's.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
UzbekistanUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท UK MHRA ยท South Korea MFDS Regulatory reference
Devices registered by the following are registered in Uzbekistan by the recognition route: US FDA; EU bodies authorized to issue CE conformity certificates; EMA (EU); PMDA (Japan); MFDS (Republic of Korea); MHRA (United Kingdom). Foreign certificates are verified against the issuing regulator's official registers/website; if not verifiable through open sources they must be apostilled or consularly legalized.
Conditions
- Certificate authenticity checked via official registers; Centre may send an official request โ no reply within 60 working days leads to refusal.
- Recognition route: 15 working-day review, no samples, no local laboratory tests, no clinical studies, no production inspection.
Effective from 2026-02-26
WHO-prequalified IVDs registered in cooperation with WHO get a separate 60-working-day route.
VietnamNMPA ยท US FDA ยท EU conformity assessment ยท Australia TGA ยท Japan MHLW / PMDA ยท UK MHRA ยท Swissmedic ยท South Korea MFDS Prior approval / evidence record
Class C
- Pathway
Circulation number registration (Ministry of Health)
- Verification Status
official-verified
- Official Source
- Title
Nghแป ฤแปnh 98/2021/Nฤ-CP on the management of medical devices (as amended by Decrees 07/2023, 96/2023, 04/2025) โ Art. 28 declaration for Class A/B and Art. 32 appraisal periods for Class C/D
- Url
https://vanban.chinhphu.vn/?pageid=27160&docid=204442
- Prior Approval Benefits
- FDA
- TGA
- MHLW
- EU
- MHRA
- Swissmedic
- NMPA
- MFDS
- Notes
- Decree 98/2021 Art. 32(5): the Minister of Health must appraise and grant the circulation number within 45 days of a complete and valid dossier, counted only once the appraisal fee receipt is in, and must issue any request for supplementation within 40 days
- Art. 32(2) shortens this to 30 days, with a 25-day supplementation notice, where a corresponding national technical regulation (QCVN) exists for the device, and the same 30 days applies to measuring instruments that need pattern approval
- Art. 32(3): the fast track for devices already authorised in a reference country, or previously import-licensed, is decided in 10 working days with a 10-working-day supplementation notice โ here the Ministry appraises only the legal documents and verifies the rest after the number is granted
- Art. 32(4): the emergency route is also 10 working days, with an 8-working-day supplementation notice
- The clock does not simply run out in the applicant favour: if the dossier is not corrected within 90 days of a request, or fails after five rounds of supplementation, the procedure restarts from the beginning
- Art. 32(6): the granted number and the dossier are published on the medical device portal within 1 working day
- Clinical Trial Required
No
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-29
VietnamNMPA ยท US FDA ยท EU conformity assessment ยท Australia TGA ยท Japan MHLW / PMDA ยท UK MHRA ยท Swissmedic ยท South Korea MFDS Prior approval / evidence record
Class D
- Pathway
Circulation number registration (Ministry of Health)
- Verification Status
official-verified
- Official Source
- Title
Nghแป ฤแปnh 98/2021/Nฤ-CP on the management of medical devices (as amended by Decrees 07/2023, 96/2023, 04/2025) โ Art. 28 declaration for Class A/B and Art. 32 appraisal periods for Class C/D
- Url
https://vanban.chinhphu.vn/?pageid=27160&docid=204442
- Prior Approval Benefits
- FDA
- TGA
- MHLW
- EU
- MHRA
- Swissmedic
- NMPA
- MFDS
- Notes
- Decree 98/2021 Art. 32(5): the Minister of Health must appraise and grant the circulation number within 45 days of a complete and valid dossier, counted only once the appraisal fee receipt is in, and must issue any request for supplementation within 40 days
- Art. 32(2) shortens this to 30 days, with a 25-day supplementation notice, where a corresponding national technical regulation (QCVN) exists for the device, and the same 30 days applies to measuring instruments that need pattern approval
- Art. 32(3): the fast track for devices already authorised in a reference country, or previously import-licensed, is decided in 10 working days with a 10-working-day supplementation notice โ here the Ministry appraises only the legal documents and verifies the rest after the number is granted
- Art. 32(4): the emergency route is also 10 working days, with an 8-working-day supplementation notice
- The clock does not simply run out in the applicant favour: if the dossier is not corrected within 90 days of a request, or fails after five rounds of supplementation, the procedure restarts from the beginning
- Art. 32(6): the granted number and the dossier are published on the medical device portal within 1 working day
- Clinical Trial Required
Yes
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-08-29
ZambiaWHO ยท US FDA ยท EU conformity assessment ยท IMDRF member authorities Prior approval / evidence record
Foreign approval (WHO PQ, US FDA, CE mark, IMDRF member state, SADC registration) is disclosed on the application form but opens no stated route
reliance.foreign-approval-disclosure-no-stated-route
Fact-level verifiedโ- Edge Type
Origin Country Evidence
- Market Access Strength
Evidence Only
- Source Approval
Disclosure of marketing approval in a SADC state, WHO Prequalification, US FDA approval, CE marking, or approval in any IMDRF member state
- Statement
ZAMRA's device application form requires the applicant to disclose its foreign approvals: it must list the SADC states where the medical device has obtained marketing approval, attaching documentation, and state whether the device is WHO prequalified, US FDA approved, CE marked or approved in any IMDRF member state, attaching valid documentation. A separate dossier item requires documentary proof of registration of the product in other countries, specifically those in the SADC region. None of these approvals, however, gives a shortened or substitute route in the guidelines: the non-IVD guideline states only that an application 'shall be evaluated on a first come first serve basis unless expedited evaluation has been authorised by the Authority', and neither the non-IVD nor the IVD guideline provides that a WHO, FDA, CE or IMDRF approval triggers that authorisation or replaces any part of ZAMRA's assessment. An FDA or CE holder therefore still files the full ZAMRA dossier and obtains a Zambian marketing authorisation on ZAMRA's own evaluation. This is disclosure and evidence, not reliance.
- Regulatory Layer
Product Marketing
- Local Application Required
Yes
- Target Decision Retained
Yes
Conditions
- The approval information is a mandatory field on the Annex I application form, so withholding it is not an option; but the guidelines attach no procedural consequence to holding or not holding it.
- 'Expedited evaluation' is defined in the non-IVD guideline as 'the express evaluation of a product application within a 90 - day period'; the Authority authorises it and the guideline states no criteria, so reliance on a foreign approval as the trigger is aspirational rather than an operating rule.
- ZAMRA's published fee schedule carries a 'Fast track fees' head at 'Double the applicable MA applicable fee', confirming that a fast track exists commercially but again without stating a foreign-approval trigger.
- The same absence holds for IVDs: the IVD guideline (ZAMRA/MA/GUD/0003) has no recognition or abridged procedure based on a foreign marketing authorisation, although it defines a 'Fast Track process' as 'the authorised expedited evaluation or assessment of an application submitted for the purpose of grant of Marketing Authorisation'.
Effective from 2024-06-21
Verbatim from Annex I: 'List the SADC states where the medical device has obtained marketing approval (Attach documentation)' and 'Is the device WHO prequalified, US FDA approved, CE Marked or approved in any IMDRF member state? If so attach valid documentation'. Non-IVD guideline section 1(i): 'An application shall be evaluated on a first come first serve basis unless expedited evaluation has been authorised by the Authority.' Definition: 'โexpedited evaluationโ means the express evaluation of a product application within a 90 โ day period'.
ZambiaIMDRF member authorities ยท WHO ยท US FDA ยท EU conformity assessment Prior approval / evidence record
WHO Prequalification; US FDA approval; EU CE marking; approval in any IMDRF member state
- Authority
WHO Prequalification; US FDA approval; EU CE marking; approval in any IMDRF member state
- Benefit
Disclosure only. The Annex I application form requires the applicant to state whether the device is WHO prequalified, US FDA approved, CE marked or approved in any IMDRF member state and to attach valid documentation, but neither the non-IVD nor the IVD guideline attaches any procedural consequence โ no shortened clock, no abridged dossier and no substitute for ZAMRA's own evaluation.
Maintained reference ยท planning ranges remain estimates ยท reviewed 2026-09-16
ZimbabweUS FDA ยท EU conformity assessment ยท Japan MHLW / PMDA ยท South Korea MFDS ยท NMPA Prior approval / evidence record
No reliance route for medical devices: Zimbabwe operates no general device registration pathway at all
reliance.no-device-registration-route
Fact-level verifiedโ- Statement
An FDA, CE, PMDA, MFDS or NMPA approval holder has nowhere to file it in Zimbabwe. Zimbabwe does not operate a general medical device registration pathway: the Medicines and Allied Substances Control Act's registration machinery covers medicines, and devices enter control only through ministerial regulations made under section 38(1)(b). The only device classes ever brought under control are male condoms (SI 183 of 2005) and medical gloves (SI 1 of 2006). For any other device - an infusion pump, an orthopaedic implant, a CT scanner, an IVD - there is no marketing authorisation to apply for, so no foreign approval can open, shorten or substitute for one. MCAZ's own Strategic Plan 2026-2030 records the Medical Devices Unit's entire regulatory function as the assessment of male condoms and medical gloves, and lists an 'expanded scope to medical devices and allied substances' as an effect of a Medical Products and Allied Substances Control Bill that is still only proposed.
- Edge Type
No Reliance Route
- Market Access Strength
none
- Regulatory Layer
Product Marketing
- Local Application Required
No
- Target Decision Retained
Yes
Conditions
- sourceApproval is recorded as 'none' because there is no device registration route for a foreign approval to attach to. This is a structural no-route, not a policy of refusing foreign approvals.
- The absence is transitional rather than permanent: the Strategic Plan and the Reliance Policy both look forward to device regulation, but neither has been brought into force.
The claim rests on the Act's long title and structure (Part IV, 'REGISTRATION OF MEDICINES', ss.26-41, is the only registration regime in the Act) read together with the exhaustive MCAZ listing of device instruments (only the Condom Regulations, the Glove Regulations and their 2014 amendments) and the Strategic Plan 2026-2030 statement that the Medical Devices Unit's functions are 'Regulation and Quality Conformity Assessment of male condoms in accordance with SI 183 of 2005', 'Regulation and Quality Conformity Assessment of medical gloves in accordance with SI 1 of 2006' and 'Factory inspections (cGMP) of condom and glove manufacturing facilities'. No device registration guideline, application form or device fee schedule exists in MCAZ's published document set.