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Cover Story

The Medical Devices Sector in India; Task Force Recommendations

Recommendations

Policy support

1. Create necessary bodies to drive the policies

.1.1. Facilitating body

Set up an independent body with a permanent office and support staff to promote and facilitate the medical device industry with representatives from all related government departments as well as Industry.

1.2. Administrative Department

Department of Pharmaceuticals be strengthened and rechristened as Department of Pharmaceuticals and Medical Devices. Necessary revisions in the scope of services along with creation of a separate post of Director in the department to deal with issues related to the Medical devices sector.

2. Preferential treatment in government procurement

Infrastructure

1. Set up manufacturing hubs/ clusters in PPP mode
2. Set up Medical device parks
3. Financing support and Other support

Facilities for efficacy and safety testing

1. Medical device testing centers should be set up preferably in the PPP mode

2. Designate “Centers of Excellence” (CoE) for supporting product development and validation

3. Strengthen a made in India marking (BIS) specific to Medical devices

Skill development

Set up a Skill development committee with representatives from Medical devices industry, academia (NIPERs) and Healthcare Sector Skill Council (HSSC) under National Skill Development Council (NSDC).

R&D capability

1. Set up a system for IP exchange
2. Set up/ promote Incubation centers
3. Provide requisite financing support
4. Promote industry specific “independent software vendor” by extending similar benefits.

Policy for pricing

1. Separate price control order for medical devices
2. Price control body 3.Pricing & reimbursement policy

Duty structure

Tax/ duty structure to be designed to promote local manufacturing of quality medical devices and diagnostic equipment.

1. Discounts on import duties
2. Restrictions on import of second hand diagnostic equipment.
3. Incentivize and promote exports in the medical devices sector.
4. Taxes should be levied with reference to MRP.

Regulatory

1. Formulate “Medical Device Regulatory Act”

1.1. Medical devices should be treated distinctly from drugs and a separate chapter for medical devices should be made in the existing Drugs & Cosmetics Act.
1.2. A distinct regulatory pathway to be created for clinical trials of Medical Devices
1.3. Formulation of a risk based regulatory system for medical devices based on justified regulatory control mechanisms.
1.4. Harmonization with regulations guiding radiation-emitting medical products with the help of bodies like AERB
1.5. A policy on safety, efficacy and adverse reaction reporting based on International quality standards
1.6. Penal provisions to be made moderate for Medical devices
1.7. Labeling of MRP on Unit packs on imports should be made mandatory
1.8. Design a system to restrict usage of diagnostic equipment beyond their shelf life

2. Designate regulatory bodies for medical devices

2.1. Regulatory body for medical devices
2.2. Regulatory clearances to be provided by single window
2.3. Regulatory officials to be positioned across the regulatory landscape
2.4. Continuous training of regulatory staff at centre as well as state level

The envisioned ecosystem

• Medical Device Regulatory Act
• Tax discounts
• Pricing control policies
• Financing support

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