In accordance with the CFDA Decision, Center for Medical Devices Evaluation (CMDE) will represent CFDA to approve the following administrative approval items:
- Approval of clinical trial for the High risk Class III medical devices
- Approval of registration alteration (administrative approval items) for the domestic class III medical device or imported medical devices(class I, II and III medical device included)
- Approval of registration renewal for the domestic class III medical device or imported medical devices(class I, II and III medical device included)

The registration alteration for administrative approval items
Medical Devices | Change of Product name, model, specification, Composition or Structural Features, intended use, technical requirements and manufacturing site |
IVDs | Change of: 1. Suppliers of the major raw material just like antigen antibody 2. Test condition, positive judgment value or reference interval 3. The items, indicators and test methods pointed in the technical requirements for the registered products 4. Packaging specifications and applicable devices 5. Product storage conditions or validity 6. Intended uses added 7. Manufacturing site 8. others may affect the safety and efficiency |
The List of High risk Class III Medical Devices requiring clinical trial pre-approval
- Implantable pacemakers and defibrillators
- Implantable blood pumps
- Drug infusion systems
- Biodegradable stents
- Prosthetic heart valves
- Nano-orthopedic implants
- 3D-printed orthopedic implants
- Vascular staplers not yet on the market