Medical Device Registration in Hongkong

Medical Device Regulatory System in Hong Kong

Hong Kong is a dynamic international hub for trade and innovation, serving as a strategic gateway to Mainland China and the Greater Bay Area. With a free-market economy, robust legal and IP systems, and world-class healthcare infrastructure, Hong Kong offers a favorable environment for medical device companies. Hong Kong is home to approximately 8 million residents. As reported by a recent HKTDC Research, the region ranks among the highest globally in terms of life expectancy, owing to its well-developed and accessible healthcare infrastructure. The proportion of individuals aged 65 and above is projected to increase significantly—from 20% in 2021 to 32% by 2041. This demographic shift, coupled with rising health awareness, is driving greater demand for healthcare services and medical products. Based on data released by the Food and Health Bureau, total healthcare expenditure—including both public and private sectors—amounted to approximately HK$284.1 billion (US$36.4 billion) in the 2022–23 fiscal year, representing 10% of the city’s GDP.

Hong Kong’s Medical Device Regulatory Reform is Underway!

The Department of Health just officially announced that the Center for Medical Products Regulation (CMPR) is targeted to be established by the end of 2026. The Government is also targeting to introduce a bill for the statutory regulation of medical devices into the Legislative Council (LegCo) in 2026.

Medical Device Administrative Control System (MDACS) in Hong Kong

In Hong Kong, legislation specifically regulating the manufacture, import, distribution, supply, and use of medical devices is still pending enactment. In the interim, the Medical Device Administrative Control System (MDACS) has been implemented to facilitate the transition toward long-term statutory regulation. The system is administered by the Medical Device Division (MDD) under the Department of Health.

Note: The MDD was formerly known as the Medical Device Control Office (MDCO), established in July 2004. It was renamed the MDD on 1 October 2019.

Hong Kong’s current regulatory framework for medical devices is largely aligned with the recommendations of the International Medical Device Regulators Forum (IMDRF), formerly the Global Harmonization Task Force (GHTF).

Key Features of MDACS:

Voluntary Listing System

Voluntary Listing System

Local Responsible Persons (LRPs) may voluntarily list Class II, III, and IV General Medical Devices, as well as Class B, C, and D In Vitro Diagnostic Devices (IVDs), with the MDD. No application fee is required at this stage.

Adverse Event Reporting

Adverse Event Reporting

The system monitors and coordinates the management of adverse incidents, safety alerts, and product recalls related to medical devices.

What You Need to Know About MDACS Listing in Hong Kong?

What Foreign Manufacturers Should Know

Foreign manufacturers have three options to register their medical devices in Hong Kong:

Option 1

Establish a Legal Subsidiary in Hong Kong and designate it as the LRP.

Option 2

Appoint a Local Importer or Distributor to act as the LRP.

Option 3

Engage an Independent Third Party in Hong Kong to serve as the LRP.

What is Considered as a Medical Device in Hong Kong

Under Hong Kong’s MDACS, a medical device is defined as any instrument, apparatus, machine, material, software, or reagent for in vitro use, including related accessories, intended to be used for one or more of the following purposes in or on the human body, by means other than pharmacological, immunological, metabolic, or chemical action:

  • Diagnosis, treatment, alleviation, or prevention of disease
  • Modification or improvement of body structure or function
  • Control of conception

An In Vitro Diagnostic Medical Device (IVD) refers to any reagent, instrument, software, or system used to collect, prepare, or test specimens from the human body to diagnose disease, assess health status, or detect other conditions.

Medical Device Classification in Hong Kong

Medical devices are classified based on risk into four categories for both General Medical Devices (GMD) and In Vitro Diagnostic Medical Devices (IVDMD). The level of regulatory control is proportional to the risk level.

Low Risk

GMD Classification: I
IVDMD Classification: A

Medium-low Risk

GMD Classification: II
IVDMD Classification: B

Medium-high Risk

GMD Classification: III
IVDMD Classification: C

High Risk

GMD Classification: IV
IVDMD Classification: D

Classification rules are detailed in:

If multiple classification rules apply, the rule assigning the device to the higher class takes precedence. The Medical Device Division (MDD) provides tools to help determine whether a product qualifies as a medical device and to identify its appropriate classification (link).

Quality Management System Requirements

Foreign Medical Device Manufacturer

Both the legal manufacturer and the physical manufacturer of a medical device must be certified under ISO 13485. A valid ISO 13485 certificate must be submitted to the Medical Device Division (MDD) as part of the Medical Device Listing application under the MDACS.

The LRP must be either:
  • A legal entity incorporated in Hong Kong, or
  • A natural or legal person with a valid business registration in Hong Kong.

The LRP is responsible for submitting the device listing application to the MDD and must establish documented procedures to fulfill the following regulatory obligations:
  • Maintaining transaction records
  • Handling, storing, and delivering medical devices
  • Managing product alerts, modifications, and recalls
  • Reporting adverse events occurring in Hong Kong
  • Handling customer complaints
  • Tracking special medical devices
  • Arranging maintenance and servicing

Detailed responsibilities of the LRP are outlined in the COP-01 Code of Practice for Local Responsible Persons issued by the MDD.

Application for MDACS Medical Device Listing

The application consists of four parts:

Manufacturer Information

Local Responsible Person Information

Device Information

Marketing Approvals and Essential Principles

To complete the application via the Medical Device Information System (MDIS), applicants should refer to:

According to GN-01 Guidance Notes for Overview of the Medical Device Administrative Control System, the listing process typically takes up to 12 weeks after submission of all required documentation. Listings are valid for five years, and renewal applications must be submitted at least 12 weeks to one year before the expiry date.

Labeling Requirements

Labeling must comply with [TR-005] Additional Medical Device Labelling Requirements. Key requirements include:
  • Manufacturer and LRP contact details must be provided in both English and Traditional Chinese, where applicable.
  • Instructions for use (e.g., user manuals) must be available in both languages. If only one language is provided, a supplementary statement must be included as per GN-01 Guidance Notes for Overview of the Medical Device Administrative Control System.
  • Other documents (e.g., maintenance manuals) should preferably be bilingual, but must be in at least one of the two languages.
Special Listing Information
Special Listing Information consists of:

1. The device’s Listing Number
  • Note: in the case the device’s instructions for use are available only in any one of the English and Traditional Chinese, a supplementary statement informing the user the fact.  Illustrations are provided in GN-01 Guidance Notes for Overview of the Medical Device Administrative Control System
2. The name, address, and contact telephone/fax numbers of this LRP in both English and Chinese, wherever applicable.

The LRP has a six-months grace period after the device is listed to comply with this Special Listing Information requirement.

Additional Regulatory Considerations:

Depending on the nature, characteristics, and claims of a medical device, it may also fall under other regulatory frameworks, including:

  • Pharmacy and Poisons Ordinance (Cap. 138)
  • Radiation Ordinance (Cap. 303)
  • Telecommunications Ordinance (Cap. 106)
  • Consumer Goods Safety Ordinance (Cap. 456)
  • Undesirable Medical Advertisements Ordinance (Cap. 231)
  • Trade Descriptions Ordinance (Cap. 362)


Currently, the importation or sale of medical devices that contain pharmaceutical ingredients or emit ionizing radiation requires formal registration.