On February 17, the State Food and Drug Administration issued the Announcement of the State Food and Drug Administration, National Health Commission and National Healthcare Security Administration on the Implementation of Unique Identification of the Third Batch of Medical Devices (No. 22, 2023) (hereinafter referred to as the "Announcement"). The original text is as follows.
On January 1, 2021, the first batch of 69 Class-III medical devices in 9 categories was uniquely identified as medical devices. On June 1, 2022, the second batch of other Class-III medical devices (including in vitro diagnostic reagents) were uniquely identified as medical devices. In order to further implement the Regulations on the Supervision and Administration of Medical Devices, the Notice of the General Office of the State Council on Issuing the Reform Plan for the Treatment of High-Value Medical Consumables, and the key tasks related to the deepening of the medical and health system reform by the State Council, it is decided to uniquely identify some Class II medical devices as the third batch of medical devices. The relevant matters are hereby announced as follows:
I. Variety scope
According to the risk degree and regulatory needs, some disposable products with high clinical demand, selected products with centralized procurement, medical beauty related products and other Class-II medical devices are uniquely identified as the third batch of medical devices, and the specific product catalog is attached.
II. Schedule
For medical devices listed in the third batch of implementation product catalogs, the registrant shall carry out the following work in an orderly manner according to the time limit requirements:
(1) Unique identification encoding
Medical devices produced from June 1, 2024 shall have unique medical device identification. The third batch of products that have already been produced and implemented with unique identification may not have unique identification. The production date is based on the medical device label.
(2) Unique identification registration system submission
For applications for registration from June 1, 2024, the registration applicants shall submit the product identification of the minimum sales unit of their products in the registration management system. For products that have been accepted or approved for registration before June 1, 2024, the registrant shall submit the product identification of the minimum sales unit in the registration management system when continuing or changing the registration of the product.
The product identification does not belong to the scope of registration review, and the individual change of the product identification belongs to the scope of registration changes.
(3) Unique identification database submission
Before the medical devices produced on June 1, 2024 are put on the market for sale, the registrant shall upload the product identification and relevant data of the minimum sales unit and higher-level packaging to the unique identification database of the medical devices in accordance with relevant standards or regulatory requirements, so as to ensure that the data is true, accurate, complete and traceable. For medical devices with information maintained in the medical insurance consumables classification and code database of the National Healthcare Security Administration, it is necessary to supplement and improve the medical insurance consumables classification and code fields in the unique identification database, improve the information related to the unique identification of medical devices during maintenance of the medical insurance consumables classification and code database, and confirm the consistency with the data in the unique identification database of medical devices.
When there is a change in the data related to the product identification of the minimum sales unit of medical devices, the registrant shall make changes in the unique identification database of medical devices before the product is launched for sale to achieve data updating. When the product identification of the minimum sales unit of medical devices is changed, data shall be uploaded to the unique identification database of medical devices according to the new product identification.
III. Relevant requirements
Medical device registrants shall effectively implement their main responsibilities, encourage the establishment of a sound traceability system based on unique identification, and do a good job in product recall, tracking and other relevant work. For the change of product management category due to the dynamic adjustment of the Medical Device Classification Catalogue, the medical device registrant shall implement unique identification in accordance with the requirements of the adjusted management category.
Medical device operating enterprises shall actively apply unique identification in their business activities, do a good job in stock-in/out with codes, and achieve traceability of products in the circulation process.
Medical institutions shall actively apply unique identification in clinical practice, such as clinical use, payment, settlement and reimbursement, and keep records of the entire process with codes to achieve product traceability in the clinical process.
The code assignment agency shall establish standards and guidelines for the preparation of its unique identification, guide medical device registrants in the creation and coding of unique identification, and verify the readability of unique identification prepared according to its standards during circulation and use.
Provincial drug supervision and management department shall strengthen training and guidance on the unique identification, promote the transformation of the product registration system based on the implementation needs, organize medical device registrants within the jurisdiction to carry out product coding, data uploading and maintenance as required, strengthen collaboration with the health and medical insurance departments within the jurisdiction, and promote the medical, medical insurance and pharmaceutical linkage.
Provincial health departments shall guide medical institutions within their jurisdiction to actively apply unique identification and strengthen the standardized management of medical devices in clinical applications.
Provincial medical insurance departments shall strengthen the associated use of the medical insurance consumables classification and code with the unique identification of medical devices, and promote the transparency and intelligence of catalog access, payment management and volume bidding.
It is hereby announced.
Attached:
Catalogue of products with unique identification for the third batch of medical devices
According to the Classification Catalogue of Medical Devices, the following varieties (103) are listed:
I. Active surgical instruments
Level-1 product category | Level-2 product category | Management category |
01 Ultrasonic surgical equipment and accessories | 03 Ultrasonic surgical equipment accessories | Class II |
02 Laser surgical equipment and accessories | 02 Medical laser fiber | II |
03 High frequency/radio frequency surgical equipment and accessories | 01高频手术设备 | Class II |
| 03 Argon protected gas coagulation equipment | II |
| 04 High-frequency/radio frequency electrodes and conduits | Class II |
| 05 Perfusion pump for radio-frequency ablation equipment | II |
09 Active equipment for endoscopic surgery | 01 Active equipment for endoscopic surgery | Class II |
10 Other surgical equipment | 03 Electric stapler | Class II |
| 04 Surgical power system | II |
II. Passive surgical instruments
Level-1 product category | Level-2 product category | Management category |
13 Surgical instruments - anastomat (stiching) instruments and materials | 01 Stapler (with nails) | Class II |
| 02 Stapler (without nails) | Class II |
| 03 Endoscopic anastomat (stiching) instruments (without nails) | II |
| 04 Vascular suturing device | Class II |
| 07 Non-absorbable suture | II |
III. Neurological and cardiovascular surgical instruments
Level-1 product category | Level-2 product category | Management category |
13 Neurological and cardiovascular surgical instruments -cardiovascular interventional instruments | 04 Catheter disinfection connector | II |
12 Puncture needle | II |
14 Catheter sheath | II |
15 Dilator | II |
17 Balloon inflation device for balloon dilation catheter | II |
18 Connection valve | II |
25 Extension tube | II |
IV. Orthopaedic surgical instruments
Level-1 product category | Level-2 product category | Management category |
07 Orthopedic cone | 01 Interventional bone cone | II |
12 Active instruments for orthopedics | 01 Orthopedic power surgical equipment | II |
02 Supporting tools | Class II |
13 External fixation and traction equipment | 02 External fixator | Class II |
14 Basic universal auxiliary instruments | 01 Minimally invasive bone guide | II |
02 Bone cement instruments | Class II |
03 Bone graft instruments | Class II |
16 Joint surgical auxiliary instruments | 01 Bone cement setting mold | Class II |
17 Spinal surgical auxiliary instruments | 03 Injection propulsion device | Class II |
04 Vertebroplasty guidance system | II |
05 Fiber ring suture instrument | II |
06 Vertebral posterior edge processor | II |
13 Spinal surgical channel instrument | II |
15 Supporting tools | Class II |
18 Other orthopedic surgical instruments | 02 Cranial orthopedic instrument | II |
V. Medical imaging instruments
Level-1 product category | Level-2 product category | Management category |
01 Diagnostic X-ray machine | 02 Urinary X-ray machine | II |
| 04 Oral X-ray machine | Class II |
16 Endoscopic aids | 06 Endoscopic biopsy bag | II |
| 07 Endoscope bite block and cannula | Class II |
VI. Medical examination and monitoring instruments
Level-1 product category | Level-2 product category | Management category |
10 Accessories and consumables | 03 Body surface electrode | II |
| 04 Pulse blood oxygen sensor | II |
| 05 Conductive paste | II |
VII. Respiratory, anesthesia and first-aid instruments
Level-1 product category | Level-2 product category | Management category |
05 Respiratory, anesthesia and first-aid equipment auxiliary devices | 07 Atomizing equipment | II |
06 Tubes and masks for breathing and anesthesia | 03 Endotracheal intubation/tracheal cannula | II |
| 04 Esophageal tracheal intubation | II |
| 05 Laryngeal mask | II |
| 06 Oropharyngeal/nasopharyngeal airway | II |
| 07 Bronchial occluder | II |
| 08 Nasal oxygen tube | Class II |
| 09 Respiratory suction catheter (sputum suction tube) | II |
VIII. Physical therapy instruments
Level-1 product category | Level-2 product category | Management category |
03 Phototherapy equipment | 01 Laser treatment equipment | Class II |
| 02 Photodynamic laser treatment equipment | Class II |
| 04 Intense pulsed light treatment equipment | II |
| 05 Red light treatment equipment | II |
| 06 Blue light treatment equipment | II |
IX. Blood transfusion, dialysis and extracorporeal circulation instruments
Level-1 product category | Level-2 product category | Management category |
03 Blood purification and peritoneal dialysis equipment | 06 Peritoneal dialysis equipment | II |
04 Blood purification and peritoneal dialysis apparatus | 04 Peritoneal dialysis apparatus | Class II |
X. Active implantable devices
Level-1 product category | Level-2 product category | Management category |
01 Cardiac rhythm management equipment | 10 Pacing system analysis equipment | II |
| 11 Programmed control equipment for cardiac rhythm management | II |
| 12 Connector sleeve | II |
02 Neuroregulatory equipment | 07 Test stimulator | II |
| 08 Test extension wire | II |
| 09 Neural control programmed control equipment | II |
03 Assistive auditory equipment | 02 External sound processor | II |
| 03 Auxiliary auditory control equipment | II |
04 Others | 01 Implantable cardiac contractile force regulation device | Class II |
XI. Infusion, nursing and protective instruments
Level-1 product category | Level-2 product category | Management category |
01 Injection and puncture instrument | 01 Injection pump | Class II |
| 04 Pen syringe | II |
| 07 Syringe auxiliary pushing device | Class II |
02 Intravascular infusion instrument | 01 Infusion pump | Class II |
| 12 Transfer and dispensing equipment for liquid medicine | II |
05 Non-intravascular catheter (insertion) | 02 Transnasal enteral nutrition catheter | II |
| 03 Catheter | Class II |
| 04 Rectal canal (anal canal) | Class II |
| 05 Ureteral stent | Class II |
| 06 Drainage catheter | II |
| 07 Expansion catheter | II |
| 08 Angiographic catheter | II |
| 09 Pressure measuring tube | II |
06 Extracorporeal instruments for use with non-intravascular catheters | 01 Extracranial drainage collection device | II |
| 02 Thoracic drainage device | II |
| 05 Negative pressure drainage sponge | Class II |
| 06 Negative pressure drainage sealing membrane | II |
12 Ostomy and scar care products | 02 Scar repair materials | II |
14 Protective equipment for medical personnel | 01 Protective mask | II |
| 02 Protective clothing | II |
XII. Ophthalmological instrument
Level-1 product category | Level-2 product category | Management category |
03 Visual equipment and appliance | 03 Vision therapy equipment | II |
04 Ophthalmic measurement and diagnostic equipment and instrument | 01 Ophthalmic laser diagnostic equipment | Class II |
05 Ophthalmic treatment and surgical equipment, auxiliary instrument | 04 Ophthalmic cryotherapy equipment | II |
| 06 Ophthalmic treatment and surgical aids | Class II |
07 Ophthalmic implants and auxiliary instrument | 14 Ocular prosthesis | Class II |
| 15 Intraocular lens and vitreous implant instruments | Class II |
| 16 Capsular tension ring implant device | Class II |
XIII. Obstetrics and gynecology, assisted reproduction and contraceptive devices
Level-1 product category | Level-2 product category | Management category |
01 Obstetrics and gynecology surgical instrument | 05 Dilators and retractors for obstetrics and gynecology | Class II |
| 10 Hysterosalpingography and tubal fluid apparatus | Class II |
04 Obstetrical and gynecological therapeutic instrument | 02 Gynecological prosthesis instrument | Class II |
07 Assisted reproductive device | 01 Assisted reproductive duct | II |
| 02 Assisted reproductive puncture for egg retrieval/sperm needle | II |
| 03 Assisted reproductive microtool | II |
XIX. Medical rehabilitation instruments
Level-1 product category | Level-2 product category | Management category |
01 Cognitive and verbal audiovisual impairment rehabilitation equipment | 07 Hearing aid | II |
XV. Clinical testing instruments
Level-1 product category | Level-2 product category | Management category |
01 Hematology analysis equipment | 02 Blood cell analysis instrument | II |
11 Sampling equipment and instruments | 04 Venous blood sampling vessels | II |
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