Titans Medical

Why Respiratory Devices Face High Scrutiny in Indian Regulations

The COVID-19 pandemic reshaped how the world views respiratory care. Devices such as ventilators, oxygen concentrators, CPAP/BiPAP machines, and nebulizers became lifelines during the crisis—and in India, they quickly moved into the spotlight of regulators. Under the Central Drugs Standard Control Organization (CDSCO), respiratory devices now face some of the strictest oversight, making respiratory device registration in India a highly regulated pathway compared to other categories.

This heightened attention means manufacturers and importers must understand the nuances of CDSCO medical device rules and how they apply specifically to respiratory technologies.

Key Regulatory Focus Areas

1. Risk-Based Classification

Most respiratory devices are considered high-risk due to their direct impact on critical patient functions. Under MDR 2017 India, many of these products fall into Class C or Class D, requiring stricter compliance, deeper scrutiny, and closer review during CDSCO approval.

2. Import & Licensing Scrutiny

For overseas manufacturers, CDSCO expects not only an import license but also supporting evidence such as a Free Sale Certificate (FSC) and adherence to BIS compliance standards. The process for securing an oxygen concentrator license or ventilator compliance in India is therefore much more stringent than for low-risk devices.

3. Testing & Safety Standards

Respiratory devices must align with recognised international standards like IS/IEC 60601 for electrical safety and ISO 14971 for risk management. While the testing procedures are rigorous, manufacturers should note that demonstrating conformity to these standards is non-negotiable for CDSCO.

4. Software in Respiratory Devices

Modern respiratory devices are increasingly software-driven. Under Rule 11 of MDR 2017, software that influences clinical decisions or directly impacts therapy falls into higher risk categories, triggering additional compliance requirements.

5. Post-Market Surveillance Obligations

Even after CDSCO approval, manufacturers must remain vigilant. Robust post-market surveillance and vigilance reporting mechanisms are mandatory to ensure continued patient safety and regulatory compliance in India.

What This Means for Manufacturers

For medical device companies eyeing the Indian market, these requirements translate into a regulatory landscape that is both complex and unforgiving. Each step—whether securing an import license, proving safety compliance, or managing vigilance systems—demands precision and foresight.

This is why many manufacturers and importers choose to partner with experienced regulatory consultants. Navigating Indian medical device regulations without expert guidance often leads to delays, queries, or outright rejections.

Partner with Titans Medical Consulting

At Titans Medical Consulting, we specialize in helping medical device manufacturers and importers streamline their CDSCO approval journey. From interpreting MDR 2017 India requirements to aligning with post-market obligations, our team ensures your respiratory devices meet every compliance expectation efficiently.

Conclusion

Respiratory devices face stricter regulatory scrutiny in India than most other categories. This stems from their public health significance and the lessons learned during the COVID-19 pandemic. Staying compliant under CDSCO medical device rules requires proactive planning, accurate documentation, and regulatory expertise.

If your organization is exploring respiratory device registration in India, now is the time to take action. Connect with Titans Medical Consulting for tailored guidance that helps you bring safe, compliant, and trusted respiratory devices to the Indian market.

Sources

Central Drugs Standard Control Organization (CDSCO)

Ministry of Health and Family Welfare, Government of India

Medical Device Rules, 2017 (as amended) – Gazette of India

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