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How Classification Works

Hong Kong classifies medical devices using an IMDRF-aligned risk-based system. Classification determines MDACS listing eligibility and documentation requirements.

Two Classification Systems

Device TypeTechnical ReferenceClasses
General medical devicesTR-003Class I, II, III, IV (general medical devices)
IVD medical devicesTR-004Class A, B, C, D

General Classification Factors (TR-003)

Classification rules are based on:

  • Intended purpose — what the device is designed to do
  • Invasiveness — whether/how the device enters the body
  • Duration of contact — transient (< 60 min), short-term, or long-term (>30 days)
  • Active or non-active — whether energy is required
  • Anatomical location — devices near CNS or heart carry higher risk

Risk Classes & MDACS Eligibility

ClassRiskMDACS Eligible
ILow❌ No
IIModerate-low✅ Yes
IIIModerate-high✅ Yes
IVHigh✅ Yes
IVD ALow❌ No
IVD B/C/DModerate–High✅ Yes

Classification Process

  1. Define the intended purpose from the manufacturer's perspective
  2. Apply classification rules from TR-003 or TR-004
  3. If multiple rules apply, take the highest resulting class
  4. Document the classification rationale in your dossier