Summary – Time, Cost, and Complexity of Registration

Device classification

in Canada

Class I Class II Class III Class IV
How long you should expect to wait after submission until approval is granted? Up to 120 calendar days 15 calendar days 75 calendar days (typically broken down as 15 days for screening and 60 days for review). 90 calendar days
Validity period for device registrations A MDEL for Class I devices in Canada is valid for one year. Valid indefinitely, provided the manufacturer complies with annual renewal requirements. Valid indefinitely, provided the manufacturer complies with annual renewal requirements. Valid indefinitely, provided the manufacturer complies with annual renewal requirements.
Registration renewal should be started this far in advance The MDEL renewal (Annual Licence Review) must be submitted before April 1 of each year. It is recommended to start this process well in advance, ideally in early spring or as soon as the package is received. The MDL renewal application and fee must be submitted by November 1 of each year to avoid cancellation. Health Canada sends out renewal packages early in August, therefore, preparation should begin in late summer (August/September). The MDL renewal application and fee must be submitted by November 1 of each year to avoid cancellation. Health Canada sends out renewal packages early in August, therefore, preparation should begin in late summer (August/September). The MDL renewal application and fee must be submitted by November 1 of each year to avoid cancellation. Health Canada sends out renewal packages early in August, therefore, preparation should begin in late summer (August/September).
Complexity of the registration process for this classification Low Low-Moderate Moderate-High High
Overall cost of gaining regulatory approval Low Low-Moderate Moderate-High High

Class I Pathway–Medical Device Establishment Licence (MDEL) Required for:

  • Class I manufacturers
  • Importers and distributors of medical devices (all classes), unless exempt

Submit MDEL Application:

  • Establishment information
  • Activities (manufacture, import, distribute)
  • Pay applicable fees

Class II–IV Pathway : Medical Device Licence (MDL) Application

Should include:

  • Device classification and intended use
  • Labelling (Instructions for Use) in English & French
  • Risk management report (ISO 14971)
  • Clinical evidence (Class III/IV)
  • Declaration of conformity (Class III/IV)
  • MDSAP certificate
  • Device description and supporting documentation demonstrating safety and effectiveness

Application Submission

  • Class I: Submit MDEL application and fees
  • Class II: Submit MDL application using REP + MDSAP certificate + fees
  • Class III & IV: Submit MDL application using REP + MDSAP certificate + supporting evidence (e.g., safety and effectiveness data depending on class)

Review Step (Class II–IV only)

  • Health Canada reviews MDL application
  • Review is conducted according to device class and submission type.

Approval Step

  • Class I: MDEL issued
  • Class II–IV: MDL issued

Approved licences are listed in Health Canada databases.

Final Step – Market Authorization & Ongoing Compliance

Manufacturers must maintain:

    • Valid MDSAP certification (Class II–IV)
    • Annual MDEL review (if applicable)
    • Comply with post-market requirements

Unique to Health Canada: MDSAP Requirement

  • All Class II, III, and IV devices, manufacturers must provide a valid Medical Device Single Audit Program (MDSAP) certificate issued by a recognized auditing organization as part of the licence application
  • The MDSAP certificate must remain valid to maintain the device licence.