Medical Device Establishment Licence (MDEL) application: instructions (FRM-0292)

Please only email any completed MDEL application forms, amendments and/or notifications to the MDEL application email account at: mdel.application.leim@hc-sc.gc.ca. We are unable to process any mailed in application forms.

When to use this form

How to complete FRM-0292

How much of this form you need to complete depends on the type of application you are submitting. For example, when you first apply for an MDEL , you must complete the entire form. However, for an MDEL cancellation, you must complete only section 1 and Appendix A: Cancellation of Medical Device Establishment Licence. See the application checklist to find out which sections apply to your specific situation.

To complete this form properly, follow these 7 steps:

Step 1: Learn about MDEL s

Step 2: Determine if your product is a medical device

You must ensure that the devices listed in your application are classified as medical devices. You must also determine the correct class of each medical device (Class I, II, III or IV).

Any fees you pay for the review of this application will not be refunded if you list products that are not medical devices or choose the wrong class.

To correctly indicate your product(s) classification(s), you may: