Conditions for using this special access route (SAR)
In an emergency or when all available medical therapies fail, doctors or dentists may request for dealers to import unregistered medical devices for their patients. Approval from HSA is needed for such scenarios.
The Head of Department or equivalent representing the licensed PHMC needs to provide clinical justification that the unregistered medical devices are required to meet special clinical needs arising in the course of his practice, which includes the following:
- Absence of alternative treatment option; or
- Available alternative treatments failed or deemed ineffective or unsuitable for the patient according to the doctor’s or the dentist’s clinical judgement; and
- Patient’s health will be clinically compromised without the requested treatment
Preventing out-of-stock situation
The unregistered medical device is needed to minimise disruption to the continued supply of a similar registered medical device
Novel or established medical device
- Absence of registered alternatives or lack of a specific feature in registered medical device; or
- Available registered medical devices or models are deemed
ineffective or unsuitable for the patient according to the doctor’s or
the dentist’s clinical judgement; or
- User’s (doctor or dentist) familiarity or expertise in terms of
device technology, design and/or operation that is likely to support or
enhance the safety outcomes of the procedure or treatment for the
- Patient’s health will be clinically compromised without the requested medical device
History of established medical device
The unregistered medical device was used:
- Before 1 January 2012
- In a licensed private hospital as approved by the relevant authority of that healthcare institution
- In a licensed medical clinic as required by the doctor or dentist
- And there are no known safety issues.
The dealer and the qualified practitioner needs to ensure that the unregistered medical device complies with other regulatory requirements such as the Radiation Protection Act governed by the National Environment Agency.
Capital equipment (e.g. X-ray machines, CT scanners, MRI machines) would not qualify for this SAR. Product registration is required for such devices.
Note: The safety and performance of the device is not assessed by us during application review.
You should register your medical device if you intend to supply it on a long-term basis.
You must have a certified quality management system e.g. to the requirements of Good Distribution Practice for Medical Devices (GDPMDS).
You need to submit the following documents for our review:
- SAR Device List (Downloadable from MEDICS)
- Request form for unregistered medical device for use on patients by qualified practitioner and PHMC facility
- Instructions for Use, Product Insert, or Operations Manual by the product owner
- Primary medical device label
- A copy of the qualified practitioner’s registration under the Medical Registration Act (Cap. 174) or Dentists Act (Cap. 76) with the Medical Council Registration (MCR) Number or Dental Council Registration (DCR) Number clearly legible
- A copy of quality management system certificate (e.g. Good Distribution Practice for Medical Devices (GDPMDS) if a valid Importer licence with GDPMDS is unavailable
- Declaration on Distribution Records
Fees and turn-around-time
Refer to medical device fees and turn-around-time for more information.
How to apply
Submit your application through MEDICS. Ensure you have the following before you access the e-service:
If you encounter technical issues, e-mail the HSA helpdesk or call 6776 0168 (from 7.00 am to midnight daily).