A/B/C/D 四档分级:附件 2 与附件 3 该怎么选

Updated: 2026-11-09 · GRZAN Regulatory Team · Verification date 2026-10-20

1. Key Takeaway

Under Article 4 of the AMDD, Cambodia classifies medical devices into four classes: Class A (low risk), Class B (low-to-moderate risk), Class C (moderate-to-high risk) and Class D (high risk). The classification rules are not in the body of the Directive but in the annexes — Annex 2 governs non-in vitro diagnostic devices and Annex 3 governs in vitro diagnostic (IVD) devices.

The typical distribution across the four classes:

ClassRiskTypical products
Class ALowSimple surgical instruments, tongue depressors, thermometers, forceps, examination lamps, simple wound dressings, microscopes, wheelchairs, stethoscopes, walking aids
Class BLow to moderateHypodermic needles, syringes, scalpels, lancets, suction devices, surgical gloves, hearing aids, X-ray films, daily disposable contact lenses, electrotherapy massagers
Class CModerate to highOrthopaedic implants, infant incubators, pulse oximeters, blood bags, contact lens disinfectants, deep wound dressings, intraocular lenses, haemodialysis catheters, bone plates, bone fixation screws, sutures, X-ray angiography systems
Class DHighCardiac pacemakers, implantable defibrillators, implantable infusion pumps, heart valves, artificial hearts, intrauterine devices, nerve conduits, vascular prostheses and stents, cardiovascular sutures

GRZAN note: Cambodia’s classification is A, B, C and D — 4 classes in total, with the rules spread over 2 annexes; it is not the Class I/II/III scheme and not the I/IIa/IIb/III scheme.

2. Regulatory Basis

Legal instrumentNumber / referenceDatesArticles
ASEAN Medical Device Directive (AMDD)Signed by the 10 ASEAN member statesArticle 22: entered into force on 1 January 2015Article 4 (four-class classification); Annex 2 (non-IVD classification rules); Annex 3 (IVD classification rules)
Prakas No. 1258 on Procedures for Registration of Medical DevicesPrakas No. 12588 November 2012Domestic implementation of the A/B/C/D classification
Guidance on the Use of the ASEAN CSDT for Product Registration SubmissionsASEAN, 31 pages21 October 2010How the classification outcome is presented in the dossier

3. Expert Commentary

  1. Choose the annex first, then apply the rules — this is the step where errors are most likely. IVDs and non-IVDs follow two entirely different classification logics. Classifying an IVD under Annex 2, or treating a device with testing functions under Annex 3, both produce a wrong class. The decision sequence is: is the product an IVD (providing information by in vitro examination of human specimens) → select the annex → apply the rules → obtain the class.
  1. Cambodia does not accept group registration of products; classification granularity must reach model level. Devices with different trademarks, different artwork, different sizes or different manufacturing sites must be registered separately in Cambodia. This means every SKU in one product family may need its own classification and its own dossier — a workload not comparable with markets where “one dossier covers the whole family”.
  1. The DDF retains the power to reclassify. Although Cambodia generally follows the classification outcomes of other ASEAN jurisdictions, the DDF has the power to reclassify during review. The classification conclusion therefore cannot stay in internal documents; it must be submitted as part of the technical dossier, stating the intended purpose relied on and the rule entries applied.

4. Practical Recommendations

  1. Write the classification conclusion as a stand-alone document. Include: product name and model, the original wording of the intended purpose, the applicable annex (2 or 3), the specific rule entries applied, and the final class. This document is both part of the dossier and the baseline for later change comparisons.
  2. Size the workload by model count at the quotation stage. Because grouping is not allowed, a product family of 20 SKUs represents a workload in Cambodia close to 20 separate registrations. Decision-makers must be told this clearly at project initiation.
  3. Keep one class of headroom in the documentation. If the product sits on a class boundary (for example between B and C), prepare the technical documentation to the higher class to avoid deficiencies if the DDF reclassifies.

5. Verification Checklist

  • □ Determined whether the product is an IVD or non-IVD and selected Annex 2 or Annex 3
  • □ Derived the A/B/C/D class from the rule entries of the selected annex
  • □ Classification conclusion issued as a stand-alone document and included in the technical dossier
  • □ SKUs requiring registration listed model by model, with no grouping assumption
  • □ Possibility of DDF reclassification assessed and documentation depth reserved at the higher class
  • □ Project quotation sized by model count rather than product family count

Regulatory information verified as of 29 October 2026.

In Southeast Asia, GRZAN’s core capabilities concentrate on three areas. First, distinguishing the legislative progress of dedicated medical device laws across member states — Singapore, Malaysia, Thailand, Indonesia, the Philippines and Vietnam have each established a written device regulatory framework, whereas Cambodia still has no dedicated Medical Device Law; its current rules are assembled from three layers — the registration-number legal basis provided by the 1996 Law on the Management of Pharmaceuticals and its 2007 amendment, the classification and procedures provided by Prakas No. 1258 of 2012, and the technical framework provided by the ASEAN Medical Device Directive — leaving regulatory certainty materially lower than in markets that have completed legislation. Second, local authorised representative services: GRZAN can act as the manufacturer’s statutory representative in Cambodia, undertaking registration submissions, regulatory communication and post-market reporting obligations, and assisting with the practical implementation of the Cambodian registered pharmacist requirement and the pharmaceutical import and export enterprise licence. Third, quality system and testing support: helping establish a quality management system meeting ISO 13485 requirements and organising the technical dossier according to the ASEAN Common Submission Dossier Template (CSDT).

Business enquiries: info@grzanglobal.com

Disclaimer

Prepared by GRZAN from publicly available regulation. It is provided for general information only and does not constitute legal advice. Legislation and official fees are subject to change by the competent authority.

About GRZAN

GRZAN (Global Regulatory Zone Access Navigator) — the global market-access navigator for medical devices and IVDs.

GRZAN is a specialist consultancy for medical device and IVD market access, providing end-to-end regulatory solutions across the product lifecycle and making international market entry simpler and faster.

Key figures. More than 25 wholly owned subsidiaries worldwide covering 50+ countries and regions; chosen by 100+ listed and leading Chinese device manufacturers, with 4,000+ successful cases; 12+ years in the sector and 200+ regulatory training sessions and seminars delivered.

What we do. Global market access: multi-country registration programmes, technical documentation, regulatory advice. Clinical evidence: clinical evaluation reports (CER), usability studies, overseas clinical investigations. Quality systems: ISO 13485, MDSAP, FDA QMSR and BGMP implementation and audit readiness. Authorised representative and licence-holder services across Southeast Asia, Latin America, the Middle East, Africa, Europe and North America.

Why GRZAN. A real operating entity, with the certificate held by the manufacturer: our direct overseas subsidiaries act as the compliant local holder, so the regulatory relationship stays clear and you keep control rather than being tied to a distributor. Direct access to the team: no time-zone gap, no language barrier, no cultural gap. Review points anticipated: we know what FDA 510(k), EU MDR, Southeast Asian, Latin American and Middle Eastern reviewers look for, which shortens timelines and reduces deficiency letters. Pathway planning: pre-decision analysis and risk assessment before you commit.

Every engagement rests on three commitments: efficiency through pre-submission review, certainty through a clear pathway, and stability through a licence-holder that stays in place.

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