Category: Regulatory Affairs

  • Pro Health Brazil ANVISA Registration Hosting vs bioaccess® LATAM Market Access

    Pro Health is a regulatory consultancy in Brasília (SIA, Guará, Distrito Federal) that specializes in ANVISA work for medical devices. Among its published services is “Hospedagem de registros”, an ANVISA registration hosting service for manufacturers. The service list is at pro-health.net.br/solucoes (retrieved 28 October 2026). This article uses only what Pro Health publishes, then compares it with the multi-country market access offer from bioaccess®.

    What Pro Health publishes

    Pro Health says it offers complete infrastructure, with the licenses and authorizations needed to host your registration and act as your regulatory legal representative in Brazil. Its argument is the right one: naming a registration holder that is not running the commercial distribution keeps the manufacturer in control of its Brazilian registrations, independent of the distribution chain, so it can appoint several distributors without losing regulatory control of its products.

    Around that hosting service, the page lists:

    • Registration and notification of medical devices with ANVISA, covering equipment, implantable and non-implantable materials and IVDs, risk classes I to IV.
    • Post-registration change assessment, deciding whether a design change needs an ANVISA filing.
    • Sanitary licensing support for manufacturers, importers, distributors and warehouses.
    • Good Manufacturing Practice (BPF) certification support, including pre-audits and local support during ANVISA inspections.
    • Regulatory due diligence for acquisitions of medical device companies.

    We found no public price; the site says engagements are tailored to each project. Pro Health publishes Brazil only.

    That pitch fits Brazil. A foreign manufacturer without a Brazilian entity needs a local detentor do registro (Brazil Registration Holder), and a holder that is not your distributor lets you change or add importers without losing the registration. As the bioaccess® Brazil ANVISA page explains, the holder also answers ANVISA for tecnovigilancia, so who holds the registration is a long-term decision.

    Pro Health vs bioaccess®

    Dimension Pro Health (Brazil) bioaccess®
    Public product ANVISA registration hosting and regulatory legal representation, plus device registration, post-registration changes, company licensing, BPF support and due diligence Medical device registration and market access across Latin America, with holder, importer of record where applicable, and tecnovigilancia roles in the published-price countries
    Geography Brazil Mexico, Colombia, Brazil, Peru and Argentina at published prices; Chile and other Latin American markets quoted case by case
    Public pricing None published; tailored per project Brazil published: one-time registration fee of $6,750 (Class I/II) or $22,250 (Class III/IV), then an annual holder fee from year 2 of $6,000 (Class I/II) or $7,500 (Class III/IV). Published two-part pricing also for Mexico, Colombia, Peru and Argentina
    Tecnovigilancia Not itemized on the service page Included in the Brazil annual holder fee: adverse-event reporting to ANVISA, field safety actions and agency correspondence
    Clinical trials None published bioaccess® runs first-in-human trials in Latin America and then registers the device

    Where each one fits

    If Brazil is the only market on the plan and an independent ANVISA holder with BPF and inspection support is the whole job, Pro Health’s published offer covers it, and it makes the right point about keeping the registration away from your distributor.

    bioaccess® is a different product. It runs first-in-human trials and then registers devices across Latin America. In Brazil, bioaccess® acts as your neutral Brazil Registration Holder under its contract with you, working with its local partner, and the prices are published on the LATAM registration rate card. The registration fee includes initial government fees and certified or sworn translations up to a stated cap; Brazil BGMP, INMETRO and ANATEL are quoted separately. Mexico, Colombia, Peru and Argentina follow the same two-part model, and other markets are quoted case by case.

    One country and a local holder is enough? Hire the shop that publishes that job. Several LATAM labels under one partner who is not your distributor? Start at bioaccess® market access or request a registration quote.

  • Medical device regulatory reliance in Latin America: what FDA, Health Canada and Japan approvals buy you at ANVISA, COFEPRIS and INVIMA

    Regulatory affairs teams with an FDA 510(k) or a CE certificate in hand often arrive in Latin America with the same expectation: the clearance should open doors. Sometimes it does. Sometimes it is one document in a full review. The difference is whether the country has a written reliance pathway, what that pathway accepts, and whether your approval qualifies.

    I’m Julio Martinez-Clark, CEO of bioaccess®. We register and hold medical devices across Latin America. This article compares the three markets most device companies start with, Brazil, Mexico and Colombia, and separates what reliance shortens from what it doesn’t.

    The short answer

    • Brazil (ANVISA) has a formal reliance procedure for Class III and IV devices under Instrução Normativa (IN) 290 of 4 April 2024, based on prior approval by a recognized equivalent foreign regulatory authority.
    • Mexico (COFEPRIS) has recognized foreign approvals for devices since 2010 and moved to a broader reliance model in 2025, with general guidelines for the abbreviated regulatory pathway published in the Diario Oficial de la Federación on 18 July 2025.
    • Colombia (INVIMA) does not run a formal abbreviated equivalency pathway for devices. An FDA or CE approval is mandatory evidence in the file, not a substitute for INVIMA’s review.

    Why reliance spread across the region

    Reliance means a regulator takes into account the work of a trusted reference authority instead of repeating it. The World Health Organization published good reliance practices guidance in 2021, and the Pan American Health Organization has promoted reliance across the Americas as a way for agencies with limited review staff to focus on what is local: labeling, the in-country holder, vigilance and the specific population.

    Reliance is not recognition of a foreign approval as if it were a local one. In every country below, the local agency keeps the final decision, and can send your file back to ordinary review.

    Brazil: IN 290/2024 and the equivalent foreign authority route

    IN 290/2024 sets an optimized procedure for primary registration petitions of medical devices, including in vitro diagnostics, in risk Classes III and IV. It is issued under ANVISA’s general reliance resolution, RDC 741/2022, and sits on top of the device framework in RDC 751/2022 (and RDC 830/2023 for IVDs). ANVISA started applying it in June 2024.

    What you need to know:

    • Reference authorities. ANVISA lists its equivalent foreign authorities (AREE) for devices on its reliance page: Health Canada, the US FDA, Japan’s MHLW and Australia’s TGA. A CE certificate alone is not one of them.
    • Essentially identical device. The device must have the same essential characteristics as the one the reference authority approved: specifications, composition, indications and intended use, manufacturer, manufacturing process and safety and performance results.
    • Ordinary reference approval. Under Article 4, devices that the reference authority authorized through an abbreviated route similar to ANVISA’s optimized procedure do not qualify. They go through the ordinary pathway.
    • Classes I and II. These generally follow the notificação route under RDC 751/2022 and are not the target of IN 290.

    Reliance shortens the technical review. It does not remove the Brazilian registration holder, Portuguese labeling and instructions for use, the ANVISA good manufacturing practice certification for Class III and IV, or INMETRO certification for electromedical equipment where it applies. Those are often the real critical path.

    Mexico: from equivalence acuerdos to the 2025 abbreviated pathway

    Mexico was early. An acuerdo published in the Diario Oficial on 26 October 2010 recognized FDA and Health Canada device approvals as equivalent to Mexican requirements for sanitary registration. A second acuerdo, published on 25 January 2012 and in force from 24 February 2012, added Japan’s MHLW and PMDA approvals and registered certification bodies.

    In 2025 COFEPRIS widened this into a general reliance model. The general guidelines for the abbreviated regulatory pathway (vía regulatoria abreviada), published on 18 July 2025, set uniform eligibility and documentation rules for medicines and devices based on decisions of reference regulatory authorities. For devices, the reference set is tied to IMDRF member authorities and the Medical Device Single Audit Program.

    Points that catch teams:

    • Identical product. The product must keep the essential characteristics approved by the reference authority.
    • Valid reference approval. The foreign authorization must be in force when you file and for the life of the Mexican registration.
    • Ordinary approvals only. Reference approvals granted through something other than an ordinary review cannot support the request.
    • The local titular. In Mexico, the local registration holder (titular) owns the sanitary registration number. Choose that party with care, because changing it later is its own procedure.
    • Labeling. Spanish labeling still has to meet NOM-137-SSA1-2008.

    COFEPRIS keeps its surveillance powers, and registrations granted this way carry the same legal effect, and the same tecnovigilancia duties, as ordinary ones.

    Colombia: evidence, not equivalency

    Colombia regulates devices under Decreto 4725 de 2005, with its own Class I, IIa, IIb and III scheme. A US Certificate to Foreign Government or a Certificate of Free Sale from a recognized reference market is required evidence. It does not convert into an INVIMA registration.

    Practical consequences:

    • Classify the device under Colombian rules. A US Class II product code does not map automatically.
    • Class I and IIa files can receive a registration on a complete submission, with technical review still possible afterward. Class IIb and III get a full prior review.
    • The manufacturer owns the registration, but it needs a Colombia-domiciled legal representative and an importer that holds the required storage and conditioning certificate.
    • Build UDI data and vigilance (Resolución 4816 de 2008) into the launch plan, not into year two.

    We cover this in more detail in our note on INVIMA market authorization when the device is already FDA-cleared or CE-marked.

    What reliance shortens, and what it doesn’t

    Reliance compresses one thing: the regulator’s scientific and technical review of a device another authority already reviewed. In our experience, the calendar is just as often set by work that sits outside that review:

    • Legalized documents. Certificates of free sale, ISO 13485 certificates and powers of attorney need apostille or consular legalization. Procurement of FDA export certificates has its own queue.
    • Translations. Spanish and Portuguese technical files, labels and IFUs must match the approved reference version term for term.
    • The in-country holder. No agency in the region will register a device without a local party responsible for it.
    • Country-specific certifications. GMP certification and INMETRO in Brazil are separate tracks.
    • Post-market duties. Vigilance, field actions and renewals start the day the registration is granted.

    When those pieces are prepared in parallel with the reliance file, sponsors see real time savings. When they start after the file is submitted, reliance buys very little.

    A checklist before you file

    • Which reference approval do we hold, and was it granted through an ordinary review?
    • Is the device we will register essentially identical to the one the reference authority approved, including manufacturing site?
    • Is the reference approval valid today, and will it stay valid?
    • Who is our holder or legal representative in each country, and who owns the registration number?
    • Are legalized certificates and translations ordered now, not after the first deficiency letter?
    • Have we mapped the post-market obligations that start on approval?

    Running several markets at once

    Most device companies we work with want Brazil and Mexico in the same year, and often Colombia, Peru or Central America next. The registration files differ, but the source documents are the same. Building one master dossier, one terminology set and one holder structure across markets is where the time savings compound.

    The LATAM Launch Subscription is how bioaccess® packages registration and in-country holding across several Latin American markets under one engagement, so you aren’t managing a separate consultant in every country. Learn how it works at bioaccessla.com/market-access.

  • WW Trading Brazil ANVISA Holder vs bioaccess® LATAM Market Access

    WW Trading Worldwide (legal name WW Comercial Exportadora e Importadora Ltda, Varginha, Minas Gerais) is a Brazilian export and import trading company that publishes a “Holder ANVISA” regulatory hosting service for foreign companies. The service page is at wwtrading.com.br/pt/anvisa-holder, with an English version at wwtrading.com.br/en/anvisa-holder (both retrieved 23 October 2026). This article uses only what WW Trading publishes, then compares it with the multi-country market access offer from bioaccess®.

    What WW Trading publishes

    WW Trading says foreign manufacturers can rely on its Operating Authorization (AFE) with ANVISA to hold their product registrations in Brazil through an independent registration holder, so they can enter the Brazilian market without depending on a distributor. The page makes three points:

    • Your brand, your registration: the brand and the ANVISA registration belong to the foreign company, which can work with several distributors and switch partners.
    • No Brazilian branch needed: no local branch, technical director or infrastructure of your own.
    • Sanitary compliance: technical responsibility, traceability and ANVISA requirements handled by its team.

    It lists four steps: a regulatory hosting agreement, preparation and submission of the technical dossier to ANVISA under WW Trading’s active AFE, follow-up until the registration or notification is published, and letters of authorization issued to the distributors and importers you choose. Each project is quoted by category and number of products; we found no public price. The rest of the company’s site covers coffee exports, imports, customs and tax structuring, and courier services.

    The pitch fits Brazil. A foreign manufacturer without a Brazilian entity needs a local detentor do registro (Brazil Registration Holder), and a holder that is not your distributor lets you change or add importers without losing the registration. As the bioaccess® Brazil ANVISA page explains, the holder also answers ANVISA for tecnovigilancia, so who holds the registration is a long-term decision.

    WW Trading vs bioaccess®

    Dimension WW Trading (Brazil) bioaccess®
    Public product ANVISA holder / regulatory hosting under its own AFE, alongside export, import, customs and courier services Medical device registration and market access across Latin America, with holder, importer of record where applicable, and tecnovigilancia roles in the published-price countries
    Geography Brazil 19 Latin American and Caribbean markets, including Brazil
    Public pricing None published; quoted by category and number of products Brazil published: one-time registration fee of $6,750 (Class I/II) or $22,250 (Class III/IV), then an annual holder fee from year 2 of $6,000 (Class I/II) or $7,500 (Class III/IV). Published two-part pricing also for Mexico, Colombia, Peru and Argentina
    Tecnovigilancia “Technical responsibility, traceability and ANVISA requirements” managed by its team Included in the Brazil annual holder fee: adverse-event reporting to ANVISA, field safety actions and agency correspondence
    Bridge from a clinical trial None published Same firm can run the LATAM clinical trial and then hold the commercial registration

    Where each one fits

    If Brazil is the only market on the plan and an independent ANVISA holder is the whole job, WW Trading’s published offer covers it, and it makes the right point about keeping the registration in your name rather than a distributor’s.

    bioaccess® is a different product. It runs first-in-human trials and then registers devices across Latin America. In Brazil, bioaccess® acts as your neutral Brazil Registration Holder under its contract with you, working with its local partner, and the prices are published on the LATAM registration rate card. The registration fee includes initial government fees and certified or sworn translations up to a stated cap; Brazil BGMP, INMETRO and ANATEL are quoted separately. Mexico, Colombia, Peru and Argentina follow the same two-part model, and the other covered markets are quoted case by case.

    One country and a local holder is enough? Hire the shop that publishes that job. Several LATAM labels under one partner who is not your distributor? Start at bioaccess® market access or request a registration quote.

  • Solumark Costa Rica Registration Holder vs bioaccess® LATAM Market Access

    Solumark is a Costa Rican regulatory firm that publishes a “Servicio de Representación de Registros de equipo médico” for foreign companies with no office in Costa Rica. The service is described on its services page at solumarkcr.com/servicios (retrieved 21 October 2026). This article uses only what Solumark publishes, then compares it with the multi-country market access offer from bioaccess®.

    What Solumark publishes

    Solumark explains that a Costa Rican sanitary registration involves four parties: the Responsable Sanitario / Titular del Registro (a national natural or legal person), the product owner, the manufacturer, and the distributors that the registration holder authorizes to import and sell. A company without a local office must designate a registration holder to deal with the Ministry of Health for it.

    Solumark says it acts as that responsable sanitario for companies with no direct operation in Costa Rica that want to keep control of their registrations, so the rights to the registration are not handed to a distributor. The service, as published, covers:

    • Coordinating and completing the registration documents required by the Costa Rican Ministry of Health.
    • Managing changes, modifications, renewals, changes of distributor and cancellations of the registration certificate.

    Solumark states it is neutral, is not a medical device distributor in Costa Rica, and has more than 15 years of experience. It also handles cosmetics registrations and runs training workshops. We found no public price on the site.

    The pitch fits Costa Rica. As summarized in the bioaccess® LATAM registration guide, Costa Rica uses a single Costa Rica Registration Holder that imports under the registration (RTCR 505:2022; Decreto 37988-S under Ley General de Salud N° 5395) and may authorize downstream distributors. A holder that is not your distributor lets you change or add distributors without giving up the registration.

    Solumark vs bioaccess®

    Dimension Solumark (Costa Rica) bioaccess®
    Public product Responsable sanitario / registration holder service before the Costa Rican Ministry of Health, plus device and cosmetics registrations and workshops Medical device registration and market access across Latin America, with holder, importer of record where applicable, and tecnovigilancia roles in the published-price countries
    Geography Costa Rica 19 Latin American and Caribbean markets, including Costa Rica
    Product mix Medical equipment and biomedical material, cosmetics Medical devices, with a first-in-human clinical trial path before registration
    Public pricing None published Published two-part pricing for Mexico, Colombia, Brazil, Peru and Argentina (one-time registration fee, then a lower annual holder fee from year 2); Costa Rica quoted case by case
    Contract term Not published No multi-year contract required
    Bridge from a clinical trial None published Same firm can run the LATAM clinical trial and then hold the commercial registration

    Where each one fits

    If Costa Rica is the only market on the plan and an independent local registration holder is the whole job, Solumark’s published offer covers it, and it makes the right point about not ceding the registration to a distributor.

    bioaccess® is a different product. It runs first-in-human trials and then registers devices across Latin America. In Mexico, Colombia, Brazil, Peru and Argentina the pricing is published on the LATAM registration rate card: a one-time registration fee per country and class, then a lower annual holder fee from year 2, with initial government fees and certified translations included up to a stated cap. Where local law requires a local party in those countries, bioaccess® acts as registration holder, importer of record where applicable, and tecnovigilancia contact. Costa Rica and the other covered markets are quoted case by case.

    One country and a local holder is enough? Hire the shop that publishes that job. Several LATAM labels under one partner who is not your distributor? Start at bioaccess® market access or request a registration quote.

  • Medexa Ecuador Registration Holder vs bioaccess® LATAM Market Access

    Medexa is a Quito-based regulatory affairs firm that publishes a “Representación Legal y Holding Regulatorio” service for foreign manufacturers that want to register products in Ecuador without setting up a local company. The service page is at medexapro.com/representacion-legal-y-holding-regulatorio (retrieved 20 October 2026). This article uses only what Medexa publishes, then compares it with the multi-country market access offer from bioaccess®.

    What Medexa publishes

    Medexa says it acts as titular regulatorio in Ecuador for foreign manufacturers with no local structure, “especialmente en dispositivos médicos.” The holding page lists two parts:

    • Representación regulatoria: formal action before ARCSA, Agrocalidad and other authorities; acting as the local solicitante for registros sanitarios and notificaciones sanitarias; coordination with manufacturers, distributors and logistics operators; follow-up of requirements, renewals and post-registration processes.
    • Holding regulatorio: regulatory titularity independent of the commercial distributor, continuity if the importer or commercial strategy changes, and central management of a portfolio of Ecuadorian registrations.

    Its FAQ says a foreign manufacturer does not necessarily need an Ecuadorian company, that who keeps the titularity “depends on the regulatory strategy,” and that the structure can be migrated by a regulated transfer if the manufacturer later opens its own subsidiary. Medexa also covers pharmaceuticals, cosmetics, foods and supplements, and veterinary and aquaculture products, plus BPM/HACCP/ISO systems and trademark registration before SENADI. We found no public price on the site.

    The pitch fits Ecuador. As summarized in the bioaccess® LATAM registration guide, an Ecuadorian registration must be held by a local Ecuadorian company, a single holder, under Resolución ARCSA-DE-026-2016-YMIH (as reformed), which Resolución ARCSA-DE-2026-003-DASP will replace when it takes effect on 28 January 2027. A titular that is not your distributor lets you change or add importers without losing the registro.

    Medexa vs bioaccess®

    Dimension Medexa (Ecuador) bioaccess®
    Public product Local representation and regulatory holding before ARCSA, plus dossiers, quality systems and trademarks Medical device registration and market access across Latin America, with holder, importer of record where applicable, and tecnovigilancia roles in the published-price countries
    Geography Ecuador 19 Latin American and Caribbean markets, including Ecuador (ARCSA)
    Product mix Devices, pharmaceuticals, cosmetics, foods, veterinary and aquaculture products Medical devices, with a first-in-human clinical trial path before registration
    Public pricing None published Published two-part pricing for Mexico, Colombia, Brazil, Peru and Argentina (one-time registration fee, then a lower annual holder fee from year 2); Ecuador quoted case by case
    Contract term Not published No multi-year contract required
    Bridge from a clinical trial None published Same firm can run the LATAM clinical trial and then hold the commercial registration

    Where each one fits

    If Ecuador is the only market on the plan and a local titular separate from your distributor is the whole job, Medexa’s published offer covers it, and it says the right things about keeping the registration independent of the seller.

    bioaccess® is a different product. It runs first-in-human trials and then registers devices across Latin America. In Mexico, Colombia, Brazil, Peru and Argentina the pricing is published on the LATAM registration rate card: a one-time registration fee per country and class, then a lower annual holder fee from year 2, with initial government fees and certified translations included up to a stated cap. Where local law requires a local party in those countries, bioaccess® acts as registration holder (in Colombia, as your attorney-in-fact), importer of record where applicable, and tecnovigilancia contact. Ecuador and the other covered markets are quoted case by case.

    One country and a local titular is enough? Hire the shop that publishes that job. Several LATAM labels under one partner who is not your distributor? Start at bioaccess® market access or request a registration quote.

  • Fastest clock vs most certain framework: how early-stage MedTech founders choose early clinical destinations

    Every early-stage MedTech founder I meet has a slide that shows the “fastest” first-in-human destination in Latin America. The number on that slide is almost never the number that decides whether the study finishes. The number that decides it is whether the ethics clock, the import path, the investigator calendar and the patient pipeline all clear in the same month. When they do not, paper speed becomes calendar debt.

    I’m Julio Martinez-Clark, CEO of bioaccess®. We have run first-in-human and early-feasibility device programs across Latin America since 2010. This article is about the trade-off founders actually face once the destination shortlist is on the board: absolute clock speed versus regulatory and operational certainty. It is not another tour of country gates. We already published that comparison as the LATAM rapid-startup archetypes series (Chile and Costa Rica pure-ethics; Panama and El Salvador parallel review). Here the question is different: what has to be true before you trust any of those clocks.

    The trap of paper feasibility

    Paper feasibility looks clean. A regulatory summary quotes a statutory ethics window. A site replies “we can start in 60 days.” A distributor says the import license is routine. The board hears a single number and treats it as a plan.

    What breaks that plan in real programs is rarely the statute. It is the stack behind the statute:

    • Hospital or site contracts that sit in a legal queue after ethics has already cleared.
    • Import licenses and customs pathways for a custom or single-use delivery system that has never entered that country before.
    • Competing protocol queues at the investigator’s procedure rooms, so your “activated” site has no open slots for first procedures.
    • Incomplete Spanish packages that burn the first ethics cycle on queries instead of on a decision.

    I have watched sponsors move to a secondary destination because the slide promised a shorter clearance, then lose a quarter waiting on an import annex or a site that had no eligible patients in the indication. The ethics letter arrived on time. First patient in did not. That is paper feasibility: a clock that only measures one desk.

    If your feasibility pack does not name the ethics body, the import path, the investigator bandwidth and a concrete patient source for the protocol, you do not have a startup plan. You have a slogan.

    What regulatory certainty actually means

    Certainty is not the same thing as “slow.” Certainty means the review clocks are statutory or institutional, the roles of ethics and the health authority are published, and the file that leaves your team maps to those roles without improvisation.

    In the fast corridor we already mapped, that looks like:

    • Chile: Ley 20.120 and Decreto 114 put protocol evaluation in an accredited Comité Ético Científico (CEC) with a 45-calendar-day report clock (extendable once by 20 days for founded reasons). ISP’s role for investigational devices sits after that ethics clearance under Código Sanitario Article 111 A for provisional use authorization and import logistics — not as a second sequential ministry science queue on the protocol itself.
    • Costa Rica: a CONIS-accredited CEC authorizes the biomedical research protocol under Ley 9234 and its reglamento; CONIS registration (and the statutory 3% research-budget canon) follows. There is no sequential ministry protocol-science gate in front of study start the way a classic IND path works. Costa Rica is also the Latin American country whose biomedical-research framework applies that statutory levy on the study budget; Chile’s pathway does not charge an equivalent regulator levy of that kind.
    • Panama: Decreto Ejecutivo No. 21 of 23 April 2026 (Gaceta Oficial No. 30510-C) implements Titles III and IV of Ley 84 of 2019. High-risk clinical trials run ethics and MINSA evaluation in parallel through CNBI-accredited Type II committees and RESEGIS registration. Art. 102 calls for good laboratory practice (GLP) when preclinical studies are needed. Whether that covers preclinical work done abroad for a device has not been tested, so plan for GLP or a documented GLP gap analysis.
    • El Salvador: SRS regulatory authorization and CNEIS ethics review operate through the coordinated SRS–CNEIS-ES submission path, so sponsors clear both desks without inventing a local process from scratch.

    Those are certainty features: you can point to a published instrument and a known desk. They are not a promise that every incomplete file finishes in 30 days. Certainty is what lets you plan the non-regulatory work — contracts, import, enrollment — on the same calendar as the review.

    Audit-ready data under 21 CFR 812.28 and ISO 14155

    Speed is worthless if the dataset cannot support the next U.S. or European filing. For devices, FDA’s acceptance of foreign clinical investigations is framed in 21 CFR 812.28: the investigation must be well designed and well conducted, must follow good clinical practice, and FDA must be able to validate the data through an on-site inspection if needed. GCP in that rule includes independent ethics review and documented informed consent. ISO 14155 is the clinical-investigation standard most device sponsors already use to design that GCP layer.

    What that means for destination choice:

    • Pick sites and investigators who can produce monitoring, source, and adverse-event records that survive an FDA or Notified Body look-back.
    • Do not treat a fast ethics letter as a substitute for a monitoring plan, a translation-controlled protocol package, or a data-management setup that matches the pivotal plan.
    • If the FIH is meant to support an IDE, 510(k), De Novo or CE clinical evaluation, write that intended use of the data into the protocol and the quality plan before first procedure — not after the last follow-up visit.

    We have written separately about whether Panama or El Salvador FIH data can support an FDA IDE, 510(k), De Novo or PMA. The short operator version: foreign data can help, but only when the investigation was built to 812.28 and ISO 14155 standards from day one.

    The sequencing matrix: early speed and later depth

    Most founders do not need one country to do every job. They need a sequence.

    1. Early feasibility or FIH in a corridor country where ethics and authority roles are published and startup can run without a multi-quarter sequential backlog — the archetypes above.
    2. Pivotal or larger confirmatory work planned in parallel for a market with depth of sites and a registration path you already intend to use commercially — often Brazil (ANVISA) or Colombia (INVIMA), sometimes Mexico (COFEPRIS).
    3. Import and quality continuity so the investigational units, labeling and device accountability rules stay coherent across both stages.

    That is the same design logic as a two-country FIH strategy: one market buys a clean early clock; another buys redundancy and scale. The matrix fails when the early country was chosen only for a slide number and the pivotal country was never staffed for dossier work until the FIH was already behind.

    On pricing: bioaccess® does not publish fixed public FIH prices. Any budget we show on bioaccessla.com is a sample budget for a typical first-in-human trial in Latin America, not a fixed-price offer. Your protocol, risk class, sites and import path set the real number.

    A practical checklist before you lock a destination

    Before the board votes on a country, make someone answer these in writing:

    1. Which accredited ethics body will review, and what is the published clock for a complete file?
    2. What does the national authority review for this protocol — product/import only, parallel protocol evaluation, or something else — and where is that written?
    3. Who holds the import license path for this specific device configuration, and has that path cleared a comparable shipment before?
    4. Which investigator has open procedure capacity in the next two quarters, and where do eligible patients come from (practice panel, hospital census, referral — named, not assumed)?
    5. Will the monitoring, consent and data package meet 21 CFR 812.28 / ISO 14155 expectations if FDA or a Notified Body asks later?
    6. If preclinical evidence is part of the Panama file, is it GLP, or do you have a documented gap analysis written against Decreto Ejecutivo 21 Art. 102?

    If any answer is “we will figure it out after ethics,” you are buying paper speed.

    How we run the conversation at bioaccess®

    When a founder comes to us with a destination already chosen, we stress-test the file against that checklist. When the destination is still open, we map the protocol to the corridor archetypes, then to the sequencing matrix for the next filing. The podcast Global Trial Accelerators™ is where I walk founders through the same trade-offs in public. The private work is the feasibility memo: clocks, desks, import, enrollment and data use — on one page the board can read.

    Fastest clock and most certain framework are not opposites when the framework is published and the operations behind it are real. They become opposites when the clock is the only thing you measured. Measure the stack. Then pick the country.

    Evaluate your trial timeline against regional benchmarks and early-phase feasibility services at bioaccessla.com, or bring the protocol to a Global Trial Accelerators™ planning conversation and we will map the sequence with you.

  • Software update after INVIMA registration: modification or new registro sanitario?

    Short answer: in Colombia, a new software version usually goes to INVIMA as a modification of the existing registro sanitario, not a new registration, as long as you can show the change does not affect the device’s safety and effectiveness. The line you cannot cross is in Article 30 of Decreto 4725 de 2005, as substituted by Decreto 582 de 2017: no modification when the change is significant, or when it touches the design, the material, the energy source or the manufacturing process. For software, the way most sponsors trip that line is not the code. It is the claims.

    We get this question every few weeks from manufacturers with registered software or software-driven devices in Colombia. Two holders asked it in the same week this month. Here is how we answer it.

    Is software a medical device in Colombia?

    Yes. Article 2 of Decreto 4725 de 2005 defines a medical device for human use as “cualquier instrumento, aparato, máquina, software, equipo biomédico u otro artículo similar o relacionado”, including the “programas informáticos que intervengan en su correcta aplicación”. Software that sits inside an equipo biomédico is covered too: the same article’s definition of equipo biomédico includes “los programas informáticos que intervengan en su buen funcionamiento”.

    So standalone software with a medical purpose needs its own registro sanitario, and software that runs a registered device lives inside that device’s registro. Either way, when the software changes, the registro has to keep matching what you sell.

    What the rule actually says

    Article 30 of Decreto 4725, in the text substituted by Article 2 of Decreto 582 de 2017, sets three things:

    • Modifications are processed automatically. INVIMA issues them within the term in Article 22(b) of the decree, with an after-the-fact review of the supporting documents.
    • The burden is on the holder. INVIMA may approve a modification “cuando el solicitante demuestre que se trata de un cambio que no afecte la seguridad y efectividad del dispositivo médico”. You file INVIMA’s form with the technical and legal documents that support the change.
    • The hard limit. The parágrafo says a registro cannot be modified when there is “un cambio significativo en el dispositivo médico que pueda afectar la seguridad y efectividad del mismo”, or when the change involves “cambios en el diseño, en la composición química del material, en la fuente de energía o en los procesos de manufactura”. In those cases you need a new registration.

    “Automatic” describes the legal track, not the calendar. In our files the approval letter for a software amendment has taken weeks, not days, because the after-the-fact review still happens and INVIMA can ask questions.

    How we sort software changes

    This is our operator triage, not a regulation. It reflects what INVIMA has accepted in our files.

    Change in the new version Usual route Why
    Bug fixes, performance, cybersecurity patches, new operating-system support, UI changes with the same functions Modification, if the registered dossier (version, labeling, IFU) changes No effect on safety or effectiveness; you document it
    New companion app or software module named on the label or IFU, same intended use Modification We added a software note for companion apps to a registered cardiac device this way; INVIMA approved the amendment
    New clinical performance claims backed by publications, same intended use Modification, with careful IFU wording A registered Class IIa planning software went through an earlier update as a modification, including an indications change
    New output presented as a diagnosis or a prediction of patient outcome Risk of a new registration, and possibly a higher class It reads as a new intended use, which is hard to argue does not affect safety and effectiveness
    Software that now drives a different energy source or hardware New registration Article 30’s parágrafo names energy source and design

    Claims are where software files go wrong

    The code can change a lot and stay a modification. A single sentence in the IFU can turn it into a new registration.

    The pattern we see: a registered tool says it is “not intended for diagnostic use” and supports device selection or planning. The next version adds a metric, and marketing wants to describe it as a predictor of how the patient will do. That wording moves the product from a planning aid toward a prognostic claim. Decreto 4725 classifies by intended use and risk, and when several classification rules apply, the one that leads to the higher class wins. A new prognostic purpose invites INVIMA to ask whether this is still the device it registered.

    What we tell holders:

    • Present new outputs the way the registered intended use already does, for example as simulation outputs that support implant selection and positioning.
    • Do not present them as a standalone prediction of the patient’s outcome.
    • Keep the “not intended for diagnostic use” statement in the IFU if it is there today.
    • Tell us whether a metric is a new calculated output or an existing measurement that now carries a clinical claim. New outputs make the wording more important. They do not change the route on their own.

    What goes in a software modification file

    INVIMA’s form plus the documents that prove the change is safe. In practice we assemble:

    • A change description that maps the old and new versions, function by function.
    • The manufacturer’s software verification and validation summary for the new version (most manufacturers organize it around IEC 62304).
    • The updated ISO 14971 risk analysis, showing no new unacceptable risks.
    • Updated IFU and labeling in Spanish, with the changes marked.
    • A signed manufacturer statement that the intended use, design principles and safety profile are unchanged, or a clear explanation of what changed and why it does not affect safety and effectiveness.
    • Supporting publications when the change adds clinical performance claims.

    File it before the new version ships in Colombia. A product on the market that no longer matches its registro is an INVIMA inspection finding waiting to happen.

    When to ask INVIMA first

    If the route is genuinely unclear, INVIMA accepts a written consultation to its registrations group asking whether a change can go as a modification. It adds a few weeks. We suggest it only when the holder needs the authority’s position in writing, for a business plan or a board. Most of the time a well-argued modification file, with the claims wording handled, is the faster path.

    Two clocks to keep in mind

    A registro sanitario for a medical device is valid for ten years from issuance (Decreto 4725, Article 31). Renewal must be filed three months before expiry, or INVIMA treats it as a new application (Article 32). A modification does not replace a renewal. If your registro expires in the next year, plan the software modification and the renewal together.

    Frequently asked questions

    Does every software patch need an INVIMA filing?
    Only if it changes something in the registered dossier, such as the version on the label, the IFU, or a function described in the file. Keep your change log either way. INVIMA can ask for it.

    Can an indications change go as a modification?
    It has in our files, when the change was backed by evidence and did not alter the design or safety already authorized. The argument has to be made explicitly in the filing.

    Does Brazil or Mexico work the same way?
    No. Each regulator has its own change rules for software. For Mexico, see our note on COFEPRIS digital health software clearance.

    Who files the modification?
    The registration holder. If your registro sits with a distributor, you need them to sign, or you move the registro first. See how to transfer a registration to a new holder.

    Related

    bioaccess® files INVIMA registrations, modifications and renewals for device manufacturers through our Colombian team. If you have a software release coming and a registro in Colombia, send us the draft IFU before you finalize it. Talk to bioaccess® about Colombia market access.

    General information, not legal advice. Sources: Decreto 4725 de 2005, Articles 2, 22, 30, 31 and 32, with Article 30 as substituted by Decreto 582 de 2017 (INVIMA normograma). Last verified October 13, 2026.

  • How to transfer a medical device registration to a new holder in Brazil, Mexico, Colombia and Peru

    Twice in the past week a manufacturer asked me the same question in different words. One is a global device business being separated from its parent company, and its Latin American registrations sit with the parent’s local affiliates. The other is a US-cleared, CE-marked manufacturer of hospital disposables whose registrations sit in its distributors’ names, and it wants to add or replace distributors without refiling. Both were really asking one thing: can we move the registration we already have, or do we start over?

    The short answer for the four markets where most of our holder work sits (Brazil, Mexico, Colombia and Peru) is that a registration can be transferred to a new holder without re-filing the technical dossier. Every route has one thing in common, though. The current holder has to sign. If the holder will not sign, there is no transfer. There is a new registration, and a gap in supply while you wait for it.

    Here is how each agency handles it, and what I tell sponsors to line up before anyone signs.

    Brazil: ANVISA transfer of titularidade under RDC 903/2024

    ANVISA’s rule is RDC 903/2024, which replaced RDC 102/2016. It allows a transfer of titularidade only as the result of a corporate operation (merger, spin-off, incorporation or succession) or a commercial operation, meaning a contract that transfers an asset or a set of assets. The transfer is purely administrative. The product’s technical and sanitary characteristics are frozen as they were approved just before the operation.

    The mechanics are strict:

    • The successor files the transfer petition and the predecessor files the cancellation petition at the same time, within 180 days. The clock starts when the corporate act is filed at the junta comercial or when the asset-transfer contract is signed. Petitions filed late are rejected (Article 26).
    • ANVISA publishes the new registration number and the cancellation of the old one together in the Diário Oficial da União. The validity date does not change (Article 29). Labels, IFUs and tender files that print the old number have to be updated.
    • Products regularized by notificação cannot be transferred (Article 28). The successor has to notify them again. Under RDC 751/2022 that covers Class I and II devices, so for a low-risk portfolio “transfer” really means re-notifying under the new holder.
    • The petition carries the successor’s local sanitary license, so the new holder must already exist and be licensed before the 180 days run out.

    The same resolution also covers the global transfer of responsibility for a clinical trial. That matters if a first-in-human sponsor is acquired mid-study in Brazil.

    For a distributor switch, the commercial-operation route is a contract in which the distributor hands the registration over as an asset. It still needs the distributor’s signature on the contract and on the cancellation petition.

    Mexico: COFEPRIS cesión de derechos

    In Mexico the transfer is a cesión de derechos, filed as an administrative modification to the registro sanitario under the device-modification homoclave COFEPRIS-2022-022-003. What COFEPRIS checks:

    • The registration must be in force or in renewal under Article 190 Bis 5 of the Reglamento de Insumos para la Salud. The current titular must be the party ceding it.
    • The cesión contract must be notarized (protocolizado ante fedatario público).
    • For foreign-made devices, a manufacturer’s letter of representation must name the new holder.
    • You need an updated Spanish label project and the fee under the Ley Federal de Derechos.
    • The cesión has to be notified to COFEPRIS within 30 business days.

    The trap is the 30-day window. If the commercial deal closes and nobody is ready with the notarized contract and an apostilled manufacturer letter, you are out of time before the paperwork exists. I draft the cesión documents before the deal closes, not after.

    Colombia: INVIMA cambio de titular

    INVIMA treats a holder change as an automatic modification under Article 30 of Decreto 4725 de 2005, as substituted by Decreto 582 de 2017. It is granted on filing, and INVIMA reviews the documents afterward. The registration must be in force. INVIMA’s published requirements for the cesión document:

    • It must state the intention to transfer and to accept the transfer, in one joint document or two separate ones.
    • It must be signed by the legal representatives of both the cedente and the cesionario. Only the current titular can cede.
    • It must identify the registro sanitario number, the expediente number, the product name and, where relevant, the brand.

    Documents signed abroad need the formalities of Article 251 of the Código General del Proceso. The manufacturer’s authorization also has to tie the new holder to the manufacturer. One more limit: the modification route cannot carry a change that affects safety or effectiveness, such as design, materials, energy source or manufacturing process. Keep engineering changes out of the transfer file.

    Peru: DIGEMID transfer under DS 016-2011-SA

    Article 8 of DS 016-2011-SA says a registro sanitario can be transferred only by its titular, and only to a party that itself qualifies to hold registrations, meaning a company with sanitary authorization as a laboratorio or droguería. The party must also keep the same manufacturing facilities and conditions. The filing needs a legalized or certified (fedateada) copy of the transfer document.

    In practice DIGEMID processes transfers grouped by classification, manufacturer and country. Any change requests still pending on the registration should be closed before you file. After the transfer, the new holder’s details and its Director Técnico are updated through DIGEMID’s change procedure.

    What I tell sponsors before they sign anything

    1. Inventory first. List every registration by country with its number, current holder, risk class, expiry and pending changes. Expired or near-expiry registrations change the plan. Mexico wants the registration in force or in renewal, Colombia wants it in force, and Peru wants pending changes closed.
    2. Get the signature before you need it. Every distribution agreement should carry a cesión obligation: a cooperation clause and, ideally, a pre-agreed form of the transfer document. A distributor who holds your registro and refuses to sign leaves you with a new registration measured in months.
    3. Stand up the new holder first. The new holder must be licensed in-country, have a technical director where the country requires one, and hold manufacturer letters re-issued in its name, apostilled and translated. Brazil’s 180 days and Mexico’s 30 business days do not pause while you incorporate.
    4. Do not change the product during the transfer. Brazil freezes the technical characteristics and Colombia blocks safety-relevant changes on the modification route. File the transfer clean and sequence engineering changes afterward.
    5. Plan labels and stock. Brazil issues a new number. Mexico needs a new label project. Stock already in the channel carries the old holder’s details, so agree with each agency and your distributors on how existing inventory is handled.
    6. Move post-market duties on day one. Technovigilance and complaint handling follow the holder. The new holder’s contacts should be live the day the transfer is granted, not a quarter later.

    For planning, not as a quote: with a cooperative current holder and a licensed successor, a clean transfer in our files usually takes a few weeks to a few months per country. A contested one turns into a new registration on that country’s full review timeline.

    Where bioaccess® fits

    bioaccess® acts as the independent registration holder in each market. The registration sits with a holder you direct under contract, not in a distributor’s name, and the transfer terms are written into the agreement up front. If you are inheriting registrations from a parent company or pulling them back from a distributor, we start with the inventory and the signature plan.

    For the background on why the license should not be the channel, read the independent registration holder strategy. The country holder guides for Brazil, Mexico and Colombia, and the Peru DIGEMID registration guide, cover the first filing. When you are ready to scope a transfer, start at bioaccess® market access.

    Julio G. Martinez-Clark, CEO, bioaccess®

  • Aruna Asesores LATAM Device Registration vs bioaccess® Registration Holder

    Aruna Asesores shows up when manufacturers search for a Latin American registration holder or sanitary-registration partner. This article uses only what Aruna Asesores publishes on its own site (arunasesores.com/chile-dispositivos-medicos · arunasesores.com/mexico-holder-y-o-representante-legal · arunasesores.com/peru-holder-y-o-titular-para-registro-sanitario), then compares it with the multi-country subscription from bioaccess®. It is a practitioner comparison, not a teardown.

    What Aruna Asesores publishes

    Aruna Asesores is a regulatory firm with country managers in Colombia and Mexico and contact points in Bogotá, Mexico City and Lima. Besides device dossier work, such as its Chile ISP medical devices page, it now publishes holder pages. In Mexico it offers to act as holder or titular of the registration for medicines and medical devices, with a Mexico-qualified responsible technician, technovigilance and pharmacovigilance, the sanitary notice and the establishment license. In Peru it offers holder or titular services and local representation for foreign manufacturers and distributors, and explains that a Peruvian holder needs a droguería license, a BPA-certified warehouse and a pharmacist as technical director.

    Aruna Asesores vs bioaccess®

    Dimension Aruna Asesores bioaccess®
    Public product Holder / titular in Mexico and Peru + multi-country device dossiers (e.g. Chile ISP) LATAM Launch Subscription: registration, in-country holder, certified translations, government fees, tecnovigilancia (import shipments quoted separately)
    Geography Mexico and Peru holder pages; Chile dossier page; Colombia base 19 LATAM markets
    Public pricing None published USD 7,500 per year per country for the first device family
    Holder vs distributor Offers to be the holder or titular in Mexico and Peru, as local representative of foreign manufacturers or distributors Holds through its own in-country entities, with defined transfer provisions; the registration is never leverage
    Bridge from a clinical trial None published Trial-to-Market Bridge: 20% off for bioaccess® clinical-trial clients

    Where each one fits

    If Mexico or Peru is the market and you want a regional regulatory firm to act as holder there, Aruna now publishes that service.

    The LATAM Launch Subscription from bioaccess® is a different product. bioaccess® registers already FDA-cleared or CE-marked devices and holds them through its own in-country entities across 19 Latin American markets, including COFEPRIS, ANVISA, INVIMA, ANMAT, ISP and DIGEMID. The published card is USD 7,500 per year per country for the first device family, with government submission fees, certified or sworn translations, the in-country titular or holder, and tecnovigilancia inside the fee (importer-of-record shipments are priced separately on the hub). Multi-country discounts are 10% at three or more countries and 15% at five or more. The registration is held for the manufacturer’s benefit, with defined transfer provisions if you ever change partners or set up your own entity.

    One country and one local partner is enough? Hire the firm that publishes that job. Several LATAM labels under one holder who is not your distributor? Start at bioaccess® market access, read the LATAM importer of record guide, try the LATAM Launch Calculator, or request a registration quote.

    Competitor facts from the Aruna Asesores public pages linked above, reviewed for bioaccess® competitive research (Aug 2026–Nov 2026). Claims are theirs. No invented clients, prices or contacts.

  • MacroBridge Registro Sanitario DIGEMAPS vs bioaccess® LATAM Registration Holder

    MacroBridge shows up when manufacturers search for a Latin American registration holder or sanitary-registration partner. This article uses only what MacroBridge publishes on its own site (macro-bridge.com/servicios/registro-sanitario), then compares it with multi-country market access from bioaccess®. It is a practitioner comparison, not a teardown.

    What MacroBridge publishes

    MacroBridge is a Dominican Republic firm whose registro sanitario page covers DIGEMAPS dossiers for many product classes, including medical devices and health equipment. It does not describe itself as a third-party holder.

    MacroBridge vs bioaccess®

    Dimension MacroBridge bioaccess®
    Public product DIGEMAPS dossier across product classes Registration, in-country holder, certified translations, tecnovigilancia as holder (import shipments quoted separately)
    Geography Dominican Republic Published pricing in Mexico, Colombia, Brazil, Peru and Argentina; other markets quoted case by case
    Public pricing None published Two-part: one-time registration fee per country by class, then an annual holder fee from year 2 (rate card)
    Holder vs distributor See the provider’s own terms Holder under contract (own Colombian entity in Colombia; local partner elsewhere), with defined transfer provisions; the registration is never leverage
    Bridge from a clinical trial None published Same firm can run the LATAM clinical trial and then hold the commercial registration

    Where each one fits

    If your Dominican distributor will be the holder and you only need DIGEMAPS paperwork, MacroBridge fits.

    bioaccess® market access is a different product. bioaccess® registers already FDA-cleared or CE-marked devices and acts as their registration holder under contract (in Colombia through its own Colombian entity; elsewhere with its local partner) across Latin American markets, including COFEPRIS, ANVISA, INVIMA, ANMAT, ISP and DIGEMID. Pricing is two-part pricing: a one-time registration fee per country by device class, then a lower annual holder fee from year 2 (published for Mexico, Colombia, Brazil, Peru and Argentina on the rate card). Importer-of-record shipments are quoted separately. The registration is held for the manufacturer’s benefit, with defined transfer provisions if you ever change partners or set up your own entity.

    One country and one local partner is enough? Hire the firm that publishes that job. Several LATAM labels under one holder who is not your distributor? Start at bioaccess® market access, read the LATAM importer of record guide, try the market-access calculator, or request a registration quote.

    Competitor facts from the MacroBridge public pages linked above, reviewed for bioaccess® competitive research (Aug–Oct 2026). Claims are theirs. No invented clients, prices or contacts.