{"id":26129,"date":"2023-01-05T17:06:25","date_gmt":"2023-01-05T16:06:25","guid":{"rendered":"https:\/\/www.thema-med.com\/?page_id=26129"},"modified":"2023-10-06T10:23:06","modified_gmt":"2023-10-06T08:23:06","slug":"medical-device-registration-in-the-u-s-a","status":"publish","type":"page","link":"https:\/\/www.thema-med.com\/en\/medical-device-registration-in-the-u-s-a\/","title":{"rendered":"Medical device registration in the U.S.A."},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-bottom:50px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1100px + 10px );margin-left: calc(-10px \/ 2 );margin-right: calc(-10px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-padding-right:17px;--awb-padding-left:17px;--awb-bg-color:var(--awb-color2);--awb-bg-color-hover:var(--awb-color2);--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:calc( 0.02 * calc( 100% - 10px ) );--awb-margin-bottom-large:0px;--awb-spacing-left-large:calc( 0 * calc( 100% - 10px ) );--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-margin-top:15px;--awb-margin-right:0px;--awb-margin-bottom:0px;--awb-margin-left:0px;--awb-max-width:100%;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-zoomin\"><img decoding=\"async\" width=\"1024\" height=\"539\" alt=\"usa\" title=\"usa-flag-1024&#215;539\" src=\"http:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1.png\" class=\"img-responsive wp-image-25012\" srcset=\"https:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1-200x105.png 200w, https:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1-400x211.png 400w, https:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1-600x316.png 600w, https:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1-800x421.png 800w, https:\/\/www.thema-med.com\/wp-content\/uploads\/2022\/12\/usa-flag-1024x539-1.png 1024w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 400px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-1\"><h5 data-fontsize=\"22\" style=\"--fontSize: 22; line-height: 1.2; --minFontSize: 22;\" data-lineheight=\"26.4px\" class=\"fusion-responsive-typography-calculated\"><b>Regulatory Authority<\/b><\/h5>\n<p>Food and Drug Administration (US FDA)<\/p>\n<h5 data-fontsize=\"22\" style=\"--fontSize: 22; line-height: 1.2; --minFontSize: 22;\" data-lineheight=\"26.4px\" class=\"fusion-responsive-typography-calculated\"><strong>Classification<\/strong><\/h5>\n<p>I, II, III<\/p>\n<h5 data-fontsize=\"22\" style=\"--fontSize: 22; line-height: 1.2; --minFontSize: 22;\" data-lineheight=\"26.4px\" class=\"fusion-responsive-typography-calculated\"><b>Quality system<\/b><\/h5>\n<p>A Quality System compliant with 21 CFR P art 820 et alter is required. Considering that, compared to previous versions of the same standard, the requirements of the latest version of ISO 13485:2016:2016 are closer to the <a href=\"https:\/\/www.fda.gov\/medical-devices\/postmarket-requirements-devices\/quality-system-qs-regulationmedical-device-good-manufacturing-practices\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Quality System Regulations, QSR (si apre in una nuova scheda)\"><strong>Quality System Regulations (QSR)<\/strong><\/a>, FDA has expressed its intention to harmonize the QSR with international requirements, thus transitioning from QSR \u2013 21 CFR 820 to ISO 13485:2016:2016. The United States participate in the <a href=\"https:\/\/www.thema-med.com\/en\/what-about-the-mdsap\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong>MDSAP<\/strong><\/a> Program (Medical Device Single Audit Program) together with Brazil, Canada, Australia and Japan.<\/p>\n<p><!-- \/wp:post-content --><\/p>\n<\/p>\n<p><!-- wp:paragraph --><\/p>\n<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<\/p>\n<p><!-- wp:paragraph --><\/p>\n<\/div><div class=\"fusion-alert alert general alert-info fusion-alert-left awb-alert-native-link-color fusion-animated\" style=\"--awb-padding-top:5px;--awb-padding-right:5px;--awb-padding-bottom:5px;--awb-padding-left:5px;\" role=\"alert\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.3\" data-animationOffset=\"top-into-view\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-info-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\"><em>The information on this page is valid and current as of July 2020. The legislative and regulatory provisions are subject to changes and updates by the Regulatory Authorities of the State to which they refer. Considering the above, the writer declines all responsibility regarding any non-actuality and\/or inaccuracy of the information received concurrently with or following the publication of this page <strong><a href=\"https:\/\/www.thema-med.com\/en\/disclaimer\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\">Disclaimer<\/a><\/strong><\/em><\/span><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-padding-left:17px;--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:19.9861px;--awb-width-medium:100%;--awb-spacing-right-medium:5px;--awb-spacing-left-medium:5px;--awb-width-small:100%;--awb-spacing-right-small:5px;--awb-spacing-left-small:5px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>In order to be marketed in the United States, all Medical Devices must be registered with the FDA. Manufacturing facilities are subjected to FDA inspections to ensure compliance with the American GMP requirements. In addition, each establishment where production, distribution, import and marketing of Medical Devices are performed in the U.S.A. must be disclosed and registered at the FDA, through Establishment Registration, in accordance with 21 CFR 807.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<ul>\n<li><strong>CLASS I MEDICAL DEVICES<\/strong><\/li>\n<\/ul>\n<p>Although some Class I devices are exempt from most QSR requirements, it is necessary to implement a Quality Management System (QMS) that conforms, at least partly, with 21 CFR 820. Even in the case of Class I devices that are exempt, the QMS must comply with the requirements of 21 CFR 820.180 (Record Keeping) and of 21 CFR 820.198 (Complaints File). As soon as the fees for the Establishment Registration are paid, the manufacturer can complete the device listing online process the for its Class I device.<\/p>\n<ul>\n<li><strong>CLASS II MEDICAL DEVICES<\/strong><\/li>\n<\/ul>\n<p>Require the implementation for a QMS compliant wtih 21 CFR 820. Clinical studies are required for <strong>innovative devices<\/strong>, thus it is important to get feedback from the FDA as early as possible by submitting a <em><a href=\"https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/requests-feedback-and-meetings-medical-device-submissions-q-submission-program\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong>Pre-Submission (Pre-Sub)<\/strong><\/a><\/em> request. Subsequently, for devices that require clinical trials, it will be necessary to submit an application for <em><a href=\"https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/requests-feedback-and-meetings-medical-device-submissions-q-submission-program\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong>Investigational Device Exemption<\/strong><\/a><\/em><a href=\"https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/requests-feedback-and-meetings-medical-device-submissions-q-submission-program\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong> (IDE)<\/strong><\/a> to allow the collection of data on the safety and efficacy of: implantable devices, devices that support and sustain vital functions, devices that play a fundamental role in the diagnosis, treatment and prevention of diseases, devices that present a potential risk to the health, safety and well-being of the subject. The preparation of the dossier for the IDE also involves the development of a protocol for the clinical study. For Class II Medical Devices that do not require clinical studies it will be necessary to prepare and send the <em><a href=\"https:\/\/translate.google.com\/translate?hl=it&amp;prev=_t&amp;sl=it&amp;tl=en&amp;u=https:\/\/www.fda.gov\/medical-devices\/premarket-submissions\/premarket-notification-510k\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong>510(k) Premarket Notification<\/strong><\/a><\/em> and pay the related fee. FDA does not issue a certificate, but sends a letter that is published online (<em>Marketing Clearance<\/em>).<\/p>\n<ul>\n<li><strong>CLASS III MEDICAL DEVICES<\/strong><\/li>\n<\/ul>\n<p>It is necessary to implement a 21 CFR 820-compliant QMS. To obtain the marketing approval, it is necessary to submit an application for a <em><a href=\"https:\/\/www.fda.gov\/medical-devices\/premarket-approval-pma\/pma-review-process\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong>Premarket Approval<\/strong><\/a><\/em><a href=\"https:\/\/www.fda.gov\/medical-devices\/premarket-approval-pma\/pma-review-process\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\"><strong> (PMA)<\/strong><\/a> and a pay fee. Based on the data provided by the manufacturer, FDA must determine whether the PMA contains valid and sufficient scientific evidence to ensure that the device is safe and effective for the intended uses. Moreover, FDA inspects all the operators involved in the design and production phase of the device to ascertain the compliance of the QMS with the QSR. Finally, if the PMA application is successful, FDA will communicate its approval for marketing the device. Each yearly quarter, FDA publishes the approved PMAs in the Federal Register. After obtaining the marketing approval or clearance from the FDA, each manufacturer must register their establishment through <em>Establishment Registration<\/em>, perform the <em>Device Listing<\/em> of devices marketed on the U.S. market and comply with the American GMPs. The Establishment Registration and the Device Listing entail the obligation for the manufacturer to designate a U.S. Agent and indicate the references of a device importer (U.S. Initial Importer).<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 32; line-height: 1.25;\" data-fontsize=\"32\" data-lineheight=\"40px\"><span style=\"color: var(--h3_typography-color); font-family: var(--h3_typography-font-family); font-size: 24px; font-style: var(--h3_typography-font-style,normal); letter-spacing: var(--h3_typography-letter-spacing); text-transform: var(--h3_typography-text-transform); background-color: rgba(255, 255, 255, 0); line-height: 30px; font-weight: normal;\" data-fusion-font=\"true\">Applicant<\/span><\/h3>\n<p>The manufacturer. Foreign manufacturers who intend to market their Medical Devices in the United States must appoint a<strong> U.S. Agent<\/strong>, meaning a Local Representative responsible for communications with the FDA.<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 32; line-height: 1.25;\" data-fontsize=\"32\" data-lineheight=\"40px\"><span style=\"font-size: 24px; font-weight: normal;\" data-fusion-font=\"true\">Timeframe and fees<\/span><\/h3>\n<p>The approval times vary depending on the device classification: Class I: 1 month Class II: 4-8 months Class III: 18-30 months. In accordance with MDUFA IV of 2017, every year the FDA publishes the list with the updated fees for medical device registration procedures. The most recent one, <a href=\"https:\/\/www.thema-med.com\/usa-aggiornamento-listino-tasse-fda-per-dispositivi-medici-fy-2020\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\">Medical Device User Fees for Fiscal Year 2020<\/a> has been published on August 1, 2019. The updated amounts refer to all the applications submitted to the FDA after October 1, 2019 and by September 30, 2020.<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 32; line-height: 1.25;\" data-fontsize=\"32\" data-lineheight=\"40px\"><span style=\"font-size: 24px; font-weight: normal;\" data-fusion-font=\"true\">Validity<\/span><\/h3>\n<p>Device registration: unlimited as long as there are no substantial changes to the device. <em>Establishment Registration<\/em> and <em>Device Listing<\/em>: annual renewal (from October 1st to December 31st).<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 32; line-height: 1.25;\" data-fontsize=\"32\" data-lineheight=\"40px\"><span style=\"font-size: 24px; font-weight: normal;\" data-fusion-font=\"true\">Labelling and documentation language<\/span><\/h3>\n<p>Documentation and labelling must be provided in English. The labelling must comply with 21 CFR 801 (approved by the FDA during the device registration process).<\/p>\n<h3 class=\"fusion-responsive-typography-calculated\" style=\"--fontsize: 32; line-height: 1.25;\" data-fontsize=\"32\" data-lineheight=\"40px\"><span style=\"font-size: 24px; font-weight: normal;\" data-fusion-font=\"true\">Useful information<\/span><\/h3>\n<p>In compliance with 21 CFR 801.20, all Medical Devices marketed in the United States must bear an UDI (Unique Device Identification) code. The <a href=\"https:\/\/www.fda.gov\/medical-devices\/unique-device-identification-system-udi-system\/compliance-dates-udi-requirements\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (si apre in una nuova scheda)\">UDI system was implemented<\/a> as follows:<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>UDI on the label and packaging<\/strong><\/td>\n<td><strong>Compliance date<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Implantable, life-supporting, and life-sustaining devices<\/td>\n<td>September 24, 2015<\/td>\n<\/tr>\n<tr>\n<td>Class III Medical Devices<\/td>\n<td>September 24, 2014<\/td>\n<\/tr>\n<tr>\n<td>Class II Medical Devices<\/td>\n<td>September 24, 2016<\/td>\n<\/tr>\n<tr>\n<td>Class I and unclassified devices manufactured and labeled on or after September 24, 2018<\/td>\n<td>No sooner than: September 24, 2022<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>UDI Direct Mark<\/strong> (permanent marking on the device itself, reprocessed device)<\/td>\n<td><strong>Compliance date<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Implantable, life-supporting, and life-sustaining devices<\/td>\n<td>September 24, 2015<\/td>\n<\/tr>\n<tr>\n<td>Class III Medical Devices<\/td>\n<td>September 24, 2016<\/td>\n<\/tr>\n<tr>\n<td>Class II Medical Devices<\/td>\n<td>September 24, 2018<\/td>\n<\/tr>\n<tr>\n<td>Class I and unclassified devices manufactured and labeled on or after September 24, 2018<\/td>\n<td>No sooner than: September 24, 2022<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph  --><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-margin-top:54px;--awb-background-color:var(--awb-color2);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:15px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_3_5 3_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.2%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f25190-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"25190\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/26129#wpcf7-f25190-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"25190\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f25190-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:25190,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;linguanl&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;acceptance-newsletter&quot;,&quot;operator&quot;:&quot;not empty&quot;,&quot;if_value&quot;:&quot;&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-6.1.1&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.3\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h3>Do you want to market your Medical Device in this Country? Contact us!\n<\/h3>\n<p><label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"E-mail\" type=\"email\" name=\"your-email\" \/><\/span> <\/label><br \/>\n<label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Name\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-surname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Surname\" type=\"text\" name=\"your-surname\" \/><\/span> <\/label>\n<\/p>\n<p><label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-company\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Company\" type=\"text\" name=\"your-company\" \/><\/span> <\/label>\n<\/p>\n<p><label>Country of your company<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Country\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Country\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Angola\">Angola<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Benin\">Benin<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Bolivia\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Brunei\">Brunei<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\">Canada<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"C\u00f4te d\u2019Ivoire\">C\u00f4te d\u2019Ivoire<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/option><option value=\"Kosovo\">Kosovo<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Laos\">Laos<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar (Burma)\">Myanmar (Burma)<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Norway\">Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russia\">Russia<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Sudan, South\">Sudan, South<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syria\">Syria<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"The Gambia\">The Gambia<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"United States\">United States<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vatican City\">Vatican City<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"Other\">Other<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label>Where would you like to market your Medical Device?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"paese\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"paese\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Australia\">Australia<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Canada\">Canada<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Europe\">Europe<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"France\">France<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Japan\">Japan<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Malesia\">Malesia<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Portual\">Portual<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Russia\">Russia<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Spain\">Spain<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"USA\">USA<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Other\">Other<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"messaggio\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"messaggio\">Message:<\/textarea><\/span><\/label>\n<\/p>\n<p><label><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-729\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-729\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I consent to processing of data in accordance with D. Lgs. 196\/2003 adapted to the GDPR 679\/16 EU by the D. Lgs. 101\/2018 - <a href=\"https:\/\/www.thema-med.com\/cookie-privacy-policy\/\">Privacy policy<\/a><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-newsletter\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"acceptance-newsletter\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> Newsletter Subscription\n<\/p>\n<div data-id=\"linguanl\" data-orig_data_id=\"linguanl\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p><label>Newsletter Language<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lingua-newsletter\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"lingua-newsletter\"><option value=\"english\">english<\/option><option value=\"italiano\">italiano<\/option><\/select><\/span><br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize awb-alert-native-link-color\" style=\"--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_5 1_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:20%;--awb-margin-top-large:15px;--awb-spacing-right-large:9.6%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:9.6%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":114,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-26129","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - 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