On March 19, 2026, Chile’s Official Gazette formally issued Exempt Decree No. 25, broadly expanding the scope of mandatory sanitary controls for medical devices and in vitro diagnostic products (IVD). Multiple categories of high-risk equipment are incorporated into the mandatory registration system administered by ISP (Instituto de Salud Pública de Chile).
ISP is the sole national authority responsible for registration certification, review, market surveillance and adverse event alerts. At present, Chile does not officially recognise third-party compliance audit bodies; all conformity assessments are processed directly by ISP.
Cardiac Implants: Implantable defibrillators, cardiac pacemakers, cardiac resynchronisation devices, coronary stents, cardiovascular catheters, heart valves
Orthopaedic Implants: Hip prostheses and accessories, cochlear implants, breast tissue expanders, implantable surgical meshes, copper intrauterine devices, hyaluronic acid dermal fillers
Infusion Equipment: Insulin infusion pumps and matching consumables
Blood Products: Blood bags (Class III / IV)
Emergency Devices: Manual defibrillator monitors
Radiology & Radiotherapy: X-ray equipment, brachytherapy devices, external beam radiotherapy linear accelerators, mammography systems, CT, PET/SPECT nuclear medicine equipment
Dialysis Equipment: Haemodialysis concentrates, dialysis machines, dialysis catheters, dialysis filters, intraocular lenses
Life Support: Fixed/transport ventilators, extracorporeal circulation equipment, high-frequency electrosurgical units
Medical Software (SaMD): Tumour imaging planning and analysis software
Automatic sphygmomanometers, CPAP/BPAP non-invasive ventilators, steam / ethylene oxide sterilisation equipment.
NCh ISO 14142-1/2: General requirements for the safety and performance of medical devices
ISO 13485: Medical device quality management system (core document for registration)
ISO 14971: Medical device risk managementDuring public health emergencies, Chile’s Ministry of Health may impose additional clinical and analytical performance requirements for IVD products.
Before the mandatory deadline, manufacturers may voluntarily submit registration applications to ISP. ISP is required to release complete registration technical guidance documents within 12 months of the decree’s publication (before 19 March 2027). Companies can launch applications in advance to secure market access ahead of competitors.
IVD and imaging equipment have a 36-month window but require complex technical files; pre-review is advised within 1 year.
As a key Latin American healthcare market, Decree No.25 marks the official arrival of universal mandatory registration for Chile’s medical device industry, covering the full spectrum of IVD products, implantable devices, large imaging equipment, home medical devices and medical software.
If you wish to know further details, please contact Wiselink Group!
As Latin America’s largest medical device market with the most mature regulatory framework, Brazil is a core strategic hub for Chinese medical device companies expanding into South America.
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