American Society of Hirudotherapy

Agenția Națională a Medicamentului și a Dispozitivelor Medicale din România — National Agency of Medicines and Medical Devices

ANMDMR · Romania · europe

Regulatory jurisdiction profileJurisdictional reference
Unregulatednational regulator

Romania's National Agency of Medicines and Medical Devices — leech-specific regulatory pathway has not been independently verified by ASH; medicinal leeches fall under the general EU MDR framework as appropriate.

Regulatory Profile

Agency type
national regulator
Region
europe
Country
Romania
Leech status
unregulated
Last ASH review
2026-05-26

Relevant Regulation Codes

  • Romanian national implementing legislation for Regulation (EU) 2017/745 (MDR)
  • Romanian Medicines Law (Legea medicamentului)

Prescriber Requirements

  • Romanian-licensed physician (medic) registered with the Romanian College of Physicians — order required for any device application
  • Allied health professional application under physician supervision per institutional protocol

Supply Chain & GMP

Distributors operate under EU MDR Article 14 economic-operator obligations; standard cold-chain conditions for live invertebrates. Romanian-language IFU.

Import/Export Rules

Intra-EU free circulation as per Regulation (EU) 2017/745. Third-country imports require CITES Appendix II paperwork for Hirudo medicinalis / verbana.

Reimbursement Context

Not covered under public insurance schemes for leech therapy specifically.

ASH Editorial Notes

Leech-specific pathway not independently verified by ASH; falls under general medical device / traditional medicine framework as appropriate. ANMDMR is the consolidated authority for both medicines and medical devices in Romania, harmonised with EU MDR.

Related Jurisdictions

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.