American Society of Hirudotherapy

Direktoratet for medisinske produkter — Norwegian Medical Products Agency

DMP · Norway · europe

Regulatory jurisdiction profileJurisdictional reference
Medical device clearednational regulator

Norway's medical products agency (formerly Statens legemiddelverk, rebranded DMP in 2024) — applies EU MDR via EEA Agreement; leech-specific regulation has not been independently verified by ASH.

Regulatory Profile

Agency type
national regulator
Region
europe
Country
Norway
Leech status
medical device cleared
Last ASH review
2026-05-25

Relevant Regulation Codes

  • Lov om medisinsk utstyr (Norwegian Medical Devices Act)
  • Regulation (EU) 2017/745 (MDR) — incorporated via EEA Agreement

Prescriber Requirements

  • Norwegian-authorised lege (physician) prescription required
  • Scope of non-physician practitioners (e.g., alternativ behandler under Lov om alternativ behandling) for hirudotherapy not independently verified by ASH

Supply Chain & GMP

EU MDR-aligned registration with DMP; Norwegian-language IFU; cold chain per manufacturer specifications.

Import/Export Rules

EEA free movement for CE-marked devices. Third-country imports through DMP notification, Mattilsynet (Norwegian Food Safety Authority) for live-invertebrate clearance, and standard CITES Appendix II paperwork.

Reimbursement Context

Helseforetak (regional health enterprises) cover inpatient flap-salvage indications; specific outpatient hirudotherapy reimbursement under Helfo (HELFO) not independently verified by ASH.

ASH Editorial Notes

Statens legemiddelverk was rebranded as Direktoratet for medisinske produkter (DMP) effective 1 January 2024. Norway participates in the EU MDR framework via the EEA Agreement but is not an EU Member State; specific leech regulatory practice has not been independently verified by ASH.

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.