American Society of Hirudotherapy

European Commission — DG SANTE

European Commission · European Union · europe

Regulatory jurisdiction profileJurisdictional reference
Medical device clearedsupranational

EU executive body responsible for the Medical Device Regulation (MDR) — the legal instrument that frames how Member States CE-mark leech products.

Regulatory Profile

Agency type
supranational
Region
europe
Country
European Union
Leech status
medical device cleared
Last ASH review
2026-05-25

Relevant Regulation Codes

  • Regulation (EU) 2017/745 (MDR)
  • Regulation (EU) 2017/746 (IVDR)
  • Commission Implementing Regulation (EU) 2017/2185 (UDI rules)
  • MDCG Guidance 2019-11 — Classification of medical devices

Prescriber Requirements

  • Out of scope — sets product-market rules, not prescriber scope

Supply Chain & GMP

Manufacturer responsibilities under MDR Art. 10; Person Responsible for Regulatory Compliance (PRRC) under Art. 15; UDI registration in EUDAMED; post-market surveillance plans under Art. 83.

Import/Export Rules

EU customs union — once a device is CE-marked it has free movement across Member States. Import from third countries requires CE certificate plus the standard CITES / TRACES live-invertebrate paperwork.

Reimbursement Context

EC does not set reimbursement; this is national competence under TFEU Art. 168.

ASH Editorial Notes

The MDR transition period extension (Regulation (EU) 2023/607) keeps legacy MDD certificates valid through Dec 2027 for Class IIa devices in compliance with the new GSPRs — relevant for Ricarimpex's CE certificate.

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.