American Society of Hirudotherapy

Israeli Ministry of Health — Medical Devices Division

Israeli MoH · Israel · middle east

Regulatory jurisdiction profileJurisdictional reference
Medical device clearednational regulator

Israel's Ministry of Health (Misrad HaBri'ut) — leech therapy regulated under the Pharmacists' Ordinance with Medical Devices Division oversight; significant clinical use in reconstructive and microsurgery services.

Regulatory Profile

Agency type
national regulator
Region
middle east
Country
Israel
Leech status
medical device cleared
Last ASH review
2026-05-25

Relevant Regulation Codes

  • Pharmacists' Ordinance (New Version) 5741-1981 / פקודת הרוקחים
  • Medical Devices Law 5772-2012 / חוק ציוד רפואי
  • Medical Devices Regulations 5774-2014

Prescriber Requirements

  • Israeli Medical Association-registered MD prescription required
  • Registered nurse (אחות מוסמכת) application under physician's order; specialised wound-care nurse practitioners increasingly used
  • Complementary medicine practitioners regulated under separate legislative framework; leech therapy primarily delivered in mainstream hospital settings

Supply Chain & GMP

AMAR — Israeli Medical Device Registration (Amar — Israeli Pharmaceutical-style registry); Hebrew-language labelling under MoH guidance. Cold chain 4–10 °C.

Import/Export Rules

Import licence from MoH Pharmaceutical Division + Ministry of Agriculture and Rural Development veterinary clearance. CITES via INPA (Israel Nature and Parks Authority).

Reimbursement Context

National Health Insurance Law (Hok Bituach Bri'ut Mamlachti, 1994) bundles inpatient leech therapy into hospital reimbursement; outpatient coverage varies by kupat cholim (health fund: Clalit, Maccabi, Meuhedet, Leumit).

ASH Editorial Notes

Israeli plastic-surgery and microsurgery services (notably at Hadassah Medical Center, Sheba Medical Center, Rambam Health Care Campus) use leeches in venous-congestion salvage; integration with high-volume microsurgery practice positions Israel ahead of regional peers.

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.