American Society of Hirudotherapy

Direction de la santé — Division de la Pharmacie et des Médicaments, Luxembourg

Luxembourg DPM · Luxembourg · europe

Regulatory jurisdiction profileJurisdictional reference
Unregulatednational regulator

Luxembourg's Direction de la santé (Division of Pharmacy and Medicines) — leeches fall under EU medical-device frameworks (MDR 2017/745) as implemented through Luxembourgish national law; leech-specific national authorisation has not been independently verified by ASH.

Regulatory Profile

Agency type
national regulator
Region
europe
Country
Luxembourg
Leech status
unregulated
Last ASH review
2026-05-27

Relevant Regulation Codes

  • Luxembourg Law of 25 November 1982 on Medicinal Products, as amended
  • EU Medical Device Regulation (MDR) 2017/745 — as transposed into Luxembourgish law
  • Luxembourg Grand-Ducal Regulations on Medical Devices

Prescriber Requirements

  • Luxembourg-licensed physician (under the Ministry of Health) — order required for any biomedical device application
  • Allied health professional application under physician supervision per institutional protocol

Supply Chain & GMP

Division de la Pharmacie registration as applicable; French and German-language labelling (with Luxembourgish supplementary information as relevant). Standard cold-chain conditions; EU intra-community movement under MDR applies.

Import/Export Rules

Free movement within the EU single market under MDR; Veterinary and Food Administration (ALVA) clearance for live invertebrates from non-EU origin; CITES Appendix II paperwork for Hirudo medicinalis / verbana on extra-EU import.

Reimbursement Context

Caisse Nationale de Santé (CNS) coverage depends on inpatient bundling; outpatient hirudotherapy is generally not separately reimbursed.

ASH Editorial Notes

Leech-specific pathway not independently verified by ASH; falls under general EU MDR framework as transposed into Luxembourgish law. Luxembourg's regulatory practice is often closely harmonised with the Benelux partners (Netherlands MEB, Belgian FAMHP); whether this includes specific guidance on live-organism medical devices has not been independently mapped 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.