American Society of Hirudotherapy

Medsafe — Medicines and Medical Devices Safety Authority

Medsafe · New Zealand · oceania

Regulatory jurisdiction profileJurisdictional reference
Medical device clearednational regulator

New Zealand's medicines and medical-devices regulator — operates under the Medicines Act 1981 with leech therapy regulated as a notified medical device and biosecurity-controlled import.

Regulatory Profile

Agency type
national regulator
Region
oceania
Country
New Zealand
Leech status
medical device cleared
Last ASH review
2026-05-25

Relevant Regulation Codes

  • Medicines Act 1981
  • Medicines Regulations 1984
  • Biosecurity Act 1993 (live invertebrate import)
  • Therapeutic Products Act 2023 (forthcoming replacement framework — implementation in transition)

Prescriber Requirements

  • Medical Council of New Zealand–registered MD prescription required
  • RN application under standing order; rural practice with Nurse Practitioner scope expanded post-2021
  • Rongoā Māori practitioners (traditional Māori healing) have separate Health Practitioners Competence Assurance Act scope but leech therapy not part of rongoā

Supply Chain & GMP

Web Assembly of Medical Devices (WAND) notification required for distributors. Cold chain 4–10 °C. English-language IFU.

Import/Export Rules

Ministry for Primary Industries (MPI) import permit for live invertebrates; CITES via Department of Conservation. Stringent biosecurity rivalling Australia's.

Reimbursement Context

PHARMAC does not list leech therapy; Te Whatu Ora (Health New Zealand) covers inpatient hospital use under bulk funding. Private insurance variable.

Key Regulatory Documents

  1. Medicines Act 1981 (1981)
  2. Therapeutic Products Act 2023 (2023)

ASH Editorial Notes

The Therapeutic Products Act 2023 is intended to replace the Medicines Act and modernise medical-device regulation; implementation phased through 2025–2027 with active transitional rules.

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.