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January 14, 2026

Approximately 5 minutes

Health Canada – FDA eSTAR Pilot Program for Medical Device Submissions

Health Canada – FDA eSTAR Pilot Program for Medical Device Submissions

Program Overview and Objectives

In 2023, Health Canada and the United States Food and Drug Administration (FDA) initiated a voluntary pilot program utilizing the electronic Submission Template And Resource (eSTAR), originally developed by the FDA. The program allows manufacturers to prepare a single eSTAR submission package that can be used for premarket applications in both jurisdictions, targeting Class II, Class III, and certain Class IV medical devices under Canada’s Medical Devices Regulations. The primary goals are to reduce redundant effort, enhance submission quality, accelerate review processes, and promote regulatory convergence between the two agencies. Source: Notice to Industry: Health Canada – FDA eSTAR Pilot - Canada.ca

Scope and Eligibility

  • Device Classes: Primarily Class II and Class III devices; select Class IV devices may be considered on a case-by-case basis.
  • Submission Types: New licence applications, licence amendment applications, and (in some cases) administrative changes.
  • Participation: Voluntary and limited to a defined number of submissions during the pilot phase.
  • Exclusions: Devices requiring special regulatory pathways (e.g., emergency use authorizations) or those not suitable for eSTAR format are generally excluded.

Manufacturers interested in participating were required to contact Health Canada to express interest and confirm eligibility.

Key Features of eSTAR in the Pilot

  • Single Template: One standardized electronic form covering both Canadian and U.S. requirements where possible, with agency-specific sections clearly identified.
  • Interactive PDF Format: Structured, guided questions reduce errors and omissions; includes built-in help text and validation checks.
  • Integrated Content: Supports attachment of supporting documents (e.g., risk management files, test reports, clinical data).
  • Alignment Benefits: Facilitates simultaneous or sequential submission to both agencies using largely the same content, improving consistency of data presented.

Benefits for Industry and Regulators

  • For Manufacturers: Reduced preparation time and duplication; clearer expectations through guided template; potential for faster market access in both countries.
  • For Regulators: Improved submission quality and completeness; more efficient review due to standardized format; enhanced collaboration and learning between Health Canada and FDA.

Pilot Status and Next Steps

The pilot program was time-limited and intended to evaluate feasibility, usability, and impact on review timelines. Outcomes were expected to inform potential future adoption or expansion of eSTAR (or similar tools) in Canada’s regulatory framework. Manufacturers were encouraged to monitor updates from both agencies regarding continuation, modifications, or transition to routine use.

Detailed instructions for preparing eSTAR submissions, participation criteria, contact points, and examples of completed templates are provided in the official Health Canada notice on the joint eSTAR pilot with the FDA. Source: Notice to Industry: Health Canada – FDA eSTAR Pilot - Canada.ca

This initiative represents an important step toward greater regulatory cooperation and efficiency in medical device approvals between Canada and the United States.

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