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FAMHP: Belgium's Medical Device Regulatory Body

An overview of the role and responsibilities of the Federal Agency for Medicines and Health Products (FAMHP) in regulating medical devices in Belgium.

Overview

Summary of this regulator or jurisdiction and how it relates to market access.

Official regulator site

Overview of the FAMHP

The Federal Agency for Medicines and Health Products (FAMHP) is the competent authority in Belgium responsible for ensuring the quality, safety, and efficacy of medicines and health products (including medical devices and in vitro diagnostics) throughout their entire lifecycle.

Role and Responsibilities

  1. Regulatory Framework: Implementing European Regulations such as the Medical Device Regulation (MDR 2017/745) and the In Vitro Diagnostic Regulation (IVDR 2017/746) into Belgian national law.
  2. Clinical Investigations: Authorizing and supervising clinical investigations for medical devices and performance studies for IVDs to ensure subject safety and data reliability.
  3. Market Surveillance: Conducting inspections and audits of economic operators (manufacturers, importers, and distributors) and health institutions to verify compliance with safety and performance requirements.
  4. Vigilance (Materiovigilance): Managing a national system for reporting and investigating incidents involving medical devices to prevent recurrence and protect public health.
  5. Notifications and Registration: Handling the registration of economic operators and notifications of devices being placed on the Belgian market (managed via the national portal until EUDAMED is fully mandatory).
  6. Notified Body Oversight: Cooperating with the European Commission to designate and monitor Belgian Notified Bodies responsible for conformity assessments.

Key Focus Areas

  • Patient Safety: Ensuring that only devices meeting strict safety and performance standards reach users.
  • Innovation Support: Providing guidance to researchers and industry on complex regulatory pathways.
  • European Collaboration: Participating in the Medical Device Coordination Group (MDCG) at the EU level to harmonize standards across member states.

Articles & guides

Insight articles mapped to this region on ElendiLabs.

Other

February 5, 2026

CE Marking for Medical Devices in Belgium

Belgium's FAMHP outlines CE marking requirements for medical devices and IVDs under MDR and IVDR, involving self-certification for low-risk classes and notified body assessments for higher risks, ensuring safety and performance compliance.

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Other

February 4, 2026

Application Procedure for Free Sales Certificates in Belgium

In Belgium, Free Sales Certificates (FSCs) for medical devices and IVDs are issued by FAMHP electronically since February 2025, with applications submitted by email using specific forms, a fee of €283.66 per certificate in 2026, limits on devices per certificate, and required supporting documents including conformity declarations and transitional proofs where applicable.

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Other

February 4, 2026

Overview of In Vitro Diagnostic Medical Devices Regulation in Belgium

The FAMHP oversees in vitro diagnostic medical devices (IVDs) in Belgium under Regulation (EU) 2017/746 (IVDR), applicable since 26 May 2022, with transitional provisions from Directive 98/79/EC and phased Eudamed registration requirements until mandatory in 2026.

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Other

February 3, 2026

Fees for Medical Devices Manufacturers Based on Turnover in Belgium

In Belgium, medical devices economic operators pay an annual contribution of €415.74 per entity in 2025 and a turnover tax up to 0.3073% on sales to retailers/end users above €50,290.17, with exemptions for compliant low-turnover distributors, as per the Law of 20 July 2006.

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Other

February 3, 2026

EUDAMED: The European Database for Medical Devices in Belgium

Belgium's FAMHP provides guidance on EUDAMED, the EU database for medical devices with six modules for registration and surveillance, featuring phased mandatory implementation starting Q4 2025.

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Other

February 2, 2026

Belgian eHealth Guidance on Distribution of Medical Devices

The Belgian eHealth document outlines registration and obligations for distributors of medical devices, including verification, storage, vigilance, and use of the WebMEDSEIP portal for registration and contribution declarations.

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Other

February 2, 2026

FAMHP Process for Issuing Certificates of Free Sale for Medical Devices in Belgium

Since February 2025, FAMHP issues electronic Certificates of Free Sale (FSCs) for medical devices and IVDs in Belgium, with applications submitted by email, a fee of €283.66 in 2026, strict limits on devices per certificate, and mandatory supporting documents including conformity declarations and transitional proofs for legacy devices.

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Other

February 2, 2026

Regulatory Requirements for Systems and Procedure Packs in Belgium

In Belgium, producers of systems and procedure packs under MDR (EU) 2017/745 must ensure compatibility of combined CE-marked devices, draw up a declaration, register in Eudamed (currently voluntary), and notify FAMHP during the transitional period using dedicated forms, with specific rules for changes and acknowledgements.

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Other

February 2, 2026

Regulatory Requirements for Class I Medical Device Manufacturers in Belgium

Manufacturers of Class I medical devices in Belgium must fully comply with the MDR (EU) 2017/745, register in Eudamed, notify FAMHP during the transition period until May 2026, issue an EU Declaration of Conformity, maintain technical documentation, and fulfil post-market surveillance obligations, with specific rules for sterile, measuring, and reusable surgical subcategories.

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Other

February 1, 2026

Belgian Regulations for In-House Medical Device Software in Health Institutions

In Belgium, health institutions may develop and use in-house medical device software under MDR/IVDR Article 5(5) exemptions if it meets strict conditions including quality management, unmet needs justification, public declaration via FAMHP portal, and vigilance reporting; software qualifies as a medical device if it has a specific medical purpose.

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Other

February 1, 2026

Belgian Regulations for In-House Manufactured Medical Devices in Health Institutions

In Belgium, health institutions may manufacture and use 'in-house' medical devices and IVDs under strict conditions of MDR Article 5(5) and IVDR Article 5(5), requiring quality management, justification of need, public declaration via FAMHP portal, and vigilance reporting.

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Other

February 1, 2026

Registration Requirements for Distribution and Export of Medical Devices in Belgium

In Belgium, distributors of medical devices must register via the national FAMHP web portal, while importers may voluntarily register in Eudamed until mandatory in May 2026; specific notification and certification apply for relabelling or repackaging activities under MDR/IVDR Article 16.

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Other

February 1, 2026

FAMHP Guidance for Distributors of Medical Devices in Belgium

The FAMHP general guide (version 2.1, May 2021) outlines obligations for distributors of medical devices and IVDs in Belgium under MDR and IVDR, including registration, verification, storage, vigilance reporting, and a self-checking tool to assess exemption from annual contributions.

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Other

February 1, 2026

Procedure for Requesting Exceptional Use of Non-CE Marked Medical Devices in Belgium

In Belgium, FAMHP authorizes exceptional use of non-CE marked medical devices or IVDs under MDR Article 59 or IVDR Article 54 when justified by public health or patient safety needs, with no suitable alternatives available and significant expected benefit, via compassionate use for individual patients or national derogation.

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Other

February 1, 2026

Regulations on Advertising, Premiums, Advantages, and Samples for Medicines in Belgium

Belgium's FAMHP regulates advertising for medicines, prohibiting certain methods and requiring approvals, while banning premiums and advantages with exceptions for scientific services, and controlling sample distribution to prescribers.

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Other

February 1, 2026

Definitions and Classifications of Medical Devices in Belgium

Belgium's FAMHP defines medical devices, IVDs, custom-made devices, and accessories under EU regulations like MDR and IVDR, classifying them by risk levels and providing guidelines on borderline products.

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