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Italy Medical Device Registration2026 Field Guide

No Italian CE mark — EU MDR applies directly. What Italy adds is the layer that decides whether you can actually sell: BD/RDM registration and the Repertorio, the CND code, Italian-language labelling, and payback-aware regional procurement.

BD/RDM registration
€0
Class IIa CE route
12–18 mo
BD/RDM filing (reported)
30–45 days

Sourced from the Ministry of Health, Legislative Decrees 137/2022 & 138/2022, and verified 2026 publications.

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What's inside

Seven pages, zero fluff

Every figure in this guide traces to a named source — the Ministry of Health, the 2022 adaptation decrees, and verified 2026 publications.

EU MDR + the Italian layer

MDR 2017/745 applies directly; Legislative Decrees 137/2022 and 138/2022 designate the Ministry of Health and set the national rules — no Italian CE mark, no pre-market approval.

BD/RDM + Repertorio

National registration is free — but without a BD/RDM number, a Repertorio listing and the right CND code, you are invisible to public buyers and tenders.

Regional buying + the payback

Twenty regional markets and Consip frameworks — plus a payback mechanism that makes suppliers repay a share of public overspend. Price Italy with it from day one.

Sources & scope

  • salute.gov.it, Ministry of Health — BD/RDM and Repertorio registration practice, advertising authorisations.
  • gazzettaufficiale.it, Legislative Decrees No. 137/2022 and No. 138/2022 — Italian MDR/IVDR adaptation.
  • eur-lex.europa.eu, Regulation (EU) 2017/745 (MDR), Regulation (EU) 2023/607, Commission Decision (EU) 2025/2371.

This guide is market-access intelligence, not regulatory or legal advice. Ministry of Health practice, the BD/RDM–EUDAMED interaction, and the payback position change — professional review is required before business use.

Market Access Strategy Session

Italy on your roadmap? Start with the full picture.

A Market Access Strategy Session maps your Italy route — notified-body selection, EUDAMED and BD/RDM registration, CND assignment, and a payback-aware regional tender strategy.

Professional review is required before business use.