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BEM-VINDO À QUALITHINGS Garantia da Qualidade e Assuntos Regulatórios t para Empresas de Dispositivos Médicos Sobre nós A QualiThings é uma empresa especializada e com profundo conhecimento do intricado mercado brasileiro de dispositivos médicos. Nossos especialistas se destacam na entrega de soluções personalizadas . Estamos aqui para compartilhar nossa expertise com empresas de todos os portes e auxiliá-las em sua trajetória no mercado brasileiro. Saiba mais Podemos atuar como um elo entre sua empresa e a Anvisa A legislação brasileira estabelece que apenas empresas nacionais podem registrar dispositivos médicos, e essas empresas devem possuir licenças sanitárias locais e federais. As empresas estrangeiras que desejarem registrar seus produtos no Brasil deverão ter uma empresa parceira legalmente constituída no Brasil, como a QualiThings, que será detentora da autorização emitida pela Anvisa e legalmente responsável pelos produtos importados e distribuídos no território brasileiro. Podemos atuar como um elo entre sua empresa e seus clientes Nomear um representante junto à Anvisa dá mais flexibilidade e controle sobre seus produtos do que nomear um distribuidor para essa função. Isso significa que não há necessidade de escolher um distribuidor previamente: você pode iniciar seu processo de cadastro enquanto conhece o mercado brasileiro e conhece os distribuidores. A legislação brasileira permite que o detentor do registro conceda licenças de importação autorizando o(s) distribuidor(es) de sua escolha a importar seus dispositivos. Como podemos ajudar Âncora 1 Entrar num novo mercado traz múltiplos desafios, especialmente para fabricantes de produtos altamente regulamentados, como dispositivos médicos. Mas com planejamento cuidadoso e assistência adequada, empresas de todos os portes podem ter oportunidades de negócios frutíferas e ter sucesso no mercado brasileiro. Na verdade, as recompensas potenciais superam quaisquer desafios . Registo de Produto & Autorização de Mercado Nossos especialistas podem elaborar o dossiê técnico do produto, que inclui uma ficha técnica completa contendo dados clínicos, estudos de biocompatibilidade, testes de desempenho, instruções de uso e demais documentos exigidos pela Anvisa. Armazenamento, Distribuição e Logística 4PL A QualiThings pode auxiliar empresas brasileiras e estrangeiras criando estratégias de distribuição por meio de centros logísticos especializados em produtos para saúde. Boas Práticas (BPF e BPDA) As Boas Práticas de Fabricação (BPF) e as Boas Práticas de Distribuição e/ou Armazenagem (BPDA) são procedimentos exigidos pela Anvisa para garantir padrões mínimos de qualidade dos produtos para a saúde e se aplicam a todas as empresas de dispositivos médicos. Planejamento Tributário & Contas a Receber Nossos profissionais são treinados para analisar, planejar e desenvolver estratégias considerando o que é benéfico para seus parceiros e em conformidade com a legislação. Vigilância Pós-Mercado & Estratégias Nossos serviços pós-registro envolvem a avaliação de requisitos e a sugestão de informações para os processos de negócios, projetados para garantir a satisfação do cliente e a conformidade do produto. Regularização de Empresas e de Produtos Podemos auxiliar na obtenção de AFE e de licenças sanitárias, na elaboração de respostas a notificações e a não conformidades, e nas ações de tecnovigilância. Saiba mais Why Brazil? A continuously expanding healthcare sector with great purchasing power - Brazil represents a significant market opportunity for medical device manufacturers. Find out why you should consider selling your medical devices in Brazil and how. Learn More Contato BRASIL - RS - PORTO ALEGRE Rua Luiz Voelcker, 835, Porto Alegre, RS 91330-190 +55 (51) 3937-8827 patricia.huber@qualithings.com EUA - FL - MIAMI 1150 NW 72nd Ave #455, Miami, FL 33126, EUA +1 (689) 233-9730 rodrigo@qualithings.com Nome Sobrenome Email Mensagem Obrigada pela mensagem! Enviar Subscription Form Join Thanks for subscribing!

Market Analysis & Product Marketability Through market analysis , QualiThings can do a comprehensive study of a specific market, encompassing factors like market size, trends, and competitive landscape. Also, through product marketability studies, we can assess how well your products fit within the market, considering factors like consumer demand, pricing, and legal compliance. Market Analysis Market analysis involves a detailed assessment of a target market, including its size, trends, and competitive landscape. Purpose : We will help your business understand market dynamics, identify opportunities, and assess the viability of new products. Features : Market Size and Growth : Understand the overall size and potential for growth within the market. Customer Profile : Identify target customers, their needs, and preferences. Competitive Analysis : Analyze direct and indirect competitors, their strengths, and weaknesses. Market Analysis Product marketability refers to the extent to which a product is suitable for a particular market, considering factors like consumer demand, regulatory compliance, and competitive positioning. Purpose : We will help your business ensure that your products align with market needs and legal requirements, increasing the likelihood of success. Features : Consumer Demand : Assess whether there is sufficient demand for the product within the target market. Legal Compliance : Ensure the product meets all relevant legal and regulatory requirements in the target market. Competitive Differentiation : Identify unique selling points that will make the product stand out from competitors. Product Features : Determine whether the products’ features and benefits meet the needs and preferences of the target market. About These Services In essence, market analysis provides the broad context for a product, while product marketability focuses on how well that product fits within the market's specific landscape. Both analyses are pivotal if you want to be successful in the Brazilian market – regardless of experience – if you are just starting or expanding your business. QualiThings offers what no one else does : Our team of experts have decades of working knowledge as distributors, sellers, and end-users. Our combined experiences and expertise allow us to provide you with the most valuable insights into the Brazilian market. Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Address R. Luiz Voelcker, n. 835, sala 5, Bairro Três Figueiras, Porto Alegre / RS - Brazil Phone +55 (51) 3937-8726 Email contato@qualithings.com Connect ENTRE EM CONTATO COM NOSSOS ESPECIALISTAS Name Email Subject Message Enviar Agradecemos sua mensagem! Um de nossos especialistas entrará em contato em breve. HORÁRIO DE ATENDIMENTO Segunda a Sexta-Feira: 9h00 - 18h00 Sábado/Domingo: FECHADO

PERGUNTAS FREQUENTES Estamos aqui para ajudar. O que devo saber antes de exportar para o Brasil? Brazil represents one of the most popular destinations for medical device manufacturers, being the largest healthcare market in Latin America. But Brazil has a complex set of regulations that challenge foreign manufacturers. Anvisa (the Brazilian Health Regulatory Agency) carries out all registration and inspection processes, meaning that only companies based in Brazil can apply for registration. Companies based elsewhere that do not have subsidiaries in Brazil must instead rely on third-party companies legally constituted in the country, such as QualiThings, who will be legally responsible for the products commercialized in the Brazilian territory. It is recommended that foreign companies have local technical staff for customer support. Moreover, exporting regulated medical devices to Brazil might include the need for specific pre-market authorizations issued by Anvisa and other regulatory bodies. So, the commercialization of health products in Brazil relies on Anvisa’s approval. Most medical devices must be registered by Anvisa and the manufacturer might have to be certified by this Agency for Good Manufacturing Practices, a process which might include audits at the place of origin. Additionally, products regulated by Anvisa are subjected to approval at borders when entering Brazil and might be subjected to physical inspection. Como posso saber se preciso de uma autorização de pré-comercialização para vender meu produto no Brasil? Brazil is the largest medical device market in Latin America and has a well-established but complex regulatory system. Before the medical devices can be marketed in Brazil, they must comply with Anvisa’s requirements, which vary significantly depending on the product’s risk class. As such, the correct classification of the medical device is crucial. Our company has the knowledge and expertise to work out the proper classification for your medical device and to assist with every step of the preparation and submission of your application. Qual é a diferença entre "notificação" e "registro"? Notification (“Notificação”): Anvisa’s authorization for risk class I and II devices is achieved through a simplified process. A technical dossier of the product, and the proposed label and instructions for use in Portuguese, must be submitted to Anvisa. Class I and II notifications do not expire but must be reviewed periodically. Registration (“Registro”): Risk class III and IV medical devices must take a regulatory route which requires BGMP certification prior to product’s authorization. This includes submitting to Anvisa a complete technical file containing clinical data, biocompatibility studies, performance tests, etc. Class III and IV registrations are valid for ten years. *Please note that additional certifications issued by other regulatory bodies (INMETRO, ANATEL) might be needed depending on the device’s features. Qual é a diferença entre "notificação" e "registro"? Yes! You can! Brazilian Resolution RDC 102/2016 allows great flexibility for registration transfers. However, transfers will require the cooperation of the previous BRH: they must sign the transfer contract and ask Anvisa to cancel the registration under their name. Anvisa will issue a new registration number once the transfer is approved, but the registration will carry the original expiry date.

Our Services When it comes to doing business in or with Brazil, we offer integrated solutions that are tailored to meet your specific needs . From product regularization to tax planning, from accounting to trading services, our team and partners can handle every step required to turn your ideas into reality. Hosting services Run economic evaluation studies to check if the target price for the product is feasible and acceptable by the market Product registration and regularization Remote and on-site audits Review products labeling and adjust them to Anvisa’s requirements Technovigilance and adverse event reporting Develop strategies for customs and tax exemptions Strategically handle Anvisa’s queries and prepare responses Remote consultancy Work as an Authorized Representative for foreign companies Interact with Anvisa on your company’s behalf Gap analysis Issue audit report with suggested corrective and preventive actions (CAPA) Post-market surveillance Nationalization of medical devices Warehousing and inventory management Prospect and qualify new distributors and clients Technical consultancy Act as the Brazilian Registration Holder (BRH) Interpreting regulations and developing regulatory documentation Review of the QMS to ensure compliance with Anvisa’s requirements Accompany the Anvisa audit Update product registration files Support for import processes Optimize product distribution and merchandising Bring your products closer to the best national distributors Regularization of companies Evaluate product’s marketability through partnerships with hospitals Evaluate medical device classification and grouping Prepare the manufacturer for Anvisa inspection (pre-inspection or mock audit) Translate technical documents Renew product certificates and market authorizations Customs clearance Technical and legal assistance to stakeholders Assist with registration transfer requests Training Through our network of partners, we offer a range of additional services, such as market research, quality certifications, consularization of documents, headhunting, among others. Contact us Book a meeting Learn more Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Regulatory Strategies The Brazilian legislation establishes that only national companies can register medical devices in Brazil , and these companies must have local and federal sanitary licenses. Foreign companies that wish to sell their products in Brazil must establish a local Brazilian manufacturing unit or a local office. Another option is to appoint a partner company legally constituted in Brazil , such as Qualithings , that will be the holder of the authorization issued by Anvisa (the Brazilian Registration Holder, or BRH) and legally responsible for the products imported to and distributed in the Brazilian territory. In other words, foreign manufacturers must have a Brazilian agent who has a business license in Brazil and will communicate with Anvisa in Portuguese on your behalf. The BRH will be responsible for maintaining the registration during its lifetime. Product Registration Options If you choose an Authorized Representative or Hosting Services to be your BRH: Authorized Representative To simplify sales activities of medical devices in Brazil, an excellent solution is appointing an authorized representative. An authorized representative is usually an importer that has solid knowledge of its area of expertise and extensive market share. In most cases, they are large companies with a complete structure dedicated to international business. These companies will usually bear all the expenses from product registration to customs fees, with a counterpart: have exclusive rights over the product in Brazil. The main advantage is having sound experience and rapidly enter the market, without the need to establish a subsidiary in Brazil and get all the licenses required by Anvisa. Hosting Services To simplify the registration process, an option is to hire hosting services. With hosting services, product registration will be issued on behalf of a third consulting party that owns and hosts the registration and provides an import authorization for any distributors designated by the manufacturer. In this case, the consulting party will only act as the BRH and will not perform any marketing, distribution, or sales activities. This option gives more flexibility and control of the manufacturer over the product than appointing an importer for that role. And there’s no need to choose an importer or distributor beforehand. It also reduces time and costs without binding to one agent. The "QualiThings" Advantage: We take the best out of both options and bring them to your company! QualiThings is licensed to act as your BRH – and more! Where most Brazilian Registration Holders focus only on the registration processes and others only on sales, QualiThings works with Regulatory Affairs , Quality Assurance and all aspects related to nationalization , distribution , and commercialization of medical devices. We are a consulting company and work as a boutique office with modular services , which means that we leave our clients free to make their own decisions and pick-and-choose which services they want to hire. This way, our clients know exactly what they are paying for and, overall, it turns out cheaper for them. Learn More The Brazilian legislation allows the BRH to give import permits authorizing the distributor(s) of your choice to import your devices, which means you will have full control over your registration and technical documents. Once your product is registered in Brazil, you can choose if you want to work with your own distributors or if you want to use our network. If you decide to use your own distributors and they cannot import products into Brazil, you can choose to hire your own importation partner or you can hire QualiThings . Learn More Choosing a... Representative ... as your BRH: Pros: L arge companies with solid knowledge and extensive market share Minimal short-term investment required Customer service Sound market experience Cons: Exclusive rights (the manufacture can sell the products only to the authorized representative) The BRH “owns” the product registration Choosing... Hosting Services ... as your BRH: Pros: More flexibility and control over the product and the registration No binding to one agent – the manufacturer can choose the distributor(s) Sound Regulatory Affairs experience Cons: More investment Lesser control of the market Distributors are usually small companies with little knowledge of the market The BRH is a third-party with no knowledge of the market Services provided are limited to regulatory affairs Choosing... QUALITHINGS ... as your BRH: Pros: Sound experience in Regulatory Affairs, Quality Assurance, import, distribution, and related areas of the Brazilian market for medical devices Overall reduced costs Flexibility No binding to one agent Extensive network of specialized experts Modular services (you pay only for what you really need), no hidden costs Customer service Less bureaucracy - There's no need to establish a subsidiary or get all the licenses required to sell in Brazil Cons: We can't think of any! Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Nossos Serviços Autorização de Mercado: Registro de Dispositivos Médicos O primeiro passo é determinar a classificação do dispositivo médico. No Brasil, os dispositivos são divididos em quatro classes, com base no seu risco (Classes I a IV, de risco muito baixo a muito alto) e as autorizações de comercialização são emitidas pela Anvisa dependendo da classe de risco. A QualiThings realizará as análises para garantir a correta classificação dos produtos com base nas normas brasileiras. Após, nossa equipe se dedicará a adequar a documentação do produto, conforme exigência da Anvisa. elaborar o dossiê técnico do produto, que deverá incluir ficha técnica completa contendo dados clínicos, estudos de biocompatibilidade, testes de desempenho, etc. Agende uma reunião Book a meeting Boas Práticas de Fabricação, Armazenamento e Distribuição As Boas Práticas são um conjunto de procedimentos obrigatórios criados pela Anvisa para garantir padrões mínimos de qualidade na fabricação, armazenamento, transporte e distribuição de produtos para a saúde. O principal objetivo é garantir que todos os produtos sejam seguros, eficazes e de alta qualidade. As Boas Práticas aplicam-se a todas as empresas de dispositivos médicos localizadas em território nacional ou no estrangeiro. Os fabricantes de dispositivos médicos Classe III e IV devem ser certificados em conformidade com os requisitos das BPFs antes de poderem registrar seus produtos no Brasil. A QualiThings pode ajudar as empresas a aderir às Boas Práticas brasileiras por meio de seus serviços de consultoria. Agende uma reunião Book a meeting Marketing & Vendas Depois que o dispositivo médico for aprovado para comercialização pela Anvisa, a venda do produto pode representar outro desafio. No Brasil, o mercado de saúde é orientado pelos preços. O Governo brasileiro, patrocinador de vários hospitais, é o principal comprador de produtos de saúde para abastecer o Sistema Público de Saúde brasileiro (SUS), o maior do gênero no mundo, através de licitações. A QualiThings possui um banco de dados ativo contendo os principais stakeholders de dispositivos médicos no Brasil, incluindo mais de 6.000 hospitais públicos e privados. Nossos serviços de vendas estão conectados aos sistemas de compras públicas e privadas do Brasil, abrangendo licitações em todo o território brasileiro, inclusive em grandes hospitais com alta demanda por produtos para saúde. Marque uma reunião Book a meeting Âncora 1 Âncora 2 Âncora 3 Vigilância Pós-Mercado & Estratégias Quer você seja um fabricante de pequeno ou de grande porte, a expansão de seus negócios, as melhorias contínuas e a satisfação do cliente dependem principalmente dos padrões de qualidade de seu negócio. Nossos serviços pós-registro envolvem a avaliação de requisitos e a sugestão de informações para os processos de negócios, projetados para garantir a satisfação do cliente e a conformidade dos produtos. Agende uma reunião Book a meeting Âncora 4 Distribuição, Armazenamento e Logística 4PL A QualiThings pode auxiliar empresas nacionais e estrangeiras criando estratégias de distribuição por meio de centros de distribuição especializados em produtos para saúde. Nossa empresa possui inúmeros parceiros em todo o Brasil, o que nos permite garantir que os produtos sejam entregues em suas localidades em condições adequadas e no prazo. Temos a capacidade de reduzir os prazos de entrega e, ao mesmo tempo, beneficiar os clientes. Marque uma reunião Book a meeting Âncora 5 Planejamento Tributário e Gestão de Contas a Receber Operar no Brasil oferece um desafio adicional relacionado ao planejamento tributário. As leis e regulamentos são complexos e difíceis de entender. A QualiThings conta com profissionais capacitados para analisar, planejar e desenvolver estratégias considerando o que é benéfico para seus parceiros e em conformidade com as legislações brasileiras. Além disso, podemos gerenciar o contas a receber criando procedimentos específicos de acordo com o porte e necessidade de cada cliente. Nossa empresa irá trocar arquivos com bancos, registrar, conciliar e dar baixa de contas pagas, bem como resolver problemas operacionais e logísticos que possam afetar nossos parceiros. Agende uma reunião Book a meeting Âncora 7 Hospedagem de Registros e da Conformidade dos Produtos Os certificados de registro de produto são válidos por 10 anos e o pedido de renovação deve ser apresentado em tempo hábil. Quaisquer alterações pós-aprovação realizadas nos dispositivos médicos deverão ser encaminhadas à Anvisa, com os documentos pertinentes de acordo com as exigências vigentes. Como parte de nossa rotina diária, a QualiThings acompanha todas as publicações oficiais, mantendo-se atualizada com as últimas novidades e alterações regulatórias. Podemos alertar oportunamente as empresas parceiras caso seja necessária alguma ação imediata para manter o registro do produto válido e evitar penalidades. Agende uma reunião Book a meeting Âncora 6 ... and much more! Check out our full business scope here Contact us Book a meeting Get a free quote Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Additional Certification INMETRO Certification The National Institute of Metrology, Standardization and Industrial Quality (INMETRO) mandates accredited Certification Bodies (OCP/CB) to conduct certification. In February 2022, INMETRO launched its new regulatory framework which is more aligned with international best practices. The framework reduces the number of products under regulation, so that only products with a safety or environmental concern remain covered, allows for a greater use of self-declaration of suppliers and producers, when appropriate, as well as on the acceptance of international tests. INMETRO certification is mandatory for all electro medical devices subject to IEC 60601, PPEs, needles, syringes, breast implants, condoms, and some other products. Minimum documentation required for initial INMETRO certification: Quality Manual Packaging and Labelling Risk Management Software Validation, when applicable Usability Test Report Electric Schematics, when applicable List of Critical Components Diagram of Isolation, when applicable Customer Complaints Tests performed overseas are usually accepted. So, instead of sending the medical device to Brazil, this option can help foreign companies save cost and time. After certification and approval by Anvisa, the medical device must bear an INMETRO label. The INMETRO certificate doesn’t expire, but the manufacturer must undergo an annual maintenance inspection by the certification body. ANATEL Certification The Agência Nacional de Telecomunicações (ANATEL) certificate applies to medical devices that use radiofrequency (RF) spectrum or wireless communication, e.g. Bluetooth, Wi-Fi, etc. For this certification, the device must be sent to Brazil for tests. Steps for ANATEL Certification and Homologation: How we can help How we can help How we can help How we can help Evaluate if Additional Certification is Required We will determine whether any local certification requirements apply to your device, such as ANATEL or INMETRO certification. Bridge the Gap We will review the required documents and help you bridge any gaps for rapid and successful certification. Network of Partners We can connect you with our network of partners and specialists to expedite the certification processes. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

CONHEÇA NOSSOS CLIENTES Presente e passado O(A) Qualithings tem orgulho de servir clientes da região de São Paulo . Temos a necessidade de estrutura para fornecer as soluções que você precisa e o suporte para tornar seus objetivos realidade. Vamos sempre além para encontrar formas inovadoras de resolver desafios existentes e futuros. Entre em contato se quiser fazer parte da nossa lista de clientes satisfeitos. HERA Desde um pequeno negócio Depois de muitos anos no mercado, este cliente pediu nossa ajuda no processo de transição para um novo segmento. Desde nossas primeiras conversas até hoje, nossa parceria fez sucesso em um novo mercado. MACHADOS Um novo começo O(A) Qualithings trabalhou com este cliente desde o início e estamos muito felizes com a parceria criada durante esta jornada. Juntos alcançamos resultados notáveis e temos sido um prazer com o crescimento de seus negócios. VOLVA Dados do Parceiro(a) de longa Este cliente nos contatou para consultar como fazer a transição de uma pequena empresa local para um negócio regional maior. Nossa colaboração tem sido realmente notável e estamos felizes por ver esse negócio prosperar como líder em seu ramo. NOSSAS AVALIAÇÕES Acreditamos que ações valem mais do que palavras Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! S. Bonifácio Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! C.Davi Este é um espaço para depoimentos. Use este espaço para compartilhar avaliações sobre você, seus serviços ou o seu negócio. Faça seus visitantes tomarem a iniciativa de falar com você! R.Torres

Why Brazil? Here's why you should consider selling your medical devices in Brazil Brazil in Numbers Brazil is the 7th largest populated country in the world, with an estimated population of 215 million inhabitants and a total area of 8.515.767 km². The country has the 9th largest GDP in the world and is considered an advanced emerging economy . It has the largest healthcare market in Latin America and the 2nd largest in the Americas. According to the World Bank, in 2021 private and public healthcare expenses in Brazil comprised over 9% of its GDP, which represents US$ 161 billion . Brazil has a Unified Healthcare System (Sistema Único de Saúde, SUS ), which provides free access to medical services to all Brazilian citizens. The public health system is the sole provider of health services to approximately 72% of the population, and it is estimated that over 50 million Brazilians have access to the private healthcare system as well. There are over 420,000 registered health establishments in the country, including over 7,300 hospitals, 62% of which are privately-owned, according to the Brazilian Federation of Hospitals and the National Health Confederation. As of 2022, there were 427,097 hospital beds, 710 health insurance providers, and 546,000 physicians. From January to December 2023, there was a total of over 13 million hospitalizations (about 5.6% higher than in the same period of 2022) and over 5 million surgeries (10.2% higher). The volume of purchases by SUS – which had decreased during the pandemic – reached its highest levels ever in 2023. There was a 13% increase in total spending on medical devices in comparison with the previous year. The projected revenue for this market is expected to reach US$ 10.42 billion in 2024 with an annual growth rate of 7% , resulting in a market volume of US$ 14.65 billion by 2029 . The Scenario for Medical Devices There are over 100,000 medical devices with valid market authorizations (“registro ” or “notificação ”) issued by Anvisa, of which approximately 75% are manufactured abroad . This means that a significant portion of health products are imported , due to various characteristics of the Brazilian market and the products themselves. Therefore, importers play an important role by offering more options to patients and health service providers. Most of the medical devices produced in Brazil are not manufactured by national companies, but by large multinationals that have set up a manufacturing plant in the country. However, these companies will usually sell their products at a higher price, in order to compensate for their investment. In this scenario, imported products are a reasonable, affordable option – and sometimes the only option available. Despite the recent economic downturn, private and public hospitals still have great purchasing power, and with continued expansion of Brazil’s private health care sector, the market is expected to grow. The nods in the direction of the revision of SUS reimbursement tables, the reactivation of some health programs, and structural measures such as the Tax Reform, represent a positive counterpoint to the challenging scenario. Do you see the potential and want to join the Brazilian market, but worry about the bureaucracy? Do you want to sell your products in Brazil but don’t know where to start? We are here to help! QualiThings is your one-stop shop for everything you need to enter the Brazilian market of medical devices. I want to learn more about the Brazilian market, Help me! First Name Last Name Email Message Submit Thank you for your message! Our specialists will contact you shorlty.

Market Authorization: Registering a Medical Device Device Grouping Anvisa grants registration of individual products as well as of families , systems , and set/kits , based on the grouping of products, much like other major global markets. Differences in size, dimension, or shape, for example, generally do not matter. If you have multiple products that are similar, it is pivotal to determine the correct product family grouping , because this will determine the number of petitions (submissions) required to Anvisa. Grouping is crucial for regulatory strategy as it determines how devices can be authorized in a regulatory petition and can significantly reduce costs overall. The definition of family in RDC 751/2022 describes that products within a family must have similar technical characteristics in five areas: Indication and intended purposes Operation and mechanism of action Embedded technology Contents or composition Precautions, warnings, and special cautions Grouping is determined according to the following regulations, depending on the medical device category. In the case of materials, the initial step is to determine if the device is listed on the specific regulation (IN 101/2023). If not, grouping should be evaluated according to the general rules set by RDC 556/2021. Accessories in medical equipment require a separate registration only if one of the following conditions apply: the manufacturer is different; it is not an active accessory and is subject to authorization by Anvisa as a material, IVD, sanitizer, cosmetic, medical device etc; or it is a nonactive accessory with a higher risk class than the medical equipment itself. How we can help How we can help How we can help How we can help Device Grouping We will determine proper device grouping to simplify regulatory processes, using a wholesome approach – we also take into consideration the impacts that proper grouping will play on taxation, customs, importation, marketing etc. Grouping Evaluation We can evaluate and customize product grouping to reduce the overall costs. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Packages We at QualiThings offer highly specialized, high-quality, customized solutions, tailored to each client’s needs. Since we work with customized solutions, our services are modulable : you can pick and choose the services you are interested in, and we will prepare a package (or “bundle”) that suits you the most. You pay only for what you really need! Get a Free Quote ... or ... Choose a Package No strings attached! Learn the benefits Get a Free Quote Fill in the information and pick which services you are looking for. You will receive a free quotation soon - No strings attached! First Name Last Name Email Send Thanks for submitting! One of our specialists will contact you shortly.

4PL Solutions & Product Distribution What is 4PL? Fourth-Party Logistics (4PL) services have a role of integrating , collaborating , and overseeing the supply chain by managing the transportation , storage , and distribution of the products from the manufacturers to the end users. 4PL works in a neutral way, taking over the management of the logistics process regardless of the suppliers, transports, and warehouses used. Advantages of Using 4PL Considering that traditional outsourcing partnerships tend to focus solely and exclusively on cost reduction and resource transfer, the 4PL agent assumes a fundamental role in the supply chain , working as a link between the supplier and the customer , promoting integration in the supply chain by increasing benefits for both, and reducing costs through the search for greater efficiency and effectiveness in processes. Moreover, 4PL can add value in the communication and coordination relationships between the various service providers, allowing the manufacturers to pay full attention to their core business . It is in the context of health products that 4PL brings the most impact, as the provision of high-quality care and patient safety heavily rely on the availability of essential medical devices in the healthcare setting. Main Features We at QualiThings have the intellectual capital , technological capacity , and management tools that enable us to manage the entire logistics process . 1 Reduction of operational logistics costs 2 Knowledge of the supply chain 3 Strategic relationships 4 Adaptability, collaboration and flexibility 5 Neutral approach in the selection of service providers 6 Technological capacity QualiThings can assist foreign manufacturers by creating distribution strategies in the Brazilian market through distributors or distribution centers specialized in health products. The company has numerous partners throughout Brazil, which allows us to ensure that products are delivered to their locations in adequate condition in a timely manner. We have the ability to reduce delivery times while benefiting customers. How we can help How we can help How we can help How we can help Connect with Distributors We can connect you with our network of distributors scattered across the country, or with the distributors of your choice. Timely & Secure Delivery We provide efficient logistics, securing that your product is properly delivered to the intended recipients, through the concept of Fourth-Party Logistics (4PL). Transportation We make sure that your MD is transported safely, efficiently, and timely to the end user, wherever they are. This may involve various transportation modes, including ground, air, and sea, depending on the distance and urgency of delivery. Warehousing & Inventory Management We ensure that your product is stored under your specific storage conditions in warehouses with controlled environments, such as temperature and humidity control, and manage inventory effectively, including tracking expiration dates and lot numbers. Packaging & Labeling We ensure that your medical devices are packaged securely to prevent damage during transport and labeled accurately with essential information, which are crucial to maintain their safety and regulatory compliance. Regulatory Compliance We ensure that all operations are in compliance with transportation regulations, customs clearance procedures, documentation, and quality standards set by the regulatory bodies. Track & Trace We use technologies to track and monitor the movement of medical devices throughout the supply chain, from origin to destination, which is vital for transparency, accountability, and to ensure timely delivery. Reverse Logistics In case of product recalls, withdrawals, returns, or expired devices, we can manage the reverse logistics process, which involves collecting the devices from healthcare facilities, coordinating returns, and ensuring proper disposal according to environmental and sanitary guidelines. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Technovigilance & Adverse Event Reporting Technovigilance Complying with Brazil's medical device adverse event reporting requirements is of outmost importance if you want to maintain your product in the market . Brazil’s National Health Surveillance Agency (ANVISA) requires medical device manufacturers selling in the country to comply with a technovigilance system for post-market monitoring and field safety corrective actions . Resolutions RDC No. 67/2009 and RDC No. 551/2021 provide critical information on terminology, timelines, and other technovigilance reporting requirements in Brazil. Companies that fail to accurately report incidents could face severe penalties . Unawareness is not an acceptable excuse for not reporting incidents, so manufacturers must be proactive. As the device manufacturer, you and your Brazilian Registration Holder (BRH) are equally responsible for reporting adverse events to ANVISA. An adverse event report (also known as "Notivisa ") must be submitted if a device malfunction or misuse results in death or serious injury , could lead to death or to serious injury if it were to recur, or in other applicable circumstances, as described in the regulation. A technical complaint must also be reported under certain circumstances if a reoccurrence could lead to a severe adverse event. Manufacturers must notify ANVISA if a field safety action or recall is necessary to reduce the risk of death or serious injury. An alert must also be reported to ANVISA and distributed to consumers detailing the necessary corrective action. To report an adverse event to ANVISA, you must first inform your BRH that a reportable adverse event has occurred and if a field action is necessary, obeying the applicable timeline depending on the nature of the event. How we can help How we can help How we can help How we can help Submit Adverse Event Reports and Recalls If we act as your Registration Holder, our team in Brazil can submit adverse event reports and recall information to ANVISA on your behalf. Receive and Evaluate Incident Reports Our experienced consultants can help determine when incidents are reportable and ensure that final incident reports are submitted to ANVISA on time. Post-Market Surveillance We have experience assisting numerous manufacturers with post-market surveillance and notifying ANVISA in compliance with the applicable timeline depending on the nature of the event. Organize Recalls and Other Field Actions We can issue an alert message to consumers when a field safety action is needed, submit monitoring reports and final adverse event reports to ANVISA, coordinate product withdrawal, reverse logistics and rework, when necessary. ...and much more! Check out our full business scope Get in touch Send us a message, we will be glad to help you through the pathway into the Brazilian market. +55 (51) 3937-8726 contato@qualithings.com Book a meeting First Name Last Name Email Message Send Thanks for your message! Our specialists will contact you shortly.

Regulation of Medical Devices in Brazil Brazil is the largest medical device market in Latin America and has a well-established but complex regulatory system. The Brazilian medical device market has an attractive potential – currently, it is worth approximately US$10.5 billion, and imported medical devices account for 80 percent of the market. ANVISA, the Brazilian Health Regulatory Agency, is responsible for monitoring medical devices, as well as drugs, pesticides, food, cosmetics, sanitizing agents, pharmaceutical supplies, blood, tissues and organs, pharmacies and drugstores, ports, airports and borders, and tabaco. ANVISA keeps the Brazilian regulatory framework up-to-date at international level. In 2012 it co-founded the International Medical Device Regulators Forum (IMDRF). The most important regulations (laws, decrees, and others) can be accessed below: Access Access ANVISA’s online compilation of regulations Request Request the English version