US Agent and Representation Services

All foreign manufacturers selling products in the US will need to work with a US Agent and pay the annual Establishment Registration fee.

FDA US Agent Service

Americas Actual US Agent Fee: $750 per year

Foreign manufacturers must identify a US Agent to manage communication with the FDA and be listed on their Establishment Registration form. As required, Asia Actual will maintain a place of business in the US (PO boxes not permitted) and remain available to answer the phone during normal business hours. Activities include answering questions from the FDA on imported devices or assisting in scheduling inspections.

FDA Establishment Registration and Product Listing

FDA Fee: $5,236

Owners or operators of places of business that are involved in the production and distribution of medical devices intended for use in the US are required to register annually with the FDA. This process is known as establishment registration. Asia Actual will manage the payment, registration and listing process on behalf of clients for US Agent services.

Initial Importer Service

The FDA requires all foreign medical device manufacturers to appoint a registered FDA Initial Importer during device registration. With an office in the United States, we can further the marketing of your device, from manufacturer to final sale. Marketing in the United States will often include multiple distributors and sales representatives. Most distributors and sales reps do not want to get involved or register with the FDA. As Initial Importers, we are subject to FDA inspection and are responsible for reporting adverse events to both you and the FDA.

As your Initial Importer, Americas Actual will:

  • Facilitate the marketing of your Class I and/or Class II devices from export to the person who makes final delivery or sale;

  • Report adverse events (under 21 CFR 803 Medical Device Reporting (MDR) regulations), specific malfunctions, Corrections and Removals, and Medical Device Tracking (if applicable);

  • Maintain an MDR event file for each adverse event.

Initial Importer Management Fee: $3,000 per year

Branded US Establishment Options

 
 

Level 1: Branded Office

(Act as Own US Agent)

Foreign manufacturers seeking to establish a more local presence in the US market may consider opening a Branded Office in the US to provide an enhanced image to prospective clients and customers. Asia Actual can assist manufacturers with setting up a local “franchise” in Texas, which requires no annual fees or tax burdens, only the annual filing of paperwork.

 

Level 2: Sales & Marketing

With the local franchise set up, manufacturers can begin driving demand remotely and working with local distributors and personnel to expand their product line’s reach to new regions.

As market share increases, this option provides foreign manufacturers with an easy transition to their own sales and marketing teams.

Level 3: Fully Staffed Office

The last step to complete the transition to a fully staffed office will be to hire regulatory and importation staff.

Americas Actual can help with the transition, onboarding, and procedures establishment.