The evaluation process by independent audit institutions for NMPA certification is a rigorous and detailed procedure designed to ensure that medical devices meet all necessary regulatory standards for safety, efficacy, and quality. These audits involve reviewing documentation, conducting on-site inspections, and verifying compliance with Chinese-specific regulations, including GMP, QMS standards, and post-market surveillance requirements. The process ensures that only devices that meet the stringent regulatory criteria are approved for sale in the Chinese market.