At the end of 2019，COVID-19 pandemic outbroke，NMPA launched the emergency approval procedure for medical device，in order to deal with the different Emergency Public Health Incidents，NMPA and local MPA emergency approved some IVD，PPE，medical mask and so on. The emergency approval time and product quantity fully meet the needs of epidemic prevention and control. During the work of emergency approval，NMPA has taken innovative measures to improve the speed through parallel review and on-going review，improve the efficiency through conditional approval and limiting the validity period of license，ensure continuous review and continuous guidance through information system，and ensure the continuous controllable quality of products through the joint action Pre and post market. Based on a comprehensive review of the corresponding emergency approval work and analysis of the relevant problem，this article thinks about the next step，including the improvement of the emergency approval procedures and the relevant emergency use requirements of the regulations.