A comprehensive equipment policy was established for the health system of Sao paulo State, Brazil. Research, development and regulation issues were integrated with all phases of the equipment life cycle, including: planning, procurement, acceptance testing, commissioning, maintenance, repair, refitting, and decommissioning, This policy was implemented by a multidisciplinary group, which advised and coordinated planning and procurement, created a technology management and maintenance network composed of clinical engineering teams and reference centers, and worked closely with manufacturers, universities and research institutes to improve the quality and increases the variety of domestic medical products in order to substitute for imported devices.