
On 5 May 2017, the Official Journal of the European Union formally published the Medical Device Regulation (MDR, EU 2017/745), which entered into force on 25 May 2017.
The MDR had a three-year transition period and became mandatory on 4 May 2020, replacing the former Medical Device Directive MDD (93/42/EEC) and the Active Implantable Medical Device Directive AIMDD (90/385/EEC).
The In Vitro Diagnostic Medical Device Regulation (IVDR, EU 2017/746) was published concurrently with a five-year transition period. It became mandatory on 4 May 2022 and replaced the previous In Vitro Diagnostic Devices Directive (IVDD).
During the transition period, manufacturers were required to update their technical documentation and procedures to comply with the requirements of the new regulations. After the transition period, only medical devices compliant with MDR/IVDR could be placed on the EU market.
MDD (93/42/EEC) was a mandatory certification directive for medical devices exported to the EU. All medical device manufacturers or their Authorized Representatives must ensure that medical devices entering the European Economic Area (EEA) comply with this directive; otherwise, such devices shall not be marketed.
It covers medical devices and their accessories, including any instrument, apparatus, equipment, material and other articles (including software, whether used alone or in combination), whose intended purpose for human beings is as follows:
Diagnosis, prevention, monitoring, treatment or alleviation of disease;
Diagnosis, monitoring, treatment, alleviation or compensation for an injury or disability;
Investigation, replacement or modification of the anatomy or of a physiological process;
Control of conception.
Note: Products intended to be used solely as medicinal products are excluded. However, where a device is combined with a medicinal product (e.g. drug-device combination product), it shall comply with both the requirements of MDD and relevant medicinal product legislation.
In accordance with Annex IX-XI of the MDD and guidance document (MEDDEV 2.4), medical devices are classified into the following categories based on risk level, and different categories correspond to different conformity assessment routes:
1. Class I
Class I other: Lowest risk, such as non-sterile general medical face masks, non-sterile medical examination gloves, etc.;
Class I sterile: Class I products subject to sterilization treatment, such as sterile medical gauze;
Class I with measuring function: Class I products incorporating measuring functions, such as clinical thermometers.
2. Class IIa: Medium risk, such as sphygmomanometers, hearing aids, etc.;
3. Class IIb: Medium-to-high risk, such as dialysis equipment, electrocardiographs, etc.;
4. Class III: High risk, such as heart valves, implantable defibrillators, etc.;
*Class III with medicine: Class III devices containing medicinal ingredients, such as orthopaedic implants with antimicrobial agents.
Technical documentation is the core of MDD certification and shall contain the following key contents (to be compiled in an official EU language):
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