MMedTech Compliance Guide

Category overview

In-Vitro Diagnostics (IVD)

Reagents, instruments, and tests that examine specimens outside the human body.

Citations link to external regulatory sources

EU

EU requirements

Classification
IVDR Annex VIII Rules 1–7 classify IVDs from A (lowest risk) to D (highest risk). Examples include transmissible-agent and transfusion tests in D, many STI, cancer, genetic, and companion diagnostics in C, and general laboratory reagents or instruments in A.
Conformity pathway
Under Article 48, Class A is generally self-declared (sterile A has limited Notified Body involvement); B uses Annex IX Chapter I and III with sampling; C uses Annex IX or Annex X plus XI; D requires full Annex IX including EU Reference Laboratory verification and expert-panel involvement.

Key standards

  • ISO 13485
  • ISO 14971
  • ISO 20916
  • IEC 62304 (if software)
  • ISO 15189 (if lab-based)

Action checklist

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US

US requirements

Classification
IVDs are Class I, II, or III under 21 CFR Parts 862, 864, and 866.
Conformity pathway
Moderate-risk IVDs with predicates typically use 510(k); high-risk products such as certain blood-screening and companion diagnostics use PMA. CLIA categorization applies in parallel.

Key standards

  • CLSI guidelines
  • ISO 13485
  • ISO 14971
  • ISO 20916

Action checklist

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