Guide

Medical device classification: FDA and EU MDR explained

Classification sorts devices by risk, and it decides almost everything that follows: the route to market, the evidence you need and who reviews it. The US and the EU use different systems, so a device can sit in different classes in each market.

The systems

How each market classifies devices

FDA: Class I, II and III

Classes rise with risk. Many Class I devices are exempt from premarket review, most Class II devices need a 510(k), and Class III devices usually need a PMA.

FDA: finding your class

Search the FDA product classification database for a matching device type; it gives the regulation number, product code and class. New low-to-moderate risk devices without a predicate can use De Novo.

EU MDR: Class I, IIa, IIb and III

Classes are assigned by applying the 22 rules in Annex VIII, based on factors such as invasiveness, duration of use and whether the device is active.

EU MDR: who reviews it

Most Class I devices are self-declared. Class Is, Im, Ir and all higher classes need a notified body to assess conformity.

Getting it right

How to classify a device

  1. 1Write a precise intended purpose — classification follows from it.
  2. 2For the US, find the matching classification regulation and product code.
  3. 3For the EU, work through the Annex VIII rules and record why each applies or not.
  4. 4Document the rationale and keep it under change control, since design changes can change the class.
  5. 5When unsure, use an FDA 513(g) request or ask your notified body before building the evidence plan.

Where Qevatrix fits

Classification per product, per market

RegulatoryOS records each product's classification, product code and pathway in every market you sell in, alongside its clearances and registrations.

This guide is an orientation, not regulatory advice. Confirm classification against the FDA classification database, EU MDR Annex VIII and MDCG 2021-24.