Guidance - MDCG endorsed documents and other guidance

This page provides a range of documents to assist stakeholders in applying:

The majority of documents on this page are endorsed by the Medical Device Coordination Group (MDCG) in accordance with Article 105 of the MDR and Article 99 of the IVDR.

They are drafted in collaboration with interested parties represented in the various groups and denominated by the following format: “MDCG Year-Number-revision”.

The documents on this page are not legally binding. They present a common understanding of how the MDR and IVDR should be applied in practice aiming at an effective and harmonised implementation of the legislation.

Annex XVI products

ReferenceTitlePublication
MDCG 2023-6Guidance on demonstration of equivalence for Annex XVI products - A guide for manufacturers and notified bodiesDecember 2023
MDCG 2023-5Guidance on qualification and classification of Annex XVI products - A guide for manufacturers and notified bodiesDecember 2023
Q&AQ&A on transitional provisions for products without an intended medical purpose covered by annex XVI of the MDRSeptember 2023

Borderline and Classification

Background note on the use of the Manual on borderline and classification for medical devices under the Directives.

Class I Devices

ReferenceTitlePublication
MDCG 2020-2 rev.1Class I transitional provisions under Article 120 (3 and 4) – (MDR)March 2020
MDCG 2019-15 rev.1Guidance notes for manufacturers of class I medical devicesDecember 2019

Clinical investigation and evaluation

Guidance on the Investigator’s Brochure content

Appendix A of the MDCG 2024-5

Guidance on content of the Clinical Investigation Plan for clinical investigations of medical devices

Clinical Investigation Plan Synopsis Template

Guidance on sufficient clinical evidence for legacy devices

Background note on the relationship between MDCG 2020-6 and MEDDEV 2.7/1 rev.4 on clinical evaluation

COVID-19

ReferenceTitlePublication
MDCG 2021-21 Rev.1Guidance on performance evaluation of SARS-CoV-2 in vitro diagnostic medical devicesFebruary 2022
MDCG 2022-1Notice to 3rd country manufacturers of SARS-CoV-2 in vitro diagnostic medical devicesJanuary 2022
MDCG 2021-7Notice to manufacturers and authorised representatives on the impact of genetic variants on SARS-COV-2 in vitro diagnostic medical devicesMay 2021
MDCG 2021-2Guidance on state of the art of COVID-19 rapid antibody testsMarch 2021
COVID-19 TESTS: Q&A on in vitro diagnostic medical device conformity assessment and performance in the context of COVID-19 (available in all EU languages and Arabic, Chinese, Japanese, Russian)February 2021
Conformity assessment procedures for protective equipmentJuly 2020
How to verify that medical devices and personal protective equipment can be lawfully placed on the EU market and thus purchased and used – also in the COVID-19 contextMay 2020
Guidance on regulatory requirements for medical face masksJune 2020
Guidance on medical devices, active implantable medical devices and in vitro diagnostic medical devices in the COVID-19 contextApril 2020
Conformity assessment procedures for 3D printing and 3D printed products to be used in a medical context for COVID-19April 2020
MDCG 2020-9Regulatory requirements for ventilators and related accessoriesApril 2020

Custom-Made Devices

ReferenceTitlePublication
MDCG 2021-3Questions and Answers on Custom-Made DevicesMarch 2021

EUDAMED

ReferenceTitlePublication
MDCG 2022-12Guidance on harmonised administrative practices and alternative technical solutions until Eudamed is fully functional (for Regulation (EU) 2017/746 on in vitro diagnostic medical devices)July 2022
MDCG 2021-13 Rev. 1Questions and answers on obligations and related rules for the registration in EUDAMED of actors other than manufacturers, authorised representatives and importers subject to the obligations of Article 31 MDR and Article 28 IVDRJuly 2021
MDCG 2021-1 Rev. 1Guidance on harmonised administrative practices and alternative technical solutions until EUDAMED is fully functionalMay 2021
MDCG 2020-15MDCG Position Paper on the use of the EUDAMED actor registration module and of the Single Registration Number (SRN) in the Member StatesAugust 2020
MDCG 2019-5Registration of legacy devices in EUDAMEDApril 2019
MDCG 2019-4Timelines for registration of device data elements in EUDAMEDApril 2019

European Medical Device Nomenclature (EMDN)

ReferenceTitlePublication
MDCG 2024-2Procedures for the updates of the EMDNFebruary 2024
MDCG 2021-12FAQ on the European Medical Device Nomenclature (EMDN)June 2021
The EMDN – The nomenclature of use in EUDAMEDJanuary 2020
The CND nomenclature – Background and general principlesJanuary 2020
MDCG 2018-2Future EU medical device nomenclature - Description of requirementsMarch 2018

Implant cards

ReferenceTitlePublication
MDCG 2021-11Guidance on Implant Card – Device typesMay 2021
MDCG 2019-8 v2Guidance document implant card on the application of Article 18 Regulation (EU) 2017/745 on medical devicesMarch 2020

In-house devices

ReferenceTitlePublication
MDCG 2023-1Guidance on the health institution exemption under Article 5(5) of Regulation (EU) 2017/745 and Regulation (EU) 2017/746January 2023

Authorised Representatives, Importers, Distributors

ReferenceTitlePublication
MDCG 2021-27 - Rev.1Questions and Answers on Articles 13 & 14 of Regulation (EU) 2017/745 and Regulation (EU) 2017/746December 2023
MDCG 2022-16Guidance on Authorised Representatives Regulation (EU) 2017/745 and Regulation (EU) 2017/746October 2022
MDCG 2021-26Q&A on repackaging & relabelling activities under Article 16 of Regulation (EU) 2017/745 and Regulation (EU) 2017/746October 2021

In Vitro Diagnostic medical devices (IVD)

Safety reporting in performance studies of in vitro diagnostic medical devices under Regulation (EU) 2017/746

Appendix – Performance Study Summary Safety Reporting Form

New technologies

ReferenceTitlePublication
MDCG 2023-4Medical Device Software (MDSW) – Hardware combinations Guidance on MDSW intended to work in combination with hardware or hardware componentsOctober 2023
InfographicIs your software a Medical Device?March 2021
MDCG 2020-1Guidance on clinical evaluation (MDR) / Performance evaluation (IVDR) of medical device softwareMarch 2020
MDCG 2019-16 rev.1Guidance on cybersecurity for medical devicesDecember 2019
MDCG 2019-11Qualification and classification of software - Regulation (EU) 2017/745 and Regulation (EU) 2017/746October 2019

Notified bodies

Guidance on significant changes regarding the transitional provision under Article 120 of the MDR with regard to devices covered by certificates according to MDD or AIMDD

Note to the reader: Due to technical issues, please disregard the document displayed from 7 September 2023 until 8 September 2023.

Person responsible for regulatory compliance (PRRC)

ReferenceTitlePublication
MDCG 2019-7 - Rev.1Guidance on article 15 of the medical device regulation (MDR) and in vitro diagnostic device regulation (IVDR) on a ‘person responsible for regulatory compliance’ (PRRC)December 2023

Post-Market Surveillance and Vigilance (PMSV)

ReferenceTitlePublication
MDCG 2024-1Device Specific Vigilance Guidance (DSVG) TemplateJanuary 2024
MDCG 2024-1-1DSVG 01 on Cardiac ablationJanuary 2024
MDCG 2024-1-2DSVG 02 on Coronary stentsJanuary 2024
MDCG 2024-1-3DSVG 03 on Cardiac implantable electronic devices (CIEDs)January 2024
MDCG 2024-1-4DSVG 04 on Breast implantsJanuary 2024
MDCG 2024-1-5DSVG 05 on Urogynaecological Surgical Mesh Implants used for Pelvic Organ Prolapse repair and Stress Urinary IncontinenceJune 2024
MDCG 2023-3Questions and Answers on vigilance terms and concepts as outlined in the Regulation (EU) 2017/745 on medical devicesFebruary 2023
MDCG 2022-21Guidance on Periodic Safety Update Report (PSUR) according to Regulation (EU) 2017/745December 2022

Standards

ReferenceTitlePublication
MDCG 2021-5 Rev.1Guidance on standardisation for medical devicesJuly 2024

Unique Device Identifier (UDI)

ReferenceTitlePublication
MDCG 2022-7Q&A on the Unique Device Identification system under Regulation (EU) 2017/745 and Regulation (EU)May 2022
MDCG 2021-19Guidance note integration of the UDI within an organisation’s quality management systemJuly 2021
MDCG 2021-10The status of Appendixes E-I of IMDRF N48 under the EU regulatory framework for medical devicesJune 2021
MDCG 2021-09MDCG Position Paper on the Implementation of UDI requirements for contact lenses, spectacle frames, spectacle lenses & ready readersMay 2021
MDCG 2018-1 Rev. 4Guidance on basic UDI-DI and changes to UDI-DIApril 2021
MDCG 2020-18MDCG Position Paper on UDI assignment for Spectacle lenses & Ready readersDecember 2020
MDCG 2019-2Guidance on application of UDI rules to device-part of products referred to in article 1(8), 1(9) and 1(10) of Regulation 745/2017February 2019
MDCG 2019-1MDCG guiding principles for issuing entities rules on basic UDI-DIJanuary 2019
MDCG 2018-7Provisional considerations regarding language issues associated with the UDI databaseOctober 2018
MDCG 2018-6Clarifications of UDI related responsibilities in relation to article 16October 2018
MDCG 2018-5UDI assignment to medical device softwareOctober 2018
MDCG 2018-4Definitions/descriptions and formats of the UDI core elements for systems or procedure packsOctober 2018
MDCG 2018-3 Rev.1Guidance on UDI for systems and procedure packsJune 2020

Other topics

ReferenceTitlePublication
Q&AQ&A on practical aspects related to the implementation of the extended transitional period provided for in the IVDR, as amended by Regulation (EU) 2024/1860 July 2024
MDCG 2022-11 - Rev.1MDCG Position Paper: Notice to manufacturers to ensure timely compliance with MDR and IVDR requirementsNovember 2023
Q&A Rev. 2Q&A on practical aspects related to the implementation of Regulation (EU) 2023/607 - Extension of the MDR transitional period and removal of the “sell off” periodsJuly 2024
MDCG 2022-18 ADD.1MDCG Position Paper on the application of Article 97 MDR to legacy devices for which the MDD or AIMDD certificate expires before the issuance of a MDR certificate - Addendum 1June 2023
MDCG 2022-18MDCG Position Paper on the application of Article 97 MDR to legacy devices for which the MDD or AIMDD certificate expires before the issuance of a MDR certificateDecember 2022
MDCG 2022-14Transition to the MDR and IVDR - Notified body capacity and availability of medical devices and IVDsAugust 2022
MDCG 2021-25Application of MDR requirements to "legacy devices" and to devices placed on the market prior to 26 May 2021 in accordance with Directives 90/385/EEC or 93/42/EECOctober 2021
MDCG 2019-3 rev.1Clinical evaluation consultation procedure exemptions Interpretation of article 54(2)bApril 2020

Other guidance documents

ReferenceTitlePublication
MDR/IVDR Language requirementsOverview of language requirements for manufacturers of medical devices for the information and instructions that accompany a device in a specific countryJanuary 2024
European Medicines Agency (EMA) GuidanceQuestions & Answers for applicants, marketing authorisation holders of medicinal products and notified bodies with respect to the implementation of the Medical Devices and In Vitro Diagnostic Medical Devices Regulations ((EU) 2017/745 and (EU) 2017/746)June 2021
SCHEER guidelinesUpdate on the guidelines on the benefit-risk assessment of the presence of phthalates in certain medical devices
covering phthalates which are carcinogenic, mutagenic, toxic to reproduction (CMR) or have endocrine-disrupting (ED) properties
June 2024
CAMD FAQCAMD MDR/IVDR Transition Subgroup: FAQ – MDR Transitional provisionsJanuary 2018