OpenRegulatory Template

Checklist: MDR General Safety and Performance Requirements

Chapter I: General Requirements

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
1 Devices shall achieve the performance intended by their manufacturer and shall be designed and manufactured in such a way that, during normal conditions of use, they are suitable for their intended purpose. They shall be safe and effective and shall not compromise the clinical condition or the safety of patients, or the safety and health of users or, where applicable, other persons, provided that any risks which may be associated with their use constitute acceptable risks when weighed against the benefits to the patient and are compatible with a high level of protection of health and safety, taking into account the generally acknowledged state of the art. Yes ISO 14971:2019 Intended Use
Risk Management Report
Clinical Evaluation Report
2 The requirement in this Annex to reduce risks as far as possible means the reduction of risks as far as possible without adversely affecting the benefit-risk ratio. Yes ISO 14971:2019 Risk Management Report
3 Manufacturers shall establish, implement, document and maintain a risk management system. Risk management shall be understood as a continuous iterative process throughout the entire lifecycle of a device, requiring regular systematic updating. In carrying out risk management manufacturers shall: Yes ISO 14971:2019 SOP Risk Management
(a) establish and document a risk management plan for each device; Yes ISO 14971:2019 Risk Management Plan
(b) identify and analyze the known and foreseeable hazards associated with each device; Yes ISO 14971:2019 Risk Table
(c) estimate and evaluate the risks associated with, and occurring during, the intended use and during reasonably foreseeable misuse; Yes ISO 14971:2019 Risk Table
(d) eliminate or control the risks referred to in point (c) in accordance with the requirements of Section 4; Yes ISO 14971:2019 Risk Table
(e) evaluate the impact of information from the production phase and, in particular, from the post-market surveillance system, on hazards and the frequency of occurrence thereof, on estimates of their associated risks, as well as on the overall risk, benefit-risk ratio and risk acceptability; and Yes ISO 14971:2019 Risk Table
SOP Integrated Software Development
(f) based on the evaluation of the impact of the information referred to in point (e), if necessary amend control measures in line with the requirements of Section 4. Yes ISO 14971:2019 Risk Table
4 Risk control measures adopted by manufacturers for the design and manufacture of the devices shall conform to safety principles, taking account of the generally acknowledged state of the art. To reduce risks, Manufacturers shall manage risks so that the residual risk associated with each hazard as well as the overall residual risk is judged acceptable. In selecting the most appropriate solutions, manufacturers shall, in the following order of priority: Yes ISO 14971:2019 Risk Table
(a) eliminate or reduce risks as far as possible through safe design and manufacture; Yes ISO 14971:2019 Risk Table
(b) where appropriate, take adequate protection measures, including alarms if necessary, in relation to risks that cannot be eliminated; and Yes ISO 14971:2019 Risk Table
(c) provide information for safety (warnings/precautions/contra-indications) and, where appropriate, training to users. Yes ISO 14971:2019 Risk Table
5 In eliminating or reducing risks related to use error, the manufacturer shall:
(a) reduce as far as possible the risks related to the ergonomic features of the device and the environment in which the device is intended to be used (design for patient safety), and Yes IEC 62366-1:2015 + COR1:2016 Risk Table
Software Requirements List
Usability Evaluation Report
(b) give consideration to the technical knowledge, experience, education, training and use environment, where applicable, and the medical and physical conditions of intended users (design for lay, professional, disabled or other users). Yes IEC 62366-1:2015 + COR1:2016 Intended Use
Risk Table
6 The characteristics and performance of a device shall not be adversely affected to such a degree that the health or safety of the patient or the user and, where applicable, of other persons are compromised during the lifetime of the device, as indicated by the manufacturer, when the device is subjected to the stresses which can occur during normal conditions of use and has been properly maintained in accordance with the manufacturer’s instructions. No Software device
7 Devices shall be designed, manufactured and packaged in such a way that their characteristics and performance during their intended use are not adversely affected during transport and storage, for example, through fluctuations of temperature and humidity, taking account of the instructions and information provided by the manufacturer. No Software device
8 All known and foreseeable risks, and any undesirable side-effects, shall be minimized and be acceptable when weighed against the evaluated benefits to the patient and/or user arising from the achieved performance of the device during normal conditions of use. Yes ISO 14971:2019 Clinical Evaluation Report
9 For the devices referred to in Annex XVI, the general safety requirements set out in Sections 1 and 8 shall be understood to mean that the device, when used under the conditions and for the purposes intended, does not present a risk at all or presents a risk that is no more than the maximum acceptable risk related to the product’s use which is consistent with a high level of protection for the safety and health of persons. No Annex XVI does not apply

Chapter II: Requirements Regarding Design and Manufacture

2.1) Chemical, Physical and Biological Properties

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
10.1 Devices shall be designed and manufactured in such a way as to ensure that the characteristics and performance requirements referred to in Chapter I are fulfilled. Particular attention shall be paid to: No Software device
(a) the choice of materials and substances used, particularly as regards toxicity and, where relevant, flammability; No Software device
(b) the compatibility between the materials and substances used and biological tissues, cells and body fluids, taking account of the intended purpose of the device and, where relevant, absorption, distribution, metabolism and excretion; No Software device
(c) the compatibility between the different parts of a device which consists of more than one implantable part; No Software device
(d) the impact of processes on material properties; No Software device
(e) where appropriate, the results of biophysical or modelling research the validity of which has been demonstrated beforehand; No Software device
(f) the mechanical properties of the materials used, reflecting, where appropriate, matters such as strength, ductility, fracture resistance, wear resistance and fatigue resistance; No Software device
(g) surface properties; and No Software device
(h) the confirmation that the device meets any defined chemical and/or physical specifications. No Software device
10.2 Devices shall be designed, manufactured and packaged in such a way as to minimize the risk posed by contaminants and residues to patients, taking account of the intended purpose of the device, and to the persons involved in the transport, storage and use of the devices. Particular attention shall be paid to tissues exposed to those contaminants and residues and to the duration and frequency of exposure. No Software device
10.3 Devices shall be designed and manufactured in such a way that they can be used safely with the materials and substances, including gases, with which they enter into contact during their intended use; if the devices are intended to administer medicinal products they shall be designed and manufactured in such a way as to be compatible with the medicinal products concerned in accordance with the provisions and restrictions governing those medicinal products and that the performance of both the medicinal products and of the devices is maintained in accordance with their respective indications and intended use. No Software device

2.2) Substances

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
10.4.1 Devices shall be designed and manufactured in such a way as to reduce as far as possible the risks posed by substances or particles, including wear debris, degradation products and processing residues, that may be released from the device. Devices, or those parts thereof or those materials used therein that: No Software device
— are invasive and come into direct contact with the human body, No Software device
— (re)administer medicines, body liquids or other substances, including gases, to/from the body, or No Software device
— transport or store such medicines, body fluids or substances, including gases, to be (re)administered to the body, No Software device
shall only contain the following substances in a concentration that is above 0,1 % weight by weight (w/w) where justified pursuant to Section 10.4.2: No Software device
(a) substances which are carcinogenic, mutagenic or toxic to reproduction (‘CMR’), of category 1A or 1B, in accordance with Part 3 of Annex VI to Regulation (EC) No 1272/2008 of the European Parliament and of the Council (1), or No Software device
(b) substances having endocrine-disrupting properties for which there is scientific evidence of probable serious effects to human health and which are identified either in accordance with the procedure set out in Article 59 of Regulation (EC) No 1907/2006 of the European Parliament and of the Council (2) or, once a delegated act has been adopted by the Commission pursuant to the first subparagraph of Article 5(3) of Regulation (EU) No 528/2012 of the European Parliament and the Council (3), in accordance with the criteria that are relevant to human health amongst the criteria established therein. No Software device
10.4.2 Justification regarding the presence of CMR and/or endocrine-disrupting substances: The justification for the presence of such substances shall be based upon: No Software device
(a) an analysis and estimation of potential patient or user exposure to the substance; No Software device
(b) an analysis of possible alternative substances, materials or designs, including, where available, information about independent research, peer-reviewed studies, scientific opinions from relevant scientific committees and an analysis of the availability of such alternatives; No Software device
(c) argumentation as to why possible substance and/ or material substitutes, if available, or design changes, if feasible, are inappropriate in relation to maintaining the functionality, performance and the benefit-risk ratios of the product; including taking into account if the intended use of such devices includes treatment of children or treatment of pregnant or breastfeeding women or treatment of other patient groups considered particularly vulnerable to such substances and/or materials; and No Software device
(d) where applicable and available, the latest relevant scientific committee guidelines in accordance with Sections 10.4.3. and 10.4.4. No Software device
10.4.3 Guidelines on phthalates: For the purposes of Section 10.4., the Commission shall, as soon as possible and by 26 May 2018, provide the relevant scientific committee with a mandate to prepare guidelines that shall be ready before 26 May 2020. The mandate for the committee shall encompass at least a benefit-risk assessment of the presence of phthalates which belong to either of the groups of substances referred to in points (a) and (b) of Section 10.4.1. The benefit-risk assessment shall take into account the intended purpose and context of the use of the device, as well as any available alternative substances and alternative materials, designs or medical treatments. When deemed appropriate on the basis of the latest scientific evidence, but at least every five years, the guidelines shall be updated. No Software device
10.4.4 Guidelines on other CMR and endocrine-disrupting substances:Subsequently, the Commission shall mandate the relevant scientific committee to prepare guidelines as referred to in Section 10.4.3. also for other substances referred to in points (a) and (b) of Section 10.4.1., where appropriate. No Software device
10.4.5 Labelling: Where devices, parts thereof or materials used therein as referred to in Section 10.4.1. contain substances referred to in points (a) or (b) of Section 10.4.1. in a concentration above 0,1 % weight by weight (w/w), the presence of those substances shall be labelled on the device itself and/or on the packaging for each unit or, where appropriate, on the sales packaging, with the list of such substances. If the intended use of such devices includes treatment of children or treatment of pregnant or breastfeeding women or treatment of other patient groups considered particularly vulnerable to such substances and/or materials, information on residual risks for those patient groups and, if applicable, on appropriate precautionary measures shall be given in the instructions for use. No Software device
10.5 Devices shall be designed and manufactured in such a way as to reduce as far as possible the risks posed by the unintentional ingress of substances into the device taking into account the device and the nature of the environment in which it is intended to be used. No Software device
10.6 Devices shall be designed and manufactured in such a way as to reduce as far as possible the risks linked to the size and the properties of particles which are or can be released into the patient’s or user’s body, unless they come into contact with intact skin only. Special attention shall be given to nanomaterials. No Software device

2.3) Infection and Microbiological Contamination

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
11.1 Devices and their manufacturing processes shall be designed in such a way as to eliminate or to reduce as far as possible the risk of infection to patients, users and, where applicable, other persons. The design shall: No Software device
(a) reduce as far as possible and appropriate the risks from unintended cuts and pricks, such as needle stick injuries, No Software device
(b) allow easy and safe handling, No Software device
(c) reduce as far as possible any microbial leakage from the device and/or microbial exposure during use, and No Software device
(d) prevent microbial contamination of the device or its content such as specimens or fluids. No Software device
11.2 Where necessary devices shall be designed to facilitate their safe cleaning, disinfection, and/or re-sterilization. No Software device
11.3 Devices labelled as having a specific microbial state shall be designed, manufactured and packaged to ensure that they remain in that state when placed on the market and remain so under the transport and storage conditions specified by the manufacturer. No Software device
11.4 Devices delivered in a sterile state shall be designed, manufactured and packaged in accordance with appropriate procedures, to ensure that they are sterile when placed on the market and that, unless the packaging which is intended to maintain their sterile condition is damaged, they remain sterile, under the transport and storage conditions specified by the manufacturer, until that packaging is opened at the point of use. It shall be ensured that the integrity of that packaging is clearly evident to the final user. No Software device
11.5 Devices labelled as sterile shall be processed, manufactured, packaged and, sterilized by means of appropriate, validated methods. No Software device
11.6 Devices intended to be sterilised shall be manufactured and packaged in appropriate and controlled conditions and facilities. No Software device
11.7 Packaging systems for non-sterile devices shall maintain the integrity and cleanliness of the product and, where the devices are to be sterilised prior to use, minimise the risk of microbial contamination; the packaging system shall be suitable taking account of the method of sterilisation indicated by the manufacturer. No Software device
11.8 The labelling of the device shall distinguish between identical or similar devices placed on the market in both a sterile and a non-sterile condition additional to the symbol used to indicate that devices are sterile. No Software device
12. Devices incorporating a substance considered to be a medicinal product and devices that are composed of substances or of combinations of substances that are absorbed by or locally dispersed in the human body. No Software device
12.1 In the case of devices referred to in the first subparagraph of Article 1(8), the quality, safety and usefulness of the substance which, if used separately, would be considered to be a medicinal product within the meaning of point (2) of Article 1 of Directive 2001/83/EC, shall be verified by analogy with the methods specified in Annex I to Directive 2001/83/EC, as required by the applicable conformity assessment procedure under this Regulation. No Software device
12.2 Devices that are composed of substances or of combinations of substances that are intended to be introduced into the human body, and that are absorbed by or locally dispersed in the human body shall comply, where applicable and in a manner limited to the aspects not covered by this Regulation, with the relevant requirements laid down in Annex I to Directive 2001/83/EC for the evaluation of absorption, distribution, metabolism, excretion, local tolerance, toxicity, interaction with other devices, medicinal products or other substances and potential for adverse reactions, as required by the applicable conformity assessment procedure under this Regulation. No Software device

2.4) Devices Incorporating Materials of Biological Origin

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
13.1. For devices manufactured utilizing derivatives of tissues or cells of human origin which are non-viable or are rendered non-viable covered by this Regulation in accordance with point (g) of Article 1(6), the following shall apply: No Software device
(a) donation, procurement and testing of the tissues and cells shall be done in accordance with Directive 2004/23/EC; No Software device
(b) processing, preservation and any other handling of those tissues and cells or their derivatives shall be carried out so as to provide safety for patients, users and, where applicable, other persons. In particular, safety with regard to viruses and other transmissible agents shall be addressed by appropriate methods of sourcing and by implementation of validated methods of elimination or inactivation in the course of the manufacturing process; No Software device
(c) the traceability system for those devices shall be complementary and compatible with the traceability and data protection requirements laid down in Directive 2004/23/EC and in Directive 2002/98/EC. No Software device
13.2. For devices manufactured utilizing tissues or cells of animal origin, or their derivatives, which are non-viable or rendered non-viable the following shall apply: No Software device
(a) where feasible taking into account the animal species, tissues and cells of animal origin, or their derivatives, shall originate from animals that have been subjected to veterinary controls that are adapted to the intended use of the tissues. Information on the geographical origin of the animals shall be retained by manufacturers; No Software device
(b) sourcing, processing, preservation, testing and handling of tissues, cells and substances of animal origin, or their derivatives, shall be carried out so as to provide safety for patients, users and, where applicable, other persons. In particular safety with regard to viruses and other transmissible agents shall be addressed by implementation of validated methods of elimination or viral inactivation in the course of the manufacturing process, except when the use of such methods would lead to unacceptable degradation compromising the clinical benefit of the device; No Software device
(c) in the case of devices manufactured utilizing tissues or cells of animal origin, or their derivatives, as referred to in Regulation (EU) No 722/2012 the particular requirements laid down in that Regulation shall apply. No Software device
13.3. For devices manufactured utilizing non-viable biological substances other than those referred to in Sections 13.1 and 13.2, the processing, preservation, testing and handling of those substances shall be carried out so as to provide safety for patients, users and, where applicable, other persons, including in the waste disposal chain. In particular, safety with regard to viruses and other transmissible agents shall be addressed by appropriate methods of sourcing and by implementation of validated methods of elimination or inactivation in the course of the manufacturing process. No Software device

2.5) Construction of Devices and Interaction with their Environment

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
14.1. If the device is intended for use in combination with other devices or equipment the whole combination, including the connection system shall be safe and shall not impair the specified performance of the devices. Any restrictions on use applying to such combinations shall be indicated on the label and/or in the instructions for use. Connections which the user has to handle, such as fluid, gas transfer, electrical or mechanical coupling, shall be designed and constructed in such a way as to minimise all possible risks, such as misconnection. No Software device
14.2. Devices shall be designed and manufactured in such a way as to remove or reduce as far as possible: No Software device
(a) the risk of injury, in connection with their physical features, including the volume/pressure ratio, dimensional and where appropriate ergonomic features; No Software device
(b) risks connected with reasonably foreseeable external influences or environmental conditions, such as magnetic fields, external electrical and electromagnetic effects, electrostatic discharge, radiation associated with diagnostic or therapeutic procedures, pressure, humidity, temperature, variations in pressure and acceleration or radio signal interferences; Yes Software device IEC 62366-1:2015 + COR1:2016 Risk Table
Usability Evaluation Report
(c) the risks associated with the use of the device when it comes into contact with materials, liquids, and substances, including gases, to which it is exposed during normal conditions of use; No Software device
(d) the risks associated with the possible negative interaction between software and the IT environment within which it operates and interacts; Yes ISO 14971:2919 Risk Table
(e) the risks of accidental ingress of substances into the device; No Software device
(f) the risks of reciprocal interference with other devices normally used in the investigations or for the treatment given; and No Software device
(g) risks arising where maintenance or calibration are not possible (as with implants), from ageing of materials used or loss of accuracy of any measuring or control mechanism. No Software device
14.3. Devices shall be designed and manufactured in such a way as to minimize the risks of fire or explosion during normal use and in single fault condition. Particular attention shall be paid to devices the intended use of which includes exposure to or use in association with flammable or explosive substances or substances which could cause combustion. No Software device
14.4. Devices shall be designed and manufactured in such a way that adjustment, calibration, and maintenance can be done safely and effectively. Yes IEC 62304:2006 / AMD1:2015 Software Development and Maintenance Plan
14.5. Devices that are intended to be operated together with other devices or products shall be designed and manufactured in such a way that the interoperability and compatibility are reliable and safe. Yes IEC 62304:2006 / AMD1:2015 Software Requirements List
14,6 Any measurement, monitoring or display scale shall be designed and manufactured in line with ergonomic principles, taking account of the intended purpose, users and the environmental conditions in which the devices are intended to be used. No No measuring function
14.7. Devices shall be designed and manufactured in such a way as to facilitate their safe disposal and the safe disposal of related waste substances by the user, patient or other person. To that end, manufacturers shall identify and test procedures and measures as a result of which their devices can be safely disposed after use. Such procedures shall be described in the instructions for use. No Software device

2.6) Devices with a Diagnostic or Measurement Function

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
15.1 Diagnostic devices and devices with a measuring function, shall be designed and manufactured in such a way as to provide sufficient accuracy, precision and stability for their intended purpose, based on appropriate scientific and technical methods. The limits of accuracy shall be indicated by the manufacturer. No No measuring function
15.2 The measurements made by devices with a measuring function shall be expressed in legal units conforming to the provisions of Council Directive 80/181/EEC (4). No No measuring function

2.7) Protection Against Radiation

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
16.1. General
(a) Devices shall be designed, manufactured and packaged in such a way that exposure of patients, users and other persons to radiation is reduced as far as possible, and in a manner that is compatible with the intended purpose, whilst not restricting the application of appropriate specified levels for therapeutic and diagnostic purposes. No No radiation
(b) The operating instructions for devices emitting hazardous or potentially hazardous radiation shall contain detailed information as to the nature of the emitted radiation, the means of protecting the patient and the user, and on ways of avoiding misuse and of reducing the risks inherent to installation as far as possible and appropriate. Information regarding the acceptance and performance testing, the acceptance criteria, and the maintenance procedure shall also be specified. No No radiation
16.2. Intended radiation
(a) Where devices are designed to emit hazardous, or potentially hazardous, levels of ionizing and/or non-ionizing radiation necessary for a specific medical purpose the benefit of which is considered to outweigh the risks inherent to the emission, it shall be possible for the user to control the emissions. Such devices shall be designed and manufactured to ensure reproducibility of relevant variable parameters within an acceptable tolerance. No No radiation
(b) Where devices are intended to emit hazardous, or potentially hazardous, ionizing and/or non-ionizing radiation, they shall be fitted, where possible, with visual displays and/or audible warnings of such emissions. No No radiation
16.3. Devices shall be designed and manufactured in such a way that exposure of patients, users and other persons to the emission of unintended, stray or scattered radiation is reduced as far as possible. Where possible and appropriate, methods shall be selected which reduce the exposure to radiation of patients, users and other persons who may be affected. No No radiation
16.4. Ionizing radiation
(a) Devices intended to emit ionizing radiation shall be designed and manufactured taking into account the requirements of the Directive 2013/59/Euratom laying down basic safety standards for protection against the dangers arising from exposure to ionizing radiation. No No radiation
(b) Devices intended to emit ionizing radiation shall be designed and manufactured in such a way as to ensure that, where possible, taking into account the intended use, the quantity, geometry and quality of the radiation emitted can be varied and controlled, and, if possible, monitored during treatment. No No radiation
(c) Devices emitting ionizing radiation intended for diagnostic radiology shall be designed and manufactured in such a way as to achieve an image and/or output quality that are appropriate to the intended medical purpose whilst minimizing radiation exposure of the patient and user. No No radiation
(d) Devices that emit ionizing radiation and are intended for therapeutic radiology shall be designed and manufactured in such a way as to enable reliable monitoring and control of the delivered dose, the beam type, energy and, where appropriate, the quality of radiation. No No radiation

2.8) Devices that Incorporate Electronic Programmable Systems and Softwares that are Devices Themselves

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
17.1 Devices that incorporate electronic programmable systems, including software, or software that are devices in themselves, shall be designed to ensure repeatability, reliability and performance in line with their intended use. In the event of a single fault condition, appropriate means shall be adopted to eliminate or reduce as far as possible consequent risks or impairment of performance. Yes IEC 62304:2006 / AMD1:2015 Intended Use
SOP Integrated Software Development
SOP Change Management
17.2 For devices that incorporate software or for software that are devices in themselves, the software shall be developed and manufactured in accordance with the state of the art taking into account the principles of development life cycle, risk management, including information security, verification and validation. Yes IEC 62304:2006 / AMD1:2015 Software Development and Maintenance Plan
17.3 Software referred to in this Section that is intended to be used in combination with mobile computing platforms shall be designed and manufactured taking into account the specific features of the mobile platform (e.g. size and contrast ratio of the screen) and the external factors related to their use (varying environment as regards level of light or noise). Yes IEC 62304:2006 / AMD1:2015 SOP Integrated Software Development
Software Requirements List
17.4 Manufacturers shall set out minimum requirements concerning hardware, IT networks characteristics and IT security measures, including protection against unauthorized access, necessary to run the software as intended. Yes IEC 62304:2006 / AMD1:2015 User Manual
Software Requirements List

2.9) Active Devices and Devices Connected to Them

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
18.1. For non-implantable active devices, in the event of a single fault condition, appropriate means shall be adopted to eliminate or reduce as far as possible consequent risks. Yes ISO 14971:2019 Risk Table
18.2. Devices where the safety of the patient depends on an internal power supply shall be equipped with a means of determining the state of the power supply and an appropriate warning or indication for when the capacity of the power supply becomes critical. If necessary, such warning or indication shall be given prior to the power supply becoming critical. No Safety does not depend on power supply
18.3. Devices where the safety of the patient depends on an external power supply shall include an alarm system to signal any power failure. No Safety does not depend on power supply
18.4. Devices intended to monitor one or more clinical parameters of a patient shall be equipped with appropriate alarm systems to alert the user of situations which could lead to death or severe deterioration of the patient’s state of health. No No monitoring of clinical parameters
18.5. Devices shall be designed and manufactured in such a way as to reduce as far as possible the risks of creating electromagnetic interference which could impair the operation of the device in question or other devices or equipment in the intended environment. No Software device
18.6. Devices shall be designed and manufactured in such a way as to provide a level of intrinsic immunity to electromagnetic interference such that is adequate to enable them to operate as intended. No Software device
18.7. Devices shall be designed and manufactured in such a way as to avoid, as far as possible, the risk of accidental electric shocks to the patient, user or any other person, both during normal use of the device and in the event of a single fault condition in the device, provided the device is installed and maintained as indicated by the manufacturer. No Software device
18.8. Devices shall be designed and manufactured in such a way as to protect, as far as possible, against unauthorized access that could hamper the device from functioning as intended. Yes ISO 14971:2019 Technical and Organizational Measures
Software Requirements List

2.10) Particular requirements for active implantable devices

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
19.1. Active implantable devices shall be designed and manufactured in such a way as to remove or minimize as far as possible: No Software device
(a) risks connected with the use of energy sources with particular reference, where electricity is used, to insulation, leakage currents and overheating of the devices, No Software device
(b) risks connected with medical treatment, in particular those resulting from the use of defibrillators or high-frequency surgical equipment, and No Software device
(c) risks which may arise where maintenance and calibration are impossible, including:— excessive increase of leakage currents,— ageing of the materials used, — excess heat generated by the device, — decreased accuracy of any measuring or control mechanism. No Software device
19.2. Active implantable devices shall be designed and manufactured in such a way as to ensure — if applicable, the compatibility of the devices with the substances they are intended to administer, and — the reliability of the source of energy. No Software device
19.3. Active implantable devices and, if appropriate, their component parts shall be identifiable to allow any necessary measure to be taken following the discovery of a potential risk in connection with the devices or their component parts. No Software device
19.4. Active implantable devices shall bear a code by which they and their manufacturer can be unequivocally identified (particularly with regard to the type of device and its year of manufacture); it shall be possible to read this code, if necessary, without the need for a surgical operation. No Software device

2.11) Protection Against Mechanical and Thermal Risks

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
20.1. Devices shall be designed and manufactured in such a way as to protect patients and users against mechanical risks connected with, for example, resistance to movement, instability and moving parts. No Software device
20.2. Devices shall be designed and manufactured in such a way as to reduce to the lowest possible level the risks arising from vibration generated by the devices, taking account of technical progress and of the means available for limiting vibrations, particularly at source, unless the vibrations are part of the specified performance. No Software device
20.3. Devices shall be designed and manufactured in such a way as to reduce to the lowest possible level the risks arising from the noise emitted, taking account of technical progress and of the means available to reduce noise, particularly at source, unless the noise emitted is part of the specified performance. No Software device
20.4. Terminals and connectors to the electricity, gas or hydraulic and pneumatic energy supplies which the user or other person has to handle, shall be designed and constructed in such a way as to minimise all possible risks. No Software device
20.5. Errors likely to be made when fitting or refitting certain parts which could be a source of risk shall be made impossible by the design and construction of such parts or, failing this, by information given on the parts themselves and/or their housings. The same information shall be given on moving parts and/or their housings where the direction of movement needs to be known in order to avoid a risk. No Software device
20.6. Accessible parts of devices (excluding the parts or areas intended to supply heat or reach given temperatures) and their surroundings shall not attain potentially dangerous temperatures under normal conditions of use. No Software device

2.12) Protection against the risks posed to the patient or user by devices supplying energy or substances

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
21.1. Devices for supplying the patient with energy or substances shall be designed and constructed in such a way that the amount to be delivered can be set and maintained accurately enough to ensure the safety of the patient and of the user. No Software device
21.2. Devices shall be fitted with the means of preventing and/or indicating any inadequacies in the amount of energy delivered or substances delivered which could pose a danger. Devices shall incorporate suitable means to prevent, as far as possible, the accidental release of dangerous levels of energy or substances from an energy and/or substance source. No Software device
21.3. The function of the controls and indicators shall be clearly specified on the devices. Where a device bears instructions required for its operation or indicates operating or adjustment parameters by means of a visual system, such information shall be understandable to the user and, as appropriate, the patient. No Software device

2.13) Protection against the risks by medical devices intended by manufacturers for use by lay persons

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
22.1. Devices for use by lay persons shall be designed and manufactured in such a way that they perform appropriately for their intended purpose taking into account the skills and the means available to lay persons and the influence resulting from variation that can be reasonably anticipated in the lay person’s technique and environment. The information and instructions provided by the manufacturer shall be easy for the lay person to understand and apply. Yes IEC 62366-1:2015 + AC:2015 Intended Use
User Manual
Usability Evaluation Report
22.2. Devices for use by lay persons shall be designed and manufactured in such a way as to:
— ensure that the device can be used safely and accurately by the intended user at all stages of the procedure, if necessary after appropriate training and/or information, Yes IEC 62366-1:2015 + AC:2015 Usability Evaluation Report
(Record of User Training)
— reduce, as far as possible and appropriate, the risk from unintended cuts and pricks such as needle stick injuries, and No Software device
— reduce as far as possible the risk of error by the intended user in the handling of the device and, if applicable, in the interpretation of the results. IEC 62366-1:2015 + AC:2015 Usability Evaluation Report
22.3. Devices for use by lay persons shall, where appropriate, include a procedure by which the lay person:
— can verify that, at the time of use, the device will perform as intended by the manufacturer, and Yes IEC 62366-1:2015 + AC:2015 Stakeholder Requirements
Usability Evaluation Report
— if applicable, is warned if the device has failed to provide a valid result. Yes IEC 62366-1:2015 + AC:2015 Stakeholder Requirements
Usability Evaluation Report

Chapter III: Requirements Regarding the Information Supplied with the Device

3.1) Label and Instructions for Use

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
23.1 Each device shall be accompanied by the information needed to identify the device and its manufacturer, and by any safety and performance information relevant to the user, or any other person, as appropriate. Such information may appear on the device itself, on the packaging or in the instructions for use, and shall, if the manufacturer has a website, be made available and kept up to date on the website, taking into account the following:
(a) The medium, format, content, legibility, and location of the label and instructions for use shall be appropriate to the particular device, its intended purpose and the technical knowledge, experience, education or training of the intended user(s). In particular, instructions for use shall be written in terms readily understood by the intended user and, where appropriate, supplemented with drawings and diagrams. Yes IEC 62304:2006 / AMD1:2015 User Manual
(b) The information required on the label shall be provided on the device itself. If this is not practicable or appropriate, some or all of the information may appear on the packaging for each unit, and/or on the packaging of multiple devices. Yes IEC 62304:2006 / AMD1:2015 Software Requirements List
SOP Certification and Product Registration
(c) Labels shall be provided in a human-readable format and may be supplemented by machine-readable information, such as radio-frequency identification (‘RFID’) or bar codes. Yes IEC 62304:2006 / AMD1:2015 Software Requirements List
SOP Certification and Product Registration
(d) Instructions for use shall be provided together with devices. By way of exception, instructions for use shall not be required for class I and class IIa devices if such devices can be used safely without any such instructions and unless otherwise provided for elsewhere in this Section. Yes IEC 62304:2006 / AMD1:2015,
IEC 62366-1:2015 + AC:2015
User Manual, Software Requirements List
(e) Where multiple devices are supplied to a single user and/or location, a single copy of the instructions for use may be provided if so agreed by the purchaser who in any case may request further copies to be provided free of charge. Yes
(f) Instructions for use may be provided to the user in non-paper format (e.g. electronic) to the extent, and only under the conditions, set out in Regulation (EU) No 207/2012 or in any subsequent implementing rules adopted pursuant to this Regulation. Yes IEC 62304:2006 / AMD1:2015,
IEC 62366-1:2015 + AC:2015
User Manual
(g) Residual risks which are required to be communicated to the user and/or other person shall be included as limitations, contra-indications, precautions or warnings in the information supplied by the manufacturer. Yes IEC 62304:2006 / AMD1:2015,
IEC 62366-1:2015 + AC:2015
User Manual
(h) Where appropriate, the information supplied by the manufacturer shall take the form of internationally recognized symbols. Any symbol or identification colour used shall conform to the harmonised standards or CS. In areas for which no harmonised standards or CS exist, the symbols and colours shall be described in the documentation supplied with the device. Yes ISO 15223-1:2017 User Manual
23.2. The label shall bear all of the following particulars:
(a) the name or trade name of the device; Yes User Manual
(b) the details strictly necessary for a user to identify the device, the contents of the packaging and, where it is not obvious for the user, the intended purpose of the device; Yes User Manual
(c) the name, registered trade name or registered trade mark of the manufacturer and the address of its registered place of business; Yes User Manual
(d) if the manufacturer has its registered place of business outside the Union, the name of the authorized representative and address of the registered place of business of the authorized representative; No Based in EU
(e) where applicable, an indication that the device contains or incorporates: — a medicinal substance, including a human blood or plasma derivative, or — tissues or cells, or their derivatives, of human origin, or — tissues or cells of animal origin, or their derivatives, as referred to in Regulation (EU) No 722/2012; No Software device
(f) where applicable, information labelled in accordance with Section 10.4.5.; No Section is not applicable
(g) the lot number or the serial number of the device preceded by the words LOT NUMBER or SERIAL NUMBER or an equivalent symbol, as appropriate; No No batch production
(h) the UDI carrier referred to in Article 27(4) and Part C of Annex VII; Yes IEC 62304:2006 / AMD1:2015,
IEC 62366-1:2015 + AC:2015
User Manual
SOP Certification and Product Registration
(i) an unambiguous indication of the time limit for using or implanting the device safely, expressed at least in terms of year and month, where this is relevant; No Software device
(j) where there is no indication of the date until when it may be used safely, the date of manufacture. This date of manufacture may be included as part of the lot number or serial number, provided the date is clearly identifiable; Yes
(k) an indication of any special storage and/or handling condition that applies; No Software device
(l) if the device is supplied sterile, an indication of its sterile state and the sterilisation method; No Software device
(m) warnings or precautions to be taken that need to be brought to the immediate attention of the user of the device, and to any other person. This information may be kept to a minimum in which case more detailed information shall appear in the instructions for use, taking into account the intended users; No Not necessary based on risk file
(n) if the device is intended for single use, an indication of that fact. A manufacturer’s indication of single use shall be consistent across the Union; No No single use device
(o) if the device is a single-use device that has been reprocessed, an indication of that fact, the number of reprocessing cycles already performed, and any limitation as regards the number of reprocessing cycles; No No single use device
(p) if the device is custom-made, the words ‘custom-made device’; No Not custom-made
(q) an indication that the device is a medical device. If the device is intended for clinical investigation only, the words ‘exclusively for clinical investigation’; Yes
(r) in the case of devices that are composed of substances or of combinations of substances that are intended to be introduced into the human body via a body orifice or applied to the skin and that are absorbed by or locally dispersed in the human body, the overall qualitative composition of the device and quantitative information on the main constituent or constituents responsible for achieving the principal intended action; No Software device
(s) for active implantable devices, the serial number, and for other implantable devices, the serial number or the lot number. No Software device
23.3. For packaging which maintains the sterile condition of a device (‘sterile packaging’), the following particulars shall appear on the sterile packaging:
(a) an indication permitting the sterile packaging to be recognized as such, No Software device
(b) a declaration that the device is in a sterile condition, No Software device
(c) the method of sterilization, No Software device
(d) the name and address of the manufacturer, No Software device
(e) a description of the device, No Software device
(f) if the device is intended for clinical investigations, the words ‘exclusively for clinical investigations’, No Software device
(g) if the device is custom-made, the words ‘custom-made device’, No Software device
(h) the month and year of manufacture, No Software device
(i) an unambiguous indication of the time limit for using or implanting the device safely expressed at least in terms of year and month, and No Software device
(j) an instruction to check the instructions for use for what to do if the sterile packaging is damaged or unintentionally opened before use. No Software device
23.4. The instructions for use shall contain all of the following particulars:
(a) the particulars referred to in points (a), (c), (e), (f), (k), (l), (n) and (r) of Section 23.2; Yes IEC 62304:2006 / AMD1:2015 User Manual
(b) the device’s intended purpose with a clear specification of indications, contra-indications, the patient target group or groups, and of the intended users, as appropriate; Yes IEC 62304:2006 / AMD1:2015 User Manual
(c) where applicable, a specification of the clinical benefits to be expected. Yes IEC 62304:2006 / AMD1:2015 User Manual
(d) where applicable, links to the summary of safety and clinical performance referred to in Article 32; No Software device
(e) the performance characteristics of the device; Yes IEC 62304:2006 / AMD1:2015 User Manual
(f) where applicable, information allowing the healthcare professional to verify if the device is suitable and select the corresponding software and accessories; Yes IEC 62304:2006 / AMD1:2015 User Manual
(g) any residual risks, contra-indications and any undesirable side-effects, including information to be conveyed to the patient in this regard; Yes IEC 62304:2006 / AMD1:2015 User Manual
(h) specifications the user requires to use the device appropriately, e.g. if the device has a measuring function, the degree of accuracy claimed for it; Yes IEC 62304:2006 / AMD1:2015 User Manual
(i) details of any preparatory treatment or handling of the device before it is ready for use or during its use, such as sterilization, final assembly, calibration, etc., including the levels of disinfection required to ensure patient safety and all available methods for achieving those levels of disinfection; No Software device
(j) any requirements for special facilities, or special training, or particular qualifications of the device user and/or other persons; Yes IEC 62304:2006 / AMD1:2015 User Manual
(k) the information needed to verify whether the device is properly installed and is ready to perform safely and as intended by the manufacturer, together with, where relevant: — details of the nature, and frequency, of preventive and regular maintenance, and of any preparatory cleaning or disinfection, — identification of any consumable components and how to replace them,— information on any necessary calibration to ensure that the device operates properly and safely during its intended lifetime, and — methods for eliminating the risks encountered by persons involved in installing, calibrating or servicing devices; Yes IEC 62304:2006 / AMD1:2015 User Manual
(l) if the device is supplied sterile, instructions in the event of the sterile packaging being damaged or unintentionally opened before use; No Software device
(m) if the device is supplied non-sterile with the intention that it is sterilized before use, the appropriate instructions for sterilization; No Software device
(n) if the device is reusable, information on the appropriate processes for allowing reuse, including cleaning, disinfection, packaging and, where appropriate, the validated method of re-sterilization appropriate to the Member State or Member States in which the device has been placed on the market. Information shall be provided to identify when the device should no longer be reused, e.g. signs of material degradation or the maximum number of allowable reuses; No Software device
(o) an indication, if appropriate, that a device can be reused only if it is reconditioned under the responsibility of the manufacturer to comply with the general safety and performance requirements; No No restrictions on reuse
(p) if the device bears an indication that it is for single use, information on known characteristics and technical factors known to the manufacturer that could pose a risk if the device were to be re-used. This information shall be based on a specific section of the manufacturer’s risk management documentation, where such characteristics and technical factors shall be addressed in detail. If in accordance with point (d) of Section 23.1. no instructions for use are required, this information shall be made available to the user upon request; No No single-use device
(q) for devices intended for use together with other devices and/or general purpose equipment: — information to identify such devices or equipment, in order to obtain a safe combination, and/or — information on any known restrictions to combinations of devices and equipment; Yes IEC 62304:2006 / AMD1:2015 User Manual
(r) if the device emits radiation for medical purposes:
— detailed information as to the nature, type and where appropriate, the intensity and distribution of the emitted radiation, No Software device
— the means of protecting the patient, user, or other person from unintended radiation during use of the device; No Software device
(s) information that allows the user and/or patient to be informed of any warnings, precautions, contra-indications, measures to be taken and limitations of use regarding the device. That information shall, where relevant, allow the user to brief the patient about any warnings, precautions, contra-indications, measures to be taken and limitations of use regarding the device. The information shall cover, where appropriate: Yes IEC 62304:2006 / AMD1:2015 User Manual
— warnings, precautions and/or measures to be taken in the event of malfunction of the device or changes in its performance that may affect safety, Yes IEC 62304:2006 / AMD1:2015 User Manual
— warnings, precautions and/or measures to be taken as regards the exposure to reasonably foreseeable external influences or environmental conditions, such as magnetic fields, external electrical and electromagnetic effects, electrostatic discharge, radiation associated with diagnostic or therapeutic procedures, pressure, humidity, or temperature, Yes IEC 62304:2006 / AMD1:2015 User Manual
— warnings, precautions and/or measures to be taken as regards the risks of interference posed by the reasonably foreseeable presence of the device during specific diagnostic investigations, evaluations, or therapeutic treatment or other procedures such as electromagnetic interference emitted by the device affecting other equipment, Yes IEC 62304:2006 / AMD1:2015 User Manual
— if the device is intended to administer medicinal products, tissues or cells of human or animal origin, or their derivatives, or biological substances, any limitations or incompatibility in the choice of substances to be delivered, Yes IEC 62304:2006 / AMD1:2015 User Manual
— warnings, precautions and/or limitations related to the medicinal substance or biological material that is incorporated into the device as an integral part of the device; and Yes IEC 62304:2006 / AMD1:2015 User Manual
— precautions related to materials incorporated into the device that contain or consist of CMR substances or endocrine-disrupting substances, or that could result in sensitisation or an allergic reaction by the patient or user; Yes IEC 62304:2006 / AMD1:2015 User Manual
(t) in the case of devices that are composed of substances or of combinations of substances that are intended to be introduced into the human body and that are absorbed by or locally dispersed in the human body, warnings and precautions, where appropriate, related to the general profile of interaction of the device and its products of metabolism with other devices, medicinal products and other substances as well as contra-indications, undesirable side-effects and risks relating to overdose; No Software device
(u) in the case of implantable devices, the overall qualitative and quantitative information on the materials and substances to which patients can be exposed; No Software device
(v) warnings or precautions to be taken in order to facilitate the safe disposal of the device, its accessories and the consumables used with it, if any. This information shall cover, where appropriate: No Not required based on risk file
— infection or microbial hazards such as explants, needles or surgical equipment contaminated with potentially infectious substances of human origin, and No Software device
— physical hazards such as from sharps. No Software device
If in accordance with the point (d) of Section 23.1 no instructions for use are required, this information shall be made available to the user upon request; No IFU exist
(w) for devices intended for use by lay persons, the circumstances in which the user should consult a healthcare professional; Yes IEC 62304:2006 / AMD1:2015 User Manual
(x) for the devices covered by this Regulation pursuant to Article 1(2), information regarding the absence of a clinical benefit and the risks related to use of the device; No Clinical benefit exists
(y) date of issue of the instructions for use or, if they have been revised, date of issue and identifier of the latest revision of the instructions for use; Yes IEC 62304:2006 / AMD1:2015 User Manual
(z) a notice to the user and/or patient that any serious incident that has occurred in relation to the device should be reported to the manufacturer and the competent authority of the Member State in which the user and/or patient is established; Yes IEC 62304:2006 / AMD1:2015 User Manual
(aa) information to be supplied to the patient with an implanted device in accordance with Article 18; No Software device
(ab) for devices that incorporate electronic programmable systems, including software, or software that are devices in themselves, minimum requirements concerning hardware, IT networks characteristics and IT security measures, including protection against unauthorized access, necessary to run the software as intended. Yes IEC 62304:2006 / AMD1:2015 User Manual

Annex II: Technical Documentation

The technical documentation and, if applicable, the summary thereof to be drawn up by the manufacturer shall be presented in a clear, organized, readily searchable and unambiguous manner and shall include in particular the elements listed in this Annex.

4.1.1) Device Description and Specification

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
(a) product or trade name and a general description of the device including its intended purpose and intended users; Yes IEC 62304:2006 / AMD1:2015 Intended Use
(b) the Basic UDI-DI as referred to in Part C of Annex VI assigned by the manufacturer to the device in question, as soon as identification of this device becomes based on a UDI system, or otherwise a clear identification by means of product code, catalogue number or other unambiguous reference allowing traceability; Yes IEC 62304:2006 / AMD1:2015 UDI Label
SOP Certification and Product Registration
(c) the intended patient population and medical conditions to be diagnosed, treated and/or monitored and other considerations such as patient selection criteria, indications, contra-indications, warnings; Yes IEC 62304:2006 / AMD1:2015 Intended Use
(d) principles of operation of the device and its mode of action, scientifically demonstrated if necessary; Yes IEC 62304:2006 / AMD1:2015 Intended Use
(e) the rationale for the qualification of the product as a device; Yes IEC 62304:2006 / AMD1:2015 Medical Device Classification
(f) the risk class of the device and the justification for the classification rule(s) applied in accordance with Annex VIII; Yes IEC 62304:2006 / AMD1:2015 Medical Device Classification
(g) an explanation of any novel features; Yes IEC 62304:2006 / AMD1:2015 Intended Use
(h) a description of the accessories for a device, other devices and other products that are not devices, which are intended to be used in combination with it; No No device accessories
(i) a description or complete list of the various configurations/variants of the device that are intended to be made available on the market; Yes IEC 62304:2006 / AMD1:2015 Medical Devices List
(j) a general description of the key functional elements, e.g. its parts/components (including software if appropriate), its formulation, its composition, its functionality and, where relevant, its qualitative and quantitative composition. Where appropriate, this shall include labelled pictorial representations (e.g. diagrams, photographs, and drawings), clearly indicating key parts/components, including sufficient explanation to understand the drawings and diagrams; Yes IEC 62304:2006 / AMD1:2015 Software Development and Maintenance Plan
Software Requirements List
(k) a description of the raw materials incorporated into key functional elements and those making either direct contact with the human body or indirect contact with the body, e.g., during extracorporeal circulation of body fluids; No Software device
(l) technical specifications, such as features, dimensions and performance attributes, of the device and any variants/configurations and accessories that would typically appear in the product specification made available to the user, for example in brochures, catalogues and similar publications. Yes IEC 62304:2006 / AMD1:2015 Software Requirements List
Marketing Material

4.1.2) References to Previous and Similar Generations of the Device

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
(a) an overview of the previous generation or generations of the device produced by the manufacturer, where such devices exist; Yes ISO 13485:2016 Medical Devices List
(b) an overview of identified similar devices available on the Union or international markets, where such devices exist. Yes ISO 13485:2016 Medical Devices List
Clinical Evaluation Report

4.2) Information to be Supplied by the Manufacturer

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
A complete set of
(a) — the label or labels on the device and on its packaging, such as single unit packaging, sales packaging, transport packaging in case of specific management conditions, in the languages accepted in the Member States where the device is envisaged to be sold; and Yes ISO 13485:2016,
IEC 62304:2006 / AMD1:2015
UDI Label
User Manual
(b) — the instructions for use in the languages accepted in the Member States where the device is envisaged to be sold. Yes IEC 62304:2006 / AMD1:2015 User Manual

4.3) Design and Manufacturing Information

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
(a) information to allow the design stages applied to the device to be understood; Yes IEC 62304:2006 / AMD1:2015 Software Development and Maintenance Plan
(b) complete information and specifications, including the manufacturing processes and their validation, their adjuvants, the continuous monitoring and the final product testing. Data shall be fully included in the technical documentation; Yes ISO 13485:2016,
IEC 62304:2006 / AMD1:2015
SOP Integrated Software Development
Software Requirements List
System Test Report
(c) identification of all sites, including suppliers and sub-contractors, where design and manufacturing activities are performed. Yes ISO 13485:2016,
IEC 62304:2006 / AMD1:2015
Quality Management Manual
List of Qualified Suppliers

4.4) General Safety and Performance Requirements

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
The documentation shall contain information for the demonstration of conformity with the general safety and performance requirements set out in Annex I that are applicable to the device taking into account its intended purpose, and shall include a justification, validation and verification of the solutions adopted to meet those requirements. The demonstration of conformity shall include: Yes MDR General Safety and Performance Requirements Checklist
(a) the general safety and performance requirements that apply to the device and an explanation as to why others do not apply; Yes MDR General Safety and Performance Requirements Checklist
(b) the method or methods used to demonstrate conformity with each applicable general safety and performance requirement; Yes MDR General Safety and Performance Requirements Checklist
(c) the harmonized standards, CS or other solutions applied; and Yes MDR General Safety and Performance Requirements Checklist
(d) the precise identity of the controlled documents offering evidence of conformity with each harmonized standard, CS or other method applied to demonstrate conformity with the general safety and performance requirements. The information referred to under this point shall incorporate a cross-reference to the location of such evidence within the full technical documentation and, if applicable, the summary technical documentation. Yes MDR General Safety and Performance Requirements Checklist

4.5) Benefit-Risk-Analysis and Risk Management

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
The documentation shall contain information on:
(a) the benefit-risk analysis referred to in Sections 1 and 8 of Annex I, and Yes ISO 13485:2016 Clinical Evaluation Report
(b) the solutions adopted and the results of the risk management referred to in Section 3 of Annex I. Yes ISO 13485:2016,
ISO 14971:2019
Risk Table
Risk Management Report

4.6) Product Verification and Validation

The documentation shall contain the results and critical analyses of all verifications and validation tests and/or studies undertaken to demonstrate conformity of the device with the requirements of this Regulation and in particular the applicable general safety and performance requirements.

4.6.1) Pre-Clinical and Clinical Data

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
(a) results of tests, such as engineering, laboratory, simulated use and animal tests, and evaluation of published literature applicable to the device, taking into account its intended purpose, or to similar devices, regarding the pre-clinical safety of the device and its conformity with the specifications; Yes ISO 13485:2016 Clinical Evaluation Report
(b) detailed information regarding test design, complete test or study protocols, methods of data analysis, in addition to data summaries and test conclusions regarding in particular:
— the biocompatibility of the device including the identification of all materials in direct or indirect contact with the patient or user; No Software device
— physical, chemical and microbiological characterization; No Software device
— electrical safety and electromagnetic compatibility; No Software device
— software verification and validation (describing the software design and development process and evidence of the validation of the software, as used in the finished device. This information shall typically include the summary results of all verification, validation and testing performed both in-house and in a simulated or actual user environment prior to final release. It shall also address all of the different hardware configurations and, where applicable, operating systems identified in the information supplied by the manufacturer); Yes IEC 62304:2006 / AMD1:2015 Software Requirements List
System Test Report
Usability Evaluation Report
— stability, including shelf life; and No Software device
— performance and safety. Yes ISO 13485:2016,
ISO 14971:219,
IEC 62304:2006 / AMD1:2015
Risk Management Report
Clinical Evaluation Report
Where applicable, conformity with the provisions of Directive 2004/10/EC of the European Parliament and of the Council (1) shall be demonstrated. Where no new testing has been undertaken, the documentation shall incorporate a rationale for that decision. An example of such a rationale would be that biocompatibility testing on identical materials was conducted when those materials were incorporated in a previous version of the device that has been legally placed on the market or put into service; No Software device
(c) the clinical evaluation report and its updates and the clinical evaluation plan referred to in Article 61(12) and Part A of Annex XIV; Yes ISO 13485:2016 Clinical Evaluation Plan
Clinical Evaluation Report
(d) the PMCF plan and PMCF evaluation report referred to in Part B of Annex XIV or a justification why a PMCF is not applicable. Yes ISO 13485:2016 Post-Market Clinical Follow-Up Plan and Report

4.6.2) Additional Information Required in Specific Cases

No. Requirement Applicable Rationale Applicable Standard Evidence of Conformity
(a) Where a device incorporates, as an integral part, a substance which, if used separately, may be considered to be a medicinal product within the meaning of point 2 of Article 1 of Directive 2001/83/EC, including a medicinal product derived from human blood or human plasma, as referred to in the first subparagraph of Article 1(8), a statement indicating this fact. In this case, the documentation shall identify the source of that substance and contain the data of the tests conducted to assess its safety, quality and usefulness, taking account of the intended purpose of the device. No Software device
(b) Where a device is manufactured utilising tissues or cells of human or animal origin, or their derivatives, and is covered by this Regulation in accordance with points (f) and (g) of Article 1(6, and where a device incorporates, as an integral part, tissues or cells of human origin or their derivatives that have an action ancillary to that of the device and is covered by this Regulation in accordance with the first subparagraph of Article 1(10), a statement indicating this fact. In such a case, the documentation shall identify all materials of human or animal origin used and provide detailed information concerning the conformity with Sections 13.1. or 13.2., respectively, of Annex I. No Software device
(c) In the case of devices that are composed of substances or combinations of substances that are intended to be introduced into the human body and that are absorbed by or locally dispersed in the human body, detailed information, including test design, complete test or study protocols, methods of data analysis, and data summaries and test conclusions, regarding studies in relation to: No Software device
— absorption, distribution, metabolism and excretion; No Software device
— possible interactions of those substances, or of their products of metabolism in the human body, with other devices, medicinal products or other substances, considering the target population, and its associated medical conditions; No Software device
— local tolerance; and No Software device
— toxicity, including single-dose toxicity, repeat-dose toxicity, genotoxicity, carcinogenicity and reproductive and developmental toxicity, as applicable depending on the level and nature of exposure to the device. No Software device
In the absence of such studies, a justification shall be provided. No Software device
(d) In the case of devices containing CMR or endocrine-disrupting substances referred to in Section 10.4.1 of Annex I, the justification referred to in Section 10.4.2 of that Annex. No Software device
(e) In the case of devices placed on the market in a sterile or defined microbiological condition, a description of the environmental conditions for the relevant manufacturing steps. In the case of devices placed on the market in a sterile condition, a description of the methods used, including the validation reports, with respect to packaging, sterilization and maintenance of sterility. The validation report shall address bioburden testing, pyrogen testing and, if applicable, testing for sterilant residues. No Software device
(f) In the case of devices placed on the market with a measuring function, a description of the methods used in order to ensure the accuracy as given in the specifications. No No measuring function
(g) If the device is to be connected to other device(s) in order to operate as intended, a description of this combination/configuration including proof that it conforms to the general safety and performance requirements when connected to any such device(s) having regard to the characteristics specified by the manufacturer. No Standalone software device

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