Standards, Guidance & Notices
Showing 1–10 of 30
FDA
CDRH
CDRH
FDA-2026-N-9505
FDA Issues Draft Guidance on Robotically-Assisted Surgical Devices, Announces December Workshop
On September 25, 2026, FDA released a draft guidance, "Robotically-Assisted Surgical Devices – Premarket Submissions" (Document ID: GUI01500081; Docket No. FDA-2026-N-9505). The guidance applies to teleoperated, software-controlled RASDs directly controlled by a qualified practitioner; fully autonomous and remotely teleoperated RASDs are explicitly out of scope, with manufacturers of such systems directed to the Q-Submission Program. Topics addressed include cybersecurity (network vulnerability assessment and penetration testing under FD&C Act Section 524B), human factors (use-error identification, training validation, multi-user team dynamics), software verification/validation, substantial equivalence comparisons for 510(k) submissions, reliability testing, wireless coexistence risk management per AAMI TIR69, and reprocessing validation. The public comment period closes November 24, 2026. FDA's Center for Devices and Radiological Health will separately hold a public workshop, "Evaluating Benefit-Risk in Robotic Medical Devices with Autonomous or Remote Teleoperation Capabilities" — addressing the very categories excluded from this guidance — on December 2-3, 2026, in person and virtually.
Published: 2026-09-25
EU
MDCG
MDCG
MDCG 2020-16 rev.5
Guidance on Classification Rules for in vitro Diagnostic Medical Devices under Regulation (EU) 2017/746
Revision 5 (September 2026) of the MDCG guidance on interpreting the classification rules in Annex VIII of the IVDR (Regulation (EU) 2017/746). It sets out the principles for classifying IVDs into classes A to D based on intended purpose and inherent risk, and provides the rationale and non-exhaustive examples for each of Rules 1 to 7. Software that drives or influences the use of a device falls within the same class as the device, while software independent of any other device is classified in its own right, with reference to MDCG 2019-11. Annexes provide examples of classifying IVDs used in combination and a flowchart to help determine whether an IVD is a companion diagnostic. Revision 5 clarifies the rationale of Rule 7 (controls without an assigned value) and revises its examples. The guidance is not legally binding.
Published: 2026-09-01
IMDRF
IMDRF/SaMD WG/N90 FINAL:2026
Essential Principles and Content of Predetermined Change Control Plans
Final document of the IMDRF Software as a Medical Device Working Group setting out high-level principles for Predetermined Change Control Plans (PCCPs), through which manufacturers can seek authorization in advance for certain planned modifications to medical device software (as defined in N81) that remain within the original intended use or intended purpose. It identifies five essential principles (focused and bounded, risk-based, evidence-based, transparent, and TPLC perspective) and three interconnected elements: Description of Changes, Change Plan (performance evaluation methods with pre-specified acceptance criteria, and update procedures including labelling and communication to users), and Impact Assessment (individual and cumulative benefits, risks and mitigations). Changes are expected to be implemented under the quality management system of the manufacturer, in line with standards such as IEC 62304. It also discusses benefits and challenges, including more complex submissions and differing adoption across jurisdictions. The document aims to support international convergence and does not establish regulatory requirements or serve as regulation or guidance in any jurisdiction.
Published: 2026-08-06
MHLW
Notice
Notice
MHLW-PFSB-MDED-0615-No.1
Pilot Implementation of Prioritized Review and Other Measures for Software as a Medical Device and Related Products (MHLW Notice No. 0615-1, June 15, 2026)
MHLW notice continuing the pilot of prioritized review for software as a medical device (SaMD), conducted since FY2022 following a June 2022 Cabinet decision on the New Capitalism action plan, by setting designation requirements and accepting applications on a rolling basis. Eligible products are SaMD and physical medical devices with SaMD-equivalent program functions; products seeking approval under the rebalancing notice or the two-stage approval notice are excluded. All three requirements must be met: (1) innovativeness of the treatment, diagnostic or preventive method (programs that deliver content equivalent to clinical patient guidance to prompt behavior change at home are, in principle, not considered innovative); (2) medical usefulness for the target disease; and (3) intent and capability to file in Japan first or simultaneously (within three months), using the PMDA SAKIGAKE comprehensive evaluation consultation. Designated products receive priority consultation, priority review under Article 23-2-5, paragraph 10 of the PMD Act, coordination by a concierge, and eligibility for the support program for consultation and applications for innovative medical devices, with the aim of shortening the review period to six months or less after adequate pre-submission evaluation. The procedure runs from registration, hearing and preliminary screening to formal application and PMDA evaluation, with results reported to the Pharmaceutical Affairs Council and then published. Conditions for revoking designation are also specified.
Published: 2026-06-15
EU
MDCG
MDCG
Borderline Manual
Manual on borderline and classification for medical devices under Regulation (EU) 2017/745 on medical devices and Regulation (EU) 2017/746 on in vitro diagnostic medical devices (Version 5, April 2026)
Version 5 (April 2026) of the manual recording agreements reached by the competent authorities of the Member State members of the Borderline and Classification Working Group (BCWG), a subgroup of the MDCG, through the Helsinki Procedure under the MDR and IVDR. It presents the background and outcome of cases on qualification (borderlines between medical devices or IVDs and medicinal products, biocides, cosmetics, personal protective equipment and other products) and on the application of classification rules. Software-related cases include a smartphone application for STI prevention strategies (information exchange between users and a behaviour-based risk calculator do not constitute a medical purpose, so it is not a medical device) and medical calculators (calculating scores such as CHA2DS2-VASc goes beyond simple search, so the product is a medical device, classified at least class IIa under Rule 11). Cases added in Version 5 include packaging for administering a medicinal product, a penis holster, a syringe containing glass beads, needles for root canal irrigation and saline solutions for nasal irrigation. The manual is to be read with MDCG 2019-11 (software qualification and classification), MDCG 2021-24, MDCG 2022-5 and other guidance. It is not legally binding, does not reflect the official position of the European Commission, and decisions on individual products remain with national competent authorities.
Published: 2026-04-22
EU
MDCG
MDCG
Borderline Background Note
Background note on the use of the Manual on borderline and classification for medical devices under the Directives
Background note explaining that the manual on borderline and classification issued in May 2019 under the old medical device Directives (such as 93/42/EEC) remains available as a reference resource even after the new manual under the MDR (Regulation (EU) 2017/745) and IVDR (Regulation (EU) 2017/746) became operative in September 2022. It applies for as long as devices CE-marked under the old Directives remain on the market, and is maintained by the Borderline and Classification Working Group (BCWG) under the MDCG. It is non-binding guidance.
Published: 2026-04-01
EU
MDCG
MDCG
MDCG 2021-24 Rev.1
Guidance on classification of medical devices
Revision 1 of MDCG 2021-24 (guidance on classification of medical devices under the EU MDR), published 20 April 2026. It clarifies terminology by replacing the word "surgical" with "clinical" in the invasiveness definition, and updates the tables and practical notes for Classification Rules 2, 8, 9, 10, 12, 16 and 22. Based on the sources reviewed, the software classification rule (Rule 11) itself was not amended in this revision.
Published: 2026-04-01
FDA
CDRH
CDRH
fda_20260327_patient_preference_tplc
FDA Issues Final Guidance on Incorporating Voluntary Patient Preference Information Over the Total Product Life Cycle
FDA CDRH issued final guidance on the collection and submission of patient preference information (PPI). It includes recommendations on study design, validation, and the integration of PPI across the total product life cycle, and provides a roadmap for sponsors incorporating the patient perspective into regulatory submissions.
Published: 2026-03-27
MHLW
Notice
Notice
Admin-Notice-2026-03-25_SaMDQA3
Q&A Regarding Handling of Medical Device Software (Part 3) (Administrative Notice, March 25, 2026)
Q&A (Part 3) issued by the Japanese Ministry of Health, Labour and Welfare (MHLW), clarifying when manufacturing/marketing and sales activities are deemed to begin for home-use medical device software (SaMD) distributed via app stores or download servers. Manufacturing/marketing is deemed to start when the software is made available on a download server or app store, while sales is deemed to start when the end user is able to use it. Issued 25 March 2026 in response to a growing number of approved home-use device programs. It also confirms that a company acting as both marketing authorization holder and seller needs both business licenses (or notifications), and that legally required labeling information may be provided via easily accessible electronic records rather than a printed insert, provided it is given to the user before use.
Published: 2026-03-26
MHLW
Notice
Notice
MHLW-PFSB-MDED-0306-No.1
Notice MHLW-PFSB-MDED-0306-No.1 on Handling of Registration Applications for Registered Conformity Assessment Bodies (March 6, 2026)
Notice (MHLW-PFSB-MDED-0306-No.1, 6 March 2026) issued by the Medical Device Evaluation Division setting out procedures for the registration and operation of Registered Conformity Assessment Bodies (RCABs) for medical devices and in vitro diagnostics in Japan. It principally implements a new succession-of-status scheme introduced by the 2025 amendment to the PMD Act (Act No. 37 of 2025), covering business transfers, inheritance, mergers, and demergers of RCABs. The notice also covers registration application procedures and the registration license tax (JPY 90,000), notification requirements for suspension or discontinuation of business (at least two weeks before the planned date), operating rules aligned with ISO/IEC 17021-1 and 17065, restrictions on consulting activities that could compromise confidentiality or impartiality, and detailed succession procedures beginning with prior consultation six months in advance. The notice takes effect on 1 May 2026.
Published: 2026-03-06
