United States (FDA)
Class I, Class II, Class III
- HOW CLASS IS DETERMINED
- Classification follows the device's regulation and product code in 21 CFR Parts 862-892, which group devices by panel and intended use rather than by a general set of rules. Risk-based controls increase with class.
- ROUTE TO MARKET
- Most Class I devices are exempt from premarket review. Class II typically proceeds through a 510(k) premarket notification against a legally marketed predicate device, or through De Novo where no predicate exists. Class III generally requires premarket approval (PMA).
- WORTH NOTING
- Predicate and substantial-equivalence terminology is specific to the United States and does not carry across to other jurisdictions.
FDA: Classify your medical device
Australia (TGA)
Class I, Class I measuring / sterile, Class IIa, Class IIb, Class III, AIMD
- HOW CLASS IS DETERMINED
- Classification is rule-based. The classification rules in the Therapeutic Goods (Medical Devices) Regulations 2002 are applied to the device's intended purpose, degree of invasiveness, duration of contact and, for software, the significance of the information it provides.
- ROUTE TO MARKET
- The manufacturer applies conformity assessment procedures appropriate to the class, then the sponsor applies to include the device in the Australian Register of Therapeutic Goods (ARTG). Higher classes attract greater TGA assessment involvement.
- WORTH NOTING
- Programmed or programmable medical devices, including software, are subject to specific classification rules that changed in recent years.
TGA: Medical device classification
European Union (EU MDR)
Class I, Class Is / Im / Ir, Class IIa, Class IIb, Class III
- HOW CLASS IS DETERMINED
- Annex VIII of Regulation (EU) 2017/745 sets out the classification rules, applied to intended purpose, duration of use, invasiveness, whether the device is active, and specific rules for software and substance-based devices.
- ROUTE TO MARKET
- The class determines the conformity assessment route under Annexes IX-XI and the extent of notified body involvement. Class I devices other than sterile, measuring or reusable surgical instruments can be self-declared.
- WORTH NOTING
- Classification under the EU MDR can differ from the classification the same device held under the earlier Medical Devices Directive.
Regulation (EU) 2017/745, Annex VIII