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EU MDR certification for medical devices (Regulation (EU) 2017/745)

The European Medical Device Regulation (EU MDR 2017/745) establishes strict requirements for the safety, performance, and lifecycle management of medical devices sold within the European Union.

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What is EU MDR 2017/745?

The Medical Device Regulation (EU MDR 2017/745) is the European regulatory framework governing medical devices and active implantable medical devices across the European Economic Area (EEA). The regulation became fully applicable on May 26, 2021, replacing the former Medical Device Directive (MDD 93/42/EEC) and AIMDD 90/385/EEC.

The regulation applies to manufacturers of all sizes seeking to market medical devices within the European Union.

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  • Clinical evaluation
  • Post-market surveillance
  • Risk management
  • Technical documentation
  • Traceability and transparency
  • Regulatory compliance throughout the product lifecycle

Why EU MDR certification matters

Medical device manufacturers face increasing regulatory pressure to demonstrate product safety, clinical performance, and ongoing compliance.

Without MDR compliance, manufacturers may face delays, market restrictions, or loss of market access within the EU.

  • Access the European market
  • Demonstrate compliance with EU regulations
  • Strengthen patient and user safety
  • Improve market confidence and credibility
  • Reduce regulatory and operational risks
  • Support long-term product lifecycle management

Our target group of EU MDR certification

MDR certification is relevant for:

  • Medical device manufacturers
  • Importers and distributors
  • OEM and private-label manufacturers
  • Medical technology companies
  • Software medical device developers
  • Companies placing medical devices on the EU market

Medical device classification under MDR

According to Annex VIII of the EU Medical Device Regulation (MDR), manufacturers must correctly classify their medical devices before initiating the certification process. Medical device classification determines the applicable conformity assessment route and the level of regulatory oversight.

Under the MDR, medical devices are categorized into four risk classes based on their intended purpose and inherent risks:

  1. Class I
  2. Class IIa
  3. Class IIb
  4. Class III
Graphic: Classification MDR/IVDR
This graphic provides an overview of the classification of devices under the MDR and IVDR, with examples.

Overview of the EU MDR certification audit process

1

Inquiry and quotation

Initial inquiry and preparation of a tailored offer.

2

Order placement and application review

Placement of the order for the conformity assessment procedures, followed by a formal application review.

3

Audit and TDA

Development of the audit and Technical Documentation Assessment (TDA) programme, including planning of unannounced audits and technical documentation sampling.

4

Review of technical and clinical doc.

Detailed assessment of technical documentation and clinical evidence.

5

Quality Management System Audit

QMS system audits stage 1 and 2, including consultation procedures where applicable and validation of the Summary of Safety and Clinical Performance (SSCP), if required.

6

Nonconformity management

Management of nonconformities related to technical documentation (TD) and the quality management system (QMS).

7

Certification decision

Final review and certification decision by TÜV NORD.

8

Issue of certificate and EUDAMED

Issue of certificate and release into EUDAMED database. After issue of the certificate: ongoing post-market surveillance and data analysis with modification of the audit programme and TOA programme as required

FAQs on MDR

The Medical Device Regulation, officially referred to as Regulation (EU) 2017/745, is a harmonised European regulation. Manufacturers that comply with the Medical Device Regulation (MDR) requirements may affix the CE mark to their medical devices and sell them in all EU Member States and European Free Trade Association (EFTA) countries without needing additional certification or approvals.

The Medical Device Regulation replaced the previous European Directives on May 26, 2021. Since that date, the MDR has been the sole regulatory framework governing the placing of medical devices on the European market.

For manufacturers that submitted an MDR application to a Notified Body, transitional provisions apply to certain devices not yet covered by an MDR certificate. Depending on device classification and provided that no significant changes are made, these so‑called legacy devices may continue to be placed on the market until 31 December 2028.

After more than 25 years of harmonized requirements under the former directives, significant technological, regulatory, and legal advances made an update necessary.

The MDR was also prompted by safety concerns arising from incidents such as the breast implant scandal, with the aim of strengthening patient safety and preventing similar events in the future.

As a regulation, the MDR does not require national implementation, ensuring uniform interpretation and direct applicability across all EU Member States.

In March 2023, the European Commission amended the MDR transition provisions through Regulation (EU) 2023/607. Manufacturers must observe the following deadlines to remain compliant:

  • 31 December 2027
    End of the transition period for Class III medical devices and Class IIb implantable devices (unless exemptions apply)
  • 31 December 2028
    End of the transition period for all other Class IIb, Class IIa, and Class I (sterile or measuring) medical devices

The MDR defines comprehensive requirements for:

  • The safety and performance of medical devices
  • Clinical evaluation and post‑market surveillance
  • Technical documentation
  • Quality management systems governing device development, manufacturing, and market placement

TUV USA MDR & IVDR Booklets

MDR Booklet


This booklet offers a full overview of the EU Medical Device Regulation (MDR) and includes the latest M5 amendment.

IVDR Booklet


This booklet offers a full overview of the In Vitro Diagnostic Regulation (IVDR), including the latest amendments and updates.

Other useful MDR resources

Find useful EU MDR resources to help you navigate regulatory requirements and guidance.
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TUV USA MDR certification services

TUV USA supports medical device manufacturers with independent certification and conformity assessment services aligned with EU MDR requirements.

Our Services Include

  • MDR conformity assessment
  • Technical documentation review
  • Quality management system assessment
  • Clinical evaluation support
  • Post-market surveillance assessment
  • Regulatory readiness support
  • MDR transition support from MDD to MDR
  • Audit and certification services

As part of the TÜV NORD GROUP, TUV USA works with globally recognized experts and notified body resources to support manufacturers throughout the certification process.

Stricter Clinical Evaluation Requirements

Manufacturers must provide stronger clinical evidence demonstrating device safety and performance. Clinical evaluations and investigations are now subject to enhanced regulatory scrutiny.

Increased Technical Documentation Requirements

Manufacturers must maintain detailed and continuously updated technical documentation to demonstrate ongoing compliance and risk management.

Industry discussions highlight that transitioning from MDD to MDR often requires substantial remediation of technical files, risk documentation, and clinical evaluation processes.

The transition from the Medical Device Directive (MDD) to the Medical Device Regulation (MDR) has fundamentally changed the regulatory requirements for medical devices. This video explains why the MDR was introduced, the significant changes it brings and the concrete steps that manufacturers now need to take.

Why choose TUV USA?

TUV USA combines technical expertise, regulatory knowledge, and global certification capabilities to help organizations navigate complex MDR requirements with confidence.

Our advantages include:

  • Independent and impartial assessments
  • Global medical device expertise
  • Internationally recognized certification support
  • Experienced technical specialists
  • Comprehensive regulatory guidance
  • Strong focus on integrity, safety, and compliance

Through the TÜV NORD GROUP, we support organizations in building compliant, market-ready medical devices aligned with international regulatory expectations.

 

Contact our experts today to discuss your MDR certification needs.

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