Proposal for a Regulation Amending MDR and IVDR

    Proposal for a Regulation Amending MDR and IVDR

    Regulatory Affairs Medical Devices In Vitro Diagnostics

    Wednesday, 17 December 2025

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    Kirsten Van Garsse, Authorized Representative Director & Regulatory Affairs Manager IVD

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    On 16 December 2025, the European Commission published a “ Proposal for a Regulation of the European Parliament and of the Council amending Regulations (EU) 2017/745 and (EU) 2017/746 as regards simplifying and reducing the burden of the rules on medical devices and in vitro diagnostic medical devices, and amending Regulation (EU) 2022/123 as regards the support of the European Medicines Agency for the expert panels on medical devices and Regulation (EU) 2024/1689 as regards the list of Union harmonisation legislation referred to in its Annex I”, with the stated aim of simplifying and reducing regulatory burden for medical devices and in vitro diagnostic medical devices, while maintaining a high level of public health protection.

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    The proposal introduces wide-ranging changes across the device lifecycle. It focuses on simplification and proportionality, including more flexible requirements for the Person Responsible for Regulatory Compliance, a move away from fixed certificate validity periods, and more risk-based, proportionate re-certification through periodic reviews. It also broadens the types of clinical and non-clinical data that may be used to demonstrate compliance and introduces the concept of well-established technologies with adapted requirements.

    Administrative burden is further reduced through changes to post-market obligations, including less frequent updates of PSURs, a reduced scope for SS(C)Ps, extended timelines for reporting certain serious incidents, and clearer rules on changes after certification, including the possibility of agreed change control plans.

    To support innovation and availability, the proposal introduces dedicated pathways for breakthrough and orphan devices, more flexible rules for in-house devices under both MDR and IVDR, regulatory sandboxes, and new provisions addressing public health emergencies. Several changes are also intended to improve predictability and cost-efficiency of conformity assessment, such as reduced involvement of notified bodies for lower-risk devices, fewer and more targeted audits, adjusted consultation procedures, and mandatory fee reductions for micro and small manufacturers.

    The proposal also strengthens coordination within the EU regulatory system, enhances the role of expert panels and EMA support, and advances further digitalisation, including electronic submissions, digital documentation, and expanded use of EUDAMED. Finally, it aligns MDR and IVDR with other Union legislation in areas such as combined studies, cybersecurity, nanomaterials, and substances of human origin

    It is important to note that this is a legislative proposal. It now enters the ordinary legislative procedure, during which both the Member States and the European Parliament will review the text and may introduce significant amendments before any changes become law.

    What does this mean for you?

    If adopted, this proposal could ease several MDR and IVDR requirements by making certification and oversight more proportionate and risk-based. Manufacturers may benefit from reduced administrative burden, greater flexibility in the use of clinical and non-clinical data, and more predictable interactions with notified bodies, particularly for SMEs, innovative devices, and well-established technologies.

    For now, this is only a proposal, but it is one to watch closely, as it could meaningfully affect certification strategies and lifecycle management once the legislative process progresses.

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