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Crosswalk

# IVDR to MDR crosswalk

28 concept-by-concept mappings between Regulation (EU) 2017/746 (IVDR) and Regulation (EU) 2017/745 (MDR), with article references, links to the primary text, and notes on where the two regulations diverge.

[IVDR full text](https://eur-lex.europa.eu/eli/reg/2017/746/oj) [MDR full text](https://eur-lex.europa.eu/eli/reg/2017/745/oj) [MDR vs IVDR overview](/compare/mdr-vs-ivdr)

On this page

-   [1\. Foundations & scope](#g0) (4) 
-   [2\. Conformity assessment](#g1) (6) 
-   [3\. Clinical / performance evidence](#g2) (5) 
-   [4\. Technical & metrological requirements](#g3) (4) 
-   [5\. Post-market obligations](#g4) (6) 
-   [6\. IVDR-only provisions](#g5) (3) 

Section 1

## Foundations & scope

The regulations themselves, their classification systems, and general safety and performance requirements.

Concept

IVDR

MDR

Notes

Regulation

[EU In Vitro Diagnostic Regulation](/terms/ivdr)

[Regulation (EU) 2017/746 (IVDR)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[EU Medical Device Regulation](/terms/mdr)

[Regulation (EU) 2017/745 (MDR)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Sister regulations adopted the same day. Structure and article numbering deliberately parallel where the underlying concept is shared.

Device classes

[IVDR Risk Classes A–D](/terms/ivdr-classes)

[IVDR Annex VIII (Classes A, B, C, D)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

MDR device classes 

[MDR Annex VIII (Classes I, IIa, IIb, III)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Both are risk-based, but rule sets differ. IVDR uses 7 classification rules focused on intended use and public-health impact; MDR uses 22 rules focused on invasiveness, duration, and active/non-active status.

General safety and performance requirements

[General Safety and Performance Requirements (IVDR)](/terms/ivdr-gspr)

[IVDR Annex I](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[General Safety and Performance Requirements](/terms/gspr)

[MDR Annex I](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Same three-chapter structure (general, design/manufacture, information supplied). IVDR Chapter II is IVD-specific (analytical/clinical performance); MDR Chapter II covers device design, radiation, and interoperability.

Common Specifications

[Common Specifications (IVDR)](/terms/ivdr-common-specifications)

[IVDR Article 9](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Common Specifications 

[MDR Article 9](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Identical mechanism and legal force in both regulations. Under IVDR, CS are dominant for Class D (see Reg (EU) 2022/1107); under MDR they are used for Annex XVI non-medical-purpose products.

Section 2

## Conformity assessment

The routes and controls a manufacturer follows to place a device on the EU market.

Concept

IVDR

MDR

Notes

Conformity assessment routes

[IVDR Conformity Assessment Routes](/terms/ivdr-conformity-assessment-routes)

[IVDR Articles 48-50, Annexes IX, X, XI](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

MDR conformity assessment 

[MDR Articles 52-54, Annexes IX, X, XI](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Annex numbering is aligned. Notified-body involvement moved from ~20% under IVDD to >80% under IVDR; MDR increases scope of NB oversight but from a higher baseline.

Notified body

IVDR Articles 31-46 

[IVDR Articles 31-46](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Notified Body](/terms/notified-body)

[MDR Articles 35-50](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Designation is regulation-specific: an NB designated under MDR is not automatically designated under IVDR. Manufacturers with both device types need an NB that holds both scopes or must engage two bodies.

Highest-risk scrutiny

[Notified Body Scrutiny (IVDR Class D)](/terms/ivdr-notified-body-scrutiny)

[IVDR Article 48(6), Article 106 (expert panels)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

CECP scrutiny 

[MDR Article 54, Article 106 (expert panels)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

IVDR scrutiny targets novel Class D IVDs; MDR Clinical Evaluation Consultation Procedure (CECP) targets implantable Class III and certain Class IIb active devices. Same 60-day expert-panel mechanism.

Companion diagnostic route

[Companion Diagnostic (IVDR)](/terms/ivdr-companion-diagnostic)

[IVDR Article 48(5), Annex IX Section 5.2 (EMA consultation)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

No MDR equivalent 

\-

CDx is IVDR-only. Manufacturers of drug-device combination products may face parallel MDR Article 117 obligations for the device constituent, but that is a separate mechanism.

Batch verification (highest risk)

[Class D Batch Verification (IVDR)](/terms/ivdr-class-d-batch-verification)

[IVDR Article 48(5), Article 100 (EU Reference Laboratories)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

No direct MDR equivalent 

\-

Pre-release EU RL batch testing exists only under IVDR for Class D. MDR relies on post-market surveillance and market surveillance authority sampling for equivalent oversight.

Health-institution exemption

[In-House IVDs (Article 5(5))](/terms/ivdr-in-house-devices)

[IVDR Article 5(5)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Health-institution exemption 

[MDR Article 5(5)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Same article number and conditions in both regulations: manufactured and used only within a single EU health institution, non-industrial scale, documented justification of unmet need.

Section 3

## Clinical / performance evidence

Evidence generation before market entry and the studies used to build it.

Concept

IVDR

MDR

Notes

Evidence framework

[IVDR Performance Evaluation](/terms/ivdr-performance-evaluation)

[IVDR Article 56, Annex XIII](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Clinical Evaluation Plan](/terms/clinical-evaluation-plan)

[MDR Article 61, Annex XIV](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

IVDR performance evaluation rests on three pillars (scientific validity, analytical performance, clinical performance). MDR clinical evaluation rests on state-of-the-art, clinical data, and benefit-risk. Both produce a living report updated throughout the lifecycle.

Scientific / clinical basis

[Scientific Validity (IVDR)](/terms/ivdr-scientific-validity)

[IVDR Annex XIII Section 1.2.1](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

State of the art / clinical association 

[MDR Annex XIV Part A](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Scientific validity establishes the analyte-condition link; on the MDR side, the equivalent is the state-of-the-art review demonstrating the clinical claim.

Analytical performance

[Analytical Performance (IVDR)](/terms/ivdr-analytical-performance)

[IVDR Annex I Section 9.1(a), Annex XIII Section 1.2.2](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

No MDR equivalent 

\-

IVD-specific: sensitivity, specificity, trueness, precision, LoD, LoQ, linearity, cross-reactivity. MDR has no direct parallel.

Clinical performance

[Clinical Performance (IVDR)](/terms/ivdr-clinical-performance)

[IVDR Annex XIII Section 1.2.3](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Clinical performance / benefit 

[MDR Annex I Section 1, Annex XIV](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Both describe the ability of the device to yield results correlated with a clinical condition or physiological state, in the target population and intended user's hands.

Pre-market study application

[Performance Study Application (IVDR)](/terms/ivdr-performance-study-application)

[IVDR Articles 58, 66, Annex XIV](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Clinical investigation application 

[MDR Articles 70, 74, Annex XV](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Same EUDAMED-based Single Identification Number (SIN) route, 10-day validation, ~45-day substantive review, coordinated assessment procedure available.

Section 4

## Technical & metrological requirements

Requirements that live in Annex I but sit outside the clinical/performance track.

Concept

IVDR

MDR

Notes

Metrological traceability

[Metrological Traceability (IVDR)](/terms/ivdr-metrological-traceability)

[IVDR Annex I Section 9.4, ISO 17511:2020](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Devices with a measuring function 

[MDR Annex I Section 15](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

IVDR requires a documented calibration hierarchy to higher-order reference materials or procedures. MDR Section 15 addresses metrological requirements for measuring devices but does not mandate the ISO 17511 traceability chain approach.

Risk management

IVDR Annex I Section 3 

[IVDR Annex I Section 3, ISO 14971](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[ISO 14971](/terms/iso-14971)

[MDR Annex I Section 3, ISO 14971](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Identical wording and the same harmonised standard (ISO 14971:2019 + A11:2021) covers both regulations.

Quality management system

IVDR Article 10(8) 

[IVDR Article 10(8), ISO 13485](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[ISO 13485](/terms/iso-13485)

[MDR Article 10(9), ISO 13485](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Same standard, same certification, minor scope differences (design controls apply differently to Class A non-sterile IVDs vs Class I MDR devices).

UDI

IVDR Articles 24-30 

[IVDR Articles 24-30](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Unique Device Identification](/terms/udi)

[MDR Articles 27-33](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

One EUDAMED UDI database serves both regulations. IVD-specific Basic UDI-DI and UDI-DI attributes exist alongside the medical-device attribute set.

Section 5

## Post-market obligations

Surveillance, follow-up, transparency, and vigilance after CE marking.

Concept

IVDR

MDR

Notes

Post-market surveillance plan

[Post-Market Surveillance Plan (IVDR)](/terms/ivdr-pms-plan)

[IVDR Article 79, Annex III](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

MDR PMS plan 

[MDR Article 84, Annex III](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Annex III is structurally identical across both regulations. Same expectations on proactive and reactive data sources and feedback into risk management.

Post-market follow-up study

[Post-Market Performance Follow-Up (IVDR)](/terms/ivdr-pmpf)

[IVDR Annex XIII Part B (PMPF)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Post-Market Clinical Follow-up](/terms/pmcf)

[MDR Annex XIV Part B (PMCF)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Direct analogue. Both mandatory unless a documented, defensible justification for non-applicability exists. Both feed the periodic evidence report.

Periodic Safety Update Report

[PSUR (IVDR Specific)](/terms/psur-ivdr)

[IVDR Article 81 (Class C and D)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Periodic Safety Update Report](/terms/psur)

[MDR Article 86 (Class IIa, IIb, III)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Class A/B IVDs and Class I MDR devices produce a PMS Report instead. Update cadence: annual for Class C/D IVDs and Class IIb/III MDR; every two years for Class IIa MDR.

Public safety summary

[Summary of Safety and Performance (IVDR)](/terms/ivdr-summary-safety-performance)

[IVDR Article 29 (SSP, Class C and D)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Summary of Safety and Clinical Performance](/terms/sscp)

[MDR Article 32 (SSCP, implantable and Class III)](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Both are notified-body-validated, publicly available via EUDAMED, and written for the intended user (and, where relevant, the patient).

Vigilance / incident reporting

IVDR Articles 82-83 

[IVDR Articles 82-83](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

[Medical Device Reporting (FDA)](/terms/mdr-reporting)

[MDR Articles 87-88](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Serious-incident reporting thresholds and timelines match: immediately for serious public-health threat, within 10 days for death/serious deterioration, within 15 days otherwise.

Transitional provisions

[IVDR Transitional Provisions](/terms/ivdr-transitional-provisions)

[IVDR Article 110 as amended by Reg (EU) 2024/1860](https://eur-lex.europa.eu/eli/reg/2024/1860/oj)

MDR transitional provisions 

[MDR Article 120 as amended by Reg (EU) 2023/607](https://eur-lex.europa.eu/eli/reg/2023/607/oj)

Both extend legacy device availability subject to conditions (no significant changes, IVDR/MDR PMS and vigilance apply, written NB agreement by fixed milestones).

Section 6

## IVDR-only provisions

Concepts that have no meaningful MDR counterpart and are frequently missed by teams porting an MDR playbook.

Concept

IVDR

MDR

Notes

Genetic testing (Article 4)

[Genetic Testing Requirements (IVDR Article 4)](/terms/ivdr-genetic-testing)

[IVDR Article 4](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

No MDR equivalent 

\-

Member-State-level obligations on information, counselling, and consent. Produces the largest single source of national-level fragmentation in the IVDR.

EU Reference Laboratories

[EU Reference Laboratory (EURL)](/terms/ivdr-eu-reference-laboratory)

[IVDR Articles 100, 48(5)](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

No MDR equivalent 

\-

Designated laboratories that verify Class D device performance against CS. MDR has no analogue.

Self-test and near-patient testing

[Self-Test and Near-Patient Testing (IVDR)](/terms/ivdr-self-test)

[IVDR Article 2(5)-(6), Annex I Section 19](https://eur-lex.europa.eu/eli/reg/2017/746/oj)

Usability engineering (IEC 62366-1) 

[MDR Annex I Section 5, IEC 62366-1](https://eur-lex.europa.eu/eli/reg/2017/745/oj)

Under MDR, lay-user usability is a general Annex I requirement. IVDR carves self-test and near-patient into named categories with dedicated classification rules and IFU expectations.

## How to read this crosswalk

-   A match at row level does not mean the two provisions are interchangeable. Regulatory strategy, evidence requirements, and notified-body expectations are regulation-specific.
-   Where an MDR column reads "No MDR equivalent", teams porting an MDR playbook to IVDR most often under-scope. Pay particular attention to Article 4 genetic testing, EU Reference Laboratory batch verification, and companion diagnostic EMA consultation.
-   Article references are to the consolidated text on EUR-Lex; always confirm against the latest consolidated version because both regulations have been amended (Reg (EU) 2022/112, 2023/607, 2024/1860, and others).

## Related resources

[MDR vs IVDR side-by-side comparison](/compare/mdr-vs-ivdr) [IVDR Essentials learning path](/paths/ivdr-essentials) [All Regulatory terms](/categories/regulatory) [Sourcing and review methodology](/methodology)

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Resources

-   [FDA Medical Devices](https://www.fda.gov/medical-devices)
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