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Software & AI [Software Lifecycle](/ecosystems/software-lifecycle)TIR45 

# AAMI TIR45

AAMI Technical Information Report providing guidance on applying Agile software development practices within an IEC 62304-compliant medical device software lifecycle.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed June 20, 2026 

## Definition

[AAMI](/terms/aami) TIR45 is a Technical Information Report providing guidance on the use of Agile software development practices (Scrum, Kanban, XP) in the development of medical device software within the framework of  [IEC 62304](/terms/iec-62304). It addresses how Agile incremental and iterative development can be reconciled with the structured documentation, planning, and verification requirements of IEC 62304,  [ISO 13485](/terms/iso-13485), and FDA's software  [design controls](/terms/design-controls). Topics include backlog management as a planning artifact, definition of done as a verification gate, continuous integration with regulated builds, and how to align sprint cadence with documentation milestones. 

What the regulation says

[AAMI](/terms/aami) TIR45 is FDA-recognized in the Recognized Consensus Standards database.  [IEC 62304](/terms/iec-62304) §5 expects a documented software development lifecycle; TIR45 is the standard reference for documenting an Agile lifecycle under that requirement. 

## What this means in practice

Almost every medical device software organization today uses Agile in some form, but few originally documented their Agile-to- [IEC 62304](/terms/iec-62304) mapping rigorously. TIR45 provides the bridge regulators and notified bodies expect to see. It is referenced in FDA's General Principles of Software Validation guidance and recognized as a consensus standard. Organizations adopting TIR45 typically tailor it to map their specific Agile ceremonies and artifacts to the IEC 62304 process outputs. 

Common pitfalls

-   • Adopting Agile without documenting the mapping to IEC 62304 process outputs, the standard requires evidence, not framework choice. 
-   • Treating the backlog as the only planning artifact, IEC 62304 still expects a software development plan that backlog items refine. 
-   • Skipping the 'definition of done' rigor, without verification evidence per increment, regression and integration testing burdens shift to release time. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Software & AI

Software as a Medical Device(SaMD) 

Software intended for medical purposes that performs without being part of a hardware device.





](/terms/samd)[

Software & AI

Software Safety Classification

IEC 62304 classes A, B, C reflecting potential harm from software failure.





](/terms/software-safety-class)[

Quality & Risk

Design Controls

Structured process governing the design of medical devices.





](/terms/design-controls)[

Standards

IEC 62304

Lifecycle requirements for medical device software.





](/terms/iec-62304)

### More in Software & AI

· Same category 

[

Software & AI

Adversarial Robustness

Resilience of an ML model to inputs deliberately crafted to cause misclassification.





](/terms/adversarial-robustness)[

Software & AI

AI/ML-Enabled Medical Device

Medical device that uses artificial intelligence or machine learning to perform its intended use.





](/terms/ai-ml-device)[

Software & AI

Algorithm Change Protocol(ACP) 

The detailed procedural section of a PCCP that specifies how planned modifications to an AI/ML model will be developed, validated, and implemented.





](/terms/algorithm-change-protocol)[

Software & AI

Algorithmic Bias and Fairness

Systematic differences in model performance across demographic or clinical subgroups.





](/terms/ai-bias-fairness)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Software Lifecycle](/ecosystems/software-lifecycle)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

FDA· 2 AAMI· 1 

1.  [1 
    
    AAMI TIR45 (recognized standards database)
    
    Verified 
    
    FDA · accessdata.fda.gov 
    
    
    
    ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfStandards/search.cfm)
2.  [2 
    
    AAMI TIR45
    
    Verified 
    
    AAMI · array.aami.org 
    
    
    
    ](https://array.aami.org/doi/book/10.2345/9781570204562)
3.  [3 
    
    FDA - AI/ML-Enabled Medical Devices
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/software-medical-device-samd/artificial-intelligence-and-machine-learning-aiml-enabled-medical-devices)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

Software & AI

Acronym

TIR45

Sources

3

Updated

6/20/2026

[Compare with another term](/compare?a=aami-tir45)

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Card Lesson Quiz

AAMI Technical Information Report providing guidance on applying Agile software development practices within an IEC 62304-compliant medical device software lifecycle.

-   · Almost every medical device software organization today uses Agile in some form, but few originally documented their Agile-to-IEC 62304 mapping rigorously. 
-   · TIR45 provides the bridge regulators and notified bodies expect to see. 
-   · It is referenced in FDA's General Principles of Software Validation guidance and recognized as a consensus standard. 

Remember this

Watch out: Adopting Agile without documenting the mapping to IEC 62304 process outputs, the standard requires evidence, not framework choice.

Related terms

-   [IEC 62304 ](/terms/iec-62304)
-   [IEC 81001-5-1 ](/terms/iec-81001-5-1)
-   [Software Safety Classification ](/terms/software-safety-class)
-   [Verification & Validation(V&V) ](/terms/verification-validation)
-   [Design Controls ](/terms/design-controls)
-   [Software as a Medical Device(SaMD) ](/terms/samd)

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