---
title: "AI/ML-Enabled Medical Device, Definition | MedTech Terms"
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Software & AI [AI / ML in Devices](/ecosystems/ai-ml)[Software Lifecycle](/ecosystems/software-lifecycle)

# AI/ML-Enabled Medical Device

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

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

An AI/ML-enabled device incorporates models that learn patterns from data to provide diagnostic, predictive, monitoring, or therapeutic functions. FDA maintains a public list of AI/ML-enabled devices that have been authorized. 

What the regulation says

AI/ML-enabled medical devices are regulated based on their  [intended use](/terms/intended-use) and risk classification, similar to other medical devices. The FDA, for example, provides guidance on " [Clinical Decision Support](/terms/cds) Software" and "Artificial Intelligence/Machine Learning (AI/ML)-Based  [Software as a Medical Device](/terms/samd) (SaMD)" to clarify regulatory expectations for these technologies. Key considerations include data management, algorithm transparency, validation, and performance monitoring, as described in documents like the  [IMDRF](/terms/imdrf) "Software as a Medical Device (SaMD): Key Definitions" guidance. 

## What this means in practice

Most authorized AI devices today are 'locked' - the model weights do not change post-deployment. Adaptive systems require a  [Predetermined Change Control Plan](/terms/ai-ml-pccp) (PCCP) to enable continued learning while maintaining oversight. 

## Examples

-   An AI/ML-enabled diagnostic device uses a locked algorithm trained on a large dataset of medical images to identify anomalies, requiring no post-market model updates.
-   An adaptive AI/ML therapeutic device for personalized drug dosing continuously learns from a patient's physiological data to adjust treatment, operating under an FDA-approved Predetermined Change Control Plan (PCCP).
-   A predictive AI/ML monitoring device analyzes continuous patient data streams to forecast potential adverse events, necessitating regular performance monitoring and validation to ensure accuracy.

Common pitfalls

-   • Failing to establish a robust data management plan for training and validation data can lead to biased or ineffective AI/ML models. 
-   • Assuming that an AI/ML model’s performance in a controlled development environment will perfectly translate to real-world clinical settings is a common misconception. 
-   • Neglecting to implement a post-market surveillance strategy for AI/ML performance can result in undetected degradation or errors over time. 
-   • Underestimating the cybersecurity risks associated with AI/ML models, including data poisoning or adversarial attacks, can compromise device safety and effectiveness. 
-   • Not adequately documenting the AI/ML model’s design, development, and validation processes can lead to difficulties in demonstrating regulatory compliance. 

## Frequently asked questions

What is the primary regulatory concern for AI/ML-enabled medical devices? 

The primary regulatory concern is ensuring the safety and effectiveness of the device, particularly given the dynamic and data-driven nature of AI/ML models. Regulators focus on robust validation, risk management, and  [post-market surveillance](/terms/post-market-surveillance). 

How does "locked" AI/ML differ from "adaptive" AI/ML in a regulatory context? 

What role does data play in the regulation of AI/ML devices? 

## Cross-references

### Governed by

Regulations or standards this term must comply with.

-   [
    
    Good Machine Learning Practice(GMLP) 
    
    
    
    ](/terms/good-machine-learning-practice)
-   [
    
    EU AI Act
    
    Most medical AI is high-risk under the AI Act.
    
    
    
    ](/terms/eu-ai-act)

### Uses

Concepts or artefacts this term builds on.

-   [
    
    Predetermined Change Control Plan(PCCP) 
    
    
    
    ](/terms/ai-ml-pccp)
-   [
    
    Model Card
    
    
    
    ](/terms/model-card)

### See also

Closely related context worth reading.

-   [
    
    Total Product Lifecycle(TPLC) 
    
    
    
    ](/terms/tplc)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Software & AI

Predetermined Change Control Plan(PCCP) 

FDA mechanism to pre-authorize specific modifications to AI/ML-enabled devices.





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

Software & AI

Good Machine Learning Practice(GMLP) 

Guiding principles for the development of AI/ML-enabled medical devices.





](/terms/good-machine-learning-practice)[

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

Total Product Lifecycle(TPLC) 

FDA framework integrating premarket and post-market oversight across a device's life.





](/terms/tplc)

### AI/ML Devices Deep Dive

· From this learning path 

[

Software & AI

Explainability and Interpretability

Methods (SHAP, saliency maps, prototype explanations) that help users understand why a model made a given prediction.





](/terms/explainability?from=ai-ml-devices-deep-dive)[

Software & AI

Foundation Model (Healthcare)

Large pretrained model adaptable to many downstream clinical tasks via fine-tuning or prompting.





](/terms/foundation-model-health?from=ai-ml-devices-deep-dive)[

Software & AI

Generative AI in Medical Devices

Devices that use LLMs or diffusion models to generate text, images, or recommendations within a clinical workflow.





](/terms/generative-ai-devices?from=ai-ml-devices-deep-dive)[

Software & AI

Model Card

Structured documentation of a machine learning model's intended use, performance, and limitations.





](/terms/model-card?from=ai-ml-devices-deep-dive)

Cited by

Where this term appears across MedTech Terms.

Learning paths (1)

-   [AI/ML Devices Deep Dive](/paths/ai-ml-devices-deep-dive)Lesson 1 of 9 

Ecosystems (2)

-   [AI / ML in Devices](/ecosystems/ai-ml)
-   [Software Lifecycle](/ecosystems/software-lifecycle)

## Primary references

3 sources 

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

FDA· 2 MDCG· 1 

1.  [1 
    
    FDA AI/ML-Enabled Device List
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/software-medical-device-samd/artificial-intelligence-and-machine-learning-aiml-enabled-medical-devices)
2.  [2 
    
    MDCG Software Guidance
    
    Verified 
    
    MDCG · health.ec.europa.eu 
    
    
    
    ](https://health.ec.europa.eu/medical-devices-sector/new-regulations/guidance-mdcg-endorsed-documents-and-other-guidance_en)
3.  [3 
    
    FDA - Software as a Medical Device (SaMD)
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/digital-health-center-excellence/software-medical-device-samd)

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

Sources

3

Updated

5/5/2026

[Compare with another term](/compare?a=ai-ml-device)

Learn in 60 seconds

Card Lesson Quiz

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

-   · Most authorized AI devices today are 'locked' - the model weights do not change post-deployment. 
-   · Adaptive systems require a Predetermined Change Control Plan (PCCP) to enable continued learning while maintaining oversight. 
-   · FDA maintains a public list of AI/ML-enabled devices that have been authorized. 

Remember this

Watch out: Failing to establish a robust data management plan for training and validation data can lead to biased or ineffective AI/ML models.

Related terms

-   [Good Machine Learning Practice(GMLP) ](/terms/good-machine-learning-practice)
-   [Predetermined Change Control Plan(PCCP) ](/terms/ai-ml-pccp)
-   [Software as a Medical Device(SaMD) ](/terms/samd)
-   [Total Product Lifecycle(TPLC) ](/terms/tplc)

You may also need

Auto-suggested from Software & AI and shared keywords.

-   [Medical Device Data System(MDDS) ](/terms/mdds)
-   [MLOps for Medical Devices(MLOps) ](/terms/mlops-medical-device)
-   [Model Card ](/terms/model-card)
-   [Algorithm Change Protocol(ACP) ](/terms/algorithm-change-protocol)
-   [Locked vs. Adaptive Algorithm ](/terms/locked-vs-adaptive)
-   [EU AI Act ](/terms/eu-ai-act)

[All Software & AI terms](/terms?cat=Software%20%26%20AI)

From the Blue Goat network

Related resources and services on this topic.

-   [
    
    AI SaMD Insights 
    
    How AI is changing SaMD - risk, regulation, and good machine-learning practice.
    
    ](https://ai-samd.com)
-   [
    
    Med Device Cyber Podcast 
    
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    ](https://mdcpodcast.com)

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