---
title: "PCCP, Predetermined Change Control Plan | MedTech Terms"
description: "FDA mechanism to pre-authorize specific modifications to AI/ML-enabled devices. Plain-English Software &amp; AI definition for MedTech teams, with examples and rela"
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Software & AI [AI / ML in Devices](/ecosystems/ai-ml)[Software Lifecycle](/ecosystems/software-lifecycle)[Global Markets](/ecosystems/global-markets)PCCP 

# Predetermined Change Control Plan

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

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

## Definition

A Predetermined  [Change Control](/terms/change-control) Plan (PCCP) is a document, included in a marketing submission, that describes planned modifications to an AI/ML-enabled device, the methods used to develop, validate, and implement those modifications, and the impact on the device. 

## What this means in practice

PCCPs let manufacturers update AI/ML models within an authorized envelope without a new submission, while preserving safety and effectiveness controls. 

## Use cases

1 scenario 

1 

### Continuous learning chest-X-ray triage SaMD

ML & RA team 

The sponsor includes a Predetermined  [Change Control](/terms/change-control) Plan in the 510(k): allowed modifications (retraining cadence, new sites), the protocol (data governance, performance thresholds), and impact assessment. 

Outcome After clearance, the team retrains quarterly under the PCCP without filing a new submission for each update. 

## Cross-references

### Used by

Things that build on this term.

-   [
    
    AI/ML-Enabled Medical Device
    
    
    
    ](/terms/ai-ml-device)
-   [
    
    Locked vs. Adaptive Algorithm
    
    
    
    ](/terms/locked-vs-adaptive)

### See also

Closely related context worth reading.

-   [
    
    Change Control
    
    
    
    ](/terms/change-control)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

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)

### SaMD & AI/ML Devices

· From this learning path 

[

Software & AI

Clinical Decision Support(CDS) 

Software providing healthcare professionals with knowledge and patient-specific information.

Adjacent lesson 

](/terms/cds?from=samd-and-ai)[

Software & AI

Software in a Medical Device(SiMD) 

Software embedded in or required to operate a hardware medical device.





](/terms/simd?from=samd-and-ai)[

Software & AI

Software of Unknown Provenance(SOUP) 

Software not developed for medical device use, or lacking adequate development records, incorporated into a device.





](/terms/soup?from=samd-and-ai)[

Software & AI

Software Safety Classification

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





](/terms/software-safety-class?from=samd-and-ai)

### Software Team Onboarding

· From this learning path 

[

Standards

IEC 62304

Lifecycle requirements for medical device software.





](/terms/iec-62304?from=software-team-onboarding)[

Cybersecurity

Threat Modeling

A structured analysis that identifies how an attacker could compromise a medical device and what controls mitigate each threat.

Adjacent lesson 

](/terms/threat-modeling?from=software-team-onboarding)[

Cybersecurity

Section 524B of the FD&C Act(524B) 

The federal statute that gives FDA explicit premarket authority over cybersecurity for cyber devices.





](/terms/section-524b?from=software-team-onboarding)[

Cybersecurity

Secure Product Development Framework(SPDF) 

A documented, risk-based set of processes that build cybersecurity into a medical device across its full lifecycle.





](/terms/spdf?from=software-team-onboarding)

### AI/ML Devices Deep Dive

· From this learning path 

[

Software & AI

AI/ML-Enabled Medical Device

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

Adjacent lesson 

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

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)

Cited by

Where this term appears across MedTech Terms.

Learning paths (3)

-   [SaMD & AI/ML Devices](/paths/samd-and-ai)Lesson 7 of 9 
-   [Software Team Onboarding](/paths/software-team-onboarding)Lesson 12 of 12 
-   [AI/ML Devices Deep Dive](/paths/ai-ml-devices-deep-dive)Lesson 2 of 9 

Ecosystems (3)

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

## Mentioned in recent activity

1 entry 

FDA 510(k) (1)

[Tyto Insights for Wheeze Detection (with PCCP) ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K252844)

Tyto Care , Ltd. · 2026-06-02 

## Latest in MedTech

[View all](/latest?term=ai-ml-pccp)

Recent regulatory actions, publications, and trials matched to this term. Updated daily.

-   510(k) 2026-06-02 
    
    [Tyto Insights for Wheeze Detection (with PCCP) ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K252844)
    
    Tyto Care , Ltd.
    

## Primary references

3 sources 

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

FDA· 2 IMDRF· 1 

1.  [1 
    
    FDA PCCP Guidance
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/regulatory-information/search-fda-guidance-documents/marketing-submission-recommendations-predetermined-change-control-plan-artificial-intelligence)
2.  [2 
    
    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)
3.  [3 
    
    IMDRF - Software as a Medical Device
    
    Verified 
    
    IMDRF · imdrf.org 
    
    
    
    ](https://www.imdrf.org/working-groups/software-medical-device-samd)

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

Sponsor note

### Building software-as-a-medical-device?

We help SaMD and AI/ML device teams meet IEC 62304 and the FDA's evolving expectations for software cybersecurity.

[Book a 30-minute discovery session](https://go.bluegoatcyber.com/meetings/blue-goat-cyber/discovery-session)

-   No obligation
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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

PCCP

Sources

3

Use cases

1

Updated

5/5/2026

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

Learn in 60 seconds

Card Lesson Quiz

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

-   · PCCPs let manufacturers update AI/ML models within an authorized envelope without a new submission, while preserving safety and effectiveness controls. 

Remember this

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

Related terms

-   [Software as a Medical Device(SaMD) ](/terms/samd)
-   [Good Machine Learning Practice(GMLP) ](/terms/good-machine-learning-practice)

You may also need

Auto-suggested from Software & AI and shared keywords.

-   [Algorithm Change Protocol(ACP) ](/terms/algorithm-change-protocol)
-   [Predetermined Maintenance vs PCCP ](/terms/predetermined-maintenance)
-   [Q-Submission (Pre-Submission)(Q-Sub / Pre-Sub) ](/terms/q-sub)
-   [Pre-Submission Meeting(Q-Sub) ](/terms/pre-submission)
-   [Data Governance (AI/ML) ](/terms/data-governance)
-   [510(k) Summary vs 510(k) Statement ](/terms/510k-summary-vs-statement)

[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 
    
    Conversations with medical device cybersecurity practitioners.
    
    ](https://mdcpodcast.com)

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