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# ISO 14155

Good clinical practice for clinical investigations of medical devices.

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

## Definition

ISO 14155:2020 addresses  [good clinical practice](/terms/gcp) for the design, conduct, recording, and reporting of clinical investigations carried out in human subjects to assess the safety and performance of medical devices for regulatory purposes. 

What the regulation says

ISO 14155:2020 outlines the principles of  [good clinical practice](/terms/gcp) (GCP) for medical device clinical investigations, ensuring the protection of human subjects, the scientific integrity of the investigation, and the reliability of study results. The EU  [MDR](/terms/mdr-reporting), specifically in Annex XV, refers to the principles of ISO 14155 for clinical investigations of devices. 

## What this means in practice

ISO 14155 is the device-specific counterpart to ICH- [GCP](/terms/gcp) and is referenced by EU  [MDR](/terms/mdr-reporting) clinical investigation requirements. 

## Examples

-   A MedTech company conducting a clinical investigation for a novel coronary stent needs to ensure all study procedures, from subject consent to data collection, are compliant with ISO 14155:2020.
-   Before initiating a multi-center clinical trial for a new diagnostic imaging device, the sponsor performs site audits to verify that each participating institution understands and can adhere to ISO 14155 requirements.
-   During a clinical investigation for a new orthopedic implant, a data monitoring committee operating under ISO 14155 principles reviews accumulating data to ensure subject safety and ethical conduct.

Common pitfalls

-   • Failing to update clinical investigation procedures to align with the 2020 revision of ISO 14155 can lead to non-compliance. 
-   • Applying pharmaceutical good clinical practice (GCP) guidelines directly to MedTech without considering the specific nuances of ISO 14155 can result in inefficient or inappropriate study designs. 
-   • Neglecting the ethical considerations and subject protection requirements detailed in ISO 14155 can lead to regulatory enforcement actions and reputational damage. 
-   • Not adequately training investigators and site staff on ISO 14155 principles can compromise data quality and subject safety. 
-   • Incorrectly managing clinical investigation data according to ISO 14155 can invalidate study results for regulatory submissions. 

## Frequently asked questions

How does ISO 14155 differ from ICH-GCP? 

ISO 14155 is specifically tailored for medical devices, addressing their unique characteristics like device-specific risks and iterative design, while ICH- [GCP](/terms/gcp) is focused on pharmaceuticals. Both share core principles of ethical conduct and data integrity. 

Is ISO 14155 mandatory for all clinical investigations? 

What is the role of a sponsor in an ISO 14155 compliant study? 

Does ISO 14155 apply to post-market clinical follow-up (PMCF) studies? 

## Cross-references

### Uses

Concepts or artefacts this term builds on.

-   [
    
    ICH E6 Good Clinical Practice(GCP) 
    
    
    
    ](/terms/ich-gcp)

### Contains

Sub-elements or required artefacts of this term.

-   [
    
    Adverse Event(AE) 
    
    
    
    ](/terms/adverse-event)
-   [
    
    Protocol Deviation
    
    
    
    ](/terms/protocol-deviation)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Clinical & Trials

Investigational Device Exemption(IDE) 

FDA authorization to use an investigational device in a clinical study.





](/terms/ide)[

Clinical & Trials

ICH E6 Good Clinical Practice(GCP) 

International standard for the design, conduct, and reporting of clinical trials.





](/terms/ich-gcp)

### Clinical Trials & Evidence

· From this learning path 

[

Commercialization

Good Clinical Practice(GCP) 

International quality standard for designing and conducting clinical trials.

Adjacent lesson 

](/terms/gcp?from=clinical-trials-and-evidence)[

Clinical & Trials

Investigator Brochure(IB) 

Compilation of clinical and nonclinical information on an investigational device given to clinical investigators, establishes what's 'anticipated' for UADE determinations.

Adjacent lesson 

](/terms/investigator-brochure?from=clinical-trials-and-evidence)[

Clinical & Trials

Adaptive Trial Design

Trial design that pre-specifies opportunities to modify aspects (sample size, arms, endpoints) based on interim data.





](/terms/adaptive-trial?from=clinical-trials-and-evidence)[

Clinical & Trials

Adverse Event(AE) 

Any untoward medical occurrence in a subject, whether or not related to the device.





](/terms/adverse-event?from=clinical-trials-and-evidence)

### Standards Stack for Medical Devices

· From this learning path 

[

Standards

ISO 11135

Standard for development, validation, and routine control of ethylene oxide (EO) sterilization.

Adjacent lesson 

](/terms/iso-11135?from=standards-stack)[

Standards

IEC 60601-1

General requirements for basic safety and essential performance of medical electrical equipment.





](/terms/iec-60601-1?from=standards-stack)[

Standards

IEC 60601-1-2

EMC requirements for medical electrical equipment.





](/terms/iec-60601-1-2?from=standards-stack)[

Standards

IEC 62304

Lifecycle requirements for medical device software.





](/terms/iec-62304?from=standards-stack)

Cited by

Where this term appears across MedTech Terms.

Learning paths (2)

-   [Clinical Trials & Evidence](/paths/clinical-trials-and-evidence)Lesson 7 of 18 
-   [Standards Stack for Medical Devices](/paths/standards-stack)Lesson 9 of 10 

Ecosystems (2)

-   [Quality System](/ecosystems/quality-system)
-   [Clinical Evidence](/ecosystems/clinical-evidence)

## Primary references

3 sources 

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

ISO· 1 AAMI· 1 FDA· 1 

1.  [1 
    
    ISO 14155:2020
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/standard/71690.html)
2.  [2 
    
    AAMI Standards
    
    Verified 
    
    AAMI · aami.org 
    
    
    
    ](https://www.aami.org/standards)
3.  [3 
    
    FDA Recognized Consensus Standards
    
    Verified 
    
    FDA · accessdata.fda.gov 
    
    
    
    ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfStandards/search.cfm)

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

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Card Lesson Quiz

Good clinical practice for clinical investigations of medical devices.

-   · ISO 14155 is the device-specific counterpart to ICH-GCP and is referenced by EU MDR clinical investigation requirements. 

Remember this

Watch out: Failing to update clinical investigation procedures to align with the 2020 revision of ISO 14155 can lead to non-compliance.

Related terms

-   [ICH E6 Good Clinical Practice(GCP) ](/terms/ich-gcp)
-   [Investigational Device Exemption(IDE) ](/terms/ide)

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