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Market Segments [Strategic Landscape](/ecosystems/strategic-landscape)IVD 

# In Vitro Diagnostics

Tests performed on biological samples outside the body.

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

## Definition

IVDs include immunoassays,  [molecular diagnostics](/terms/molecular-diagnostics) (PCR, NGS), clinical chemistry, hematology, microbiology, and point-of-care tests. Regulated by FDA's CDRH (CBER for some) and under the EU  [IVDR](/terms/ivdr) in Europe. 

What the regulation says

In Vitro Diagnostic ( [IVD](/terms/ivd-segment)) Medical Devices are regulated based on their  [intended use](/terms/intended-use) and risk classification. In the United States, the FDA's Center for Devices and Radiological Health (CDRH) regulates most IVDs, while the Center for Biologics Evaluation and Research (CBER) regulates certain IVDs, such as those used for blood screening. The  [EU In Vitro Diagnostic Regulation](/terms/ivdr) (IVDR 2017/746) provides the regulatory framework in Europe, classifying IVDs into classes A, B, C, and D based on their risk to public health and individual patients, with Class D representing the highest risk. 

## What this means in practice

Roche Diagnostics, Abbott, Siemens Healthineers, Danaher (Beckman, Cepheid), and Thermo Fisher dominate. Companion diagnostics and oncology MRD are key growth areas. EU  [IVDR](/terms/ivdr) transition has been disruptive. 

## Examples

-   A blood glucose monitoring system, used by diabetics at home, is an IVD that typically falls under a lower risk class due to its intended use for individual monitoring.
-   A test kit used to detect HIV antibodies in blood samples is a high-risk IVD, classified as Class D under the EU IVDR, requiring rigorous conformity assessment procedures.
-   Software that analyzes genetic sequences to predict an individual's predisposition to certain diseases is an IVD and must comply with regulations for medical device software.

Common pitfalls

-   • A common pitfall is misunderstanding the classification rules for IVDs, which can lead to incorrect conformity assessment routes and delays in market access. 
-   • Failing to adequately validate software used in IVDs can result in regulatory non-compliance, as software is considered a medical device or an accessory to one. 
-   • Ignoring post-market surveillance requirements for IVDs can lead to significant regulatory issues, especially under the EU IVDR's emphasis on lifelong monitoring. 
-   • Confusion surrounding companion diagnostics, specifically their dual regulation as both pharmaceuticals and medical devices, can lead to compliance gaps. 

## Frequently asked questions

What is the primary difference between the EU IVDD and IVDR? 

The EU  [IVDR](/terms/ivdr) (2017/746) replaced the EU IVDD (98/79/EC) to enhance patient safety and product quality. Key changes include a new risk-based classification system, stricter clinical evidence requirements, and increased  [post-market surveillance](/terms/post-market-surveillance) obligations. 

How does the FDA classify IVDs? 

Are IVD software applications regulated? 

What role do Notified Bodies play for IVDs in the EU? 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Market Segments

Companion Diagnostic(CDx) 

IVD that identifies patients who will benefit from a specific drug.





](/terms/companion-diagnostic)[

Market Segments

Laboratory-Developed Test(LDT) 

IVD designed, manufactured, and used within a single CLIA laboratory.





](/terms/ldt)[

Market Segments

Point-of-Care Diagnostics(POC) 

Diagnostic tests performed near the patient, outside a central lab.





](/terms/point-of-care)[

Regulatory

EU In Vitro Diagnostic Regulation(IVDR) 

Regulation (EU) 2017/746 governing in vitro diagnostic medical devices in the EU.





](/terms/ivdr)

### More in Market Segments

· Same category 

[

Market Segments

Aesthetic & Energy-Based Devices

Lasers, RF, ultrasound, cryolipolysis, and IPL systems used for medical and cosmetic indications, body contouring, hair removal, skin tightening, vascular lesions.





](/terms/aesthetics-energy-devices)[

Market Segments

AI Imaging Software

Software that analyzes medical images to triage, detect, or quantify disease.





](/terms/ai-imaging)[

Market Segments

Cardiac Rhythm Management(CRM) 

Implantable and external devices that monitor and treat cardiac arrhythmias, pacemakers, ICDs, CRT devices, and insertable cardiac monitors.





](/terms/cardiac-rhythm-management)[

Market Segments

Cardiovascular Devices

Devices for diagnosing, monitoring, or treating cardiovascular disease.





](/terms/cardiovascular)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Strategic Landscape](/ecosystems/strategic-landscape)

## Mentioned in recent activity

1 entry 

Recalls (1)

[Product Name: ID NOW" Influenza A & B 2 Model/Catalog Number: 427-000 Software Version: Not Applicable Product Description: Influenza A/B virus nucleic acid IVD, kit, nucleic acid technique Component: Not Applicable ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRES/res.cfm?id=Z-1565-2026)

Class II · 2026-02-09 

## Latest in MedTech

[View all](/latest?term=ivd)

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

-   Recall 2026-02-09 
    
    [Product Name: ID NOW" Influenza A & B 2 Model/Catalog Number: 427-000 Software Version: Not Applicable Product Description: Influenza A/B virus nucleic acid IVD, kit, nucleic acid technique Component: Not Applicable ](https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRES/res.cfm?id=Z-1565-2026)
    
    Class II · Abbott Diagnostics Scarborough, Inc.
    

## Primary references

3 sources 

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

AdvaMedDx· 1 MedTech Dive· 1 AdvaMed· 1 

1.  [1 
    
    AdvaMedDx
    
    Verified 
    
    AdvaMedDx · advameddx.org 
    
    
    
    ](https://www.advameddx.org/)
2.  [2 
    
    MedTech Dive
    
    Verified 
    
    MedTech Dive · medtechdive.com 
    
    
    
    ](https://www.medtechdive.com/)
3.  [3 
    
    AdvaMed - Industry Reports
    
    Verified 
    
    AdvaMed · advamed.org 
    
    
    
    ](https://www.advamed.org/our-work/)

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

Market Segments

Acronym

IVD

Sources

3

Updated

5/5/2026

[Compare with another term](/compare?a=ivd)

Learn in 60 seconds

Card Lesson Quiz

Tests performed on biological samples outside the body.

-   · Roche Diagnostics, Abbott, Siemens Healthineers, Danaher (Beckman, Cepheid), and Thermo Fisher dominate. 
-   · Companion diagnostics and oncology MRD are key growth areas. 
-   · EU IVDR transition has been disruptive. 

Remember this

Watch out: A common pitfall is misunderstanding the classification rules for IVDs, which can lead to incorrect conformity assessment routes and delays in market access.

Related terms

-   [Companion Diagnostic(CDx) ](/terms/companion-diagnostic)
-   [Laboratory-Developed Test(LDT) ](/terms/ldt)
-   [EU In Vitro Diagnostic Regulation(IVDR) ](/terms/ivdr)
-   [Point-of-Care Diagnostics(POC) ](/terms/point-of-care)

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