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    Clinical Performance (IVDR)

    The ability of an IVD to yield results correlated with a clinical condition in the target population and intended user.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed July 25, 2026

    Definition

    Annex XIII Section 1.2.3 of the IVDR describes clinical performance in terms of diagnostic sensitivity and specificity, positive and negative predictive value, likelihood ratios, and expected values in normal and affected populations. Evidence can come from clinical performance studies, peer-reviewed literature, or routine diagnostic testing experience.

    What this means in practice

    Clinical performance often requires prospective studies for higher-risk classes (C and D), particularly companion diagnostics and screening tests. Retrospective banked-sample studies are acceptable where justified by the intended use and population.
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    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-06-20
    EUR-Lex·1FDA·1European Commission·1
    1. 1
      Regulation (EU) 2017/746, Annex XIII
      Verified
      EUR-Lexeur-lex.europa.eu
    2. 2
      FDA - Medical Devices
      Verified
      FDAfda.gov
    3. 3
      European Commission - Medical Devices
      Verified
      European Commissionhealth.ec.europa.eu

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