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    IVDR Conformity Assessment Routes

    The Annex IX, X, and XI procedures a manufacturer chooses to demonstrate IVDR compliance based on device class.

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

    Definition

    Articles 48 to 50 map conformity assessment to device class. Class A (non-sterile) is self-declared. Class A sterile, B, and C follow Annex IX (quality management system plus technical documentation assessment) or Annex X (type examination) combined with Annex XI (production quality assurance). Class D requires Annex IX with notified body scrutiny plus, where applicable, EU Reference Laboratory batch verification and Common Specifications compliance.
    What the regulation says
    Article 48(1) requires manufacturers to draw up an EU declaration of conformity following the conformity assessment procedure appropriate to the class of the device.

    What this means in practice

    Under the IVDD roughly 20 percent of IVDs required notified body involvement; under IVDR that figure exceeds 80 percent. Choosing between Annex IX and X+XI is largely a QMS design decision: Annex IX aligns with ISO 13485 full-scope certification, while Annex X+XI splits type examination from production oversight.

    Examples

    • A manufacturer of a Class A non-sterile IVD, such as a general laboratory reagent for a non-critical test, will use a self-declaration of conformity based on Article 50 of the IVDR.
    • A company developing a Class C IVD for detecting a specific infectious disease antigen would typically apply Annex IX, demonstrating a robust quality management system and undergoing technical documentation assessment by a notified body.
    • For a Class D IVD for blood donor screening, the manufacturer must adhere to Annex IX, including notified body assessment, and additionally comply with relevant Common Specifications and potentially undergo EU Reference Laboratory batch verification.
    Common pitfalls
    • •Assuming Class B and C can skip notified body review for technical documentation. Sampling per Annex IX Section 2.3 applies.
    • •Overlooking the extra Class D duties in Article 48(3) to (6): EU RL batch testing, CS scrutiny, expert-panel consultation for novel devices.

    Frequently asked questions

    For Class A sterile, B, and C devices, manufacturers can choose Annex IX (quality management system assessment plus technical documentation review) or Annex X (type examination) combined with Annex XI (production quality assurance). The choice is largely a QMS design decision: Annex IX aligns with a full-scope ISO 13485 certification, while Annex X plus XI separates the type examination of a representative device from ongoing production oversight.
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    Sources

    3 sources

    Every citation below opens the original document. Each is graded against our source-tier hierarchy so you can see what rests on binding law versus commentary.

    Tier 1Binding law and standards· 1Tier 2Regulator guidance and consensus· 1Tier 4Trade press and expert commentary· 1
    Link health: 3 verified· last checked 2026-06-20
    EUR-Lex·1IMDRF·1RAPS·1
    1. 1
      Regulation (EU) 2017/746, Articles 48 to 50
      Tier 1 Verified
      EUR-Lexeur-lex.europa.eu
    2. 2
      IMDRF Documents
      Tier 2 Verified
      IMDRFimdrf.org
    3. 3
      RAPS Regulatory Focus
      Tier 4 Verified
      RAPSraps.org

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