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    Post-Market Performance Follow-Up (IVDR)

    Continuous process of proactively collecting and evaluating performance data on an IVD after CE marking, analogous to MDR PMCF.

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

    Definition

    Annex XIII Part B of the IVDR defines PMPF as a continuous process that updates the performance evaluation and is addressed in the manufacturer's post-market surveillance plan. Its objectives include confirming safety and performance throughout the expected lifetime, identifying previously unknown risks, ensuring the continued acceptability of the benefit-risk ratio, and identifying possible systematic misuse.
    What the regulation says
    Annex XIII Part B Section 5.1 states that PMPF shall be understood to be a continuous process that updates the performance evaluation referred to in Article 56 and Part A of this Annex.

    What this means in practice

    PMPF is not optional: where a manufacturer justifies that PMPF is not applicable, that justification itself must be documented and defended in the Performance Evaluation Report. Common PMPF activities include real-world performance studies, registry participation, external quality assessment (EQA) programme data, and structured user surveys.
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    Primary references

    3 sources
    Link health: 2 verified 1 unchecked· last checked 2026-06-20
    EUR-Lex·1MDCG·1European Commission·1
    1. 1
      Regulation (EU) 2017/746, Annex XIII Part B
      Verified
      EUR-Lexeur-lex.europa.eu
    2. 2
      MDCG 2022-2 Guidance on general principles of clinical evidence for IVDs
      Unchecked
      MDCGhealth.ec.europa.eu
    3. 3
      European Commission - Medical Devices
      Verified
      European Commissionhealth.ec.europa.eu

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