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title: "SaMD, Software as a Medical Device | MedTech Terms"
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Software & AI [Software Lifecycle](/ecosystems/software-lifecycle)SaMD  /sam-dee/ 

# Software as a Medical Device

Software intended for medical purposes that performs without being part of a hardware device.

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

## Definition

Per  [IMDRF](/terms/imdrf), Software as a Medical Device (SaMD) is software intended to be used for one or more medical purposes that perform these purposes without being part of a hardware medical device. 

## What this means in practice

SaMD spans diagnostic apps, AI triage tools, and  [clinical decision support](/terms/cds) systems.  [IMDRF](/terms/imdrf) risk categorization (I to IV) considers the state of the healthcare situation (non-serious, serious, critical) and the significance of the information the SaMD provides (inform, drive, treat or diagnose). Regulators worldwide, including FDA, MHRA, and Health Canada, align to the IMDRF framework. 

## Examples

-   A mobile app that analyzes retinal images to screen for diabetic retinopathy without connecting to hardware.
-   A cloud service that triages CT scans and flags suspected large-vessel occlusion strokes for radiologist review.
-   AI software that estimates ejection fraction from standard echocardiograms.

## Use cases

1 scenario 

1 

### Mobile app analyzing skin lesions for melanoma risk

Founder / RA 

The app meets the FDA SaMD definition. The team applies  [IMDRF](/terms/imdrf) risk categorization, follows  [IEC 62304](/terms/iec-62304) for software lifecycle, and uses  [GMLP](/terms/good-machine-learning-practice) principles for the underlying model. They submit a 510(k) with a cleared dermatology AI as predicate. 

Outcome The product launches as a regulated Class II SaMD with a clear update pathway via a  [Predetermined Change Control Plan](/terms/ai-ml-pccp). 

Common pitfalls

-   • Confusing SaMD with SiMD. If the software is embedded in or required to operate a hardware device, it is SiMD and regulated with the parent device. 
-   • Assuming a wellness app is out of scope. Once the intended use includes diagnosis, treatment, cure, mitigation, or prevention, the software is likely SaMD. 
-   • Skipping IEC 62304 lifecycle documentation because the product feels like a normal SaaS release cycle. 
-   • Treating model updates as bug fixes. Retrained AI models often require a Predetermined Change Control Plan or a new submission. 

## Frequently asked questions

What is the difference between SaMD and SiMD? 

SaMD (Software as a Medical Device) performs a medical purpose without being part of a hardware device.  [SiMD](/terms/simd) (Software in a Medical Device) is embedded in or required to operate a hardware device, such as pump firmware or imaging system control software. 

Is every mobile health app a SaMD? 

What standards apply to SaMD? 

How does FDA regulate AI-based SaMD? 

## Cross-references

### Governed by

Regulations or standards this term must comply with.

-   [
    
    IEC 62304
    
    
    
    ](/terms/iec-62304)

### Often confused with

Distinct concept frequently mistaken for this one.

-   [
    
    Software in a Medical Device(SiMD) 
    
    SaMD is standalone software; SiMD is software inside a device.
    
    
    
    ](/terms/simd)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Software & AI

Predetermined Change Control Plan(PCCP) 

FDA mechanism to pre-authorize specific modifications to AI/ML-enabled devices.





](/terms/ai-ml-pccp)[

Software & AI

Software in a Medical Device(SiMD) 

Software embedded in or required to operate a hardware medical device.





](/terms/simd)[

Software & AI

Clinical Decision Support(CDS) 

Software providing healthcare professionals with knowledge and patient-specific information.





](/terms/cds)[

Standards

IEC 62304

Lifecycle requirements for medical device software.





](/terms/iec-62304)

### SaMD & AI/ML Devices

· From this learning path 

[

Software & AI

Good Machine Learning Practice(GMLP) 

Guiding principles for the development of AI/ML-enabled medical devices.





](/terms/good-machine-learning-practice?from=samd-and-ai)[

Software & AI

Software of Unknown Provenance(SOUP) 

Software not developed for medical device use, or lacking adequate development records, incorporated into a device.





](/terms/soup?from=samd-and-ai)[

Software & AI

Software Safety Classification

IEC 62304 classes A, B, C reflecting potential harm from software failure.





](/terms/software-safety-class?from=samd-and-ai)[

Software & AI

Interoperability

Ability of devices and systems to exchange and use information.





](/terms/interoperability?from=samd-and-ai)

### Software Team Onboarding

· From this learning path 

[

Cybersecurity

Section 524B of the FD&C Act(524B) 

The federal statute that gives FDA explicit premarket authority over cybersecurity for cyber devices.





](/terms/section-524b?from=software-team-onboarding)[

Cybersecurity

Secure Product Development Framework(SPDF) 

A documented, risk-based set of processes that build cybersecurity into a medical device across its full lifecycle.





](/terms/spdf?from=software-team-onboarding)[

Cybersecurity

Software Bill of Materials(SBOM) 

A machine-readable inventory of all software components, including open-source and third-party libraries, used to build a medical device.





](/terms/sbom?from=software-team-onboarding)[

Cybersecurity

Threat Modeling

A structured analysis that identifies how an attacker could compromise a medical device and what controls mitigate each threat.





](/terms/threat-modeling?from=software-team-onboarding)

### AI/ML Devices Deep Dive

· From this learning path 

[

Software & AI

Foundation Model (Healthcare)

Large pretrained model adaptable to many downstream clinical tasks via fine-tuning or prompting.

Adjacent lesson 

](/terms/foundation-model-health?from=ai-ml-devices-deep-dive)[

Software & AI

AI/ML-Enabled Medical Device

Medical device that uses artificial intelligence or machine learning to perform its intended use.





](/terms/ai-ml-device?from=ai-ml-devices-deep-dive)[

Software & AI

Explainability and Interpretability

Methods (SHAP, saliency maps, prototype explanations) that help users understand why a model made a given prediction.





](/terms/explainability?from=ai-ml-devices-deep-dive)[

Software & AI

Generative AI in Medical Devices

Devices that use LLMs or diffusion models to generate text, images, or recommendations within a clinical workflow.





](/terms/generative-ai-devices?from=ai-ml-devices-deep-dive)

Cited by

Where this term appears across MedTech Terms.

Learning paths (3)

-   [SaMD & AI/ML Devices](/paths/samd-and-ai)Lesson 1 of 9 
-   [Software Team Onboarding](/paths/software-team-onboarding)Lesson 1 of 12 
-   [AI/ML Devices Deep Dive](/paths/ai-ml-devices-deep-dive)Lesson 9 of 9 

Ecosystems (1)

-   [Software Lifecycle](/ecosystems/software-lifecycle)

Comparisons (1)

-   [SaMD vs SiMD](/compare/samd-vs-simd)vs Software in a Medical Device 

## Mentioned in recent activity

2 entries 

PubMed (2)

[Towards a feature-based regulatory benchmark for user-centred SaMD design in cancer care. ](https://pubmed.ncbi.nlm.nih.gov/42173550/)

BMJ health & care informatics · 2026-05-22 

[Proceedings from the 2025 Midwest Pediatric Device Consortium showcase featuring software as a medical device. ](https://pubmed.ncbi.nlm.nih.gov/42108451/)

BMC proceedings · 2026-05-11 

## Latest in MedTech

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

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

-   PubMed 2026-05-22 
    
    [Towards a feature-based regulatory benchmark for user-centred SaMD design in cancer care. ](https://pubmed.ncbi.nlm.nih.gov/42173550/)
    
    BMJ health & care informatics
    
-   PubMed 2026-05-11 
    
    [Proceedings from the 2025 Midwest Pediatric Device Consortium showcase featuring software as a medical device. ](https://pubmed.ncbi.nlm.nih.gov/42108451/)
    
    BMC proceedings
    

## Primary references

3 sources 

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

IMDRF· 1 FDA· 2 

1.  [1 
    
    IMDRF SaMD
    
    Verified 
    
    IMDRF · imdrf.org 
    
    
    
    ](https://www.imdrf.org/working-groups/software-medical-device-samd)
2.  [2 
    
    FDA SaMD Resources
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/digital-health-center-excellence/software-medical-device-samd)
3.  [3 
    
    FDA - AI/ML-Enabled Medical Devices
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/medical-devices/software-medical-device-samd/artificial-intelligence-and-machine-learning-aiml-enabled-medical-devices)

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

Sponsor note

### Building software-as-a-medical-device?

We help SaMD and AI/ML device teams meet IEC 62304 and the FDA's evolving expectations for software cybersecurity.

[Book a 30-minute discovery session](https://go.bluegoatcyber.com/meetings/blue-goat-cyber/discovery-session)

-   No obligation
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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

Software & AI

Acronym

SaMD

Sources

3

Use cases

1

Updated

5/5/2026

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

Learn in 60 seconds

Card Lesson Quiz

Software intended for medical purposes that performs without being part of a hardware device.

-   · SaMD spans diagnostic apps, AI triage tools, and clinical decision support systems. 
-   · Regulators worldwide, including FDA, MHRA, and Health Canada, align to the IMDRF framework. 

Remember this

Watch out: Confusing SaMD with SiMD. If the software is embedded in or required to operate a hardware device, it is SiMD and regulated with the parent device.

Related terms

-   [Software in a Medical Device(SiMD) ](/terms/simd)
-   [IEC 62304 ](/terms/iec-62304)
-   [Predetermined Change Control Plan(PCCP) ](/terms/ai-ml-pccp)
-   [Clinical Decision Support(CDS) ](/terms/cds)
-   [ISO 14971 ](/terms/iso-14971)
-   [Premarket Cybersecurity Submission ](/terms/premarket-cybersecurity)

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Related resources and services on this topic.

-   [
    
    AI SaMD Insights 
    
    How AI is changing SaMD - risk, regulation, and good machine-learning practice.
    
    ](https://ai-samd.com)
-   [
    
    Med Device Cyber Podcast 
    
    Conversations with medical device cybersecurity practitioners.
    
    ](https://mdcpodcast.com)

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