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    Substantial Equivalence

    The legal standard a 510(k) device must meet versus a predicate.

    Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026

    Definition

    A device is substantially equivalent if it has the same intended use as the predicate and either the same technological characteristics, or different technological characteristics that do not raise different questions of safety and effectiveness, with performance data demonstrating equivalent safety and effectiveness.

    What this means in practice

    Substantial equivalence is the legal foundation of the 510(k) pathway. FDA decisions hinge on careful predicate selection and side-by-side comparisons of indications, technology, and performance.

    Cross-references

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    Primary references

    3 sources
    Link health: 3 verified· last checked 2026-05-09
    FDA·1European Commission·1IMDRF·1
    1. 1
      The 510(k) Program Guidance
      Verified
      FDAfda.gov
    2. 2
      European Commission - Medical Devices
      Verified
      European Commissionhealth.ec.europa.eu
    3. 3
      IMDRF Documents
      Verified
      IMDRFimdrf.org

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