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EU MDR / IVDR (Medical Device & IVD Regulation)

The legal CE-marking regime for devices/diagnostics — distinct from ISO 13485 itself, which alone doesn't grant EU market access.

EU MDR (2017/745) & IVDR (2017/746) Audit-Readiness Rubric — CE-Marking / Notified-Body Regime

What this is: Regulation (EU) 2017/745 on medical devices (MDR) and Regulation (EU) 2017/746 on in vitro diagnostic medical devices (IVDR) — the legal EU market-access regime for devices and IVDs, enforced by Notified Bodies and national Competent Authorities. This is distinct from ISO 13485 (see iso13485-rubric.md): ISO 13485 certifies the quality management system a manufacturer runs; MDR/IVDR is the statutory regime that actually grants the CE mark and EU market access. A manufacturer can be fully ISO 13485-certified and still be unable to legally sell in the EU because it lacks a valid MDR/IVDR Declaration of Conformity, EUDAMED registration, UDI assignment, or (where required) a Notified Body certificate. This rubric focuses on the requirements that are distinct from QMS content already covered: risk classification, conformity assessment route, clinical/performance evaluation, UDI/EUDAMED, PMS/PMCF/vigilance, and technical documentation as legal deliverables — not the QMS processes that produce them (ISO 13485 already scores those).

Sourcing note: MDR and IVDR full text is public EU law (Official Journal L 117/1 and L 117/176, 5 May 2017), not copyrighted the way ISO 13485 is. However, direct fetch of the full regulation text via EUR-Lex this session was truncated at approximately Article 10 on every attempt (preamble + Articles 1–10 only, regardless of which article/annex the fetch prompt targeted) — the fetch tool appears to cap ingestion length before reaching the annexes, so Annex VIII (classification rules), Annex II/III (technical documentation), Annex XIV (clinical evaluation), and the full text of Articles 27–92 were never read verbatim this session. What follows for those sections is structural/paraphrased content, cross-checked as well-established, widely-published public knowledge (the 22 MDR classification rules and 4-tier A/B/C/D IVDR classification structure are near-universally described identically across BSI, TÜV SÜD, Johner Institute, and EC-adjacent consultancy sources), not a verbatim primary-source read — flagged explicitly per section below, and it should be re-verified against the actual Annex text (e.g. via a direct PDF/Official Journal fetch, which this session's tooling could not perform) before being used in customer-facing compliance scoring. Article numbers and high-level requirement descriptions were confirmed from the EUR-Lex preamble/recitals and Article 1–10 text that did load successfully. The MDCG guidance document list (titles, numbers, dates) was fetched directly from the European Commission's own guidance-document listing page (health.ec.europa.eu) and is a direct read, not paraphrase — though it was not independently cross-checked against a second source, so a small number of dates/rev-numbers could have summarization drift and are worth spot-checking before customer-facing use.


Rubric legend

Each row: Requirement (plain language) → Citation → Evidence that demonstrates compliance → Common failure pattern

Failure patterns here are drawn from consultancy/Notified-Body-adjacent write-ups on MDR/IVDR transition experience (2021–2026), not a named quantified regulator deficiency database — same sourcing caveat as the ISO 13485 rubric's failure-pattern section, flagged rather than fabricated.


Part A — Risk Classification (determines everything downstream)

Sourcing flag: the rule numbers/subject matter below (Annex VIII, MDR; Annex VIII, IVDR) are paraphrased from well-established secondary description, not a verbatim read of the Annex text this session — see sourcing note above.

#Requirement (plain language)CitationEvidence of complianceCommon failure pattern
1Every device must be assigned to one of four risk classes — Class I, IIa, IIb, III — using the classification rules set out in Annex VIII, applied per the device's intended purpose and mode of action (duration of contact, invasiveness, whether active, whether it administers/removes a medicinal substance, body part contacted, etc.). Widely-described rule groups: non-invasive devices (Rules 1–4), invasive devices (Rules 5–8), active devices (Rules 9–13), and special rules covering devices incorporating medicinal substances, devices of animal/human-derived materials, contraceptives, disinfectants, devices for recording diagnostic images, nanomaterials, and devices for administering medicines by inhalation (Rules 14–22) — rule count and grouping paraphrased, not verified verbatim this session.MDR Annex VIII (Regulation (EU) 2017/745)Documented classification rationale citing the specific Annex VIII rule(s) applied, with justification tied to intended purpose/mode of action; classification signed off by the Person Responsible for Regulatory Compliance (PRRC, Article 15)Classification rationale missing or asserting a class without citing the specific rule applied; classification not re-assessed after an intended-purpose or design change that could shift the device to a higher class; reliance on the pre-MDR (MDD) class where MDR's stricter rules (e.g. reclassified software, reusable surgical instruments) would now assign a higher class
2IVDs are classified into Class A, B, C, D (lowest to highest risk) per Annex VIII of the IVDR, based on the risk to the individual and to public health — general principle: Class A = low individual/public-health risk (e.g. general lab equipment); Class D = high risk to both (e.g. blood-borne transmissible-agent screening, ABO blood grouping). This is a materially different risk logic from the old IVDD's device-list-based (Annex II list A/B) approach — IVDR classification is rule-based and risk-driven, not a fixed product list, meaning many previously self-certified IVDs (legacy Annex II-negative/general IVDs) moved into higher-scrutiny classes requiring Notified Body involvement for the first time.IVDR Annex VIII (Regulation (EU) 2017/746)Documented classification rationale citing the applicable Annex VIII rule and risk-to-individual/risk-to-public-health justification, PRRC-signedClassification defaulting to the device's old IVDD list category rather than re-running the IVDR risk-based rules; failure to recognize that a device previously requiring no Notified Body under IVDD now falls into Class B/C/D requiring one under IVDR — one of the most commonly cited IVDR-transition gaps industry-wide
3Classification disputes between manufacturer and Notified Body, or borderline device/medicinal-product or device/IVD qualification questions, are addressed through Member State Competent Authority consultation and MDCG guidance (the "Helsinki Procedure" / Manual on Borderline and Classification) rather than self-resolution.MDR Article 51(2); MDCG Manual on Borderline and Classification v5; Helsinki Procedure (Sept 2021)Documented borderline/classification consultation record with the relevant Competent Authority or MDCG reference cited, where classification is ambiguousManufacturer self-resolving an ambiguous borderline classification without documenting the rationale or seeking the available MDCG/Competent-Authority reference resource

Part B — Conformity Assessment Route

#RequirementCitationEvidenceCommon failure pattern
4Class I devices (MDR) and Class A IVDs (IVDR) may generally be self-certified by the manufacturer under its sole responsibility — no Notified Body involvement — except Class I devices that are sterile, have a measuring function, or are reusable surgical instruments ("Is/Im/Ir" sub-categories), which do require Notified Body involvement for the sterility/measuring/reprocessing aspects specifically. Similarly, Class A IVDs that are sterile require Notified Body involvement for the sterility aspect.MDR Article 52(7); IVDR Article 48(2); MDCG 2019-15 rev.1 (Class I manufacturer guidance)Self-declared Declaration of Conformity for pure Class I/Class A; for Is/Im/Ir or sterile-A devices, a Notified Body certificate covering specifically the sterility/measurement/reprocessing aspect, alongside manufacturer self-declaration for the restTreating an entire device as "self-certified Class I" when it is actually Class Is/Im/Ir and requires partial Notified Body sign-off — a well-documented gap where manufacturers correctly identify the base class but miss the sub-category trigger
5Class IIa, IIb, III devices (MDR) and Class B, C, D IVDs (IVDR) require an "appropriate level of involvement" of a Notified Body, escalating with risk class — ranging from representative sample audits of technical documentation (IIa) to full quality-system audit plus technical documentation review of every device/device-family (III / Class D).MDR Article 52(1)–(6), Annexes IX–XI; IVDR Article 48(1),(3)–(8), Annexes IX–XIValid, in-date Notified Body certificate(s) referencing the specific conformity assessment annex/route used and the devices/device-groups covered; certificate scope matching the actual product range soldNotified Body certificate scope not covering a variant/accessory actually placed on market; certificate lapsed/expired with product still being sold; conformity assessment route mismatched to actual class (e.g. a IIb route used for what is actually a III device post-reclassification)
6Class III implantable devices and Class IIb active devices intended to administer/remove a medicinal product trigger mandatory expert panel scrutiny of the clinical evaluation assessment report by the Notified Body (with limited exceptions), adding an extra independent-review layer beyond the Notified Body's own assessment. Class D IVDs similarly may trigger EU reference laboratory involvement and/or expert panel consultation.MDR Article 54; IVDR Article 48(6)Documented expert panel consultation record/opinion (or documented, justified exemption) in the technical documentation for qualifying high-risk devicesExpert panel consultation step skipped or undocumented for a device that meets the mandatory-consultation criteria, without a documented exemption rationale
7Notified Bodies must themselves be designated and monitored by Member State authorities against MDR/IVDR-specific criteria (a materially stricter designation regime than under the old Directives) — a manufacturer's chosen Notified Body must hold current designation scoped to the specific device category/technology being certified.MDR Articles 35–50; IVDR Articles 31–46; MDCG 2022-13 rev.1Confirmation of Notified Body's current designation and scope (via the NANDO database) matching the device category certifiedUsing a Notified Body whose designation scope does not actually cover the specific device technology/category — a documented cause of certificate validity challenges during the MDR/IVDR transition

Part C — Clinical Evaluation (MDR) / Performance Evaluation (IVDR)

#RequirementCitationEvidenceCommon failure pattern
8Manufacturers must conduct clinical evaluation (MDR) — "a systematic and planned process to continuously generate, collect, analyse and assess clinical data...to verify safety and performance, including clinical benefits" (Article 2(44)) — and produce a Clinical Evaluation Report (CER), following a documented clinical evaluation plan, updated throughout the device's lifecycle (not a one-time pre-market exercise).MDR Article 61, Annex XIV Part A; MDCG 2020-13 (CER template)Clinical Evaluation Plan; current, dated Clinical Evaluation Report referencing the specific clinical evidence sources (clinical investigation data, equivalence data, literature, PMCF data) and updated at a defined frequency proportional to riskCER produced once at initial CE marking and not meaningfully updated with PMCF/PMS data on the required cycle; CER relying on "equivalence" claims to another device without the data-access justification MDR Article 61(4)-(6)/MDCG 2023-7 requires
9IVDR equivalent is performance evaluation, built on three pillars — scientific validity, analytical performance, clinical performance — documented in a Performance Evaluation Report (PER), following a Performance Evaluation Plan.IVDR Article 56, Annex XIII Part A; MDCG 2022-2 (general principles of clinical evidence for IVDs)Performance Evaluation Plan; current PER addressing all three pillars with evidence sources cited per pillarPER addressing only analytical performance while treating clinical performance/scientific validity as inherited from a predicate/legacy device without documented justification
10Equivalence claims (MDR/IVDR alike) — relying on clinical/performance data from an "equivalent" device rather than the manufacturer's own device — require documented technical, biological, and clinical/scientific-validity equivalence, and (per MDCG 2023-7 for MDR) a documented basis for having sufficient access to that other manufacturer's technical data, not merely public-domain claims.MDR Article 61(4)-(6); MDCG 2020-5, MDCG 2023-7Equivalence justification table (technical/biological/clinical characteristics) plus documented data-access basisEquivalence asserted against a competitor's device with no documented data-access agreement — a frequently cited MDR CER weakness since the access bar tightened relative to the old MDD approach
11PMCF (Post-Market Clinical Follow-up) for devices, and its IVDR analogue PMPF (Post-Market Performance Follow-up) for IVDs, must be planned and executed as a proactive continuation of clinical/performance evaluation — not merely reactive to complaints — with a PMCF/PMPF Plan and periodic PMCF/PMPF Evaluation Report feeding back into the CER/PER.MDR Article 61(11), Annex XIV Part B; IVDR Article 56, Annex XIII Part B; MDCG 2020-7 (PMCF plan template), MDCG 2020-8 (PMCF evaluation report template)PMCF/PMPF Plan; periodic PMCF/PMPF Evaluation Report demonstrably feeding conclusions back into the CER/PER and risk management filePMCF/PMPF treated as a paperwork exercise disconnected from the actual CER conclusions; PMCF plan silent on a device with high uncertainty/novel technology where proactive follow-up is precisely what's expected

Part D — UDI (Unique Device Identification) and EUDAMED Registration

#RequirementCitationEvidenceCommon failure pattern
12Manufacturers must assign a UDI (Device Identifier + Production Identifier) to every device except custom-made devices, obtained from an EU-recognized Issuing Entity, and place the UDI carrier on the label/packaging, with implementation timelines that were staggered by device class (higher-risk classes first).MDR Articles 27–29, Annex VI; IVDR Articles 24–26, Annex VI; MDCG 2018-1 rev.4 (Basic UDI-DI)UDI-DI/UDI-PI assignment records; label/packaging evidence of UDI carrier placement; Issuing Entity registration confirmationUDI assigned but not actually reflected on physical label/packaging artwork actually shipped; Basic UDI-DI (the higher-level grouping identifier used in technical documentation and certificates) confused with or omitted alongside the device-specific UDI-DI
13Manufacturers, authorised representatives, and importers must register themselves as economic operators and register their devices in EUDAMED, the central EU database integrating device, certificate, clinical-investigation/performance-study, vigilance, and market-surveillance data. EUDAMED has been undergoing a "gradual roll-out" with modules becoming mandatory on a staggered timeline (per amending Regulation (EU) 2024/1860), rather than all-at-once mandatory use from MDR/IVDR's original application dates — meaning obligations vary module-by-module and manufacturers must track which modules are currently mandatory versus voluntary/transitional.MDR Articles 29–34; IVDR Articles 26–31; MDCG 2021-1 rev.1, MDCG 2022-12 (interim admin practices pending full EUDAMED functionality); Q&A on gradual roll-out (Nov 2024, per Reg. 2024/1860)Economic-operator registration record (SRN — Single Registration Number); device/UDI-DI registration in EUDAMED (or, for modules not yet mandatory, evidence of compliance with the interim/alternative administrative practice per MDCG 2021-1/2022-12)Treating EUDAMED as "not yet required" wholesale rather than checking which specific module has actually become mandatory under the gradual roll-out timeline; SRN obtained but device-level UDI-DI registration not kept current after a device change
14An economic operator (not established in the EU) must appoint an Authorised Representative, and importers/distributors have defined verification obligations (checking CE marking, Declaration of Conformity, UDI, labeling) before placing devices on the EU market.MDR Articles 11, 13, 14; IVDR Articles 11, 13, 14; MDCG 2022-16 (AR guidance), MDCG 2021-27 rev.1 (Art. 13/14 Q&A)Authorised Representative mandate/agreement naming specific responsibilities; importer/distributor verification checklist recordsAuthorised Representative mandate not updated after a change in the device range covered, or not naming the specific PRRC-equivalent liability split required under Article 11

Part E — Post-Market Surveillance (PMS), PSUR, and Vigilance

#RequirementCitationEvidenceCommon failure pattern
15Manufacturers must maintain a PMS system proportionate to risk class, built on a documented PMS Plan, systematically and actively gathering data from post-market experience (complaints, PMCF/PMPF data, literature, incident/trend data), feeding back into technical documentation, risk management, and CER/PER updates.MDR Article 83–84, Annex III; IVDR Article 78–79, Annex III; MDCG 2025-10 (PMS guidance)PMS Plan document; PMS system procedure showing data-source coverage and defined feedback loop into technical documentation/risk file/CER-PERPMS Plan generic/templated with no device-specific data sources identified; PMS data collected but not demonstrably closing the loop back into the CER/PER or risk management file — directly analogous to the ISO 13485 §8.2.1 gap this rubric's sibling document flags, but here it is a distinct legal deliverable (the PMS Plan/Report), not just a QMS process
16A PMS Report (lower-risk Class I devices / Class A-B IVDs) or a PSUR — Periodic Safety Update Report (higher-risk Class IIa/IIb/III devices and Class C/D IVDs) must be produced, summarizing PMS findings, conclusions on benefit-risk, and PMCF/PMPF findings, at a frequency proportional to risk (PSUR: at least annually for Class III/IIb implantable-equivalent and Class D; at least every 2 years for Class IIa and Class B/C, per general practice) and — for higher classes — submitted to/available to the Notified Body and, where EUDAMED requires, uploaded centrally.MDR Article 85 (PMS Report), Article 86 (PSUR); IVDR Article 80 (PMS Report), Article 81 (PSUR); MDCG 2022-21 (PSUR guidance)Current PMS Report or PSUR (as applicable to device class) with defined update frequency evidenced by version history; Notified Body acknowledgment/review record for PSUR-tier devicesPSUR frequency not actually matched to the device's real risk class (e.g. an annual-cycle device updated only every two years); PSUR conclusions not visibly informing CER/PER updates or risk file changes — a "PSUR as compliance artifact, not a live safety signal" failure mode
17Vigilance reporting — manufacturers must report serious incidents and Field Safety Corrective Actions (FSCAs) to the relevant Competent Authority within defined timelines (immediately/without undue delay for serious incidents; specific shorter timelines for incidents involving death/serious public-health threat), via the vigilance module of EUDAMED (or interim national reporting pending full EUDAMED functionality), and issue Field Safety Notices to affected users where an FSCA is initiated.MDR Articles 87–92, Annex III Part B; IVDR Articles 82–87; MDCG 2023-3 rev.2 (vigilance terms/concepts), MDCG 2024-1 (device-specific vigilance template)Vigilance/incident-reporting procedure naming jurisdiction-specific timelines and thresholds; incident/FSCA log with reporting timestamps demonstrating compliance with the applicable timeline; Field Safety Notice records for any FSCA issuedReporting procedure not distinguishing "serious incident" from ordinary complaint per the Article 2 definitions, causing under-reporting; FSCA issued without a corresponding, retrievable Field Safety Notice record; reporting timeline missed because the trigger event (e.g. "became aware") was not clearly defined internally

Part F — Technical Documentation

#RequirementCitationEvidenceCommon failure pattern
18Manufacturers must compile and keep current Technical Documentation demonstrating conformity — device description/specification, design/manufacturing information, General Safety and Performance Requirements (GSPR) checklist with evidence references, benefit-risk analysis, verification/validation data, and (per Annex III) the PMS-related documentation described in Part E above — structured per Annex II (general technical documentation) and Annex III (PMS-specific technical documentation).MDR Articles 10(4), Annex II & III; IVDR Articles 10(4), Annex II & IIITechnical Documentation file structured to Annex II/III headings, with a GSPR (MDR Annex I) / General Safety and Performance Requirements (IVDR Annex I) checklist mapping each applicable requirement to specific supporting evidenceGSPR/checklist referencing evidence documents that, on inspection, don't actually substantiate the specific requirement claimed (a "checklist theatre" pattern Notified Bodies have flagged repeatedly during MDR/IVDR technical documentation audits); technical documentation not updated after a design change, leaving it out of step with the actual manufactured device
19A Declaration of Conformity (DoC) must be drawn up by the manufacturer, listing the device(s)/device-group covered, applicable regulation and conformity assessment route/annex used, and (where applicable) the Notified Body identification number and certificate reference.MDR Article 19, Annex IV; IVDR Article 17, Annex IVSigned, current Declaration of Conformity naming the correct devices, correct conformity assessment route, and Notified Body number/certificate where applicableDoC not re-issued after a device-range change (new SKU/variant added without updating the DoC's device list); DoC citing an expired or superseded Notified Body certificate number
20The CE marking itself, and (for Notified-Body-assessed devices) the Notified Body's four-digit identification number displayed alongside it, must correspond to a currently valid certificate — CE marking without a valid, in-scope Notified Body certificate for a device requiring one is a fundamental non-conformity, not a documentation gap.MDR Article 20; IVDR Article 18CE mark + NB number on device/label matched against a live, in-scope Notified Body certificate recordCE mark carried over from a legacy MDD/IVDD certificate past its transitional validity window (see MDCG 2022-18 / Article 120 MDR & Article 110 IVDR legacy-device provisions) without a valid MDR/IVDR certificate actually in place — the single most commonly cited MDR/IVDR "transition cliff-edge" risk across MDCG's own position papers

Documents/evidence needed for an MDR/IVDR gap analysis

Classification & conformity assessment: documented classification rationale citing the specific Annex VIII rule(s); Notified Body certificate(s) (scope, expiry, route) or self-declaration basis for Class I/Class A; NANDO designation-scope confirmation for the chosen Notified Body; expert panel consultation record where mandatory.

Clinical/Performance evaluation: Clinical Evaluation Plan + Clinical Evaluation Report (MDR) or Performance Evaluation Plan + Performance Evaluation Report (IVDR); equivalence justification + data-access basis where equivalence is claimed; PMCF/PMPF Plan and Evaluation Report.

UDI/EUDAMED: UDI-DI/UDI-PI assignment records and Basic UDI-DI; label/packaging artwork evidencing UDI carrier placement; economic-operator SRN and device-level EUDAMED registration (or documented interim/alternative practice per MDCG 2021-1/2022-12 for modules not yet mandatory); Authorised Representative mandate (non-EU manufacturers).

PMS/PSUR/Vigilance: PMS Plan; PMS Report or PSUR (per risk class) with version history; vigilance/incident-reporting procedure; incident/FSCA log with reporting timestamps; Field Safety Notice records.

Technical documentation & DoC: Technical Documentation file per Annex II/III headings; GSPR/General Safety and Performance Requirements checklist mapped to evidence; Declaration of Conformity naming devices/route/Notified Body; CE mark + NB-number validity cross-check against the live certificate.


Common gap patterns (cross-cutting, qualitative — not a named regulator deficiency database)

  1. ISO 13485 certification mistaken for market access. The most consequential category error this rubric exists to catch: a fully ISO 13485-certified manufacturer with no valid MDR/IVDR Declaration of Conformity, no current Notified Body certificate for its actual risk class, or no EUDAMED registration cannot legally place devices on the EU market — QMS certification and legal conformity are separate deliverables.
  2. Legacy-device transitional cliff-edge (MDCG 2022-18, MDCG 2021-25 rev.1, MDCG 2022-8): devices carried over under MDD/AIMDD/IVDD certificates past their transitional validity window without a valid MDR/IVDR certificate in place — repeatedly flagged by MDCG as the single biggest systemic MDR/IVDR transition risk.
  3. IVDR reclassification blind spot: IVDs previously self-certified under the old IVDD's list-based approach that now fall into Class B/C/D under IVDR's risk-based rules, requiring Notified Body involvement for the first time, discovered late.
  4. Equivalence claims without documented data access for CER/PER purposes, post-MDCG 2023-7 tightening.
  5. PSUR/PMS as static compliance artifacts rather than a live feedback loop into CER/PER and the risk management file.
  6. GSPR checklist "theatre" — a completed-looking checklist whose cited evidence doesn't actually substantiate the specific requirement, surfaced during Notified Body technical documentation sampling.
  7. EUDAMED module confusion — treating all EUDAMED obligations as "not yet mandatory" without tracking which specific module has gone live under the gradual roll-out.

Gaps / follow-ups

  1. Annex VIII (MDR and IVDR) verbatim rule text was never read this session — every EUR-Lex fetch attempt truncated at approximately Article 10 regardless of the specific article/annex targeted in the prompt, suggesting a hard content-length cap in the fetch pipeline rather than a URL/anchor problem. The classification rule structure above (22 MDR rules in 4 groups; IVDR risk-to-individual/risk-to-public-health A/B/C/D logic) is well-established secondary-source paraphrase, not a primary-source read. Recommend a follow-up pass using a source that can serve the Annexes in smaller chunks (e.g. a paginated Official Journal PDF fetch, or a Notified Body's own published classification-rule summary table) before this is used in customer-facing scoring.
  2. Full article text for Articles 27–92 (both regulations) was similarly never read verbatim — the requirement descriptions above are built from confirmed article numbers (via preamble cross-references that did load) plus well-corroborated MDCG guidance titles/topics, not verbatim article text.
  3. MDCG guidance list dates/rev-numbers were fetched directly from the EC's own listing page in one pass, not cross-checked against a second source — a small number of entries (particularly 2025/2026-dated revisions) are worth spot-checking against the live page before being cited as current to a customer, since guidance is revised frequently and this rubric will age.
  4. No named, quantified Notified Body or Competent Authority deficiency database was located/attempted this session (parallel to the ISO 13485 rubric's equivalent gap) — the "common gap patterns" section above is qualitative, drawn from MDCG's own position papers (which are primary-source, unlike the ISO 13485 rubric's consultancy-only sourcing) plus general industry write-ups.
  5. EUDAMED's gradual roll-out timeline specifics (which modules are mandatory as of the current date vs. still voluntary/transitional under Regulation (EU) 2024/1860) were identified as existing but the specific module-by-module current status was not verified this session — flagged as a live-tracking item since it changes over time and directly affects what "EUDAMED registration evidence" should look like for a given customer engagement.
  6. Notified Body capacity/availability (MDCG 2022-14) — not researched in depth this session; potentially relevant context for why a customer's Notified Body process is delayed, but not a rubric-scoring item itself.
  7. Interplay with the EU AI Act for AI/software-containing devices (MDCG 2025-6) was identified in the MDCG list but not researched — flagged as a possible future rubric extension given Regscribe's SaMD-adjacent customer base (paralleling the ISO 13485 rubric's IEC 62304 flag).

Suggested integration note (not implemented — flagging for a decision, not doing it unasked)

Following the same precedent as the ISO 13485 rubric: this document is not yet wired into lib/rubrics.ts (the RUBRICS registry currently only lists part11 and gmp-gdp). If MDR/IVDR is meant to become a selectable rubric in the product, the follow-up is: add an mdr-ivdr entry to RUBRICS in /Users/khando/Khando/Dev/Projects/regscribe/lib/rubrics.ts pointing at eu-mdr-ivdr-rubric.md, plus whatever test coverage lib/__tests__/rubrics.test.ts expects for a new rubric ID. Given MDR/IVDR and ISO 13485 are frequently needed together for a device manufacturer, also worth deciding (with Khando, not unilaterally) whether these should be exposed as one combined "EU Medical Device" rubric selection or two separate selectable rubrics — flagging the product decision rather than making it.