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Medical Device & IVD Blog

Clinical Evidence

EClinCloud EDC for Device Studies: Linking Versions, Deficiencies and Endpoints

Evaluate whether a configurable EDC study build can reconstruct device models, firmware versions, deficiencies, and endpoint records for FDA and EU MDR trials.

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Regulatory

HSA GN-21 R7 Change Notification: 6Aii/6Aiii Approval, Two-CN Cap, & August Clock

Singapore HSA GN-21 Revision 7 change notification guide: when 6Aii/6Aiii SMDR updates require approval, the two-active-CN cap, and the 1 August 2026 clock.

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Regulatory

FDA 2026 Container Closure Draft: Device-Constituent CCS, 510(k), & October Clock

FDA August 2026 container closure systems draft guidance: device-constituent CCS vs packaging, 510(k)/PMA vs NDA, Section V.B.3, and Docket FDA-2026-D-7957.

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EU MDR / IVDR

MDCG 2026-4: Who Uploads SSCP and SSP to EUDAMED, the Handover, and 2027 Clocks

MDCG 2026-4 EUDAMED SSCP and SSP upload guide: NB interim duties, manufacturer handover in October 2026, Article 32 vs 29(4), and the 27 February 2027 clock.

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Regulatory

Malaysia MDA Automated Re-Registration: MeDC@St 2.0+, July 2026 Switch & CN Trap

Operational guide to Malaysia MDA's Automated Re-Registration Route in MeDC@St 2.0+: six eligibility gates, CN-first sequencing, QMS whitelist, fees, and TAT.

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Regulatory

Philippines FDA Advisory 2026-1007: CPR Validity, 120-Day Clock & CMDN/CMDR

Operational guide to FDA Advisory 2026-1007: CPR validity during renewal, RA 9711 IRR 120 days, customs proof, CMDN/CMDR 90-day filing, and fee suspension.

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Regulatory

India G.S.R. 743(E): Outsourced Sterilization Labels, 14 Feb 2027 Clock & Ninth Schedule

Guide to CDSCO G.S.R. 743(E) Medical Devices Second Amendment Rules 2026: Rule 44(p) label prefixes, 14 Feb 2027 clock, Ninth Schedule fees, and loan licences.

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Regulatory

Health Canada MDEL Phase 2: Foreign Distributor Exemption, Supplier Lists & GUI-0016

Operating guide to Health Canada MDEL Phase 2 (SOR/2026-110, GUI-0016 Dec 14 2026): keep-or-cancel, supplier lists, procedures, and CAD $5,519.

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Regulatory

ISO 20417:2026 Guide: FDA Rec# 5-149, July 1 2029 DoC Window & ISO 15223-1

Operational guide to ISO 20417:2026: FDA Rec# 5-149 complete recognition, the July 1 2029 DoC transition window, ISO 15223-1, 21 CFR 801, and EU MDR GSPR 23.

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Digital Health & AI

CDSCO Medical Device Software Guidance 2026: MDSW Classes, Portals & Change Protocols

Navigate India's CDSCO MDSW guidance: SaMD qualification, Class A–D risk matrix, NSWS vs cdscomdonline portals, Algorithm Change Protocols, and MDR-2017 rules.

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Reimbursement & Market Access

CMS CY 2027 OPPS: Software as a Medical Service (SaMS) & Status Indicator O1

CMS-1850-P proposed SaMS policy: status indicator O1, Table 61 vs Table 62, CLFS-to-APC rate mismatch, and the August 31, 2026 comment deadline.

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Clinical Evidence

DHTs as Endpoints in Device Investigations: Investigational Device vs Measurement Tool

FDA DHT clinical investigation guide: investigational device vs remote measurement tool under 21 CFR 812, fit-for-purpose V&V, and August 2026 DDM status.

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Quality Systems

IEC 62353 Recurrent Testing After Repair: OEM IFU Duties vs IEC 60601-1 & NFPA 99

IEC 62353 in-service electrical safety testing: manufacturer IFU duties, IEC 60601-1 type test differences, CMS S&C 14-07 major repair rules, and NFPA 99.

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Regulatory

ISO 80369 Small-Bore Connector Conversion: 510(k), FDA Windows & Particular Parts

Manufacturer ISO 80369 conversion guide: route-specific particular parts, FDA recognition transition windows through Dec 17, 2028, and 510(k) change forks.

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Digital Health & AI

MHRA Ambient Voice Technology 2026: When an AI Scribe Is a Medical Device in Great Britain

MHRA and NHS England 2026 guidance on ambient voice technology (AVT): 9-example medical device qualification tree, Class I vs IIa, DCB0129, and UKCA strategy.

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EU MDR / IVDR

MDCG 2026-5 UDI Assignment: Manufacturer vs Distributor Decision Tree

MDCG 2026-5 UDI assignment guide: 3-path decision tree for private-label distributor brands, MDR Article 16, Basic UDI-DI rules, and EUDAMED registration.

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Clinical Evidence

Medical Device Expanded Access: Emergency Use, Compassionate Use & Treatment IDE

Operational guide to US investigational device expanded access: emergency use, compassionate use IDE supplements, Treatment IDE (21 CFR 812.36), and IRB rules.

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EU MDR / IVDR

NSAI NB 0050 Medical Devices Divestment 2026: Stay vs Transfer Playbook

Playbook for NSAI NB 0050 clients on the 2026 divestment: confirmed facts, stay-vs-transfer tree, MDR Article 58, IVDR Article 53, MDSAP.

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Clinical Evidence

Medical Device Trial Master File (TMF) and ISF Guide: ISO 14155, FDA, and EU MDR

Complete guide to medical device TMF and ISF: ISO 14155:2026 Annex E essential documents, 21 CFR 812.140, EU MDR archiving, and device-unique artifacts.

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Clinical Evidence

IVDR Performance Study Requirements: Application vs Notification, Timelines, and Reporting

Comprehensive guide to IVDR Chapter VI performance studies: Article 58 application triggers, Article 70 PMPF notifications, Article 66 timelines, leftover samples, and safety reporting.

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