Evaluate compliance with European In Vitro Diagnostic Regulation 2017/746 for diagnostic tests, companion diagnostics, and laboratory-developed tests (LDTs)
Article 47: Classification based on risk and intended use (companion diagnostics = Class C)
Article 26: Registration and UDI requirements for all IVDs
Article 5(5): In-house devices used within health institution under appropriate QMS
Article 10: QMS covering design, manufacture, verification, validation
Article 15: PRRC must understand diagnostic testing and regulatory requirements
Annex I (3) & (9): Performance characteristics validated per intended use
Annex I (8): Stability must be demonstrated under stated conditions
Article 10: Technical file with device description, analytical/clinical performance
Annex II: Clearly defined analytes, clinical conditions, target users
Annex I (20): IFU with sensitivity, specificity, accuracy, precision, reference ranges
Annex I (9.1): Analytical sensitivity, specificity, trueness, precision validated
Article 56 & Annex XIII: Clinical sensitivity/specificity, predictive values, diagnostic accuracy
Annex XIII: Biological/clinical rationale for the test's intended use
Article 47: Class C devices require co-validation with associated drug/therapy
Annex I (9.2): Metrological traceability where applicable (SI units)
Article 78: PMS to monitor performance and detect emerging risks
Article 81: PSURs with performance data, incidents, corrective actions
Article 56(4): Continuous collection of clinical performance data
Article 82: Immediate reporting for deaths, within 15 days for serious incidents
Article 10(8): Root cause analysis and preventive actions
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