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REGULATORY

How classification works under the EU MDR — and where this tool stops

A plain description of the framework MDClassify implements, of the choices made in encoding it, and of its limits. We publish this because a compliance tool that is vague about its own scope is a liability for the people who rely on it.

NOTE — INDICATIVE RESULT, NOT A DETERMINATION

MDClassify produces a preliminary, informational indication of the risk class of a device under Regulation (EU) 2017/745. It is not legal or regulatory advice, is not a conformity assessment, and is not a binding confirmation from a Notified Body or a Competent Authority. Under Article 10 of the Regulation, responsibility for correctly classifying a device and documenting the rationale lies with the manufacturer alone. Results depend entirely on the answers provided and on the intended purpose as declared by the user; an incorrect or incomplete intended purpose will produce an incorrect class.

To have this classification reviewed and formally documented, write to service@mdclassify.com.

How the engine works, and where it stops

The legal framework

Regulation (EU) 2017/745 on medical devices — the MDR — has applied since 26 May 2021, replacing the earlier Medical Devices Directive. Article 51 requires devices to be divided into Class I, IIa, IIb and III according to their intended purpose and inherent risks, in accordance with the rules set out in Annex VIII.

Classification is not a formality: it determines the conformity assessment route, whether a Notified Body must be involved, the depth of clinical evidence expected, and the post-market surveillance regime. Getting it wrong at the start of a project is expensive to correct at the end.

How Annex VIII is structured

Annex VIII has three parts, and the middle one is the part most often overlooked.

  • Chapter I — Definitions of the terms the rules turn on: duration of use (transient, short term, long term), invasiveness, active device, and so on.
  • Chapter II — Implementing rules, which govern how the classification rules are applied. Crucially: classification follows the intended purpose, not the technology; accessories are classified in their own right; and where several rules apply, the strictest one wins.
  • Chapter III — the 22 classification rules, grouped as non-invasive devices (Rules 1–4), invasive devices (Rules 5–8), active devices (Rules 9–13) and special rules (Rules 14–22).

Two consequences of the implementing rules matter more than any individual rule. First, the intended purpose is the input — the same physical object can be Class I or Class III depending on what the manufacturer claims it is for. Second, because the strictest applicable rule prevails, a device must be tested against all rules, not just the most obvious one.

The four classes, and what each one costs you

CLASSRISKNOTIFIED BODY
ILowNot required — self-declaration. Except Is (sterile), Im (measuring function) and Ir (reusable surgical instruments), where a Notified Body assesses only that aspect.
IIaMediumRequired
IIbMedium-highRequired, with deeper technical documentation sampling
IIIHighRequired. Highest evidentiary burden; certain devices additionally trigger the clinical evaluation consultation procedure.

NOTE —

The applicable conformity assessment procedures are set out in Annexes IX, X and XI of the Regulation; which combination is open to you depends on the class.

What this engine actually does

MDClassify asks a structured set of questions about intended purpose, invasiveness, duration of contact, whether the device is active, and a set of special-category flags. It then evaluates the applicable rules, applies the “strictest rule wins” principle, and returns the resulting class together with every rule that matched and the reasoning behind it — not just a letter. That transparency is deliberate: a class you cannot justify is of no use in technical documentation.

Coverage, rule by rule

All 22 rules of Annex VIII are evaluated against every classification. 13 are determined from the answers alone; 5 are determined but rest on a regulatory judgement you declare, which the report names so it can be checked; 2 cannot be settled by an engine at all and are reported as open; and 2 have a branch that is not yet implemented, listed by name. The table below is the whole of it. It is generated from the same file the questionnaire, the report and the terms read, so this page cannot say one thing while another says something else — a discrepancy a reviewer found in an earlier version of this site, and the reason the table exists.

Grouping the special rules together and calling them all “interpretive” would be easier and would be false. Rule 17 has a single outcome and no judgement in it. Rule 19 has three outcomes and cannot be settled from a questionnaire at all. Stating the limit per rule is the only version of this claim that can be checked.

RULESUBJECTCLASSESWHAT THE ENGINE DOES
1Non-invasive devices, generalIDetermined from the declared answers.
2Channelling or storing for eventual administrationI, IIa, IIbDetermined from the declared answers.
3Modifying the composition of blood or body liquidsIIa, IIbBranch not implemented. The second paragraph is not implemented: a substance or mixture used in vitro in direct contact with human cells, tissues or organs taken from the body, or with human embryos before implantation, is Class III. The questionnaire does not yet ask this, so such a device would be classified on its other characteristics and under-classified.
4Contact with injured skin or mucous membraneI, IIa, IIbDetermined from the declared answers.
5Invasive with respect to body orificesI, IIa, IIb, and the class of a connected active deviceDetermined from the declared answers.
6Surgically invasive, transient useIIa, IIb, IIIDetermined from the declared answers.
7Surgically invasive, short-term useIIa, IIb, IIIDetermined from the declared answers.
8Implantable and long-term surgically invasiveIIb, IIIDetermined from the declared answers.
9Active therapeutic devices administering or exchanging energyIIa, IIbBranch not implemented. The paragraph on active devices intended to control, monitor or directly influence the performance of active implantable devices — Class III — is not implemented. The questionnaire does not yet ask it, so a programmer or controller for an implant would be classified on its energy characteristics alone and under-classified.
10Active devices for diagnosis and monitoringIIa, IIbDetermined from the declared answers.
11SoftwareI, IIa, IIb, IIIDetermined on a declared judgement. The tiers of the rule itself are applied in full. What is not applied automatically is the implementing rule in Chapter II: software which drives a device or influences its use falls in the same class as that device. Where the software controls hardware, that class has to be carried across by hand.
12Active devices administering or removing substancesIIa, IIbDetermined from the declared answers.
13All other active devicesIDetermined from the declared answers.
14Incorporating a medicinal substanceIII, or outside the Regulation entirelyNot determined by the engine. The rule applies only where the substance's action is ancillary to that of the device. If the substance provides the principal action, the product is a medicinal product and the MDR does not classify it at all. That question is one of qualification, decided against MDCG 2021-24 and the borderline manual, and the engine cannot settle it — so it names it rather than assuming an answer.
15Contraception and prevention of sexually transmitted diseasesIIb, IIIDetermined on a declared judgement. Class IIb is applied. The rise to Class III for implantable or long-term invasive devices — an intrauterine device, for instance — is flagged against the Annex VIII duration definitions rather than applied automatically.
16Disinfecting, cleaning and contact lens careI, IIa, IIbDetermined from the declared answers.
17Recording of X-ray diagnostic imagesIIaDetermined from the declared answers.
18Non-viable tissues or cells of human or animal originI, IIIDetermined on a declared judgement. Class III is applied. The narrow exception — animal-origin material intended to contact intact skin only, which is Class I — is flagged rather than applied, because it turns on the origin of the material and on contact being genuinely limited to intact skin.
19NanomaterialIIa, IIb, IIINot determined by the engine. The class turns entirely on the potential for internal exposure: high or medium is Class III, low is Class IIb, negligible is Class IIa. That is a documented risk assessment, not an answer to a question, and all three outcomes are reachable for what looks like the same device. The engine therefore states no class at all here — the result reads “Class IIa, IIb, III — not determined”, with the assessment that would settle it. An earlier version reported a provisional Class IIb, and a reviewer told us plainly what that gets read as.
20Administration of medicinal products by inhalationIIa, IIbDetermined on a declared judgement. Both tiers are applied, but the choice between them rests on whether the device's mode of action has an essential impact on the efficacy and safety of the medicinal product, or whether it treats life-threatening conditions. That is declared in the questionnaire, and the report records it as a declaration to be checked rather than as a finding.
21Substance-based devicesIIa, IIb, IIIDetermined from the declared answers.
22Active therapeutic devices with an integrated diagnostic functionIIIDetermined on a declared judgement. Class III is applied where the integrated diagnostic function significantly determines patient management. Whether it does — a device that adjusts its own therapy does, one that displays a measurement for a clinician to act on does not — is declared rather than derived, and the report says which.

NOTE —

The two rules marked as having a branch not implemented — Rules 3 and 9 — are open findings from the regulatory review of this engine, not discoveries you are meant to make yourself. They are listed here for the same reason they are listed in the report: a gap you know about is a limitation, and a gap you do not is a defect.

Where the tool stops — read this part

Every automated classification carries the same structural weakness: it can only be as good as the intended purpose it is given. In practice, most classification disputes are not arguments about Annex VIII at all — they are arguments about how the intended purpose was worded. This tool cannot draft your intended purpose, challenge it, or notice that the claims in your marketing material contradict it. A regulatory professional can, and that is the main thing you are buying when you engage one.

Concretely, MDClassify does not and cannot

  • determine whether your product is a medical device at all — borderline and combination products need a qualification assessment first;
  • settle the rules whose outcome turns on an assessment rather than on a fact — the nanomaterial exposure assessment under Rule 19, and the qualification question under Rule 14 of whether the substance's action is ancillary or principal. These are named individually in the coverage table above rather than grouped, because most of the special rules are applied in full;
  • cover in vitro diagnostic devices, which fall under Regulation (EU) 2017/746 with its own class A–D framework;
  • produce the classification rationale in the form required for technical documentation, or defend it before a Notified Body;
  • account for national implementation details, guidance updates or Notified Body practice, which shift over time.

NOTE —

The engine has been written against the text of Annex VIII and the MDCG guidance on classification. It should be independently audited by a qualified regulatory affairs professional before any commercial or regulatory reliance is placed on it.

Other markets

The MDR class does not travel, which is why the same answers are run through each market's own rules rather than translated. Six frameworks are implemented today: the EU MDR, Great Britain, Australia, Switzerland, Canada and Brazil. The United States is present too, but differently — it classifies by matching a device to a generic type in a catalogue rather than by running a cascade, so it appears as a search over the FDA product classification database and the choice of code is left to you.

The divergences are not cosmetic. Surgical mesh and total joint replacements are Class III under MDR Rule 8 and Class IIb in Great Britain and Australia, whose rules descend from the directives. A closed-loop therapeutic device is Class III in Europe and Class IV in Canada. Brazil transposes Annex VIII rule for rule but relabels the scale, so its Class III is the European Class IIb.

The frameworks also move. The MHRA published a draft amendment to the UK Medical Devices Regulations in May 2026 that would introduce a more risk-proportionate, IMDRF-aligned classification framework, with entry into force expected in 2027 — meaning a UK class determined today may not be the UK class of tomorrow.

See how each market classifies, and where they diverge

Frequently asked questions

Who is legally responsible for classifying a medical device?

The manufacturer. Under Regulation (EU) 2017/745 the manufacturer determines the class of its device and must document the rationale in the technical documentation. Neither a software tool nor a consultant transfers that responsibility away from the manufacturer.

How many risk classes exist under the EU MDR?

Four: Class I, Class IIa, Class IIb and Class III, in increasing order of risk. Class I is further sub-categorised as Is (supplied sterile), Im (with a measuring function) and Ir (reusable surgical instruments), which require limited Notified Body involvement for those specific aspects.

What is Annex VIII of the MDR?

Annex VIII contains the classification framework: definitions, implementing rules that govern how the rules are applied, and 22 classification rules covering non-invasive devices, invasive devices, active devices and a set of special cases such as software, devices incorporating a medicinal substance and devices made of nanomaterials.

Does the class determine whether a Notified Body is needed?

Largely, yes. Class I devices that are not sterile, have no measuring function and are not reusable surgical instruments can be self-declared. Every other class requires a Notified Body, with the applicable conformity assessment route set out in Annexes IX, X and XI.

Can the same device fall under more than one rule?

Yes, and this is a frequent source of error. The implementing rules in Annex VIII state that if several rules apply to the same device, the strictest rule resulting in the higher classification applies. MDClassify evaluates all applicable rules and reports the strictest outcome together with every rule that matched.

Is the result from MDClassify legally binding?

No. It is an indicative, informational result intended for orientation. It is not a conformity assessment, not regulatory advice, and not a determination by a Notified Body or Competent Authority.

A REVIEWED CLASSIFICATION

If you need a classification rationale that will survive a Notified Body review — or a second opinion on the result this tool gave you — write to service@mdclassify.com.

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