Theme Innovation 
Target Audience Manufacturers, NB, experts panel 
Products concerned Innovative MD, IVD 

This MDCG guidance document provides guidance on Breakthrough Device (BtX) status under the Medical Devices Regulation (MDR) and In Vitro Diagnostic Medical Devices Regulation (IVDR).  

Main objective: to facilitate rapid market access for innovative medical devices or in vitro diagnostic devices, without compromising the requirements for clinical evidence.  

This guidance covers:  

  • Transparency rules  
  • Eligibility criteria and their interpretation  
  • Clinical and pre-clinical assessment considerations tailored to these devices  
  • Post-market surveillance (PMCF/PMPF)  
  • The role of expert panels, notified bodies and competent national authorities  
  • Early dialogue and scientific advice procedures  
  • National and European funding mechanisms to support innovation 
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