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Software and MedTech · 5 min

Your software is used in healthcare. Does that make it a medical device?

Before assigning an MDR class, assess the functions and intended purpose. Hospital use or the addition of AI does not settle device status.

THE PUBLIC REFERENCE POINT ·

Medical-device classification: MDCG guidance revised in April 2026

In April 2026, MDCG revised its general guidance on medical-device classification. This interpretative guide supports the reading of the regulation. For software, the starting question remains whether its intended purpose and functions bring it within MDR, IVDR or another framework.

The question for your organisation : Is your software a medical device, which rule determines its class, and which additional rules apply to its use?

NELSE editorial analysisPublished 27 October 2026 · Updated 27 October 2026Reading time : 5 min
A product team and a healthcare professional examine the intended function of clinical software.
AI-generated illustration for NELSE.

SCENARIO

One platform can contain very different functions.

01 · THE SCENE

A vendor adds a function that analyses individual information to guide care decisions to an existing management system.

02 · THE BLIND SPOT

The assessment of the administrative function does not automatically answer the questions raised by the new module.

03 · WHAT TO VERIFY

Define the intended purpose and functions, determine device status, then justify classification and applicable requirements.

IN THIS ARTICLE

THE TAKEAWAY

For : Software vendors, product teams, MedTech, regulatory affairs and healthcare organisations

  • Determine device status before choosing a risk class.
  • Intended medical purpose and functions matter more than an AI-healthcare label.
  • Rule 11 does not automatically put all software into one class.

One case, several frameworks to connect

Product qualification determines the relevant medical-device regulation. AI and data rules may then apply alongside it: they answer different questions and remain relevant after CE marking.

Medical devices — MDR or IVDR

When this framework applies : The intended purpose and functions meet the definition of a medical device or in vitro diagnostic medical device.

What to examine : Justify qualification, then apply the relevant regulation’s classification rules. MDR Rule 11 does not automatically carry over to IVDR.

AI Act

When this framework applies : The software is also an AI system. Article 6(1) covers AI that is a product governed by legislation listed in Annex I, or a safety component of such a product, where that product requires third-party conformity assessment.

What to examine : Coordinate the applicable requirements and timelines without conflating medical-device class with AI high-risk classification.

GDPR

When this framework applies : The software’s development, evaluation or use involves processing personal data.

What to examine : Assess purposes, roles, lawful bases, the applicable health-data condition and safeguards independently of CE marking.

One software product may fall under a device regulation, the AI Act and GDPR. Substantiate each classification and how the applicable requirements work together.

The place of use is not the deciding factor

Scheduling software and a module intended to inform treatment decisions may run on the same computer in the same department. They do not automatically share a regulatory status. Starting with the healthcare sector or a brand name can lead a team to assess the wrong scope.

Begin with function: what information goes into the software, what comes out and what decision is the output intended to support? Describe the product actually offered, rather than only the technology or an ambition in a presentation.

Start with the manufacturer's intended purpose

Regulation (EU) 2017/745 defines medical devices and intended purpose. Instructions, product information and promotional claims contribute to this assessment. Broad language cannot substitute for a consistent description of functions and the claimed medical use.

The June 2025 revision of MDCG 2019-11 offers guidance on software qualification, modules and interfaces. It is guidance, not an individual device-status ruling or a replacement for the regulation. Software with an in vitro diagnostic purpose also requires consideration of the appropriate IVDR framework.

Key point

Used in healthcare and medical device are not interchangeable descriptions.

Rule 11 follows the device-status assessment

Once medical-device status is established, assess the relevant classification rules. Annex VIII Rule 11 distinguishes software providing information for diagnostic or therapeutic decisions, monitoring physiological processes and other software within its scope.

The potential consequences of decisions and the nature of monitored parameters can change the class. Other rules may apply as well: consider the relevant set rather than choosing a favourable phrase. MDCG guidance explains these distinctions; an AI label alone does not determine classification.

The assessment must also coordinate CE-marking requirements with GDPR obligations where personal data is processed. If the software meets the definition of an AI system, assess the AI Act against its use, the parties' roles and the applicable timeline. Medical-device class and AI high-risk classification have distinct criteria: both assessments must be conducted and connected.

Six inputs for a regulatory review

A scoping file should bring the following information together. This prepares the analysis; it is not the complete technical documentation that may be required.

  • The precise intended purpose, users and target population.
  • Functions, input data, outputs and the decisions they influence.
  • Medical and non-medical modules, including dependencies and interfaces.
  • Potential consequences of an incorrect or unavailable output.
  • The reasoning for device status and classification, including unresolved issues.
  • Product and document versions, with changes that require a renewed review.

Keep the assessment connected to product changes

Adding clinical recommendations to a document tool can change the assessment. A new population, indication or function may also undermine earlier assumptions. Review needs to follow relevant product changes.

For a NELSPACE demonstration, start with your intended purpose and ask how to organise facts, supporting documents, responsibilities and open questions. The supported scope must be explicit. Regulatory organisation software does not itself confer CE marking or replace participants required in the conformity-assessment process.

Key point

Start with a function, an intended purpose and documented reasoning.

YOUR PRACTICAL CHECKLIST

Clarify your software’s intended purpose

Prepare a precise product description to assess qualification and the regulatory steps that follow.

Mark the points you have reviewed

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Official sources

General information; not a substitute for an assessment of your situation.

FROM ANALYSIS TO ACTION

Scope my MedTech dossier with NELSPACE

Legal scoping, checks and evidence should be tested on an actual case within a defined scope.