The Medical Device Coordination Group (MDCG) has published its 2025-9 guidance on Breakthrough Devices (BtX) under the Regulations (EU) 2017/745 (MDR) and (EU) 2017/746 (IVDR).
Key highlights include:
- Faster market access for innovative medical devices and IVDs addressing unmet medical needs;
- Clear BtX designation criteria: high technological novelty and significant clinical impact for life-threatening or irreversibly debilitating conditions;
- Guidance on clinical data collection, combining pre-marketing data, PMS data, and post-market data (PMCF/PMPF);
- Enhanced collaboration between manufacturers, notified bodies, competent authorities, and expert panels;
- Support for innovation through EU and national funding mechanisms.
This guidance is a major step toward fostering innovation without compromising safety and performance, ensuring timely patient access to breakthrough technologies.
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