For Class D medical device registration under Hong Kong’s Medical Device Administrative Control System (MDACS), the Medical Device Division (MDD) requires compliance with recognized international standards to demonstrate that the device meets the Essential Principles of Safety and Performance (EPs). Class D devices, being high-risk (e.g., implantables, life-support devices, high-sensitivity IVDs), are subject to the most stringent conformity requirements.
Below is a comprehensive guide to the applicable standards, how they are used in the MDACS process, and how you can demonstrate compliance.
All Class D devices must comply with:
GN-01: Essential Principles of Safety and Performance of Medical Devices
GN-02: Essential Principles for IVD Medical Devices (for in vitro diagnostics)
You are required to demonstrate compliance with these EPs by referencing internationally recognized standards.
Hong Kong’s MDACS system is modelled on the GHTF/IMDRF framework, and accepts international consensus standards, especially those recognized in:
EU (CE marking under MDR/IVDR)
USA (FDA)
Canada (Health Canada)
Australia (TGA)
Japan (PMDA)
The table below outlines key applicable standards for Class D devices by category:
| Category | Standard | Description |
|---|---|---|
| General safety | ISO 14971 | Risk management for medical devices |
| Quality system | ISO 13485 | Quality management systems |
| Biocompatibility | ISO 10993 series | Evaluation of biological safety |
| Sterilization (ethylene oxide) | ISO 11135 | Validation of EO sterilization |
| Sterilization (radiation) | ISO 11137 | Validation of radiation sterilization |
| Sterility assurance | ISO 11737-1/2 | Bioburden and sterility testing |
| Packaging validation | ISO 11607-1/2 | Packaging for terminally sterilized medical devices |
| Category | Standard | Description |
|---|---|---|
| Electrical safety | IEC 60601-1 | General safety of electrical medical devices |
| EMC (electromagnetic compatibility) | IEC 60601-1-2 | Electromagnetic disturbance and immunity |
| Software life cycle | IEC 62304 | Medical device software development |
| Usability engineering | IEC 62366 | Human factors and usability |
| Alarms | IEC 60601-1-8 | Alarm systems in medical devices |
| Programmable systems | IEC 60601-1-4 | Programmable electrical systems in MDs |
| Device Type | Standard |
|---|---|
| Active implantable medical devices | EN 45502 series |
| Orthopedic implants | ISO 5832 series |
| Cardiovascular implants | ISO 25539 series |
| Pacemakers/defibrillators | ISO 14708 series |
| Category | Standard |
|---|---|
| General requirements for IVDs | ISO 15189, ISO 13485, ISO 14971 |
| Performance evaluation | CLSI guidelines (EP series) |
| Sample collection devices | ISO 18113 (labeling), ISO 23640 (stability) |
| Molecular diagnostics | ISO 17822 series, ISO 15198 |
| Calibration & traceability | ISO 17511 |
🔍 Note: Clinical performance and analytical performance data must also comply with international guidelines (e.g., CLSI, FDA, or EUDAMED-recognized data).
| Category | Standard |
|---|---|
| Software lifecycle processes | IEC 62304 |
| Cybersecurity for networked devices | IMDRF N60 + FDA guidance |
| AI/ML software | IMDRF AIWG or FDA Good Machine Learning Practices (GMLP) |
List each standard used in your Essential Principles Checklist.
Provide objective evidence (e.g., test reports, certificates) to show conformity.
Ensure all referenced standards are the latest or currently valid versions.
Use equivalent international standards if device is already approved in a GHTF market (e.g., CE marked with EN standards under MDR).
| Document | Includes Standards? | Notes |
|---|---|---|
| Declaration of Conformity | ✅ | Lists all applied standards and compliance status |
| Risk Management Report | ✅ | Must align with ISO 14971 |
| Test Reports | ✅ | Must cite ISO/IEC standards used in testing |
| Clinical Evaluation | ✅ | May use GHTF-recognized clinical trial or literature standards |
| PMS / Vigilance Plan | ✅ | Align with ISO 20416 or ISO 13485 clause 8.2.1 |
| Software Validation Report | ✅ | Must follow IEC 62304 and IEC/TR 80002-1 if applicable |
| Purpose | Standard | Required |
|---|---|---|
| Risk Management | ISO 14971 | ✅ |
| QMS | ISO 13485 | ✅ |
| Clinical Evaluation | MEDDEV 2.7/1 Rev 4 / IMDRF | ✅ |
| Electrical Safety | IEC 60601-1 | ✔️ If electrical |
| EMC | IEC 60601-1-2 | ✔️ If applicable |
| Software | IEC 62304 | ✔️ If applicable |
| Sterility | ISO 11135 / 11137 / 11737 | ✔️ If sterile |
| Biocompatibility | ISO 10993 series | ✔️ If body-contacting |
| IVD performance | ISO 15189 / CLSI / ISO 23640 | ✔️ If IVD |
You don’t need to test to every standard—only those relevant to your device type and risk profile.
Include the version number and year of each standard used.
Ensure all third-party test reports reference the correct standard and test method.
In case of non-standard approaches (e.g., novel device types), provide a rationale and equivalency evidence.
Would you like a customized checklist of standards tailored to your device (e.g., implant, ventilator, IVD, or software-based device)? I can generate that for your QA/regulatory team.

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