EU MDR · MDCG · Guidance

MDCG guidance, translated into what you actually do.

MDCG guidance is not law, but Notified Bodies apply it as if it were. This hub explains what the MDCG is, and how its key documents shape classification, clinical evaluation, PMCF and clinical investigations.

EU MDR 2017/745MDCGMDCG 2020-5 / 2020-6Notified Body practice
MDCG guidance for medical devices under EU MDR, Eclevar MedTech

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Led by authority

Read the way Notified Bodies read it.

MDCG guidance is interpretation. Ours is written by people who applied it from the reviewer’s chair.

Pierre-Marie Boutanquoi

Pierre-Marie Boutanquoi

CMO & Head of Medical Writing · 15+ yrs

CERs and PMCF plans under EU MDR and MEDDEV 2.7/1 Rev 4, and Notified Body deficiency response.

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Dr Mark DaCosta

Dr Mark DaCosta

COO & CMO · 25+ yrs

Cardiac surgeon and former lead Notified Body reviewer at TÜV SÜD. 400+ devices CE-certified.

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EU MDR 2017/745MDCG guidanceFormer NB reviewersCER & PMCF

Awards, funding, accountability

Europe’s best-rated medical device CRO.

Platinum Award 2026

Platinum Award 2026

Top tier at the xShare × EUCROF Open Call, awarded to Eclevar MedTech and its Milo Health platform, presented at EUCROF 2026 in Amsterdam.

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Co-funded by the European Union

Selected through the xShare Open Call for clinical research innovation, Horizon Europe.

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Independently reported

Distinction confirmed by an independent third party, the CVBF, also an awardee of the xShare × EUCROF Open Call.

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The guidance

What the MDCG is, and why it matters.

The Medical Device Coordination Group issues guidance to harmonise how EU MDR is applied. It is not legally binding, but in practice a Notified Body will expect you to follow it.

01

What the MDCG is

The Medical Device Coordination Group brings together Member State experts to issue guidance that harmonises the application of EU MDR 2017/745 across Europe. Its documents clarify grey areas the Regulation leaves open, and Notified Bodies treat them as the working standard.

02

Clinical evaluation & claims

MDCG 2020-5 (equivalence) and MDCG 2020-6 (sufficient clinical evidence for legacy devices) shape how your Clinical Evaluation Report (CER) is judged, and how intended purpose and claims are substantiated.

Where it bites

  • Equivalence now needs contractual access to the equivalent’s technical file (MDCG 2020-5)
  • Legacy devices must show sufficient clinical evidence, not just history (MDCG 2020-6)
  • Intended purpose and indications are distinguished and must be evidenced

03

Clinical investigations

MDCG 2021-8 provides the application and notification forms for clinical investigations while EUDAMED is delayed, and MDCG 2021-20 and 2020-10 cover CIV-ID generation and safety reporting. Together they define how a study is submitted and run.

04

How to use the guidance

The winning approach is to build the technical file the way the relevant MDCG documents expect, so a reviewer can trace every decision to a recognised interpretation. We map each part of your file to the guidance a Notified Body will apply.

MDCG at a glance

Guidance that runs the review.

Not law
but applied as standard
2020-5
equivalence
2020-6
legacy evidence
2021-8
CI applications

Talk to a specialist

Is your file aligned with current MDCG guidance?

Book a free scoping call with a former Notified Body reviewer. We check your technical file against the MDCG documents a reviewer will apply.

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Guidance you ignore is a deficiency you invite.

An expert read maps your technical file to the MDCG guidance a Notified Body will apply, and flags where a reviewer would push back.

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Questions we hear first

MDCG guidance, answered.

Is MDCG guidance legally binding?
No. MDCG guidance is not legally binding, but Notified Bodies apply it as the working standard for how EU MDR is implemented, so in practice you are expected to follow it or justify any deviation.
Which MDCG documents matter most for clinical evidence?
MDCG 2020-5 on equivalence and MDCG 2020-6 on sufficient clinical evidence for legacy devices are central to how your clinical evaluation and CER are judged, alongside MDCG 2020-13 on the clinical evaluation assessment report.
How does MDCG guidance affect clinical investigations?
MDCG 2021-8 provides the application and notification forms while EUDAMED is delayed, and related documents cover CIV-ID generation (MDCG 2021-20) and safety reporting (MDCG 2020-10), defining how a study is submitted and conducted.
Who issues MDCG guidance?
The Medical Device Coordination Group, made up of Member State experts, issues the guidance to harmonise the application of EU MDR 2017/745 and IVDR across the European Union.

Reforming Clinical Evaluation of Medical Devices in Europe