Harmonised Standards for MDR

With the new regulation for medical devices (MDR (EU) 2017/745) new standards need to be harmonized by the European Commission. In this post we inform about the most important questions and provide a list of current harmonised standards, published in the Official Journal of the European Union.

Current list of harmonised standards for MDR (updated April 2025)

No. Standard Version Amendment Title
1EN ISO 10993-232021Biological evaluation of medical devices – Part 23: Tests for irritation
2EN ISO 111352014A1:2019Sterilization of health care products – Ethylene oxide – Requirements for the development, validation and routine control of a sterilization process for medical devices
3EN ISO 11137-12015A2:2019Sterilization of health care products – Radiation – Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices
4EN ISO 11737-22020Sterilization of health care products – Microbiological methods – Part 2: Tests of sterility performed in the definition, validation and maintenance of a sterilization process
5EN ISO 254242019A1:2022Sterilisation of health care products – Low temperature steam and formaldehyde – Requirements for development, validation and routine control of a sterilisation process for medical devices
6EN ISO 10993-92021Biological evaluation of medical devices – Part 9: Framework for identification and quantification of potential degradation products
7EN ISO 10993-122021Biological evaluation of medical devices – Part 12: Sample preparation and reference materials
8EN ISO 11737-12018A1:2021Sterilization of health care products – Microbiological methods – Part 1: Determination of a population of microorganisms on products
9EN ISO 13408-62021Aseptic processing of health care products – Part 6: Isolator systems
10EN ISO 134852016AC:2018 A11:2021Medical devices – Quality management systems – Requirements for regulatory purposes
11EN ISO 141602021Sterilization of health care products – Liquid chemical sterilizing agents for single-use medical devices utilizing animal tissues and their derivatives – Requirements for characterization, development, validation and routine control of a sterilization process for medical devices
12EN ISO 15223-12021Medical devices – Symbols to be used with information to be supplied by the manufacturer – Part 1: General requirements
13EN ISO 17664-12021Processing of health care products – Information to be provided by the medical device manufacturer for the processing of medical devices – Part 1: Critical and semi-critical medical devices
14EN IEC 60601-2-832020A11:2021Medical electrical equipment – Part 2-83: Particular requirements for the basic safety and essential performance of home light therapy equipment
15EN 2852015A1:2021Sterilization – Steam sterilizers – Large sterilizers
16EN ISO 149712019A11:2021Medical devices – Application of risk management to medical devices
17EN ISO 10993-102023Biological evaluation of medical devices – Part 10: Tests for skin sensitisation
18EN 455-32023Medical gloves for single use – Part 3: Requirements and testing for biological evaluation
19EN ISO 10993-152023Biological evaluation of medical devices – Part 15: Identification and quantification of degradation products from metals and alloys
20EN ISO 10993-172023Biological evaluation of medical devices – Part 17: Toxicological risk assessment of medical device constituents
21EN ISO 10993-182020A1:2023Biological evaluation of medical devices – Part 18: Chemical characterization of medical device materials within a risk management process
22EN ISO 11137-22015A1:2023Sterilization of health care products – Radiation – Part 2: Establishing the sterilization dose
23EN ISO 11607-12020A1:2023Packaging for terminally sterilized medical devices – Part 1: Requirements for materials, sterile barrier systems and packaging systems
24EN ISO 11607-22020A1:2023Packaging for terminally sterilized medical devices – Part 2: Validation requirements for forming, sealing and assembly processes
25EN ISO 17664-22023Processing of health care products – Information to be provided by the medical device manufacturer for the processing of medical devices – Part 2: Non-critical medical devices
26EN ISO 13408-12024Aseptic processing of health care products – Part 1: General requirements
27EN 455-12020A2:2024Medical gloves for single use – Part 1: Requirements and testing for freedom of holes
28EN 455-22024Medical gloves for single use – Part 2: Requirements and testing for physical properties
29EN 556-12024Sterilization of medical devices – Requirements for medical devices to be designated “STERILE” – Part 1: Requirements for terminally sterilized medical devices
30EN 556-22024Sterilization of medical devices – Requirements for medical devices to be designated “STERILE” – Part 2: Requirements for aseptically processed medical devices
31EN 1865-22024Patient handling equipment used in ambulances – Part 2: Power assisted stretcher
32EN 1865-62024Patient handling equipment used in ambulances – Part 6: Powered chairs

What is a harmonised standard?

A harmonised standard is a European standard developed by a recognised European Standards Organisation like CEN, CENELEC, or ETSI. It is created following a request from the European Commission to one of these organisations. EN standards, or harmonised standards, are an integral part of CE marking. Manufacturers, other economic operators, or conformity assessment bodies can use harmonised standards to demonstrate that products, services, or processes comply with relevant EU legislation.

The references of harmonised standards must be published in the Official Journal of the European Union.

Do all harmonised standards apply to my device?

No, not all harmonised standards apply to your device. For example if your device is non-sterile, all standards concerning sterilization do not apply to your device.

How do I use harmonised standards?

First, use the list above as a checklist and identify all standards applicable to your device. Be aware, that many different standards and regulations will also apply to your device. And not all standards will be harmonised. You should maintain a list of applicable standards as part of your documentation.

Some standards will completely apply to your company or device, whereas other standards will only partially apply. Some standards will help you directly, while other standards will be used by testing facilities and laboratories that conduct the testing for you.

Secondly, download a GSPR Checklist here and use it to identify all requirements applicable to your device. In order to show compliance with each and every safety and performance requirement, you need to identify the corresponding standard(s). Proof the conformity of your device, for example by testing (some conducted by yourself, other conducted by external testing facilities) and document it in your GSPR checklist.

What is the difference between ISO and EN?

ISO is a standardisation institute and its’ standards are identified with ‘ISO’ and a numeric code, for example ISO 13485. Once the European Commission harmonised a certain standard, it will be identified with ‘EN’ as well, for example EN ISO 13485. Another prefix might be added once a Member State does a translation of the standard, for example DIN EN ISO 13485.

As soon as a standard is harmonised by the European Commission all Member States are obliged to adopt it and withdraw conflicting standards.

Should I use the harmonised standard instead of a newer non-harmonised one?

This is a question wildly discussed in the regulatory field. There a those who say that an older harmonised standard should be used. In our opinion, however, official mills grind slowly and the harmonisation process is often a few steps behind. In order for you to proof that you at least fulfilled the technical state-of-the-art, we recommend orienting yourself on the latest standards, even if not harmonised yet. Get into contact with your NB and get a confirmation, though. Transparent and timely communication with your NB is definitely in order here.

What is the difference between EN standards, EU directives, and EU regulations?

A Regulation law or legislative act is immediately binding to all EU member states like France, Belgium, Germany or any other European country. The EU member states do not have to ratify the act into their domestic laws.

A Directive is a legislative act setting out overall goals and objectives. In contrast to the Regulation, it is not applicable directly to all European countries. Instead, each EU country needs to adopt the necessary national laws to translate the Directive into domestic laws and ensure its’ realisation.

An EN standard is a way to meet the requirements of Directives and Regulations. You use it to proof that your device meets at least the latest technical state-of-the-art.

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