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Medical Devices
Medical Device Coordination Group Document MDCG 2021-3
MDCG 2021-3
Questions and Answers on Custom-Made Devices
considerations on Adaptable medical devices and Patient-matched medical devices
March 2021
This document has been endorsed by the Medical Device Coordination Group (MDCG)
established by Article 103 of Regulation (EU) 2017/745. The MDCG is composed of
representatives of all Member States and a representative of the European
Commission chairs it.
The document is not a European Commission document and it cannot be regarded as
reflecting the official position of the European Commission. Any views expressed in
this document are not legally binding and only the Court of Justice of the European
Union can give binding interpretations of Union law.
1
Medical Devices
Medical Device Coordination Group Document MDCG 2021-3
Introduction
This QA is a high-level document aimed at addressing the most pertinent questions relating
to custom-made devices falling under Regulation (EU) 2017/745 on medical devices (MDR).
Further guidance on this subject may be elaborated by the MDCG, as appropriate.
In accordance with Recital 5 of the MDR, certain references to International Medical Device
Regulatory Forum (IMDRF) guidance documents and terminology included therein have been
taken into account under this QA. Specifically, the MDR regulatory status of adaptable
medical devices and patient-matched medical devices (introduced by IMDRF PMD WG/N49
FINAL: 2018) is clarified in this QA.
1. What is a custom-made device (CMD)?
MDR Article 2(3) defines a ‘custom-made device’ as any device that:
− is specifically made in accordance with a written prescription of any person authorised
by national law by virtue of that persons profe
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