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EU In Vitro Diagnostic Medical Devices Regulation (Regulation (EU) 2017/746)

EU IVDR governs in-vitro diagnostic devices and diagnostic software, introducing risk classes A-D and demanding strong performance evidence, conformity assessment, and post-market surveillance. Non-conformity risks fines and loss of EU market access.

Jurisdiction
European Union

What EU IVDR Is

Regulation (EU) 2017/746, the In Vitro Diagnostic Medical Devices Regulation (IVDR), governs diagnostic tests and the software that analyzes specimens taken from the human body, such as blood, tissue, and other samples. It replaced the older In Vitro Diagnostic Directive to strengthen clinical and analytical evidence, traceability, and oversight. IVDR introduced a new risk-based classification (Classes A to D) that places far more IVD products under Notified Body scrutiny than before.

Diagnostic software, including algorithms that interpret laboratory results or drive companion diagnostics, frequently falls within scope.

Who It Applies To

IVDR applies to manufacturers, authorized representatives, importers, and distributors placing in-vitro diagnostic devices on the EU market. It covers reagents, instruments, software, and systems intended for diagnostic use, including high-risk companion diagnostics and self-testing devices. Laboratories developing in-house tests may also face specific obligations under defined conditions.

Key Requirements

  • Classification — Assign Class A, B, C, or D based on individual and public health risk.
  • Performance evaluation — Demonstrate scientific validity, analytical performance, and clinical performance.
  • Conformity assessment — Involve a Notified Body for most classes and apply CE marking.
  • Technical documentation — Maintain detailed design, validation, and risk records.
  • Post-market surveillance — Operate vigilance reporting and post-market performance follow-up.
  • UDI and EUDAMED — Assign unique device identifiers and register devices and economic operators.
  • Risk management — Apply continuous risk management throughout the lifecycle.

Penalties for Non-Compliance

Member states set penalties, which may include fines, market withdrawal, recalls, and suspension or revocation of CE certificates. Placing non-conforming diagnostics on the market exposes manufacturers to enforcement, liability for harm, and exclusion from the EU market when certification is lost.

How to Comply

Classify devices accurately and plan early for the heavier evidence burden under higher classes. Establish a quality management system, generate robust performance evaluation evidence covering scientific validity and analytical and clinical performance, and engage Notified Bodies where required. Implement UDI, register in EUDAMED, and operate active post-market surveillance with performance follow-up. Manage software changes carefully, since updates can affect classification and require reassessment.

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demo@vibgrate — bash
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╭──────────────────────────────────────────╮
Vibgrate Drift Report
╰──────────────────────────────────────────╯
 
── node-turborepo (node) .
Runtime: >=18.0.0 (6 majors behind)
Frameworks:
Turbo: 1.13.4 → 2.10.12 (1 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Dependencies:
1 current 1 1-behind 3 2+ behind 1 unknown
 
── @repo/admin (node) apps/admin
Frameworks:
TanStack Query: 5.102.5 → 5.102.5 (current)
React: 18.3.1 → 19.2.8 (1 behind)
React DOM: 18.3.1 → 19.2.8 (1 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Vite: 5.4.21 → 8.2.2 (3 behind)
Dependencies:
3 current 9 1-behind 3 2+ behind 4 unknown
 
── @repo/api (node) apps/api
Frameworks:
Express: 4.22.2 → 5.2.1 (1 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Vitest: 1.6.1 → 4.1.11 (3 behind)
Dependencies:
7 current 5 1-behind 3 2+ behind 4 unknown
 
── @repo/web (node) apps/web
Frameworks:
Next.js: 14.2.35 → 16.3.3 (2 behind)
React: 18.3.1 → 19.2.8 (1 behind)
React DOM: 18.3.1 → 19.2.8 (1 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Dependencies:
2 current 6 1-behind 3 2+ behind 5 unknown
 
── @repo/config (node) packages/config
Frameworks:
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Dependencies:
2 current 2 1-behind 5 2+ behind 0 unknown
 
── @repo/database (node) packages/database
Frameworks:
Prisma: 5.22.0 → 7.10.0 (2 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Dependencies:
1 current 0 1-behind 3 2+ behind 1 unknown
 
── @repo/types (node) packages/types
Frameworks:
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Dependencies:
0 current 0 1-behind 1 2+ behind 1 unknown
 
── @repo/ui (node) packages/ui
Frameworks:
React: 18.3.1 → 19.2.8 (1 behind)
TypeScript: 5.9.3 → 7.0.2 (2 behind)
React: 18.3.1 → 19.2.8 (1 behind)
Dependencies:
1 current 4 1-behind 1 2+ behind 1 unknown
 
── @repo/utils (node) packages/utils
Frameworks:
TypeScript: 5.9.3 → 7.0.2 (2 behind)
Vitest: 1.6.1 → 4.1.11 (3 behind)
Dependencies:
0 current 1 1-behind 2 2+ behind 1 unknown
 
Tech Stack
Frontend: React, React DOM
Meta-frameworks: Next.js
Bundlers: tsx, Turbo, Vite
CSS / UI: Autoprefixer, PostCSS, Tailwind CSS
Backend: Express
ORM / Database: Prisma, Prisma Client
Testing: Vitest
Lint & Format: ESLint, ESLint Prettier, ESLint React, Prettier, typescript-eslint
 
Services & Integrations
Auth: JWT 9.0.3
Databases: Prisma 5.22.0
 
TypeScript
v5.3.3 · strict ✔ · MIXED · target: ES2022
 
Build & Deploy
Package Managers: pnpm
Monorepo: npm-workspaces, pnpm-workspaces, turbo
 
Product Purpose Signals
Frameworks: react, nextjs
Evidence: 177
Top Signals:
- [heading] Dashboard (apps/admin/src/pages/Dashboard.tsx)
- [title] Revenue Overview (apps/admin/src/pages/Dashboard.tsx)
- [copy] workspace:* (packages/ui/package.json)
- [copy] ./dist (packages/ui/tsconfig.json)
- [copy] ./src/index.ts (packages/ui/package.json)
- [copy] @repo/config/tsconfig-base.json (packages/ui/tsconfig.json)
- [copy] @repo/ui (packages/ui/package.json)
- [copy] #3b82f6 (apps/admin/src/pages/Dashboard.tsx)
Unknowns:
- No pricing or billing evidence found.
- No integrations/connectors evidence found.
- No route structure evidence found.
 
Security Posture
Lockfile ✖ · .env ✔ · node_modules ✔
 
Platform
Native modules: turbo
 
Code Quality
Files: 36 · Functions: 183 · Avg complexity: 2.62 · Avg length: 21.13 lines
Max nesting: 2 · Circular deps: 0 · Dead code: 0%
God files: apps/admin/src/pages/Products (448 lines)
 
Database Schema
postgresql · 8 models · 1 enum
Models: Address, CartItem, Category, Order, OrderItem (+3 more)
 
Findings (16 errors, 11 warnings)
Node.js runtime ">=18.0.0" reached end-of-life on 2025-04-30 (latest: 24.0.0).
vibgrate/runtime-eol in .
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in .
60% of dependencies are 2+ major versions behind in node-turborepo.
vibgrate/dependency-rot in .
@types/node is 6 major versions behind (spec: ^20.11.0, latest: 26.3.0).
vibgrate/dependency-major-lag in .
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in apps/admin
Vite is 3 major versions behind (current: 5.4.21, latest: 8.2.2).
vibgrate/framework-major-lag in apps/admin
vite is 3 major versions behind (spec: ^5.0.12, latest: 8.2.2).
vibgrate/dependency-major-lag in apps/admin
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in apps/api
Vitest is 3 major versions behind (current: 1.6.1, latest: 4.1.11).
vibgrate/framework-major-lag in apps/api
@types/node is 6 major versions behind (spec: ^20.11.0, latest: 26.3.0).
vibgrate/dependency-major-lag in apps/api
vitest is 3 major versions behind (spec: ^1.2.1, latest: 4.1.11).
vibgrate/dependency-major-lag in apps/api
Next.js is 2 major versions behind (current: 14.2.35, latest: 16.3.3).
vibgrate/framework-major-lag in apps/web
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in apps/web
@types/node is 6 major versions behind (spec: ^20.11.0, latest: 26.3.0).
vibgrate/dependency-major-lag in apps/web
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in packages/config
56% of dependencies are 2+ major versions behind in @repo/config.
vibgrate/dependency-rot in packages/config
eslint-plugin-react-hooks is 3 major versions behind (spec: ^4.6.0, latest: 7.1.1).
vibgrate/dependency-major-lag in packages/config
Prisma is 2 major versions behind (current: 5.22.0, latest: 7.10.0).
vibgrate/framework-major-lag in packages/database
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in packages/database
75% of dependencies are 2+ major versions behind in @repo/database.
vibgrate/dependency-rot in packages/database
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in packages/types
100% of dependencies are 2+ major versions behind in @repo/types.
vibgrate/dependency-rot in packages/types
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in packages/ui
TypeScript is 2 major versions behind (current: 5.9.3, latest: 7.0.2).
vibgrate/framework-major-lag in packages/utils
Vitest is 3 major versions behind (current: 1.6.1, latest: 4.1.11).
vibgrate/framework-major-lag in packages/utils
67% of dependencies are 2+ major versions behind in @repo/utils.
vibgrate/dependency-rot in packages/utils
vitest is 3 major versions behind (spec: ^1.2.1, latest: 4.1.11).
vibgrate/dependency-major-lag in packages/utils
 
╭──────────────────────────────────────────╮
Top Priority Actions
╰──────────────────────────────────────────╯
 
1. Upgrade EOL runtime in node-turborepo
End-of-life runtimes no longer receive security patches and block ecosystem upgrades.
./.
>=18.0.0 → 24.0.0 (6 majors behind)
Impact: −10 drift points (runtime & EOL)
 
2. Fix security posture: no lockfile found
Without a lockfile, installs are non-deterministic. Run the install command to generate one and commit it.
./
Missing: package-lock.json, pnpm-lock.yaml, or yarn.lock
 
3. Upgrade Vite 5.4.21 → 8.2.2 in @repo/admin (+2 more)
3 major versions behind. Major framework drift increases breaking change risk and blocks access to security fixes and performance improvements.
./apps/admin
Vite: 5.4.21 → 8.2.2 (3 majors behind)
./apps/api
Vitest: 1.6.1 → 4.1.11 (3 majors behind)
./packages/utils
Vitest: 1.6.1 → 4.1.11 (3 majors behind)
Impact: −5–15 drift points
 
4. Reduce dependency rot in @repo/types (100% severely outdated)
1 of 1 dependencies are 2+ majors behind. Run `npm outdated` and prioritise packages with known CVEs or breaking API changes.
./packages/types
typescript: 5.9.3 → 7.0.2 (2 majors behind)
Impact: −5–10 drift points
 
5. Reduce dependency rot in @repo/database (75% severely outdated)
3 of 4 dependencies are 2+ majors behind. Run `npm outdated` and prioritise packages with known CVEs or breaking API changes.
./packages/database
@prisma/client: 5.22.0 → 7.10.0 (2 majors behind)
prisma: 5.22.0 → 7.10.0 (2 majors behind)
typescript: 5.9.3 → 7.0.2 (2 majors behind)
Impact: −5–10 drift points
 
╭──────────────────────────────────────────╮
Architecture Layers
╰──────────────────────────────────────────╯
 
Archetype: nextjs (80% confidence)
Files classified: 24 (11 unclassified)
Folders classified: 8
apps/admin/src presentation 100% 4 files
apps/admin/src/pages presentation 100% 2 files
apps/api/src/middleware middleware 100% 2 files
apps/api/src/routes routing 100% 2 files
apps/web/src/app presentation 100% 4 files
apps/web/src/app/products presentation 100% 2 files
apps/web/src/app/products/[id] presentation 100% 1 file
packages/ui/src presentation 100% 6 files
Unclassified source (sample): 11
 
presentation 15 files drift ████████████████████ 100 risk high
routing 4 files drift ████████████████████ 100 risk high
middleware 2 files drift ███████▍░░░░░░░░░░░░ 37 risk moderate
config 2 files drift ░░░░░░░░░░░░░░░░░░░░ 0 risk none
shared 1 file drift ████████████████████ 100 risk high
 
╭──────────────────────────────────────────╮
DriftScore Summary
╰──────────────────────────────────────────╯
 
DriftScore: 66/100
Risk Level: HIGH
Projects: 9
Classified: 8 nano · 1 micro · 0 small · 0 standard
Billable: 0.42 · 9 detected → 0.42 billable projects (micro-project pricing)
0.1 micro · 0.32 nano
These fractions add up across repositories, then round down to whole billable projects.
 
Score Breakdown
Runtime: ████████████████████ 100
Frameworks: █████████▏░░░░░░░░░░ 46
Dependencies: ██████▏░░░░░░░░░░░░░ 31
EOL Risk: ████████████████████ 100
 
Scanned at 2026-08-26T09:08:28.481Z · 7.1s · 286 files scanned · 56 workspace files · 27 dirs
Press Run to start.