MDR vs. MDD: Key Differences Every Manufacturer Must Know
20 Aug 2025

MDR vs. MDD: Key Differences Every Manufacturer Must Know

For years, medical devices in Europe were regulated under the MDD (Medical Device Directive). But since May 2021, the MDR (Medical Device Regulation) has replaced it with stricter requirements. What’s the difference between the two, and why should manufacturers care?

A Quick Look Back: MDD

The Medical Device Directive (MDD) was the previous European framework that governed medical devices. It was less strict, allowed more flexibility for manufacturers, and left some gaps in patient safety and device traceability.


Why the Switch to MDR?

The EU introduced the Medical Device Regulation (MDR, EU 2017/745) to close those gaps. The goal was to increase patient safety, ensure transparency, and create a stronger, unified regulatory system across all member states.


Key Differences Between MDR and MDD

1. Scope of Devices

  • MDD: Covered traditional medical devices only.
  • MDR: Expands scope to include some aesthetic and cosmetic products, such as colored contact lenses and breast implants.

2. Stricter Clinical Evidence

  • MDD: Less demanding clinical data requirements.
  • MDR: Requires stronger clinical evaluation and post-market clinical follow-up.

3. Transparency and EUDAMED

  • MDD: No centralized EU database for devices.
  • MDR: Introduces EUDAMED, a public database for greater transparency and device traceability.

4. Unique Device Identification (UDI)

  • MDD: No mandatory unique identification system.
  • MDR: Requires UDIs for all devices to improve traceability.

5. Stakeholder Responsibility

  • MDD: Focused mostly on manufacturers.
  • MDR: Importers, distributors, and authorized representatives share legal responsibility for compliance.

6. Notified Bodies Oversight

  • MDD: Easier approval routes with less oversight.
  • MDR: Stricter, more frequent audits by Notified Bodies.

What This Means for Manufacturers

  • More Preparation Time: MDR approvals take longer due to stricter requirements.
  • Increased Costs: More testing, audits, and documentation mean higher compliance expenses.
  • Competitive Pressure: Non-compliant companies risk losing EU market access.
  • Quality Advantage: Those who adapt gain trust and a stronger market position.

Conclusion

The shift from MDD to MDR represents more than just new paperwork — it’s a fundamental change in how medical devices are evaluated, certified, and monitored in Europe.

For manufacturers, the key takeaway is clear: understanding and adapting to MDR is not optional, it’s the only way forward.