
April “In all other news”: New Team-NB Clinical Guidance, Borderline Manual v5, & more
4 May 2026
UK Draft Regulation: New UKCA Requirements & International Reliance
19 May 2026Background
The Commission is in the process of amending the medical device and IVD regulatory system in Europe. The MDR and IVDR implementation has been fraught, with multiple postponements across the last 6 years; delays to systems, guidance, and harmonized standards required to ease the process; increased cost; and concerns that the European market is losing competitiveness.
One solution is the proposal to significantly reform the MDR and IVDR. However, other solutions have been presented, including this new regulation.
The Commission:
- Opened this initiative in January 2025, with the intent to “create standardized rules for notified bodies”.
- Published the draft legislation in December 2025, with a rebuttal on the proposed terms immediately issued by Team-NB.
- Opened stakeholder feedback periods, on its own Europa website and on the World Trade Organization (WTO) website.
- Published the final version in the Official Journal of the EU in May 2026.
Purpose of Regulation 2026/977
The new regulation is intended to supplement the Notified Body (NB) requirements outlined under Annex VII of the MDR and IVDR, and to explicitly outline certain minimum requirements across all the MDR/IVDR Notified Bodies. It aims to create transparency, accountability, and harmonize activities across the 50+ Notified Bodies.
Harmonization
Currently, Notified Bodies have different practices for collecting information for quotes, how they communicate with manufacturers, and processes on how they move from one stage of the conformity assessment process to another. The regulation seeks to reduce the wide variations between the NBs, so all manufacturers have a more consistent experience, irrespective of which Notified Body they select.
Transparency & Accountability
The regulation seeks to provide clarity by having NBs provide clearer, more understandable pricing, and have a maximum certification timeframe built into the contract with the manufacturer.
Further, the regulation requires NBs to track and measure their results. They must implement a mechanism to compare the timelines and costs provided in their quotes, against the actual timing and costs charged in the end. Not only do they need to internally assess this each year, but they must also publish this information to their websites.
Article 1: Quotations
Information Required for the Quote
The regulation stipulates the minimum information required from the manufacturer for a quote. This list is not so different from what most NBs request today. However, this ensures that each NB is requesting the minimum information required, in order to ensure a more accurate quotation.
Information requested includes size of the company (micro, small, or mid-sized), name of the Authorized Representative, number of employees, number of work shifts, description of activities performed at each site included in the QMS, name and address for all relevant suppliers and subcontractors, and description of the device.
For changes or recertification, the NB shouldn’t re-ask for the above information, as long as the manufacturer confirms that there have been no changes.
Information Required in the Quote
The quote must include, at minimum, the following:
- Estimated overall costs, detailed for the QMS and technical documentation.
- Typical costs for surveillance activities and unannounced audits.
- Estimation of potential extra costs during the process, which cannot be presented simply as an hourly fee, unless the duration of the activity truly cannot be predetermined.
- Estimated timeframe.
Further, the NB must inform the manufacturer in advance about any increase above 10% of the estimated fee, providing a reason for the increase.
Structured Dialogs
The regulation also notes the use of structured dialogues. There is no additional fee to partake in structured dialogues. Therefore, it’s in the manufacturer’s best interest to request these, especially if their device or company structure is complicated.
This allows the NB to provide a more accurate fee and time estimate, so that manufacturers better understand their true time and cost to market. And are less likely to be hit with surprise extensions or additional costs after the contract is signed.
Articles 2-3: Timelines
Notified Bodies must implement procedures to ensure the shortest possible timeline to complete the certification process. The actual timeframe agreed with each manufacturer may vary depending on the type of devices, scope of activities, etc. However, it must not exceed the maximum timeframes allowed under the regulation.
Expiration of the maximum timeframes is not a sufficient reason for the NB to refuse to issue a certificate or approve a change. I.e., the NB must make a decision within the maximum timeframe.
Interruption of Timeline (“clock-stops”)
The maximum timeframes can be interrupted for necessary reasons, i.e., when the manufacturer needs to address non-conformities or if the NB has justified questions/requests necessary for the assessment.
However, there are a maximum number of clock-stops allowed:
| Max Interruptions Allowed | Activity |
|---|---|
| One time | Application review and the signature of the contract |
| Four times | Initial QMS auditing |
| Four times | Initial product verification |
| Five times | To review the substantial changes and for the conformity assessment activities related to such change, if required |
| Three times | Re-certification for product certification and/or the QMS |
| One time | Decision and issuance of any certificates |
QMS and Product Verification
At the very least, the agreed upon timeframe should not exceed the below maximum timelines.
The regulation further notes that:
- The QMS and product verification shall be conducted in parallel when carried out in accordance with Annex IX.
- Unless otherwise agreed between the NB and manufacturer, the above activities shall start the day after the contract is signed.
| Max Days | Activity | Duration | Max Interruptions |
|---|---|---|---|
| 30 days | Application review and the signature of the contract | Starts the day the NB receives the complete application. | One time |
| 120 days | Quality management system auditing | Starts the day the NB initiates the audit program’s first activity and ends on the day when the final review is completed. | Four times |
| 90 days | Product verification | Starts the day the NB initiates the assessment of the technical documentation of each device, or each representative device, and ends on the day when the final review is completed. | Four times |
| 20 days | Decision and certification | Starts the day after the completion of the last relevant final review and ends on the day the certificates are issued and entered into EUDAMED. | One time |
Substantial Changes
Notified Bodies are required to assess substantial changes within the following maximum timeframes:
| Max Days | Activity | Duration | Max Interruptions |
|---|---|---|---|
| 30 days | Review the proposed change | Starts the day the NB receives completed documentation of the proposed change and ends on the day the NB notifies the manufacturer of the decision 1) on whether any additional conformity assessment activities are needed, or 2) of the approval of the planned change. | 5 times total, combined with the conformity assessment activity, if required |
| 90 days | Conformity assessment activities for the planned change | Starts the day the NB initiates the audit program’s first activity, or on the day the notified body initiates the assessment of the technical documentation, whichever is the earlier, and ends on the day when the NB notifies the manufacturer of the approval. | 5 times total, combined with review of the planned substantial change |
| 20 days | Issuing of the supplement to the certificate(s) | Starts the day after notification of the approval and ends on the day the certificates are issued and entered into EUDAMED. | One time |
Caveats and Exceptions
Where the NB and manufacturer agree on a rolling review of the technical documentation, they shall agree on a plan for submitting parts of the technical documentation and possible additional interruptions.
Additionally, the NB may use two additional clock-stops to the initial QMS assessment for each additional site covered by the manufacturer’s QMS, to be audited on-site.
Interruptions due to opinions required by the European Medicines Agency (EMA), a regulatory authority, an expert panel, or an EU reference laboratory do not count, i.e., are not included in the maximum number of interruptions allowed.
The duration of any interruptions can only be extended if duly justified and the NB and manufacturer agree to the extension in writing.
Article 4: Monitoring of Duration and Costs
Each NB must establish a system to monitor 1) the duration of conformity assessment activities, and 2) their costs.
The assessment must include:
- Percentage of conformity assessment activities completed within the maximum timelines.
- Median duration of conformity assessment activities, from the date of application to the date of certification, in number of days.
- Median total cost of completed conformity assessment activities, in Euros. This amount is the sum of all fees applied by the NB, including administrative fees.
This assessment must be completed annually, and published to each NBs website no later than 30 April of each year.
Note on Costs
The regulation does not enforce maximum costs. So, there can still be a wide fee-range between the NBs. However, the regulation allows easier comparison, as the quotes must be presented in a clear and transparent manner. And over time, as the data is published to each NBs website, manufactures can compare the median cost and time between each NB.
Articles 5-7: Recertification
Recertification Process
The regulation outlines the minimum information needed for recertification.
For product recertification, these include:
- List that describes the changes, notified or not, to the originally approved device
- Most recent periodic safety update report of the device and a summary of the field safety corrective actions taken on the device
- Summary of changes of the risk evaluation that resulted in a different benefit-risk ratio of a device, including those related to the field safety corrective actions taken following the experience from the risk management
- Identification of the changes made to the device to take into account state-of-the-art
- Most recent clinical evaluation report or performance evaluation report
- Changes to applied, or new, harmonized standards, Common Specifications, or equivalent documents
It also outlines what the NB should consider during recertification, such as:
- Ensuring that each device complies with new regulatory requirements or new common specifications, and
- Taking into consideration new scientific findings (e.g., new treatments, changes in test methods).
Re-certification Timeframes
The maximum timeframes for the recertification process are:
| Max Days | Activity | Max Interruptions |
|---|---|---|
| 90 days | Product verification | Three times |
| 90 days | QMS | Three times |
| 20 days* | Decision and certificates reissued | One time |
*Where the decision is made more than three months before the certificate expiration date, the maximum period of 20 days shall start three months before the certificate’s expiration date.
Articles 8-9: Application Date and Transitional Period
The regulation includes a transition period, to allow Notified Bodies to amend their processes, documentation, etc, to comply with the new requirements.
| Activity | Start Date |
|---|---|
| Entry into force | 24 May 2026 |
| Date of application for most requirements | 25 February 2027 |
| Date of application for the requirement to publish annual data to each NB’s website | 1 January 2028 (making the first publication due by 30 April 2029) |
| Transition period for Articles 1 (quotation), 2 (max timeframes), and 3 (“clock-stops”) | New requirements apply to agreements signed after 25 February 2027 |
| Transition period for Article 4(1)-(3) (implementing a system to monitor timelines and cost) | New requirements apply to agreements signed after 25 May 2027 |
| Transition period for Recertification | New requirements apply certificates expiring after 25 November 2027 |


