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Labelling requirements

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Regulatory basis - MDR Annex I §23 / IVDR Annex I §20 (GSPR labelling requirements); MDR Art. 10(11) (labelling obligations on manufacturers). Language requirements vary by member state. Post-market labelling obligations extend to maintaining current labelling as the device and evidence evolve.

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Disclaimer - This site provides general information only and does not constitute legal or regulatory advice. Always consult the official regulation text and a qualified regulatory professional.


Labelling as a post-market obligation

Labelling is often treated as a pre-market task — something finalised before CE marking. Under MDR/IVDR, labelling is also a post-market obligation: the manufacturer must maintain labelling that accurately reflects the current state of knowledge about the device, including post-market evidence and identified risks.

The IFU must be updated when:

  • New risks or contraindications are identified through PMS or vigilance
  • PMCF/PMPF data reveals new clinical information
  • Usability issues identified post-market require IFU improvements
  • Regulatory requirements change (new GSPR application, new CS)
  • The device is modified

Label requirements — summary

The device label must include the following (per MDR Annex I §23.2):

Required elementNotes
Manufacturer name and addressFull legal name and registered address
EU REP name and addressFor non-EU manufacturers
UDI carrier (barcode/DataMatrix)UDI-DI + applicable UDI-PI
Lot or batch numberPreceded by "LOT" symbol
Serial numberPreceded by "SN" symbol (where applicable)
Manufacturing dateWhere not apparent from lot number
Expiry date"Use by" date where applicable
Sterile designationUsing the STERILE symbol; method-specific variants
Single-use designationUsing the single-use symbol with maximum reuses if applicable
QuantityNumber of devices in the package
Conditions for storage/handlingTemperature, humidity, pressure limits
Warnings or precautions requiring immediate user attentionOnly those needing prominence on label
Intended purpose (if not obvious)Brief statement where needed
CE markWith NB number where applicable
Importer name and addressFor imported devices

For IVDs (IVDR Annex I §20.2), additionally:

  • Intended analyte(s)
  • Type of specimen(s) required
  • Any reagent hazard information
  • Whether for self-testing or near-patient use

IFU requirements — post-market maintenance

The IFU is the primary vehicle for communicating device-specific safety information to users. Post-market obligations require it to remain current.

Triggers for IFU update:

TriggerRequired update
New safety signal from PMSAdd or strengthen warnings, contraindications, or precautions
PMCF reveals new population riskUpdate patient selection guidance in IFU
Usability issues identifiedImprove instruction clarity, add diagrams
New contraindicated combinationsAdd to contraindications section
New adverse event identifiedAdd to risks/side effects section
Regulatory standard revisionUpdate to reflect new harmonised standard requirements

When the IFU is updated, the change must be:

  • Documented under change control
  • Assessed for whether the change constitutes a significant change (MDCG 2020-3)
  • Communicated to customers (and to the NCA if safety-related and material)
  • Reflected in the technical documentation

Language requirements

Labels and IFUs must be in the official language(s) of each member state where the device is marketed. This is a per-market requirement — not an EU-wide single language.

Practical implications:

  • A device sold in Germany, France, and Spain requires labels and IFUs in German, French, and Spanish
  • Multi-language documents are permitted — many manufacturers produce pan-EU documents covering all official EU languages
  • Symbols can reduce the text translation burden (but symbols must themselves be standardised and recognisable)
  • eIFU rules allow electronic IFU to reduce the physical label burden — see Electronic IFU (eIFU)

Symbols in labelling

Symbols must be from recognised standards — primarily EN ISO 15223-1 (Symbols to be used with medical devices). Non-standardised symbols must be explained on the label or packaging. All symbols must be reproduced accurately and legibly.

NCAs enforce labelling requirements during market surveillance inspections. Non-compliant labels (missing UDI, wrong symbols, incorrect language) are among the most common market surveillance findings.



Official references

ReferenceDescription
MDR Annex I §23Labelling and IFU requirements
IVDR Annex I §20IVDR labelling and IFU
EN ISO 15223-1:2021Symbols for medical device labelling
Commission Regulation (EU) 207/2012eIFU rules
MDCG 2019-16IFU content guidance
MDCG 2020-3Significant change assessment (relevant for labelling updates)