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GSPR cross-reference table

Regulatory basis

MDR Annex II, Section 4 and IVDR Annex II, Section 4. The GSPR cross-reference table is a mandatory component of technical documentation linking each applicable general safety and performance requirement to the evidence of conformity.

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.


Purpose of the GSPR cross-reference tableโ€‹

The GSPR cross-reference table (sometimes called the GSPR matrix or GSPR checklist) is the navigation document of the technical file. It answers, for each of the GSPR in Annex I:

  1. Does this requirement apply to this device?
  2. If not, why not?
  3. If yes, how has the manufacturer demonstrated conformity?
  4. What is the documentary evidence?

It allows notified bodies and competent authorities to quickly locate the evidence supporting each GSPR claim without reading the entire technical file.


Required columnsโ€‹

At minimum, the GSPR cross-reference table should contain:

ColumnDescription
GSPR referenceAnnex I section number (e.g. ยง1, ยง6.1(a), ยง23.2(b))
GSPR summaryBrief description of the requirement
Applicable?Yes / No
Justification if N/ABrief reason the requirement does not apply (omit if applicable)
Method of demonstrationHow conformity is demonstrated: harmonised standard, CS, or other means
Standard/CS referenceSpecific standard and clause, or CS reference (e.g. EN ISO 14971:2019 ยง4โ€“9)
Document referenceInternal document number(s) providing the evidence

Worked example โ€” partial GSPR tableโ€‹

GSPRSummaryApplicableMethodStandardDocument ref
ยง1Fundamental safety and performanceYesEN ISO 14971:2019Risk managementRM-001 Rev C
ยง2Risk managementYesEN ISO 14971:2019Risk managementRM-001 Rev C
ยง6.1Material biocompatibilityYesEN ISO 10993-1:2018Biological evaluationBE-002 Rev A
ยง7Infection / microbial contaminationYes (sterile device)EN ISO 11135:2014EtO sterilisation validationSTER-003 Rev B
ยง8Medicinal substance incorporatedNoN/A โ€” no incorporated medicinal substanceโ€”โ€”
ยง12Measuring functionNoN/A โ€” device has no measuring functionโ€”โ€”
ยง17Self-test / POCT designYesIEC 62366-1:2015+A1:2020Usability engineeringUSE-007 Rev A
ยง18EMCYesEN 60601-1-2:2015EMC testingEMC-010 Rev A
ยง23.2Labelling requirementsYesEN ISO 15223-1:2021Labelling standardLBL-001 Rev D

Handling partial applicabilityโ€‹

Some GSPR have multiple sub-sections โ€” not all may apply. Document at the appropriate level of granularity:

  • If an entire GSPR is not applicable: mark the GSPR as N/A with a brief justification
  • If only some sub-sections of a GSPR apply: document each sub-section separately
  • Avoid blanket "N/A" without justification โ€” this is a common finding in notified body reviews

Non-harmonised standardsโ€‹

If using a non-harmonised standard (an ISO standard not listed in the Official Journal of the EU as harmonised under MDR/IVDR):

  • Note the standard clearly in the table
  • Supplement with a justification explaining how the standard adequately addresses the GSPR requirement
  • A non-harmonised standard does not create a presumption of conformity โ€” the manufacturer bears the full burden of demonstrating GSPR compliance

Alternative methods (no standard available)โ€‹

Where no standard covers the GSPR requirement for the specific device:

  • Describe the alternative method used (test protocol, analysis, literature review, etc.)
  • Reference the specific test report or analysis document
  • Explain why this method is at least as rigorous as the standard approach

Maintaining the GSPR tableโ€‹

The GSPR cross-reference table is a living document. It must be reviewed and updated:

  • When the device design changes (even minor changes may affect GSPR applicability)
  • When new or revised harmonised standards are published
  • When post-market data (complaints, vigilance reports, PMCF/PMPF data) suggests a GSPR has not been fully met
  • On a periodic basis as part of the broader technical documentation review

All updates must go through the change control process and be recorded in the document revision history.



Official referencesโ€‹

ReferenceDescription
MDR Annex II, Section 4GSPR cross-reference requirement
IVDR Annex II, Section 4IVDR equivalent
MDR Annex IFull GSPR text
MDR Art. 8Presumption of conformity โ€” harmonised standards
Official Journal of the EUList of harmonised standards under MDR
MDCG 2020-6Technical documentation template guidance