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AI/ML Medical Device Guidance

Korea has been at the forefront of AI/ML medical device regulation, with MFDS issuing initial guidance in 2017 and updated guidance in 2021 and 2024.

Core requirements (2024 guidance)โ€‹

Pre-market requirementsโ€‹

RequirementDetails
Algorithm descriptionFull description of the model architecture, training methodology
Training dataCharacteristics, size, representativeness, labelling quality
Validation dataIndependent test dataset; performance metrics (sensitivity, specificity, AUC, etc.)
Clinical validationReal-world performance in the intended use population
ExplainabilityFor high-risk AI: explanation of how decisions are made
Intended use statementPrecise statement of what the AI is intended to do and in which setting

Post-market requirementsโ€‹

RequirementDetails
Performance monitoring planOngoing monitoring of real-world AI performance
Drift detectionMonitoring for algorithm performance degradation over time
Re-validation triggerDefine when re-validation is required (performance threshold breach)
ReportingIntegrate AI performance data into PMS and periodic safety reports

Predetermined Change Control Plan (PCCP)โ€‹

MFDS is developing PCCP guidance allowing manufacturers to pre-define the scope of future algorithm changes that do not require a new ํ’ˆ๋ชฉํ—ˆ๊ฐ€ submission.