IVD Classification
In-vitro diagnostic (IVD) devices follow a distinct set of classification rules under Decree 98/2021 and Circular 14/2020, although the same Type A–D framework applies.
What is an IVD?
An IVD medical device is any reagent, reagent product, calibrator, control material, kit, instrument, apparatus, equipment, software, or system — whether used alone or in combination — intended by the manufacturer to be used in vitro for the examination of specimens derived from the human body, including blood and tissue donations, solely or principally for the purpose of providing information:
- Concerning a physiological or pathological state
- Concerning a congenital abnormality
- To determine safety and compatibility with potential recipients
- To monitor therapeutic measures
IVD classification rules
IVD devices are classified based on the risk to the individual and to public health, applying ASEAN AMDD-derived rules:
| Class | Risk basis | Examples |
|---|---|---|
| Type A (IVD) | Low individual risk, low public health risk | General laboratory instruments, specimen containers, staining reagents |
| Type B (IVD) | Moderate individual risk, low public health risk | Pregnancy tests, blood glucose self-monitoring (home use for known diabetics) |
| Type C (IVD) | High individual risk or moderate public health risk | Blood glucose monitoring (diagnosis), coagulation testing, PSA testing, HbA1c |
| Type D (IVD) | High risk to individual and public health | HIV, Hepatitis B/C detection; blood donor screening; TB confirmation |
Key IVD classification factors
- Intended use population — professional laboratory vs. lay person self-testing
- Public health impact — devices used for blood bank screening or detecting highly infectious diseases automatically attract the highest class
- Whether used for diagnosis or monitoring — a glucose monitor used for monitoring an established condition may be lower class than one used for diagnosis
Self-testing IVDs
IVD devices intended for self-testing by lay persons without professional healthcare support are generally elevated by one class compared to the equivalent professional-use device, due to the increased risk of user error.
Near-patient testing
Point-of-care IVD devices — designed for use outside a laboratory setting, near the patient — are assessed on their intended use and risk profile. They do not automatically attract a higher class but the lay-person use factor may apply.
Regulatory pathway
The IVD classification determines the same declaration or registration pathway as for other device types:
- Type A/B IVD → Declaration pathway
- Type C/D IVD → Marketing Authorisation pathway