New EU MDR Burden-Reduction Policies Released | Complete Exemption Product Lists Included
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Time:2026-07-02 10:50:36
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The Directorate-General for Health and Food Safety (DG SANTE) of the European Commission has issued an official announcement: two delegated regulations on Well-established Technologies (WET) under the Medical Devices Regulation (MDR, EU 2017/745) were officially published in the Official Journal of the European Union on 29 June 2026.
This marks another key milestone in the EU’s agenda to simplify medical device regulation. By expanding the compliance exemption scope for devices with mature, well-established technologies, the new rules further reduce the compliance burden on manufacturers and improve market access efficiency.





https://ec.europa.eu/newsroom/sante/newsletter-archives/77013

一、Policy Background



WET devices represent a simplified regulatory category under the EU MDR framework, designated for products with low iteration rates and high technological maturity.


Core criteria for WET classification:

The product features a universal, simple and long-stable design with minimal technological iteration;

Its safety and clinical performance profiles are well-defined, with no history of association with major safety incidents;

It is part of standard clinical treatment protocols, with almost no evolution in indications and technological level;

It has a long history of marketing and clinical application in the EU market, with highly controllable risks.


The expanded exemption lists were developed in 2025 by a special working group of national experts under the Medical Device Coordination Group (MDCG). The drafting process included a public call for evidence and full incorporation of industry feedback, before being formalized through the two delegated regulations. The core objective is to align regulatory requirements with product risk levels and ease compliance burdens for enterprises.
二、New Regulation 1: EU 2026/1359



Full title: Commission Delegated Regulation (EU) 2026/1359

Amended provision: Article 52(4) of the MDR, replacing the original exemption list for per-unit technical document review of Class IIb implantable devices

Under the original MDR requirements, Class IIb implantable devices were subject to individual technical document assessment for each unit during the conformity assessment process. This new regulation significantly expands the exemption scope: products included in the list are exempt from per-unit review, which can markedly shorten the certification cycle of notified bodies.


Complete List of Exempted Products

Base categories:

Sutures, staples, dental filling materials, dental braces, dental crowns, screws, wedges, steel plates, steel wires, needles, clips, connectors

Newly added categories:

Cannulas, catheters, feeding tubes, surgical hemostatic cotton pads, suture cannulas, suture buttons, gastrostomy buttons, bone wax, bone filling materials, bone substitutes, medullary cavity positioners, diaphyseal occluders, radiopaque markers, fiber ligatures, transpalatal distractors, intramedullary nails, anchors, posterior spinal fixation devices, textile woven fabrics, dental implants, orthodontic appliances, dental barriers, suspension fixation devices and straps


三、New Regulation 2: EU 2026/1451



Full title: Commission Delegated Regulation (EU) 2026/1451

Amended provision: Article 61(6)(b) of the MDR, replacing the original exemption list from mandatory clinical investigation for implantable and Class III devices

Products included in the list are not required to conduct new mandatory clinical investigations. Clinical evaluation can be completed based on existing global post-market data, clinical literature and industry consensus evidence, greatly reducing the time and financial costs of R&D and registration.

Important note: Exemption from mandatory clinical investigation does not equal exemption from clinical evaluation. Products on the list must still strictly comply with Article 61 of the MDR, complete clinical evaluation based on sufficient clinical data, and meet the relevant Common Specifications (CS) for the corresponding product, if applicable.


Complete List of Exempted Products

Base categories:Sutures, staples, dental filling materials, dental braces, dental crowns, screws, wedges, steel plates, steel wires, needles, clips, connectors

Newly added categories:

  • Neurosurgery: Cranial perforators, cranial blades, ventricular drainage tubes
  • Interventional catheters: Catheter pushers, hemostatic cotton pads and strips, implantable pulse generator magnets, port plugs, puncture needles and needle hubs, atrial septostomy balloon catheters, anticoagulant-coated catheters, anticoagulant-containing blood bags, port catheters, introducers, dilators, feeding tubes
  • Orthopedic implants: Bone nails, bone wax, bone filling materials, bone substitutes, medullary cavity positioners, diaphyseal occluders, radiopaque markers, fiber ligatures, transpalatal distractors, intramedullary nails, anchors, posterior spinal fixation devices, textile woven fabrics, cranial expansion springs
  • Dental: Dental implants, orthodontic appliances, dental barriers, dental veneers
  • Cardiovascular and interventional consumables: Guidewires, pressure guidewires, pacing leads and electrodes, snares, electrode caps, fixation and connection tools, intravascular embolization coils, embolization particles, cables, shunts, internal defibrillation electrode plates
  • Others: Extra-luminal tubal ligation devices, suspension fixation devices and straps, reusable surgical instruments


      四、Entry into Force and Scope of Application



      Official entry into force: The regulations shall enter into force on the 20th day following their publication in the Official Journal (29 June 2026), i.e., 19 July 2026.Scope of application: The regulations are binding in their entirety and directly applicable in all EU Member States, as well as the European Economic Area (EEA).


        五、Compliance Recommendations for Manufacturers



        Match products quickly and assess burden-reduction potential:Cross-check your portfolio of implantable, Class III and Class IIb implantable devices against the two lists to confirm eligibility for exemption. Recalculate compliance costs and registration cycles, and adjust your EU market entry strategy accordingly.
        Strengthen clinical evidence chains and uphold compliance standards:The exemptions only apply to mandatory clinical investigation and per-unit technical document review. The core quality requirements for clinical evaluation and technical documentation remain unchanged. We recommend compiling clinical literature, post-market surveillance data and adverse event records for similar products in advance to ensure a complete evidence chain that meets MDR requirements.
        Track supporting guidelines continuously:The MDCG may release supporting implementation guidelines and interpretation documents in the future. Stay updated on regulatory developments and adjust compliance strategies accordingly to avoid risks arising from misinterpretation of the rules.



          六、Closing Remarks


           

          The entry into force of the two WET regulations marks a new phase of scientifically optimized, burden-reducing and efficiency-enhancing EU MDR regulation, and brings clear policy dividends for Chinese manufacturers of mature medical device categories entering the EU market. For further inquiries, please contact Wiselink.



          As the largest and most well-regulated medical device market in Latin America, Brazil is a core target for Chinese medical device enterprises expanding into South America. To celebrate Wiselink’s 6th anniversary, we are offering a limited-time promotion: from 18 June to 18 July, a 20% discount on consultation service fees applies to medical devices of all risk classes for the Brazilian market. New and existing clients are welcome to contact us for consultation.





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