Digital health

Is a health app a medical device? EU MDR Rule 11 and intended purpose, explained

Under the EU Medical Device Regulation, software is a medical device when its intended purpose is medical, such as diagnosis or treatment decisions. How intended purpose decides it, how Rule 11 classifies software, and where a record-keeping app differs from a device.

by Published 2 min read

Short answer: In the EU, software is a medical device when its manufacturer intends it to be used for a medical purpose, such as diagnosing, preventing, monitoring, predicting, treating or alleviating disease, as defined in the Medical Device Regulation (EU) 2017/745 (MDR), which applies since May 2021. Software that only records, stores, organises or transmits data, or supports general wellness, is usually not a device. Intended purpose, as stated in the labelling, instructions and marketing, is what decides.

How Rule 11 classifies software

When software is a device, MDR Annex VIII Rule 11 sets its risk class:

  • software that provides information used to take decisions for diagnosis or therapy is at least class IIa, and IIb or III if those decisions could cause serious deterioration or death;
  • software intended to monitor physiological processes is class IIa (IIb for vital parameters where variations could result in immediate danger);
  • all other software is class I.

Class IIa and above need a notified body. The guidance document MDCG 2019-11 explains qualification and classification with examples.

Where the line usually falls

  • A personal health record that stores your results, letters and symptoms, and lets you share them: generally not a device.
  • An app that tells you whether a symptom pattern means a specific disease, or suggests a dose: very likely a device.
  • Wording matters: "tracks and shows trends for your doctor" describes record keeping; "detects" or "diagnoses" describes a medical purpose.

The US FDA uses a related but different framework (software as a medical device, clinical decision support guidance).

In Anpheros

Anpheros Daily is designed as a record: it records, organises and shows trends and similarities, and it does not diagnose or recommend medicines. That is why every Anpheros page and summary ends with what it does not do. See our guide on symptom checkers vs symptom trackers.

Sources

Frequently asked questions

When is software a medical device in the EU?

When its intended purpose, as stated by the manufacturer, is medical, such as diagnosis, monitoring or treatment decisions.

What is MDR Rule 11?

The rule in Annex VIII of the MDR that classifies medical device software, mostly into class IIa or higher when it informs diagnosis or therapy.

Is a symptom tracker a medical device?

Usually not, if it only records and shows data. A symptom checker that suggests diagnoses usually is.

Does wording in marketing matter?

Yes. Intended purpose is judged from labelling, instructions and promotional material.

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This guide is for information and does not replace medical advice. For decisions about your health, talk to your doctor. In an emergency, call your local emergency number (112 in Europe).
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The Anpheros team

Anpheros builds a medical record that the patient controls and can share with any clinic, on an HL7 FHIR R4 platform, based in the EU. These guides help you understand and organise your health; they do not replace your doctor.

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