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IVD Devices

IVD devices are regulated under the Diagnostic Device Act (μ§„λ‹¨μš© 의료기기 법) with a separate Grade A–D classification system based on risk of incorrect results. Key IVD-specific requirements:

Formal performance evaluation (not clinical evaluation) β€” analytical validation (sensitivity, specificity, accuracy) and clinical validity in the intended patient population Reference laboratories β€” for Grade C–D devices, results may require confirmation by MFDS-designated reference laboratories Companion diagnostics coordination with drug approval β€” IVDs used to select patients for specific drugs must align with drug approval timelines

  • Formal performance evaluation (not clinical evaluation)
  • Reference laboratories for certain confirmatory testing
  • Companion diagnostics coordination with drug approval

IVD classification system ​ IVDs are classified A–D based on the risk of producing incorrect results: ​ β€’ Grade A: minimal risk (general screening tests) β€’ Grade B: low-to-moderate risk (most routine laboratory tests) β€’ Grade C: moderate-to-high risk (confirmatory tests, pregnancy tests, blood grouping) β€’ Grade D: highest risk (blood screening, HIV/hepatitis testing) ​ Higher grades require more robust performance evaluation and may require reference laboratory validation.