IEC 62304: Software development, the medical device version

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TL;DR

(too lazy, didn’t read)

IEC 62304 is basically the rulebook for medical device software development. Whether you're creating a standalone medical app or software that's built into medical devices, this standard tells you how to do it safely and properly. The standard has different processes according to your software safety classification (Class A, B, and C). We cover how you’re supposed to develop software, what you need to document, and how in depth you need to go for your particular product.

Introduction

Ever stopped to think about the software that ends up in a medical device you have used? What happens if it goes off the rails? Like, what stops your smart insulin pump from accidentally giving you the wrong dose, or your health monitoring app from showing incorrect data? The 62304 standard’s job is to (hopefully) protect you from ever experiencing that.

If you're working in tech or healthcare (or thinking about it), this is one standard you'll want to know about. Sure, standards are boring, but stick with me – it's actually really straightforward, and it could be super relevant to your career, especially with the explosion of health tech and medical apps. With the digital health market expected to reach $550 billion by 2027, understanding these standards serves you well for the future.

Digital Health Market Size 2024-2034 graph
Image Source: “Digital Health Market Size, Share, and Trends 2025 to 2034.”

So - What's the Deal with IEC 62304?

Like Marie Kondo, I want you to think of your software documentation that helps keep everything organized, safe, and working properly as something that sparks joy (is this a dated reference). This is what 62304 will ask you to do. The standard covers both:

  • Standalone software (like health monitoring apps, diagnostic algorithms, or therapy planning tools)
  • Embedded software (the stuff built into actual medical devices, from pacemakers to MRI machines)

Fun fact: The standard is so comprehensive that it's recognized by both FDA and European regulatory bodies. That means following it helps you meet requirements on both sides of the Atlantic. 

One thing to keep an eye on - for FDA they also describe software as needing “Enhanced” or “Basic” documentation instead of software safety classifications. It’s the same idea.

Chart of IEC 62304: Medical Device Software Lifecycle Processes
Image Source: “IEC 62304: Medical Device Software LifeCycle Processes.

The Five Key Processes

The standard breaks down software lifecycle management into five main processes:

  1. Development: From initial planning to final testing, including requirements analysis, architectural design, and detailed design
  2. Maintenance: Regular updates, bug fixes, and performance improvements
  3. Risk Management: Identifying and mitigating potential hazards (like what happens if your glucose monitor crashes?)
  4. Configuration Management: Keeping track of all software versions and changes
  5. Problem Resolution: How to handle issues when (not if) they arise

Each process needs proper documentation – because in the medical device world, if it's not documented, it might as well not exist.

Safety Classifications: The ABC's

Software classification is not the same as device classification (see aren’t regulations fun?) but the idea is similar. The lower the software safety classification (Class A), the less documentation you need. The higher the class (Class C), the more you need. Here are the different classes:

  • Class A: If it fails, no one gets hurt (like a hospital inventory management system)
  • Class B: If it fails, someone might get minor injuries (think sleep apnea monitoring apps)
  • Class C: If it fails, things could get seriously bad (like radiation therapy planning software)
Pyramid of medical devices from low to high risk
Image Source: “Medical devices.

What About Legacy Software?

Good news for the crowd who have been around for a while – IEC 62304 has provisions for legacy software aka software that has already been on the market for a while. But you can't just grandfather it in without some work. Here is what is recommended to adapt your older software to 62304:

  1. Risk Assessment
    • Evaluate current risks
    • Document known issues
    • Assess compatibility with modern systems
  2. Gap Analysis Checklist
    • Compare your current documentation to IEC 62304 requirements
    • Identify missing elements
    • Create action plans for compliance
  3. Gap Closure Strategy
    • Prioritize critical gaps
    • Implement necessary changes
    • Validate improvements
  4. Legacy Justification
    • Document proven safety record
    • Provide evidence of reliable performance
    • Explain why replacement isn't necessary

Practical Tips and Takeaways

Do Your Classification Homework

  • Determine your device classification
  • Document your classification rationale extensively
  • Start with a thorough risk assessment
  • Consider worst-case scenarios

Keep Everything Documented

  • Use version control for all documentation
  • Maintain clear traceability between requirements and implementation
  • Create templates for consistent documentation
  • Set up a document management system early

Regular Audits are Your Friend

  • Schedule quarterly internal reviews
  • Create audit checklists based on IEC 62304 requirements
  • Train team members on 62304 procedures
  • Use audit findings to improve processes

Conclusion

IEC 62304 might seem like just another standard in a long list of standards you need to read, but it's actually the most crucial for anyone working in medical device software. Whether you're developing the next big health app or working on software for traditional medical devices, understanding and following these guidelines isn't just about checking boxes – it helps create safe, reliable products that people's lives might depend on.

Think about it: wouldn't you want the software in your medical devices to be developed following strict safety standards.

Ready to dive deeper into medical device software development? Start by getting familiar with these guidelines and take the standard step by step. It’s actually manageable if you read it in small bits. After all, even the most complex journey starts with a single line of code.

Frequently Asked Questions

What are the different software safety classifications according to IEC 62304?
A plus sign representing the option to maximise the answer to the question.

Software classification is not the same as device classification (see aren’t regulations fun?) but the idea is similar. The lower the software safety classification (Class A), the less documentation you need. The higher the class (Class C), the more you need. Here are the different classes:

  • Class A: If the software fails there is no chance for injury (like a hospital inventory management system)
  • Class B: If the software fails, there is a chance of minor injuries(think sleep apnea monitoring apps)
  • Class C: If the software fails, there is a chance for major or serious injury (like radiation therapy planning software)
What are the key processes required by IEC 62304?
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The standard breaks down software lifecycle management into five main processes:

  1. Development: From initial planning to final testing, including requirements analysis, architectural design, and detailed design
  2. Maintenance: Regular updates, bug fixes, and performance improvements
  3. Risk Management: Identifying and mitigating potential hazards (like what happens if your glucose monitor crashes?)
  4. Configuration Management: Keeping track of all software versions and changes
  5. Problem Resolution: How to handle issues when they arise

Each process needs proper documentation – because in the medical device world, if it's not documented, it might as well not exist.

How does IEC 62304 apply to legacy software?
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If you're working with older software, IEC 62304 provides a structured way to assess and update it for compliance. This includes:

  1. Risk Assessment
    • Evaluate current risks
    • Document known issues
    • Assess compatibility with modern systems
  2. Gap Analysis Checklist
    • Compare your current documentation to IEC 62304 requirements
    • Identify missing elements
    • Create action plans for compliance
  3. Gap Closure Strategy
    • Prioritize critical gaps
    • Implement necessary changes
    • Validate improvements
  4. Legacy Justification
    • Document proven safety record
    • Provide evidence of reliable performance
    • Explain why replacement isn't necessary

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