FDA AI/ML Software as a Medical Device Framework
2021 — Action Plan published; PCCP guidance finalized 2023; ongoing enforcement.
critical risk framework
Medical device manufacturers, health IT companies, and AI companies whose software is intended to diagnose, treat, or prevent disease or injury.
Overview
The FDA has developed a regulatory framework for AI/ML-based Software as a Medical Device (SaMD). As AI models continuously learn and evolve post-deployment, the framework addresses how manufacturers can update models while maintaining safety and effectiveness. Requires pre-market submission for high-risk devices.
Key Requirements
- Pre-submission meeting with FDA for AI/ML-based devices
- 510(k) or De Novo clearance for Class II AI medical devices
- PMA (Pre-Market Approval) for high-risk Class III AI devices
- Predetermined Change Control Plan (PCCP) for AI updates
- Transparency: labeling must disclose AI-based functionality
- Algorithm performance testing across diverse patient populations
- Bias assessment for protected patient characteristics
- Post-market surveillance and performance monitoring
Implementation Guidance
- 1Determine if your AI software meets the definition of a medical device
- 2Classify device risk and identify appropriate regulatory pathway (510k/De Novo/PMA)
- 3Develop a Predetermined Change Control Plan for model updates
- 4Conduct clinical validation across diverse patient populations
- 5Engage FDA early via Pre-Submission program
Penalties for Non-Compliance
Warning letters, injunctions, recalls, criminal prosecution, and civil fines for marketing unapproved devices.
Framework Details
Short Name
FDA AI/ML SaMD
Jurisdiction
United States
Status
Risk Level
Enforcement Date
2021 — Action Plan published; PCCP guidance finalized 2023; ongoing enforcement.
Affected Organizations
Medical device manufacturers, health IT companies, and AI companies whose software is intended to diagnose, treat, or prevent disease or injury.
Tags
This is educational guidance only. Always consult qualified legal counsel for compliance decisions affecting your organization.