EU MDR, FDA SaMD, and 21 CFR Part 11: AI Agents in Medical Devices and Clinical Software
If your AI agent touches clinical decision-making, diagnostic recommendations, treatment planning, or patient risk scoring, it may be classified as a Software as a Medical Device (SaMD). SaMD classification triggers regulatory requirements that are separate from and stricter than HIPAA — you're now in the FDA's jurisdiction (US) or EU MDR/IVDR jurisdiction (EU), not just privacy law territory.
The distinction matters because SaMD regulations aren't primarily about privacy. They're about safety: ensuring that software used in medical decisions is clinically validated, properly labeled, manufactured under quality controls, and doesn't cause patient harm when it behaves unexpectedly.
