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Medical device verification and validation

Medical device verification and validation are two jobs. Verification: the device was built to the specifications (the right bridge, built right). Validation: it is the right device for the user in the real environment. This page is design V&V — V-model, 21 CFR 820.30, the Design History File. It is not IQ / OQ / PQ, and it is not a software-lifecycle manual.

If you meant process validation (IQ / OQ / PQ) → medical device validation process. If you meant software V&V / IEC 62304 how-to → medical device software development and medical device software validation. If you meant QMS → medical device quality management system. If you meant risk → medical device risk management. If you meant FDA approval → FDA medical device approval process.

If the device is imaging software, PYCAD is the imaging stack (viewer / model), not the regulatory agent / QMS vendor / GTM shop.

Verify vs validate

Verification — built right Validation — the right device
Looks at Design outputs vs design inputs Finished device vs user needs in the intended use
Evidence Inspection, analysis, unit / integration / system tests, code review Usability / human factors, clinical or simulated-use, real environment
When All the way down the build On the final or production-equivalent unit
Insulin pump Motor delivers 1.0 U when told; battery meets the 24-hour spec A person with low dexterity can set a dose during a hypo

A device can pass every bench spec and still fail validation because a nurse cannot set it up in a noisy ICU. That is the whole point of keeping the two words.

21 CFR 820.30 and the DHF

FDA design controls (21 CFR 820.30) require Class II / III (and some Class I) manufacturers to run a controlled design process: inputs, outputs, review, verification, validation, transfer, changes. The Design History File is the story — not a folder you assemble the week of the audit.

ISO 13485 is the QMS that holds the procedures. ISO 14971 is the risk method that tells V&V what to stress. IEC 62304 is the software lifecycle standard in that family — one of three, not this page’s job. Software planning, software of unknown provenance, software unit/integration tests as a lifecycle live on 700. Here, software is a component you still verify and a user interface you still validate.

The V-model

Left — specify Right — test against it
User needs User validation (usability, clinical, simulated use)
System requirements / architecture System verification
Detailed design (hardware, software modules) Integration verification
Implementation (code, parts) Unit verification

Write the right-side protocol when you write the left-side requirement. That is the only way the DHF traces. Implementation sits at the bottom; you climb out with tests that point at a named requirement, not a vibe.

Usability and clinical validation

Human-factors work (IEC 62366 is the usual citation) watches real users do real tasks and counts use errors. Clinical validation puts the device on the indication: does it do the clinical job in the population you claimed. Simulated-use covers environment — EMI, temperature, the messy room — when a full trial is the wrong tool for that question.

Documents that survive an audit: a V&V plan (or VMP for the design side), requirements with IDs, protocols with acceptance criteria written before the run, raw data, a summary that says pass/fail against those criteria. A slide deck is not a protocol.

FAQ

Do we need IQ / OQ / PQ on this page?

No. Those qualify the manufacturing or equipment process. That is process validation.

Is IEC 62304 enough for V&V?

It is enough for the software lifecycle. The device still needs design verification and user validation under 820.30. Do not treat 62304 as a substitute for this page or for software validation.

If the device is imaging software, PYCAD is the imaging stack (viewer / model), not the regulatory agent / QMS vendor / GTM shop. Case studies.

We build custom medical imaging platforms — advanced DICOM viewers, AI segmentation, and the clinical systems around them.

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