Navigating FDA Software as a Medical Device (SaMD) Precertification Pathway
As digital health solutions become more advanced, many software platforms now qualify as Software as a Medical Device (SaMD)—falling under FDA oversight.
To streamline innovation while ensuring patient safety, the FDA introduced a voluntary precertification program tailored to SaMD developers.
This post guides you through the SaMD precertification pathway, helping your team align with regulatory expectations and prepare for market entry.
📌 Table of Contents
- What Qualifies as SaMD?
- Overview of the FDA Precertification Program
- Core Components of the Precert Pathway
- Regulatory & Post-Market Compliance
- Commercialization Strategy for SaMD Startups
What Qualifies as SaMD?
🧠 According to the International Medical Device Regulators Forum (IMDRF), SaMD refers to software intended for medical purposes that is not part of a hardware medical device.
🔬 Examples include AI tools that detect retinal disease from images, or apps that monitor medication adherence for chronic conditions.
📱 Mobile health apps, wearables, and remote diagnostic platforms may all fall into this category depending on their claims and risk profiles.
Overview of the FDA Precertification Program
✅ The SaMD Precert program aims to shift regulatory focus from product to developer—emphasizing organizational excellence.
✅ Instead of evaluating each product, the FDA evaluates a developer’s software culture, quality systems, and track record.
✅ In exchange, precertified companies benefit from streamlined review processes and more flexible submission pathways.
Core Components of the Precert Pathway
🧩 Excellence Appraisal: The FDA assesses the developer’s culture of quality and organizational processes.
📊 Streamlined Review: Risk-based levels determine whether a SaMD needs premarket review or not.
📈 Real-World Performance Analytics (RWPA): Ongoing postmarket monitoring is required to ensure software effectiveness and safety in the field.
Regulatory & Post-Market Compliance
📜 Even precertified developers must maintain full traceability for SaMD updates, risk mitigation strategies, and incident reporting.
📜 FDA expects continual data collection, real-time monitoring, and evidence-based iteration.
📜 Tools like AI model version control, clinical validation logs, and user behavior metrics are essential.
Commercialization Strategy for SaMD Startups
💼 Establish quality and security frameworks early—even in prototyping.
💼 Map features to FDA risk classifications (e.g., diagnostic vs. monitoring vs. support).
💼 Build an RWPA dashboard into your SaaS admin portal for both compliance and clinical credibility.
💼 Plan your go-to-market roadmap to include payer partnership and CPT code alignment if reimbursement is sought.
Explore SaMD Development & Regulatory Tools
Keywords: SaMD precertification, FDA digital health regulation, software as medical device, AI medical compliance, real-world performance monitoring