Despite good intentions, the regulation on in vitro diagnostic medical devices (IVDR) in Europe could impact negatively on preparedness and response for the next pandemic

Publication date

2026-01-15

Authors

Molenkamp, Richard
Presser, Lance D.
Baize, Sylvain
Pannetier, Delphine
Reusken, Chantal
Drosten, Christian
Koopmans, Marion

Editors

Advisors

Supervisors

Document Type

Article
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License

cc_by

Abstract

Currently, there is concern and uncertainty in the European and North American markets for in vitro diagnostics regarding the regulation of in vitro diagnostic tests. In the European Union, starting from May 2022, the regulation on vitro diagnostic medical devices (IVDR) has replaced the directive on in vitro diagnostic medical devices (IVDD). The IVDR, while written with the good intentions to ensure patient safety and health while supporting innovation and transparency, has resulted in uncertainty, instances of disruption of diagnostic development, and concerns related to pandemic preparedness and response. We here outline the history, current situation and concerns regarding pandemic preparedness in Europe. Finally, we make recommendations that could improve the IVDR while supporting pandemic preparedness.

Keywords

diagnostic test, Europe, In Vitro Diagnostics Regulations, IVDR, pandemic, preparedness, Epidemiology, Microbiology, Immunology and Microbiology (miscellaneous), Public Health, Environmental and Occupational Health, Microbiology (medical), Virology, Infectious Diseases, SDG 3 - Good Health and Well-being

Citation

Molenkamp, R, Presser, L D, Baize, S, Pannetier, D, Reusken, C B, Drosten, C & Koopmans, M 2026, 'Despite good intentions, the regulation on in vitro diagnostic medical devices (IVDR) in Europe could impact negatively on preparedness and response for the next pandemic', Eurosurveillance, vol. 31, no. 2, pii=2500553. https://doi.org/10.2807/1560-7917.ES.2026.31.2.2500553