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QMSR / ISO 13485 vs IEC 62304

What's actually different between the QMS regulations medical device manufacturers must follow — clause-by-clause comparison from the Kelsey Quality crosswalk library.

kelseyqms.com/crosswalk/compare/qmsr-vs-iec-62304

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RELATED STANDARDS

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49QMSR REQUIREMENTS
34SHARED IN BOTH
37ONLY IN QMSR
4ONLY IN IEC 62304

SIDE-BY-SIDE COMPARISON

What's actually different

DIMENSIONQMSR / ISO 13485IEC 62304
OVERVIEW
StatusCurrent (effective Feb 2, 2026)Current — IEC 62304:2006+AMD1:2015
Effective periodFeb 2026 – present2006 (amended 2015) – present
Total requirements4926
SCOPE
Risk integrationRequired (links to ISO 14971 throughout design)Required — software safety class drives lifecycle rigor
Plan maintenanceRequired throughout developmentUpdated at each phase gate per development plan
Document approvalExplicit approval signatures requiredFormal checklist approval before each lifecycle phase
OPERATIONAL
Most common gapRisk management file weak or unlinked to designSafety class under-assigned; traceability matrix incomplete
Audit focusRisk file integrity and design-control linkageSafety classification rationale and requirements traceability

COVERAGE BREAKDOWN

What's shared, what's distinct

34SHARED IN BOTH
  • Risk Control Option Analysis
  • Design and Development Planning
  • Design and Development Inputs
  • Risk Management
  • Corrective and Preventive Action (CAPA)
  • Document Control
  • + 28 more
37ONLY IN QMSR
  • Design and Development Review
  • Management Review
  • Complaint Handling
  • Medical Device File
  • Supplier Management
  • Process Validation
  • + 31 more
4ONLY IN IEC 62304
  • Legacy Software Risk Management Activities
  • Legacy Software Gap Analysis
  • Legacy Software Gap Closure Activities
  • Legacy Software Rationale for Continued Use