Article 10 requires manufacturers to establish and maintain risk management, clinical evaluation, UDI and registration obligations, technical documentation, a quality management system, PMS, and incident and field safety corrective-action reporting. The QMS should be proportionate to the risk class and type of device, but it still needs controlled procedures and records.
The technical file should connect Annex I general safety and performance requirements to design inputs, risk controls, verification and validation, standards or common specifications, labelling, instructions for use, clinical evaluation, and PMS feedback. Article 61 requires clinical evaluation to support conformity. Article 61(10) permits a justified demonstration based on non-clinical testing alone where clinical data are not appropriate, without overriding the investigation requirements in Article 61(4). The manufacturer must substantiate that approach in the technical documentation using risk management, interaction with the human body, intended clinical performance, and claims; the clinical-evaluation duty still applies.