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How Far Must Medical Device Distributors Go? New CJEU Guidance on MDR Compliance

The Court of Justice of the European Union (CJEU) has recently delivered an important judgment clarifying the obligations of distributors of medical devices under the Medical Device Regulation (MDR). In its judgment of 4 June 2026 in Case C-10/24 (Dürr Dental), the Court addressed a practical question that many companies throughout the medical device supply chain have been struggling with since the MDR entered into force: How far must distributors go when verifying the regulatory compliance of products before making them available on the market?

The ruling provides welcome legal certainty and is likely to have an impact far beyond the specific case.

Background of the case

The proceedings concerned oil-free compressed air systems used in dental treatment environments.

The products were marketed with a CE marking and accompanied by an EU declaration of conformity. However, the declaration referred to machinery legislation, while indications existed that the products might qualify as accessories to medical devices under the MDR. A competitor challenged the distribution of the products and argued that the distributor had failed to fulfil its obligations under Article 14 MDR.

The German Federal Court of Justice referred several questions to the CJEU concerning the scope of a distributor’s verification obligations.

The key question

Article 14 MDR requires distributors to act with due care and to verify, before making a device available on the market, that:

  • the CE marking has been affixed;
  • an EU declaration of conformity has been drawn up; and
  • certain other MDR requirements have been fulfilled.

The practical challenge has always been determining whether distributors merely need to check that the required documents exist or whether they must independently assess the correctness of the manufacturer’s regulatory classification and conformity assessment.

The CJEU’s answer

The Court adopted a balanced approach.

On the one hand, distributors are not required to repeat the manufacturer’s conformity assessment or conduct their own regulatory classification exercise. The responsibility for determining whether a product qualifies as a medical device and for conducting the appropriate conformity assessment remains primarily with the manufacturer.

On the other hand, distributors cannot simply ignore obvious inconsistencies.

The Court held that distributors must verify the consistency of the available documentation and information. This includes reviewing documents such as the declaration of conformity, instructions for use, information on the manufacturer’s website and marketing materials.

Where these sources clearly indicate that a product falls within the scope of the MDR, distributors should be able to identify obvious discrepancies, such as a declaration of conformity referring exclusively to legislation that does not appear to correspond with the product’s intended medical purpose.

No obligation to determine the correct risk class

Importantly, however, the Court also clarified that distributors are generally not required to verify whether a product has been assigned to the correct MDR risk class. The classification of a device remains the responsibility of the manufacturer and forms part of the conformity assessment process that distributors are not expected to duplicate.

Nevertheless, where the information available to the distributor indicates that the device falls within a risk class requiring the involvement of a notified body, the distributor must verify that the four-digit identification number of the notified body appears alongside the CE marking.

Why the judgment matters

The decision is significant because it clarifies the practical boundaries of distributor responsibility under the MDR.

Many distributors have been concerned that the broad wording of Article 14 MDR could effectively force them to conduct independent regulatory reviews of every product they distribute. Such an interpretation would have created substantial compliance burdens and blurred the distinction between the responsibilities of manufacturers and distributors.

The CJEU has now confirmed that this is not the case. At the same time, the judgment emphasises that distributors cannot rely solely on formal document checks. Obvious inconsistencies must be identified and addressed.

What happens if a competitor raises concerns?

An important practical aspect not expressly addressed by the CJEU is how distributors should react when they receive a formal notice, warning letter or cease-and-desist demand from a competitor alleging MDR non-compliance. Following the Court’s reasoning, distributors will likely find it more difficult to rely solely on the existence of a CE mark or a declaration of conformity once concrete concerns have been brought to their attention.

While the judgment does not specifically address competitor challenges, it is difficult to argue that a distributor can continue to rely exclusively on the manufacturer’s documentation once detailed and credible concerns have been raised.

 

Looking ahead: Possible impact of the proposed MDR reform

The judgment comes at a time when the European Commission is considering targeted amendments to the MDR. The Commission’s reform proposals published in late 2025 aim to reduce unnecessary regulatory burdens while improving the efficiency of the regulatory framework. Although the proposed amendments do not fundamentally alter the allocation of responsibilities between manufacturers and distributors, they reflect a broader policy objective of making MDR compliance more practical and proportionate.

At present, there is no indication that the proposed amendments would fundamentally change the verification obligations of distributors under Article 14 MDR. Against this background, the CJEU’s pragmatic approach appears consistent with the direction currently pursued by the Commission.

The judgment therefore provides timely guidance for distributors throughout the EU and is likely to become an important reference point for future MDR compliance assessments and enforcement activities.

Austrian Supreme Court refers IUD case to the CJEU: Is loss of earnings after an unwanted pregnancy “personal injury” under EU product liability law?

In decision 2 Ob 77/25z, the Austrian Supreme Court (OGH) has referred a highly sensitive and practically important question to the Court of Justice of the European Union (CJEU):

Does the loss of earnings suffered by a woman as a result of an unwanted pregnancy caused by a defective intrauterine device (IUD) qualify as “damage caused by death or personal injury” within the meaning of Article 9(a) of Directive 85/374/EEC (Product Liability Directive)?

The answer may significantly shape the future of product liability in the healthcare and medical device sector across the EU.

The facts: A defective IUD and an unintended pregnancy

The case concerns a copper-containing IUD manufactured by the defendant. The claimant, having completed her family planning, had the device inserted in 2017. Regular medical check-ups confirmed correct positioning until 2020.

Between 2020 and January 2021, one arm of the IUD broke off due to a product defect. The device lost its contraceptive effect, and the claimant became pregnant unintentionally.

After a period of reflection, she decided against termination and gave birth to a healthy child in September 2021. Because of pregnancy, childbirth and subsequent childcare, she resumed work only around 16 months after the birth and claimed approximately EUR 37,700 in loss of earnings under the Austrian Product Liability Act (Produkthaftungsgesetz, PHG).

The OGH has already confirmed that:

  • the IUD was defective, and
  • the defect causally led to the pregnancy.

Diverging approaches in the Austrian courts

The lower courts took different views:

  • Court of First Instance: dismissed the claim entirely, holding that the birth of a healthy child – even if unwanted – does not constitute compensable damage.
  • Court of Appeal: awarded minor items (pain and suffering, travel costs, replacement costs of the IUD) but rejected the claim for loss of earnings as a mere indirect financial consequence.
  • Supreme Court: accepted defect and causation, but considered the legal classification of the loss of earnings under EU law unclear and therefore referred the matter to the CJEU.

The core legal issue: What counts as “personal injury” under Article 9(a)?

Article 9(a) of the Product Liability Directive covers “damage caused by death or personal injury.” Pure financial loss, by contrast, is not recoverable.

The difficulty lies in classification:

  • Narrow approach

Loss of earnings resulting from the birth of a healthy child is merely an indirect economic consequence.
If pregnancy and childbirth (when medically normal) are not considered “personal injury” in the relevant sense, the claim fails as unrecoverable pure economic loss.

  • Broad approach

The insertion of a defective medical device into the body – and the resulting unwanted pregnancy – constitutes a violation of physical integrity.If that threshold is met, all material consequences of that personal injury, including loss of earnings, must be compensated. The CJEU has consistently interpreted “damage caused by personal injury” broadly in other medical device contexts (e.g. Boston Scientific).

The OGH explicitly notes that the Directive requires effective and full compensation for damage resulting from personal injury, while excluding pure economic loss.

The unresolved question is where exactly this case falls.

Why this matters beyond Austria

Although the reference arises from Austrian proceedings, the implications are EU-wide.

  • For medical device manufacturers
  • Increased exposure to substantial consequential damages in contraception and other implantable device cases.
  • Potential re-evaluation of risk allocation and insurance coverage.
  • Heightened scrutiny of warning systems and post-market surveillance.
  • For healthcare providers
  • While the present case concerns manufacturer liability, a broad interpretation may indirectly influence parallel litigation strategies in medical malpractice cases.
  • The interplay between product liability and professional liability could become more complex.
  • For product liability doctrine
  • The case tests the limits of the Directive’s exclusion of pure economic loss.
  • It forces clarification of when a defective medical device interferes with bodily integrity in a legally relevant way.
  • It may influence future interpretation under the new Product Liability Directive (EU) 2024/2853, even though that instrument does not apply to the present facts

A structural question for EU product liability law

At its core, the case raises a fundamental issue:

Is the economic burden of an unwanted pregnancy the realisation of the very risk that a defective contraceptive product creates?

Contraceptive devices are designed precisely to prevent pregnancy and its physical and economic consequences. If their failure due to a defect results in pregnancy, it is difficult to argue that the ensuing financial impact is entirely outside the protective scope of product liability law.

From a policy perspective, a narrow interpretation may appear formalistic. A broad interpretation, however, significantly expands manufacturers’ exposure in highly sensitive areas of reproductive health.

Outlook

The OGH has suspended the proceedings pending the CJEU’s ruling

The forthcoming judgment will not only decide this individual dispute but may redefine the boundary between compensable personal injury and excluded economic loss under EU product liability law.

For stakeholders in the healthcare and life sciences sector, this is a case to watch closely.

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