Blog 

Sidebar

EU Annex XVI and Aesthetic Light Equipment

LIGHT THERAPY · EU REGULATORY VERIFICATION

Why “cosmetic only” does not settle the regulatory question

For aesthetic light equipment, a useful EU regulatory review starts with what the product is intended to do and how it does it. The light-source label is only part of the record.

Short answer: LED equipment is not automatically inside or outside the EU Medical Device Regulation (MDR). Products without a medical purpose can fall within Annex XVI. First establish qualification against the relevant product group and common specifications; only then determine classification. For group 5, MDCG guidance relates high intensity to the tissue effect needed for the intended purpose, rather than the radiation-band name alone. A specific model needs documented review; a cosmetic label cannot substitute for it. [1] [4]

Start with intended purpose, not “cosmetic only”

Annex XVI is specifically concerned with listed groups of products without an intended medical purpose. Group 5 covers high-intensity electromagnetic radiation equipment used on the human body for skin resurfacing, tattoo or hair removal, or other skin treatment. The MDR also addresses devices with both medical and non-medical purposes. [1]

Read the manufacturer's purpose across the label, instructions for use (IFU), promotional statements and clinical evaluation—not just a disclaimer. Those materials form part of the MDR definition of intended purpose. [1] As a practical review step, preserve the wording and flag contradictions instead of selecting whichever phrase gives the simplest answer.

The relevant common specifications (CS) are in Annex VI of Regulation 2022/2346; this is a different annex from Annex XVI of the MDR. The CS scope includes skin rejuvenation and distinguishes acne-scar treatment from other acne treatment. It excludes infrared equipment intended to warm the body and sunbeds from this annex. An exclusion from this CS annex is not a finding that all other legislation is inapplicable. [2]

Qualification asks whether the product is covered. Classification asks which risk class applies once coverage is established. The MDCG explicitly places qualification first. [4] Missing evidence leaves the question unresolved; it does not grant permission to market or use the device.

Keep binding law and explanatory guidance separate

Document Role in the review
MDR: Regulation (EU) 2017/745 Binding framework. Article 1 and Annex XVI establish the relevant scope. The current EUR-Lex consolidation is a reading aid; authentic legal texts are the Official Journal acts. [1]
Implementing Regulation (EU) 2022/2346 Binding CS. Review the applicable scope and requirements, including its amendment by 2023/1194. [2] [5]
Implementing Regulation (EU) 2022/2347 Binding reclassification rules for certain active Annex XVI products. It is distinct from the CS regulation. [3]
Implementing Regulation (EU) 2023/1194 Binding amendment to transitional provisions in 2022/2346; not an exemption for all cosmetic devices. [5]
MDCG 2023-5 Non-binding qualification and classification guidance endorsed by the Medical Device Coordination Group. Its disclaimer states that it is not a European Commission document and does not represent a binding interpretation of EU law. [4]

The European Commission's dedicated manufacturer page brings the CS, amendment and reclassification instruments together. It is a useful starting point for finding the legal texts, rather than a model-specific conformity decision. [6]

What does “high intensity” mean for LED equipment?

MDCG 2023-5 explains that infrared, visible and ultraviolet are examples of radiation types, not sufficient evidence of high intensity. Its proposed qualification approach asks whether the radiation can produce the effect on target tissue necessary to achieve the product's intended purpose. The possible effects include thermal and photochemical effects; the list is not exhaustive. [4]

This is not a wavelength-only test or a universal marketing-wattage cutoff. A review should connect the stated purpose, actual output under intended conditions and supporting tissue-effect evidence. “Red,” “non-thermal” or “low power” is not, by itself, a documented scope assessment.

Why the LED examples matter—and what they do not prove

The guidance includes LED equipment for skin rejuvenation, hair-growth stimulation and improving the appearance of acne scars, including LED face masks, in its group 5 classification examples. It also warns that examples do not establish qualification in advance. [4]

These examples rule out a simple claim that LED technology is categorically excluded. They do not establish that every mask, panel or LED mode qualifies. Nor do they demonstrate clinical effectiveness for an individual model. Keep ordinary LED emission, ultraviolet exposure, intense pulsed light (IPL), lasers, photodynamic therapy and infrared warming distinct when reviewing evidence; shared regulatory language does not make their performance data interchangeable.

Only after qualification: check the applicable class

For covered active group 5 products without an intended medical purpose, Article 1(a) of Regulation 2022/2347 assigns class IIb for skin treatment, with class IIa when intended for hair removal only. The word “only” matters: the exception is not a general class for cosmetic LED equipment. [3]

A regulatory reviewer should document the route for the actual product and its full intended purposes. Do not copy a class from another device that happens to use the same light source. A risk-class statement also does not establish that conformity assessment is complete or that a certificate covers the model, mode and purpose being discussed.

Documents to assemble for a qualified review

Use this as an evidence-gathering checklist, not a substitute for the manufacturer’s technical documentation or a legally exhaustive compliance list. Its purpose is to make the qualification and classification reasoning traceable.

Gather What to resolve
Exact product identity Manufacturer, model, variant, accessories, software version where relevant, and the documents' dates. Are all records for the same product?
Label, IFU and manufacturer claims Full purpose, target tissue, intended user and environment. Are medical and non-medical purposes distinguished consistently?
Technical output and measurement records Emission spectrum, output at the treatment area, geometry, operating modes and measurement conditions. Can the reviewer evaluate the claimed tissue effect without relying on promotional wattage?
Performance, safety and risk documentation Evidence connecting this device to its intended effect; identified hazards, risk controls and residual risks. Which statements remain unsupported?
Written scope and class rationale The applicable Annex XVI group, CS scope and exclusions, relevant classification rules and 2022/2347 provision. Record the basis for inclusion or exclusion before assigning a class.
Conformity or claimed transition documents Applicable declaration and certificate scope, or the exact transitional route and dated supporting records. Are the model and purpose actually covered?
Country-specific use requirements Separate evidence about who may perform the procedure and under which conditions in the intended Member State. Product paperwork alone does not answer this.

A useful written conclusion identifies the product and documents reviewed, records qualification first, then the classification basis, and lists missing evidence. If the supplied file cannot support a conclusion, the review should say so explicitly rather than treating absence of proof as exemption.

Transitional provisions need their own evidence

Regulation 2023/1194 amended the transitional provisions in 2022/2346. A future end date is not a general grace period for every newly introduced LED product. [5]

When a manufacturer relies on transition, ask for the specific Article 2 route and evidence for every applicable condition. The clinical-investigation and no-clinical-investigation routes differ. Records may need to establish lawful prior marketing, continued compliance, absence of significant design or purpose changes, and the applicable investigation or notified-body milestone. Check the amended provision for the date of the proposed transaction; do not apply another product's timeline by analogy. [2] [5]

No transition eligibility has been established for any particular device in this article.

Common shortcuts to avoid

  • “No medical claims means no MDR.” Annex XVI provides a route for listed non-medical products.
  • “Every LED mask is class IIa.” Qualification comes first; the group 5 IIa exception is for hair removal only.
  • “The wavelength settles high intensity.” The guidance connects the question to the intended tissue effect.
  • “A future deadline proves this product can be supplied.” Transition depends on the applicable route and supporting records.

These shortcuts conflict with the scope, reclassification or transition distinctions above. [1] [3] [4] [5]

FAQ

Does a CE mark allow an aesthetic practitioner to use the device anywhere in the EU?

Do not infer that permission. MDR Article 1(14)–(15) preserves Member State powers and relevant national rules about device use and healthcare delivery. Verify the applicable country requirements separately; this article has not established any practitioner’s entitlement. [1]

Can one purpose statement cover every mode of a multifunction device?

A review should map each claimed purpose and relevant mode to supporting documentation. The MDR requires devices with both medical and non-medical purposes to meet the applicable requirements cumulatively. A general cosmetic statement cannot resolve a contradictory medical claim elsewhere in the file. [1]

Where should a reviewer look for updates?

Use EUR-Lex for the legal texts and the Commission’s current guidance directory for endorsed guidance and revisions. On the verification date, that directory listed MDCG 2023-5 and the revised general classification guidance MDCG 2021-24 rev.1. Check the actual documents relevant to the case; a saved 2023 guide is not a complete update check. [7]

The next step: a documented device-specific conclusion

Give a qualified regulatory reviewer a consistent file showing purpose, technical operation and evidence. Ask for a traceable scope decision before a risk class, and keep conformity status, any transition claim and national use permission as separate conclusions.

Sources

Official English sources checked on 10 October 2026. Relevant legal provisions and guidance sections support the scope explanation; no specific device file was assessed.

  1. Regulation (EU) 2017/745 (MDR), consolidated 19 July 2026 — Article 1, Article 2(12) and Annex XVI. Consolidation is a documentation aid; consult the linked authentic acts for legal reliance.
  2. Implementing Regulation (EU) 2022/2346, consolidated 22 June 2023 — amended Article 2 and Annex VI scope and IFU provisions.
  3. Implementing Regulation (EU) 2022/2347 — Article 1(a), reclassification of covered active group 5 products.
  4. MDCG 2023-5: Guidance on qualification and classification of Annex XVI products — non-binding guidance, especially sections 3.5 and 4.6 and the warning about examples.
  5. Implementing Regulation (EU) 2023/1194 — amendment of transitional provisions.
  6. European Commission: Manufacturers of devices without an intended medical purpose — official framework entry point.
  7. European Commission: Current MDCG guidance directory — current listings for Annex XVI and classification guidance.

This article is for general educational purposes and does not provide medical advice. Follow the instructions for the specific device and consult a qualified healthcare professional about suitability and safety.

It is not legal advice or a qualification, classification, conformity or practitioner-permission determination for any particular product or Member State.

Previous post
Next post

Leave a comment