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Want to get straight into the game? Then let's go: In-house production is like the moment when you win the ball in midfield and suddenly have a clear run on goal. You set the pace, make the plays and decide for yourself how precise and effective your software medical devices will be.

No long distances, no dependencies – just you, your team and a clear game plan. Safety, effectiveness and reliability are not the boundaries, but the playing field on which you show your skills.

Ready for the first attack? Then let's take a look at the rules and how you can use them to your advantage.

In-house manufacturing instead of the transfer market: your rules of the game

In-house manufacturing means that the medical device is manufactured and used exclusively in your EU-based healthcare facility (Art. 5(5) MDR). No transfer to external organisations, no placing on the market, no industrial series production. The MDR paves the way: the conformity assessment procedure (‘approval procedure’) is no longer required, and a notified body is not necessary. The basic safety and performance requirements in Annex I remain binding.

In short: in-house manufacturing is a home game – your team, your pace, your tactics.

Why in-house manufacturing is now picking up speed

In-house manufacturing can be the free kick in extra time: precise, effective and decisive. You have the chance to turn the game in your favour.

The advantages in a nutshell:

  • Tailor-made solutions: Software precisely tailored to your needs, processes and target groups – like a pass directly into the path of your striker.
  • Flexibility and sovereignty: React quickly instead of relying on external providers – like a fast counterattack after winning the ball.
  • Efficiency: Seamless integration into existing systems – one-touch combination play without losing the ball.
  • Less regulatory effort: No CE marking: a free kick without VAR interruption.
  • Innovative strength: Put ideas into practice immediately – like a rehearsed set piece that turns the game around.

Why wait for external solutions to fit? With in-house production, you set the pace.


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Playing challenges safely

Even though the MDR sets high standards, you are well positioned with a good strategy. Medical software devices in particular need strong cyber protection – like a goalkeeper who catches every ball safely.

Here's what you need for a safe game:

  • Avoid ‘placing on the market’: Passing on to third parties can be an own goal. Use the software exclusively within your organisation, otherwise place it on the market with a full conformity procedure.
  • Master the regulatory midfield: Documentation, risk management and clinical evaluation are the areas where the game is decided. Clean processes prevent wrong decisions.
  • Resources and know-how: Setting up an MDR-compliant QMS requires stamina and training, but those who stick with it will score.
  • In-house production is not a sure-fire success, but with a stable defence and clear tactics, it becomes a strong move.

Governance and responsibilities: clear roles, clean moves

In-house production wins with a compact back four: product responsibility, clinical supervision, IT security/data protection and quality management – clear spaces, clear announcements.

Changes go through lean change management with risk checks, approvals and audit trails – a rehearsed play instead of random dribbling. Make success visible with a few KPIs (time to go live, secure releases, clinical benefits) and regular reviews – including coach feedback.

Project example: How a hospital group became a game changer

A large municipal hospital group had an ambitious goal: to develop internal software that would improve clinical processes and make everyday hospital life noticeably easier. We supported the project from the initial idea to implementation: in a structured, secure and practical manner.

The target system was to:

  • display rule-based warnings and notifications, for example for laboratory values or disease patterns,
  • provide profession-specific information, and
  • integrate seamlessly into the existing clinical information system (CIS).

The result: the group can now develop medical device software independently – a clear home victory with controlled play.

Your roadmap: From planning to operation

Do you want speed, control and quality? Then take charge of the game yourself.

The most important steps:

1. Analysis and planning:
  • Purpose: Clearly define the benefits, target group and scenarios.
  • Regulatory classification: Clarify whether the software is a medical device so that you don't end up in the wrong league.
  • Carry out risk classification and record the reasons in a comprehensible manner – like the line-up before kick-off: every position has its reason.
  • Establish a QMS in accordance with ISO 13485.
  • Prepare communication with the authorities – like the match plan for the media: short, precise, without excuses.
2. Development and documentation:
  • Software development in accordance with IEC 62304.
  • Risk management according to ISO 14971.
  • Prepare clinical evaluation.
  • Complete technical documentation.
  • Make declaration of in-house production publicly available.
  • Prove that no equivalent market alternative is suitable – otherwise it's offside.
3. Implementation and training:
  • Ensure IT security and data protection – the back four are in place, the centre is tight: no one can get through.
  • Train teams in a targeted manner – like practising penalties: confident, repeatable, in.
4. Operation and monitoring:
  • Actively implement Corrective and Preventive Action (CAPA) and Post Market Surveillance (PMS): feedback, incidents, improvements.

In short: plan with structure, develop with system, operate with certainty.

Conclusion: clear game plan, strong coach, confident victory

In-house production of medical devices is challenging, and that is precisely where its particular strength lies. What many people don't know is that facilities that set up in-house production properly not only gain flexibility, but also build up internal know-how that becomes a real competitive advantage in the long term. Because every experience, every audit, every optimisation stays in-house – like a training camp from which you return stronger than before.

With the right tactics, a reliable QMS and structured documentation, you can dominate the playing field confidently and effectively.

And this is where adesso comes in: we are more than just a co-coach. We are your strategic partner who knows the playing field, understands the rules and strengthens the team. With a practical approach, audit-proof processes and a deep understanding of regulations, we accompany you from the initial concept through development to go-live. Together, we ensure that you not only play by the rules, but also dictate the match.


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Become a game changer now! Ready for your own software medical device? Sign up for a no-obligation consultation. Together, we will bring structure, security and speed to your project.

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Picture Niazmina Nasserie

Author Niazmina Nasserie

Niazmina Nasserie is a Senior Consultant in the field of life sciences at adesso. Her focus is on consulting, requirements engineering and project management for projects in the life science industry. She has extensive expertise in the regulations of medical technology and develops agile and digital solutions that address the special requirements of this industry.