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Fingertip pulse oximeter

Pulse oximeter testing

Pulse oximeter testing is dominated by one hard requirement: the SpO2 accuracy claim is proven by a controlled desaturation study, and very few accredited laboratories can run one.

A clip-on meter that reads blood oxygen saturation (SpO2) and pulse rate through the fingertip, often sold for home use.

This is a map of what testing a product class commonly needs. It is not regulatory advice, and it does not replace your own risk analysis or a notified body's view.

What the terms on this page mean
MDR:
the EU Medical Device Regulation, the law a medical device must satisfy to be sold in the EU.
RED:
the EU Radio Equipment Directive, the law that applies on top of the MDR as soon as your product contains a radio such as Bluetooth or Wi-Fi.
Harmonised:
a standard named on the EU's official list. Testing to it earns presumption of conformity, meaning the authorities accept it as proof without further argument.
Accredited scope:
the exact list of tests a laboratory has been independently assessed to perform, published by its national accreditation body.

Tell us about your product

These are the answers that change which testing applies. Everything below stays on the page either way; turning an answer off only fades the categories it triggers.

Showing every category that applies to a typical example of this product.

What fingertip pulse oximeter testing may involve

6 laboratory categories. The laboratory counts below were taken from our register on 2026-08-18.

C01

Electromagnetic compatibility testing

Emissions and immunity measurement in a chamber, plus immunity to mains disturbances.

If the device is electrically powered, this may require electromagnetic compatibility testing.

A powered device has to meet emissions limits and stay accurate under immunity testing.

  • IEC 60601-1-2Not harmonised under the MDR

    The single named EMC standard for medical electrical equipment worldwide, and the one most often wrongly assumed to be harmonised under the MDR.

    Why? S001

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: no entry references EN 60601-1-2 in any edition (absence re-verified 2026-08-17)

  • CISPR 11 and EN 55011Not harmonised under the MDR

    The emissions limits IEC 60601-1-2 calls up for medical electrical equipment.

    Why? S002

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

  • The IEC 61000-4 seriesNot harmonised under the MDR

    The basic immunity test methods IEC 60601-1-2 references for each phenomenon: electrostatic discharge, radiated fields, fast transients, surges and voltage dips.

    Why? S003

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17 for EN 61000, any part

34 accredited laboratories in our register hold IEC 60601-1-2 in scope (counted 2026-08-18). See the labs

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

C02

Medical electrical safety testing

Leakage current, dielectric strength, mechanical and thermal hazards and single-fault conditions, plus verification that the device still performs when stressed.

If a powered part of the device touches the patient, this may require medical electrical safety testing.

The finger clip is an applied part.

  • IEC 60601-1Harmonised under the MDR

    Cited edition: EN 60601-1:2006 / EN 60601-1:2006/A13:2024 (entry 65)

    The foundation standard for every powered medical device: leakage current, dielectric strength, mechanical and thermal hazards, and single-fault safety.

    The list cites this edition. Whether the presumption extends to the A1:2013, A12:2014 and A2:2021 amendments is not stated in the Official Journal text, so this map does not claim it.

    Why? S005

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entry 65 read verbatim 2026-08-17

  • IEC 60601-1-11Not harmonised under the MDR

    The home healthcare environment collateral standard. It is the switch that opens a wider environmental and usability envelope for any home-use device.

    Why? S007

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

37 accredited laboratories in our register hold IEC 60601-1 in scope (counted 2026-08-18). See the labs

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

C12

Measurement accuracy and performance testing

Bench and, where required, clinical validation of the specific measurement claim against the particular standard for that device class.

If it makes an SpO2 accuracy claim, this may require measurement accuracy and performance testing.

SpO2 accuracy is verified by a controlled desaturation study defined in that particular standard, not by bench testing alone.

  • ISO 80601-2-61Not harmonised under the MDR

    Basic safety and essential performance of pulse oximeter equipment.

    It includes the controlled desaturation study, which very few laboratories can run. Note also that the FDA recognition of this standard excludes the SpO2 accuracy clause, so US recognition of the accuracy specification should not be assumed.

    Why? S060

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

16 accredited laboratories in our register hold ISO 80601-2-61 in scope (counted 2026-08-18). See the labs

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

C05

Biological evaluation testing

Cytotoxicity, sensitization and irritation, and where the contact category demands it systemic toxicity, plus chemical characterization and toxicological risk assessment.

If the housing and clip contact intact skin, this may require biological evaluation testing.

Limited intact-skin contact usually means the shortest biological evaluation set.

  • ISO 10993-1Harmonised under the MDR

    Cited edition: EN ISO 10993-1:2025 (entry 54)

    The gateway standard. It decides, from the nature and duration of contact, which other parts apply.

    Why? S024

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entry 54 read verbatim 2026-08-17

  • ISO 10993-5Harmonised under the MDR

    Cited edition: EN ISO 10993-5:2009 / EN ISO 10993-5:2009/A11:2025 (entry 55)

    In vitro cytotoxicity: the universal screening test that essentially every patient-contacting device gets.

    Why? S025

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entry 55 read verbatim 2026-08-17

  • ISO 10993-10Harmonised under the MDR

    Cited edition: EN ISO 10993-10:2023 (entry 17)

    Tests for skin sensitization.

    Irritation moved out of part 10 into part 23 at the 2021 revision. A quote that still says '10993-10 irritation and sensitization' is quoting a superseded structure.

    Why? S026

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entry 17 read verbatim 2026-08-17

  • ISO 10993-23Harmonised under the MDR

    Cited edition: EN ISO 10993-23:2021; EN ISO 10993-23:2021/A1:2025 (entries 1 and 1a)

    Tests for irritation: the other half of the old part 10.

    Entry 1 loses its citation on 2027-12-15, as the list read on 2026-08-17.

    Why? S027

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entries 1 and 1a read verbatim 2026-08-17

  • ISO 10993-12Harmonised under the MDR

    Cited edition: EN ISO 10993-12:2021; EN ISO 10993-12:2021/A1:2025 (entries 7 and 7a)

    Sample preparation and reference materials. Not a test in itself, but the extraction rules that make every other part comparable.

    Why? S028

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617, entries 7 and 7a read verbatim 2026-08-17

29 laboratories in our register reference ISO 10993-1 in their published scope text (counted 2026-08-18). Search the register

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

C09

Usability engineering and human factors evaluation

Formative and summative evaluation with representative users, use-error analysis, and evidence that the interface does not induce harm.

If it is sold for use by a lay person, this may require usability engineering and human factors evaluation.

Misreading or misplacing the probe is a foreseeable use error with a clinical consequence.

  • IEC 62366-1Not harmonised under the MDR

    The usability engineering process: formative and summative evaluation with representative users, and evidence that the interface does not induce harm.

    The named usability standard for medical devices is not harmonised under the MDR, which surprises most buyers.

    Why? S048

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

  • IEC 60601-1-6Not harmonised under the MDR

    The bridge that applies the general usability process to medical electrical equipment.

    Why? S049

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

29 laboratories in our register reference IEC 62366-1 in their published scope text (counted 2026-08-18). Search the register

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

C10

Environmental, mechanical and ingress testing

Temperature, humidity, vibration, shock, drop, and ingress-protection classification.

If it is portable and used outside a clinic, this commonly involves environmental, mechanical and ingress testing.

Home and transport conditions are wider than clinical ones.

  • The IEC 60068 seriesNot harmonised under the MDR

    The basic climatic and mechanical methods: cold, dry heat, damp heat, vibration, shock and free fall.

    Why? S051

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17 for EN 60068, any part

  • IEC 60529Not harmonised under the MDR

    Where an ingress rating claim such as IP22 or IP67 gets verified.

    Why? S050

    Consolidated MDR harmonised-standards list, Implementing Decision (EU) 2021/1182 as amended, CELEX 02021D1182-20260617: absence re-verified 2026-08-17

214 laboratories in our register reference the IEC 60068 series in their published scope text (counted 2026-08-18). Search the register

A laboratory can hold capability that its published scope text does not itemize. Absence from these counts is not evidence of absence.

Next step

Each card above links to the laboratories in our register that hold that standard. If you would rather describe the job in your own words, ask for a recommendation, or go back to the other product types.