The US FDA finalised its guidance on Predetermined Change Control Plans for AI-enabled device software on 4 December 2024. A plan has three parts: a description of the planned modifications, the protocol for developing, testing and rolling them out, and an assessment of their impact. Changes made within the plan do not need a new marketing submission.
The EU AI Act takes the same approach in Article 43(4). For high-risk systems that keep learning, changes the provider set out at the initial conformity assessment, and recorded in the technical documentation, are not substantial modifications.
The idea travels well beyond medical devices. Any organisation running AI that changes after approval, whether through retraining or learning on the device, can write down in advance what may change, by how much, how it will be checked and how to roll back. Without that, the original approval stops describing the system in use.