The transition to the new EU MDR and IVDR regulations was a major focus in 2019, with concerns around limited guidance and the looming May 2020 implementation deadline. The US requested a three-year delay due to inadequate notified bodies and guidance. However, the EU commissioner has not changed the deadline. Brexit was also a major issue, with UK notified bodies set to lose accreditation and manufacturers needing to transfer certificates and authorized representatives to EU entities. Looking ahead to 2020, the FDA will finalize rules around ISO 13485 harmonization and digital health pathways.