Standard Applicability Judgment and Cross-jurisdictional Reasoning: A RAG-based Framework for Medical Device Compliance

Identifying the appropriate regulatory standard applicability remains a critical yet understudied challenge in medical device compliance, frequently necessitating expert interpretation of fragmented and heterogeneous documentation across different jurisdictions. To address this challenge, we introduce a modular AI system that leverages a retrieval-augmented generation (RAG) pipeline to automate standard applicability determination. Given a free-text device description, our system retrieves candidate standards from a curated corpus and uses large language models to infer jurisdiction-specific applicability, classified as Mandatory, Recommended, or Not Applicable, with traceable justifications. We construct an international benchmark dataset of medical device descriptions with expert-annotated standard mappings, and evaluate our system against retrieval-only, zero-shot, and rule-based baselines. The proposed approach attains a classification accuracy of 73% and a Top-5 retrieval recall of 87%, demonstrating its effectiveness in identifying relevant regulatory standards. We introduce the first end-to-end system for standard applicability reasoning, enabling scalable and interpretable AI-supported regulatory science. Notably, our region-aware RAG agent performs cross-jurisdictional reasoning between Chinese and U.S. standards, supporting conflict resolution and applicability justification across regulatory frameworks.