Short answer: no. IEC 62353 does not apply to manufacturers and cannot be referred to in medical device regulation. IEC 62354 is a guide only, a technical report, and again cannot be referred to in regulation.
Long answer:
In general the European medical device directive always refers to design and production. While we often focus on standards in the design part, legally your obligation is, of course, more important for regular production.
There, things get interesting. The decision on whether to test in production can take into account a lot of factors, such as:
- expected variability in production
- margin to the limit
- use of certified parts
- importance of the limit or test in question
- potential for mistakes or other failures in production
In addition, production tests are often highly simplified to a spot check. Again the justification to use a spot check is based on the factors above.
Nevertheless, the law in Europe requires you to ensure compliance in production. A NB auditor cannot insist on a particular production test, but they can ask how you can ensure compliance in production for any clause in IEC60601-1. You should have a plausible answer ready.
Unfortunately many NB auditors have been trained to expect a minimum number of tests like leakage current, earth resistance, dielectric strength. Always challenge these auditors to provide evidence of the law or regulation that requires this. Some of these tests are reasonable, but ultimately it is up to the manufacturer to decide. Dielectric strength is one area of particular contention as it can be problematic in production, especially 4kV tests. Any auditor that insists on a 4kV test in production on a fully assembled device should challenged.
In general it would be wrong to try and mandate production tests in a standard, because of the huge variety of design solutions. At best we can expect a standard to give some guidance and examples, but not to explicitly state particular tests and criteria. Auditors should not twist these guides into a mandatory requirement.