Medical Device Regulatory Consulting

Excellence from Concept to Post-Market

Navigate EU MDR compliance, clinical development, and post-market surveillance with confidence. Our former Notified Body experts deliver end-to-end solutions for Class I-III devices.

Core Medical Device Expertise

Regulatory Strategy & Certification

  • MDR Certification Support: Gap assessments, technical documentation remediation, and Notified Body liaison
  • EU MDR Compliance Services: Article 120 transition strategies for legacy devices
  • Medical Device Regulatory Pathway: Global submission planning (FDA 510(k), UKCA, Australia TGA)
  • Drug-Device Combination Products: 21 CFR Part 4 compliance and borderline assessments
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Clinical Evaluation Plan

Clinical Development & Evidence Generation

  • Clinical Development Plans: ISO 14155-aligned strategies for PMCF/clinical investigations
  • Biological Evaluation Reports: ISO 10993-compliant biocompatibility assessments
  • Clinical Evaluation Reports (CER): MEDDEV 2.7/1 Rev 4 and MDCG compliance with state-of-the-art analysis
  • Post-Market Clinical Follow-Up (PMCF): Study design, survey implementation, and real-world evidence strategies
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Specialized Services

MDR Technical Documentation

Annex II/III packages with GSPR compliance mapping

Labeling Compliance

EU MDR labeling requirements & IFU validation

Remediation Services

MDD-to-MDR transition with QMS integration

Regulatory Intelligence

Proactive monitoring of MDR amendments

Biocompatibility Testing Coordination:

ISO 10993 biological evaluation plans & reports; Vendor selection for cytotoxicity/genotoxicity studies;

Electrical Safety & EMC Testing

IEC 60601 compliance strategies

Clinical Validation Protocols

PMCF survey design and statistical analysis plans

MDR Compliance Roadmap

Phase 1: Pre-Submission Preparation

  • Device classification per MDR Annex VIII
  • Conformity assessment route selection
  • Clinical development strategy alignment
  • Gap analysis against Annex I GSPRs

Phase 2: Documentation & Validation

  • Technical file compilation (90-120 days avg.)
  • Biological evaluation report development
  • Clinical investigation set-up per ISO 14155
  • Usability engineering files per IEC 62366

Phase 3: Certification & Beyond

  • Notified Body audit preparation
  • SSCP creation and EUDAMED registration
  • Creation of Periodic Safety Update Reports (PSURs)
  • Ongoing PMCF study management

Differentiated Expertise

Why Global Manufacturers Choose MDx

Former Notified Body Team

ex-BSI/TÜV SÜD experts

Integrated Clinical-Regulatory Approach

Synchronized CER/PMCF timelines, including clinical investigations, if applicable.

Complex Device Specialization

68% of projects involve Class IIb/III devices; 20+ combination product submissions

Proven Track Record

100% MDR submission success rate; 30% faster certification vs industry average

Why Clients Choose MDX
MDR Certification for Dental Implant Manufacturer

Challenge: Class IIb manufacturer needed urgent transition from MDD to MDR with incomplete clinical data.

Solution:

  • Literature-based CER with PMCF gap analysis
  • PMCF study development
  • Notified Body negotiation strategy

Result: CE Mark granted in 9 months with 60% cost savings vs new trials.

PMCF Strategy for Cardiovascular Device

Challenge: Post-market surveillance requirements for Class IIb device with limited budget.

Solution:

  • Real-world evidence collection via hybrid PMCF survey
  • ISO 14155-compliant registry study design
  • Automated safety signal detection system

Result: Sustained compliance with 85% participant retention rate.

Frequently Asked Questions

Ask us a Question
  • What's included in a biological evaluation report?

    Our ISO 10993-compliant reports include material evaluation, including the type and duration of body contact, as well as potential biological risks. They include a review of existing data, material characterization, and toxicological risk assessment. Where applicable, additional testing to address required biological endpoints can be conducted – all coordinated with accredited test labs.

  • How long does MDR certification typically take?

    Most devices achieve certification in 6-18 months. Our phased approach reduces timelines by 40% through parallel documentation/validation processes.

  • What distinguishes your PMCF services?

    We implement risk-based PMCF strategies combining literature reviews, registry studies, and real-world data analytics to minimize clinical trial costs.

  • What should a Clinical Evaluation Plan include?

    A Clinical Evaluation Plan (CEP) is required under EU MDR 2017/745 Annex XIV, Part A, and must document the following elements:

    • Device description and intended purpose — including indications, target population, and clinical claims to be substantiated
    • Device classification and applicable GSPRs — specifically those requiring clinical evidence
    • Description of equivalent devices (if equivalence is claimed) — including the technical, biological, and clinical characteristics used to justify equivalence
    • Clinical background and state of the art — defining the current standard of care against which the device will be evaluated
    • Literature search methodology — databases, search strings, inclusion/exclusion criteria, and appraisal methodology (in line with MDCG 2020-13)
    • Clinical data sources to be used — own clinical investigations, PMCF data, registry data, published literature, and/or post-market surveillance data
    • Acceptance criteria — defining what level of clinical evidence will be sufficient to demonstrate conformity with the relevant GSPRs
    • Reference to related documents — linking to the PMCF plan, risk management file, and PMS plan

    The CEP must be updated throughout the device lifecycle and reviewed as part of each periodic clinical evaluation cycle.

Accelerate Your Medical Device Compliance

Whether you’re navigating MDR certification, developing clinical evidence, or managing post-market requirements – MDx delivers turnkey regulatory success.

From Biological Evaluation to Market Success. We Deliver.