Regulatory Affairs & Technical Documentation That Secures Global Approval

Navigate complex regulatory pathways with confidence. Our team of former Notified Body experts, regulatory specialists, and medical writers deliver compliant technical documentation and strategic regulatory guidance for IVDR, MDR, FDA, UKCA, and global markets.

Regulatory Excellence for IVDs & Medical Devices

At MDx CRO, we transform regulatory challenges into competitive advantages. Whether you’re navigating IVDR transition, preparing MDR technical documentation, or planning a global regulatory strategy, our team provides expert guidance and hands-on support across the entire product lifecycle.

Our regulatory affairs and technical documentation services span all device classes and risk categories-from Class I medical devices to Class D IVDs-ensuring your submission packages are scientifically sound, technically precise, and fully aligned with regulatory requirements.

Led by former Notified Body and regulatory authority reviewers, we deliver the expertise you need to achieve compliant, efficient, and successful outcomes for your medical technology.

Comprehensive Regulatory & Technical Documentation Services

Regulatory Strategy & Intelligence

Global Regulatory Pathway Determination

  • EU (IVDR/MDR), US (FDA), UK (UKCA), and ROW market access strategies
  • Device classification assessment
  • Conformity assessment route selection
  • Strategic oversight of regulatory considerations throughout development

Regulatory Intelligence

  • Targeted monitoring of changing regulations and guidance
  • Interpretation of regulatory requirements for your specific device
  • Impact analysis of regulatory changes
  • Horizon scanning and early warning on upcoming changes

Pre-Submission & Scientific Advice

  • Notified Body consultation preparation (structured dialogues)
  • FDA Pre-Submission meetings
  • EMA consultation for companion diagnostics
  • Scientific advice from competent authorities
  • MDCG and expert panels strategies

Technical Documentation Development

Technical File & Design Dossier Creation

  • Complete technical documentation authoring and compilation
  • IVDR/MDR-compliant structure and content
  • Gap assessments against current regulations
  • Technical file remediation and updates
  • Legacy device transition support

GSPR Documentation

  • GSPR compliance assessment and documentation
  • Standards compliance documentation
  • State-of-the-art reviews
  • Clinical evaluation planning
  • Risk/benefit assessment documentation

Risk Management

  • ISO 14971-compliant risk management
  • Risk management files and reports
  • Risk management planning
  • Production and post-production risk monitoring
  • Risk/benefit analysis documentation
  • Usability risk assessments

Performance Evaluation & Clinical Evidence

Performance Evaluation Plans & Reports

Clinical Evaluation

  • Clinical evaluation plans (CEP) and reports (CER)
  • Literature reviews and appraisalls
  • State-of-the-art determination
  • Clinical evidence gap analyses
  • Clinical evidence strategy
  • CER remediation for MDR compliance

Post-Market Surveillance Planning

  • PMS plans and procedures aligned with IVDR/MDR
  • PMS reports and PSUR development
  • PMPF and PMCF planning
  • Trend analysis procedures
  • Vigilance and reportable event assessments

Regulatory Submissions & Authority Communications

Notified Body Submissions

  • Complete submission package preparation
  • Response management to deficiency letters
  • Communication management with Notified Bodies
  • Mock Notified Body reviews and audits
  • Technical documentation assessment reports

Competent Authority & Regulatory Body Interactions

  • EMA consultation process for companion diagnostics
  • MDCG expert panel submission preparation for high-risk devices
  • Communications with Competent Authorities
  • Response management to regulatory queries
  • Regulatory inspection preparation

FDA, UKCA & Global Submissions

  • FDA 510(k) submission preparation
  • FDA De Novo and PMA applications
  • UKCA marking technical files
  • Health Canada license applications
  • Global registration strategies and submissions

Legal Representative Services & Regulatory Operations

European Authorized Representatives

  • EU legal representative services
  • UK Responsible Person services
  • Delegated study sponsor 
  • Regulatory compliance monitoring
  • Vigilance reporting support

EUDAMED Registration & UDI

  • EUDAMED registration and management
  • Economic operator registration
  • UDI compliance and implementation
  • Basic UDI-DI assignment strategy
  • Product and certificate registration

Document Control & QMS Integration

  • Technical documentation lifecycle management
  • QMS integration of regulatory requirements
  • Document control and version management
  • Regulatory records maintenance
  • SOP development for regulatory processes
Why Choose MDx for Regulatory Affairs & Technical Documentation?
Our Differentiated Expertise
Capability
Former Notified Body Experts
Mock NB Reviews
IVDR/MDR Focus
Combined RA & Clinical
Device-Specific Templates
Therapeutic Area Knowledge
GSPR/Standards Expertise
Global Strategy Integration
MDx CROTypical CROs
From top EU NBs including BSILimited or none
Actual former NB reviewersOften by consultants with no NB experience
Specialists in current regulationsOften transitioning from older directives
Integrated servicesUsually separated departments
Customized for your technologyGeneric templates
Deep clinical understandingGeneralized approach
Standards specialists on staffBasic knowledge only
EU, UK, US & globalRegion-specific expertise
Success Metrics
500+
devices successfully placed on market under IVDR/MDR
100%
technical documentation acceptance rate with structured MDx methodology
30%
average reduction in Notified Body review cycles
15+
Notified Bodies & Competent Authorities engaged across IVDR/MDR

Former BSI, TÜV SÜD reviewers on staff

Multiple first-of-kind device approvals under IVDR/MDR

Annex II/III Technical Documentation authored and remediated across all risk classes

Case Studies
IVDR Technical Documentation Remediation
Challenge
Challenge

A global IVD manufacturer needed to transition 15 assays from IVDD to IVDR within 12 months, with significant gaps in technical documentation and clinical evidence.

Solution
Solution

MDx implemented our structured Technical Documentation Remediation Process, with specialized teams for performance evaluation, risk management, and labeling compliance.

Result
Result

All 15 assays successfully certified under IVDR with a single round of Notified Body review, completed 2 months ahead of deadline.

Complex Device Classification & Strategy
Challenge
Challenge

A novel combination product with both medical device and IVD components required a clear regulatory pathway under both MDR and IVDR.

Solution
Solution

MDx conducted a comprehensive classification assessment, consulted with authorities, and developed an integrated regulatory strategy leveraging both frameworks.

Result
Result

Client secured clarification on primary regulation, optimized testing requirements, and reduced time-to-market by 6 months.

Our Technical Documentation Process

1.
Assessment & Gap Analysis
  • Comprehensive review of existing documentation
  • Gap analysis against target regulations
  • Regulatory strategy development
2.
Remediation Planning
  • Prioritized action plan development
  • Resource allocation and timelines
  • Template creation and content planning
3.
Content Development
  • Technical writing by domain experts
  • Evidence compilation and analysis
  • Cross-referencing and consistency checks
4.
Quality Review
  • Multi-stage quality control process
  • Mock Notified Body review
  • Compliance verification
5.
Submission & Support
  • Submission package preparation
  • Notified Body communication management
  • Deficiency response coordination
Client Testimonials

“MDx’s regulatory team provided exceptional technical documentation support for our IVDR submission. Their former Notified Body expertise was evident in the quality of the documentation, which passed review with no major findings.”

Regulatory Affairs Director
Top 10 Global IVD Manufacturer

“The mock Notified Body review conducted by MDx identified critical gaps that would have certainly delayed our certification. Their remediation plan was precise and effective, saving us months of back-and-forth with our actua lNotified Body.”

Quality and Regulatory Manager
European Medical Device Startup

“MDx helped us turn a scattered set of design and test reports into a clear Annex II/III technical file. They were practical and fast, and their guidance on Notified Body expectations kept our questions to a minimum.”

Head of Regulatory Affairs
European Molecular Diagnostics Company

Frequently Asked Questions

Ask us a Question
  • How long does it typically take to remediate technical documentation for MDR/IVDR compliance?

    Timelines vary based on device class and documentation maturity but typically range from 3-8 months for complete technical documentation remediation. Our assessment phase provides a precise timeline for your specific product.

  • Can MDx support both IVD and medical device technical documentation in the same project?

    Yes. We have specialized teams for both IVDs and medical devices, with experts in specific technology areas like software, combination products, and companion diagnostics. For products with both components, we provide integrated support with teams working in parallel.

  • What advantages do former Notified Body reviewers bring to technical documentation development?

    Our former NB experts understand exactly how submissions are reviewed, common deficiencies, and what constitutes acceptable evidence. This insider knowledge ensures documentation is structured optimally, addressing potential concerns before they become findings.

  • How do you stay current with evolving regulatory requirements?

    Our Regulatory Intelligence team continually monitors updates from authorities (EMA, FDA, MHRA), notified bodies, and industry groups. We maintain relationships with regulatory bodies, participate in industry working groups, and immediately incorporate new guidance into our processes.

  • Can you support global submissions beyond EU and US markets?

    Yes. We support submissions in major and emerging markets worldwide, including UK, Canada, Australia, Japan, Brazil, and China. Our global regulatory strategy ensures efficient leveraging of core documentation for multiple markets.

  • What is your approach to GSPR compliance documentation?

    We follow a systematic approach to GSPR compliance, mapping applicable requirements, identifying relevant standards, assessing compliance with each requirement, and documenting evidence. Our approach ensures complete traceability between requirements, standards, and verification evidence.

Expert Technical Documentation for Your Regulatory Success

Whether you’re facing IVDR/MDR transition, preparing for Notified Body submission, or developing a global regulatory strategy, MDx delivers the expertise and execution you need to navigate requirements confidently and efficiently.

From Concept to Compliance. We Deliver.