MedTech Clinical Solutions

Accelerate Your MedTech Trials, From Design to Global Submission
MDx delivers expert-led, ISO 14155/20916-compliant clinical research and investigations for IVDs and medical devices—supporting MDR, IVDR, FDA IDE, and global approvals

Your MedTech CRO Partner

At MDx, we offer end-to-end clinical solutions for both IVD and medical device manufacturers. From protocol design and feasibility to regulatory submissions and monitoring, we ensure clinical success—faster, smarter, and globally compliant.

Trusted by global sponsors including top 10 IVD and MedTech manufacturers.

If you are comparing clinical partners, use our medical device CRO qualification checklist to assess relevant experience, quality systems, staffing, data controls and oversight before issuing an RFP.

Thorough checklist and documents process for Medical Device companies, focusing on compliance, quality assurance, and accelerating MedTech innovation.

Why Sponsors Choose MDx

  • ISO 14155 / ISO 20916 Clinical Operations
  • Full-service EU MDR, IVDR, and FDA IDE support
  • Delegated sponsor & EU Legal Representative
  • In-house monitoring, biostats, data management
  • eCRF, eTMF, QMS & audit readiness

Sponsors evaluating a clinical investigation partner should verify how ISO 14155 is implemented across study planning, monitoring, safety reporting, data management and oversight. Our ISO 14155 CRO qualification guide lists the evidence and questions to include in the assessment.

Innovative MDX medical technology at work with a smiling woman healthcare professional during an online meeting. Focus on advancing MedTech solutions and digital health innovation.

Our Clinical Services

For help determining whether a proposed study falls under MDR Article 62, Article 74 or Article 82, see our MDCG 2021-6 Rev. 1 clinical investigation guide.

For EU medical device investigations, regulatory compliance also requires a defined process for SAE and device-deficiency reporting. Our overview of MDCG 2020-10/1 safety reporting explains the applicable reporting criteria, timelines and competent authority submission process.

The application package must also include an Investigator’s Brochure that presents device, evidence and risk information in a clear, balanced and traceable form. Use our MDCG 2024-5 Investigator’s Brochure checklist before submission.

Strategy & Planning

  • Clinical Strategy
  • Study Feasibility & Site Selection
  • Protocol Development (CIP / CPSP)
  • Risk Management Planning
  • Programmes that require exploratory work, confirmatory investigations and PMCF should define these activities within a documented Medical Device Clinical Development Plan, with milestones and prospective acceptance criteria.
  • Clinical Strategy

Execution & Oversight

Regulatory & Compliance

  • MDR, IVDR, FDA
  • Ethics & Competent Authority Submissions (EU, UK, US), including AEMPS and CEIm pathways in Spain
  • EU/UK Legal Representation
  • EUDAMED Registration
  • CAPA & Audit Readiness
  • GCP, ISO 14155/20916 Compliance

Usability & Human Factors

  • Formative and Summative Studies
  • IEC 62366 & FDA Human Factors Compliance
  • Usability & Human Factors
CRO Comparison Table
CRO Services
Clinical Project Management
Protocol Development
Regulatory Support (MDR & IVDR)
Study Audits (ISO 14155 / ISO 20916)
EU/UK Legal Representative
Biostatistics & Data Management
eTMF & eCRF Tools
Clinical Compliance
SOPs for GCP, ISO 14155 & ISO 20916
Multilingual Clinical Team
Expertise & Stakeholder Engagement
MDR, IVDR, FDA, CA Strategy
Complex High-Risk Device Experience
Software as a Medical Device (SaMD) Expertise
EU Engagement (EMA, MDCG, Notified Bodies)
MDxOther CROs
YesYes
In-house expertiseOften outsourced
Specialized supportGeneralist support
Conducted by MDx expertsRarely offered
IncludedLimited availability
Fully in-houseOften outsourced
Certified systemsLimited
Robust & harmonizedPartial
14+ LanguagesLimited coverage
Proven track recordPartial
ExtensiveLimited
SpecializedRarely supported
Active participationNo direct access

Therapeutic Areas & Technologies

Therapeutic Expertise

  • Oncology
  • Cardiovascular
  • Orthopaedics & Dental
  • Infectious Diseases
  • Woundcare
  • Reproductive Health
  • Neurology & Mental Health
  • Critical Care

Technologies

  • SaMD & Digital Health
  • Implantable Devices
  • Imaging Technologies
  • Combination Products
  • In Vitro Diagnostics (IVDs): PCR, NGS, IHC, immunoassays, etc

Our Clinical Impact

  • 100% success rate in IVDR & MDR study submissions
  • 30+ complex trials managed for Class II/III and high-risk IVDs
  • 60+ IVD performance study submissions across Europe
  • SaMD and digital therapeutics fully managed through to submission
Advanced healthcare professionals monitoring patient vitals with medical devices in a hospital setting, emphasizing MedTech innovation and clinical excellence.

Project Types We Manage

IVD Performance Studies

Medical Device Clinical Investigations

Trusted by Global Sponsors

“MDx delivered exceptional clinical execution for our MDR Class III implantable. Their ISO 14155 expertise, monitoring, and submission support helped us gain approval faster than expected.”

— VP, Clinical Affairs, Top 25 Global Device Manufacturer

“The team’s ability to translate technical needs into compliant documentation was invaluable.”

— Director, Regulatory Affairs, SME MedTech Firm

Frequently Asked Questions

Ask us a Question
  • Do you manage both IVD and Medical Device studies?

    Yes — across MDR, IVDR, FDA IDE, IRB, and more.

  • Can MDx act as Legal Representative in the EU?

    Yes — under MDR (Art. 62.2) and IVDR (Art. 58.4), we can act as legal rep or delegated sponsor. We also provide UK RP services.

  • Do you support software as a medical device (SaMD)?

     Yes. We support digital therapeutics, diagnostics, and SaMD studies with IEC 62366-aligned usability testing and FDA Human Factors guidance.

  • What’s the difference between a clinical trial, investigation, and performance study?

    Clinical trial = general term
    Clinical investigation = for medical devices
    Performance study = for IVDs
    We support all — from feasibility to full submissions.

Partner with a Proven Clinical CRO

Your Clinical Goals. Our Regulatory Precision.

Whether you’re launching a complex IVD study or preparing for global submissions, MDx is your full-service CRO for high-impact clinical outcomes.

 Your Device. Our Expertise. Global Impact.