Training IEC 62304 SDLC training now available — structured learning, timed assessment & certificate

Clinical Evidence Services

Clinical Evaluation
& Clinical Evidence

EU MDR · IVDR · ISO 14155 · MDCG Guidance · FDA

Clinical evidence decides whether your device reaches the market and stays there. We plan and write clinical evaluation plans and reports, systematic literature reviews and clinical data strategies, and support clinical investigations, so your evidence is sufficient, traceable and ready for Notified Body review.

How We Work
Strategy First
Decide what evidence you need before you write or test anything
Systematic Literature Reviews
Planned, reproducible searches with documented appraisal
Reviewer's Eye
Four years as a Notified Body technical reviewer and site auditor
Lifecycle View
PMCF and post-market data keep the evaluation current

Clinical Services for Devices, IVDs and Combination Products

We cover the full clinical evidence lifecycle under EU MDR Article 61 and Annex XIV, the IVDR and international requirements, from the first evidence strategy to post-market updates.

Strategy

Clinical Data Strategy

A gap analysis of the evidence you have against what your device class, claims and markets require, and a plan to close the gaps through literature, equivalence, clinical investigation, registries or PMCF.

MDR Annex XIV

Clinical Evaluation Plan (CEP)

Intended purpose, target groups, clinical benefits and outcome parameters, the general safety and performance requirements to be supported, and the methods and acceptance criteria for the evaluation.

MDR Article 61

Clinical Evaluation Report (CER)

A clear, well-argued report that analyses the clinical data, the state of the art and the benefit-risk profile, with every conclusion traceable to its source and ready for the Notified Body's assessment under MDCG 2020-13.

Systematic Method

Systematic Literature Review Plan & Report

A literature search protocol and a report that records the searches, screening, appraisal and analysis, so the review can be reproduced and defended, then kept current between updates. See our method.

ISO 14155 · MDR Annex XV

Clinical Investigation & Trial Support

Clinical investigation plans, investigator's brochures, informed consent review, ethics and competent authority submission documents, and clinical investigation reports, working alongside your sites, CRO and statisticians.

MDR Annex XIV Part B

PMCF Plans & Reports

Post-market clinical follow-up plans and evaluation reports, following MDCG 2020-7 and MDCG 2020-8, that answer the open questions in your clinical evaluation.

IVDR Annex XIII

Performance Evaluation for IVDs

Scientific validity, analytical performance and clinical performance, with performance evaluation plans and reports and PMPF under the IVDR.

MDCG 2020-1

Clinical Evaluation of Software & AI

Valid clinical association, technical performance and clinical performance for medical device software and AI-enabled devices, including subgroup performance and how clinicians use the output.

MDR Articles 32 & 86

SSCP & PSUR Inputs

Summaries of safety and clinical performance and periodic safety update reports, kept consistent with the CER, PMCF and post-market surveillance data.

A Systematic Literature Review You Can Defend

Most clinical evaluations rest on published literature, and reviewers look closely at how it was found and weighed. We plan the review before searching, then document each step so another reviewer could reach the same result.

Step 1
Literature review plan
Review questions framed with PICO, the databases and sources to search, search strings, date ranges, and inclusion and exclusion criteria, all agreed before the search begins.
Step 2
Search
Searches of bibliographic databases such as PubMed/MEDLINE, Embase and the Cochrane Library, plus clinical trial registries, vigilance and recall databases, and relevant standards and guidance.
Step 3
Screening
Title, abstract and full-text screening against the agreed criteria, with reasons for every exclusion and a PRISMA-style flow diagram.
Step 4
Appraisal
Each data set appraised for methodological quality, relevance to your device and its weight in the evaluation, using criteria set out in the plan in line with MEDDEV 2.7/1 rev. 4.
Step 5
Analysis
Data extraction and analysis of safety and performance outcomes, the state of the art and benefit-risk, compared with the acceptance criteria in your clinical evaluation plan.
Step 6
Literature review report
A report that records every search, result and decision, ready to feed the CER and to be updated as new evidence is published.

Questions We Help You Answer Early

Most delays in clinical evaluation come from decisions made too late. We work through these with you at the start.

Equivalence

Can You Claim Equivalence?

Whether technical, biological and clinical equivalence can be shown under MDCG 2020-5, and whether you will have the access to the equivalent device's data that the MDR requires.

Clinical Investigation

Do You Need a Clinical Investigation?

When Article 61 requires one, what an investigation must show, and how to design it under ISO 14155 so the data answer your evaluation's questions.

Legacy Devices

Is Your Legacy Evidence Enough?

What counts as sufficient clinical evidence for devices moving from the directives to the MDR, following MDCG 2020-6.

Global Markets

Will One Evidence Plan Serve Every Market?

How to plan evidence that also meets FDA expectations, including investigational device exemptions under 21 CFR 812, and other markets on your roadmap.

Research Training Behind Every Report

Clinical evaluation is research: it needs sound methods, honest reporting and an understanding of how regulators assess the result. We build each evaluation team to the competence that MEDDEV 2.7/1 rev. 4 expects.

MSc · University of Limerick

Research Methods

Research methods qualification at MSc level, gained in the MSc in Work & Organisational Psychology at the University of Limerick: study design, quantitative and qualitative methods, and statistical analysis.

Certified

Research Integrity

Research integrity certification covering responsible conduct of research, transparent reporting and the handling of data, applied to every literature review and report we write.

Regulatory & Scientific

Reviewer & Scientific Background

Four years as a Notified Body technical reviewer and site auditor, an MSc in Neuropharmacology, doctoral research on trustworthy AI-enabled medical devices, and 30+ years in the life sciences.

Clinical Evaluation SOP & Templates

Building the process in-house? Our Clinical Evaluation & PMS Pack includes a Clinical Evaluation and PMCF SOP, a Clinical Evaluation Report template and a PMCF plan and report template, written for EU MDR.

Is Your Clinical Evidence Ready for Review?

Tell us about your device, its class and your markets, and we will suggest where to start: a gap analysis, a new clinical evaluation plan, or an update to your existing report.