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Clinical & performance evaluation

Evidence that holds together

Clinical evaluation is the evidence-based explanation of why a medical device is clinically safe, performs as intended and provides a meaningful benefit to patients. It turns many separate sources of information into one credible product story.

See why it matters

Why it matters

More than a report for the technical file

Clinical evaluation is where your intended purpose, claims and clinical evidence are tested against each other. Regulators and Notified Bodies use it to understand whether the product is clinically credible.

01

It supports market access

A convincing evaluation shows that the device’s clinical claims and benefit–risk conclusion are supported by appropriate evidence.

02

It shapes what you can claim

The available evidence determines how the intended purpose, benefits and performance can be described without overstatement.

03

It connects the product story

Clinical data, risks, labelling and post-market experience must support the same conclusions rather than exist as unrelated documents.

04

It follows the device

The evaluation develops as new studies, literature and real-world experience become available throughout the product lifecycle.

The practical consequence

A weak clinical evaluation can delay certification, restrict claims or reveal that the evidence strategy was incomplete only after time and money have already been invested.

Expert judgement matters

A document can be generated. A clinical evaluation must be developed.

The difficult part is not producing pages of text. It is deciding what the evidence really means for this particular device—and taking responsibility for that conclusion.

Product understandingNo generic template

The evaluation must fit the device

  • What the device is intended to do
  • Who it is intended to help
  • Which benefits are being claimed
  • How it is used in clinical practice

Why this matters A report borrowed from another product may look complete while answering the wrong clinical questions.

Critical judgementNot a literature count

Evidence does not interpret itself

  • Relevant data must be identified
  • Strengths and limitations must be understood
  • Conflicting results must be explained
  • Claims must remain within the evidence

Why this matters A long reference list is not the same as persuasive clinical evidence.

AI assistanceTool, not evaluator

AI cannot take responsibility

  • It can help search and organise information
  • It may miss context or create plausible errors
  • It cannot judge a product-specific evidence gap
  • It cannot defend the conclusion to a reviewer

Our approach We use AI where useful, but experienced specialists control and defend the evaluation.

The real work

Turning available evidence into a conclusion you can defend

We look beyond whether documents exist. We determine how well the evidence supports the device, the intended use and each important clinical claim—and where the story does not yet hold together.

Our principle

We do not hide uncertainty behind polished language. If evidence is missing, we identify the gap early and help choose a realistic way to address it.

Clinical evidence reviewExpert-led

Does the product story hold together?

Claims match the evidenceConnected
Benefits are demonstratedSupported
Limitations are understoodVisible
Remaining questionsPlanned
The outcome

A coherent evaluation that explains what is known, what can be claimed and how remaining evidence will be developed.

ObjectiveDefensible conclusion

Not just a set of reports

A connected clinical evidence system

The clinical evaluation sits at the centre of a wider evidence system. Each source has a different role, but the conclusions must remain connected and consistent.

01

Own clinical data

Studies and other evidence generated with the device provide the most direct link to its safety, performance and clinical benefit.

02

Scientific literature

Published research provides context and supporting evidence for the device, its technology and the clinical condition.

03

Equivalence

Data from another device may contribute only when the relationship is properly demonstrated and justified.

04

State of the art

Current clinical practice and available alternatives provide the benchmark against which the device is evaluated.

05

PMS and PMCF

Complaints, real-world use and post-market follow-up show how the device performs after market introduction.

06

The wider technical file

Claims, risks, labelling and benefit–risk conclusions must remain aligned with the clinical evidence.

How we help

We build the clinical evaluation around your device

We can take responsibility for the complete evaluation or strengthen an existing one. We work with your product, clinical and regulatory teams to create a clear evidence story and carry it through regulatory review.

01Understand your productWe align the intended use, clinical value and claims.
02Develop the evaluationWe connect and interpret the available evidence.
03Support it over timeWe help through review and keep the evaluation current.
What we can take care of

Clinical evidence strategy · clinical evaluation plans and reports · performance evaluation for IVDs · literature review · evidence-gap resolution · PMCF and PMPF · Notified Body questions · lifecycle updates

Work with MDRC

Make every clinical claim traceable, proportionate and defensible

Bring us an early product concept, an incomplete evidence file or a Notified Body finding. We will identify what the evidence can support, what remains uncertain and the most efficient path to a credible conclusion.

Discuss your evidence strategy

Discuss your regulatory pathway

Whether you are developing medical software, an AI-enabled healthcare solution, a digital health platform or a software-driven medical device, we can help define the regulatory strategy, evidence requirements and next steps.

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Where companies need support

Regulatory strategy
Technical documentation
Clinical and performance evidence
Software lifecycle and cybersecurity
Notified Body readiness

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Regulatory support for software medical devices, AI health technologies and digital healthcare solutions.


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Useful information

CE-Certificate vs. EC-Certificate

Basic UDI-DI (bUDI)

EUDAMED registration - a brief guide

Authorised Representative Mandate

GSPR – General Safety and Performance Requirements

How to obtain CE marking for medical software under the EU MDR or IVDR?

Technical documentation for Medical Device Software in the EU

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Solutions

EU Authorised Representative (EC REP)

EU PRRC

Technical documentation

Risk management

Clinical evaluation

Notified Bodies

Quality management system

Post-market surveillance

Resources

Medical Device Regulation (MDR) - basics

CE-marking process for medical devices

CE-marking process for in vitro diagnostic medical devices

MDR technical documentation checklist

IVDR technical documentation checklist

Technical documentation checklist for medical device software (MDSW)

MDR-compliant quality system documentation checklist

MDR-compliant quality system documentation checklist for medical device software

Clinical Evaluation Plan checklist

Clinical Evaluation Report checklist

PRRC under MDR or IVDR

Articles

CE-Certificate vs. EC-Certificate

Basic UDI-DI (bUDI)

EUDAMED registration - a brief guide

Authorised Representative Mandate

GSPR – General Safety and Performance Requirements

More articles >>

Devices

General medical devices and equipment

In vitro diagnostics (IVD)

Medical software

Cookie Policy

We only use essential cookies that enable core functionality and proper operation of the website. These cookies do not store any personally identifiable data. By continuing to use this website, you consent to the use of the essential cookies. You may disable these cookies by changing your browser settings, but this may affect how the website functions.
We do not use our own or third-party analytical, preferences, statistics, marketing, functional, advertisement, performance or any other non-essential cookies.