Clinical Evaluation Services (CER & CEP for EU MDR Compliance)

Our Clinical Evaluation services support medical device manufacturers in developing compliant Clinical Evaluation Plans (CEP) and Clinical Evaluation Reports (CER) in line with EU MDR requirements. Patient Guard provides expert guidance to ensure your clinical evidence demonstrates safety, performance, and regulatory compliance.

clinical evaluation and Post Market Clinical Follow-up (PMCF).

Clinical Evaluation Services

Clinical Evaluation is a core requirement under EU MDR (EU 2017/745) and is essential for demonstrating that a medical device is safe, performs as intended, and has an acceptable benefit-risk profile.

Manufacturers must establish and maintain a Clinical Evaluation Plan (CEP) and Clinical Evaluation Report (CER), supported by sufficient clinical data throughout the product lifecycle.

Clinical Evaluation is closely linked to risk management, post-market surveillance, and regulatory submissions such as CE marking.

Patient Guard acts as your clinical evaluation consultancy partner, supporting the development, review, and maintenance of CEPs and CERs aligned with EU MDR, MEDDEV 2.7/1 Rev. 4 and MDCG guidance expectations.

Without a robust Clinical Evaluation, manufacturers risk Notified Body non-conformities, delayed CE marking, and regulatory rejection.

Patient Guard provides expert Clinical Evaluation services tailored to your device classification, intended use, and clinical strategy, ensuring compliance and audit readiness.

Eleanor Shackleton - Patient Guard - Clinical and Regulatory Specialist
"Under the EU MDR, a Clinical Evaluation Report (CER) is a living document that requires more than just data—it requires a story of safety and performance. We ensure your clinical data is rigorously appraised against current State of the Art (SOTA) standards, providing a robust defense of your device’s benefit-risk profile for any Notified Body."
Eleanor Shackleton BSc

Clinical and Regulatory Specialist

Clinical Evaluation Plan

Why Choose Patient Guard for Clinical Evaluation?

Established Regulatory Consultancy

Since 2017, we specialise deep within medical device clinical and regulatory compliance frameworks to ensure secure market access.

Trusted by 500+ Companies

We actively support technical medical device manufacturers across all product classes, complexities, and evolving technologies.

Clinical & Regulatory Expertise

We completely align your entire clinical evaluation process with strict EU MDR, MEDDEV, and global Notified Body expectations.

Strong Literature Strategy

Our team ensures highly robust, scientifically defensible clinical literature data to easily withstand aggressive regulatory audits.

End-to-End Support

We provide full structural support, driving from the initial planning stages straight through to comprehensive CER development.

Transparent Pricing

We work with fully transparent, project-based pricing structures to ensure absolute clarity with no hidden ongoing costs.

What Our Clinical Evaluation Service Includes

Clinical Evaluation Plan (CEP)

We develop fully compliant Clinical Evaluation Plans that outline clear technical scopes, evaluation methodologies, and specific data requirements.

Literature Search & Appraisal

Our experts perform systematic literature searches and critically appraise relevant clinical data to verify scientific credibility.

Clinical Data Analysis

We deeply analyse clinical evidence parameters to safely demonstrate product safety, performance, and clear benefit-risk metrics.

Clinical Evaluation Report (CER)

We prepare thoroughly comprehensive CER files aligned with current EU MDR expectations and standard MEDDEV 2.7/1 Rev. 4 guidelines.

Equivalence Justification

We formulate and support robust, compliant equivalence strategies to justify clinical data pathways where technically applicable.

Integration with Risk Management

Our team perfectly aligns your clinical data evaluations alongside core ISO 14971 risk management processes for complete technical consistency.

PMCF Alignment

We maintain absolute structural consistency across your post-market pathways, locking evaluations with continuous follow-up activities.

Ongoing Maintenance & Updates

We deliver continuous monitoring and data updates to keep your technical evaluation files compliant throughout the full lifecycle.

Who Requires Clinical Evaluation?

Clinical Evaluation for Class I Medical Devices

Manufacturers of Class I medical devices are still required to demonstrate conformity with the General Safety and Performance Requirements (GSPRs) of EU MDR 2017/745. While clinical evaluation requirements are often less extensive than for higher-risk devices, a documented Clinical Evaluation Report (CER) remains a mandatory component of the technical documentation.

Patient Guard supports manufacturers of Class I devices including:

  • Non-invasive medical devices
  • Reusable surgical instruments
  • Medical furniture and accessories
  • Basic wound care products

Our consultants help identify appropriate clinical data sources, establish equivalence where applicable, and prepare compliant Clinical Evaluation Reports suitable for regulatory review.

Clinical Evaluation for Class IIa and IIb Medical Devices

Class IIa and IIb medical devices are subject to increased scrutiny under the EU MDR and UK MDR frameworks. Manufacturers must provide robust clinical evidence demonstrating safety, performance and clinical benefits throughout the device lifecycle.

Our Clinical Evaluation services for Class IIa and IIb devices include:

  • Clinical Evaluation Plans (CEP)
  • Systematic literature reviews
  • State-of-the-art analysis
  • Clinical data appraisal
  • Benefit-risk assessment
  • Post-Market Clinical Follow-Up (PMCF) integration

We have experience supporting manufacturers of infusion devices, administration sets, surgical instruments, diagnostic devices, software products and a wide range of other regulated technologies.

Clinical Evaluation for Class III Medical Devices

Class III medical devices require the highest level of clinical evidence. Manufacturers must demonstrate that clinical data adequately supports the intended purpose, safety profile and performance claims of the device.

Patient Guard assists manufacturers with:

  • Comprehensive clinical evaluation strategies
  • Clinical evidence gap assessments
  • PMCF planning
  • Clinical Investigation support
  • MDR Annex XIV compliance
  • Notified Body submission preparation

Our consultants can help identify evidence deficiencies early in the development process to minimise delays during conformity assessment.

Clinical Evaluation for Medical Device Software (SaMD)

Software as a Medical Device (SaMD) presents unique challenges when preparing Clinical Evaluation Reports. Clinical evidence must demonstrate that software outputs are accurate, clinically meaningful and support the intended medical purpose.

Our team supports manufacturers of:

  • Diagnostic software
  • AI-enabled medical devices
  • Clinical decision support systems
  • Monitoring applications
  • Digital health platforms

We assist in identifying appropriate clinical evidence sources, evaluating performance data and developing compliant Clinical Evaluation Reports that align with MDR and MDCG expectations.

EU MDR Clinical Evaluation Requirements

Under EU MDR Annex XIV, manufacturers must:

A robust Clinical Evaluation is essential for CE marking and ongoing regulatory compliance.

Our Process

01

Step 1 – Clinical Strategy & Planning

We assess your device, intended use, and existing data to develop a compliant Clinical Evaluation Plan

02

Step 2 – Data Collection & Analysis

We conduct literature searches, appraise clinical data, and analyse evidence

03

Step 3 – CER Development & Compliance

We prepare the Clinical Evaluation Report and align outputs with PMCF, PMS, and risk management

Clinical Evaluation Report

Industries We Support

We support Clinical Evaluation services across:

Cost of Service

Premium

Clinical Evaluation Plans and Reports

£ 9,000

From

Ensure regulatory compliance and market readiness with expertly prepared Performance Evaluation Plans and Reports. Combined Plan and Report Pricing starts from £9,000, with preferential rates for multiple products.

Costs

  • Class I Medical Devices - £9,000
  • Class IIa Medical Devices - £12,000
  • Class IIb Medical Devices - £15,000
  • Class III Medical Devices - £18,000

Time Lines

01

Weeks 1–3 – Clinical Strategy & CEP Development

Assess device, intended use, and existing data, then develop a compliant Clinical Evaluation Plan (CEP)

02

Weeks 4–8 – Literature Review & Data Analysis

Conduct systematic literature searches, appraise clinical data, and perform gap analysis

03

Weeks 9–12 – CER Development & Compliance

Prepare the Clinical Evaluation Report (CER) and align outputs with PMCF, PMS, and risk management

Clinical Evaluation Project Examples

Class IIa Infusion Therapy Device

Challenge:
A manufacturer required a Clinical Evaluation Report for a Class IIa infusion therapy device intended for CE marking under EU MDR.

Solution:
Patient Guard developed a Clinical Evaluation Plan, performed systematic literature searches, assessed clinical data and prepared a complete Clinical Evaluation Report aligned with MDR Annex XIV and MEDDEV 2.7/1 Rev. 4.

Outcome:
The manufacturer successfully incorporated the CER into their technical documentation package for regulatory submission.

Software as a Medical Device (SaMD)

Challenge:
A digital health company required clinical evidence to support a software-based diagnostic platform.

Solution:
Our consultants evaluated published clinical literature, assessed performance data and developed a CER demonstrating safety, performance and clinical benefit.

Outcome:
The manufacturer established a clear clinical evidence strategy supporting their conformity assessment activities.

Class III Implantable Device

Challenge:
A manufacturer needed support evaluating available clinical evidence and identifying gaps for a Class III implantable medical device.

Solution:
Patient Guard conducted a clinical evidence gap analysis, developed a PMCF strategy and prepared a Clinical Evaluation Report addressing MDR requirements.

Outcome:
The client obtained a structured clinical evidence roadmap supporting future regulatory submissions.

Note: Project examples are representative of the types of clinical evaluation support provided by Patient Guard.

Frequently Asked Questions (FAQs)

Clinical Evaluation is the process of assessing clinical data to demonstrate that a medical device is safe and performs as intended.

The CEP defines the clinical evaluation strategy, while the CER presents the analysis and conclusions of clinical data.

Yes, Clinical Evaluation is a mandatory requirement for CE marking under EU MDR.

CERs should be updated regularly based on device classification and PMS/PMCF data.

Yes, we perform systematic literature searches and critical appraisals in line with regulatory expectations.

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