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Regulatory Affairs

Navigate global regulatory pathways and achieve market authorisation. We classify, plan, prepare and defend submissions for medical devices and IVDs, then maintain every registration through change and renewal.

EU MDR 2017/745EU IVDR 2017/746MDCG guidance21 CFR 807 · 814 · 860UK MDR 2002IMDRFCDSCO MDR 2017NMPA
From regulatory strategy to market authorisation

Four phases, one accountable team

  1. Phase01

    Assess

    Classify the device, confirm the intended purpose and identify gaps in evidence and documentation.

  2. Phase02

    Plan

    Define the pathway for each market and the evidence each one requires, with timelines and owners.

  3. Phase03

    Execute

    Prepare, compile and submit dossiers, then manage review cycles and deficiency responses.

  4. Phase04

    Maintain

    Assess changes, notify reviewers, renew registrations and keep the file current.

Market authorisation takes different legal forms: CE marking after conformity assessment in the EU, FDA clearance (510(k)), De Novo grant or PMA approval in the US, and national licences, certifications or registrations elsewhere. Our detailed pages keep these distinct.

Strategy & consulting

  • Global regulatory strategy for new product introduction
  • Medical device and IVD classification with a documented rationale
  • Product, market and pathway strategy, including emerging markets
  • Strategies that reuse existing registrations and evidence
  • Regulatory intelligence and horizon scanning

EU MDR CE marking: medical devices

  • Classification under Annex VIII and conformity route under Annexes IX to XI
  • Technical documentation to Annex II and III
  • GSPR (Annex I) matrix with evidence gap analysis
  • Clinical evaluation per Annex XIV, SSCP where required
  • Notified Body selection, application and review management
  • EU Declaration of Conformity, UDI and EUDAMED registration
MDR 2017/745MDCG 2021-24

EU IVDR CE marking: in vitro diagnostics

  • Classification under Annex VIII rules 1 to 7 (Class A to D)
  • Conformity route, including EU reference laboratory and expert panel steps for Class D
  • Performance evaluation per Annex XIII: SVR, APR, CPR and PER
  • SSP for Class C and D devices
  • Companion diagnostics: consultation with medicines authorities
  • EU Declaration of Conformity, UDI and EUDAMED registration
IVDR 2017/746MDCG 2020-16
IVD regulatory services →

US FDA submissions

  • Device classification and product code research
  • 510(k), De Novo and PMA submissions, prepared in eSTAR
  • Pre-Submission (Q-Sub) strategy and FDA meeting preparation
  • IDE, Breakthrough Device and STeP designation requests
  • CLIA waiver, EUA and HDE submissions
  • Predetermined Change Control Plans (PCCP)
  • Establishment registration and device listing in FURLS
21 CFR 80721 CFR 814eSTAR
United States market page →

Early engagement & pre-submission

  • Pathway and classification strategy workshops
  • Pre-submission dossiers: FDA Q-Sub, Notified Body pre-application packs, MHRA
  • Scientific advice meetings with FDA, Notified Bodies, TGA, Health Canada and CDSCO
  • Benefit–risk justification briefs
  • Bench-test plan alignment and early human factors evidence
  • End-to-end pre-submission project management and query tracking

Gap assessment & remediation

  • Regulatory gap audits against EU MDR and IVDR, FDA QMSR, UK MDR 2002 and RoW rules
  • Concise gap assessment report with risk-ranked findings
  • Technical file remediation and creation of missing documents
  • Legacy MDD, AIMDD and IVDD file transition to MDR and IVDR

Foreign clinical data assessment

For manufacturers using clinical data from one region to support approval in another.

  • Map cross-border data use, such as EU data for an FDA PMA or US real-world evidence for the TGA
  • Bridging analysis of demographics, standard of care and ethics
  • ISO 14155 and ICH E6 GCP compliance review
  • Action plan: bridging studies, supplementary analyses or justification dossiers

Notified Body identification & engagement

We manage the manufacturer's side of the relationship. Conformity assessment and certification decisions remain with the Notified Body.

  • Map your device codes and conformity route against Notified Body designation scopes
  • Capability matrix to shortlist qualified Notified Bodies
  • RFP preparation, bid evaluation and contract negotiation
  • Pre-engagement technical file and QMS readiness audits
  • Single-point liaison: meetings, portal administration, deadlines
  • Deficiency responses, evidence compilation and CAPA coordination
  • Change notification strategy across the certificate lifecycle

Post-submission support

  • Regulatory impact assessment of design and manufacturing changes
  • Technical documentation and submission updates
  • Review correspondence and deficiency responses
  • Labelling updates and final document adjustments
  • Approval, registration completion and handover to post-market compliance

Rest of world registrations

  • Country-specific market access strategy and pathway mapping
  • Feasibility analysis, market review and documentation pre-screening
  • Dossier compilation in STED and ASEAN CSDT formats
  • Registration support and distributor liaison
  • Labelling, IFU translation and legibility validation
  • Query management with the authority on your behalf
  • Renewal tracking and post-registration change submissions
MHRAHealth CanadaTGACDSCONMPAPMDAANVISAMFDSSFDA
Global regulatory consulting →

India market access (CDSCO)

India market page →

For Indian manufacturers moving to higher-risk devices and for overseas companies entering India.

  • Risk classification (Class A to D) under the Medical Devices Rules, 2017
  • Manufacturing licences: MD-5 for Class A and B, MD-9 for Class C and D
  • Import licence (MD-15) strategy and dossier preparation
  • Test licences and clinical investigation permissions
  • QMS to the Fifth Schedule and ISO 13485
  • Coordination with your Indian authorised agent
  • Post-approval changes and licence retention
MDR 2017Fifth ScheduleCDSCO

Software as a Medical Device

  • Classification and pathway mapping: IMDRF, FDA 510(k), De Novo and PMA, MDR Rule 11, IVDR software rules
  • IEC 62304 lifecycle and QMS integration: software SOPs, agile templates, traceability matrices
  • DHF, technical file and architecture documentation
  • ISO 14971 risk management and IEC 62366-1 usability for software
  • Cybersecurity per FDA guidance and IEC 81001-5-1, SBOMs and threat modelling
  • PCCP readiness for planned algorithm changes
IEC 62304MDCG 2019-11IEC 81001-5-1

Compliance maintenance & renewals

  • Annual FDA establishment registration and listing updates
  • ARTG inclusion maintenance with the TGA
  • CDSCO import licence (MD-15) retention and amendments
  • MHRA device registration updates
  • EU certificate maintenance, surveillance audits and recertification strategy
Gap assessment & remediation

What a MedoQi gap assessment looks like

Every finding is tied to a clause, rated by severity and paired with a remediation action and owner. The report becomes the work plan for remediation, not a document that sits on a shelf.

  1. 01AssessFile or QMS screened against the applicable requirements, with GapSmart AI as it becomes available.
  2. 02PrioritiseSpecialists validate each finding and rank it by patient-safety and certification risk.
  3. 03RemediateMissing or weak documents authored or updated under document control.
  4. 04VerifyIndependent review confirms each gap is closed, with evidence referenced.

Illustrative extract · not from a client file

ReferenceFindingSeverityRemediation
MDR Art. 32No SSCP for an implantable Class IIb deviceCriticalAuthor SSCP, align with CER and IFU
Annex III · 1.1PMS plan lacks indicators and thresholds for trend reportingCriticalRevise PMS plan with defined indicators
Annex II · 6.1Biological evaluation predates ISO 10993-1:2018MajorGap analysis, chemical characterisation, updated BER
Annex I · 1, 8Benefit–risk conclusion not linked to clinical dataMajorCross-reference RMR and CER conclusions
Annex I · 23Label symbols not referenced to ISO 15223-1MinorSymbol justification and IFU glossary
How a CE marking project runs

From classification to certificate in eight steps

Careful planning, clear decisions and well-built documentation decide how a Notified Body review goes. This is the sequence we follow on every CE marking engagement.

  1. Phase I · Consultation01

    Strategy & planning

    Reconfirm classification, select the conformity route and gather the regulatory intelligence that shapes the plan.

  2. Phase I · Consultation02

    Kick-off

    Review your existing assets, agree the documentation plan, owners and timeline.

  3. Phase II · Execution03

    Develop content

    Author the technical, clinical, risk and post-market documentation that is missing or out of date.

  4. Phase II · Execution04

    Evaluate & review

    Independent SME and QC review of every document against the GSPR and the applicable guidance.

  5. Phase II · Execution05

    Compile the file

    Assemble the technical documentation and the EU Declaration of Conformity. Appoint an Authorised Representative if you have no EU presence.

  6. Phase II · Execution06

    Submit

    Final review of the submission package before it goes to the Notified Body.

  7. Phase II · Execution07

    Notified Body queries

    Draft and review responses to technical and clinical questions, and manage resubmission.

  8. Outcome08

    CE mark

    Certificate issued, EUDAMED updated and the device handed over to post-market surveillance.

Talk to our experts

Discuss your device, market or audit with a specialist

Share the device, its class and your target markets. A senior specialist will come back with the likely pathway, the evidence gaps we see and a practical plan.

Talk to our experts → Request an AI pilot sales@medoqi.tech · +91 44 4690 0555