Ortho · RWE · Registries

Real-world evidence, the engine behind orthopedic innovation.

Orthopedics generates real-world data at a scale few specialties can match. Used well, it accelerates development, strengthens PMCF and opens market access. Here is how.

Implant registriesReal-world dataPMCFMarket access
Driving orthopaedic innovation with real-world evidence, Eclevar MedTech

European Champion

Platinum Award 2026

Eclevar MedTech & Milo Health · xShare × EUCROF Open Call

Led by authority

Ortho RWE, led by an ortho reviewer.

Turning registry data into evidence is a specialty. Ours is led by a former Notified Body reviewer for Class III implants.

Dr Nikhil Khadabadi

Dr Nikhil Khadabadi

CMO, Ortho & Spine · former TÜV SÜD reviewer

Former Notified Body assessor for Class III implants; PMCF and CER methodology, ortho and high-risk devices.

in LinkedIn
Sébastien Meier

Sébastien Meier

Chief Data Officer · Biometry · 30 yrs

Endpoints, statistics and RWE; architect of the MILO EDC, 21 CFR Part 11 and real-time dashboards.

Registry RWENJR / EPRDOrtho & spineEU MDR

Awards, funding, accountability

Europe’s best-rated medical device CRO.

Platinum Award 2026

Platinum Award 2026

Top tier at the xShare × EUCROF Open Call, awarded to Eclevar MedTech and its Milo Health platform, presented at EUCROF 2026 in Amsterdam.

The announcement →

Co-funded by the European Union

Selected through the xShare Open Call for clinical research innovation, Horizon Europe.

xShare results →

Independently reported

Distinction confirmed by an independent third party, the CVBF, also an awardee of the xShare × EUCROF Open Call.

CVBF coverage →

The opportunity

Why orthopedics leads on real-world evidence.

Mature national implant registries make orthopedics one of the few fields where large-scale, long-term real-world data is genuinely available, and that changes how innovation is evidenced.

01

The registry advantage

Registries such as the NJR, EPRD and Swespine track implant survivorship and revision across hundreds of thousands of procedures over many years. That gives orthopedic teams a real-world evidence base for benchmarking, safety signal detection and long-term performance that most specialties simply do not have.

02

Where RWE drives innovation

Real-world evidence is not only a post-market obligation; it shapes development.

RWE across the lifecycle

  • Design decisions informed by real-world revision patterns
  • Benchmarking a new implant against registry survivorship
  • Efficient PMCF built on registry data (EU MDR)
  • Market-access and reimbursement dossiers grounded in real outcomes

03

Where registries stop

Registries excel at survivorship and revision but rarely capture function, patient-reported outcomes or imaging detail, and cannot answer every comparative question. That is where a lean prospective study or PRO survey complements the registry, filling the specific gaps a claim depends on.

04

Putting it together

The strongest orthopedic evidence strategy blends registry RWE for scale with targeted primary data for the endpoints registries miss. We design that blend so each source answers what it is best at, and the whole package holds up in the Clinical Evaluation Report (CER) and PMCF.

Ortho RWE

Scale plus specificity.

Registries
survivorship at scale
Revision
the headline signal
PROs
the registry gap
Hybrid
the winning mix

Talk to a specialist

How could real-world evidence strengthen your orthopedic device?

Book a free scoping call with a former Notified Body ortho reviewer. We design a registry-plus-study RWE strategy matched to your device and claims.

Book a free scoping call

In orthopedics, real-world evidence is a head start, not an afterthought.

An expert read shows where registry data and targeted studies together can accelerate development, strengthen PMCF and support market access for your device.

Book a free scoping call

Questions we hear first

Orthopedic RWE, answered.

Why is orthopedics ahead on real-world evidence?
Mature national implant registries such as the NJR, EPRD and Swespine track survivorship and revision across huge patient numbers over many years, giving orthopedic teams a large-scale, long-term real-world data base that most specialties lack.
How does RWE support orthopedic innovation beyond PMCF?
It informs design decisions from real-world revision patterns, benchmarks new implants against registry survivorship, and grounds market-access and reimbursement dossiers in real outcomes, in addition to enabling efficient PMCF.
What can registries not tell you?
Registries excel at survivorship and revision but rarely capture function, patient-reported outcomes or imaging detail, and cannot answer every comparative question, which is where targeted prospective studies add value.
What is the best orthopedic evidence strategy?
A blend: registry real-world evidence for scale and targeted primary data for the endpoints registries miss, designed so each source answers what it does best and the package holds up in the CER and PMCF.

Reforming Clinical Evaluation of Medical Devices in Europe