★ Platinum Award · xShare & EUCROF 2026

The specialist CRO for aesthetic and filler devices in Europe.

Dermal fillers are Class III. Annex XVI brought aesthetic devices into EU MDR scope. Eclevar MedTech turns both into clinical evidence that passes Notified Body review: clinical investigations under ISO 14155, CER, and PMCF with validated aesthetic scales, executed across France, the UK and Germany.

Class IIIFiller expertise
Annex XVIAesthetic scope
6+EU countries
160Countries via partners

Platinum Award, xShare Open Call for Clinical Research

Award ceremony on stage at the xShare and EUCROF Open Call Awards for Clinical Research in Amsterdam

The top Platinum Award went to Milo Health, the technology platform developed by Eclevar MedTech, at the xShare Open Call for Clinical Research organised by EUCROF. The same platform powers our aesthetic ePRO and PMCF data collection.

xShare × EUCROF · Amsterdam · 2 Feb 2026

Co-funded by the European Union

Platinum Award, xShare Open Call for Clinical Research, organised by EUCROF and co-funded by the European Union. Amsterdam, 2 February 2026. Horizon Europe, Grant Agreement No. 101136734.

Compliant with EU MDR 2017/745 Regulation (EU) 2022/2346 ISO 14155:2026 ISO 13485 21 CFR Part 11 GDPR
What sponsors search for

One CRO for the whole aesthetics portfolio.

Whether your product is a Class III injectable, an energy-based platform, or an Annex XVI device without a medical purpose, the evidence path runs through the same reviewers. We build for them.

Dermal filler clinical investigations

CE marking trials for Class III injectable fillers: protocol, Annex XV submission, ISO 14155 execution, blinded evaluation on validated wrinkle and volume scales.

Class IIIAnnex XV
How we build the evidence →

Annex XVI aesthetic devices

Lasers, IPL, lipolysis, body contouring and fillers without a medical purpose: clinical evaluation and PMS aligned with the Common Specifications of Regulation (EU) 2022/2346.

Annex XVICommon Specs
How we build the evidence →

CER & PMCF for aesthetics

Clinical Evaluation Reports and Level 4 PMCF programmes using validated patient-reported instruments such as FACE-Q and aesthetic improvement scales, deployed as ePRO.

FACE-QGAIS
See our PMCF page →
The regulatory shift

Aesthetics is now a regulated clinical discipline.

Annex XVI of the EU MDR brought products without an intended medical purpose into full regulatory scope: dermal fillers for aesthetic use, equipment for liposuction and lipolysis, and high-intensity electromagnetic radiation equipment such as lasers and IPL. The Common Specifications of Regulation (EU) 2022/2346 set the bar.

For injectable fillers, EU MDR classification places most products in Class III, the same risk class as a heart valve. The clinical evidence is judged accordingly: subjective beauty claims do not survive review, pre-specified endpoints on validated scales do.

Common mistake

Supporting aesthetic efficacy claims with before-and-after photos and satisfaction questionnaires. Without validated scales, blinded evaluation and a pre-specified analysis plan, that data cannot stand as clinical evidence and is a frequent trigger of Notified Body deficiencies.

01 / Validated scales

Measurable aesthetics

Wrinkle severity, volume and improvement scales with published validation, plus FACE-Q patient-reported modules.

02 / Blinded evaluation

Objectivity by design

Independent blinded evaluators and standardised photography so efficacy holds up under scrutiny.

03 / ISO 14155 execution

Investigation-grade rigour

Multi-site, multi-country execution with trained sites, monitoring and competent authority submissions.

04 / PMCF & safety

Evidence that compounds

Systematic follow-up of injection-site and delayed events, with durability data strengthening every renewal.

Engagement models

Three ways to engage Eclevar.

From first CE marking of an injectable to keeping a marketed aesthetics portfolio compliant.

CE marking

Full clinical investigation

For new Class III fillers and Annex XVI devices that need premarket clinical data.

  • Protocol and Annex XV dossier
  • Competent authority and EC submissions
  • Blinded evaluation, validated scales
  • Multi-country sites under ISO 14155
Scope an investigation →
Technical file

CER for aesthetic devices

Clinical Evaluation Reports built for fillers, energy-based devices and Annex XVI products.

  • State of the art and literature strategy
  • Equivalence assessed the MDR way
  • Common Specifications alignment
  • Deficiency response support
Request a CER quote →
Post-market

PMCF & PROM programmes

Level 4 PMCF surveys and registries tailored to aesthetic outcomes and durability.

  • FACE-Q and GAIS instruments
  • Pre-specified SAP and MCID
  • ePRO on the MILO platform
  • GDPR pseudonymisation
Scope a PMCF programme →
When sponsors call us

Four moments where the right CRO changes the outcome.

New filler CE marking

A Class III injectable heading to its first European submission, needing investigation-grade efficacy and safety data.

Annex XVI transition

An aesthetic device without a medical purpose now in MDR scope, needing clinical evaluation under the Common Specifications.

Notified Body deficiencies

Findings on aesthetic claims or PMCF quality, answered by a team that includes a former Notified Body reviewer.

Line extensions

New indications, volumes or anatomical areas across a filler family, with evidence planned under MDR Article 61(2).

Why sponsors switch

A generalist CRO versus an aesthetics specialist.

Generalist CRO

Aesthetics treated as an afterthought.

  • Subjective endpoints.Satisfaction questionnaires and photo galleries that reviewers discount as marketing.
  • No Annex XVI experience.Common Specifications discovered during the project, not before it.
  • Pharma-shaped budgets.Trial designs and costs imported from drug development, oversized for a device file.
  • Unblinded assessments.Efficacy data that collapses at the first methodological question.
  • PMCF as paperwork.Surveys that fill a binder but cannot stand as clinical evidence at renewal.
Eclevar aesthetics & fillers

Evidence designed for the reviewer.

  • Validated scales, blinded raters.Wrinkle, volume and improvement endpoints that hold up as clinical evidence.
  • Annex XVI fluency.Clinical evaluation and PMS mapped to Regulation (EU) 2022/2346 from day one.
  • Device-sized economics.Budgets forecast on the award-winning MILO engine against real European site data.
  • Former Notified Body reviewer.Every protocol challenged the way your reviewer will challenge it.
  • PMCF that compounds.FACE-Q and GAIS programmes feeding every CER update and renewal.
Trusted by manufacturers worldwide

They rely on Eclevar.

Coloplast logo RegenLab logo Nihon Kohden logo Meril Life Sciences logo Shofu Inc. logo Vygon logo Mooloink logo
Client success stories

Evidence partnerships that hold up.

Coloplast logo
Intimate healthcare · Europe

Coloplast

Coloplast, a global leader in intimate healthcare, is among the manufacturers that rely on Eclevar for clinical evidence in Europe.

Asahi Intecc
Class III · Global strategy

Asahi Intecc: zero Major NCRs in a single Q&A round

Eclevar transformed complex Notified Body inquiries into a structured response strategy, leading to a successful Class III review with zero Major Non-Conformance Reports: the rigour your Class III filler file needs.

"The evaluation pinpointed areas needing improvement with color-coded clarity. Eclevar's insights have been instrumental in addressing inquiries from the Notified Body."Seiichi Tanaka, Asahi Intecc
RegenLab logo
Regenerative medicine · 160 countries

RegenLab: strategic alliance

Eclevar manages all upcoming PMCF studies on chronic diabetic foot ulcer devices for RegenLab, the PRP and cell therapy specialists, applying the same PROM-driven methodology we bring to aesthetic injectables.

"Eclevar, with its tailor-made approach and advanced MILO Studio platform, represents a major strategic asset."Antoine Turzi, CEO, RegenLab
Expert voices

RegenLab × Eclevar, on camera.

YouTube · RegenLab X Eclevar Medtech Open on YouTube →
Platform technology

Know your trial cost before you commit.

The award-winning MILO engine reads your protocol and returns three costed scenarios plus a recruitment forecast anchored to real European site data, so an aesthetics programme starts with a budget, not a guess.

The same platform runs your ePRO collection: every FACE-Q response timestamped, stored immutably, and exportable with a SHA-256 checksum for 21 CFR Part 11 compliance.

// SHA-256 DATA INTEGRITY LOCK
EXPORT_ID: ECV-A311-2026
STATUS: DATABASE_LOCKED
CHECKSUM: 4f8a92b1c3d...
AUDIT_TRAIL: COMPLIANT
MILO three-way forecast interface showing cost scenarios and a recruitment forecast curve
Senior management

The experts behind your evidence.

Your aesthetics programme is designed and challenged by people who have sat on the reviewer's side of the table.

Prof. Mark DaCosta, COO and CMO Cardiovascular at Eclevar MedTech

Prof. Mark DaCosta

COO & CMO · Cardiovascular

Cardiac surgeon and former senior reviewer at a Notified Body (TÜV SÜD). He challenges every design the way your reviewer will.

Dr. Nikhil Khadabadi, CMO Orthopaedics and Spine at Eclevar MedTech

Dr. Nikhil Khadabadi

CMO · Orthopaedics & Spine

Leads clinical strategy across implantable device programmes, from protocol to publication.

Pierre-Marie Boutanquoi, Head of Medical Writing at Eclevar MedTech

Pierre-Marie Boutanquoi

Head of Medical Writing

Turns aesthetic study outputs into CER-ready evidence with full traceability to your PMCF Plan.

Sébastien Meier Piantanida, Chief Data Officer at Eclevar MedTech

Sébastien Meier Piantanida

Chief Data Officer

Owns the MILO ePRO stack, data integrity and 21 CFR Part 11 compliant exports.

Charline Petitdemange, Lead Clinical Project Manager at Eclevar MedTech

Charline Petitdemange

Lead Clinical Project Manager

Pilote la réalisation des investigations cliniques et études PMCF en Europe. Qualification des sites, monitoring, TMF, ISO 14155:2026. Master Ingénierie de la Santé (Université Grenoble Alpes). Parcours : recherche clinique, cardiovasculaire, usability medical devices.

Karina Schönborn, Head of Partnerships at Eclevar MedTech

Karina Schönborn

Head of Partnerships

Your first point of contact for scoping calls, proposals and partnership programmes.

News & events

Where to meet us in 2026.

Where our consultants, including our former Notified Body expert, are presenting and what we are building. Come and find us, or book a call.

Eclevar MedTech at EuroPCR 2026 in Paris
Event : Paris : 19 to 22 May 2026

Meet us at EuroPCR 2026

The Eclevar team, including our former Notified Body expert, on what device trials need to satisfy Notified Body review.

Book a meeting ↗
Prof. Mark DaCosta speaker panel at CSI Frankfurt on the impact of MDR on device introduction and innovation, 3 June 2026
Speaker panel : Frankfurt : 3 June 2026

Impact of MDR on device innovation

Prof. Mark DaCosta, COO and former Notified Body expert, joins the CSI Frankfurt speaker panel on EU MDR and the introduction of new devices.

See the session ↗
MILO platform clinical trial forecasting interface with three costed scenarios and recruitment curve
Platform : Clinical trial forecasting

From an 8-week RFP to a 30-minute roadmap

Our award-winning platform reads a protocol and returns three costed scenarios, swift, base and conservative, plus a recruitment forecast.

Explore the platform ↗
Expert guides

Read and unlock our guides.

Practical references written by our consultants. Enter your business email to unlock the download.

Guide · Aesthetics

Annex XVI in practice: bringing aesthetic devices under EU MDR

What the Common Specifications of Regulation (EU) 2022/2346 actually require, and the evidence path that satisfies them.

Guide · Notified Bodies

Answering Notified Body deficiencies on clinical evidence

How a former Notified Body reviewer structures responses that close findings instead of reopening them.

Guide · Clinical evaluation

Reforming clinical evaluation of medical devices in Europe

Where EU MDR clinical evaluation is heading and what it means for your PMCF and CER cycles.

FAQ

Aesthetics & fillers under EU MDR, answered.

What class are dermal fillers under EU MDR?
Under EU MDR classification rules for implantable and injectable products, most injectable dermal fillers fall into Class III, the highest risk class. That means a full Clinical Evaluation Report, robust clinical data, usually a clinical investigation for new products, and a continuous PMCF programme.
Do aesthetic devices without a medical purpose need clinical evidence?
Yes. Annex XVI of the EU MDR brings products without an intended medical purpose into scope, including dermal fillers used for aesthetic purposes, equipment for liposuction and lipolysis, and high-intensity electromagnetic radiation equipment such as lasers and IPL. The Common Specifications in Regulation (EU) 2022/2346 apply, so these manufacturers now need MDR-grade clinical evaluation, risk management and post-market surveillance.
What clinical endpoints do Notified Bodies expect for dermal fillers?
Reviewers expect pre-specified efficacy endpoints on validated aesthetic scales, typically assessed by blinded evaluators, alongside patient-reported outcomes and systematic safety follow-up of injection-site and delayed adverse events. Primary endpoints for fillers are commonly assessed at 6 to 12 months, with durability data beyond that horizon strengthening the file.
How does PMCF work for aesthetic devices?
PMCF for aesthetics combines clinician-reported outcomes with validated patient-reported instruments such as FACE-Q, plus aesthetic improvement scales such as GAIS, deployed on a 21 CFR Part 11 compliant ePRO platform. Endpoints, sample size and MCID thresholds are pre-specified so the data is accepted as clinical evidence at recertification.
Can Eclevar run filler clinical investigations in France, the UK and Germany?
Yes. Eclevar designs and runs clinical investigations under ISO 14155:2026 and MDR Annex XV across Europe, with multi-country site networks, local-language execution and monitoring, and submission support for competent authorities and ethics committees.
Why choose a specialist CRO for aesthetics rather than a generalist?
Aesthetic claims are scrutinised differently: subjective endpoints need validated scales and blinded evaluation to stand as evidence, Annex XVI products face Common Specifications most generalist teams have never worked with, and a former Notified Body reviewer on the design challenges the protocol the way your reviewer will. That is the difference between data that supports a CE mark and data that triggers deficiencies.
Free · 30 minutes · No obligation

Your aesthetic claims deserve evidence that passes first review.

Book a scoping call for your filler or aesthetic device programme. We will define exactly what your file needs, from Annex XVI gap analysis to a full clinical investigation.

Book a free scoping call

Reforming Clinical Evaluation of Medical Devices in Europe