Cardiovascular CRO | Specialist CRO for Cardiac & Structural Heart Trials | Eclevar MedTech
Cardiovascular · Structural Heart · Perivascular · EU MDR

The cardiovascular CRO for clinical evidence that regulators accept.

A specialist cardiovascular CRO for complex device programs in Europe: TAVI, structural heart, guidewires and perivascular. Designed from the inside of Notified Bodies, our clinical strategy is built the way regulators expect to see it from the very first protocol version.

TAVI systems Valve replacement Structural heart Guidewires & catheters IIS & indication expansion
Eclevar MedTech receiving the Platinum Award at the xShare and EUCROF Open Call Awards for Clinical Research in Amsterdam Platinum Award 2026

Eclevar MedTech and Milo took the Platinum Award at xShare & EUCROF.

Top prize in the xShare x European CRO Federation "EHDS & Clinical Research" Open Call, awarded to Eclevar MedTech and its Milo Health platform, presented at the EUCROF 2026 conference in Amsterdam.

Co-funded by the European Union

Horizon Europe · Grant Agreement No. 101136734 · Amsterdam, 2 Feb 2026

Social proof

Trusted by cardiovascular leaders.

From TAVI to guidewires, manufacturers choose Eclevar as their CRO specialist in cardiology. Read all client success stories.

TERUMO Meril NIHON KOHDEN VYGON Coloplast SHOFU ASAHI INTECC RegenLab
Dr Mark DaCosta, COO and Head of Cardiovascular at Eclevar MedTech, former TÜV SÜD Notified Body reviewer
Dr Mark DaCosta COO · CMO & Head of Cardiovascular Former reviewer at TÜV SÜD
Cardiovascular leadership

The reviewer who certified the files now builds them.

Dr Mark DaCosta is a cardiac surgeon and former TÜV SÜD Notified Body reviewer who has certified more than 400 cardiovascular devices in Europe. As COO and Head of the cardiovascular practice, he is on the frontline of every TAVI and structural heart assignment and every complex guidewire PMCF program across the European Union. He brings direct Notified Body insight to each clinical strategy, so endpoints translate into approvals and powerful labels from the very first protocol version.

400+Cardiovascular devices certified in Europe
Ex NBFormer TÜV SÜD reviewer
TAVIStructural heart & guidewire PMCF lead
Former NB reviewer TAVI & structural heart Clinical strategy
LinkedIn
Compliant with EU MDR 2017/745 ISO 14155:2020 ISO 13485 21 CFR Part 11 GDPR
Why Eclevar MedTech

A cardiovascular CRO built for regulatory precision.

Eclevar MedTech is a premium CRO specialised in cardiovascular clinical trials, seeking clients with premium, novel, first in class and best in class devices. Every cardiovascular program we accept receives dedicated senior attention and conviction from protocol design to PMCFER submission. We apply the same specialist model to implants through our orthopedic and spine CRO practice.

01

Former Notified Body expertise

Our leadership team includes a former Notified Body reviewer. Clinical programs are designed exactly according to regulatory expectations before the first submission version.

EU MDR Annex XIVNB reviewMDCG guidance
02

Deep know-how in complex structural heart procedures

VARC-3 composite endpoint decomposition, transcatheter heart valve specific biometric architecture, hemodynamic variable standards, and core lab integration.

VARC-3THV programsCore labMACE derivation
03

IIS & indication expansion

A key Eclevar MedTech differentiator. We structure Investigator Initiated Studies that convert off label clinical practice into ethical, auditable, and regulator acceptable evidence.

IIS designOff label evidenceEthics Committee
04

PMCF excellence

Long term follow up design for Class III cardiovascular implants. PMCF Plan authoring, PMCF Evaluation Report, and registry integration aligned with MDCG 2020-7.

PMCF PlanPMCFER5yr follow up
05

Inspection ready data

VARC-3 eCRF architecture, EDC validation to 21 CFR Part 11 and ISO 14155:2020, immutable audit trails, and inspection simulation mode built into our MILO EDC platform.

21 CFR Part 11MILO EDCAudit trail
06

Pan-European reach

In house CRAs across top seven EU countries. Local regulatory and ethics expertise in France, Germany, UK, Italy, Spain, Sweden, and Denmark apply consistent global standards.

7 EU countriesLocal CRAsLATAM expansion
IIS & off-label expansion

Turning real world practice into regulatory evidence.

Many high risk cardiovascular procedures are performed off label before formal regulatory approval is secured. Eclevar MedTech designs Investigator Initiated Studies (IIS) that generate data suitable for future post market follow up analyses and regulatory submissions.

Cardiovascular clinical investigation conducted under ISO 14155 in a European hospital
1

Gap analysis

Identify which clinical questions in your existing Notified Body submission remain unanswered by current evidence.

2

Protocol design

Structure the study with endpoints, visit schedules, and eCRF architecture perfectly aligned to Annex XIV.

3

Ethics & CA

Eclevar MedTech prepares the full ethical dossier addressing country specific requirements across all participating sites.

4

Data & PMCF

All data is captured in the MILO EDC with Annex XIV traceability columns pre populated. Clean data feeds directly into the PMCFER from day one.

5

Regulatory ready

PMCFER is updated with IIS derived evidence. Your Notified Body submission reflects the expanded indication with inspection grade data.

"Off label use in TAVI for bicuspid aortic valve, mitral regurgitation bridge procedures, and complex anatomy cases generate rich clinical data. Without structured capture, this evidence disappears. With Eclevar MedTech IIS architecture, it becomes the foundation of your next PMCF Evaluation Report."
In-house CRA coverage

Local teams, consistent standards.

FranceHQ
GermanyIn-house
United KingdomIn-house
ItalyIn-house
SpainIn-house
Sweden & DenmarkIn-house
Brazil & ColombiaLATAM
JapanCorridor
Selected experience

Cardiovascular programs we have delivered.

From first in class TAVI systems to complex guidewire evidence generation programs, Eclevar MedTech supports global cardiovascular device manufacturers at every stage of the regulatory lifecycle.

Structural heart · Meril Life Sciences

TAVI clinical program for high risk and non surgical populations

Transcatheter Aortic Valve System · EU MDR Class III

Full clinical strategy and execution for a TAVI program targeting high risk and non surgical patient populations. Eclevar MedTech designed the study architecture with VARC-3 composite endpoint decomposition, a five year follow up structure, and a regulatory file strategy for the EU MDR Annex IX certification pathway.

5yrFollow up design
EU MDRAnnex IX compliant
0Major Notified Body findings
VARC-3High risk5yr follow upClass III
Guidewires & catheters · Vygon

Global access systems: evidence generation for peripheral guidewires

Coronary & Peripheral Guidewire System · Class IIa / IIb

Evidence generation program for a broad portfolio of coronary and peripheral access guidewires. Eclevar MedTech structured a PMCF study combining prospective registry data collection with systematic literature surveillance, generating high quality regional evidence datasets for EU MDR re-certification across multiple device variants simultaneously.

MultiDevice variants
EURegional datasets
100%Dataset compliance
GuidewirePMCF registryMulti device
Structural heart · IIS indication expansion

Bicuspid aortic valve IIS: converting off label TAVI practice into on label PMCF

TAVI System · Bicuspid Indication · Class III IIS

An IIS program designed to convert established off label TAVI practice in bicuspid aortic valve anatomy into regulatory acceptable evidence for indication expansion. Eclevar MedTech designed the IIS protocol with BAV specific endpoints, a CT imaging sub study, and MILO EDC data architecture traceable to the manufacturer's PMCF Plan residual risks.

BAVExpansion target
IISEthics approved
PMCFFeeds PMCFER
IISBAVIndication expansionMILO EDC
Cardiac rhythm management · PMCF remediation

Class III AIMD PMCF data program remediation before Notified Body re-certification

Cardiac Implantable Device · EU MDR Annex IX

Emergency EDC remediation and full PMCF data governance rebuild for a Class III cardiac rhythm management device following ANSM inspection findings. Validated a new platform, executed parallel CAPA and PROM licensing remediation workstreams, and delivered Notified Body inspection ready data in 9 months from engagement.

9moTo inspection ready
0Major findings
100%UDI match rate
ANSMEDC remediationCAPAClass III AIMD
Official content

Our content, signed Eclevar.

Whitepapers, client testimonials and publications produced by our teams and partners (BSI, TÜV SÜD, RegenLab).

Whitepaper by BSI and Eclevar on the EU MDR
Whitepaper · BSI × Eclevar

A BSI and Eclevar whitepaper on the EU MDR.

Written with Notified Body BSI: a practical reading of the clinical evidence expectations under EU MDR 2017/745, relevant to any high risk device programme, cardiovascular devices included.

PMCF Studies · Regenerative Medicine · 5 EU Countries

A client's live testimonial on Eclevar's capability to run complex trials.

Eclevar manages RegenLab's PMCF programme on chronic wound devices. This is a randomized study of 160 patients across 14 sites in 5 EU countries, covering both diabetic foot ulcer (DFU) and venous leg ulcer (VLU) indications. The partnership combines Eclevar's ISO 14155 clinical expertise with the Milo Studio platform to deliver post-market clinical follow-up evidence that supports both Notified Body scrutiny and reimbursement endpoints, from protocol design through to final study report.

« Eclevar, with its tailor-made approach and advanced Milo Studio platform, represents a major strategic asset. »
Antoine Turzi, CEO, RegenLab
160patients · 14 sites
5EU countries
RegenLab video testimonial on the PMCF programme managed by Eclevar
Medical device imaging evidence review under EU MDR
Upcoming whitepaper · Coming soon
Whitepaper · TÜV SÜD × Eclevar

Breakthrough Device Technology under the EU MDR.

A Notified Body perspective on the designation, evidence generation and conformity assessment of breakthrough devices under the EU MDR. Joint publication to come.

TÜV SÜDDr Nikhil KhadabadiDr Nikhil KhadabadiCMO · Eclevar MedTech
Coming soon
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.

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

Meet us at EuroPCR 2026

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

clientcare@eclevar.com
Dr Mark DaCosta speaker panel at CSI Frankfurt on the impact of MDR on device innovation, 3 June 2026
Speaker panel : Frankfurt : 3 June 2026

Impact of MDR on device innovation

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

clientcare@eclevar.com
Milo three way forecast dashboard showing cost and recruitment scenarios for a cardiovascular pivotal trial
Platform : Clinical trial forecasting

From an 8 week RFP to a 30 minute roadmap

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

Explore the platform ↗
FAQ

Questions cardiovascular sponsors ask us.

How do I choose a specialist cardiovascular CRO in Europe?

Look for four things: direct Notified Body insight on the team, cardiovascular specific methodology (VARC-3 endpoints, core lab integration, THV biometric architecture), in house CRAs in your target countries, and verifiable references such as a delivered TAVI program. Eclevar combines all four, with a former Notified Body reviewer leading the cardiovascular practice.

Why choose a specialist cardiovascular medical device CRO?

Cardiovascular programmes under EU MDR demand specific competence: VARC-3 composite endpoint decomposition, transcatheter heart valve biometric architecture, hemodynamic variable standards and core lab integration. Eclevar builds this into the protocol from the first version, with direct Notified Body insight from a former reviewer on the leadership team.

Can Eclevar design a TAVI or structural heart clinical programme?

Yes. Eclevar delivered the full clinical strategy and execution for a TAVI programme targeting high risk and non surgical populations, with VARC-3 endpoint decomposition, a five year follow up structure and an EU MDR Annex IX file strategy, completed with zero major Notified Body findings.

What is an IIS and how does it support indication expansion?

An Investigator Initiated Study converts established off label clinical practice, for example TAVI in bicuspid aortic valve anatomy, into ethical, auditable and regulator acceptable evidence. Eclevar structures the protocol, ethics dossiers and MILO EDC data architecture so the evidence feeds directly into your PMCF Evaluation Report.

Which countries does Eclevar cover for cardiovascular trials?

In house CRAs across the top seven EU countries: France, Germany, the UK, Italy, Spain, Sweden and Denmark, plus a LATAM presence in Brazil and Colombia and a Japan corridor for PMDA alignment.

Can Eclevar remediate a PMCF data programme before re-certification?

Yes. For a Class III cardiac rhythm management device, Eclevar rebuilt the full PMCF data governance after ANSM inspection findings and delivered Notified Body inspection ready data in nine months, with zero major findings.

Guaranteed response within 24 hours

Ready to design your cardiovascular program the right way?

Whether you are developing a TAVI system or any other structural heart device, planning an indication expansion, or remediating a PMCF data program before your next Notified Body surveillance visit, Eclevar MedTech provides a consistent, regulator ready clinical strategy.

clientcare@eclevar.com

Reforming Clinical Evaluation of Medical Devices in Europe