Equivalence · EU MDR & UK · Clinical evidence

Equivalence that holds up.

Equivalence is the most scrutinised argument in a clinical evaluation. We build device, biological and clinical equivalence to the higher EU MDR bar, and align it across the EU and UK regulatory frameworks.

EquivalenceEU MDR & UK MDRMEDDEV 2.7/1 Rev 4MDCG 2020-5Clinical evaluation
Eclevar MedTech Platinum Award xShare EUCROF 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 MedTech manufacturers.

Leading device manufacturers choose Eclevar for clinical evidence and real world evidence. Read all client success stories.

TERUMOMerilNIHON KOHDENVYGONColoplastSHOFUASAHI INTECCRegenLabTERUMOMerilNIHON KOHDENVYGONColoplastSHOFUASAHI INTECCRegenLab
Dr Mark Da Costa, COO Eclevar MedTech, former TUV SUD Notified Body reviewer
Dr Mark Da CostaCOO · Former Notified Body reviewer · Senior Consultant SurgeonFormer reviewer atTUV SUD
Regulatory leadership

Equivalence a reviewer actually accepts.

Dr Mark Da Costa, COO and former TÜV SÜD reviewer, knows exactly where equivalence arguments fail. We build technical, biological and clinical equivalence with the data access and rigour MDCG 2020-5 now demands, and align it across EU and UK routes.

Ex NBFormer TÜV SÜD reviewer
7Countries with in-house CRAs (UK, DE, FR, SE)
Chapter VIEU MDR Articles 62-82
Former NB reviewerEquivalence & CERISO 14155:2026
LinkedIn
Compliant withEU MDR 2017/745ISO 14155:2026GCPISO 13485GDPR
Why equivalence is hard now

The bar has moved.

Under the EU MDR and MDCG 2020-5, equivalence must be demonstrated across technical, biological and clinical characteristics, with sufficient access to the technical documentation of the equivalent device. Many legacy claims no longer pass.

We assess whether equivalence is genuinely defensible, close the gaps with targeted data where it is not, and keep the EU and UK positions aligned so one evaluation serves both markets.

Clinical data analysis and biometrics for medical devices
The three axes

What equivalence must cover.

All three must hold, with adequate access to the equivalent device data.

01
Technical

Technical equivalence

Design, specifications, conditions of use and deployment.

02
Biological

Biological equivalence

Materials, contact and duration in the same tissue environment.

03
Clinical

Clinical equivalence

Same clinical condition, purpose, site and population.

In-house CRAs

We do not outsource monitoring

Eclevar deploys in-house Clinical Research Associates in the United Kingdom, Germany, France and Sweden, ensuring smooth study initiation, ethics-committee submissions (for example CPP in France) and high-quality clinical data collection.

What we deliver

A defensible equivalence position.

01

Equivalence assessment

Technical, biological and clinical mapping against MDCG 2020-5.

02

Gap closure

Targeted data where equivalence alone is insufficient.

03

EU & UK alignment

One position aligned to EU MDR and UK MDR routes.

Objectives of the equivalence work
01

Defensible claim

An equivalence argument that survives review.

02

Data access

Sufficient access to the equivalent device documentation.

03

Gap identification

Where own clinical data are still required.

04

CER foundation

A robust basis for the Clinical Evaluation Report.

05

EU & UK alignment

One evaluation serving both markets.

06

NB readiness

Documentation that holds up under review.

Our methodology

A five-step equivalence methodology.

Data quality means completeness, consistency and accuracy across all investigational sites.

1

Feasibility assessment

Assessing data-source quality, completeness and consistency.

2

Protocol development

A robust protocol aligned with ISO 14155:2026 and GCP.

3

Conduct

Site activation, in-house CRAs, high-quality data collection.

4

Data analysis

Rigorous statistical analysis of safety and performance.

5

Documentation

Comprehensive reports for Notified Body and authorities.

Selected experience

Programs we have delivered.

Vascular patch · Class III

Multicentre study on a Class III vascular patch

Knitted polyester vascular prosthesis · EU MDR Chapter VI

Multicentre study with retrospective and prospective record data from French university hospitals (CHU Valenciennes, Nantes, Brest), covering carotid and femoral locations up to 3 years post-op and meeting EU MDR requirements for CE certification.

250-300patients · 3-8 sites
3 yrsfollow-up
≥100per location
Class IIICHU networkChapter VI
RegenLab · Advanced wound care

Registry-based RWE-PMCF for wound care

Advanced wound care device · CE mark renewal

RegenLab needed PMCF data to renew its CE marking without disrupting clinical workflows. Eclevar designed a targeted RWE-PMCF registry study on the MILO EDC platform capturing wound-healing trajectories and adverse-event tracking.

160patients · 14 sites
5EU countries
MDRChapter VI
RWE registryMILO EDCWound care
Regulatory framework

Aligned across EU, France, Germany and the UK.

EU
EU MDR

EU MDR 2017/745

  • Clinical evidence under Chapter VI (Articles 62-82)
  • PMCF plan mandatory for Class IIb and III
  • Clinical Evaluation Report and ISO 14155:2026
  • Notified Body review and competent authority reporting
FR
ANSM

France

  • EU MDR plus national requirements
  • Ethics committee (CPP) approval
  • Data collection across the French hospital network
  • Annual safety reports, French documentation
DE
BfArM

Germany

  • EU MDR plus national requirements
  • Protocols filed with BfArM
  • Ethics committee approval mandatory
  • Quarterly safety reports, German documentation
UK
MHRA

United Kingdom

  • UK MDR, aligned with the EU MDR
  • Plan for Class IIb and III
  • Research Ethics Committee (REC) approval
  • NHS hospital data, annual reports to the MHRA
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 clinical program.

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 program on chronic wound devices: 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.

« 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
FAQ

Equivalence, answered.

What does equivalence require under the EU MDR?

Technical, biological and clinical equivalence, demonstrated per MDCG 2020-5, with sufficient access to the equivalent device’s technical documentation.

Why do legacy equivalence claims fail now?

The MDR and MDCG 2020-5 raised the bar and require data access that many manufacturers do not have for a competitor device.

Can one equivalence position serve EU and UK?

Yes; we align the argument to both EU MDR and UK MDR routes so a single evaluation supports both markets.

What if equivalence is not sufficient?

We identify the gap and design targeted clinical data (PMCF or a focused investigation) to close it.

How does equivalence relate to the CER?

A defensible equivalence position is often the backbone of the Clinical Evaluation Report; a weak one is the most common cause of rejection.

Guaranteed response within 24 hours

Build an equivalence position that survives review.

Talk to our team about your equivalence claim, the data access you need and the fastest compliant route across the EU and UK.

Book a free call

Reforming Clinical Evaluation of Medical Devices in Europe