Medical Device Study Start-Up | EU MDR Site Activation & Ethics Submissions | Eclevar MedTech
Clinical Operations · Study Start-Up · EU MDR

Activate your clinical sites without delay.

For MedTech teams that have already run feasibility and need a partner to drive ethics and regulatory submissions, hospital contracting and essential documents to First Patient In, in full compliance with EU MDR, UKCA and local requirements.

First Patient In in under 14 weeks Ethics & Competent Authority submissions In-house CRAs in 4 EU countries
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 MedTech manufacturers.

Device leaders rely on Eclevar for study start-up and site activation across Europe. Read all client success stories.

TERUMO Meril NIHON KOHDEN VYGON Coloplast SHOFU ASAHI INTECC RegenLab TERUMO Meril NIHON KOHDEN VYGON Coloplast SHOFU ASAHI INTECC RegenLab
Dr Mark DaCosta, COO at Eclevar MedTech and former TÜV SÜD Notified Body reviewer
Dr Mark DaCosta COO · Former Notified Body reviewer Former reviewer at TÜV SÜD
Study start-up leadership

Submissions that clear the first time.

Ethics Committee and Competent Authority submissions fail on avoidable, country-specific details. Dr Mark DaCosta, COO and former TÜV SÜD reviewer, makes sure every dossier is built to the local standard first time, so queries are minimised and your sites reach First Patient In on schedule.

<14 wkContract to First Patient In
EC/CAEthics & Competent Authority
Ex NBFormer TÜV SÜD reviewer
Ethics submissions Hospital contracting TMF set-up
LinkedIn
Compliant with EU MDR 2017/745 UKCA ISO 14155:2026 ISO 13485 21 CFR Part 11 GDPR
Overview

Everything your sites need to go live.

A complete, tracked start-up package that takes each centre from selection to activation without handoff friction. You receive:

  • A start-up plan and timeline mapping every country, site and activation date.
  • Country-specific ethics and Competent Authority submission dossiers.
  • Localised Informed Consent Forms and essential documents to local standards.
  • Hospital contract and budget negotiation through to signature.
  • A verified essential-document package filed in your TMF, ready for Notified Body scrutiny.
Clinical site activation and start-up for a medical device study under ISO 14155
Common pitfalls we eliminate

The delays that stall activation.

  • Ethics and Competent Authority dossiers rejected on local formatting.
  • Hospital contract negotiations that drag on for months.
  • Informed Consent Forms not adapted to national requirements.
  • Essential documents scattered outside a structured TMF.
  • Late local regulatory changes discovered after submission.
Who it is for
  • Start-up and scale-up device companies.
  • Established manufacturers updating to EU MDR.
  • International companies entering the EU or UK.
Outputs & timeline

From kick-off to First Patient In.

Week 1

Start-up plan & timeline

A roadmap identifying target countries and sites, responsible parties and activation dates to synchronise your clinical launch.

Weeks 1-2

Country submission dossiers

Specialised dossiers with local ethics forms and regulatory checklists adapted to each national standard.

Ongoing

Complete submission package

Verified copies of applications, supporting evidence and approval letters, filed in real time within your TMF or our managed environment.

Live tracking

Contract & budget registry

Dynamic monitoring of contract status, budget terms and signatures for each centre, exportable to your MILO EDC dashboard.

Upon activation

Activation & readiness report

A final summary of validated sites, approved documents and projected First Patient In dates, handed to the monitoring team.

Selected experience

Start-up that stayed on schedule.

Case 01

SME without a start-up team

A growing device company knew its target sites but lacked the headcount and local knowledge to manage ethics submissions and hospital contracts across Europe.

Outcome: progressive, highly predictable activation with no large internal hiring, launched exactly to plan.
Case 02

Tight EU MDR deadline

An established manufacturer had to launch a PMCF study fast to meet MDR deadlines while internal teams were overstretched.

Outcome: critical countries activated exactly on time, feeding PMCF data straight into the CER without a missed milestone.
Case 03

US company, EU market entry

A US-based company entered the EU with limited knowledge of European ethics and hospital contracting processes.

Outcome: a three-country activation with predictable timelines that met Ethics and Competent Authority expectations.
Geographic coverage

Europe at the core, global corridors beyond.

Europe (EU & UK core) Japan (PMDA) India LATAM: Brazil LATAM: Colombia United States corridor
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, useful for any feasibility and site selection plan.

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
FAQ

Study start-up questions, answered.

What is study start-up (SSU)?

Study start-up is the phase between site selection and First Patient In: ethics and Competent Authority submissions, hospital contract and budget negotiation, essential document collection and TMF set-up, and formal site activation for your clinical investigation.

When should we involve Eclevar in the start-up phase?

As soon as your target sites are identified, ideally right after feasibility. Early involvement lets us sequence submissions and contracting in parallel and protect your First Patient In date.

Do you manage both ethical and regulatory submissions?

Yes. We handle Ethics Committee and Competent Authority submissions in parallel, manage query responses, and lead hospital contract and budget negotiation through to final signature.

Can you use our own templates and systems?

Yes. The team is platform agnostic and can work within your existing TMF, templates and validated systems, or provide a managed MILO environment if you prefer.

How long does study start-up typically take?

Our average time between contract signature and First Patient In is under 14 weeks, depending on country mix and ethics timelines, tracked against the start-up plan from week one.

Which regions can you support?

Europe (EU & UK) is our core, with in-house CRAs in France, Germany, Italy and Spain, plus corridors to Japan (PMDA) and India (CDSCO).

Guaranteed response within 24 hours

Activate your sites on schedule.

Book a consultation and we will review your selected sites and country mix, then map the submissions, contracting and documents needed to reach First Patient In on time.

Book a consultation

Reforming Clinical Evaluation of Medical Devices in Europe