Market access · Reimbursement · HTA

From clinical evidence to market access.

CE marking is only the start. We generate the clinical and economic evidence that payers and HTA bodies require for reimbursement and market access across Europe.

HTAReimbursementCost-effectivenessReal World EvidenceMILO EDC
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

Evidence that convinces payers and reviewers.

Dr Mark Da Costa, COO and former TÜV SÜD reviewer, leads a team that designs clinical and health-economic endpoints from the outset, so the same study convinces both the Notified Body and the payers.

Ex NBFormer TÜV SÜD reviewer
7Countries with in-house CRAs (UK, DE, FR, SE)
Chapter VIEU MDR Articles 62-82
Former NB reviewerHTA & reimbursementISO 14155:2026
LinkedIn
Compliant withEU MDR 2017/745ISO 14155:2026GCPISO 13485GDPR
After CE marking

Approval is not reimbursement.

A CE-marked device without reimbursement never reaches its patients. HTA bodies and payers require evidence of clinical benefit and cost-effectiveness versus the standard of care.

We plan evidence generation so that clinical endpoints and health-economic data are collected together, instead of repeating expensive studies.

Clinical data analysis and biometrics for medical devices
Reimbursement landscape

HTA in the key markets.

We align the evidence to the requirements of the national HTA bodies.

DE
G-BA

Germany

Benefit assessment and the requirements of the G-BA and IQWiG.

FR
HAS

France

Assessment by the Haute Autorité de Santé (CNEDiMTS).

UK
NICE

United Kingdom

NICE assessment and access through the NHS.

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

Clinical and economic evidence.

01

Value dossier

Structuring the clinical and economic evidence for payers.

02

Health economics

Cost-effectiveness and budget-impact models.

03

Real-world evidence

Outcome and reimbursement data from routine practice.

Objectives of a market-access strategy
01

Benefit evidence

Proof of clinical added value over the standard of care.

02

Cost-effectiveness

A cost-benefit argument for payers.

03

Budget impact

Impact on the health-system budget.

04

HTA compliance

Alignment with national HTA methods.

05

Pricing strategy

An evidence-based basis for price and reimbursement.

06

Market penetration

Faster and broader access to patients.

Our methodology

A five-step market-access 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.

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
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
Regulatory framework

Reimbursement in 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

Market access, answered.

Is CE marking enough for market access?

No. Reimbursement and market access additionally require evidence of clinical benefit and cost-effectiveness for HTA bodies and payers.

Can clinical and economic data be collected together?

Yes. We design studies so that they yield endpoints for both the Notified Body and HTA bodies.

Which HTA bodies do you cover?

Among others G-BA/IQWiG (Germany), HAS/CNEDiMTS (France) and NICE (United Kingdom).

What is a value dossier?

A structured presentation of the clinical and economic evidence that proves the value of the device to payers.

When should the market-access strategy start?

As early as possible, ideally when the clinical investigation is being planned.

Guaranteed response within 24 hours

Secure access and reimbursement.

Talk to our team about value dossiers, HTA requirements and an evidence strategy that accelerates market access.

Book a free call

Reforming Clinical Evaluation of Medical Devices in Europe