Eclevar Orthopedics & Spine
Eclevar Orthopedics & Spine

Clinical evidence for
complex implants.

Eclevar Medtech supports orthopedic and spinal device manufacturers across the entire clinical lifecycle. From early feasibility to registry-linked PMCF and long-term surveillance under EU MDR Annex XIV.

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Joint Replacements

Total hip and knee replacement systems, including primary and revision implants.

Spinal Implants

Spinal cages, rods, pedicle screws, and complex fusion devices.

Trauma Fixation

Plates, screws, nails, and external fixation systems for fracture management.

Regenerative Implants

Bone graft substitutes, osteoinductive materials, and synthetic matrices.

The EU MDR Challenge

High-risk implants require
bulletproof evidence.

Under the European Medical Device Regulation (EU MDR), orthopedic and spinal implants face unprecedented clinical scrutiny. Legacy equivalence claims are no longer sufficient. Notified Bodies demand long-term clinical and safety data, radiographic endpoint integration, and continuous PMCF for Class IIb and Class III devices.

DATA CHALLENGE 01

Radiographic Endpoints

Demonstrating clinical safety requires more than patient surveys. Eclevar Medtech integrates standardised imaging protocols into your PMCF to track bone fusion, osteointegration, and radiolucency accurately over time.

DATA CHALLENGE 02

Long-Term Surveillance

Orthopedic and spinal implants are expected to perform for decades. We design ten to fifteen-year PMCF follow-up strategies that satisfy Notified Body expectations for survivorship tracking without overwhelming your budget.

DATA CHALLENGE 03

Legacy Data Gaps

Many legacy devices lack the structured clinical data now required by Annex XIV. Eclevar Medtech remediates historical data and designs high-quality Real-World Evidence (RWE) registries to close these gaps rapidly.

Orthopedics & Spine — Clinical Leadership

The surgeon who became
the regulatory standard.

Dr. Nikhil Khadabadi brings a rare dual perspective to orthopedic device studies — a decorated career as an active orthopedic surgeon combined with years at TÜV SÜD as a Senior Clinical Reviewer. He has been on both sides of the Notified Body table.

🏅
Former Senior Reviewer
TÜV SÜD — Class III Implants
Notified Body · EU MDR
Dr. Nikhil Khadabadi
CMO & Head of Orthopedics & Spine
🏥
Renowed Orthopedic Surgeon Active surgeon with extensive clinical practice in joint reconstruction, spinal implants and complex orthopedic procedures.
🔬
Former TÜV SÜD Senior Clinical Reviewer Years spent reviewing Class III orthopedic device dossiers inside a Notified Body — a perspective no other CRO CMO holds.
📋
Principal Investigator — Clinical Studies Experienced PI in orthopedic clinical investigations under ISO 14155:2020, including multi-site EU studies on implantable devices.
Class III Implants Ex-TÜV SÜD Joint Reconstruction Spinal Implants ISO 14155 EU MDR Annex IX/X
NB
Inside knowledge — former Notified Body reviewer
0
Major NB non-conformities on Ortho submissions
III
Class III implant specialisation — highest risk
EU
Multi-country site activation across Europe

"Having reviewed hundreds of orthopedic device dossiers at TÜV SÜD, I know precisely what a Notified Body looks for — and where clinical evidence packages fail. That knowledge now serves our clients."

Dr. Nikhil Khadabadi — CMO, Orthopedics & Spine
Dual
Surgeon + Notified Body reviewer — unique in the CRO space
PI
Principal Investigator experience in EU orthopedic device studies
ISO
14155:2020 oversight — protocol design to database lock
MDR
Annex IX / X clinical strategy for implantable devices
Clinical Workflow

Five steps to
EU MDR compliance

Eclevar Medtech utilises a structured and seamless delivery process that connects regulatory strategy, study operations, and digital data collection into one coordinated evidence pathway.

STEP 01

Gap Assessment

Evaluating existing clinical data and literature against EU MDR Annex XIV requirements to identify specific risks.

STEP 02

PMCF Strategy

Designing targeted clinical investigations, surveys, or registry-based PMCF plans tailored to your specific implant.

STEP 03

Data Capture

Deploying validated Electronic Data Capture systems (MILO EDC) for secure multi-site data and radiographic image collection.

STEP 04

Site Engagement

Activating our specialised network of orthopedic investigators and clinics across key European territories.

STEP 05

Regulatory Reporting

Authoring audit-ready Clinical Evaluation Reports (CER) and PMCF evaluation reports for the Notified Body.

Clinical Endpoints & RWE

Measuring what matters
in orthopedics.

01

Clinical Scores & PROMs

Implementation of validated Patient-Reported Outcome Measures (PROMs) specific to joint and spine indications. This includes Oxford Hip and Knee Scores, Oswestry Disability Index (ODI), and Neck Disability Index (NDI) to prove objective functional improvement.

Oxford ScoresODI & NDIValidated PROMs
02

Radiographic Analysis

Standardised assessment protocols for radiographic endpoints. We facilitate tracking of implant migration, subsidence, bone fusion rates, and radiolucency with independent core lab validation to ensure objective safety data.

OsteointegrationFusion RatesSubsidence
03

Registry Integration

Seamless Real-World Evidence (RWE) collection linked to national and European joint registries, such as the NJR and REDIT. Eclevar Medtech helps manufacturers extract and contextualise big data for legacy devices.

RWENational RegistriesBig Data
04

Long-Term Safety Surveillance

Continuous tracking of revision rates, implant survivorship via Kaplan-Meier analysis, and adverse events over a ten to fifteen-year horizon to satisfy the strict post-market requirements of the EU MDR.

Kaplan-MeierRevision RatesSurvivorship
Unified Data Ecosystem

Digital data collection designed
for complex devices.

Managing long-term orthopedic clinical follow-up requires a robust data infrastructure. Eclevar Medtech utilises MILO EDC, a proprietary Electronic Data Capture platform that is fully compliant with FDA 21 CFR Part 11 and GDPR. The MILO ecosystem integrates eCRF, ePRO, and secure radiographic image uploads in a single, audit-ready environment specifically designed for the medical device industry.

  • FDA 21 CFR Part 11 Compliant.
  • ISO 27001 & GDPR.
  • Secure DICOM Image Uploads.
  • Automated ePRO Surveys.
  • Registry API Integration.
Why Choose Eclevar Medtech

Clinical insights meet
digital innovation.

End-to-End Partnership

Eclevar Medtech manages the entire evidence continuum. This spans from early pre-clinical strategy and feasibility studies to rigorous Clinical Evaluation Reports and comprehensive post-market surveillance programs.

Therapeutic Focus

Our team provides decades of specialised medical expertise in complex implant evaluation, regulatory strategy mapping, and PMCF program design tailored exclusively for orthopedics and spine.

Audit Readiness

Because our clinical and data management architectures are designed by former Notified Body reviewers, your submission is built to withstand the strictest regulatory audits from day one.

Discuss your clinical strategy.

Connect with our Orthopedics & Spine specialists to map out your pathway to EU MDR clinical compliance. Speak directly with Guillaume Charles, Head of Global Business Development at Eclevar Medtech.

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Guaranteed response time within 24 hours.

Reforming Clinical Evaluation of Medical Devices in Europe