Real World Evidence (RWE) for Medical Devices under EU MDR | PMCF & Registry Strategy | Eclevar MedTech
Real World Evidence ยท Registry PMCF ยท EU MDR Chapter VI

Real world evidence that powers your PMCF.

Stop treating RWE like a pharma requirement. We leverage European registries and real-world data to secure your EU MDR compliance and power your PMCF strategy, with MedTech methodology that accounts for surgical learning curves, device iteration and procedural variability.

NJR ยท EPRD ยท Swespine EUDAMED alignment Retrospective EHR Observational studies MILO EDC
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 ยท Grant Agreement No. 101136734 ยท Amsterdam, 2 Feb 2026

Social proof

Trusted by MedTech manufacturers.

Device leaders rely on Eclevar for registry-based PMCF and real-world evidence. 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 ยท Former Notified Body reviewer Former reviewer at TÜV SÜD
Regulatory leadership

RWE that a reviewer will actually accept.

Dr Mark DaCosta, COO and former TÜV SÜD reviewer, leads a team that knows what Notified Bodies expect from real-world evidence. We design registry-based PMCF and RWE so data quality, completeness and traceability hold up to scrutiny, with in-house CRAs rather than outsourced monitoring.

Ex NBFormer TÜV SÜD reviewer
7Countries with in-house CRAs (UK, DE, FR, SE)
Chapter VIEU MDR Articles 62-82
Former NB reviewer Registry PMCF ISO 14155:2026
LinkedIn
Compliant with EU MDR 2017/745 ISO 14155:2026 GCP ISO 13485 GDPR
The EU MDR shift

From "nice to have" to mandatory PMCF.

Under the Medical Device Directive, real world evidence was supplementary. Under EU MDR 2017/745, it has become the regulatory backbone for post-market clinical follow-up. Notified Bodies no longer accept proactive literature searches alone as sufficient continuous evidence for legacy or high-risk devices.

MedTech RWE differs fundamentally from pharma approaches: it must account for surgical learning curves, device iteration, procedural variability and highly specific clinical outcomes.

Real world evidence data analysis and biometry for medical device PMCF
European registries

Leveraging national registries for real-world data.

We align your PMCF endpoints with the data capture capabilities of these massive national databases, and with the broader EUDAMED registry strategy.

UK
NJR

National Joint Registry

Orthopaedic implant survivorship and revision rates, ODEP-rating compliant.

DE
EPRD

Endoprothesenregister Deutschland

Coverage across Germany's largest healthcare system for endoprosthetic devices.

SE
Swespine

Swedish spine registry

Longitudinal spinal surgery outcomes for Class IIb and III implants.

In-house CRAs

We do not outsource monitoring

Eclevar deploys in-house Clinical Research Associates across the UK, Germany, France and Sweden, ensuring seamless site initiation, ethics committee submissions (for example CPP in France) and high-quality real-world data capture.

Beyond registries

Extracting RWE, every credible way.

01

Retrospective EHR extraction

Mining electronic health records for legacy device validation.

02

High-quality clinical surveys

ISO 14155-compliant physician and patient surveys (PROMs).

03

Prospective observational studies

Lightweight real-world studies deployed via the MILO EDC platform.

Objectives of RWE data collection
01

Safety monitoring

Continuously track adverse events and safety signals.

02

Performance assessment

Evaluate performance across diverse patient populations.

03

Long-term follow-up

Gather medium to long-term outcome data, months to years.

04

Regulatory compliance

Meet EU MDR clinical evaluation requirements.

05

Comparative analysis

Compare with predicate devices or standard-of-care.

06

Risk mitigation

Identify and manage potential risks systematically.

Our methodology

A five-step RWE methodology.

Data quality encompasses completeness, consistency and accuracy across all investigational centres.

1

Feasibility assessment

Evaluate data source quality, completeness and consistency.

2

Protocol development

Design a robust protocol aligned with ISO 14155:2026 and GCP.

3

Data collection

Systematically collect real-world data from hospitals and registries.

4

Data analysis

Rigorous statistical analysis of safety and performance.

5

Documentation

Deliver comprehensive PMCF and Clinical Evaluation Reports.

Selected experience

RWE programmes we have delivered.

RegenLab ยท Advanced wound care

Registry-based RWE PMCF for wound care

Advanced wound care device ยท CE mark renewal

RegenLab required PMCF data for CE marking renewal without disrupting clinic workflows. Eclevar designed a targeted RWE PMCF registry study on the MILO EDC platform, capturing wound-healing trajectories and adverse-event tracking.

LowSite burden
PMCFERMDR-compliant
AcceptedBy Notified Body
RWE registryMILO EDCWound care
Vascular patch ยท Class III

Class III vascular patch multicentre RWE study

Knitted polyester vascular prosthesis ยท EU MDR Chapter VI

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

250-300Subjects ยท 3-8 sites
3 yrFollow-up
≥100Per location
Class IIICHU networkChapter VI
Regulatory framework

RWE across EU, France, Germany and the UK.

EU
EU MDR

EU MDR 2017/745

  • Chapter VI clinical evidence (Articles 62-82)
  • PMCF Plan mandatory for Class II and III
  • Clinical Evaluation Report and ISO 14155:2026
  • Notified Body review and Competent Authority notification
FR
ANSM

France

  • EU MDR plus national requirements
  • PMCF protocols and Ethics Committee (CPP) approval
  • French hospital network data collection
  • Annual safety reports, French documentation
DE
BfArM

Germany

  • EU MDR plus national requirements
  • PMCF protocols submitted to BfArM
  • Ethics Committee approval mandatory
  • Quarterly safety reports, German documentation
UK
MHRA

United Kingdom

  • UK MDR, aligned with EU MDR
  • PMCF Plan for Class II and III
  • Research Ethics Committee (REC) approval
  • NHS hospital data, annual reports to 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 ยท BSI ร— 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 registry-based PMCF programme.

PMCF Studies ยท Regenerative Medicine ยท 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 ยท 14 sites
5EU countries
RegenLab video testimonial on the PMCF programme managed by Eclevar
FAQ

RWE questions sponsors ask us.

Why is Real World Evidence now mandatory under EU MDR?

Under the MDD, RWE was supplementary. Under EU MDR 2017/745 it is the backbone of Post-Market Clinical Follow-up. Notified Bodies no longer accept proactive literature searches alone as sufficient continuous evidence for legacy or high-risk devices.

Which European registries does Eclevar use for RWE?

National Joint Registry (NJR, UK), Endoprothesenregister Deutschland (EPRD, Germany) and Swespine (Sweden), with PMCF endpoints aligned to these databases and to the broader EUDAMED strategy.

How does MedTech RWE differ from pharma RWE?

MedTech RWE must account for surgical learning curves, device iteration, procedural variability and highly specific clinical outcomes, which generic pharma approaches do not capture.

What RWE methods does Eclevar offer beyond registries?

Retrospective EHR data extraction for legacy device validation, ISO 14155-compliant clinical surveys and PROMs, and lightweight prospective observational studies via the MILO EDC platform.

Does Eclevar outsource clinical monitoring?

No. Eclevar deploys in-house CRAs across the UK, Germany, France and Sweden, ensuring seamless site initiation, ethics committee submissions (for example CPP in France) and high-quality real-world data capture.

Guaranteed response within 24 hours

Turn real-world data into regulatory evidence.

Talk to our team about registry access, EHR extraction or an observational study, and the fastest compliant route to a Notified Body ready PMCF Evaluation Report.

Book a free consultation

Reforming Clinical Evaluation of Medical Devices in Europe