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In vitro diagnostics

Your strategic partner in In Vitro Diagnostics

Regulatory, quality, performance and post-market support for IVD manufacturers, across every product type and IVDR risk class, from assays and reagents to instruments, software and companion diagnostics.

EU IVDR 2017/746MDCG 2020-16MDCG 2022-2ISO 20916ISO 23640CLSI EP05 · EP09 · EP17
Product segments

IVD segments we support

Instruments, reagents, controls, calibrators, assays and software, in each of these diagnostic areas.

Immunodiagnostics
Clinical chemistry
Haematology
Haemostasis
Microbiology
Molecular diagnostics
Genomics & proteomics
Histology & cytology
Companion diagnostics
Point-of-care testing
Laboratory-developed tests
Lab management systems
Virology
Immunohaematology
Calibrators & controls
Pre-analytical systems
IVDR classification

Four risk classes, four levels of scrutiny

Many devices self-certified under the IVDD now need a Notified Body. Reclassification is usually the first piece of work we do with an IVD client.

ClassRisk profile and examplesNotified Body involvementKey documents
Class ALow individual and public health risk. General laboratory products, instruments, specimen receptaclesSelf-declaration. Notified Body for sterile Class A onlyTD · PER · PMSR
Class BModerate individual risk. Devices not covered by other rules, some self-tests such as pregnancy and cholesterolQMS assessment with technical documentation samplingTD · PER · PMSR
Class CHigh individual or moderate public health risk. Companion diagnostics, cancer markers, genetic testing, STIsQMS assessment and technical documentation assessment by generic device groupTD · PER · SSP · PSUR
Class DHigh individual and public health risk. Blood, tissue and transmissible agent screening, blood groupingFull assessment, EU reference laboratory testing and expert panel where applicableTD · PER · SSP · PSUR
IVDR performance evaluation

How the performance documents connect

The PEP sets the method. Scientific validity, analytical performance and clinical performance each produce a report, and the PER brings them together into the conclusion your technical documentation and post-market plan depend on.

IVD design & development support

Five phases, with the IVDR deliverables built in

Engage us for a single phase or across the programme. Each phase closes with a design review and the documents your technical file will need.

01

Initiate & plan

Describe the device, intended use and markets; plan development, timeline and resources.

Outputs
  • Design & development plan
  • Regulatory plan
  • Scientific validity report (SVR)
  • State of the art
02

Develop

Define functional requirements, control risks, qualify suppliers and plan verification.

Outputs
  • Risk management plan and analysis
  • Specifications and drawings
  • Design verification plan
  • Performance evaluation plan (PEP) and CPSP
03

Verify

Test prototypes against requirements and trace outputs to inputs.

Outputs
  • Process validation plan
  • Design validation plan
  • Analytical performance report (APR)
04

Validate & transfer

Confirm the device meets user needs and the design transfers into production.

Outputs
  • Clinical performance report (CPR)
  • Performance evaluation report (PER)
  • Risk management report and traceability
  • Technical documentation and GSPR, SSP
05

Commercialise

Complete submissions, labelling and training, then monitor the device in use.

Outputs
  • Labelling and user training
  • PMS plan and PMPF plan
  • PMSR (A, B) or PSUR (C, D)
  • Complaint handling and vigilance
IVD development & laboratory support

From assay development to sustaining engineering

Scientific and engineering support alongside the regulatory work, so the studies that generate your performance evidence are designed with the IVDR and FDA reviewer in mind.

Assay development
  • Analytical and bioanalytical method development
  • Assay format selection and vendor qualification
  • Internal assay standards
  • Raw material and in-process testing
  • Assay optimisation and cost reduction
  • Proof-of-concept, sample suitability and pilot studies
  • IVD prototypes
Analytical performance
  • Accuracy and precision
  • LoB, LoD and LoQ
  • Analytical sensitivity and specificity
  • Linearity, measuring range and sample matrix
  • Interference and carry-over
  • Reference range
  • High-dose hook effect
  • Study plans per CLSI, ICH and USP
Clinical performance
  • Protocol design
  • Site selection and qualification
  • Study initiation and monitoring
  • Ethics committee approvals and licences
  • Data management and biostatistics
  • Diagnostic sensitivity and specificity
  • Method comparison and clinical cut-off
  • Study reports
Sustaining engineering
  • Critical component change and stability studies
  • Benchmarking and correlation studies
  • Reliability: HALT, HAST and prediction
  • Design transfer, process improvement and fixtures
  • Software verification, validation and sustenance
  • Packaging graphics, labelling and localisation testing
  • Product stewardship
Regulatory & strategy
  • Classification and lifecycle requirements
  • Submission approach
  • Gap assessment and remediation
  • Standards assessment
  • Meta-analysis and clinical decision support
  • QMS compliance
Molecular biologyClinical diagnosisBacteriology & mycologyHaematology & immunohaematologyVirologyProtein engineering
IVD services

EU IVDR and global market access

IVDR transition & CE marking

  • IVDR gap analysis of products and files
  • Reclassification from IVDD to Class A–D
  • GSPR checklist against Annex I
  • Technical documentation drafting and remediation
  • EUDAMED registration and UDI label updates
IVDR transition programmes →

Notified Body & representative

  • Notified Body selection by designation scope
  • EU Authorised Representative research, shortlist and appointment
  • Mock IVDR audits and Notified Body query responses
  • PRRC training and file mentoring for your staff

Performance evaluation

  • PEP, SVR, APR, CPR and PER
  • Clinical performance study plans and reports
  • SSP for Class C and D devices
  • PMPF plans and reports
Performance evaluation details →

United States

  • 510(k), De Novo and PMA
  • CLIA waiver applications
  • Emergency Use Authorization
  • IDE and Device Master Files
  • BLA support for CBER-regulated IVDs

China, Canada & RoW

  • NMPA classification, registration and legal agent coordination
  • Health Canada MDL and MDEL, MDSAP
  • ANVISA, TGA, MFDS, GCC, ASEAN, LATAM and Africa
  • Renewals, change notifications and ad-promo review

IVD quality systems

  • ISO 13485 QMS designed for IVD manufacturing
  • Risk management to ISO 14971
  • Stability per ISO 23640 and CLSI EP25
  • Supplier audits and internal audit programmes
ISO 13485:2016ISO 14971:2019ISO 20916:2019ISO 23640:2011ISO 18113IEC 61010-2-101IEC 62304CLSI EP05CLSI EP07CLSI EP09CLSI EP17CLSI EP21CLSI EP25
Talk to our experts

Discuss your device, market or audit with a specialist

Share the device, its class and your target markets. A senior specialist will come back with the likely pathway, the evidence gaps we see and a practical plan.

Talk to our experts → Request an AI pilot sales@medoqi.tech · +91 44 4690 0555