MedDeviceGuideMedDeviceGuide
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Regulatory

567 articles

Digital Health & AI

MHRA Ambient Voice Technology 2026: When an AI Scribe Is a Medical Device in Great Britain

MHRA and NHS England 2026 guidance on ambient voice technology (AVT): 9-example medical device qualification tree, Class I vs IIa, DCB0129, and UKCA strategy.

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EU MDR / IVDR

MDCG 2026-5 UDI Assignment: Manufacturer vs Distributor Decision Tree

MDCG 2026-5 UDI assignment guide: 3-path decision tree for private-label distributor brands, MDR Article 16, Basic UDI-DI rules, and EUDAMED registration.

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Clinical Evidence

Medical Device Expanded Access: Emergency Use, Compassionate Use & Treatment IDE

Operational guide to US investigational device expanded access: emergency use, compassionate use IDE supplements, Treatment IDE (21 CFR 812.36), and IRB rules.

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Clinical Evidence

Medical Device Trial Master File (TMF) and ISF Guide: ISO 14155, FDA, and EU MDR

Complete guide to medical device TMF and ISF: ISO 14155:2026 Annex E essential documents, 21 CFR 812.140, EU MDR archiving, and device-unique artifacts.

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Clinical Evidence

IVDR Performance Study Requirements: Application vs Notification, Timelines, and Reporting

Comprehensive guide to IVDR Chapter VI performance studies: Article 58 application triggers, Article 70 PMPF notifications, Article 66 timelines, leftover samples, and safety reporting.

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Clinical Evidence

ClinicalTrials.gov Registration and Results Reporting for Medical Device Trials

Comprehensive guide to medical device clinical trial registration and results reporting: 42 CFR Part 11 ADCT criteria, 21-day clocks, Form FDA 3674, 2026 CMP updates, and EU MDR Article 77.

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Clinical Evidence

Informed Consent for Medical Device Clinical Trials: 21 CFR 50, EFIC & EU MDR Article 63

Complete guide to informed consent in medical device clinical trials: 21 CFR Part 50 & Part 812, 50.22 minimal-risk waiver, 50.24 EFIC, and EU MDR Article 63.

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Clinical Evidence

Safety Reporting in Medical Device Clinical Trials: US IDE, EU MDR & ISO 14155

Complete guide to safety reporting in medical device clinical trials: 21 CFR 812.150 UADE clocks, EU MDR Article 80, MDCG 2020-10/1 Rev.1, and ISO 14155 GCP rules.

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Clinical Evidence

Risk-Based Monitoring for Medical Device Clinical Trials: FDA, EU MDR & ISO 14155 Guide

Comprehensive guide to risk-based monitoring (RBM) in medical device clinical trials: 21 CFR 812.40, FDA 2023 Q&A, EU MDR Annex XV, ISO 14155:2026, and BIMO audit evidence.

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Clinical Evidence

Protocol Deviations in Medical Device Clinical Trials: FDA Guidance and EU Rules

Comprehensive guide to protocol deviations in medical device clinical trials: FDA draft guidance, 21 CFR 812, EU MDR Article 75, ISO 14155:2026, and BIMO metrics.

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Clinical Evidence

Sham Controls in Medical Device Trials: Design, Ethics, and FDA/EU Expectations

Comprehensive guide to sham controls in medical device clinical trials: 21 CFR 860.7, EU MDR Article 62, Helsinki ethics, blinding protocols, and alternatives.

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Clinical Evidence

Imaging Core Labs for Medical Device Clinical Trials: FDA Expectations and Setup Guide

Comprehensive guide to imaging core labs in medical device trials: FDA expectations, charter anatomy, reader reproducibility (kappa/ICC), and vendor audit.

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Clinical Evidence

Enrichment Strategies for Medical Device Clinical Trials: Patient Selection Guide

Master enrichment strategies in medical device clinical trials: compare prognostic vs predictive designs, evaluate device-unique gates, and balance FDA DAPs.

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Clinical Evidence

Clinical Events Committees (CEC) and Endpoint Adjudication in Medical Device Trials

Guide to CEC endpoint adjudication in device trials: when it's required, CEC vs DMC vs core lab, charter anatomy, independence rules, and cost.

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Clinical Evidence

External and Historical Control Arms in Medical Device Clinical Trials

Guide to external and historical control arms in medical device trials: FDA acceptance, OPC vs external controls, MAIC, and exchangeability rules.

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Clinical Evidence

Multiplicity and Multiple-Endpoint Testing in Medical Device Clinical Trials

Master multiplicity control in device trials: learn FDA 2022 & CDRH rules, co-primary & composite exemptions, Holm/gatekeeping methods, and IVD endpoint strategies.

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Regulatory

Pure Global AI: A Practical Workflow Guide for Medical Device Regulatory Teams

A vendor-neutral guide to Pure Global AI's regulatory databases, device and predicate agents, and evidence-first workpapers for risk, eSTAR, CAPA, QMSR, labeling, and post-market review.

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Clinical Evidence

Superiority and Equivalence Clinical Trial Designs for Medical Devices

Master superiority and equivalence trial designs for medical devices: navigate TOST mechanics, OPC benchmark derivation, CLSI EP09 agreement, and FDA standards.

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Clinical Evidence

Adaptive Designs for Medical Device Clinical Studies: FDA Guidance, Types, and ICH E20

Master adaptive clinical trial designs for medical devices: navigate FDA CDRH guidance, evaluate 10+ adaptation types, preserve trial integrity, and align with ICH E20.

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Clinical Evidence

Non-Inferiority Clinical Trials for Medical Devices: Margin & Design Guide

Master non-inferiority clinical trials for medical devices: set M1 and M2 margins, protect against learning curves and biocreep, compare FDA and EU MDR, and analyze pivotal trial cases.

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