Published March 7, 2025 | Version v1
Journal article Open

THE CHALLENGES FOR MANUFACTURERS OF THE INCREASED CLINICAL EVALUATION REQUIREMENTS UNDER THE EUROPEAN UNION MEDICAL DEVICE REGULATIONS

  • 1. MD, PhD, Director. Clinical Evaluation Department. National Evaluation Center of Quality and Technology in Health, Athens, Greece.
  • 2. MD, PhD. Department of Surgery II University of Witten-Herdecke. Wuppertal, Germany
  • 3. MSc. Academic Director. Epsilon College. Athens, Greece

Description

The European Union Medical Device Regulations EU MDR established new demanding clinical evaluation criteria
that substantially affect medical equipment manufacturers. The EU MDR imposes rules that require manufacturers to
provide advanced clinical proof and maintain continuous surveillance of their products under strict notification body
oversight. Manufacturers encounter multiple obstacles due to the enhancements that were introduced to improve
patient safety and device effectiveness. In addition, the shortage of approved notified bodies causes delays in market
entry for new devices and existing products. Small and medium-sized enterprises (SMEs) face adverse effects from
compliance costs, which leads them to eliminate products or stop selling in markets. Companies face challenges to
innovation since they must dedicate substantial resources to fulfill transforming regulatory standards. The following
study provides a deep examination of these regulatory challenges, including their industrial effects on the medical
device sector, along with manufacturer-approved navigation strategies.

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Additional details

Dates

Available
2025-03-07

References

  • Aronson, N. (2017) Patient Access to High-Risk Devices for Unmet Medical Needs. The Pew Charitable Trusts. Available at: https://www.pewtrusts.org (Accessed: 1 March 2025)
  • Bock, A., Sträter, L. and von Cossel, J. (2021) 'Challenges in Clinical Evaluation of Medical Devices under MDR', Regulatory Affairs Journal, 36(4), pp. 210–225.
  • Borfitz, D. (2019) 'Clinical Evaluation Reports: A Critical Step in Medical Device Approval', Medical Device Journal, 45(2), pp. 55–68.
  • Charnley, G. (2022) 'Regulatory Considerations for Legacy Devices under MDR', Journal of Medical Regulation, 15(3), pp. 178–190.