Clinical Evaluation Report (CER) Outline for MDR

Oct 24, 2025

An MDR-compliant CER shows that benefits outweigh risks using sufficient clinical evidence. Use this outline to keep your CER focused and traceable.

1) Clinical evaluation plan (CEP)

  • Intended purpose, claims, and target populations.
  • Clinical questions, endpoints, acceptance criteria, and equivalence strategy.
  • Literature and data source strategy with inclusion/exclusion criteria.

2) Data identification and appraisal

  • Systematic literature search methods and PRISMA flow (if used).
  • Appraisal of clinical data quality, bias, and applicability.
  • Handling conflicting evidence and data gaps.

3) Equivalence (if applied)

  • Technical, biological, and clinical characteristics comparison.
  • Access to manufacturer data or justification when limited.
  • Evidence that differences do not impact safety/performance.

4) Analysis and conclusions

  • Benefit-risk evaluation linked to claims and risk controls.
  • Residual risk discussion and need for PMCF.
  • Alignment with IFU claims and contraindications.

5) PMS/PMCF linkage and updates

  • How PMS signals feed CER updates and PMCF triggers.
  • Update frequency by device class and change management rules.
  • Summary for SSCP (where applicable).

How MedReg AI helps

  • Map your CER to MDCG expectations and Annex XIV.
  • Surface weak claims, missing equivalence proof, or thin appraisal sections.
  • Generate a gap report to de-risk NB questions before submission.

Need to tighten your CER? Start with a gap analysis and loop in QA/RA. Check /pricing to begin, or contact us via /contact.

MedReg AI Team

MedReg AI Team