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MDR clinical investigations: select the correct regulatory route

Device study planning should begin with intended purpose, CE status and study procedures rather than an assumption that all research uses CTIS.

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Device study planning should begin with intended purpose, CE status and study procedures rather than an assumption that all research uses CTIS.

MDR clinical investigations — Define the regulatory scope

MDR Articles 62, 74 and 82 address different clinical investigation contexts. MDCG 2021-6 helps interpret the route; national requirements remain relevant.

MDR clinical investigations — Build the working record

Prepare a route memo covering conformity-assessment purpose, CE marking, use within intended purpose and additional invasive or burdensome procedures. Identify submission, ethics and country requirements before finalising site contracts.

MDR clinical investigations — Check before release

  • Verify the device version and intended use.
  • Describe procedures beyond normal use.
  • Confirm each country submission channel.

MDR clinical investigations — Record the decision and handover

Approve the route with regulatory and clinical owners. Keep the rationale with the investigation plan, and reassess it when the device or procedures change; medicinal product trial permission does not replace device requirements.

Frequently asked questions

Does CE marking remove every study requirement?
No. Intended purpose, extra procedures and the applicable route still matter.
Is CTIS the general device study portal?
No. CTIS serves medicinal product trials; use the applicable device pathway.

Sources

  1. Primary requirement: MDR Articles 62, 74 and 82
  2. Operational guidance: MDCG 2021-6 rev.1: clinical investigations