Achieving EU MDR Compliance at Scale

How Caristo Diagnostics Maintain Clinical Evaluation Excellence Without Growing Headcount

Project Type: Clinical Evaluation Document Suite, Ongoing Literature Monitoring and SotA Updates

Introduction

Caristo Diagnostics, an innovator in AI-driven cardiovascular diagnostics, faced a common challenge: meeting the stringent clinical evidence requirements of the EU Medical Device Regulation (MDR) without expanding its internal team. Instead of hiring in-house regulatory staff, Caristo partnered with SciMed to develop and maintain its Clinical Evaluation Report (CER). Over five years, this long-term collaboration enabled cost-effective, audit-ready compliance and supported seamless growth into the EU market.

 

Key Takeaways: How SciMed Helped Caristo Maintain MDR Compliance Efficiently

  • All CERs accepted without major notified body comments, validating the robustness of SciMed’s Clinical Evaluation approach.

  • Sustained EU MDR compliance since 2019 through scheduled CER updates and continuous literature monitoring.

  • No need to hire internal regulatory staff, reducing cost and retention risks for a growing medtech business.

  • Faster response times and consistent support, thanks to a dedicated, small-team delivery model.

  • Improved operational efficiency, with zero duplication or rework across multiple CER cycles.

 
Comparison table showing key business and regulatory benefits of working with SciMed Consultancy: 100% CER acceptance rate, no internal hires needed, on-time updates, and team continuity - versus risk of regulatory rejection, delays, staffing costs
 

The Challenge: Scaling Regulatory Compliance Without Internal Headcount

Caristo needed to prepare a Clinical Evaluation Report (CER) to support CE marking for its AI-powered diagnostic solution under the EU MDR. As an early-stage company:

  • It lacked a full in-house regulatory team.

  • Resources were limited, and timelines were tight.

  • Hiring posed risks—specialist talent is expensive, difficult to retain, and time-consuming to onboard.

The business needed a long-term solution that would ensure regulatory quality and consistency without the overhead of full-time staff.

 
Professional consultant at SciMed discussing MDR compliance strategy during a client meeting—symbolising expert outsourced regulatory support without internal headcount expansion.

Need to scale MDR compliance without expanding your team?

 

The Solution: Ongoing Clinical Evaluation Support with SciMed’s Document Suite

To address these challenges, Caristo partnered with SciMed, leveraging our:

  • Clinical Evaluation Document Suite: Including initial CER development (2019) and scheduled updates in line with EU MDR Article 61 and Annex XIV requirements.

  • Ongoing Literature Monitoring and State-of-the-Art (SotA) Updates: Ensuring the CER remains current with evolving scientific, clinical, and regulatory expectations.

  • Dedicated Regulatory Team: A stable group of SciMed analysts familiar with Caristo’s technology, enabling continuity and deep product knowledge.

  • Flexible, On-Demand Support: SciMed’s experts remained available for rapid query resolution and strategic regulatory advice.

This model allowed Caristo to meet MDR expectations efficiently while preserving internal focus on innovation and growth.

 

The Results: Seamless EU MDR Compliance Since 2019

The SciMed–Caristo collaboration has resulted in:

  • Zero major comments from notified bodies across multiple CER submissions and renewals.

  • More than five years of consistent compliance—with scheduled updates delivered efficiently and on time.

  • Avoidance of costly in-house regulatory roles, saving both money and long-term retention effort.

  • Trusted regulatory partnership that scales alongside Caristo’s business without introducing complexity or rework.

Caristo’s clinical/regulatory function is now a model of streamlined outsourcing, enabling growth while maintaining audit-ready clinical documentation.

 
 

Conclusion: Why Clinical Evaluation Partnerships Work for Scaling MedTech Innovators

Caristo’s success story illustrates the value of outsourcing clinical evaluation tasks to a specialised partner like SciMed. For MedTech companies developing innovative devices, SciMed’s Clinical Evaluation Document Suite and Ongoing Literature Monitoring provide a proven, scalable path to EU MDR compliance. The partnership allowed Caristo to maintain high standards in clinical documentation; without the cost, risk, or delay of building internal capability.

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