Clinical Evaluation Report Expertise and Support

EU MDR Clinical Evaluation Report (CER) writing, literature review, and clinical evidence consulting for medical device manufacturers.

CiteMed’s team includes experienced regulatory writers, medical researchers, and systematic literature review specialists who support medical device manufacturers with EU MDR Clinical Evaluation Reports (CERs). We work closely with regulatory and clinical teams to develop CERs that align with MDR Annex XIV requirements, combining rigorous literature review methodology with clear regulatory writing.

In addition to CER writing, our team provides clinical evidence consulting and literature review support to help manufacturers strengthen their regulatory strategy. Whether you need full CER preparation, literature review development, or expert guidance during notified body review, CiteMed helps ensure Clinical Evaluation Reports are structured, defensible, and ready for submission.

EU MDR Clinical Evaluation Report (CER) Writers

A CER Process
That Fits Your Team

Work With Us On Your Terms

Have some great writing staff already? Or limited budget? Plug directly into our process and use our expertise only when you need it.

Full CERs End to End

Our team of Notified Body Acceptable CER writers can deliver a complete document ready for submission.

Use Our Templates

Draft your new MDR CER from our templates. Complete training annotations. and Notified Body insights included.

Clinical Evaluation Reports

CER writing that gets approved.

MDR-compliant clinical evaluation reports written by experienced regulatory professionals. A dedicated writer, a clear timeline, and audit defense included — from kickoff through certificate.

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Acceptance rate through audit cycle
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Standard CER delivery
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Device types covered
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Dedicated regulatory writers

“How long will this take?”

8–12 weeks standard delivery. 5–6 weeks rush. Literature review completes in 2–4 weeks. We’re 3–4x faster than big consulting firms.

“Do you have experience with my device type?”

100+ device types across all EU classes — Class I through III, IVDs, SaMD, drug-device combos. We match you with a writer who already knows your space.

“Will it pass the audit?”

100% acceptance rate. No audit passes on the first round — we stay through the entire cycle of NB feedback until your certificate is issued.

“Who’s writing it?”

Regulatory writers with 12–30+ years experience, advanced clinical/scientific degrees, and CVs provided with every submission per MDR requirements.

Speed

We deliver in weeks, not quarters.

Our refined startup process and dedicated writer model eliminates the overhead that slows down traditional consulting engagements. Standard CER delivery in 8–12 weeks. Rush in 5–6.

Weeks

Wk 2

Wk 4

Wk 6

Wk 8

Wk 10

Wk 12

Wk 14

Wk 16

CiteMed

Literature Review

2–4 weeks

Big Consulting

Literature Review

10–12 weeks

Offshore

Literature Review

12–16+ weeks
Audit Defense Included

We don’t hand you a document and disappear.

Most CER providers deliver a PDF and wish you luck. We stay through your entire notified body audit process — because no audit is successful on the first round.

Every CER engagement includes full audit defense support. When your notified body comes back with questions, findings, or requests for additional information — we’re in the room with you.

This is why we can say 100% acceptance rate with integrity. We don’t count a CER as complete when we deliver the first draft. We count it when your certificate is issued.

  • We join your audit calls
    Our writers participate directly in notified body meetings and audit discussions alongside your team.
  • We draft the responses
    When NB feedback comes in, we work directly on your responses — not just advise from the sideline..
  • We revise the CER
    If the CER needs updates based on audit findings, we handle the revisions and resubmission documentation.
  • We stay until certification
    Our engagement doesn’t end until your certificate is issued. Full cycle support, not just document delivery.
Flexible Engagement

Full-service, or support when you need it.

Whether you need a qualified writer for the entire process, or extra capacity to accelerate productivity within your existing team — our approach supports both.

For smaller manufacturers

Full-Service CER

We own the entire process end-to-end — literature review, writing, revisions, and final deliverable. You get an audit-ready CER without building an internal team.

  • Dedicated writer + project manager

  • Complete literature review (2–4 weeks)
  • Full CER authoring & formatting

  • Standard delivery 8–12 weeks, rush 5–6 weeks

  • Audit defense through certification

For larger manufacturers

Staff Augmentation

Already have a regulatory team and process? We plug in where you need capacity — an experienced writer who works within your existing workflows and templates

  • Writer embedded in your process

  • Works with your templates & SOPs

  • Flexible hours and scope

  • Scales up or down with your pipeline

  • Modular deliverables on your schedule

Accepted By

Trusted across major notified bodies.

Our CERs have been reviewed, accepted, and certified by the notified bodies your submissions go through.

BSI

TÜV Rheinland

 TÜV SÜD

BSI

GMED

 NSAI

Device Experience

100+ device types. All EU classes.

We don’t learn on your project. Our writers have authored CERs across the full spectrum of medical device classifications.

Class I

12+ devices

Blood pressure cuffs
Respiratory masks & prongs
Surgical gloves & exam gloves
Ophthalmoscopes & otoscopes
Breathing circuits
Auto-injectors
Cervical dilators
Pediatric face masks

Class IIa

40+ devices

Surgical blades & clamps
Wound dressings & drains
Heart rhythm monitors
CPAP systems
Endoscopes
AI imaging software (SaMD)
Dental imaging software
MRI RF coils

Class IIb

20+ devices

IV & infusion pumps
Ventilators
Catheter ablation devices
Cosmetic lasers
EEG devices
Oxygen blenders
Patient warming systems
Surgical instruments

Class III

10+ devices

Aortic stent grafts
Orthopedic joint replacements
ECMO oxygenators
Interarterial shunts
Orthopedic bone grafts
Drug-device combos
Wound closure systems
CamAPS FX (SaMD)

IVD

Class C

P63 Antibodies
Diagnostic assays

+ FDA

510(k) submissions
FDA compliance support

Our Team

Writers that get it done.

Regulatory professionals with CVs attached to every submission.

Every CER is authored by a writer with direct medical device regulatory experience. They know what notified bodies look for because they’ve been through the process — repeatedly.

In accordance with MDR, MEDDEV 2.7/1 Rev 4, and MDCG guidance, your evaluator’s CV and COI declaration are provided with every submission.

We maintain a staff of approximately 10 dedicated regulatory writers. All work is completed and approved by our Directors.

Edward J., M.S.

Director

30+ years clinical experience

15+ CERs personally authored

Drug and medical device experience. MDR project oversight for 3+ years. Meets and exceeds all criteria for MDR Clinical Evaluator.

Senthil K.

Senior Scientific Writer

12+ years med device experience

35+ CERs personally authored

SME in Clinical Evaluations and EU MDR. All device classes. Skilled in CER, PMS Plan, PSUR, PMCF Plan & Report, SVR, and CPR.

Edward J., M.S.

Regulatory Affairs Specialist

ISO 13485 / ISO 14971

MDR & IVDR specialist

Quality and Regulatory Affairs for medical devices and medicinal products. MDR 2017/745, IVDR 2017/746, FDA 21 CFR 820, 510(k).

Process

How it works.

A clear, repeatable process from kickoff to completion. Weekly status reports, defined milestones, no ambiguity.

Phase 0

Week 1–1.5

Your Content Goes Here

  • Dedicated writer + PM assigned
  • Kickoff workshop with your stakeholders
  • Documentation transfer & intake form
  • Project plan and timeline finalized
  • Writer reviews device documentation and conducts background research

Phase 1

Weeks 1.5–3

Writing & Draft Delivery

  • Literature search performed (or existing search validated)
  • Clinical data collected and appraised
  • CER drafted against proven template
  • Weekly update reports with timeline and risk analysis
  • First drafts delivered for all assigned reports

Phase 2

Weeks 3–4+

Revisions & Completion

  • Your team reviews and provides comment-based feedback
  • Writer incorporates revisions
  • Final QA check and formatting review
  • Sign-off and formal document handoff
  • Audit defense support begins when NB review starts
What Our Clients Say

Trusted by regulatory teams worldwide.

Testimonial Slick Slider

"CiteMed delivered our CER in under 6 weeks — including the literature review. Our previous provider quoted us 16 weeks for the same scope. Night and day difference."


— Director of Regulatory Affairs
Class III cardiovascular device manufacturer
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"What surprised us most was that they stayed through the entire audit. When BSI came back with questions, CiteMed was on the call with us drafting responses in real time. That's not something we've experienced before."


— VP of Quality & Regulatory
Surgical device company
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"We needed someone who understood Class IIb active devices and could hit the ground running. CiteMed matched us with a writer who had done similar devices — there was no ramp-up time."


— Fred P., Quality Assurance Manager
Circa Scientific
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Beyond The Initial Submission

Your CER doesn’t end at submission.

MDR requires ongoing updates to your clinical evaluation. Manage literature monitoring, post-market surveillance, PMCF, and PSURs in Evidence Cloud™ — or let our team handle the updates for you.

Need broader regulatory support? Explore our full EU MDR & IVDR consulting services for gap assessments, submission support, and end-to-end compliance consulting

Literature

Ongoing monitoring & updates

Vigilance

PMS, PMCF & PSUR reports

ReadyView

Submission-ready exports

Ready to talk about
your next CER?

Tell us about your device, your timeline, and where you are in the process. We’ll come back with a clear plan and quote.