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Performance Evaluation & IVDR compliance
Ensure Your IVD Devices Meet EU Regulatory Requirements
At BioTop Medical, we support manufacturers through every phase of performance evaluation required under the In Vitro Diagnostic Regulation (IVDR, EU 2017/746). From initial planning to clinical performance assessment and documentation, our services are designed to ensure full regulatory compliance and scientific accuracy.
Our approach aligns with the IVDR, EN ISO 20916:2024 (the harmonized standard for IVD performance studies), and any other applicable standards relevant to your device. This guarantees both scientific validity and regulatory acceptance.
Key Deliverables for IVDR Compliance
We help you develop and maintain the two key documents essential under the IVDR:
- Performance Evaluation Plan (PEP): Defines the strategy, scope, and methods for collecting and evaluating performance data.
- Performance Evaluation Report (PER): Summarizes the results of the evaluation, including conclusions about the benefit-risk profile of the device.
Both documents must be continuously updated as new data becomes available through Post-Market Surveillance (PMS) and Post-Market Performance Follow-up (PMPF).
The Three Pillars of Performance Evaluation
The IVDR requires a structured evaluation framework for the performance evaluation consisting of:
- Scientific Validity
- Analytical Performance
- Clinical Performance
We work closely with our clients to define the intended use and risk classification of the IVD, allowing us to tailor a compliant and defendable evaluation strategy.
Scientific Validity
Demonstrated in accordance with IVDR Annex XIII, Section 1.2.1, using one or more of the following methods:
- Published literature on similar markers or analytes
- Peer-reviewed scientific publications
- Consensus opinions from professional bodies
- Proof-of-concept studies
- Clinical performance study results
At BioTop Medical, we perform systematic literature reviews, appraise the collected evidence, and compile a Scientific Validity Report identifying any remaining data gaps.
Analytical Performance
Analytical performance characteristics—outlined in IVDR Annex I, Section 9—are verified through appropriate testing.
Upon receiving analytical test reports, we analyze the results and prepare a summary report confirming the IVD’s ability to reliably detect or measure the intended analyte. Our reports follow a defined methodology and are fully aligned with Notified Body expectations.
Clinical performance
A Clinical Performance Study may be required under IVDR Annex XIII, Section 1.2.3 when existing data is insufficient to support the ability of an IVD to yield results which are correlated with a particular clinical condition or a physiological or pathophysiological process or state in a target population by the intended user.
At BioTop Medical, we apply EN ISO 20916:2024 for all clinical performance studies involving human specimens. We assist in:
- Designing compliant study protocols
- Navigating ethics committee and regulatory approvals
- Integrating results into the overall Performance Evaluation Report (PER)
How to apply EN ISO 20916:2024?
This begins with a clear understanding of your IVD’s intended purpose and clinical claims. We support you in:
- Defining study objectives and selection criteria
- Developing a compliant study protocol
- Ensuring traceability and proper documentation
- Generating reproducible clinical performance data
Which documents are required for EN ISO 20916:2024?
The documentation required under EN ISO 20916:2024 includes:
- Clinical Performance Study Protocol
- Investigator’s Brochure
- Informed Consent Form
- Ethics Committee submissions
- Monitoring reports and data logs
- Final Clinical Performance Study Report
- Integration into the Performance Evaluation Report (PER)
BioTop Medical helps you prepare, review, and align all documentation for regulatory submission and Notified Body review.
Get in touch!
Why BioTop Medical?
Questions? Contact us
For direct contact call
+31 (0)71 528 01 12
You can also email us
info@biotopmedical.nl
FAQ about Performance evaluation & IVDR
Is performance evaluation as established in IVDR 2017/746 also required for legacy in vitro diagnostic devices in order obtain CE-mark under the IVDR?
Yes, under the IVDR (EU) 2017/746, all in vitro diagnostic devices—including legacy devices previously CE-marked under the IVDD—must undergo a performance evaluation that meets the IVDR requirements in order to obtain or renew CE-marking.
How can I address the scientific validity, in the performance evaluation, of an innovative device?
Scientific validity is usually demonstrated through a systematic literature search that shows a well-established association between the analyte or marker and the clinical condition it is intended to detect. However, if the diagnostic technique is new and literature is lacking, you may need to generate your own data. This can include proof-of-concept studies, early research results, or pilot clinical performance data. In most cases for innovative devices, a combination of these sources is used to build a robust scientific validity justification.
Is clinical performance of IVDR always based on a clinical trial?
No, not always. Clinical performance under the IVDR can be demonstrated using existing clinical data, such as a systematic scientific literature review or published clinical experience from routine diagnostic use of the device—provided the data is relevant and sufficient to support that the intended use of the device is effectively achieved. However, if the available data is inadequate, or if the device is innovative or high-risk, a clinical performance study will be required.
Can the literature needed for the demonstration of scientific validity also be used for the demonstration of clinical performance?
No. Scientific validity and clinical performance address different aspects under the IVDR. Scientific validity demonstrates a well-established association between the analyte or marker and the clinical condition of interest. Clinical performance, on the other hand, shows that the device can accurately, reliably, and consistently detect or measure that analyte in the intended user population and setting. While some publications may contribute to both aspects, they are evaluated for distinct purposes in different documents.