Case Studies

Real results. Proven outcomes.

How we helped medical software companies achieve certification across EU, UK, and Asian markets — embedded in their teams, from gap analysis to approval. All clients under NDA.

15+Startups certified
100%NB audit success rate
5+Global markets
4.9/5Client satisfaction
Filter:
2Certifications
in 1 project
0Major NB
findings
14Weeks to
QMS completion
2Markets
unlocked
EU MDR Class IIaMDA Malaysia Class B2024

Haemodialysis Platform

Haemodialysis Patient Management & Logistics Platform

📍 Malaysia · Singapore · Asia🏥 SaMD · Class IIa📋 QMS from scratch
About the product
Software as a Medical Device (SaMD) for haemodialysis centres — storing comprehensive patient information including clinical conditions, dialysis procedures, prescriptions, and medications. The platform also handles patient visit scheduling and clinical staff shift management.
The challenge
Create a complete QMS from scratch including all required SOPs and templates — while simultaneously assisting the Critical Supplier with technical documentation for MDR compliance. Coordinating between the device manufacturer and their development partner under strict regulatory standards.
Our solution
We developed a comprehensive QMS framework aligned with ISO 13485 and MDR requirements, delivering all necessary SOPs and templates. Simultaneously, we worked closely with the Critical Supplier to ensure their technical documentation met regulatory standards — bridging the gap between development and compliance.
Key outcomes
  • EU MDR Class IIa Certification — Successfully certified under MDR 2017/745
  • MDA Malaysia Class B Certification — Achieved Malaysian regulatory approval
  • Complete QMS Implementation — Built from scratch with all required SOPs and templates
  • Critical Supplier Alignment — Ensured supplier documentation met all regulatory standards
HaemodialysisPatient ManagementClinical WorkflowMDR Class IIaMDA Class BQMS from 0→1
RC
Haemodialysis Platform Team
Client & Device Manufacturer
"Exceptional support throughout our certification journey. Lizaveta's deep understanding of both regulatory requirements and software development processes made the complex MDR certification achievable. She didn't just provide documents — she embedded with our team and guided us through every step."
March 2024
CS
Critical Supplier Team
Development Partner
"Working with TrustedTraceMed was a game-changer for our regulatory compliance. Their ability to bridge the gap between technical development and regulatory requirements ensured our documentation met all MDR standards. Highly recommended."
March 2024
PM
Project Manager
Haemodialysis Platform Implementation
"The QMS framework Lizaveta built was comprehensive yet practical. She understood our startup constraints and delivered exactly what we needed. The dual certification (EU + Malaysia) would have been impossible without her expertise."
April 2024
Building a patient management or clinical SaMD? We've done it across multiple markets.
Get your free roadmap →
2Markets certified
UK + EU
3Suppliers
coordinated
0Major findings
on first review
1Technical file
package
UKCAEU MDR Class IIaAI/ML2024

Dental AI Assistant

AI-Assisted Dental X-ray Diagnosis & Annotation Platform

📍 UK · Europe🦷 Dental Diagnostics🤖 AI/ML SaMD🎓 University of Surrey
About the product
Innovative medical device assisting dental professionals in diagnosing and annotating X-ray images. The platform offers both manual and AI-assisted diagnostic capabilities, helping clinicians identify dental pathologies with greater accuracy and efficiency.
The challenge
Assist the Legal Manufacturer with QMS implementation and technical documentation for UKCA licensing under MDR 2017/745 standards — while coordinating with three separate suppliers: a Critical Supplier for design and development, one for performance and security testing, and a third for QMS preparation.
Our solution
We orchestrated a coordinated regulatory strategy across all three suppliers, ensuring their deliverables aligned with MDR requirements. We guided the Legal Manufacturer through QMS implementation while reviewing and approving technical documentation from each supplier, creating a cohesive submission package.
Key outcomes
  • Dual Certification Achieved — Both UKCA and EU MDR Class IIa approvals
  • Multi-Supplier Coordination — Successfully aligned 3 independent suppliers
  • Complete Technical File — All deliverables prepared and reviewed to MDR standards
  • UK Market Access — First AI dental software with UKCA marking in this category
AI/MLDental ImagingX-ray AnalysisUKCAEU MDR Class IIaMulti-supplier
CEO
Chief Executive Officer
Dental AI Startup · UK
"Managing three suppliers while getting UKCA and EU MDR at the same time felt impossible. Lizaveta became the single thread that connected all of it — she knew what each supplier needed to deliver and made sure it all cohered into one submission."
November 2024
QA
Head of Quality
Legal Manufacturer · UK
"The QMS Lizaveta built was exactly what a lean startup needs — comprehensive without being bureaucratic. We've since used it as the backbone for everything."
December 2024
Building an AI/ML SaMD with complex supplier coordination? We've mapped this.
Get your free roadmap →
5Modules
integrated
100%Compliance
achieved
2Years
coverage
0GDPR
findings
GDPR CompliantNational Healthcare Compliance2023–2024

Croatian National eHealth Platform

Comprehensive eHealth Solution with EMR, Pharmacy, Lab & ePrescription

📍 Croatia · EU🏥 National Healthcare IT🔒 GDPR · eHealth
About the product
Comprehensive eHealth platform encompassing Electronic Medical Records (EMR), pharmacy and laboratory modules, Electronic Health Records (EHR), ePrescription system, and survey/questionnaire modules — designed to digitise and streamline healthcare delivery across Croatian healthcare institutions.
The challenge
Ensure full compliance with Croatian national healthcare legislation and EU GDPR. The complexity of integrating multiple healthcare modules while maintaining data security and regulatory compliance required continuous oversight throughout the entire development lifecycle — from discovery through production.
Our solution
As Compliance Officer, we supported the full project lifecycle. We worked closely with stakeholders to ensure all modules met Croatian healthcare regulations, participated in pre-production and production activities, and maintained continuous compliance oversight throughout development and deployment.
Key outcomes
  • Successful Platform Delivery — Fully compliant eHealth platform launched on schedule
  • Croatian Regulatory Compliance — Met all national healthcare requirements
  • GDPR Compliance — Full alignment with EU data protection regulations
  • End-to-End Support — Compliance oversight from discovery to production
eHealthEMR / EHRePrescriptionGDPRCroatiaHealthcare IT
PM
Project Manager
National eHealth Programme · Zagreb
"Having a compliance officer embedded in the team from day one meant we never had to backtrack. Every feature was assessed for regulatory implications before it was built, not after."
February 2024
TL
Technical Lead
Development Team
"Lizaveta understood both the technical architecture and the regulatory requirements deeply enough to give practical guidance that developers could actually act on."
March 2024
Building a national healthcare platform requiring EU compliance? Let's talk.
Get your free roadmap →
2Frameworks
MDR + AI Act
14Weeks QMS
from scratch
0Major NB
findings
1Study design
accepted first time
EU MDR Class IIaAI/ML2025

CalmPath

AI-Powered Mental Health Monitoring & Clinical Decision Support SaMD

📍 Netherlands · EU🧠 Mental Health · SaMD🤖 AI/ML · CDS
About the product
AI-powered SaMD providing continuous mood monitoring and clinical decision support for psychiatrists managing patients with depression and anxiety disorders. The platform uses validated behavioural biomarkers from patient-reported data and wearable inputs to generate risk scores and treatment adjustment recommendations.
The challenge
Dual compliance with EU MDR 2017/745 (Class IIa) and the EU AI Act's high-risk AI provisions simultaneously. The team had strong ML expertise but no prior regulatory experience. Clinical evidence for AI-based mental health CDS required a non-traditional evidence strategy acceptable to both the Notified Body and ethics committees.
Our solution
We built the QMS from scratch, aligned IEC 62304 documentation with the AI development lifecycle, and designed a clinical evaluation strategy using a prospective performance study alongside systematic literature review. We drafted the EU AI Act conformity assessment in parallel with the MDR technical file, ensuring zero duplication of effort across both regulatory frameworks.
Key outcomes
  • EU MDR Class IIa Certification — Certified with zero major NB findings
  • EU AI Act Conformity — High-risk AI documentation ready ahead of the 2028 deadline
  • Clinical Evidence Accepted — Prospective study design accepted by NB on first submission
  • QMS from Scratch — Full ISO 13485-compliant QMS built in 14 weeks
AI/ML SaMDMental HealthClinical Decision SupportEU MDR Class IIaEU AI ActNetherlands
CEO
Chief Executive Officer
Mental Health AI Startup · Amsterdam
"We were facing both EU MDR and the EU AI Act at the same time — a combination nobody had a ready playbook for. Lizaveta mapped both frameworks side by side and showed us exactly where they overlapped and where they diverged. We avoided months of rework."
January 2025
Building an AI/ML SaMD navigating both EU MDR and the EU AI Act? We've done it.
Get your free roadmap →
2Certifications
EU + UK
9Months to
transition
0Downtime in
either market
1CER accepted
first review
EU MDR Class IIaUKCA2024–2025

WoundLens

AI-Assisted Wound Assessment & Healing Progression SaMD

📍 Germany · UK · EU🏥 Wound Care · Dermatology📋 MDD → MDR Transition
About the product
Mobile SaMD enabling clinicians to capture standardised wound images and generate automated wound area measurements, tissue classification, and healing trajectory predictions. Used in hospital wound care units and community nursing settings across Germany and the UK.
The challenge
The product held legacy MDD certification expiring in 2025. Transition to EU MDR required a complete rebuild of the technical file, a new Clinical Evaluation Report under MDCG 2020-1, and simultaneous UKCA submission — all within a 9-month window before the MDD certificate lapsed and market access was at risk.
Our solution
We ran the MDD→MDR transition and UKCA certification in parallel. We rebuilt the clinical evaluation from scratch using a prospective PMCF study alongside systematic literature review, updated the risk management file to ISO 14971:2019, and rewrote the IEC 62304 documentation to cover all new software modules. Both submissions were lodged simultaneously.
Key outcomes
  • MDD → EU MDR Transition Complete — Certified before MDD certificate lapse
  • UKCA Marking Achieved — Simultaneous UK approval, uninterrupted market access
  • Clinical Evaluation Rebuilt — MDCG 2020-1 compliant CER accepted on first NB review
  • Zero Downtime — No gap in EU or UK market access throughout transition
MDD TransitionEU MDR Class IIaUKCAWound CareDermatologyGermany
VP
VP of Regulatory Affairs
Medical Imaging SaMD · Berlin
"We had nine months to transition from MDD to MDR and get UKCA at the same time, or lose both markets. Lizaveta ran both workstreams simultaneously and delivered on time. The NB accepted the CER on first submission — something we hadn't expected."
March 2025
Facing an MDD to MDR transition with a tight deadline? We specialise in fast, clean transitions.
Get your free roadmap →
3Markets
EU + SG + MY
<3Months Malaysia
Verification Route
0Major NB
findings
1Documentation
base for all markets
EU MDR Class IIbHSA Singapore Class C2025

CardioTrace

Remote ECG Monitoring & Arrhythmia Detection Platform

📍 Finland · Singapore · ASEAN❤️ Cardiology · SaMD🌏 EU + Asia Market Entry
About the product
Cloud-based SaMD that continuously analyses ECG data from wearable patches, detecting arrhythmias including atrial fibrillation, ventricular tachycardia, and bradycardia. The platform generates automated clinical alerts and transmits reports directly to cardiologists via the hospital information system.
The challenge
EU MDR Class IIb certification for a high-acuity cardiac monitoring SaMD required a robust Clinical Evaluation Report and clinical performance study. Simultaneously, the team wanted to launch in Singapore and use the HSA approval as a gateway into Malaysia and Thailand — requiring careful documentation alignment across all regulatory frameworks.
Our solution
We led the full EU MDR Class IIb technical file preparation, coordinating with a clinical research team on the performance study protocol. In parallel, we adapted the ASEAN CSDT submission for HSA Singapore using the MDR documentation as the foundation. Following HSA registration, we managed the Malaysia MDA Verification Route submission, completing it in under 3 months.
Key outcomes
  • EU MDR Class IIb Certification — No major NB findings on first submission
  • Singapore HSA Registration — Class C SaMD registered in SMDR
  • Malaysia MDA Approved — Fast-tracked via Verification Route in under 3 months
  • Single Documentation Base — EU MDR technical file reused for all ASEAN submissions
CardiologyECG MonitoringArrhythmia DetectionEU MDR Class IIbSingapore HSAMalaysia MDA
CTO
Chief Technology Officer
Cardiac Monitoring SaMD · Helsinki
"Class IIb was a level of scrutiny we hadn't anticipated. The NB asked hard questions about our algorithm validation and clinical performance data. Lizaveta had already anticipated most of them in the technical file — we passed without a single major finding."
June 2025
Building a cardiology or high-acuity monitoring SaMD targeting EU and Asia?
Get your free roadmap →
3Surgical centres
in study
2Countries ethics
approved
IIbHighest-risk
AI class
0Major NB
findings
EU MDR Class IIbAI/ML2025

OrthoGuide

AI-Assisted Orthopaedic Surgical Planning SaMD

📍 Switzerland · EU🦴 Orthopaedics · Surgery🤖 AI/ML · 3D Imaging
About the product
SaMD generating patient-specific 3D surgical plans from CT imaging for orthopaedic procedures including hip and knee arthroplasty and spinal fusion. The AI model segments bone anatomy, recommends implant sizing, and simulates surgical outcomes — giving surgeons a validated pre-operative plan before the patient enters theatre.
The challenge
The product classified as EU MDR Class IIb due to surgical decision support for high-risk procedures. The NB required a prospective multi-centre clinical investigation in addition to the systematic literature review. The AI algorithm validation had to demonstrate performance on an independent validation cohort across multiple surgical centres.
Our solution
We designed the clinical investigation protocol in collaboration with three European surgical centres and obtained ethics committee approval in Switzerland and Germany. We built the AI algorithm validation framework per IEC 62304 and the EU AI Act data governance requirements, and managed the complete technical file preparation including IEC 62366-1 usability engineering for surgeon-facing interfaces.
Key outcomes
  • EU MDR Class IIb Certification — Certified with multi-centre clinical investigation evidence
  • Clinical Investigation Approved — Ethics approval secured in Switzerland and Germany
  • AI Validation Framework — IEC 62304 + EU AI Act aligned algorithm documentation
  • Usability Engineering Complete — IEC 62366-1 summative study with consultant surgeons
Surgical PlanningOrthopaedics3D ImagingEU MDR Class IIbAI/MLSwitzerland
CMO
Chief Medical Officer
Surgical AI Platform · Zurich
"The clinical investigation design was the critical piece — get it wrong and you lose 18 months. Lizaveta understood both the clinical and regulatory requirements deeply enough to design a study that satisfied the NB while remaining practical for our surgical partners."
August 2025
Building an AI surgical planning SaMD requiring Class IIb clinical evidence?
Get your free roadmap →
2Markets
EU + Australia
<4Months TGA
registration
ExemptTGA mandatory
audit waived
1Evidence base
for both regulators
EU MDR Class IIaTGA Australia Class IIaAI/ML2025

RetinaCheck

AI Diabetic Retinopathy Screening & Grading SaMD

📍 Poland · Australia · EU👁️ Ophthalmology · Screening🌏 EU + TGA Market Entry
About the product
AI SaMD automating diabetic retinopathy screening from fundus photographs. The system grades retinal images across five severity levels, flags sight-threatening cases for urgent ophthalmologist review, and generates structured reports for integration into diabetic patient management pathways in primary care settings.
The challenge
The team had excellent AI performance data from research settings but needed to translate it into regulatory-grade clinical evidence. Simultaneously they wanted to enter the Australian market using the EU MDR certification as the basis for TGA ARTG inclusion — requiring a unified clinical evaluation strategy acceptable to both regulators.
Our solution
We designed a prospective real-world study in Polish primary care clinics combined with a systematic literature review, structured to meet both MDCG 2020-1 and TGA evidence expectations. For Australia, we prepared the ARTG inclusion application using the EU MDR NB certificate to qualify for the mandatory audit exemption — reducing TGA registration to under 4 months.
Key outcomes
  • EU MDR Class IIa Certification — Zero major NB findings on first submission
  • TGA ARTG Inclusion — Australian market access achieved in under 4 months
  • Mandatory Audit Exemption — EU MDR NB certificate used to waive mandatory TGA audit
  • Single Clinical Study — One evidence base accepted by both EU NB and TGA
OphthalmologyDiabetic RetinopathyAI ScreeningEU MDR Class IIaAustralia TGAPoland
CEO
Chief Executive Officer
Ophthalmology AI · Warsaw
"We had excellent AI performance data but didn't know how to turn it into regulatory evidence. Lizaveta designed a clinical evaluation strategy that satisfied both the EU NB and TGA in one body of work. We didn't have to run two separate studies."
September 2025
Building an AI diagnostic imaging SaMD targeting EU and Australia?
Get your free roadmap →

Start Your Success Story

From EU MDR and UKCA to Singapore HSA and Australian TGA —
we've helped medical software companies achieve compliance across every major market.

Book free strategy call →
No commitment · Fixed-price proposals · We respond within 1 business day