TemplateEU

EU Medical Device Regulation (MDR) 2017/745 CER Template

Write a Clinical Evaluation Report you can defend.

This template focuses on traceability: claims to evidence to appraisal to conclusions to PMS/PMCF updates.

Author
Sorena AI
Published
Feb 22, 2026
Updated
Feb 22, 2026
Sections
3

Structured answer sets in this page tree.

Primary sources
3

Cited legal and guidance references.

Publication metadata
Sorena AI
Published Feb 22, 2026
Updated Feb 22, 2026
Overview

A good CER is not long - it is reviewable. The fastest CERs to approve are structured, explicit about methods, and link each clinical claim to specific data and appraisal outcomes. Use this template as a copy-ready outline and as a review checklist before internal sign-off or notified body submission.

Section 1

How to use this CER template (quick rules that prevent rework)

Write one CER per device family and intended purpose (not per marketing page). Keep a CER change log and tie it to change control and PMS signals.

If you rely on equivalence, create a separate equivalence dossier and reference it consistently from the CER.

  • Keep methods explicit: search strategy, appraisal criteria, and synthesis logic must be repeatable.
  • Use traceability tables: claims and hazards and clinical endpoints and evidence sources and conclusions.
  • Document limitations and residual uncertainties, and tie them to PMCF/PMS actions.
Recommended next step

Keep EU Medical Device Regulation (MDR) 2017/745 CER Template in one governed evidence system

SSOT can take EU Medical Device Regulation (MDR) 2017/745 CER Template from reusing this material inside a governed evidence system to a reusable workflow inside Sorena. Teams working on EU Medical Device Regulation (MDR) 2017/745 can keep owners, evidence, and next steps aligned without copying this guide into separate documents.

Section 2

CER structure (copy-ready outline)

Use the headings below as your CER backbone. Add annexes for evidence tables and appraisal worksheets to keep the main CER readable.

Goal: a reviewer can answer what is the claim, what is the evidence, and why is it sufficient without hunting.

  • 1) Administrative: device family, UDI/BUDI identifiers (where available), versions, authors/reviewers, approvals, change log.
  • 2) Device + intended purpose: indications, contraindications, user groups, use environment, variants/accessories, essential performance.
  • 3) Clinical claims and endpoints: what you claim, how it will be measured, and acceptability thresholds.
  • 4) State of the art: current clinical practice and alternatives; baseline risks/benefits and expected performance.
  • 5) Clinical evaluation plan summary: data sources, search strategy, inclusion/exclusion criteria, appraisal method, and synthesis approach.
  • 6) Clinical data identification: literature search results, clinical investigations, registries, PMS data, complaints and serious incidents.
  • 7) Appraisal: quality and relevance assessment per data source; bias and limitations; comparability to your device and indications.
  • 8) Analysis and conclusions: performance and safety conclusions per claim and per risk; benefit-risk rationale; residual risks.
  • 9) Equivalence (if used): criteria, evidence, data access justification, and why equivalence remains valid after changes.
  • 10) Residual uncertainty + PMCF/PMS updates: what's unknown, how you will monitor, update triggers, and reporting cadence.
  • 11) References and annexes: appraisal worksheets, evidence tables, device changes history, mapping to GSPR checklist.
Section 3

CER quality checklist (use as an internal review gate)

Use these questions as acceptance criteria before you approve a CER. If the answer is it depends the CER should contain the missing reasoning and evidence links.

Practical tip: reviewers should be able to trace each clinical claim to at least one primary evidence summary and a clear appraisal outcome.

  • Do intended purpose and claims match the label/IFU, marketing, and UI outputs exactly?
  • Is the clinical literature search strategy defined (databases, terms, dates, inclusion/exclusion) and repeatable?
  • Are appraisal criteria explicit and applied consistently (not a vague statement that only the best papers were selected)?
  • Are conclusions tied to endpoints and acceptability thresholds (not vague appears-safe statements)?
  • Do CER conclusions match risk management conclusions and GSPR evidence links (no contradictions)?
  • Are residual uncertainties documented with PMCF/PMS actions and time-bound update triggers?
  • If equivalence is used: is access to comparable device data demonstrated and is change impact addressed?
Primary sources

References and citations

Related guides

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