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Meeting the standards, leading the way.

Regulatory and clinical support for medical devices and IVDs

Direct, high-quality support for CE marking, clinical evidence, and quality systems. One dedicated project leader per client.

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Notified body audit experience Dedicated project leader per client MDR & IVDR expertise

What we do

Support across regulatory, clinical, validation, and delivery — from first concept to post-market.

How we work

One contact person. Direct communication. Fast response.

Direct

No account managers or handoffs. You speak directly with your project leader.

🔧

Hands-on

We do the work with you, not just advise from the side. Practical documentation support.

🕐

Fast response

Short lines, quick answers. No waiting for committee reviews.

Every client gets a dedicated project leader who stays with the project from start to finish. This person is your single point of contact for all regulatory, clinical, and quality questions.

Learn about our approach

Built on audit experience

Anja Wiersma PhD

Anja Wiersma PhD — Founder

CEO and Senior Consultant, mi-CE consultancy since 2010

Anja brings over 16 years of regulatory consultancy experience across pharmaceuticals, notified body certification management, and IVD manufacturing. She is a qualified lead auditor for ISO 13485, ISO 9001, MDD, IVDD, CMDCAS, and Taiwan regulatory requirements, and chairs the RAPS Netherlands Chapter.

  • PhD in Medical Biology (NeuroPharmaBehaviour Physiology) — University of Groningen
  • 8 years in multinational pharmaceutical company — strategy and business development
  • 6.5 years notified body certification management (KEMA Quality / DEKRA) — MDD and IVDD full-scope auditor
  • QA/RA Director at Eurotrol BV (IVD manufacturer)
  • ISO 13485 and ISO 9001 lead auditor; CMDCAS and Taiwan compliance auditor
  • Special expertise: borderline products, high-risk devices, IVDs, CE audits
  • Chair of RAPS Netherlands Chapter since 2017

Who we work with

Medtech and IVD manufacturers at every stage — from startups preparing first submissions to established companies managing regulatory transitions.

Typical client types

  • Medical device manufacturers
  • IVD manufacturers
  • Product and regulatory teams
  • Founders bringing a first device to market
  • Quality managers building or improving QMS

Typical project triggers

  • MDR transition planning
  • IVDR technical documentation readiness
  • Clinical evaluation strategy
  • Risk management file setup
  • Supplier audit support
  • Notified body preparation

Start a conversation

Share your device type, stage, and target markets. We respond within one business day.

Start intake Book a call

Common questions

We need a description of your device, its intended use, target markets, current regulatory stage, and your QMS status. This is enough for an initial assessment and quote.
After the initial contact, we run a needs investigation to understand your situation. Then we provide a clear quote and assign a dedicated project leader to your engagement.
We prepare your documentation and teams for notified body interactions. We do not act as a notified body. Our auditor background means we understand what auditors look for.
We support ISO 13485 alignment, gap assessments, internal audits, process documentation, and management review preparation. We work within your existing system or help build one.
Clinical pathway strategy, evidence gap analysis, clinical evaluation report review, trial design support, and clinical evidence requirement guidance for your team.
Risk management per ISO 14971, biocompatibility evaluation planning per ISO 10993, product testing standards mapping, and labeling and IFU review.
You get one dedicated project leader from start to finish. This person handles all communication, coordinates deliverables, and ensures nothing falls between teams.
We sign NDAs before any detailed information exchange. Data is handled in line with our privacy policy. We do not store sensitive data beyond what is needed for the project.

Services

Support across regulatory, clinical, validation, and delivery.

Medical Devices

Technical documentation, MDR pathway, QMS, audits.

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In Vitro Diagnostics

IVDR documentation, performance evaluation, QMS.

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Clinical Evidence

Clinical strategy, trial support, evidence planning.

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Strategic Analysis

Market sequencing, classification, portfolio analysis.

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Validation & Risk

Risk management, biocompatibility, testing, labeling.

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Project Management

Delivery coordination, reporting, stakeholder management.

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QMS Systems

ISO 13485, MDSAP, ISO 9001, 21 CFR 820, hospital QMS.

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Auditing

Internal, supplier, clean room, and NB preparation audits.

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Contractor for Notified Bodies

Technical file reviews, design dossiers, MDR/IVDR audits for NBs.

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Training & Education

Regulatory training for manufacturers, ethics committees, clinical teams.

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Service comparison

ServiceWhen you need itWhat you getWhat you provide
Medical DevicesMDR transition, new CE marking, audit prepGap report, remediation plan, audit packExisting docs, intended use, device info
In Vitro DiagnosticsIVDR transition, new IVD submissionIVDR gap report, PE checklist, readiness summaryDevice info, performance data, intended purpose
Clinical EvidenceEvidence strategy, CER, trial planningEvidence plan, trial review, gap analysisClaims, existing evidence, device description
Strategic AnalysisMarket entry, portfolio decisionsStrategy memo, decision matrix, timelineProduct portfolio, business goals, constraints
Validation & RiskRisk file, biocompat, testing plansRMF review, test plan, biocompat planDevice specs, materials, patient contact info
Project ManagementComplex multi-workstream projectsProject plan, status reports, risk registerStakeholder access, decision authority
QMS SystemsQMS setup, ISO certification, international marketsGap assessment, implementation roadmap, audit prepExisting QMS docs, scope, target markets
AuditingInternal, supplier, NB preparation, clean roomAudit report, CAPA recommendations, findingsProcesses, docs, facility access
Contractor for NBsNB or accreditation body requiring expert reviewTechnical file or design dossier review reportSubmission dossier, scope of review
TrainingTeam upskilling, ethics committee supportTraining session, materials, Q&ATeam size, topics, regulatory context

Not sure which service fits?

Start a conversation. We help you identify the right starting point.

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Regulatory Support for Medical Devices

Structured support for CE marking under the MDR — from gap assessment to audit readiness.

What this service includes

  • Review and structure technical documentation for completeness
  • Support MDR Annex IX pathway compliance
  • Align quality management system to ISO 13485:2016
  • Conduct gap assessments and build remediation plans
  • Perform internal audits and supplier audits when applicable

Typical deliverables

Documentation gap report

Identifies missing or incomplete sections in your technical file against MDR requirements.

Remediation plan

Prioritized action list with owners, dependencies, and timelines.

Audit preparation pack

Structured materials to prepare your team for notified body interactions.

Traceability matrix guidance

Framework linking requirements, evidence, and documentation sections.

Common pitfalls we prevent

Incomplete intended use definitions

Unclear intended use leads to misaligned risk management and clinical evaluation, causing delays during audit.

Misaligned risk and clinical evaluation

Risk management and clinical evaluation must reference each other. Disconnected files create audit findings.

Evidence not linked to claims

Every performance claim must trace to supporting evidence. Missing links are frequently flagged.

Supplier controls not evidenced

Supplier qualification records must demonstrate oversight proportional to component criticality.

What we need from you

Required

  • Device description and intended use
  • Current technical documentation
  • QMS status and scope
  • Target markets and timeline

Optional

  • Previous audit reports
  • Existing risk management file
  • Clinical evaluation report

Ready to assess your MDR readiness?

Share your device details and we will scope the work.

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Regulatory Support for In Vitro Diagnostics

IVDR-aligned documentation, performance evaluation support, and QMS readiness.

What this service includes

  • Align technical documentation to IVDR Annex IX
  • Reference MDCG guidance, CLSI, and STED-style structures
  • Support performance evaluation pathway planning
  • Align QMS to ISO 13485:2016 for IVD scope

Typical deliverables

IVDR gap report

Identifies gaps against IVDR technical documentation requirements.

Performance evaluation checklist

Status tracker for analytical, clinical, and scientific performance evidence.

Audit readiness summary

Assessment of documentation maturity and open items before notified body engagement.

Common pitfalls we prevent

Missing link between purpose and claims

Intended purpose must directly connect to every performance claim. Gaps here trigger findings.

Incomplete performance evaluation

All three dimensions — analytical, clinical, scientific — must be planned and evidenced.

Weak evidence-to-labeling traceability

Labeling claims must be supported by documented evidence trails.

Preparing for IVDR?

Start with a gap assessment. Share your device details.

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Clinical Research and Clinical Evidence

Strategy, trial design support, and evidence planning grounded in regulatory requirements.

What this service includes

  • Develop clinical pathway strategy aligned to device claims
  • Support clinical trial design and evaluation planning
  • Train manufacturers on clinical evidence requirements
  • Explain access pathways factually and carefully

Typical deliverables

Clinical evidence plan outline

Maps the evidence pathway from claims to required data sources.

Trial design review notes

Feedback on endpoints, populations, comparators, and study structure.

Evidence gap analysis

Identifies what evidence exists, what is missing, and how to close gaps.

Common pitfalls we prevent

Evidence not mapped to claims

Every claim needs a clear evidence trail. Unlinked claims create audit findings.

Over-reliance on literature

Literature alone may not suffice without clear justification for equivalence or applicability.

Under-specified endpoints

Vague endpoints make evidence evaluation difficult and invite challenge.

Need a clinical evidence strategy?

Tell us about your device and claims.

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Strategic Business Analysis

Market sequencing, classification guidance, and certification planning.

What this service includes

  • Sequence market entry across EU, US, Canada, and other regions
  • Provide classification reasoning support as general guidance
  • Evaluate certification choices and notified body selection factors
  • Analyze portfolio for time and cost reduction opportunities

Typical deliverables

Strategy memo

Clear recommendation with rationale for market and certification sequencing.

Decision matrix

Structured comparison of options with trade-offs and dependencies.

Risk and dependency map

Visual map of regulatory risks and critical path dependencies.

Timeline assumptions

Realistic timeline model with documented assumptions and contingencies.

Common pitfalls we prevent

Starting docs before stable intended use

Documentation built on unstable intended use must be reworked. Define first, then document.

Underestimating NB lead times

Notified body capacity is limited. Plan early or risk schedule overruns.

Uncoordinated parallel workstreams

Regulatory, clinical, and quality work must be synchronized to avoid rework.

Planning your market strategy?

Share your portfolio and goals. We map the path.

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Validations, Biocompatibility, Risk Analysis

Risk management, product testing, biocompatibility, and labeling support.

What this service includes

  • Apply risk management per ISO 14971
  • Map product testing standards to claims and hazards
  • Plan biocompatibility evaluation per ISO 10993 series
  • Review sterility approach and packaging requirements
  • Check IFU and labeling against regulatory requirements
  • Provide clean room requirements guidance where relevant

Typical deliverables

Risk management file review

Structured review output covering hazard identification, risk estimation, and control measures.

Test plan mapping

Links testing requirements to specific claims and identified hazards.

Biocompatibility evaluation plan

Outlines evaluation approach based on patient contact and device characteristics.

Labeling and IFU review checklist

Systematic check of labeling against regulatory requirements and claims.

Need risk or validation support?

Share your device specs and we scope the work.

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Project Management

Structured delivery coordination for regulatory and quality projects.

What this service includes

  • Manage project or portfolio delivery end to end
  • Coordinate onsite or remote, based on project needs
  • Establish communication cadence and reporting

Typical deliverables

Project plan

Milestones, dependencies, and responsibility assignments.

Weekly status report

Consistent format covering progress, blockers, and next actions.

Stakeholder action log

Tracks decisions, action items, and accountabilities across teams.

Risk register

Living document tracking project risks, mitigations, and owners.

Common pitfalls we prevent

Unowned tasks

Every task needs an owner and a deadline. Ambiguity causes delays.

Untracked dependencies

Cross-team dependencies must be visible or they become blockers.

Unsynchronized evidence creation

Evidence generation must align with documentation timelines or rework follows.

Need delivery support?

Tell us about your project scope and timeline.

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Our Approach

Direct approach. One contact person. Fast response.

How engagement starts

Initial contact

You reach out via form, email, or chat. We respond within one business day with initial questions.

Needs investigation

We review your situation, device, stage, and goals. This takes one to two calls depending on complexity.

Quote

Clear scope, timeline, and pricing. No hidden costs. You know exactly what you get.

Dedicated project leader assigned

One person for the entire engagement. Your single point of contact for everything.

Working principles

Open communication

Direct, honest updates. No surprises. If there is a problem, you hear it immediately.

Teaching while doing

We build your team's knowledge while delivering. You gain capability, not just documents.

Pragmatic documentation

Documents that serve their purpose. No over-engineering. Compliant and practical.

Communication cadence

Kickoff

Align on scope, timeline, responsibilities, and communication channels.

Weekly update

Short status report covering progress, blockers, and next actions.

Monthly steering (optional)

For larger projects, a broader review with stakeholders to ensure alignment.

Ready to start?

Share your details and we scope the work.

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People

Credibility through real qualifications and audit experience.

Anja Wiersma PhD

Anja Wiersma PhD

CEO and Senior Consultant, mi-CE consultancy

Anja founded mi-CE consultancy in 2010. She is a medical biologist with a PhD in NeuroPharmaBehaviour Physiology from the University of Groningen. Before entering the regulatory field she spent eight years in strategy and business development roles at a multinational pharmaceutical company. She then joined KEMA Quality (now DEKRA) as Senior Project Manager and Certification Manager, performing full-scope MDD and IVDD audits for over six years. She subsequently served as QA/RA Director at Eurotrol BV (IVD manufacturer) and is currently also QARA Manager Ad Interim at PamGene International B.V. She chairs the Board of the RAPS Netherlands Chapter since 2017.

  • PhD in Medical Biology (NeuroPharmaBehaviour Physiology) — University of Groningen
  • 8 years in multinational pharmaceutical company — strategy and business development
  • 6.5 years Sr Project Manager and Certification Manager at KEMA Quality (DEKRA) — MDD full-scope notified body auditor, IVDD full-scope auditor, ISO 13485 auditor
  • Former QA/RA Director at Eurotrol BV (IVD manufacturer)
  • Currently QARA Manager Ad Interim at PamGene International B.V.
  • Chair of the Board, RAPS Netherlands Chapter (since 2017)
  • ISO 13485 lead auditor — endorsed by industry peers
  • ISO 9001:2015 lead auditor
  • CMDCAS (Canadian Medical Device Conformity Assessment System) auditor
  • Taiwan regulatory compliance auditor
  • Special expertise: borderline products, high-risk devices, IVDs, clinical evaluation, CE audits, QMS audits
  • Regulatory Affairs expertise across MDR, IVDR, MDD, IVDD and international requirements
  • Experience spanning Class I through Class III devices and all IVD classes
  • Over 500 professional connections in the medtech regulatory community

Our team

Beyond Anja, mi-CE works with a network of experienced specialists — all with academic backgrounds (PhD or MD level) and active professional relationships with leading hospitals and regulatory bodies.

🔬

Senior consultants

Regulatory and quality specialists with deep hands-on experience in MDR, IVDR, and international requirements.

🏥

Notified body auditors

Qualified MDD, IVDD, MDR, and IVDR auditors providing rigorous compliance reviews and audit preparation.

👩‍⚕️

Medical doctors & clinical experts

Clinical specialists with access to leading hospital departments, supporting clinical evaluation and trial design.

Engagement model

Every client gets a dedicated project leader. This person is your single point of contact throughout the engagement. No handoffs, no account managers — direct access to the person doing the work.

Work with us

Start a conversation about your project.

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Resources

Curated references for MDR, IVDR, and harmonised standards.

Last updated: February 2026

MDR — Medical Device Regulation

IVDR — In Vitro Diagnostic Regulation

MDCG Guidance

NEN

Contact

Fastest path to a first conversation.

Get in touch

Address Kerkstraat 30-A
6675 BS Valburg
Netherlands

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Share your device details and we prepare for the first call.

Quick question?

Use the chat for routing and initial questions.

Privacy Notice

How we handle your data.

Data controller

mi-CE consultancy, The Netherlands. Contact: info@mi-ce.nl

What data we collect

Contact forms collect: name, company, email, topic, and message content. The chatbot collects: email, company, device category, intended use summary, target markets, stage, and optional fields. Website analytics collect: anonymised usage data subject to consent.

Purpose of processing

We process personal data to respond to enquiries, prepare engagement proposals, and improve our services. We do not use data for marketing without explicit consent.

Retention

Contact form and chatbot data is retained for 12 months after last contact, then deleted. Analytics data is retained according to the analytics provider's retention settings.

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Quality Management Systems

Setup, implementation, and compliance support across all major QMS standards.

What this service includes

  • ISO 13485:2016 — full implementation, gap assessment, and certification preparation
  • MDSAP ISO 13485 — Multi-Jurisdictional Audit Programme (US, Canada, Brazil, Japan, Australia)
  • ISO 9001:2015 — QMS implementation and compliance for device-adjacent organisations
  • FDA 21 CFR 820 — Quality System Regulation alignment for US market access
  • Hospital QMS — NIAZ accreditation, HKZ certification, and other healthcare quality frameworks
  • Canadian CMDCAS — Quality system requirements for Health Canada device licences
  • Taiwan regulatory requirements — QMS alignment for Taiwan market entry
  • Internal QMS audits and management review preparation

Typical deliverables

QMS gap assessment

Structured review of your current system against the target standard, with prioritised gap list.

Implementation roadmap

Step-by-step plan to close gaps, assign owners, and reach certification readiness.

Process documentation

SOPs, work instructions, and forms aligned to the target standard and your operations.

Audit preparation package

Structured materials and coaching to prepare your team for external certification audits.

Standards and frameworks supported

Device QMS

  • ISO 13485:2016
  • MDSAP ISO 13485
  • FDA 21 CFR 820
  • MDR Annex IX QMS requirements
  • IVDR Annex IX QMS requirements

International and sector-specific

  • ISO 9001:2015
  • Canadian CMDCAS
  • Taiwan regulatory QMS requirements
  • NIAZ hospital accreditation
  • HKZ healthcare certification

Need QMS setup or compliance support?

Tell us your target standard and current state. We scope the work.

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Auditing

Internal audits, supplier audits, clean room audits, and notified body preparation.

What this service includes

  • Internal QMS audits against ISO 13485, ISO 9001, MDR, and IVDR requirements
  • Supplier and subcontractor audits — proportionate to risk and criticality
  • Clean room qualification and environmental monitoring audits
  • Production and validation audits
  • Notified body preparation — mock audits and readiness assessments
  • MDR Annex II and IX compliance audits
  • IVDR Annex IV and VII compliance audits
  • CMDCAS and Taiwan audit preparation

Typical deliverables

Audit report

Structured findings document with non-conformities, observations, and positive practices.

CAPA recommendations

Actionable corrective and preventive action proposals linked to root cause analysis.

Supplier qualification assessment

Evaluation of critical suppliers against defined qualification criteria.

NB readiness summary

Assessment of documentation and process maturity before notified body engagement.

Common pitfalls we prevent

Underprepared for notified body audits

Mock audits reveal gaps before they become official findings, protecting your timeline.

Weak supplier controls

Supplier qualification records must demonstrate oversight proportional to component criticality.

Unresolved internal audit findings

Open CAPAs from internal audits are a red flag for external auditors. They must be tracked and closed.

Audit programme gaps

The audit programme must cover all processes within QMS scope — gaps are a non-conformity in themselves.

Need audit support?

Tell us the scope, standard, and timeline. We prepare and execute.

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Contractor for Notified Bodies

Expert review services for notified bodies and accreditation bodies on a contractor basis.

What this service includes

  • Design dossier reviews (MDR Annex IX, Chapter I)
  • Technical file reviews for Class I to Class III medical devices
  • MDR and IVDR compliance audits on behalf of the notified body
  • QMS audits against ISO 13485 and MDR/IVDR Annex IX
  • List B IVD technical file reviews (IVDD and IVDR transition)
  • Accreditation body compliance reviews

Scope of review work

Technical file review

Structured assessment of device technical documentation against MDR Annex II and III requirements.

Design dossier assessment

Detailed review of design history, risk management, clinical evidence, and V&V documentation.

QMS audit

On-site or remote QMS audit against ISO 13485 and applicable regulatory annexes.

Compliance audit report

Formal audit report in the format required by the notified body, including findings and conclusions.

Why use mi-CE for contractor review work

Anja Wiersma spent 6.5 years inside a notified body (KEMA Quality / DEKRA), performing full-scope MDD and IVDD audits. She understands notified body processes, documentation standards, and audit expectations from the inside. mi-CE brings the same rigour to contractor review work.

Notified body looking for a contractor reviewer?

Contact us to discuss scope, qualification, and availability.

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Training & Education

Regulatory and clinical training for manufacturers, ethics committees, and clinical teams.

What this service includes

  • Regulatory training for manufacturer teams — MDR, IVDR, QMS, and clinical evidence requirements
  • Ethics committee training and support on clinical investigation requirements
  • Clinical evidence requirements training for product managers and R&D teams
  • Compliance workshops tailored to your product area and regulatory stage
  • Training for hospital teams and healthcare institutions on device and IVD compliance
  • Onsite or remote delivery, single session or series

Typical training topics

MDR / IVDR essentials

Overview of regulatory requirements, classification, conformity assessment routes, and key obligations.

Clinical evidence under MDR

Clinical evaluation process, CER structure, PMCF, and equivalence requirements.

ISO 13485 QMS fundamentals

Quality management principles, process approach, and audit readiness.

Ethics committee support

Clinical investigation requirements, informed consent, safety reporting, and regulatory interactions.

Looking for regulatory training?

Tell us your team size, topics, and goals. We design the session.

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News & Updates

Regulatory developments, guidance updates, and mi-CE news.

Last updated: February 2026

mi-CE updates

Subscribe to our newsletter or follow us on social media for mi-CE project news, regulatory commentary, and upcoming events. Contact info@mi-CE.nl to be added to the mailing list.

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