ISO 14155:2020 · EU MDR Annex XV · Clinical Investigation Documentation

Clinical Investigation Documentation That Passes Ethics Committees and Notified Bodies

Six documents covering the full clinical investigation lifecycle — from feasibility protocol through pivotal study planning, SAE reporting, and risk-benefit documentation for EU MDR submissions.

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For clinical affairs managers and RA leads at medical device companies pursuing CE marking or FDA approval.

EU MDR raised the clinical evidence bar dramatically — and most device companies still don't have compliant clinical investigation documentation.

Notified bodies and Ethics Committees reject clinical investigation submissions for predictable reasons: CIPs missing Annex XV elements, SAE reporting procedures without defined timelines, Investigators' Brochures missing risk-benefit summaries, and CIAs that don't address ISO 14155 contractual requirements.

Each rejection adds months and significant cost. This toolkit gives you documentation built to the standard that passes first-round review.

6 Documents. Complete clinical investigation coverage.

From feasibility protocol through SAE reporting and risk-benefit documentation.

Document 01

Clinical Investigation Plan (CIP) Template (ISO 14155)

Full-scope CIP template aligned with ISO 14155:2020 and EU MDR Annex XV. Covers study objectives, investigational device description, study design, eligibility criteria, endpoints, statistical methods, monitoring plan, and regulatory submission structure for both feasibility and pivotal investigations.

Document 02

Feasibility Study Protocol & Report Template

Early-phase clinical protocol for first-in-human and feasibility studies. Includes safety monitoring framework, preliminary endpoint definition, sample size rationale for feasibility objectives, and report structure for transition to pivotal investigation planning.

Document 03

Investigator's Brochure Template

IB template covering device description, preclinical and clinical data summary, risk-benefit assessment, and guidance for investigators. Structured to meet ISO 14155 requirements for sponsor obligations and investigator information disclosure at study initiation.

Document 04

Clinical Investigation Agreement (CIA) Template

Comprehensive CIA covering sponsor and investigator obligations, regulatory compliance requirements, data ownership, confidentiality, publication rights, and indemnification provisions. Aligned with ISO 14155 contractual requirements for medical device clinical investigations.

Document 05

Serious Adverse Event (SAE) Reporting SOP

Step-by-step SAE identification, grading, and reporting procedure covering 24-hour notification timelines, causality assessment, safety reporting to competent authorities, EC/IRB requirements, and annual safety reporting under ISO 14155 and EU MDR vigilance obligations.

Document 06

Clinical Investigation Risk Assessment Template

Structured risk-benefit analysis for clinical investigation design. Covers device risks, investigational procedure risks, patient population vulnerability, risk mitigation measures, benefit assessment, and benefit-risk conclusion documentation required for ethics committee and regulatory submissions.

Why this works

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ISO 14155:2020 + EU MDR Annex XV — fully aligned

Every template reflects current ISO 14155:2020 requirements and EU MDR Annex XV clinical investigation obligations. One set of documents works for Ethics Committee submissions, notified body review, and competent authority requirements.

From feasibility to pivotal — complete study lifecycle

The toolkit covers early-phase feasibility protocol through pivotal investigation planning. The transition framework between phases is built in — reducing gaps that cause competent authority queries.

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SAE reporting and risk-benefit documentation built in

The SAE SOP and Clinical Investigation Risk Assessment are the two most frequently deficient elements in clinical investigation submissions. Both are pre-structured with causality assessment criteria and benefit-risk conclusion documentation.

One toolkit. Every clinical investigation documentation decision covered.

$25K+
Clinical affairs consulting to build investigation documentation from scratch
Rejection
Ethics Committee or NB rejection adds 3-6 months and significant cost
$297
This toolkit — instant download

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From clinical affairs professionals who've used it

Our notified body reviewed the CIP structure and said it was the cleanest they had seen from a first-time sponsor. We passed our Ethics Committee review on the first submission. The ISO 14155 template covered everything — objectives, endpoints, statistical justification. Zero major deficiencies.

Dr. Elena M.
Clinical Affairs Director
Class IIb Implantable Device Manufacturer, Munich DE

The SAE Reporting SOP was exactly what our CRO needed. We had three sites across two countries with no consistent SAE workflow. This template became the foundation of our safety reporting system. The 24-hour notification timelines and causality assessment criteria were pre-built — we just customized for our device.

James R.
VP Clinical Operations
EU MDR Class III Device Sponsor, Boston MA

We needed a Feasibility Study Protocol fast to get into our first FIH study. The template cut our protocol development time in half. The transition framework from feasibility to pivotal study planning is something we would have had to build from scratch — it was already in there.

Priya S.
Senior Regulatory Affairs Manager
Interventional Device Startup, London UK

Frequently asked questions

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