Medical devices & diagnostics

Evaluations and environments for medical device and diagnostic submissions.

A device or companion-diagnostic submission spans Design History Files, bench and analytical validation reports, risk management matrices, clinical concordance tables, and regional deficiency letters. We deploy workflows, build offline and online evaluation suites, and post-train models on the records device teams actually sign.

FDA, EU MDR / IVDR & NMPA device pathways
PMA · 510(k) · CDx
design controls & verification traceability
21 CFR 820 · ISO 13485
hazard, dFMEA & clinical risk alignment
ISO 14971
in Biopharma Bench, including CDx & device seats
24 programs

Systems on the desk

eQMS & DHF repositories · Veeva Vault / RIM · LIMS & bench-test archives · Requirement traceability matrices

Starting records

PMA / 510(k) / De Novo technical sections · Analytical & clinical validity reports (CDx / IVD) · Verification & validation (V&V) protocols & raw data · ISO 14971 risk files & dFMEA / pFMEA tables · FDA Additional Information & NMPA Buzheng notices

Governing authority

21 CFR 820.30 / 814 / 807 & ISO 13485 / 14971 · Executed V&V data over summary claims · Predicate & reference-assay concordance bounds

01

Deployment

Device and diagnostics teams lose months when a 510(k), PMA supplement, or regional registration package contradicts its own underlying bench reports, risk files, or clinical concordance tables.

01

510(k), De Novo & PMA submission authoring and audit

FDA CDRH · Substantial equivalence · SSED

Reconciling device descriptions, predicate comparison tables, performance-testing summaries, and labeling across 510(k), De Novo, and original or supplemental PMA submissions so every claim traces to an approved report.

Substantial equivalence matricesPMA Summary of Safety & Effectiveness (SSED)30-day notice & PAS supplementsIFU & labeling redlines
02

Companion diagnostics (CDx) & IVD lifecycle

PMA P170019-class · Analytical & clinical validity

Auditing analytical validation (precision, reproducibility, LoD, interfering substances), clinical concordance and bridging studies, and variant-to-therapy claims across multi-biomarker genomic and immunohistochemistry assays.

PPA / NPA concordance workbooksLoD & precision line-data tablesCDx biomarker label expansionsSpecimen stability & matrix equivalency
03

Design controls, DHF & ISO 14971 risk traceability

21 CFR 820.30 · ISO 13485 · IEC 62304

Checking completeness and closed-loop traceability across user needs, design inputs, design outputs, verification and validation protocols/reports, software anomaly logs, and dFMEA / pFMEA risk controls.

Design Traceability Matrices (DTM)ISO 14971 risk management reportsBiocompatibility (ISO 10993) & electrical safety (IEC 60601)Software V&V & cybersecurity packets
04

Global device registration & deficiency responses

FDA AI letters · EU MDR / IVDR · NMPA Buzheng

Preparing point-by-point responses to FDA Additional Information holds, Notified Body clinical evaluation (CER / PER) non-conformities, and China NMPA technical review supplementary notices (Buzheng) from primary engineering records.

FDA Additional Information (AI) responsesNMPA Buzheng (补正) supplementary dossiersEU MDR / IVDR Clinical Evaluation ReportsType-testing & audit findings
Interactive workflow · Device & CDx dossier trace
From Design History File to regulator-ready deficiency response.
DHF · 21 CFR 820.30 · ISO 14971

Trace design inputs to V&V evidence

Map design inputs and hazard mitigations across bench-testing protocols, software verification logs, biocompatibility reports, and sterilization validation.

01 · Design & V&V traceEvidence chain
01 · Input

Design Input / Hazard ID

02 · Verification

Executed V&V Protocol & Raw Log

03 · Output gate

Traceability Matrix Check

→Flags any summary claim in the submission draft whose acceptance criterion or sample size diverges from the executed test report.

02

Evaluation

We build the offline and online evaluation stack for medtech and diagnostics AI teams: staging DHF and submission folders, testing both component-level extraction and full regulatory/quality engineer seats, and co-authoring rubrics with your specialists and our Fellows.

01

Your DHF & submission archives, or our reconstructed worlds

Historical dossiers · CDx & device worlds in Biopharma Bench

We build from your historical 510(k), PMA, and DHF folders, or evaluate on our reconstructed device and companion-diagnostic environments (including FoundationOne CDx PMA lifecycle and NMPA device registration seats).

02

Component task families + end-to-end engineer seats

Table & tolerance checks · full submission deliverables

Component families test isolated steps: matching IEC 60601 / ISO 10993 test clauses to design inputs, recomputing PPA/NPA confidence intervals from raw line data, or catching unclosed software anomalies. End-to-end seats grade the full role: a Regulatory Affairs engineer drafting a deficiency response or a Quality lead auditing a Design Traceability Matrix before submission.

03

Co-built with your internal specialists & our Fellows

Internal RA/QA leads + external CDRH / MDR / NMPA practitioners

Your regulatory and quality engineers define house templates and risk gates; our practitioner Fellows author the coupled requirements and adjudicate runs.

04

Offline benchmarks & online production evaluation

Model & harness comparison · continuous production scoring

Compare models, PDF/table parsers, and harnesses on a frozen offline benchmark before release, then monitor and sample live authoring and review runs in production.

03

Post-training, off-the-shelf data & strategy

Medtech AI teams and frontier labs license our device and companion-diagnostic environments, coupled rubrics, and reference deliverables for RL, SFT, and pre-release benchmarks.

01

Architecture diagnosis & deployment strategy

Harness vs. model attribution · autonomy gating

Evaluation tells you whether a miss came from retrieval, context management, tool design, or base-model reasoning, and which workflows are ready for production versus human-in-the-loop gates.

02

RL environments & coupled verifiers

Isolated sandboxes · partial-credit reward

Resettable company and project sandboxes where grading runs in a separate container. Coupled requirements pair each finding with its governing conclusion so rollouts cannot game partial credit.

03

SFT deliverables, trajectories & off-the-shelf corpora

Gold outputs · step-by-step traces · licensed packs

Practitioner-written reference deliverables, adjudicated agent trajectories, and licensed corpora of filings, validation packages, and project submittals for supervised fine-tuning and pre-release benchmarks.

04

Inside a device & CDx seat

Biopharma Bench v0.2 · CDx & Device Registration (FCL / DVN)

On a CDx filing or a device deficiency response, the summary record and the primary record disagree. The deliverable has to follow the primary record.

Our companion-diagnostic environment (FoundationOne CDx PMA P170019 lifecycle) and medical-device registration environment (a Sichuan Class II video laryngoscope registration answering supplementary-information notice 械一(2025)337号 and an on-site QMS inspection) require agents to reconcile each claim against the test reports, verification tables, and inspection records on the desk.

From the record

Record on desk

CDx copy-number & rearrangement calling

Surface reading

94.3% CNA and 100% rearrangement PPA against FoundationOne LDT read as standalone verification

What the primary record establishes

Standalone orthogonal verification of CNA and rearrangements was reserved and not executed for this freeze

Record on desk

CDx precision study

Surface reading

19 itemized samples vs. 18 analyzed reported as an open discrepancy

What the primary record establishes

One sample excluded for contamination (1.9% against the < 1% limit); 18 analyzed is the correct count

Record on desk

QMS inspection NC-5 (film sealer validation)

Surface reading

Report concludes the 4.5–7 m/min range is confirmed

What the primary record establishes

Tested setting was 4.8 m/min, and the FRB-770 analog dial cannot be set or repeated precisely at 4.5

Cross-record checks taken from the FCL-P-03, FCL-P-05, and DVN-P-02 rubrics.

Representative requirementsFrom the FCL-P-03, FCL-P-05 & DVN-P-02 rubrics
  • 01Documents that standalone orthogonal verification of copy-number and rearrangement calling was reserved and not executed, so that support rests on the LDT comparison, precision, and tumor-purity studies.
  • 02Reconciles the CDx precision count to 18 analyzed samples by attributing the difference from 19 itemized samples to one contamination exclusion.
  • 03Limits FFPE slide stability to the 6 months on file, with the 12- and 15-month timepoints still open.
  • 04Names the NC-5 mechanism: the sealer validation tested 4.8 m/min but concluded the full 4.5–7 m/min range.
  • 05Describes NC-5 and NC-7 rectification as pending, since the rectification tracker still shows both as not started, rather than claiming completed fixes.
06

Next step

Tell us what you need to deploy, evaluate, or train.

Workflow deployment, offline and online evaluation frameworks, post-training environments and data, or paid review as an AI Fellow.

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