For Medical Device & Diagnostics

The literature review your CER can be audited against

Clinical evaluation, performance evaluation, and post-market surveillance all run on the same systematic literature review, done again every cycle, and defended line by line. Paperguide runs that review in one AI-native workspace: protocol, documented screening, verified extraction, and a PRISMA trail your Notified Body can follow.

Trusted by clinical and regulatory teams building evidence they can defend.
MITUniversity of OxfordUC BerkeleyThe University of MelbourneNYUUCLADuke UniversityUniversity of Illinois Urbana-Champaign

The review is the easy part. Defending it is the job.

MEDDEV 2.7/1 Rev 4 and EU MDR do not just ask for a literature review. They ask for a systematic one: a protocol written before the search, documented search terms, inclusion and exclusion criteria fixed in advance, a documented reason for every excluded paper, and both favorable and unfavorable evidence appraised against predefined criteria. Then they ask you to do it again, on a lifecycle cadence, for every device.

Done across a search database, a spreadsheet, a PDF folder, and a Word document, the review is slow and the audit trail is rebuilt by hand every time. When a Notified Body reviewer asks why a specific paper was excluded, the answer lives in someone's memory or a lost email.

  • A systematic protocol and search, reproduced for every CER, PER, and PMS update.
  • A documented, defensible reason behind every inclusion and exclusion decision.
  • Favorable and unfavorable data both appraised, against predefined criteria, from full text.
  • Manual screening and manual documentation competing with limited clinical and regulatory headcount.

One systematic review, reused across the device lifecycle

The literature review is not a one-time task. It recurs at every stage of a device's regulated life. Paperguide sits where published evidence has to be found, appraised, and defended.

  • State of the Art

    Establish current clinical practice and alternatives for the device's scope.
  • Clinical / Performance Evaluation

    Build the systematic review behind the CER (devices) or PER (diagnostics).
  • Equivalence & Comparators

    Appraise published data on equivalent and benchmark devices.
  • Post-Market Surveillance & PMCF

    Re-run the review on cadence to catch new evidence and signals.
  • Vigilance & Risk

    Synthesize published adverse-event and complication literature into risk inputs.

What clinical and regulatory teams use it for

Real tasks from the medical device evidence lifecycle, from state of the art to post-market surveillance. Each one is a literature question Paperguide answers with sources you can trace and defend.

State of the Art & Clinical Background

Establish the state of the art

Screen the literature for current clinical practice, alternatives, and outcomes for your device's scope, and pull it into a comparison table with every exclusion reason documented.
Screening setExtraction table

Benchmark alternative treatments

Get a cited summary of how alternatives to your device perform in published studies.
Cited answer

Frame the intended-use context

Summarize the clinical need and current management for your device's indication.
Cited answer

Clinical Evaluation (CER)

Build the CER literature review

Run a protocol-driven review that screens studies against your criteria, captures favorable and unfavorable data, extracts endpoints and adverse events, and generates the PRISMA diagram for your CER appendix.
Screening setExtraction table

Appraise methodological quality

Extract study design, sample size, and evidence level across included papers to support your appraisal.
Extraction table

Capture unfavorable data

Surface reported failure modes and complication rates, the evidence MDR requires you to weigh.
Cited answer

Performance Evaluation (IVDR, Diagnostics)

Build the diagnostic performance review

Pull sensitivity, specificity, reference standard, and population from performance studies into one cited table for your PER.
Extraction table

Establish scientific validity

Summarize the published association between a marker and the clinical condition.
Cited answer

Compare against reference methods

Extract accuracy metrics for your method against the standard across studies.
Extraction table

Equivalence & Comparators

Screen for equivalence evidence

Screen published data on candidate equivalent devices against clinical, technical, and biological criteria, so each equivalence claim is backed and documented.
Screening set

Benchmark comparator outcomes

Compare outcomes for competing approaches across the literature.
Extraction table

Post-Market Surveillance & PMCF

Run the recurring PMS update

Re-run your saved protocol over the new time window, screen only what’s new, and refresh the review, so each cycle carries the same method as the last.
Screening setExtraction table

Detect emerging signals

Surface recently reported adverse events for your device type.
Cited answer

Support PMCF evaluation

Summarize published real-world performance over a defined follow-up period.
Cited answer

Vigilance, Risk & Safety

Synthesize complication literature

Pull reported complication types and rates into a structured risk input.
Extraction table

Feed risk management

Summarize published failure modes to inform your risk file.
Cited answer

Built for output a Notified Body can follow

In a regulated submission, an answer is only useful if it can be sourced, appraised, and defended. These are the mechanics that make Paperguide's output hold up under review.

  • A documented reason behind every exclusion

    MDR and MEDDEV require it. Every excluded paper carries the specific criterion it failed, in your protocol's order, so the exclusion log is a byproduct of screening, not a separate task.

  • Sentence-level citations on every value

    Each data point in an evidence table links to the exact statement in the source PDF. When a reviewer questions a number, the source is one click away, in context.

  • Favorable and unfavorable data, both captured

    Screening criteria and extraction fields surface adverse outcomes and failure modes, not just positive results, which is exactly what Annex XIV requires.

  • A protocol you reproduce, not rebuild

    The saved protocol, criteria, and extraction fields make each lifecycle update a re-run of a documented method, so continuity across cycles is visible to your reviewer.

  • Full-text appraisal, including paywalled papers

    Open-access PDFs are fetched automatically; set your institutional proxy (EZproxy and other major providers) to retrieve paywalled full text, and screening resumes once a PDF arrives.

  • Human control at every decision

    AI prepares the evidence and drafts the extraction; a named reviewer or verifier confirms each stage, and every confirmation is attributable to a person.

  • Evidence quality made visible

    Journal quality signals (quartile, SJR, SNIP, citation counts) sit on results, supporting the evidence-level appraisal MEDDEV expects.

  • 200M+ peer-reviewed papers

    Across PubMed, arXiv, OpenAlex, and Semantic Scholar, alongside your own references from Zotero, Mendeley, or direct import.

Case Studies

Dr. Anja Keller
Every decisionlogged with its criterion and evidence
CER literature reviews where every exclusion maps to a criterion an auditor can follow, with a complete decision log built in.
Read case study
Marcus Feld
~50%less review time
IVDR performance reviews that assemble faster under deadline, and stay consistent and cited cycle after cycle.
Read case study
Amal
83%faster review across 100 papers
Custom-column extraction across hundreds of nanomedicine papers, every value cited back to its source.
Read case study
Dr. Kaushik
6 weeksfor a review that took 3 months
A meta-analysis that surfaced contradictions a manual review would have missed, in half the time.
Read case study

Testimonials

When a Notified Body asks why a study was excluded, the answer is already in the review: the criterion, the evidence, and the person who confirmed it. Our CER updates stopped being a scramble.
A
Anja K.Clinical Evidence Lead, medical device manufacturer
The screening evidence links to the actual statements in the full text, so verification went from re-reading papers to checking citations. It cut the review time roughly in half.
M
Marcus F.Regulatory Affairs Specialist, IVD manufacturer
I run reviews for several device clients from separate workspaces, each with the same documented method. Setup that used to take days is now the protocol step, so I take on more clients without cutting corners.
I
Ingrid S.CER Consultant
The recurring literature update used to be a full re-do every cycle. Now it re-runs the saved protocol over the new window and only screens what is new, which turned a multi-week task into a few days.
T
Thomas R.PMS Manager, orthopedics

Ready for your quality and security review

Named roles and per-stage verifier assignments, attributable confirmations, documented protocols, and traceable outputs, with SSO and role-based access for IT.

Coming soon: GDPR, SOC 2, and ISO 27001.

Make your next CER update the straightforward one

Book a demo and we will run a clinical evaluation literature review the way your team would: protocol, documented screening with evidence, verified extraction, and the PRISMA trail your reviewer expects.