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Medical Device MLR Submission Checklist

A practical pre-submission checklist for medical device Marketing and Marcomms teams. Use it to catch the issues that Regulatory, Medical and Legal will flag, before the asset enters formal MLR review.

EU MDR Article 7 and FDA 510(k) aware
Built for medical devices, not pharma

Why a pre-submission checklist matters

The MLR review process is where most medical device marketing assets lose time. Eight rounds of comments, conflicting Regulatory and Legal feedback and last minute evidence requests are common, and almost all of it is avoidable. A short pre-submission pass by the Marketing owner closes the gap between draft and approval.

This checklist is built specifically for medical device MLR teams working under EU MDR, IVDR and FDA rules. It will not help you with prescription drug promotion or ABPI Code matters - those belong to a pharma checklist. Use the eight items below before you hit submit.

Before you submit

Eight checks to run on every asset before it enters MLR review.

  1. 1

    Build a claim inventory

    List every standalone claim in the asset: performance numbers, comparative statements, safety language, indication wording and lifestyle implications. One claim per row, with the exact wording used.

  2. 2

    Map each claim to evidence

    For every claim, link to the source: clinical evaluation report, bench testing data, published study, technical file section or post-market surveillance summary. If a claim has no source, cut it or rewrite it before submission.

  3. 3

    Check alignment with intended purpose

    Every claim must sit inside the device's CE-marked intended purpose or FDA-cleared indications for use. Off-label or expanded-use language is the fastest way to a Regulatory rejection.

  4. 4

    Reconcile with the IFU and labelling

    Marketing copy must not contradict the instructions for use, warnings, contraindications or precautions. Pull the latest approved IFU and cross-check terminology, populations and use environments.

  5. 5

    Verify comparative and superiority claims

    Best-in-class, market-leading and head-to-head claims need head-to-head evidence. If you only have single-arm data, soften the wording or remove the comparison.

  6. 6

    Confirm audience and channel suitability

    Note whether the asset is for healthcare professionals, patients or the general public. Some claims that are acceptable to clinicians are not acceptable to patients under national advertising codes.

  7. 7

    Run a brand and trademark pass

    Check device names, trademarks, regulatory marks (CE, UKCA, FDA cleared), partner logos and required disclaimers are present, correctly formatted and current.

  8. 8

    Attach a reviewer brief

    Include the asset purpose, target audience, channel, deadline and a short summary of the evidence pack. A clear brief cuts clarifying questions and trims a round of review.

What Medical, Legal and Regulatory each look for

Anticipating each function's lens turns a slow back and forth into a single, clean review round.

Medical

  • Clinical accuracy of efficacy and safety claims against the CER and published literature
  • Fair balance between benefits and risks for the device class and target population
  • Correct use of clinical terminology, statistics and citations
  • No extrapolation beyond the studied patient population or indication

Regulatory

  • Claims sit inside the cleared or CE-marked intended purpose and indications
  • Compliance with EU MDR Article 7, FDA promotional rules and national advertising codes
  • Correct use of regulatory marks, warnings, contraindications and required disclaimers
  • Consistency with the technical documentation, IFU and risk management file

Legal

  • Substantiation file on record for every factual or comparative claim
  • Trademark, copyright and third party licence compliance
  • Privacy, data protection and consent language where patient stories or images appear
  • Contractual obligations to partners, distributors and clinical sites

Medical device specifics

The regulatory anchors that drive most MLR decisions for devices.

EU MDR Article 7 - prohibited claims

Article 7 of the EU Medical Device Regulation prohibits text, names, trademarks, pictures or signs that mislead the user about the device's intended purpose, safety or performance. That includes attributing functions or properties the device does not have, creating a false impression of safety, or failing to inform about likely risks. Treat Article 7 as the baseline filter for every promotional claim in the EU.

FDA 510(k), De Novo and PMA - stay inside the authorised indications

For US devices, every promotional claim must sit inside the indications authorised by the relevant pathway: 510(k) clearance, De Novo classification or PMA approval. Promoting a new indication, patient population, anatomical site or use environment that is not in the authorisation is treated as off-label promotion. If the marketing concept needs a wider claim, the path is a new or supplemental submission, not louder copy.

Post-market surveillance and clinical evaluation

Claims about real world performance, durability or patient outcomes must trace back to the clinical evaluation or post-market surveillance system required under MDR Article 83 and IVDR Article 78. Do not cite preliminary PMS findings, internal complaints data or unverified registry signals as promotional evidence.

IVDR and software as a medical device

In vitro diagnostic and SaMD assets need extra care. Sensitivity, specificity and performance metrics must match the performance evaluation report. AI and algorithm claims need to reflect the validated use case, training data scope and any human-in-the-loop requirements stated in the technical documentation.

Common rejection reasons

If any of these apply, rework before you submit.

  • Claims that go beyond the cleared or CE-marked intended purpose
  • Comparative or superiority language without head-to-head evidence
  • Safety claims that do not reflect the IFU warnings and contraindications
  • Missing or out of date regulatory marks, warnings and disclaimers
  • Patient stories or imagery without documented consent
  • Citations to preliminary, unverified or non-public data
  • Inconsistent terminology between the asset, the IFU and the technical file
  • No substantiation file linked to specific factual claims

For definitions of the terminology used above, see the MLR Terminology Guide.

Run the checklist automatically

MLR PreCheck flags the claim risks that Regulatory, Medical and Legal would catch - before the formal review begins. Built for medical device Marketing and Marcomms teams.