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Medical Device Post-Market Surveillance Writing

Post-Market Surveillance and Device PSUR Writing for Manufacturers

Pubrica writes post-market surveillance plans, PMS reports and device PSURs for medical device manufacturers. Our post-market device writers confirm which document your device class requires and how often, then prepare it to EU MDR Articles 83 to 86. Class I devices require a post-market surveillance report. Class IIa, IIb and III devices require a periodic safety update report, at least annually for class IIb and III and at least every two years for class IIa. You receive a PMS plan built to Annex III and reports with defined trend thresholds and a stated benefit-risk conclusion.

  • The correct document for your class: PMSR under Article 85 for class I, PSUR under Article 86 for class IIa, IIb and III
  • The correct reporting frequency: annually for class IIb and III, at least every two years for class IIa, and updated as necessary for class I
  • A PMS plan that defines the surveillance system, built to Annex III and specifying the data, its sources, the analysis method and the thresholds for action
  • Trend analysis with defined thresholds, because Article 88 trend reporting requires a threshold set in advance
  • Sales volume and use population reported, as Article 86 requires, with each estimate supported by evidence
Scope of Post-Market Surveillance Writing What is included and what is excluded

PMS plan to Annex IIIIncluded

Correct document for the classIncluded

Trend thresholds defined in advanceIncluded

Benefit-risk conclusion drawnIncluded

Reporting a favourable conclusion regardless of the dataNot offered

Sources → collected → trended → concluded → PSUR

Included in every reporting cycle
  • Correct document for the class
  • Correct frequency, stated
  • Thresholds set before the data
  • Sales and use population evidenced
  • Benefit-risk conclusion drawn from the data
Quoted per deviceBased on class and data volume
Articles 83 to 86PMS plan, PMSR and PSUR
Annual or biennialIIb and III annually; IIa at least every two years
ISO 9001:2015Quality management certified · cert. H3CR9TCU20251212INDQM10N

Deliverables

Post-Market Surveillance Deliverables

The report is periodic, but the surveillance system that feeds it runs continuously, and notified bodies test that system.

The Correct Document at the Correct Interval Class I produces a PMS report under Article 85, updated when necessary. Class IIa, IIb and III produce a PSUR under Article 86 — IIb and III at least annually, IIa at least every two years.

Example from project scopingClass III and implantable device PSURs are submitted to the notified body through EUDAMED. Correct content in the wrong document, or on the wrong cycle, is a finding regardless of what the data shows.

A PMS Plan That Specifies Each Data Source The plan covers complaints, vigilance, field safety corrective actions, literature, registries, user feedback, similar-device data and trend data, each with a collection route, an owner and an analysis method, to Annex III.

Example from a PMS planA plan that lists sources without stating how each is analysed and who acts on the results does not describe a working system, and the system is what is audited.

Trend Thresholds Set Before Data Collection We define a statistically or clinically justified threshold above which an increase in frequency or severity triggers action and, where applicable, an Article 88 trend report.

Example from a trending methodTrends will be monitored and reported where a significant increase is observed.Threshold: complaint rate for device migration exceeding 0.8 per 1,000 units in any rolling quarter, against a baseline of 0.3. Exceeding it triggers an internal investigation within 10 days and assessment against Article 88 reporting criteria.

Sales Volume and Use Population, Supported by Evidence Article 86 requires the number of units placed on the market, the estimated population using the device and the frequency of use. This is often the weakest section of the report.

Example from a PSURWithout a denominator, a complaint count cannot be interpreted. Trend analysis also depends on this figure, so an unsupported estimate weakens the rest of the report.

The samples shown are illustrative and anonymised. Hover over a sample to replay it.

Compliance and Standards

Post-Market Surveillance Regulatory and Quality Standards

The obligations are set out in the regulation itself, by article and by device class.

EU2017/745

Medical Device Regulation (regulation)

Article 32 for the SSCP, Articles 83 to 86 for post-market surveillance, Annex I for the general safety and performance requirements, Annex II for technical documentation and Annex XIV for clinical evaluation and PMCF.

14971:2019+A1

Risk management for devices (with ISO/TR 24971:2020)

Sets out risk management as a lifecycle process: hazard identification, risk estimation and control, overall residual risk acceptability, and production and post-production information fed back into the file.

2.7/1 rev 4

Clinical evaluation guidance (June 2016)

The structure notified bodies still assess against, read alongside MDCG 2020-13, which is the assessment template assessors use.

ISO9001:2015

Quality management (cert. H3CR9TCU20251212INDQM10N)

Our quality management system governs how each project is run, recorded and released.

Responsible Use of AI

Responsible Use of AI in Regulatory Writing

Regulatory reviewers trace each decision back to its evidence and to a named individual. For this reason, source traceability takes priority over speed in our regulatory writing, and every statement must be traceable to its source.

How We Use AI ToolsWe use AI tools to locate source material across a document set, to check the consistency of terms, figures and cross-references between documents in a submission, and to draft highly templated sections that a writer then verifies line by line against the source.
Where We Do Not Use AIWe do not use AI tools for text that enters a submission as drafted, for clinical or benefit-risk interpretation, safety narratives or literature appraisal for a clinical evaluation, or for any statement an assessor would expect to trace to a named, qualified individual.
What Your AI Declaration Should IncludeYour declaration should name the tool, the stage at which it was used and the human oversight applied. Journals, funders, regulators and the ICMJE January 2026 update now expect this, and an undeclared tool found later is treated as an integrity matter.

Why We Do Not Publish an AI Accuracy Figure

Accuracy figures for AI tools are usually reported by the companies that sell them.

Pubrica therefore does not quote a self-generated accuracy figure, because it would carry the same conflict of interest. Instead, we tell you which tool was used on your project, at which stage, and what a specialist changed afterwards.

Methodology

How Our Post-Market Surveillance Documentation Process Works

We confirm the device class first, because the class determines which document is required and how often.

Step one

Device Class and Reporting Obligations

We confirm the device class and establish the correct document, reporting frequency and submission route before drafting begins.

Step two

PMS Plan Development

We build the PMS plan to Annex III, covering data sources, collection routes, analysis methods, trend thresholds and the actions each threshold triggers.

Step three

Data Collection and Analysis

Data is gathered across the reporting period and trended against the defined thresholds, and signals are investigated as they arise.

Step four

PMSR or PSUR Preparation

We write the PMSR or PSUR with the benefit-risk conclusion drawn and PMCF findings incorporated, and prepare it for EUDAMED submission where the class requires it.

Our Experts

Our Post-Market Surveillance Writing Team

A named team of regulatory specialists stays with your project from scoping to delivery. Your project coordinator introduces each team member by name before work begins.

Regulatory medical writerAuthors the document to the applicable template and guidance

Writes the document against the governing template and regulatory guidance, keeps every statement traceable to its source data, and maintains the version history and comment log through each review round.

Responsible forDrafting and source traceability
Reviews againstICH, EU MDR/IVDR or FDA guidance, as applicable
OutputSubmission-ready document
Subject matter expertClinical or scientific expert matched to your product area

Reviews the clinical and scientific content for accuracy and confirms that each conclusion is supported by the data. Each expert is matched to your therapeutic or device area.

Responsible forScientific accuracy and interpretation
Reviews againstSource data and the current literature
FieldMatched to your product
BiostatisticianStatistical review where the document reports analysed data

Checks that statistical methods, tables and conclusions are consistent with the analysis plan, and reviews how the data are presented before the document reaches regulatory review.

Responsible forStatistical accuracy
Reviews againstICH E9 and the statistical analysis plan
ToolsR, SAS, Stata
Regulatory QC reviewerIndependent quality check before delivery

Performs an independent check of the final document against source data, the template and the applicable regulatory checklist. Findings are logged and resolved before delivery.

Responsible forIndependent quality control
Reviews againstSource data and regulatory checklists
Signed off byProject lead

Packages

Post-Market Surveillance Service Packages

Pricing depends on device class, portfolio size and the state of the data you already hold.

Plan

PMS plan

For manufacturers setting up the surveillance system

Quoted per projectBased on class and portfolio

Delivery By scope

  • ✓Sources identified with collection routes
  • ✓Analysis methods per source
  • ✓Trend thresholds defined and justified
  • ✓Action triggers and owners
  • ✓Written to Annex III
  • ✓Linked to the PMCF plan

A well-specified plan reduces the cost of each later report, because it defines in advance how every data source will be analysed.

Deliverables Request a quote
Report

PMSR or PSUR

For each reporting cycle

Quoted per projectBased on class and data volume

Delivery To your cycle date

  • ✓Correct document for the class
  • ✓Data analysed against the plan
  • ✓Sales volume and use population
  • ✓PMCF findings incorporated
  • ✓Benefit-risk conclusion
  • ✓EUDAMED submission where required

Tell us the device class and the cycle date, and we will confirm the required document and deadline.

Deliverables Request a quote
Portfolio

Portfolio programme

For manufacturers with many devices

Quoted per projectBased on device count and grouping

Delivery Scheduled

  • ✓Device grouping assessed and justified
  • ✓Shared PMS plan structure
  • ✓Reporting calendar across the portfolio
  • ✓Consistent trending across devices
  • ✓Escalation route for signals

Device grouping can make portfolio reporting more efficient, but it must be justified in a way a notified body will accept.

Deliverables Request a quote

Send your device class and your last report, and we will check the document type, the reporting frequency and the trending method at no cost. These three checks do not depend on your data.

FAQs

Post-Market Surveillance and PSUR FAQs

If your question is not answered here, ask an expert. No quote is required.

Class I devices produce a post-market surveillance report under Article 85. Class IIa, IIb and III produce a periodic safety update report under Article 86.

They are different documents with different content requirements, and producing the wrong one is a finding regardless of the quality of the underlying surveillance.

Class IIb and class III at least annually. Class IIa at least every two years. Class I PMS reports are updated when necessary.

Class III and implantable device PSURs are submitted to the notified body through EUDAMED. The others form part of the technical documentation reviewed at surveillance.

They fall under different regulations. The pharmaceutical PSUR or PBRER sits under GVP Module VII and ICH E2C(R2). The device PSUR sits under MDR Article 86, with its own content requirements.

The two documents share a name but have different requirements, and experience with one does not transfer automatically to the other.

A threshold set in advance and justified against your own baseline and the state of the art, rather than one decided once the data is available.

Article 88 requires reporting of statistically significant increases in the frequency or severity of incidents that are not serious. Without a pre-set threshold, there is no basis for judging significance.

Related Services

Related Medical Device Regulatory Writing Services

Post-market surveillance data feeds every other document in the technical file.

Request a Free Post-Market Surveillance Compliance Check

These three checks are the first an assessor makes, and none of them depends on your data.

Get a free quote

Regulations

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