Framing and structuring development
Give your project a development framework that is clear, realistic and proportionate to its technical, clinical and regulatory stakes.
XMD Advisory helps MedTech teams master Design Control : user needs, design requirements, risk management, verification, validation and traceability throughout the development lifecycle.
From the initial need to proof of compliance, I help your teams structure their decisions, manage risk and produce the right evidence at the right time — in France, across Europe, and on the US market.
Give your project a development framework that is clear, realistic and proportionate to its technical, clinical and regulatory stakes.
Connect user and clinical needs to design requirements that are clear, verifiable and traceable.
Embed risk management and the verification & validation strategy into design decisions from the very start of the project.
Build a coherent set of technical evidence, prepare the transfer, and secure future changes to your medical device.
Depending on your needs, I step in for a targeted intervention, as temporary reinforcement for an R&D/Quality team, or as senior advisor to project leadership.
My role is not to add documentation to your project, but to help you make the right design decisions and keep the evidence for them. Drawing on experience with medical devices, systems and software, I help you articulate technical constraints, real-world use, risk management and regulatory expectations into a coherent development approach.
Discuss your projectAn engineer by training, I have spent more than 30 years developing complex technology products, most of my career devoted to designing Class III implantable medical devices — defibrillators, pacemakers and visual restoration systems — for the European and US markets.
Today, as an independent consultant, I support MedTech startups and SMEs facing the growing complexity of European (EU MDR/IVDR) and US (FDA) regulations. My R&D technical-regulatory expertise is grounded in real project leadership experience interfacing with QARA and clinical teams. My approach is pragmatic: I pass on applicable methods, not just theory.
These references span interventional rhythmology and visual restoration: active implantable devices, detection and decision algorithms, clinical programmers, follow-up systems, and solutions combining implant, software and user interface. Some historical references are no longer commercialized; they nonetheless illustrate the complex technological and regulatory environments in which I built my Design Control experience.
Contribution: contributed to the development of the programmer software, including a discriminating detection algorithm combining atrial and ventricular information.
Worth noting — in a French multicenter study of 18 patients, the device correctly identified all 122 recorded ventricular tachycardia/fibrillation episodes, as well as 51 of the 53 supraventricular tachyarrhythmia episodes analyzed.
PubMed publication — clinical study ↗Contribution: contributed to the programming and clinical follow-up systems for the Ovatio range.
Worth noting — the PARAD+ discrimination algorithm combined with the AAIsafeR 2 pacing mode favored intrinsic conduction; when announcing the first clinical implants in 2005, ELA Medical stated this mode could limit ventricular pacing to 0.1% in patients with normal conduction.
First clinical implants announcement ↗ Clinical review — Europace ↗Contribution: contributed to the programming and clinical follow-up systems for the Paradym RF defibrillators, programmed via Orchestra — the programming system common to the entire range of ELA Medical / Sorin Group implantable defibrillators and pacemakers, and not specific to the Paradym RF range.
Worth noting — RF connectivity for remote monitoring, proprietary SafeR and PARAD+ algorithms; in the SonR CRT-D version, automatic optimization of the atrioventricular and interventricular delays showed improvement in 76% of patients at 12 months, versus 62% in the comparator group.
FDA clearance — BioSpace ↗ RESPOND-CRT / SonR trial ↗Historical range — the Ovatio, Paradym and Paradym RF devices are no longer commercialized under these brands. Orchestra, the programming system common to the entire range of ELA Medical/Sorin Group implantable defibrillators and pacemakers (including the Ovatio and Paradym ranges), is still referenced by MicroPort CRM.
Contribution: contributed to the systems and software development of the PRIMA program, initially led by Pixium Vision and continued by Science Corporation, intended for people with geographic atrophy secondary to dry AMD.
Worth noting — a wireless photovoltaic subretinal implant paired with glasses that supply power and data; a study published in the New England Journal of Medicine on 38 participants showed a mean improvement of 25.5 letters on the ETDRS scale at 12 months, with 84% of participants reporting they could read letters, numbers or words.
Clinical study — New England Journal of Medicine ↗ PRIMA study — UPMC ↗ European commercial launch — Science Corporation ↗ Time Magazine cover story — “Computer Chips in Our Bodies Could Be the Future of Medicine” ↗Working on a medical device and need regulatory or technical support? I reply to every request within 48 hours.