How an AI MedTech Startup Reached CE Marking

Synaptiq shares how MedQAIR supported its path to CE marking by strengthening its Technical File and Clinical Evaluation, addressing notified body findings, and developing practical quality processes for an AI/ML-enabled medical device.

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Synaptiq recently obtained CE marking. Looking back, how did MedQAIR’s support in quality and regulatory compliance help you prepare for this certification, and what impact do you expect it to have on your product's market readiness?

MedQAIR supported us primarily in strengthening our technical and clinical documentation so it meets the expectations of the notified body under MDR 2017/745. As an AI startup, translating our technical work into documentation that clearly demonstrates safety, performance, and clinical value is a complex challenge.

Their team helped us structure the technical file, identify gaps early, and make sure the clinical evaluation is aligned with regulatory expectations. This significantly reduced uncertainty and allowed us to schedule our audits with confidence.

For us, CE marking is not just a regulatory milestone. It’s what enables us to bring the product into clinical environments across Europe, and MedQAIR played an important role in helping us reach that stage in a structured way.

Can you describe how MedQAIR helped you address the findings in your technical file, particularly with the clinical evaluation? How did MedQAIR facilitate communication between Synaptiq and your notified body, TÜV, and how did this streamline your product development timeline?

One of the most valuable aspects of working with MedQAIR was how they helped us navigate feedback on the technical file, especially around the clinical evaluation. They were very practical in identifying what the notified body would expect and how we should address the findings without overcomplicating the documentation.

They also helped streamline the communication with TÜV. Instead of going back and forth without clear direction, we were able to respond in a structured way and close open points faster.

That made a real difference for us as a startup.

Ivo Flipse’s support during your technical review was a key aspect of the process. How did his expertise contribute to the smooth execution of the review and ensure you met all regulatory requirements?

Ivo played a key role during the technical review phase. He has a strong understanding of both the regulatory framework and how innovative products like AI-based medical software are evaluated.

His input helped us refine several parts of the documentation and prepare more effectively for the review discussions. Throughout the process, he remained incredibly pragmatic. Instead of theoretical guidance, he focused on actionable steps to move the review forward.

That combination of expertise and practicality made the process much smoother for our team.

As a startup, managing regulatory compliance and quality systems can be daunting. How did MedQAIR’s tailored approach provide the right balance of structure and flexibility for Synaptiq to meet ISO 13485 requirements?

For a startup, the challenge is balancing regulatory rigor with agility.

MedQAIR understood that context well. Their approach helped us build the processes required for ISO 13485 without introducing unnecessary complexity. They focused on what is essential and scalable, which is exactly what an early-stage medtech company needs.

It allowed us to establish a solid quality foundation without sacrificing our development speed.

How is the CE certification supporting Synaptiq’s growth, and how do you see it helping you as you work toward FDA approval?

Achieving CE marking is an important step for Synaptiq. It allows us to start deploying the product in European healthcare settings and gather real-world clinical experience.

At the same time, the work done around the technical documentation, clinical evaluation, and quality system also creates a strong basis for future regulatory pathways, including FDA.

The process with MedQAIR helped us build documentation and processes that are not just compliant for one milestone, but useful as we continue expanding internationally.

Looking back at the process, how would you describe MedQAIR’s overall contribution to Synaptiq’s regulatory work?

MedQAIR helped us translate a complex AI product into regulatory documentation that meets MDR expectations. Their support in structuring our Technical File, strengthening the Clinical Evaluation, and preparing us for notified body interactions gave us the confidence to move toward CE marking in a structured way. For a fast-moving startup like Synaptiq, that clarity and practicality made a real difference.

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About Synaptiq

Synaptiq is a MedTech company developing AI-powered software for radiotherapy. Its Mediq RT software supports radiation oncologists and medical physicists by automating the contouring of organs at risk and clinical target volumes, helping reduce the time required for this stage of radiotherapy planning.

“Quality processes shouldn't be a bureaucratic nightmare; they should live inside the company and make building a great medical device more efficient and safer. MedQAIR helped us do exactly that.”
Dragos Duse
Chief Executive Officer & Founder at Synaptiq.io

Preparing an AI/ML-enabled medical device for regulatory review?

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