I highly recommend using NAMSA. It's small/mid-size med-device focused CRO based in Minneapolis. They have an office in Germany.

Thanks very much Annabella!

Joel, we are a MedDev CRO with an office in Germany - Mainz. If you are still considering options. Work with many small start-ups

Hi Joel - happy to give you some advice from establishing numerous successful, Sponsor-CRO partnerships over the years, including medical devices. Please connect with me at alethea@clinicalresearchstrategies.com, call me anytime day or night at 724.272.1245, or check out how we mitigate risks in all aspects of CRO selection. We do it right the first time. Alethea Wieland, Founder and President, www.clinicalresearchstrategies.com/about.html

ps - here is a recent article I wrote on avoiding cost overruns and rescue trials: https://www.linkedin.com/company/clinical-research-strategies/

Hi Joel,
You might consider Factory-CRO in Netherlands. They have lots of experience working with small / start-up companies including several of my client. They have ENT experience, and experience working in Germany. They also offer an EDC hosted on their own servers that is 21 CFR part 11 compliant. Finally, they recently acquired a second small medical device CRO in the US--Boston Biomedical Associates.