NEXUS QUALITY & REGULATORY catalysts of compliance, architects of quality
MHRA-Registered UK Responsible Person

Founded by a practising Head of QA&RA with 10+ years across MD, IVD, and SaMD — Nexus QR gives non-UK manufacturers direct access to an expert who does this work every day.

10+
Years of MD, IVD & SaMD regulatory experience
MD · IVD · SaMD
All device types covered under one roof
MHRA
Registered & active UK Responsible Person
Three things we do exceptionally well.

From MHRA registration to ongoing compliance — we handle the regulatory heavy lifting so you can focus on building your device.

UK Responsible Person (UKRP)

We act as your MHRA-registered UK presence for MD, IVD, and SaMD — handling device registration, post-market obligations, and incident reporting on your behalf.

SaMD & IVD Compliance

Deep specialist knowledge in Software as a Medical Device, AI/ML devices, and in vitro diagnostics — including IEC 62304 software lifecycle and UK IVDR pathway advisory.

QA & Regulatory Consulting

From QMS design and ISO 13485 implementation to CAPA management and EU MDR alignment — the regulatory backbone your product needs from day one.

A clear path to UK market access.

No complexity theatre. A focused, three-step process from first call to full compliance — with a specialist by your side throughout.

01

Classify & Strategise

We assess your device type (MD, IVD, or SaMD), risk classification, and regulatory pathway — then map a tailored UK compliance strategy from day one.

02

Register & Submit

We register your device on MHRA DORS, manage your submission, handle technical file review, and respond to any MHRA queries on your behalf.

03

Stay Compliant

Post-registration, we manage your ongoing UKRP obligations — PMS, vigilance reporting, change notifications — so compliance never becomes a bottleneck.

What makes us different.

Practitioner, not just a consultant.

Our founder is a working Head of QA&RA — actively navigating the same regulatory landscape your device faces. You get real, current expertise, not templated advice.

Every device type. One specialist.

MD, IVD, SaMD — including AI/ML products and connected diagnostics. No handoffs, no subcontracting. One expert who understands the full spectrum.

Direct access. Always.

When you work with Nexus QR, you work directly with Nischith Raphael — MHRA-registered UKRP, Lead Auditor, and ABHI member. No account managers. No junior proxies.

Built by a practitioner.
Built for founders.

Regulatory complexity shouldn't be the reason a life-changing device doesn't reach patients. Nexus QR removes that obstacle — with genuine expertise, not generalism.

NR
Nischith Raphael
Founder & UK Responsible Person · Bristol, UK

The founder

Nischith Raphael is a medical device regulatory professional with over 10 years of hands-on experience across conventional medical devices, in vitro diagnostics, and Software as a Medical Device. He currently works as Head of Quality Assurance and Regulatory Affairs — meaning the advice you receive from Nexus QR is grounded in real, active regulatory practice, not theory.

Nischith has led QMS implementations from the ground up, achieving ISO 13485 and MDSAP certification in under a year with zero major non-conformances, across multi-jurisdictional registrations covering the UK, EU, UAE, and Asia-Pacific. His IVD and SaMD work spans AI-driven health tools, connected diagnostics, and clinical decision support software.

He is a Lead Auditor to ISO 13485:2016, a contributor to IEC 62304 software lifecycle process development, and a member of the Association of British HealthTech Industries (ABHI). He holds an MSc in Aerospace Materials from the University of Sheffield — a background that brings rigorous engineering thinking to every regulatory challenge.

Nexus QR was founded to give non-UK manufacturers direct, affordable access to the level of expertise typically locked inside large organisations — with full transparency, clear timelines, and no unnecessary complexity.

MHRA-Registered UK Responsible PersonAuthorised to represent non-UK MD, IVD & SaMD manufacturers in the British market
Lead Auditor — ISO 13485:2016Certified lead auditor for medical device quality management systems
ABHI MemberAssociation of British HealthTech Industries — connected to the UK MedTech ecosystem
IEC 62304 ContributorPractical experience in medical device software lifecycle process development
SaMD & AI SpecialistDeep experience with ML medical devices, DTx classification, and connected diagnostics
Based in Bristol, UKServing manufacturers from Europe, North America, Asia-Pacific, and the Middle East
Everything you need for UK market access.

Specialist services for medical device, IVD, and SaMD manufacturers entering or maintaining the UK market. No generalism — just the work that moves the needle.

Core Service

UK Responsible Person (UKRP)

Under UK MDR 2002, non-UK manufacturers must appoint a UK Responsible Person to register their devices with the MHRA. Nexus QR acts as your UKRP — MHRA-registered, managing your UK compliance obligations for conventional medical devices, IVDs, and SaMD, and ensuring your products remain on the market without disruption.

  • MHRA DORS device registration & management
  • Incident & vigilance reporting
  • Post-market surveillance liaison
  • UK labelling compliance review
  • Change notification handling
  • IVD & SaMD classification support
  • Annual review & regulatory updates
  • PRRC advisory support (EU parallel)
Specialist Service

SaMD, AI & IVD Compliance

Software as a Medical Device, AI/ML-driven health tools, and in vitro diagnostics require a level of regulatory depth that generalist consultants often cannot provide. Nexus QR brings direct hands-on experience in each of these categories — from early classification through to market authorisation and post-market obligations.

  • SaMD & AI/ML device classification
  • IEC 62304 software lifecycle compliance
  • IVD UK regulatory pathway advisory
  • Technical documentation review
  • Clinical evaluation & PMCF guidance
  • DTx & connected health assessment
  • Risk management (ISO 14971)
  • Multi-market strategy (UK + EU + MDSAP)
Consulting

Quality & Regulatory Affairs

From QMS design to CAPA management, EU MDR alignment, and long-term regulatory strategy — we work as a flexible extension of your team, with the depth to handle complex submissions and the speed to keep your timelines on track.

  • QMS gap analysis, design & implementation
  • ISO 13485 & MDSAP readiness
  • CAPA management & investigation
  • EU MDR / IVDR technical support
  • PMS plan design & PSUR drafting
  • Internal audit & supplier audit support
  • Regulatory due diligence
  • Team training & SOPs
Advisory

UKCA Certification Guidance

UKCA certification requirements are currently in a period of regulatory flux, with the MHRA continuing to accept CE marking for many device categories. We provide pragmatic, up-to-date advisory on your UKCA obligations — so you can plan ahead without over-investing in a moving target.

  • UKCA vs CE marking landscape review
  • Conformity route assessment
  • Technical file gap analysis
  • Approved Body selection guidance
  • Labelling & IFU compliance review
  • Transition timeline planning
Regulatory intelligence,
without the noise.

Practical, practitioner-written takes on UK MedTech regulation, MHRA updates, and what they mean for your product.

UKRP

How to register your medical device with the MHRA: a step-by-step guide

A plain-English walkthrough of MHRA DORS registration for non-UK manufacturers — from appointing a UKRP to your first approved listing.

February 2026 · 6 min read
SaMD

Is your AI health app a medical device? How to classify it under UK rules

Not every health app is a medical device — but if yours makes a clinical claim or drives a clinical decision, it almost certainly is. Here's how to tell.

January 2026 · 7 min read
IVD

UK IVD regulation post-Brexit: what changed and what it means for your diagnostic

The UK's IVD framework diverged from the EU IVDR after Brexit. If you're bringing a diagnostic to the UK market, here's what you need to know now.

December 2025 · 8 min read
Strategy

Running a dual UK/EU regulatory strategy without doubling your workload

Build your technical file and QMS with both markets in mind from day one — and avoid the costly rework of treating them as entirely separate projects.

November 2025 · 6 min read

Let's talk about your route to market.

Whether you're starting from scratch or picking up a stalled submission — we'll give you a straight answer about where you stand and what it takes to get there.

LocationBristol, UK — serving manufacturers globally
Emailhello@nexusqr.org
Response timeWe respond to all enquiries within 24 hours

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