Meridian Therapeutics · Cardio-Sense CSM-2Class III · APAC launchHSA · PMDA · NMPA · TGA

Process overview

From strategy to surveillance.
Eight stages. End-to-end agentic. Governed by design.

A device launch lives across regulatory affairs, clinical, health economics, medical affairs, market access, and pharmacovigilance — for years. Aegis runs the whole cycle as governed agents. Humans still own every decision.

01 · STRATSEALED

Regulatory strategy

Global Regulatory Strategy

VP RAPriya Raman

02 · EVIDSEALED

Clinical evidence

Clinical Evaluation Report

CMODr. M. Okafor

03 · HEORSEALED

Health economics

Global Value Dossier

HEORLinnea Sato

04 · SUBMACTIVE

Regulatory submission

Submission Dossier

VP RAPriya Raman

Submission Agent is assembling the dossier — clinical evidence, HEOR, design history, manufacturing, labeling — module by module against HSA, PMDA, NMPA, and TGA. Two named approvers must release before transmission.

AEGIS AGENT

Submission Agent

HUMAN CHECKPOINT

2-person release · VP RA + VP Quality

KEY ARTIFACT

Submission Dossier

GOVERNANCE HOOK

Cryptographic submission receipt

05 · REVWQUEUED

Authority review & response

Deficiency response · Approval letter

DIR RAK. Voss

06 · MLRQUEUED

MLR review

Approved Asset · MLR ID

MLR CMTE3-person sign-off

07 · ACCSQUEUED

Market access

Payer Dossier · coverage agreements

VP MAJ. Tanaka

08 · PMSQUEUED

Post-market surveillance

PSUR · on-demand audit pack

CSODr. R. Engel