This case study details a managed document review solution implemented for a leading global medical device company facing a high-stakes regulatory dispute. The company required the rapid deployment of approximately 100 qualified review attorneys within 24 hours to handle nearly half a million potentially responsive documents. Avalon partnered with the client to design and execute a comprehensive managed review strategy that emphasized speed, transparency, and operational control. The approach included disciplined communication, platform-driven efficiency, and rigorous project management under a fixed-cost pricing model. The results demonstrated successful staffing, timely completion of review milestones, and effective management of evolving counsel expectations. By leveraging structured oversight and financial precision, Avalon ensured a defensible work product while maintaining control over cost and quality. This engagement illustrated the effectiveness of a well-managed review model in navigating complex legal challenges while adhering to tight deadlines and budget constraints.