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Nonconforming Product Control: Auditing the Effectiveness of Your Disposition Process

The Importance of Nonconforming Product Control Control of nonconforming product is a fundamental quality management system requirement that directly affects product quality and patient safety. ISO 13485:2016 Clause 8.3 requires organizations to ensure that product which does not conform to product requirements is identified and controlled to prevent its unintended use or delivery. For medical device manufacturers, the consequences…

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QMSR Purchasing Controls: New Requirements for Medical Device Procurement and Supplier Management

Purchasing Controls Under the QMSR The QMSR has changed how medical device manufacturers must approach purchasing and supplier management. By incorporating ISO 13485:2016 Clause 7.4, the QMSR establishes a comprehensive framework for the control of purchasing processes, including supplier evaluation, purchasing information, and verification of purchased product. Additional FDA-specific requirements supplement these base requirements in areas where U.S. regulatory…

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Continuous Improvement in Medical Device Quality Systems: Moving Beyond Minimum Compliance

The Case for Continuous Improvement Medical device quality management systems must do more than maintain minimum compliance with ISO 13485 and regulatory requirements. They must continuously improve to keep pace with evolving technology, regulatory expectations, customer needs, and competitive pressures. Organizations that achieve certification and then maintain the status quo eventually fall behind, as the industry and its requirements…

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ISO 13485 Management Review for Medical Device Companies: Meeting Regulatory Expectations

Management Review Under ISO 13485 Management review is a critical quality management system element that demonstrates top management’s engagement with and oversight of the quality system. Under ISO 13485:2016 Clause 5.6, organizations must conduct management reviews at planned intervals to ensure the continuing suitability, adequacy, and effectiveness of the quality management system. With the adoption of the QMSR by…

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How to Select an Independent Auditor for Your Medical Device Quality System

Why Auditor Selection Matters The value of an independent audit depends entirely on the competence, objectivity, and professionalism of the auditor conducting the assessment. Selecting the right independent auditor is therefore a critical decision that affects the quality of your quality oversight, the usefulness of audit findings, and the return on your audit investment. Not all independent auditors are…

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Virtual and Hybrid Audit Approaches: Adapting Quality Auditing for Modern Business Needs

The Evolution of Audit Delivery Models The practice of quality auditing has evolved significantly in recent years, with virtual and hybrid audit approaches becoming established components of audit programs alongside traditional on-site assessments. While on-site audits remain the gold standard for comprehensive quality system evaluation, virtual and hybrid models offer flexibility, efficiency, and accessibility that complement on-site capabilities. Virtual…

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Contract Sterilizer Audit: Ensuring Sterilization Process Quality in Your Supply Chain

The Critical Role of Contract Sterilization Sterilization is one of the most critical processes in medical device manufacturing, and many manufacturers outsource this operation to contract sterilization service providers. The quality of the sterilization process directly affects device safety — inadequate sterilization can lead to patient infections and other serious adverse events. For this reason, contract sterilizer audits are…

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QMSR Management Responsibility: What the FDA Expects from Top Management

Management Responsibility Under the QMSR The Quality Management System Regulation, through its incorporation of ISO 13485:2016, places explicit responsibility on top management for the quality management system. Clause 5 of ISO 13485 establishes requirements for management commitment, customer focus, quality policy, planning, responsibility and authority, management representative, and management review. Under the QMSR, these requirements are now evaluated during…

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Medical Device Post-Market Surveillance Audit: Evaluating Your Feedback and Monitoring Systems

The Importance of Post-Market Surveillance Post-market surveillance (PMS) is the systematic process of collecting, analyzing, and acting on information about medical device performance after the device has been placed on the market. Under both the FDA QMSR and the EU MDR, post-market surveillance is a mandatory component of the quality management system, and its effectiveness is increasingly scrutinized during…

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QMSR Training and Competence Requirements: Building a Workforce Ready for Compliance

Training Under the QMSR Framework The Quality Management System Regulation, through its incorporation of ISO 13485:2016, establishes clear requirements for personnel competence, training, and awareness. Clause 6.2 of ISO 13485 requires organizations to determine the necessary competence for personnel performing work affecting product quality, provide training or take other actions to achieve the necessary competence, evaluate the effectiveness of…

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