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Presented	by:
Jon	Speer
Founder	&	VP	QA/RA
Who	is	Jon	Speer
• 18+	years	in	the	med	device	industry
• 40+	products	to	market
• Speaker
• Thought	leader	and	regular	contributor	at	Med	
Device	Online,	MedCity	News,	QMed,	Quality	Digest	
and	other	leading	industry	publications
• Expert	in	implementing	quality	systems
• Run	one	of	the	most	popular	blogs	&	the	#1	podcast	
in	the	medical	device	industry
• Founder	and	VP	QA/RA	greenlight.guru
@creoquality @greenlightguru
Jon.Speer@greenlight.guru
+1	317	960	4280
greenlight.guru - The	Only	eQMS Software	Designed	Exclusively	for	
the	Unique	Needs	of	the	Medical	Device	Industry
New	FDA	Commissioner	– The	Candidates
http://www.medicaldesignandoutsourcing.com/donald-trump-6-questions-medtech-
needs-to-ask/
1. What	comes	after	the	ACA?
2. Will	medical	device	regulation	be	reduced?
3. Is	the	medical	device	tax	repeal	going	to	be	permanent?
4. Will	healthcare	get	tort	reform?
5. What	will	happen	to	Medicare	and	Medicaid?
CAPA
FDA	Inspectional	Observations	CY2004-CY2015	by	QS	Subsystem
https://www.fda.gov/downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/
CDRH/CDRHTransparency/UCM490768.pdf
https://www.fda.gov/ICECI/EnforcementActions/ucm531890.htm#Devices
FDA	FY2016	
Inspectional	
Observation	Data
Overview
• Integrates	risk	throughout	the	QMS	and	product	life-cycle—risk-based	decision-making
• Move	toward	harmonization	with	US	CFR,	Brazilian	law	(ANVISA),	CMDR	(Canada),	and	
other	law	(MDD,	JPAL,	TGA)—MDSAP
• Additional	linkage	to	documentation	required	for	regulatory	purposes
• Integration	of	QMS	software
Overview	(cont.)
• Emphasis	on	appropriate	infrastructure
• New	references	to	other	standards	(usability,	sterile	barrier,	etc.)
• New	sections	on	complaint	handling	and	reporting	to	regulatory	authorities
• Clarity	for	auditing
• Planning	and	documenting	corrective	action	(without	undue	delay)	and	preventive	action
List	of	Clauses	Impacted
• 1	Scope
• 3	Terms	and	definitions
• 4	Quality	management	system
• 4.1	General	requirements
• 4.2	Documentation	requirements
• 5.6	Management	review
• 6.2	Human	resources
• 6.3	Infrastructure
• 6.4	Work	environment	and	contamination	control
• 7.1	Planning	of	product	realization
• 7.2	Customer-related	processes
• 7.3.2	Design	and	development	planning
• 7.3.3	Design	and	development	inputs
• 7.3.5	Design	and	development	review
• 7.3.6	Design	and	development	verification
• 7.3.7	Design	and	development	validation
• 7.3.8	Design	and	development	transfer
• 7.3.9	Control	of	design	and	development	changes
• 7.3.10	Design	and	development	files
• 7.4.1	Purchasing	process
• 7.4.2	Purchasing	information
• 7.4.3	Verification	of	purchased	product
• 7.5.1	Control	of	production	and	service	provision
• 7.5.2	Cleanliness	of	product
• 7.5.4	Servicing	activities
• 7.5.6	Validation	of	processes	for	production	and	service	
provision
• 7.5.7	Particular	requirements	for	validation	of	processes	for	
sterilization	and	sterile	barrier	systems
• 7.5.8	Identification
• 7.5.11	Preservation	of	product
• 8.2.1	Feedback
• 8.2.2	Complaint	handling
• 8.2.3	Reporting	to	regulatory	authorities
• 8.2.6	Monitoring	and	measurement	of	product
• 8.3	Control	of	nonconforming	product
• 8.4	Analysis	of	data
• 8.5.2	Corrective	action
• 8.5.3	Preventive	action
http://www.greenlight.guru/medical-device-resources
http://blog.greenlight.guru/iso-13485-2016-iso-13485-2003-fda-21-cfr-part-820
ISO	13485:2016	vs.	ISO	13485:2003	vs.	FDA	21	CFR	Part	820:	
Comparing	the	Differences	and	Changes
+
http://www.greenlight.guru/medical-device-resources
Why	do	we	need	a	new	regulation?
• Emphasis	on	appropriate	infrastructure
• Concerns	from	regulators	– addressing	concerns	from	the	various	scandals
• Address	regulatory	weaknesses	(NBs,	availability	of	information)	to	increase	confidence
• International	harmonization	– implementing	GHTF/IMDRF
• Problems	on	implementation	– lack	of	resources	and	lack	of	harmonization	at	the	EU	level
• Universal	implementation	across	member	states	as	a	regulation
http://www.greenlight.guru/medical-device-resources
https://www.emergogroup.com/resources/research/fda-510k-review-times-research
http://blog.greenlight.guru/how-to-avoid-510-k-submission-rejected
http://blog.greenlight.guru/fda-510-k-submission
http://www.greenlight.guru/medical-device-resources
Bonus!
What	is	MDSAP?
The	concept	of	the	Medical	Device	Single	Audit	Program	is	based	on	the	premise	of	a	
company	receiving	a	single	regulatory	audit	of	the	company’s	quality	management	system	
that	will	satisfy	the	requirements	of	multiple	regulatory	agencies.
• Regulatory	Agencies	involved:
• U.S.	FDA
• Therapeutic	Goods	Administration	of	Australia
• Brazil’s	Agência Nacional	de	Vigilância Sanitária
• Health	Canada
• Japan’s	Ministry	of	Health,	Labour	and	Welfare,	and	the	Japanese	Pharmaceuticals	
and	Medical	Devices	Agency
• The	World	Health	Organization	(WHO)	Prequalification	of	In	Vitro	Diagnostics	(IVDs)	
Programme	and	the	European	Union	(EU)	are	Official	Observers
http://www.imdrf.org/docs/imdrf/final/technical/imdrf-tech-
160324-requirements-auditing-orar.pdf
MDSAP	Auditing	Organizations:	
https://www.fda.gov/downloads/MedicalDevices/InternationalPrograms/
MDSAPPilot/UCM429978.pdf
MDSAP	FAQ:	
https://www.fda.gov/downloads/MedicalDevices/Interna
tionalPrograms/MDSAPPilot/UCM430563.pdf
Learn	more	by	visiting:
http://greenlight.guru
greenlight.guru - The	Only	eQMS Software	Designed	Exclusively	for	
the	Unique	Needs	of	the	Medical	Device	Industry
Jon	Speer
@creoquality /	@greenlightguru
Jon.Speer@greenlight.guru
+1	(317)	960-4280
Learn	more	by	visiting:
http://greenlight.guru
Q&A

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