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  • 1.  FDA Supplanting QSR with ISO 13485

    Posted 09-May-2018 17:04
    The FDA announced today via the published Unified Agenda, their intent to harmonize and modernize the Quality System regulation for medical devices by supplanting existing QMS requirements with those of ISO 13485:2016. Hats off to the FDA for this forward thinking & clear move forward to more harmonization!

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    FDA intends to harmonize and modernize the Quality System regulation for medical devices. The revisions will supplant the existing requirements with the specifications of an international consensus standard for medical device manufacture, ISO 13485:2016. The revisions are intended to reduce compliance and recordkeeping burdens on device manufacturers by harmonizing domestic and international requirements.
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    #regulations #medicaldevices #iso13485 #qualitysystem

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    Lena Cordie
    Victoria MN
    United States
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  • 2.  RE: FDA Supplanting QSR with ISO 13485

    Posted 10-May-2018 08:25
    ​Hi Lena.

    This is rather interesting to me for the simple reason that FDA is essentially claiming it will harmonize with ISO but technically aren't ISO documents copyright protected?  So really the only way that this can happen (I think) is for FDA to publish essentially the entire ISO document as a Federal Register notification in the form of notice-and-comment rulemaking.  That is a potential copyright issue (unless FDA has gotten permission from ISO????) but the bigger issue I see is the updating process.  As you likely realize the ISO documents can be reviewed and updated every few years so is FDA planning to update and keep the QSR requirements equivalent to ISO because I would think that would be a significant potential drain on resources at the agency....

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    Victor Mencarelli
    Director Regulatory Affairs
    United States
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  • 3.  RE: FDA Supplanting QSR with ISO 13485

    Posted 11-May-2018 08:01
    Hello  Victor,

    They would just accept it as their recognized consensus standard? No need to republish, but they may need the rule making and public comment, as they stated. And for gosh sakes retrain the field operations!

    I was talking about this last night with a client currently in audit preparation for ISO 13485, and I am glad they are hooked up with a reputable Notified Body. They did this, even though FDA was going to be their first market, and for that they would also have to meet QSR.  BUT their other markets all required ISO 13485.

    The client rightly pointed out that in this time of a shortage of Notified Bodies or companies available to certify the QMS to ISO 13485, this could have a huge impact on small US companies or those companies who only market in the US and only ever planned to stay in the US.  Now they have to assess and/or remediate to ISO. Will there be enough resources?

    Maybe it won't be a big deal, but it will be interesting to follow.

    Thoughts?


    Ginger Cantor, MBA, RAC
    Centaur Consulting LLC centaurconsultingllc@gmail.com
    (+1) 715-307-1850


       





  • 4.  RE: FDA Supplanting QSR with ISO 13485

    Posted 11-May-2018 19:04
    Hi Ginger.

    I am personally in favor of anything that makes the global regulatory environment easier to navigate especially where so much of the work is so similar and there are limited "additions" or "variations on the theme" between jurisdictions.

    My point was that FDA retraining field staff in ISO but not publishing the fact that they are using ISO or can use ISO or whatever is just as impractical as field staff continuing to audit solely against QSR when FDA is willing to accept ISO.  The bigger issue that I have is that FDA "allowing" for ISO but not mandating it will ultimately end up in insane when it comes to inspections (at least in the near term) because inspectors almost invariably will fall back on what they "know" as opposed to what the regulation might say.

    Finally, the idea that FDA would "accept" ISO without publishing what they will "accept" really doesn't, in my opinion, qualify as meeting the "notice" requirement in "notice-and-comment" rulemaking.  How can someone who doesn't have access to the document being discussed possibly provide any reasoned comment without knowing what they are commenting on?  So if you think about it, it could be argued that FDA violates Administrative Procedures Act requirements if they don't publish the entire text of the document when you ask stakeholders to comment on it.

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    Victor Mencarelli
    Director Regulatory Affairs
    United States
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  • 5.  RE: FDA Supplanting QSR with ISO 13485

    Posted 10-May-2018 10:28
    The FDA under Gottlieb is actually becoming <g class="gr_ gr_25 gr-alert gr_gramm gr_inline_cards gr_disable_anim_appear Grammar multiReplace" id="25" data-gr-id="25">more agile</g> as well as practical without losing the 1938 founding mandate. It makes a lot of sense to align with ISO since EMA has been doing for quite a while and this goes along with the reciprocity agreement signed by both agencies a few years ago. It would be a great idea for RAPS to sponsor courses on this subject but suggest waiting to advertise them until this bill clears both chambers.

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    [Robert] [Falcone]
    [Integris3Biosolutions]
    [Bedminster] [NJ]
    [US]
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  • 6.  RE: FDA Supplanting QSR with ISO 13485

    Posted 11-May-2018 08:29
    AAMI, which works very closely with FDA, has just revised its Quality Systems course to include ISO 13485 alongside the current 21 CFR 820 QS Reg. FDA was involved with the update. 

    I would read FDA's announcement carefully, not sure they will completely drop 820, looks like a revision may occur with references to 13485. We will watch carefully how this evolves and when. Certainly FDA is much more nimble and a different agency today.

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    Edwin Bills RAC, MA
    Principal Consultant
    Overland Park KS
    United States
    elb@edwinbillsconsultant.com
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  • 7.  RE: FDA Supplanting QSR with ISO 13485

    Posted 11-May-2018 05:17
    You are absolutely correct Victor !!  Thank you for bringing up that point.  (Grumbles about having to paying for all these standards which are expected for conformity.)  They would have to make ISO 13485:2016 and any future versions completely free as they can not mandate regulatory requirements against a standard that companies have to go out paying $200+ for obtaining.  In fact, this goes against the mandate of FDA's (and the overall government) aspect of 'least burdensome approach.'  Because for small companies having to obtain thousands of dollars worth of standards is not least burdensome approach.  In fact, there was a mandate in U.S. government to make military specs, standards, and other information readily available and free Military Standards MIL-STD, Military specifications MIL SPEC .  Sorry about the rant, but making medical device companies comply with all these myriad of standards costing thousands of dollars for small companies which is really burdensome - plus electronic distribution costs pennies, so have a real problem about standards costing hundreds of dollars.

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    Richard Vincins RAC
    Vice President Regulatory Affairs
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  • 8.  RE: FDA Supplanting QSR with ISO 13485

    Posted 12-May-2018 13:47
    All interesting points raised. This decision may also have something to do with  MDSAP and their participation.

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    Stacie-Ann Creighton
    Indianapolis IN
    United States
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