Regulatory Open Forum

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  • 1.  21 CFR 820 REVISED VERSION

    Posted 01-May-2023 09:30

    I went through both CFR versions and looked at the most recent FDA 21 CFR 820, but I didn't notice any changes. I would like to know what specifically changed regarding the content of the regulations.



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    Nawal Tiouri
    Quality & Regulatory Engineer
    Ypsilanti MI
    United States
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  • 2.  RE: 21 CFR 820 REVISED VERSION

    Posted 01-May-2023 09:45

    21 CFR Part 820 is very stable; it seldom changes. The most recent change was in 2013 to implement the UDI rule.

    FDA is planning a major revision which will include a name change from QSR to QMSR. The current plan is to publish the final rule in December 2023.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 3.  RE: 21 CFR 820 REVISED VERSION

    Posted 02-May-2023 09:18

    Attended MedCon last week where FDA presented on the upcoming QMSR.  There was an article published on RAPS RF Today yesterday about the presentation.  

    As Dan stated the current plan indicates December 2023 for the update,  BUT there will be an update to the plan in June, so watch for that.  One of the things FDA has to accomplish is a re-write of the QSIT document for investigators to follow during an investigation, that may be a critical path item which could delay it.  FDA is already training the workforce on both ISO 13485:2016 and ISO 14971:2019 to prepare the workforce in both the field investigators and the premarket review teams.  ISO 14971 will be an important consideration for the agency, as risk is mentioned in a number of places in ISO 13485 unlike the one reference in 21 CFR 820.  It will also be more than just design-development, and will be part of post-market as well as purchasing and other parts of the new regulation.  Note that ISO 13485 is much more expansive in the postmarket than just CAPA and Complaints.  An Active process is required over the passive process of waiting for complaints to come in you must be searching for information in places such as registries, internet groups, snd your own studies of performance of the device in the field.  GHTF SG3/N18 the guidance on CAPA has some great information on the postmarket processes, and may be found at International Medical Device Regulators Forum (IMDRF)

    Also GHTF SG3/N17 on Supplier Quality is also a great reference on the Purchasing requirements in ISO 13485:2016.  Both the N17 and N18 BSc, ASQ Fellowdocuments were used as input on development of 13485.  As a final note, in the preparation for the new QMSR CDRH looked at the differences between 13485 and 21 CFR 820 (1996) and found they were 95% the same, but the 5% will require some work to implement.  



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    Edwin Bills MEd, BSc, ASQ Fellow, CQE, CQA, CQM/OE, RAC
    Principal Consultant
    Overland Park KS
    United States
    elb@edwinbillsconsultant.com
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  • 4.  RE: 21 CFR 820 REVISED VERSION

    Posted 02-May-2023 12:18

    Thank you for your response. This means that by the end of the 2023, we will need to completely revise all of our references and switch from using the ISO13485 and 21CFR820 as separate sources of information to using the QMSR. kindly correct me if I'm wrong.



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    Nawal Tiouri
    Quality & Regulatory Engineer
    Ypsilanti MI
    United States
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  • 5.  RE: 21 CFR 820 REVISED VERSION

    Posted 02-May-2023 12:35

    As they say, the devil is in the details.

    The current plan is for FDA to publish the final regulation in December 2023 with a transition period. FDA originally proposed a one year transition, but many of the comments to the docket asked for a two year transition. We don't yet know FDA's decision.

    The current QSR is in 21 CFR Part 820. The new QMSR will also be 21 CFR Part 820, replacing the current QSR contents.

    FDA's plan is not to adopt ISO 13485:2016 as many people have stated. Instead, FDA plans to use some clause of 13485 as written, modify some, delete some, and add some.

    The end result will be, to pick three regulatory regions:
    For Canada, ISO 13485:2016 as published
    For the US, ISO 13485:2016 with modifications to conform to US law
    For the EU, ISO 13485:2016 with modifications to conform to the MDR or the IVDR

    As of now, I don't think that the standard or modifications have contradictions, e.g., one requires something and one forbids it. Instead, the modifications are cumulative. Device manufacturers will develop one QMS that incorporates the base standard and all the modifications.



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    Dan O'Leary CQA, CQE
    Swanzey NH
    United States
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  • 6.  RE: 21 CFR 820 REVISED VERSION

    Posted 03-May-2023 10:18

    I want to correct your date of implementation. You won't need to change anything immediately. The FDA will include a date of implementation in the "Final Rule" when it is published in the Federal Register. The FDA had proposed a one year implementation for the regulation, but received pushback in the comments requesting 2 years and even one comment asking for three years. Because 21 CFR 820 in its present version is assessed to be 95% the same as ISO 13485:2016 the FDA proposed that one year would be adequate.

    We won't know the date of implementation until we see the final rule. You can start now with a gap analysis between your QMS and 820 to an indication of what needs to change and draft the changes but maybe wait to see the Final Rule before you implement to make sure there are no surprises in the FR. 



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    Edwin Bills MEd, BSc, ASQ Fellow, CQE, CQA, CQM/OE, RAC
    Principal Consultant
    Overland Park KS
    United States
    elb@edwinbillsconsultant.com
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  • 7.  RE: 21 CFR 820 REVISED VERSION

    Posted 01-May-2023 14:07

    Yes, you are correct. There have been no changes in 2021 through current. The last redline was per 85 FR 14422 on Apr. 2, 2020



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    Ajit Basrur
    Worcester MA
    United States
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  • 8.  RE: 21 CFR 820 REVISED VERSION

    Posted 01-May-2023 15:00

    You can search all the changes here:
    https://www.ecfr.gov/current/title-21/chapter-I/subchapter-H/part-820



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    Anne LeBlanc
    United States
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  • 9.  RE: 21 CFR 820 REVISED VERSION

    Posted 01-May-2023 15:32

    thank you @Ajit Basrur , that was very helpful to go through the changes .



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    Nawal Tiouri
    Quality & Regulatory Engineer
    Ypsilanti MI
    United States
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  • 10.  RE: 21 CFR 820 REVISED VERSION

    Posted 02-May-2023 05:26

    Nawal,

    You will see some updates periodically, but these are mostly editorial or administrative like Ajit provided where there are updates to contact information or references to other Federal Register (FR) entries.  The last major update was as Dan mentioned with the inclusion of Unique Device Identification (UDI).  And definitely bookmark the eCFR section Anne provided, because this is always the most current version of any regulation by US FDA (and not just the 820 section).



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    Richard Vincins ASQ-CQA, MTOPRA, RAC
    Vice President Global Regulatory Affairs
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