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An overview of 21 CFR Part 820 - quality systems for medical device manufacturers
What is 21 CFR Part 820?
21 CFR 820 is the FDA federal regulation that pertains to quality systems for medical device manufacturers, and it is part of the agency’s set of Current Good Manufacturing Practices (CGMP) for industry. Also referred to as the FDA’s quality system regulation (QSR), the regulation defines design controls and quality processes at all stages of device development in order to ensure that all medical devices marketed in the United States are safe and effective.
21 CFR 820 consists of 15 subparts, which define quality system requirements for each stage and function within the medical device manufacturing process. We define each subpart below.
Federal regulations are organized as Title → Chapter → Subchapter → Part, which means that 21 CFR 820 is short-hand for:

21 CFR 820 vs ISO 13485
ISO 13485 is the de facto international quality system standard for medical device manufacturers, but this is not currently the standard in the United States. While Part 820 and ISO 13485 are structured differently, they have no conflicting requirements. Therefore, companies that are marketing medical devices in the U.S. and in other markets will need to comply with both ISO 13485 and the FDA’s QSR, as defined in 21 CFR 820.
However, the FDA is moving towards harmonizing these standards, and on February 23, 2022 issued a proposed rule to amend the QSR to align more closely with the international consensus standard for Quality Management Systems, primarily by incorporating reference to the ISO 13485 standard. The FDA has published FAQ’s about the proposed rule.
21 CFR Part 820 Requirements
Part 820: General Controls (subpart A)
The General Controls subpart contains three sections providing general information about the regulation, including the scope and applicability along with key definitions.
Scope
The regulation defines current good manufacturing practice (CGMP) requirements governing the methods, facilities, and controls used for the “design, manufacture, packaging, labeling, storage, installation, and servicing of all finished devices intended for human use." Specifically, this subpart defines:
- Applicability:
The requirements of this regulation are intended to ensure the safety and efficacy of all finished medical devices intended for human use that are manufactured in or imported into the United States. Manufacturers that are involved in some, but not all, manufacturing operations should comply with those requirements that are applicable to the functions they are performing.
Exceptions:
- This regulation does not apply to manufacturers of medical device components, but such manufacturers are encouraged to use this regulation as guidance.
- Class I medical devices are exempt from the Design Controls defined in this regulation, except for those listed in § 820.30(a)(2).
- Manufacturers of blood and blood components are not subject to this regulation but are subject to Biologics good manufacturing practices as defined in Subchapter F, Part 606 of the regulation.
Definitions
This section of the regulation contains definitions for a number of terms used throughout the document. The following are the major definitions related to quality records:
- Design history file (DHF): A compilation of records that describes the design history of a finished device.
- Design input: The physical and performance requirements of a device that are used as a basis for device design.
- Design output: The results of a design effort at each design phase and at the end of the total design effort. The finished design output is the basis for the device master record. The total finished design output consists of the device, its packaging and labeling, and the device master record.
- Device history record (DHR): A compilation of records containing the production history of a finished device.
- Device master record (DMR): A compilation of records containing the procedures and specifications for a finished device.
Quality System
The section of the regulation sets the basic requirement for a quality system by stating that “Each manufacturer shall establish and maintain a quality system that is appropriate for the specific medical device(s) designed or manufactured, and that meets the requirements of this part.”
The term “appropriate” is used throughout this regulation and can be open to interpretation. A manufacturer, however, should assume that all requirements are appropriate and applicable except in cases where non-implementation of the requirement can be shown to have no effect on the product's specified requirements or ability to carry out necessary corrective actions.
Quality system requirements (subpart B)
This section of the regulation defines the overall responsibilities and the resources required for the management of the quality system.
Management responsibilities
Executive management is responsible for establishing a quality policy and ensuring adequate resources to effectively maintain and manage the quality system. In addition, management is responsible for establishing a specific quality plan, consisting of relevant practices, resources, activities, and procedures.
Quality audit
Periodic audits of the quality system are required to be conducted by personnel not directly responsible for the activities being audited. The dates and results of each audit need to be documented, along with the results of the audit. It is expected that corrective actions and, when necessary, reaudits, be performed for any identified noncompliances.
Personnel
Manufacturers are responsible for assigning sufficient personnel with appropriate experience and training to perform all tasks required by the quality system plan.
Design controls (subpart C)
Manufacturers of all class II and class III medical devices, along with the specific class I devices listed in paragraph (a)(2) of this regulation, are required to establish design control procedures that ensure design requirements are met as specified.
Design controls shall define:
- Design and development planning - Plans that describe the design and development activities, and responsibilities for these activities and their implementation.
- Design input - Procedures that ensure design requirements are appropriate and address the intended use of the device.
- Design output - Procedures that document design output, including acceptance criteria, so that conformance to design input requirements can be adequately evaluated.
- Design review - Formal and documented reviews of the ensign results that include participation from representatives of all.
- Design verification - Procedures for verifying the device design that confirm that the design output meets the design input requirements.
- Design validation - Procedures for validating the device design, ensuring that devices conform to defined user needs and intended uses, and including testing of production units under actual or simulated conditions.
- Design transfer - Procedures to ensure that the device design is correctly translated into production specification.
- Design changes - Procedures for identifying, documenting, validating, and managing the verification and approval process of all design changes before they are implemented.
- Design history file - A design history file (DHF) is required for each type of device and should include or reference the records necessary to demonstrate that the design was developed in accordance with the approved design plan and device requirements.
Document controls (subpart D)
Medical device manufacturers are required to put in place document controls for all documents required in this regulation.
Document approval and distribution
One or more people must be assigned to review and approve documents prior to issuance. The approval must be documented, include a date and the signature of the approver, and be made available at all locations where applicable. Procedures must also be in place to ensure that obsolete documents are removed and/or prevented from being used.
Document changes
Similar to document approval procedures, changes to documents must be approved, reviewed, and documented. Records of all changes must be maintained.
Purchasing controls (subpart E)
To continue reading this Regulatory Brief, including a definition of the remaining subparts and a comparison of 21 CFR 820 to ISO 13485, please download the full brief.

CE marking guide for medical devices in the EU
This article is an excerpt from the CE marking guide for medical devices in the European Union.
Table of Contents
- What is CE marking?
- Why is CE marking important?
- CE marking responsibilities
- What countries require or accept CE marking?
- Which medical devices require a CE mark?
- Technical documentation
- What are the costs associated with CE marking?
- How do you apply the CE marking?
- CE mark and UDI
- Does the CE mark expire?
- Do I need to CE mark my software?
- Final steps
CE marking is a symbol that consists of “CE, “ which is the abbreviation of the French phrase "Conformité Européene" meaning "European Conformity". The term initially used to describe “CE” was "EC Mark" but it has officially been replaced by "CE marking" according to the EU Directive 93/68/EEC. CE marking is used in all EU official documents, although you will still see "EC Mark" being used in common language. If you are using EC Mark in your documentation, you should change that terminology to CE marking in the future.
The letters ‘CE’ appear on many products traded on the Single Market in all the member states of the European Union plus Iceland, Liechtenstein, Norway and Switzerland. Simply put, The CE mark is a mandatory compliance mark, informing the consumer that the product is compliant with all applicable EU directives and regulations where the CE mark is required.
The Single Market was established in 1993 and is still considered one of the most significant achievements of the European Union. The main goal was to ensure the movement of goods and services freely within all the member states and to establish high safety standards for consumers. The CE mark indicates that goods and services do not need to be verified when shipping into another member country. To further support this movement, in April 2011, the Single Market Act was established to boost growth and strengthen confidence in the economy even further.
CE marking is required for many types of products, not just medical devices. The CE symbol can be found on bicycle helmets, toys, laptop batteries, wheelchairs, construction equipment, gas appliances and cell phone chargers - to name a few. CE marking is required for products manufactured anywhere that are sold in the EU, and only for those products for which EU specifications exist and require CE marking. The CE marking signifies that the product has been found to meet the general safety and performance requirements (GSPRs) of the European health, safety and environmental protection legislation and allows the product to be sold in the EU.
Manufacturer responsibilities for CE marking
Medical device manufacturers are responsible for properly and legally CE marking products before they leave the warehouse.
Most Class II and III medical devices, along with IVDs and some Class I devices, require a conformity assessment performed by a Notified Body to ensure that all legislative requirements are met before it can be placed on the market. Manufacturers of most Class I devices can self assess conformity. This process needs to demonstrate that all the legislative requirements are met, including any testing and inspections, and that all necessary certifications are obtained.
The European Commission lists 6 steps that manufactures should follow to affix a CE marking to their devices:
- Identify the applicable directive(s) and harmonized standards - see EU standards for Medical Devices, In Vitro Diagnostic (IVD) devices, and Implantable Medical Devices.
- Verify product specific requirements using the essential principles identified in the above standards.
- Identify whether an independent conformity assessment by a Notified Body is necessary. Notified bodies will be required to verify compliance with relevant Essential Requirements for most medical devices classified as IIa, IIb, or III - along with sterile class I devices. See the Notified and Designated Organization (NANDO) database for available notified bodies.
- Test the product and check its conformity.
- Create and keep available the required technical documentation.
- Affix the CE marking and create the EU Declaration of Conformity.
Importer responsibilities for CE marking
If you are importing medical devices into the EU, it is your responsibility to review all the technical documentation and maintain a copy, or to make sure that it’s available to you upon request.
You should verify:
- That the device has been CE marked and that the EU declaration of conformity has been completed.
- That the manufacturer has designated and established an authorized representative.
- That the device is labeled appropriately and contains instructions for use (IFU).
- When applicable, that a UDI has been assigned to the product.
- Whether or not the product is registered in EUDAMED (registration is currently voluntary).
Take action:
- List your name and address on the device or packaging, in addition to the manufacturer’s information.
- Keep records of complaints, non-conformities, recalls, etc. on file.
- Report any noticed non-conformity or product complaints from end users to the manufacturer and authorized representative immediately.
- Maintain a copy of the EU declaration of conformity and any other relevant certificates.
Distributor responsibilities for CE marking
If you are a distributor, you are responsible for reviewing the technical documentation provided to you so that you can verify the product is safe to put on the local market. You must also be sure the product is labeled correctly with the CE marking symbol clearly visible. The technical file documentation contains all of the information that is necessary to show conformity of the product to the applicable requirements.
You should verify:
- That the device has been CE marked and that the EU declaration of conformity has been completed.
- That the device includes all the appropriate labeling, including instructions for use.
- That if imported, the importer has complied with all the EU regulations.
- When applicable, that a UDI has been assigned to the product.
Take action:
- Report any noticed non-conformity to the manufacturer, importer, and authorized representative immediately.
- If a product appears to be out of compliance to the regulations and could pose a serious risk, the information should be reported to the Competent Authority, and to the manufacturer, importer and authorized representative.
- Any complaints or reports from end users about the product should be reported to the manufacturer and, if necessary, to the importer and authorized representative.
Important note: If the importer or distributor markets the product under their own company name, then they become responsible for CE marketing, and take over that role from the manufacturer.
CE marking is mandatory when importing products into the European Union, which is part of the larger European Economic Area (EEA). The EEA Agreement, established in 1992 and made official in 1994, is an international agreement that enables the extension of the European Union’s single market to non-EU members. It consists of the 27 EU countries plus the four European Free Trade Association (EFTA) countries - Iceland, Liechtenstein, Norway and Switzerland. Today, the EFTA has 29 Free Trade Agreements (FTAs) with 40 countries and territories outside the EU. Because these countries operate in the single market, this allows free movement of goods and services across all of the EEA.

Source: European Environment Agency (EEA).
All medical devices sold in the EU require a CE mark. While a CE mark is not required for items such as chemicals and pharmaceuticals, it can be required for combination devices and medical device software. For these two situations, how do you know if your product requires a CE mark?
To continue reading this ebook, including an overview of CE mark costs, and the associated technical documentation/general safety and performance requirements (GSPRs) that manufacturers are required to maintain please register to download the full version
Canada medical device regulations
Health Canada medical device regulations
Canada has one of the most stringent and well-respected regulation processes, not only for medical devices but for the overall health and safety of its citizens. Canada uses a risk-based approach to the regulation of medical devices, where the review before approval depends on the potential risk that the use of the device presents or could potentially present. Devices are categorized into four classes based on the risk, with Class I devices presenting the lowest potential risk (e.g. a tongue depressor) and Class IV devices presenting the greatest potential risk (e.g. a pacemaker). Class II, III, and IV medical devices must have a Medical Device License to be sold in Canada, while companies selling Class I medical devices in Canada are required to have a Medical Device Establishment License (MDEL).
The regulation of medical devices in Canada is driven by The Food and Drugs Act (R.S.C., 1985, c. F-27). This act includes food, drugs, cosmetics, and devices. The regulation specific to devices is the Medical Devices Regulations (SOR/98-282). The information within the regulations includes, but is not limited to, classification, manufacturer’s obligations, associated fees, labeling requirements, establishment license, incident reporting, recalls and much more. The most recent update to the regulation was Interim Order No. 3, Respecting the Importation and Sale of Medical Devices for Use in Relation to COVID-19.
Most countries have an established system in place for notifying the public (including manufacturers) of initiatives and actions that they plan to take to maintain and improve the safety of medical devices - and Canada is no different. As a department, Health Canada is responsible for administering Acts and Regulations, and for implementing government-wide regulatory initiatives. All the government's Acts and Regulations can be found on the Justice Canada website. Let’s look at some of their processes and review some of their initiatives and action plans through 2024.
Forward Regulatory Plan
Canada’s Forward Regulatory Plan is designed to share anticipated regulatory changes or actions. The forward regulatory plan gives consumers, businesses, and other stakeholders an opportunity to review and comment on anticipated changes. It should be noted though, that this forward regulatory plan can be modified at any point.
The Forward Regulatory Plan: 2022 - 2024 provides information about specific regulatory activities and initiatives that Health Canada aims to finalize through 2024. This plan sets up a timeframe for activities and initiatives to be completed. Pre-publication and final publication announcements are published in the Canada Gazette, the official newspaper of the Government of Canada.
There are currently several initiatives in this Forward Regulatory Plan including those that fall under the Consumer Product Safety Act, Hazardous Products Act, and Food and Drugs Act, to name a few. The following are major medical device initiatives included in the plan, which fall under the Food and Drugs Act.
- Amendments to the Fees in Respect of Drugs and Medical Devices Order (Natural Health Products Fee Proposal) [New 2022-04-01]
- Advanced Therapeutic Products Pathway for Adaptive Machine Learning-enabled Medical Devices [Updated 2022-10-01]
- Regulations Amending the Food and Drug Regulation, Natural Health Products Regulations and the Medical Devices Regulations (Modernization of the Regulation of Clinical trials) [Updated 2022-10-01] [Associated with the targeted Regulatory Review Sectoral Roadmap] [Associated with the stock review plan]
- Regulations amending the Medical Devices Regulations (Agile Regulations for Licensing Medical Devices) [Updated 2022-10-01] [Associated with the targeted Regulatory Review Sectoral Roadmap] [Associated with the stock review plan]
- Regulations Amending the Medical Devices Regulations (Interim Order No. 3 Respecting the Importation and Sale of Medical Devices for Use in Relation to COVID-19) [Updated 2022-10-01]
- Modernizing the Medical Device Establishment Licensing (MDEL) Framework [Updated 2022-10-01]
Stock Review Plan
The Stock Review Plan is a public list and description of planned reviews of existing regulations that Health Canada is proposing within a two-year period. As of the date of this article, the on-going and proposed reviews for medical devices include:
On-going Reviews:
- Regulations Amending the Medical Devices Regulations (Agile Regulations for Licensing Medical Devices), formerly referred to as Regulations Amending the Medical Devices Regulations (Agile Regulations)
- Modernizing Medical Device Establishment Licensing Framework including the recall of medical devices, formerly referred to as Modernizing Drug and Medical Device Establishment Licensing Frameworks – amendments to the Food and Drug Regulations and Medical Devices Regulations
Proposed new reviews:
Additional regulation updates
Regulatory Initiative Plan
Health Canada’s regulatory initiative agenda aims to provide more regulatory flexibility to support innovative research and health product development and to contribute to the country's biomanufacturing and life sciences strategy.
The 5 key pillars in the regulatory innovation agenda include:
- Modernizing clinical trial regulations
- Enabling advanced therapeutic products
- Agile regulations for licensing drugs
- Agile regulations for licensing medical devices
- Information to Canadians mobile strategy
UDI
Unique Device Identification (UDI) is a medical device requirement in most countries, but every country is at a different stage of implementing UDI requirements. So where does Canada stand with UDI? As of June 2021, Canada was exploring the feasibility of a UDI system, including options for development of a UDI database by using internal, existing infrastructures. They propose to develop this system based on the work and experience of the International Medical Device Regulators Forum (IMDRF), as well as the United States FDA’s UDI system, to help structure the principles and design of a UDI system for Canada. No further announcements have been made since the writing of this article.
COVID-19
February 2023, Canada announced a few updates relating to regulations about COVID-19 including:
- Amendments to Medical Devices Regulations to continue importation and sale of COVID-19 medical devices
- Medical devices for use in relation to COVID-19
- List of Medical Devices for an Urgent Public Health Need in Relation to COVID-19
Keep up to date with news and announcements from Health Canada by referring to our Medical Device Regulatory Market Profiles section on our website.
MDR transition example under the extension
Medtech manufacturers cannot delay the preparation for transitioning devices to MDR. While the final deadlines were pushed, this was done primarily to address notified body capacity issues. The MDR transition period extension for legacy devices does NOT allow manufacturers to delay/deprioritize efforts until the end of the applicable extension period since many activities must be fulfilled now to utilize the extension. Read 6 reasons medtech companies shouldn’t delay MDR certification for additional information.
To illustrate the timeline, we are going to look at an example of a Class IIb non-implantable device.

Note: Dates within the diagram for tech file submission and certification are based on your signed agreement with your Notified Body and the outcome of the conformity assessment. The dates shown are only an example.
Apply for conformity assessment - May 26, 2024
Even with the extension, a quality management system (QMS) that is compliant with MDR is required by May 26, 2024. Manufacturers must submit an application for the device conformity assessment to a Notified Body (NB) before that date as well. There are significantly fewer Notified Bodies that are certified to MDR, and due to their limited resources, manufacturers should begin working with their NB immediately if they have not already done so. Note that the device technical file does not need to be submitted with the application, but a submission schedule must be.
Sign agreement with Notified Body – September 26, 2024
Before signing an agreement with the Notified Body, expect them to counter your application with a new submission date. Manufacturers can negotiate the date with their Notified Body, but a signed agreement must be in place before September 26, 2024. While in this negotiation phase, keep in mind the MDR compliance deadline for the device (Class IIb in this example) is December 31, 2028, and work backward accounting for the various activities that must take place and their durations. It is extremely important to define a realistic schedule because not meeting that schedule will cause significant administrative complications and raise the potential risk that a device is not certified before the required deadline.
Conformity Assessment
The Notified Body will begin the conformity assessment once they receive the technical file for your device. Technical files should be submitted to the Notified Body by the date defined in your agreement (Dec 2025 in our example).
We are hearing that conformity assessments for many devices are taking 12-18 months. During that period, be prepared to answer questions and participate in conversations with your NB. In some cases, there can be significant back-and-forth between the manufacturer and the NB during the conformity assessment. Once the conformity assessment is complete (Jun 2027 in our example) it can take up to another 3-6 months for certificate issuance.
MDR extension reference documents
- Q&A Document for Regulation 2023/607 – Published by the EU Commission, this document answers some of the common questions around the extension in “plain English.”
- Regulation 2023/607 amending MDR (EU) 2017/745 and IVDR (EU) 2017/746 in regard to the transitional provisions and removal of sell-off periods for medical devices and for in vitro diagnostic medical devices.
- Notified Body Confirmation Letter template published by Team NB. This is a confirmation letter created by the manufacturer for the Notified Body to sign. The letter is not mandatory but is strongly recommended to provide objective evidence that the conditions of the extension have been met extending the validity of the CE certificate.
For more information, watch the replay of our recent "Ask Us Anything" webinar on the EU MDR Transition Period Extension.
Declarations of Conformity
What is a Declaration of Conformity?
A Declaration of Conformity (DoC) is a required self-certifying document created by the medical device manufacturer to state that a device or a series of devices complies with the conformity requirements of a particular country’s regulations. If a DoC is required in a country, specifically in the European Union, the DoC confirms that a product is in compliance with all relevant European product safety requirements. DoC is required for each product and identifies the party responsible for market authorization activities in the applicable country.
Why is a Declaration of Conformity necessary?
Declarations of Conformity require the signee to take responsibility for a product’s compliance within that country’s rules and regulations. It also allows government authorities and regulatory bodies to identify who is legally responsible for a product and its regulatory activity, such as obtaining a CE mark.
Why are Standards often listed in the Declaration of Conformity?
Governments often use industry standards to define sections of the conformity assessment for particular devices. These standards are developed by standards organizations, such as ISO and IEC. For example, the ISO 13485:2016 standard defines quality management system (QMS) requirements for medical device organizations. Typically, highly developed countries use a particular version of a standard in their regulations. A manufacturer is then required to state that they are compliant to those standards when they submit their documentation – in the form of a DoC. Drafting a European Union DoC is an important part of the CE marking process and is the final step before affixing the CE mark to your product.
Countries that Require a Declaration of Conformity
Declarations of Conformity are required in many countries, though some refer to a “Certificate” of Conformity. Countries that currently have a DoC requirement:
- Australia
- Brazil – Still in development
- China
- European Union - All countries in the EU require a DoC, but you only need to create one document
- Malaysia
- Saudi Arabia
- Singapore – Singapore will accept an EU DoC in most cases, but in certain circumstances will require a Singapore DoC
- Thailand
- United Kingdom (UK)
In the United States, the FDA’s Declaration of Conformity is built into the eSTAR program.
What is required in a Declaration of Conformity?
While the requirements vary slightly by country, a DoC should be provided on company letterhead and general requirements typically include:
- Standards related to the product that are compliant to a country’s regulations
- Product Name
- Part Number
- Physical and legal manufacturer details
- ISO Certificate Information
- Classification of the device per the country regulations and the specific rule used to classify the device
- Notified Body details
- Distributor information
- A statement regarding the regulation that the responsible party is stating compliance to
- A signature from the responsible party
Using a Regulatory Information Management (RIM) system, like Rimsys, to manage your product data and related standards will allow your regulatory team to create and control declarations of conformity and other documents. Learn more here.
An overview of 21 CFR Part 812
This document is a summary of the regulation and does include wording taken directly from the regulation itself. The original regulation should be referenced directly, however, for complete information when submitting an IDE request.
What is an investigational device exemption?
An investigational device exemption (IDE) allows a device to be used in a clinical study prior to obtaining market approval to collect safety and effectiveness data. Clinical studies are typically required to support a Premarket Authorization (PMA), but a small percentage of 510(k) applications also require clinical data when a predicate device comparison is inappropriate for the submission.
Before a clinical study is initiated, an investigational device must have an approved IDE, unless it is exempt. Devices may be exempt from IDE requirements if they are noninvasive diagnostic devices, being used for consumer preference testing unrelated to device safety or efficacy, or intended solely for veterinary use or research with laboratory animals. Refer to the full text of 21 CFR 812 for details and additional exemptions.
Part 812 – General Provisions (Subpart A)
Scope
This regulation is applicable to all clinical investigations of devices used to determine safety and effectiveness, except where exempt.
Applicability
Abbreviated Requirements
Investigations are considered automatically approved for IDEs if the device is not considered a significant risk, unless the FDA has specifically notified the sponsor otherwise. In these cases, the sponsor must still obtain IRB approval for the investigation and must comply with other requirements of Part 812, including proper labeling, record keeping, and conformed consent requirements.
Exempted investigations
IDEs are not required for devices that fall into one of the following categories:
- Devices that were in commercial distribution prior to May 28, 1976 that were used or investigated according to requirements in effect at that time. Devices that were introduced after May 28, 1976 but which have been found to be substantially equivalent to devices introduced earlier may also be exempt. This exemption is limited for Class II and III devices from the date an FDA regulation or order calls for the submission of a PMA (in the case of an unapproved Class III device) or establishes a performance standard for a Class II device.
- Diagnostic devices for which the testing is noninvasive and without significant risk, and is not used as a diagnostic procedure without confirmation through another product or procedure.
- Devices undergoing consumer preference testing, or testing of a device modification or combination of already distributed devices, if the testing is not for purposes of determining safety or efficacy and does not put subjects at risk.
- Devices solely for veterinary use.
- Devices intended for research on or with laboratory animals.
- A custom device that is not being used to determine safety or efficacy for commercial distribution.
Definitions
21 CFR Part 812.3 provides definitions for many terms, some of which are listed here.
Institution: A person, other than an individual, who engages in the conduct of research on subjects or in the delivery of medical services to individuals as a primary activity or as an adjunct to providing residential or custodial care to humans. For example, a hospital, retirement home, confinement facility, academic establishment, and device manufacturer. The term has the same meaning as “facility.”
Institutional Review Board (IRB): Any board, committee, or other group formally designated by an institution to review biomedical research involving subjects and established, operated, and functioning in conformance with part 56. The term has the same meaning as “institutional review committee.”
Investigational device: A device, including a transitional device, that is the object of an investigation.
Investigator. An individual who actually conducts a clinical investigation, i.e., under whose immediate direction the test article is administered or dispensed to, or used involving, a subject, or, in the event of an investigation conducted by a team of individuals, is the responsible leader of that team.
Monitor: When used as a noun, this term means an individual designated by a sponsor or contract research organization to oversee the progress of an investigation. The monitor may be an employee of a sponsor or a consultant to the sponsor, or an employee of or consultant to a contract research organization. Monitor, when used as a verb, means to oversee an investigation.
Significant risk device means an investigational device that:
- Is intended as an implant and presents a potential for serious risk to the health, safety, or welfare of a subject;
- Is purported or represented to be for a use in supporting or sustaining human life and presents a potential for serious risk to the health, safety, or welfare of a subject;
- Is for a use of substantial importance in diagnosing, curing, mitigating, or treating disease, or otherwise preventing impairment of human health and presents a potential for serious risk to the health, safety, or welfare of a subject; or
- Otherwise presents a potential for serious risk to the health, safety, or welfare of a subject.
Sponsor: A person who initiates, but who does not actually conduct the investigation, that is, the investigational device is administered, dispensed, or used under the immediate direction of another individual. A person other than an individual that uses one or more of its own employees to conduct an investigation that it has initiated is a sponsor, not a sponsor-investigator, and the employees are investigators.
Sponsor-investigator: An individual who both initiates and actually conducts, alone or with others, an investigation, that is, under whose immediate direction the investigational device is administered, dispensed, or used. The term does not include any person other than an individual. The obligations of a sponsor-investigator under this part include those of an investigator and those of a sponsor.
Subject: A human who participates in an investigation, either as an individual on whom or on whose specimen an investigational device is used or as a control.
Labeling of investigational devices
An investigational device or its packaging requires a label with the following information:
- Name and place of business of the manufacturer, packer, or distributor (per 801.1).
- Quantity of contents.
- Statement: “CAUTION—Investigational device. Limited by Federal (or United States) law to investigational use.”
- Any additional relevant contraindications, hazards, adverse effects, interfering substances or devices, warnings, and precautions.
- If used for animal research, a statement of “CAUTION—Device for investigational use in laboratory animals or other tests that do not involve human subjects” must be on the label.
IDE Labeling cannot have any statement that is false or misleading and cannot represent the device as safe nor effective.
Prohibition of promotion and other practices
An investigational device is intended for use only within an investigation. Therefore, until a device is approved for commercial distribution by the FDA, the sponsor or investigator (or those working on their behalf) cannot:
To continue reading this Regulatory Brief, please download the full document here.
Content of FDA premarket submissions for device software functions
The Food and Drug Administration (FDA) recently released a final guidance document, “Content of Premarket Submissions for Device Software Functions.” This document is intended to provide information about the recommended documentation that medical device manufacturers should include in premarket submissions for the FDA's evaluation of safety and effectiveness of device software functions. This document replaces the FDA's “Content of Premarket Submissions for Software Contained in Medical Devices” document issued in May, 2005. Note: This new guidance does not apply to automated manufacturing and quality system software or software that is not a device.
In general, the FDA’s guidance documents do not establish legally enforceable responsibilities. Instead, guidance’s describe the FDA’s current thinking on a topic and should be viewed only as recommendations, unless specific regulatory or statutory requirements are cited.
Highlight of changes to FDA guidance on premarket submissions for device software
Since the last time this document was revised (2005), there have been many updates to this new guidance document that are certainly worth noting. Along with the multiple changes and additions, this guide will help with more clarity in the process of determining software documentation for premarket submission and review of software medical devices, or devices that have a software function.
Some of the highlights that are important to mention include:
- Changes in terminology to more current trends. For example, the Hazard Analysis is now referred to as the Risk Management File.
- The table of contents has been extended and divided into several sections, broken down even further to include documentation type and Documentation Level.
- Level of Concern is now referred to as Documentation Levels. Although still guided by the level of product “risk," instead of major, moderate, and minor levels, they are now identified as Basic or Enhanced Levels. Basic is any premarket submission that includes device software function(s) where Enhanced Documentation does not apply. Enhanced includes device software function(s) where a failure or flaw of any device software function(s) could present a hazardous situation with a probable risk of death or serious injury, either to a patient, user of the device, or others in the environment of use.
- The Recommended Documentation section (formerly the Software-related Documentation) section has expanded to include more detail and subsections about software requirements, software architecture, software design, software development, software testing, software version history, and unresolved software anomalies.
- The Software Description has been revised to add reference to guidance about Multiple Function Device products that extends into software operation, software specifics, and software inputs/outputs.
- The Hazard Analysis is now the Risk Management file and continues to recommend ISO 14971 for guidance. It’s also been extensively revised to include the risk management plan, the risk assessment and risk management report.
- Newly added Appendix A provides many Documentation Level examples intended to demonstrate the implementation of the Documentation Level risk-based approach. Over 20+ product examples are included in this list.
- Newly added Appendix B provides examples of diagrams for the purpose of demonstrating how the System and Software Architecture Diagram could be implemented into diagrams, and to help show a clear understanding of the system and software.
In addition to this new guidance, the FDA recommends reviewing the following guidance documents (which is not an exhaustive list) for additional support in determining premarket software documentation for submission.
- Multiple Function Device Products: Policy and Considerations
- Off-The-Shelf Software Use in Medical Devices
- Design Considerations and Premarket Submission Recommendations for Interoperable Medical Devices
- General Principles of Software Validation
- Content of Premarket Submissions for Management of Cybersecurity in Medical Devices
- Cybersecurity for Networked Medical Devices Containing Off-The-Shelf (OTS) Software
- Applying Human Factors and Usability Engineering to Medical Devices
Selecting a RIM system for your medical device company
Software for medical device regulatory teams
Many regulatory affairs (RA) teams within medical device organizations are still managing their activities through spreadsheets, in-house custom-built software, or systems designed for other purposes. We believe that regulatory teams deserve purpose-built software that allows them to ensure compliance across products and markets, and provides them with the opportunity to contribute directly to revenue-driving activities.
Regulatory Information Management (RIM) solutions provide the centralized regulatory functionality needed by today’s RA teams. RIM solutions such as Rimsys are product-centric, allowing regulatory professionals to track all product-specific information and then create market submissions, link standards and essential principles, manage registrations by product by market, and control all regulatory approvals and projects. However, not all RIM solutions are created equal. If you have complex products, devices that include software, or other requirements that not all medical device companies will have, be sure to carefully evaluate potential systems for their ability to address those needs.
Justifying the need for RIM
Any software selection project begins with analyzing the need for the new software, creating a justification for the project, and obtaining the approval and budget to move forward. RIM solutions will allow your RA team to find information more quickly and operate more efficiently, which means that justification for a new RIM system typically comes from four areas:
- Cost savings – RA teams can operate more efficiently, reducing the need for outside consultants or contractors and enabling new RA team members to onboard more quickly. Better information also allows RA teams to better forecast projects in order to optimize the internal team size.
- Reduced regulatory risk – A centralized RIM system reduces multiple risks, including missing an expiration date or supplying incorrect information to a regulatory body. Even a small misstep can cause an audit finding, removal of a product from a market, or a delay in entering a new market.
- Improved competitive advantage – RIM systems significantly reduce the time that RA teams spend finding data and reacting to last-minute “emergency” requests. This advantage allows the team to drive competitive advantages and greater revenue growth through participation in market planning, product roll-out decisions, and other strategic planning. One Rimsys customer was able to improve the time for a product release by 88%. By increasing speed to market, medtech companies can recognize revenue sooner and capture more market share more quickly.
- Data harmonization – Medtech companies dealing with duplicated data and systems due to mergers or acquisitions can point to a centralized RIM system as a way to harmonize important regulatory data to ensure compliance and optimize go-to-market activities.
You will likely need to develop a comprehensive business case to support any RIM investment. This will include detailing the limitations of current approaches (including spreadsheets and costs to maintain in-house systems), quantifying the expected benefits, and explaining the evaluation process to arrive at your preferred vendor. Building this as you work through the early stages of RIM selection will prevent delays as you move into the purchase process.
Should I use external consultants to help with RIM selection?
RIM selection projects are sometimes managed by in-house teams and sometimes managed by 3rd-party consultants. How do you decide which is right for your selection project?
Does your team have experience with large system selection projects?
If your organization has a large IT team and/or digital transformation team, they likely have the responsibility of overseeing the selection of any new software systems. Be sure to understand their capabilities – have members of the team managed large system selection projects before, such as ERP or PLM selections? The regulatory team and others within the organization can provide subject matter expertise, but you will be relying on the technical team to oversee the project, define requirements, help set a budget, and more.
If the right level of expertise does not exist within your organization, an outside consultant with medical device regulatory experience and with business system selection projects should be considered. This type of consultant can be extremely helpful during the system implementation and adoption phase of the project as well.
Does our team have the bandwidth to manage a RIM selection project?
Even if your organization has an internal team with the expertise to manage a RIM selection project, they may not have the time to do so within the desired project timeframe. In this case, an external consultant can augment your existing team to get the project completed as required.
Do we need a new perspective?
Selecting a RIM solution is as much about digital transformation and process optimization as it is about ensuring you find a system with the right features. Do you have a vision of where you want the RA team to be? Have you looked at the characteristics of top-performing RA teams? If you think you might need a new perspective and an outside voice, an outside consultant may be the right choice for your project.
RIM selection project steps
Once you have determined the need for a RIM system, a selection project should include the following major steps:
Build the selection team
Put together a core selection team that consists of:
- A project leader that is typically at a manager level or above within the organization and comes from the regulatory or IT teams.
- An executive sponsor who may not participate in all aspects of the project, but who will ensure that resources are made available to the team as needed and that the project is kept on track and is aligned with overall company goals.
- IT team member(s) who will provide feedback on technical system requirements, including security and data privacy, and will support customization and integration discussions.
- Subject matter experts representing each department and team who will be using or interacting with the software.
You will add team members once you begin to implement the system, but selection teams typically consist of fewer than 10 members.
Determine requirements and selection criteria
One of the primary responsibilities of the selection team is to define the requirements for the new system, and the criteria on which systems will be judged. Requirements usually fall into multiple categories, including:
- Business requirements – These are broad requirements based on business needs. They will typically answer the question “Why do we need a RIM system?” For example, reducing the administrative burden on the regulatory team with functionality that allows the team to track registration expiration dates, create submission dossiers, and quickly report on registration status by product and market. Include project timeline and budgetary constraints here as well.
- Functional or user requirements – Functional requirements are a more detailed list of specific functions that users will need to perform in the system. For example, the ability to link standards to essential principles, manage multiple approvals for submission documents, or track UDI product data. DO include requirements that are essential for users to complete their work within your defined quality procedures. DO NOT include requirements that are unnecessarily specific (ex: the product description must contain at least 50 characters) or are so common that all systems will meet the requirement (ex: there must be a product number and description in the product record).
- System and technical requirements – Your IT team may already have a list of the overall technical requirements that all software must meet within your organization. These will likely include data security requirements and features that support system validation. Include any specific requirements regarding system availability, upgrade management, and technical support guarantees. See SaaS 101 for medtech regulatory professionals for a list of questions that you should ask a SaaS solution provider. Also include here any procurement requirements that your organization has, such as insurance requirements.
- Vendor resources and vision – You want to work with a vendor that shares your vision, not only for this system implementation but also for future growth. Evaluate each vendor’s product roadmap and plans for innovation against your organization’s digital transformation plans for the next 2-5 years. Does the vendor share your vision? Do they have the resources to support your organization and that future vision?
Establish project goals and timelines
Establish project goals and an overall project timeline. Is there a hard deadline by which the system needs to be live? What are the goals and metrics with which the success of the project will be measured? Be sure to get written agreement from the project team and executive team on the goals, timeline, and how the information will be reported.
Research RIM vendors (build your initial list)
If you are working with an experienced regulatory consultant, they may be able to get you to your short list without this step. However, if you are unsure of which systems may meet your needs, begin by:
- Researching Regulatory Information Management systems online.
- Talking to other regulatory professionals for suggestions and referrals.
- Consulting with industry analysts. Gartner's annual RIM market guide, and Gens & Associates World Class RIM report both provide an overview of RIM vendors. (Note, however, that both include both pharma and medtech-focused solutions within their respective guides.)
Build vendor short list
Based on the information gathered in the previous step, you should be able to create a short list of two to six vendors. This may require short conversations with prospective vendors, but you should have your short list before you schedule product demos and/or send out a request for proposal (RFP).
Tip: If you communicate with vendors that don’t make your short list, let them know so that they don’t continue to contact you!
Evaluate vendor capabilities
This part of the project varies greatly from company to company, but your process should ensure that all of your stated requirements are being evaluated against each vendor’s capabilities. Not all team members need to evaluate all requirements – individuals should be assigned based on their understanding of the area being evaluated. The same people, however, should evaluate the same requirements across all vendors to ensure a fair comparison.
If your organization requires an RFI (request for information) or RFP (request for proposal), those need to be compiled and sent to the vendors as the starting point for vendor evaluations. These documents allow your team to gather the same information from all vendors. Put simply, these are documents that list your requirements and ask the vendors to indicate if they address them natively within their software, through third-party integrations, or not at all. Our RIM Buyer’s Guide provides a template that can be used as a starting point.
Whatever your evaluation process looks like, your team needs to see the software. For systems as large as RIM solutions, you may need multiple demonstrations with the vendor and your team. Work with the vendor to determine how the process will work, but typically you will have an overview demonstration and then separately schedule individual sessions, if they are needed, to cover specific features or answer additional questions. While everyone on the evaluation team should attend the initial demo, additional sessions should be scheduled only when needed and only with those team members required. The following can help ensure a smooth process:
- Communicate clearly to your team what they are responsible for during the demo. Who is taking notes? Are different team members responsible for evaluating features in different areas of the software?
- Set expectations with the vendor ahead of time and maintain control of the demo agenda. The software vendor will know what sequence works best for their product, and you should allow them to guide you. However, you will want to steer them away from spending too much time on features that are not important to your team.
- Ask the vendor to keep track of unanswered questions or features that you were unable to see. The vendor should be expected to follow-up on these items.
Rate and rank vendors
Using your requirements list, each vendor should be rated for each requirement. Require vendors to clearly indicate if a requirement is met “out of the box,” requires custom development work, or is not supported at all. Consider a scale of 0-5, with 0 being a feature the vendor does not support. Multiplying the rank by the importance of the feature (3 – Critical to have, 2- Important to have, 1- Nice to have), will give you a good picture of where each vendor ranks.

There should be some subjective items that are used in rating, also, such as how easy you believe the vendor will be to work with. Once the vendors are rated, the team should meet to discuss differences between team members' ratings and then to agree on where each vendor ranks. It is important that all requirements are considered and weighed appropriately while ranking vendors. For example, selecting the system with the best price may leave you with a vendor that doesn’t have the resources to support your implementation.
Negotiate and purchase
Hopefully, you will be able to successfully (and quickly) negotiate with your top-ranked vendor. However, it does sometimes happen that an agreement cannot be reached with the initial vendor for reasons that may include pricing adjustments or unexpected changes to the availability of their resources. In this case, you will need to move on to your second choice.
For more information on specific criteria for purchasing a RIM system, read our RIM Buyer’s Guide.
