FDA Medical Device Inspections: Required Reading

Few things in life are predictable.  One event, however, is certain.  If your firm manufactures medical devices for sale in the United States, the Food and Drug Administration at some time will inspect your company.

An FDA inspection is important.  The investigator will evaluate your ability to comply with the regulatory requirements. A negative determination could affect your ability to sell products in the United States. It also could color all of your dealings with the agency as well as your relationship with partner companies and stockholders.

There are numerous publications that regulatory and quality officials should read to prepare for an inspection. This article will cover the ones that I believe are required reading.

The Quality System Regulation and the Preamble

The Quality System Regulation became effective on June 1, 1997. The regulation   includes requirements for the methods used in, and the facilities and controls used for designing, manufacturing, packaging, labeling, storing, installing, and servicing medical devices for human use. The preamble to the regulation provides FDA’s explanation about the rationale behind the provisions and FDA’s responses to questions and suggestions from individuals and organizations commenting on the requirements. QSR

QSIT Handbook

This document provides guidance to the FDA field staff on the inspectional process that may be used to assess a medical device manufacturer’s compliance with the Quality System Regulation and related requirements. The inspectional process is known as the “Quality System Inspection Technique” or “QSIT”. Field investigators generally will use this guidance material to help them focus on key elements of a firm’s quality system. QSIT

Inspection of Medical Device Manufacturers Compliance Program 7382.845

The compliance program provides guidance to FDA field and center staffs for the inspections and administrative/enforcement activities related to the Quality System (QS) regulation (21 CFR Part 820), the Medical Device Reporting (MDR) regulation (21 CFR Part 803), the Medical Device Tracking regulation (21 CFR Part 821), the Corrections and Removals regulation (21 CFR Part 806), and the Registration and Listing regulation (21 CFR Part 807). Click here

Quality System (QS) Regulation/Medical Device Good Manufacturing Practices

An introduction to the Quality System Regulation and GMPs. Click here

Investigations Operations Manual

The manual is the primary guidance document on FDA inspection policy and procedures for field investigators and inspectors. Click here

CDRH Mailing Addresses and Phone Numbers

This link lists key addresses and phone numbers at CDRH  Click here

HHS Employee Directory

This link allows you to obtain the phone number and email for FDA employees Search

AdvaMed Points to Consider for Preparing for an FDA inspection under the Design Controls, CAPA, and Management Control Subsystems

These documents provide guidance to firms on how to prepare for FDA inspections under the major subsystems. Design CAPA Management

Guide to Inspections of Medical Device Manufacturers

Click here

The Guide to International Inspections and Travel

This guide provides FDA personnel with standard operational, inspectional, and investigational procedures when conducting international inspections. Click here

FDA Warning letters

This link provide access to warning letters by company, district, date, subject, response and closeout letters. Click here

FDA Enforcement Story

This link provides access to a magazine on the regulatory actions FDA has taken in recent years. Contents