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Quality

US FDA QSR Amendments : Relevance to Medical Device Component Manufacturers

Mr. Bhupesh Sood
CEO, SEC Global,  Ahmedabad

Excerpts of Medical Devices; Quality System Regulation Amendments – Special reference to component manufacturers. The following points must be considered for future compliance requirements:-

1. The Food and Drug Administration (FDA, the Agency, or we) is issuing a final rule to amend the device current good manufacturing practice (CGMP) requirements of the Quality System (QS) regulation to harmonize and modernize the regulation.

2. DATES - This rule is effective February 2, 2026.

3. FDA is revising its medical device CGMP requirements as set forth in the QS regulation, codified in part 820 (21 CFR part 820). FDA is accomplishing this primarily by incorporating by reference the 2016 edition of ISO 13485 (ISO 13485). Through this rulemaking, FDA is harmonizing quality management system requirements for medical devices with requirements used by other regulatory authorities.

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
21 CFR Parts 4 and 820
[Docket No. FDA–2021–N–0507]
RIN 0910–AH99
Medical Devices; Quality System Regulation Amendments
AGENCY: Food and Drug Administration, HHS.
ACTION: Final rule.

I. Executive Summary

A. Purpose of the Final Rule

FDA has historically recognized the benefits of harmonization with other regulatory authorities and, over time, has taken a number of actions to promote consistency with its regulatory counterparts. As part of such activities, FDA is revising its medical device CGMP requirements as set forth in the QS regulation, codified in part 820 (21 CFR part 820). FDA is accomplishing this primarily by incorporating by reference the 2016 edition of ISO 13485 (ISO 13485). Through this rulemaking, FDA is harmonizing quality management system requirements for medical devices with requirements used by other regulatory authorities.

B. Summary of the Major Provisions of the Final Rule

We are amending part 820, primarily through incorporating by reference the quality management system requirements of ISO 13485.1 We have determined that the requirements in ISO 13485 are, when taken in totality, substantially similar to the requirements of the QS regulation, providing a similar level of assurance in a firm’s quality management system and ability to consistently manufacture devices that are safe and effective and otherwise in compliance with the Federal Food, Drug, and Cosmetic Act (FD&C Act). As such, we are retaining the scope of the QS regulation, and amending many of the provisions. We are also amending the title of the regulation and establishing additional requirements and provisions that clarify certain expectations and certain concepts used in ISO 13485. These additions ensure that the incorporation by reference of ISO 13485 does not create inconsistencies with other applicable FDA requirements. This revised part 820 is referred to as the Quality Management System Regulation (QMSR). FDA has made conforming edits to part 4 (21 CFR part 4) to clarify the device Quality Management System (QMS) requirements for combination products. These edits do not impact the CGMP requirements for combination products.

C. Legal Authority

We are issuing this rule under the same authority that FDA initially invoked to issue the QS regulation and combination product regulations, as well as the general administrative provisions of the FD&C Act: 21 U.S.C. 351, 352, 353, 360, 360c, 360d, 360e, 360h, 360i, 360j, 360l, 371, 374, 381, 383; 42 U.S.C. 216, 262, 263a, 264.

D. Costs and Benefits

We estimate that the QMSR will result in an annualized net cost savings (benefits) of approximately $532 million at a 7 percent discount rate (cost savings: $540M, costs: $8.2M) and approximately $554 million in annualized net cost savings at a 3 percent discount rate (cost savings: $561M, costs: $7.29M). In addition to the cost savings to the medical device industry, the qualitative benefits of the rule include quicker access to newly developed medical devices for patients leading to improved quality of life of the consumers. The rule will also align part 820 with other related programs potentially contributing to additional cost savings.

(Ref: https://www.govinfo.gov/content/pkg/FR-2024-02-02/html/2024-01709.htm )

4. FDA has not undertaken a significant revision of part 820 since the 1996 Final Rule.

5. We are amending part 820, primarily to incorporate by reference ISO 13485, Medical Devices—Quality Management System Requirements for Regulatory Purposes. This resulting regulation is referred to as the QMSR.

6. Scope - FDA has chosen, in this regulation, not to require components and parts to comply with the requirements of this rule making. FDA’s determination not to extend this regulation to manufacturers of components and parts does not preclude any contract between manufacturers that requires compliance with this rulemaking and is consistent with Clause 0.1 of ISO 13485.

7. FDA agrees that manufacturers of components or parts of finished devices are not subject to the QMSR. We also note that, although the scope of the QMSR remains unchanged, FDA has the legal authority to inspect component manufacturers under the FD&C Act should the need arise.

8. FDA encourages manufacturers to consider provisions of this regulation as appropriate. FDA declines to specify in this rulemaking the specific provisions ‘‘appropriate for’’ manufacturers of components or parts of finished device.

9. Voluntary compliance with the QMSR will provide manufacturers of components or parts of finished devices a framework for achieving quality throughout the organization.

10. FDA notes that because ISO 13485 clarifies the term ‘‘as appropriate’’ in section 0.2, ‘‘Clarification of concepts,’’ in the manner requested by the commenter, we do not need to add such a definition to this rule.

11. FDA confirms that compliance only with ISO 13485 does not fully satisfy the QMSR. With the incorporation of ISO 13485 in the QMSR, the requirements of ISO 13485 become the foundational requirements for device CGMPs. FDA has added limited additional requirements to the QMSR where appropriate, and thus device manufacturers must meet those additional QMSR requirements in addition to those set forth in ISO 13485.

12. This final rule incorporates the entire introduction from ISO 13485, which sets forth important concepts. FDA confirms that the QMSR incorporates ISO 13485:2016 by reference, including Clauses 0.1 (General), 0.2 (Clarification of Concepts), and 0.4 (Relationship with ISO 9001) of the Introduction of the standard.

 
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