Introduction
21 CFR Part 820, also known as the Quality System Regulation (QSR),
outlines the Current Good Manufacturing Practice (CGMP) requirements that medical device manufacturers
in the United States must follow. This regulation is enforced by the Food and Drug Administration (FDA)
and is designed to ensure that medical devices are consistently produced and controlled according to
quality standards. The primary goal of 21 CFR Part 820 is to ensure that medical devices are safe and
effective for their intended use.
What is 21 CFR Part 820 ?
21 CFR Part 820 sets forth a framework for manufacturers to establish
a quality management system (QMS) that covers all aspects of medical device production, from design and
development to manufacturing, labelling, and distribution. It mandates manufacturers to implement
processes and procedures that ensure product quality and safety. Compliance with 21 CFR Part 820 is
mandatory for medical device manufacturers who intend to market their products in the United States.
Key Sections of 21 CFR Part 820
- Design Controls (21 CFR 820.30): This section requires manufacturers to control the design
process to ensure that devices meet user needs and intended uses. It includes requirements for
design planning, design inputs, design outputs, design review, design verification, design
validation, design transfer, and design changes.
- Purchasing Controls (21 CFR 820.50) :Manufacturers must ensure that all purchased or otherwise
received products and services conform to specified requirements. This involves evaluating
suppliers, contractors, and consultants and establishing criteria for selection, evaluation, and
re-evaluation.
- Production and Process Controls (21 CFR 820.70) : This section mandates controls for manufacturing processes,
including process validation, control of environmental conditions, personnel requirements,
contamination control, and process changes.
- Corrective and Preventive Action (CAPA) (21 CFR 820.100)
: Manufacturers must have procedures for implementing
corrective and preventive action to address nonconformities related to products, processes, and
the quality system.
- Document Controls (21 CFR 820.40) : This involves procedures to control all documents that form
part of the QMS, including approval, review, and updates of documents.
- Record Retention (21 CFR 820.180) : Manufacturers must maintain records demonstrating compliance
with QSR requirements for specified periods.
Recent Amendments in FDA QSR Quality System
Regulation
In January 2024, the FDA issued a final rule amending the Quality
System Regulation (QSR) under 21 CFR Part 820. This amendment aligns the QSR more closely with the
international consensus standard for Quality Management Systems for medical devices, specifically ISO
13485. The goal of this amendment is to modernize and harmonize the regulations, reducing compliance
burdens for manufacturers and ensuring consistent quality standards for medical devices.
Key Changes in the Amendment
- Alignment with ISO 13485 : Alignment with ISO 13485: The amendment brings 21 CFR Part
820 in line with ISO 13485, the international standard for medical device quality management
systems.
- Global Harmonization :By aligning with ISO 13485, the FDA aims to facilitate
global harmonization of regulatory requirements, making it easier for companies to operate in
multiple markets.
- Streamlined Compliance : The amendment is intended to reduce the regulatory burden on
manufacturers by standardizing quality management system requirements.
Difference Between 21 CFR Part 820 and ISO 13485:2016
- Regulatory vs. Voluntary : 21 CFR Part 820 is a regulation enforced by the FDA, making
it mandatory for medical device manufacturers in the United States. ISO 13485:2016 is an
international standard that is voluntary, though widely adopted and recognized globally.
- Scope and Application :21 CFR Part 820 is specific to medical device manufacturers
marketing their products in the United States, while ISO 13485:2016 is used by medical device
manufacturers and suppliers worldwide.
- Content and Structure : While both standards cover similar areas such as design
controls, production, and process controls, ISO 13485:2016 includes some requirements that are
not explicitly outlined in 21 CFR Part 820, such as the need for a quality manual.
- Documentation Requirements
: ISO 13485:2016 has more explicit requirements regarding
documentation and record-keeping compared to 21 CFR Part 820.
- Document Controls (21 CFR 820.40) : This involves procedures to control all documents that form
part of the QMS, including approval, review, and updates of documents.
- Risk Management : ISO
13485:2016 places more emphasis on risk management throughout the product lifecycle, whereas 21
CFR Part 820 focuses more on specific processes like CAPA and design controls.
Challenges in Implementing 21 CFR Part 820
- Complexity of Regulations : Understanding and implementing the detailed and
comprehensive requirements of 21 CFR Part 820 can be challenging, especially for new or small
manufacturers.
- Integration into Business Processes :Integrating QSR requirements into existing business
processes without disrupting operations requires careful planning and execution.
- Resource Allocation : Ensuring adequate resources, including personnel and
financial investment, to establish and maintain a compliant QMS.
- Continuous Compliance
: Maintaining ongoing compliance amidst changing
regulations and evolving industry standards is a continuous challenge.
- CAPA System Implementation : Developing an effective CAPA system that promptly addresses
and resolves quality issues can be complex and resource-intensive.
- Training and Competency : Ensuring that all personnel are adequately trained and
competent in their roles and responsibilities related to QSR.
- Supplier Management : Establishing and maintaining a reliable supplier management
system to ensure the quality of purchased components and services.
Conclusion:
21 CFR Part 820 presents a comprehensive framework for ensuring the
quality and safety of medical devices. While its implementation poses challenges, particularly in terms
of complexity and resource allocation, adherence to these regulations is crucial for medical device
manufacturers. Firms like Medfinch, with their expertise in regulatory compliance and quality
management, are instrumental in guiding companies through the intricacies of 21 CFR Part 820, ensuring
compliance, and ultimately contributing to the manufacture of safe and effective medical devices.
How Medfinch Will Assist in Implementing 21 CFR Part 820 :
-
Gap Analysis and Planning :
- Conducting a thorough gap analysis to identify areas of non-compliance with 21 CFR Part 820.
- Developing a strategic plan to address identified gaps and ensure compliance.
-
Quality System Development :
- Assisting in the development and implementation of a comprehensive QMS that meets the requirements of 21 CFR Part 820.
- Guiding the establishment of effective design controls, purchasing controls, production and process controls, and document control systems.
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CAPA System Establishment :
- Developing and implementing a robust CAPA system to address nonconformities and prevent their recurrence.
-
Training and Capacity Building :
- Providing training to personnel on the requirements of 21 CFR Part 820 and their specific roles in maintaining compliance.
- Building internal capacity for ongoing compliance and quality management.
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Supplier Management and Control :
- Assisting in establishing a supplier management program that ensures the quality of purchased products and services.
-
Document and Record Management :
- Implementing systems for effective document control and record retention in compliance with QSR requirements.
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Ongoing Support and Consultation :
- Providing ongoing support and consultation to ensure continuous compliance with 21 CFR Part 820.
- Keeping the organization updated on regulatory changes and industry best practices.
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Internal Audits and Compliance Checks :
- Conducting internal audits to assess compliance with 21 CFR Part 820 and identify areas for improvement.
- Implementing compliance checks and corrective actions as needed.