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Alittleguidelineformedicaldevicemanufacturersandtheircritical
subcontractorsandcrucialsupplierstominimizeandreducetheprobabilityand
theriskofunforeseeableoutcomesofunannouncedauditsbyNotifiedBodiesor
RegulatoryAuthorities.
Introduction
LegalbasisforunannouncedauditsaregivenintheEuropeanMedicalDevice
Directives(1)(2)(3).Therecommendationofthecommission2013/473/ECoutlines
how,whereandhowoftentheseunannouncedauditsneedtobeperformedbyNotified
Bodies.Inordertoassurethemosteffectivesafetyofmedicaldevices,theunannounced
auditscanbeconductedevenonthepremisesofcriticalsubcontractorsorcrucial
suppliers.ItisupontheNotifiedBodytodecidewheretogo(4).
Forthesakeofsimplicityafinishedproductthatoughttobeplacedonthemarketis
referredasmedicaldevice,whereasapart,semifinishedproduct,rawmaterial,service
orevenafinishedproductthatissuppliedbyacriticalsubcontractororcrucialsupplier
iscalledaproduct.The7stepsexcludesthePLMOEMsituation,becausethatis
anotherstory.
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ThepresentedwayincludessevenmajorstepsthatmightshowRegulatoryAuthorities
andNotifiedBodiesthatamanufacturerofmedicaldeviceshasfullcontrolofhis
outsourcedprocessesasrequiredbythedirectivesaswellasbyISO13485(5).
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Themanufacturermustdevelopsubstantialspecificationsoftheproductandharmonize
itwithitssuppliers.Thespecificationshouldcontainfollowingprovisionsaccordingto
ISO/FDIS13485section7.4.2(6):productspecifications,requirementsfor
productacceptance,procedures,processesandequipment,requirementsfor
qualificationofsupplierpersonnelandqualitymanagementsystem
requirements
Goal:establishholisticspecifications.
BesureyouhaveQualityAssuranceAgreementswithyoursuppliers.Theformatis
free,butthereissomecontenttoconsider.Annex2ofNBOGsbestpracticeguidelists
minimumprovisionsinQAAs(7).NotifiedBodyauditorsareencouragedtoevaluate
againstthoserequirements.Inadditiondontforgettoaddprovisionsforunannounced
audits.Ifyourproductsrequirecertainprovisionsformanufacturing,storageetc.the
QAAmightbeagoodplacetodefinethoserequirements.Thisshouldbeinlinewith
yourDeviceMasterRecord.
Goal:implementsustainableandeffectiveagreements.
Goaloftheinternalauditatthesupplieristoassurethattheregulatoryrequirementsof
thelegalmanufactureraremet.AnimplementationofaQMSaccordingtoISO13485
mightnotneeded,however,thewholeproductionchainmustcomplywiththe
regulations,ifappropriate.Consideratleastthefollowingprocessestoaudit:Goods
Incomeinspection,productionincludingIPC,finaltesting,storageanddelivery.
Goal:evidenceofcompliantproductionprocesses.
Insurethatspecificationparametersarenottestedtwiceandmaybesomeimportantor
riskassociatedparametersofthedeliveredproductsnotatall.Therefore,thefinal
testingatyoursupplierandgoodsincomeinspectionshouldbeharmonized.Thiscanbe
outlinedintheQAAortheproductspecification.
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Goal:increasethesafetyoftheproductandreducecosts.
Goal:completeriskassessmentasrequiredbyENISO14971.
Guided audits
Ifyouhaveoutsourcedproductionprocesseswithhighrisktoyourmedicaldevice,it
mightbeagoodidea,toinvitetheNotifiedBodytoconsideryoursupplierduring
regularaudits.
Goal:nosurprises.
Theusualdocumentsthatweredeliveredwiththegoodsaredeliverypapersandsome
statementofcompliance.AsummaryDeviceHistoryFile,asdescribedin
21CFR820.184,fromthesuppliershowingthenecessaryinformationisafurtherstep
showingthatoutsourcedprocessesareundercontrol(9).Emphasizetraceability.
Goal:havepaperworkinhouseshowingcompliancetoyourspecifications.
Therearesomecaseswereyoucantavoidunannouncedauditsatsuppliers.Prominent
casesareOEMorentirelyoutsourcedproduction.
Justinthatcase,developandestablishaSOPforunannouncedauditsatyoursupplier.
Content,notexclusive:
Informationoftheclient
Assessmentofthelegitimacyoftheauditors
Suspectedsequenceoftheaudit
Handlingoftheauditors
Provisionofdocuments
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Trainingofpersonnel
Andmore
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Summary
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Thislittlearticleattemptstogivesomeguidancetosuppliermanagementinorderto
reducetheprobabilityofunannouncedauditsatyourcriticalsubcontractorsorcrucial
suppliers.Offcourse,thereamanymorethingstodoforarealgoodsupplier
management.Implementingthesevenstepsisthebeginningandyouareontheright
way.
Dr.PeterDrechsler,qtecgroup,+49173/2462720,peter.drechsler@qtecgroup.com
Dr.MichaelSchoppol,Xpuls,+49151/44041135,michael.schoppol@xpuls.de
References
1.EU.COUNCILDIRECTIVE93/42/EECof14June1993concerningmedical
devices.OJL.1993,Vol.169,p.1.
2..COUNCILDIRECTIVEof20June1990ontheapproximationofthelawsof
theMemberStatesrelatingtoactiveimplantablemedicaldevices.OJL.1990,Vol.
189,p.17.
3..DIRECTIVE98/79/ECOFTHEEUROPEANPARLIAMENTANDOFTHE
COUNCILof27October1998oninvitrodiagnosticmedicaldevices.OJL.1998,
Vol.331,p.1.
4..COMMISSIONRECOMMENDATIONof24September2013ontheauditsand
assessmentsperformedbynotifiedbodiesinthefieldofmedicaldevices.OJL.
2013,Vol.253,p.27.
5.CEN/CENELEC.ENISO13485:2012MedicaldevicesQualitymanagement
systemsRequirementsforregulatorypurposes.2012.
6.ISO/TC210.ISO/FDIS13485:2015(E)MedicaldevicesQualitymanagement
systemsRequirementsforregulatorypurposes.2015.
7.NBOG.NBOGsBestPracticeGuide:GuidanceforNotifiedBodiesauditing
suppliers.www.nbog.eu.[Online]2010.[Cited:0118,2016.]
http://www.nbog.eu/resources/NBOG_BPG_2010_1.pdf.NBOGBPG20101.
8.CEN.ENISO14971:2012MedicaldevicesApplicationofriskmanagementto
medicaldevices.2012.
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9.CodeofFederalRegulations.Title21,Volume8.01.04.2015.PART820
QUALITYSYSTEMREGULATION.21CFR820.
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