Quality Manager - QMS ISO 13485 Specialist
ISO 13485:2016 Quality Management System implementation, maintenance, and certification support for medical device organizations.
Table of Contents
QMS Implementation Workflow
Implement ISO 13485:2016 compliant quality management system from gap analysis through certification.
Workflow: Initial QMS Implementation
- Conduct gap analysis against ISO 13485:2016 requirements
- Document current state vs. required state for each clause
- Prioritize gaps by:
- Regulatory criticality
- Risk to product safety
- Resource requirements
- Develop implementation roadmap with milestones
- Establish Quality Manual per Clause 4.2.2:
- QMS scope with justified exclusions
- Process interactions
- Procedure references
- Create required documented procedures — see Mandatory Documented Procedures for the full list
- Deploy processes with training
- Validation: Gap analysis complete; Quality Manual approved; all required procedures documented and trained
Use the Gap Analysis Matrix template in qms-process-templates.md to document clause-by-clause current state, gaps, priority, and actions.
QMS Structure
| Level |
Document Type |
Example |
| 1 |
Quality Manual |
QM-001 |
| 2 |
Procedures |
SOP-02-001 |
| 3 |
Work Instructions |
WI-06-012 |
| 4 |
Records |
Training records |
Document Control Workflow
Establish and maintain document control per ISO 13485 Clause 4.2.3.
Workflow: Document Creation and Approval
- Identify need for new document or revision
- Assign document number per numbering convention:
- Format:
[TYPE]-[AREA]-[SEQUENCE]-[REV]
- Example:
SOP-02-001-01
- Draft document using approved template
- Route for review to subject matter experts
- Collect and address review comments
- Obtain required approvals based on document type
- Update Document Master List
- Validation: Document numbered correctly; all reviewers signed; Master List updated
Document Numbering Convention
| Prefix |
Document Type |
Approval Authority |
| QM |
Quality Manual |
Management Rep + CEO |
| POL |
Policy |
Department Head + QA |
| SOP |
Procedure |
Process Owner + QA |
| WI |
Work Instruction |
Supervisor + QA |
| TF |
Template/Form |
Process Owner |
| SPEC |
Specification |
Engineering + QA |
Area Codes
| Code |
Area |
Examples |
| 01 |
Quality Management |
Quality Manual, policy |
| 02 |
Document Control |
This procedure |
| 03 |
Training |
Competency procedures |
| 04 |
Design |
Design control |
| 05 |
Purchasing |
Supplier management |
| 06 |
Production |
Manufacturing |
| 07 |
Quality Control |
Inspection, testing |
| 08 |
CAPA |
Corrective actions |
Document Change Control
| Change Type |
Approval Level |
Examples |
| Administrative |
Document Control |
Typos, formatting |
| Minor |
Process Owner + QA |
Clarifications |
| Major |
Full review cycle |
Process changes |
| Emergency |
Expedited + retrospective |
Safety issues |
Document Review Schedule
| Document Type |
Review Period |
Trigger for Unscheduled Review |
| Quality Manual |
Annual |
Organizational change |
| Procedures |
Annual |
Audit finding, regulation change |
| Work Instructions |
2 years |
Process change |
| Forms |
2 years |
User feedback |
Internal Audit Workflow
Plan and execute internal audits per ISO 13485 Clause 8.2.4.
Workflow: Annual Audit Program
- Identify processes and areas requiring audit coverage
- Assess risk factors for audit frequency:
- Previous audit findings
- Regulatory changes
- Process changes
- Complaint trends
- Assign qualified auditors (independent of area audited)
- Develop annual audit schedule
- Obtain management approval
- Communicate schedule to process owners
- Track completion and reschedule as needed
- Validation: All processes covered; auditors qualified and independent; schedule approved
Use the Audit Program Template in qms-process-templates.md to schedule audits by clause and quarter across processes such as Document Control (4.2.3/4.2.4), Management Review (5.6), Design Control (7.3), Production (7.5), and CAPA (8.5.2/8.5.3).
Workflow: Individual Audit Execution
- Prepare audit plan with scope, criteria, and schedule
- Notify auditee minimum 1 week prior
- Review procedures and previous audit results
- Prepare audit checklist
- Conduct opening meeting
- Collect evidence through:
- Document review
- Record sampling
- Process observation
- Personnel interviews
- Classify findings:
- Major NC: Absence or breakdown of system
- Minor NC: Single lapse or deviation
- Observation: Risk of future NC
- Conduct closing meeting
- Issue audit report within 5 business days
- Validation: All checklist items addressed; findings supported by evidence; report distributed
Auditor Qualification Requirements
| Criterion |
Requirement |
| Training |
ISO 13485 awareness + auditor training |
| Experience |
Minimum 1 audit as observer |
| Independence |
Not auditing own work area |
| Competence |
Understanding of audited process |
Finding Classification Guide
| Classification |
Criteria |
Response Time |
| Major NC |
System absence, total breakdown, regulatory violation |
30 days for CAPA |
| Minor NC |
Single instance, partial compliance |
60 days for CAPA |
| Observation |
Potential risk, improvement opportunity |
Track in next audit |
Process Validation Workflow
Validate special processes per ISO 13485 Clause 7.5.6.
Workflow: Process Validation Protocol
- Identify processes requiring validation:
- Output cannot be verified by inspection
- Deficiencies appear only in use
- Sterilization, welding, sealing, software
- Form validation team with subject matter experts
- Write validation protocol including:
- Process description and parameters
- Equipment and materials
- Acceptance criteria
- Statistical approach
- Execute IQ: verify equipment installed correctly and document specifications
- Execute OQ: test parameter ranges and verify process control
- Execute PQ: run production conditions and verify output meets requirements
- Write validation report with conclusions
- Validation: IQ/OQ/PQ complete; acceptance criteria met; validation report approved
Validation Documentation Requirements
| Phase |
Content |
Evidence |
| Protocol |
Objectives, methods, criteria |
Approved protocol |
| IQ |
Equipment verification |
Installation records |
| OQ |
Parameter verification |
Test results |
| PQ |
Performance verification |
Production data |
| Report |
Summary, conclusions |
Approval signatures |
Revalidation Triggers
| Trigger |
Action Required |
| Equipment change |
Assess impact, revalidate affected phases |
| Parameter change |
OQ and PQ minimum |
| Material change |
Assess impact, PQ minimum |
| Process failure |
Full revalidation |
| Periodic |
Per validation schedule (typically 3 years) |
Special Process Examples
| Process |
Validation Standard |
Critical Parameters |
| EO Sterilization |
ISO 11135 |
Temperature, humidity, EO concentration, time |
| Steam Sterilization |
ISO 17665 |
Temperature, pressure, time |
| Radiation Sterilization |
ISO 11137 |
Dose, dose uniformity |
| Sealing |
Internal |
Temperature, pressure, dwell time |
| Welding |
ISO 11607 |
Heat, pressure, speed |
Supplier Qualification Workflow
Evaluate and approve suppliers per ISO 13485 Clause 7.4.
Workflow: New Supplier Qualification
- Identify supplier category:
- Category A: Critical (affects safety/performance)
- Category B: Major (affects quality)
- Category C: Minor (indirect impact)
- Request supplier information:
- Quality certifications
- Product specifications
- Quality history
- Evaluate supplier based on:
- Quality system (ISO certification)
- Technical capability
- Quality history
- Financial stability
- For Category A suppliers:
- Conduct on-site audit
- Require quality agreement
- Calculate qualification score
- Make approval decision:
80: Approved
- 60-80: Conditional approval
- <60: Not approved
- Add to Approved Supplier List
- Validation: Evaluation criteria scored; qualification records complete; supplier categorized
Supplier Evaluation Criteria
| Criterion |
Weight |
Scoring |
| Quality System |
30% |
ISO 13485=30, ISO 9001=20, Documented=10, None=0 |
| Quality History |
25% |
Reject rate: <1%=25, 1-3%=15, >3%=0 |
| Delivery |
20% |
On-time: >95%=20, 90-95%=10, <90%=0 |
| Technical Capability |
15% |
Exceeds=15, Meets=10, Marginal=5 |
| Financial Stability |
10% |
Strong=10, Adequate=5, Questionable=0 |
Supplier Category Requirements
| Category |
Qualification |
Monitoring |
Agreement |
| A - Critical |
On-site audit |
Annual review |
Quality agreement |
| B - Major |
Questionnaire |
Semi-annual review |
Quality requirements |
| C - Minor |
Assessment |
Issue-based |
Standard terms |
Supplier Performance Metrics
| Metric |
Target |
Calculation |
| Accept Rate |
>98% |
(Accepted lots / Total lots) × 100 |
| On-Time Delivery |
>95% |
(On-time / Total orders) × 100 |
| Response Time |
<5 days |
Average days to resolve issues |
| Documentation |
100% |
(Complete CoCs / Required CoCs) × 100 |
QMS Process Reference
For detailed requirements and audit questions for each ISO 13485:2016 clause, see iso13485-clause-requirements.md.
Management Review Required Inputs (Clause 5.6.2)
| Input |
Source |
Prepared By |
| Audit results |
Internal and external audits |
QA Manager |
| Customer feedback |
Complaints, surveys |
Customer Quality |
| Process performance |
Process metrics |
Process Owners |
| Product conformity |
Inspection data, NCs |
QC Manager |
| CAPA status |
CAPA system |
CAPA Officer |
| Previous actions |
Prior review records |
QMR |
| Changes affecting QMS |
Regulatory, organizational |
RA Manager |
| Recommendations |
All sources |
All Managers |
Record Retention Requirements
⚠️ STATUS — QMSR transition (effective 2026-02-02): FDA's Quality Management System Regulation (QMSR) final rule (89 FR 7496) amended 21 CFR Part 820 to incorporate ISO 13485:2016 by reference and removed the legacy QSR subsection structure. The section numbers below (820.30/.181/.184/.198) no longer exist in the CFR — they are retained only as a familiar index. The current authority for record retention is ISO 13485:2016 §4.2.5 (retain "for at least the lifetime of the medical device as defined by the organization, but not less than two years"), with records additions in retained 21 CFR 820.35. Cite the ISO 13485 clauses — not the 820.x numbers — in current compliance documentation.
| Record Type |
Minimum Retention |
Current authority under QMSR (legacy QSR shown for index) |
| Device Master Record |
Life of device + 2 years |
ISO 13485 §4.2.3 (medical device file)/§4.2.5 (legacy QSR 820.181, historical) |
| Device History Record |
Life of device + 2 years |
ISO 13485 §4.2.5 + 21 CFR 820.35 (legacy QSR 820.184, historical) |
| Design History File |
Life of device + 2 years |
ISO 13485 §7.3.10/§4.2.5 (legacy QSR 820.30, historical) |
| Complaint Records |
Life of device + 2 years |
ISO 13485 §8.2.2/§4.2.5 + 21 CFR 820.35(b) (legacy QSR 820.198, historical) |
| Training Records |
Employment + 3 years |
Best practice |
| Audit Records |
7 years |
Best practice |
| CAPA Records |
7 years |
Best practice |
| Calibration Records |
Equipment life + 2 years |
Best practice |
Decision discipline: This skill's checklists and tools structure QMS conformity assessment — they do not certify ISO 13485 / QMSR compliance. Final compliance determinations and record-retention decisions are yours to make and must be reviewed and signed off by the named QMR; route FDA-specific regulatory-classification questions to Regulatory Affairs and confirm current 21 CFR 820 / ISO 13485:2016 text at fda.gov before relying on any citation here.
Decision Frameworks
Exclusion Justification (Clause 4.2.2)
| Clause |
Permissible Exclusion |
Justification Required |
| 6.4.2 |
Contamination control |
Product not affected by contamination |
| 7.3 |
Design and development |
Organization does not design products |
| 7.5.2 |
Product cleanliness |
No cleanliness requirements |
| 7.5.3 |
Installation |
No installation activities |
| 7.5.4 |
Servicing |
No servicing activities |
| 7.5.5 |
Sterile products |
No sterile products |
Nonconformity Disposition Decision Tree
Nonconforming Product Identified
│
▼
Can it be reworked?
│
Yes──┴──No
│ │
▼ ▼
Is rework Can it be used
procedure as is?
available? │
│ Yes──┴──No
Yes─┴─No │ │
│ │ ▼ ▼
▼ ▼ Concession Scrap or
Rework Create approval return to
per SOP rework needed? supplier
procedure │
Yes─┴─No
│ │
▼ ▼
Customer Use as is
approval with MRB
approval
CAPA Initiation Criteria
| Source |
Automatic CAPA |
Evaluate for CAPA |
| Customer complaint |
Safety-related |
All others |
| External audit |
Major NC |
Minor NC |
| Internal audit |
Major NC |
Repeat minor NC |
| Product NC |
Field failure |
Trend exceeds threshold |
| Process deviation |
Safety impact |
Repeated deviations |
Tools and References
Scripts
| Tool |
Purpose |
Usage |
| qms_audit_checklist.py |
Generate audit checklists by clause or process |
python qms_audit_checklist.py --help |
Audit Checklist Generator Features:
- Generate clause-specific checklists (e.g.,
--clause 7.3)
- Generate process-based checklists (e.g.,
--process design-control)
- Full system audit checklist (
--audit-type system)
- Text or JSON output formats
- Interactive mode for guided selection
References
| Document |
Content |
| iso13485-clause-requirements.md |
Detailed requirements for each ISO 13485:2016 clause with audit questions |
| qms-process-templates.md |
Ready-to-use templates for gap analysis, audit program, document control, CAPA, supplier, training |
Quick Reference: Mandatory Documented Procedures
| Procedure |
Clause |
Key Elements |
| Document Control |
4.2.3 |
Approval, distribution, obsolete control |
| Record Control |
4.2.4 |
Identification, retention, disposal |
| Internal Audit |
8.2.4 |
Program, auditor qualification, reporting |
| NC Product Control |
8.3 |
Identification, segregation, disposition |
| Corrective Action |
8.5.2 |
Root cause, implementation, verification |
| Preventive Action |
8.5.3 |
Risk identification, implementation |
Related Skills
1---2name: quality-manager-qms-iso134853description: ISO 13485 Quality Management System implementation and maintenance for medical device organizations. Provides QMS design, documentation control, internal auditing, CAPA management, and certification support. Use when working with medical device qu...4license: MIT5---6
7# Quality Manager - QMS ISO 13485 Specialist
8
9ISO 13485:2016 Quality Management System implementation, maintenance, and certification support for medical device organizations.
10
11---
12
13## Table of Contents
14
15- [QMS Implementation Workflow](#qms-implementation-workflow)
16- [Document Control Workflow](#document-control-workflow)
17- [Internal Audit Workflow](#internal-audit-workflow)
18- [Process Validation Workflow](#process-validation-workflow)
19- [Supplier Qualification Workflow](#supplier-qualification-workflow)
20- [QMS Process Reference](#qms-process-reference)
21- [Decision Frameworks](#decision-frameworks)
22- [Tools and References](#tools-and-references)
23
24---
25
26## QMS Implementation Workflow
27
28Implement ISO 13485:2016 compliant quality management system from gap analysis through certification.
29
30### Workflow: Initial QMS Implementation
31
321. Conduct gap analysis against ISO 13485:2016 requirements
332. Document current state vs. required state for each clause
343. Prioritize gaps by:
35 - Regulatory criticality
36 - Risk to product safety
37 - Resource requirements
384. Develop implementation roadmap with milestones
395. Establish Quality Manual per Clause 4.2.2:
40 - QMS scope with justified exclusions
41 - Process interactions
42 - Procedure references
436. Create required documented procedures — see [Mandatory Documented Procedures](#quick-reference-mandatory-documented-procedures) for the full list
447. Deploy processes with training
458. **Validation:** Gap analysis complete; Quality Manual approved; all required procedures documented and trained
46
47> Use the Gap Analysis Matrix template in [qms-process-templates.md](references/qms-process-templates.md) to document clause-by-clause current state, gaps, priority, and actions.
48
49### QMS Structure
50
51| Level | Document Type | Example |
52|-------|---------------|---------|
53| 1 | Quality Manual | QM-001 |
54| 2 | Procedures | SOP-02-001 |
55| 3 | Work Instructions | WI-06-012 |
56| 4 | Records | Training records |
57
58---
59
60## Document Control Workflow
61
62Establish and maintain document control per ISO 13485 Clause 4.2.3.
63
64### Workflow: Document Creation and Approval
65
661. Identify need for new document or revision
672. Assign document number per numbering convention:
68 - Format: `[TYPE]-[AREA]-[SEQUENCE]-[REV]`
69 - Example: `SOP-02-001-01`
703. Draft document using approved template
714. Route for review to subject matter experts
725. Collect and address review comments
736. Obtain required approvals based on document type
747. Update Document Master List
758. **Validation:** Document numbered correctly; all reviewers signed; Master List updated
76
77### Document Numbering Convention
78
79| Prefix | Document Type | Approval Authority |
80|--------|---------------|-------------------|
81| QM | Quality Manual | Management Rep + CEO |
82| POL | Policy | Department Head + QA |
83| SOP | Procedure | Process Owner + QA |
84| WI | Work Instruction | Supervisor + QA |
85| TF | Template/Form | Process Owner |
86| SPEC | Specification | Engineering + QA |
87
88### Area Codes
89
90| Code | Area | Examples |
91|------|------|----------|
92| 01 | Quality Management | Quality Manual, policy |
93| 02 | Document Control | This procedure |
94| 03 | Training | Competency procedures |
95| 04 | Design | Design control |
96| 05 | Purchasing | Supplier management |
97| 06 | Production | Manufacturing |
98| 07 | Quality Control | Inspection, testing |
99| 08 | CAPA | Corrective actions |
100
101### Document Change Control
102
103| Change Type | Approval Level | Examples |
104|-------------|----------------|----------|
105| Administrative | Document Control | Typos, formatting |
106| Minor | Process Owner + QA | Clarifications |
107| Major | Full review cycle | Process changes |
108| Emergency | Expedited + retrospective | Safety issues |
109
110### Document Review Schedule
111
112| Document Type | Review Period | Trigger for Unscheduled Review |
113|---------------|---------------|-------------------------------|
114| Quality Manual | Annual | Organizational change |
115| Procedures | Annual | Audit finding, regulation change |
116| Work Instructions | 2 years | Process change |
117| Forms | 2 years | User feedback |
118
119---
120
121## Internal Audit Workflow
122
123Plan and execute internal audits per ISO 13485 Clause 8.2.4.
124
125### Workflow: Annual Audit Program
126
1271. Identify processes and areas requiring audit coverage
1282. Assess risk factors for audit frequency:
129 - Previous audit findings
130 - Regulatory changes
131 - Process changes
132 - Complaint trends
1333. Assign qualified auditors (independent of area audited)
1344. Develop annual audit schedule
1355. Obtain management approval
1366. Communicate schedule to process owners
1377. Track completion and reschedule as needed
1388. **Validation:** All processes covered; auditors qualified and independent; schedule approved
139
140> Use the Audit Program Template in [qms-process-templates.md](references/qms-process-templates.md) to schedule audits by clause and quarter across processes such as Document Control (4.2.3/4.2.4), Management Review (5.6), Design Control (7.3), Production (7.5), and CAPA (8.5.2/8.5.3).
141
142### Workflow: Individual Audit Execution
143
1441. Prepare audit plan with scope, criteria, and schedule
1452. Notify auditee minimum 1 week prior
1463. Review procedures and previous audit results
1474. Prepare audit checklist
1485. Conduct opening meeting
1496. Collect evidence through:
150 - Document review
151 - Record sampling
152 - Process observation
153 - Personnel interviews
1547. Classify findings:
155 - Major NC: Absence or breakdown of system
156 - Minor NC: Single lapse or deviation
157 - Observation: Risk of future NC
1588. Conduct closing meeting
1599. Issue audit report within 5 business days
16010. **Validation:** All checklist items addressed; findings supported by evidence; report distributed
161
162### Auditor Qualification Requirements
163
164| Criterion | Requirement |
165|-----------|-------------|
166| Training | ISO 13485 awareness + auditor training |
167| Experience | Minimum 1 audit as observer |
168| Independence | Not auditing own work area |
169| Competence | Understanding of audited process |
170
171### Finding Classification Guide
172
173| Classification | Criteria | Response Time |
174|----------------|----------|---------------|
175| Major NC | System absence, total breakdown, regulatory violation | 30 days for CAPA |
176| Minor NC | Single instance, partial compliance | 60 days for CAPA |
177| Observation | Potential risk, improvement opportunity | Track in next audit |
178
179---
180
181## Process Validation Workflow
182
183Validate special processes per ISO 13485 Clause 7.5.6.
184
185### Workflow: Process Validation Protocol
186
1871. Identify processes requiring validation:
188 - Output cannot be verified by inspection
189 - Deficiencies appear only in use
190 - Sterilization, welding, sealing, software
1912. Form validation team with subject matter experts
1923. Write validation protocol including:
193 - Process description and parameters
194 - Equipment and materials
195 - Acceptance criteria
196 - Statistical approach
1974. Execute IQ: verify equipment installed correctly and document specifications
1985. Execute OQ: test parameter ranges and verify process control
1996. Execute PQ: run production conditions and verify output meets requirements
2007. Write validation report with conclusions
2018. **Validation:** IQ/OQ/PQ complete; acceptance criteria met; validation report approved
202
203### Validation Documentation Requirements
204
205| Phase | Content | Evidence |
206|-------|---------|----------|
207| Protocol | Objectives, methods, criteria | Approved protocol |
208| IQ | Equipment verification | Installation records |
209| OQ | Parameter verification | Test results |
210| PQ | Performance verification | Production data |
211| Report | Summary, conclusions | Approval signatures |
212
213### Revalidation Triggers
214
215| Trigger | Action Required |
216|---------|-----------------|
217| Equipment change | Assess impact, revalidate affected phases |
218| Parameter change | OQ and PQ minimum |
219| Material change | Assess impact, PQ minimum |
220| Process failure | Full revalidation |
221| Periodic | Per validation schedule (typically 3 years) |
222
223### Special Process Examples
224
225| Process | Validation Standard | Critical Parameters |
226|---------|--------------------|--------------------|
227| EO Sterilization | ISO 11135 | Temperature, humidity, EO concentration, time |
228| Steam Sterilization | ISO 17665 | Temperature, pressure, time |
229| Radiation Sterilization | ISO 11137 | Dose, dose uniformity |
230| Sealing | Internal | Temperature, pressure, dwell time |
231| Welding | ISO 11607 | Heat, pressure, speed |
232
233---
234
235## Supplier Qualification Workflow
236
237Evaluate and approve suppliers per ISO 13485 Clause 7.4.
238
239### Workflow: New Supplier Qualification
240
2411. Identify supplier category:
242 - Category A: Critical (affects safety/performance)
243 - Category B: Major (affects quality)
244 - Category C: Minor (indirect impact)
2452. Request supplier information:
246 - Quality certifications
247 - Product specifications
248 - Quality history
2493. Evaluate supplier based on:
250 - Quality system (ISO certification)
251 - Technical capability
252 - Quality history
253 - Financial stability
2544. For Category A suppliers:
255 - Conduct on-site audit
256 - Require quality agreement
2575. Calculate qualification score
2586. Make approval decision:
259 - >80: Approved
260 - 60-80: Conditional approval
261 - <60: Not approved
2627. Add to Approved Supplier List
2638. **Validation:** Evaluation criteria scored; qualification records complete; supplier categorized
264
265### Supplier Evaluation Criteria
266
267| Criterion | Weight | Scoring |
268|-----------|--------|---------|
269| Quality System | 30% | ISO 13485=30, ISO 9001=20, Documented=10, None=0 |
270| Quality History | 25% | Reject rate: <1%=25, 1-3%=15, >3%=0 |
271| Delivery | 20% | On-time: >95%=20, 90-95%=10, <90%=0 |
272| Technical Capability | 15% | Exceeds=15, Meets=10, Marginal=5 |
273| Financial Stability | 10% | Strong=10, Adequate=5, Questionable=0 |
274
275### Supplier Category Requirements
276
277| Category | Qualification | Monitoring | Agreement |
278|----------|---------------|------------|-----------|
279| A - Critical | On-site audit | Annual review | Quality agreement |
280| B - Major | Questionnaire | Semi-annual review | Quality requirements |
281| C - Minor | Assessment | Issue-based | Standard terms |
282
283### Supplier Performance Metrics
284
285| Metric | Target | Calculation |
286|--------|--------|-------------|
287| Accept Rate | >98% | (Accepted lots / Total lots) × 100 |
288| On-Time Delivery | >95% | (On-time / Total orders) × 100 |
289| Response Time | <5 days | Average days to resolve issues |
290| Documentation | 100% | (Complete CoCs / Required CoCs) × 100 |
291
292---
293
294## QMS Process Reference
295
296For detailed requirements and audit questions for each ISO 13485:2016 clause, see [iso13485-clause-requirements.md](references/iso13485-clause-requirements.md).
297
298### Management Review Required Inputs (Clause 5.6.2)
299
300| Input | Source | Prepared By |
301|-------|--------|-------------|
302| Audit results | Internal and external audits | QA Manager |
303| Customer feedback | Complaints, surveys | Customer Quality |
304| Process performance | Process metrics | Process Owners |
305| Product conformity | Inspection data, NCs | QC Manager |
306| CAPA status | CAPA system | CAPA Officer |
307| Previous actions | Prior review records | QMR |
308| Changes affecting QMS | Regulatory, organizational | RA Manager |
309| Recommendations | All sources | All Managers |
310
311### Record Retention Requirements
312
313> **⚠️ STATUS — QMSR transition (effective 2026-02-02):** FDA's Quality Management System Regulation (QMSR) final rule (89 FR 7496) amended 21 CFR Part 820 to **incorporate ISO 13485:2016 by reference** and removed the legacy QSR subsection structure. The section numbers below (820.30/.181/.184/.198) **no longer exist in the CFR** — they are retained only as a familiar index. The current authority for record retention is **ISO 13485:2016 §4.2.5** (retain "for at least the lifetime of the medical device as defined by the organization, but not less than two years"), with records additions in retained **21 CFR 820.35**. Cite the ISO 13485 clauses — not the 820.x numbers — in current compliance documentation.
314
315| Record Type | Minimum Retention | Current authority under QMSR (legacy QSR shown for index) |
316|-------------|-------------------|------------------|
317| Device Master Record | Life of device + 2 years | ISO 13485 §4.2.3 (medical device file)/§4.2.5 (legacy QSR 820.181, historical) |
318| Device History Record | Life of device + 2 years | ISO 13485 §4.2.5 + 21 CFR 820.35 (legacy QSR 820.184, historical) |
319| Design History File | Life of device + 2 years | ISO 13485 §7.3.10/§4.2.5 (legacy QSR 820.30, historical) |
320| Complaint Records | Life of device + 2 years | ISO 13485 §8.2.2/§4.2.5 + 21 CFR 820.35(b) (legacy QSR 820.198, historical) |
321| Training Records | Employment + 3 years | Best practice |
322| Audit Records | 7 years | Best practice |
323| CAPA Records | 7 years | Best practice |
324| Calibration Records | Equipment life + 2 years | Best practice |
325
326> **Decision discipline:** This skill's checklists and tools structure QMS conformity assessment — they do not certify ISO 13485 / QMSR compliance. Final compliance determinations and record-retention decisions are yours to make and must be reviewed and signed off by the named QMR; route FDA-specific regulatory-classification questions to Regulatory Affairs and confirm current 21 CFR 820 / ISO 13485:2016 text at fda.gov before relying on any citation here.
327
328---
329
330## Decision Frameworks
331
332### Exclusion Justification (Clause 4.2.2)
333
334| Clause | Permissible Exclusion | Justification Required |
335|--------|----------------------|------------------------|
336| 6.4.2 | Contamination control | Product not affected by contamination |
337| 7.3 | Design and development | Organization does not design products |
338| 7.5.2 | Product cleanliness | No cleanliness requirements |
339| 7.5.3 | Installation | No installation activities |
340| 7.5.4 | Servicing | No servicing activities |
341| 7.5.5 | Sterile products | No sterile products |
342
343### Nonconformity Disposition Decision Tree
344
345```
346Nonconforming Product Identified
347 │
348 ▼
349 Can it be reworked?
350 │
351 Yes──┴──No
352 │ │
353 ▼ ▼
354 Is rework Can it be used
355 procedure as is?
356 available? │
357 │ Yes──┴──No
358 Yes─┴─No │ │
359 │ │ ▼ ▼
360 ▼ ▼ Concession Scrap or
361 Rework Create approval return to
362 per SOP rework needed? supplier
363 procedure │
364 Yes─┴─No
365 │ │
366 ▼ ▼
367 Customer Use as is
368 approval with MRB
369 approval
370```
371
372### CAPA Initiation Criteria
373
374| Source | Automatic CAPA | Evaluate for CAPA |
375|--------|----------------|-------------------|
376| Customer complaint | Safety-related | All others |
377| External audit | Major NC | Minor NC |
378| Internal audit | Major NC | Repeat minor NC |
379| Product NC | Field failure | Trend exceeds threshold |
380| Process deviation | Safety impact | Repeated deviations |
381
382---
383
384## Tools and References
385
386### Scripts
387
388| Tool | Purpose | Usage |
389|------|---------|-------|
390| [qms_audit_checklist.py](scripts/qms_audit_checklist.py) | Generate audit checklists by clause or process | `python qms_audit_checklist.py --help` |
391
392**Audit Checklist Generator Features:**
393- Generate clause-specific checklists (e.g., `--clause 7.3`)
394- Generate process-based checklists (e.g., `--process design-control`)
395- Full system audit checklist (`--audit-type system`)
396- Text or JSON output formats
397- Interactive mode for guided selection
398
399### References
400
401| Document | Content |
402|----------|---------|
403| [iso13485-clause-requirements.md](references/iso13485-clause-requirements.md) | Detailed requirements for each ISO 13485:2016 clause with audit questions |
404| [qms-process-templates.md](references/qms-process-templates.md) | Ready-to-use templates for gap analysis, audit program, document control, CAPA, supplier, training |
405
406### Quick Reference: Mandatory Documented Procedures
407
408| Procedure | Clause | Key Elements |
409|-----------|--------|--------------|
410| Document Control | 4.2.3 | Approval, distribution, obsolete control |
411| Record Control | 4.2.4 | Identification, retention, disposal |
412| Internal Audit | 8.2.4 | Program, auditor qualification, reporting |
413| NC Product Control | 8.3 | Identification, segregation, disposition |
414| Corrective Action | 8.5.2 | Root cause, implementation, verification |
415| Preventive Action | 8.5.3 | Risk identification, implementation |
416
417---
418
419## Related Skills
420
421| Skill | Integration Point |
422|-------|-------------------|
423| [quality-manager-qmr](../quality-manager-qmr/) | Management review, quality policy |
424| [capa-officer](../capa-officer/) | CAPA system management |
425| [qms-audit-expert](../qms-audit-expert/) | Advanced audit techniques |
426| [quality-documentation-manager](../quality-documentation-manager/) | DHF, DMR, DHR management |
427| [risk-management-specialist](../risk-management-specialist/) | ISO 14971 integration |