AAMI Quality Systems White Paper: Comparison of 21 CFR Part 820 To ISO 13485:2016
AAMI Quality Systems White Paper: Comparison of 21 CFR Part 820 To ISO 13485:2016
AAMI Quality Systems White Paper: Comparison of 21 CFR Part 820 To ISO 13485:2016
White Paper
Comparison of 21 CFR Part 820
to ISO 13485:2016
February 2017, Updated February 2018
AUTHORS
Seb Clerkin, GMP Advisory Services
Nicola Martin, Owner, Nicola Martin Consulting
Jack Ward, Owner, Ward Sciences and Consulting LLC
Tina Krenc, Owner, KTA Compliance Consulting
Tonya Wilbon, Quality Systems Specialist, FDA, Center for Devices and Radiological Health,
Office of In Vitro Diagnostics and Radiological Health
This International Standard specifies requirements for a Quality Management System that
can be used by an organization involved in one or more stages of the life-cycle of a medical
device, including design and development, production, storage and distribution, installation,
servicing and final decommissioning and disposal of medical devices, and design and
development, or provision of associated activities (e.g., technical support). The requirements
in this International Standard may also be used by suppliers or other external parties providing
product (e.g., raw materials, components, subassemblies, medical devices, sterilization
services, calibration services, distribution services, maintenance services) to such organizations.
The supplier or external party can voluntarily choose to conform to the requirements of this
International Standard or can be required by contract to conform.
Risk management: The Standard is very specific on using risk management to make
decisions on activities related to Quality Systems or product realization processes when
the effect of the process or situation could have an effect on the medical device safety or
performance.
Definition of product: The Standard defines product as the “result of a process” with a note
that there are four generic product categories:
The concept of product must be considered when determining the applicability of the clauses
of the Standard.
Comparing which
standards/regulations? Use these references
1. ISO 13485:2003 to ISO 13485:2016 1. Annex A of ISO 13485:2016 (page 27)
2. ISO 13485:2016 to ISO 9001:2015 2. Annex B of ISO 13485:2016 (page 31)
3. ISO 13485:2003 to 21 CFR Part 820 3. AAMI Compendium, 3rd edition (Table 3.1)
4. ISO 13485:2016 to 21 CFR Part 820 4. This AAMI white paper (Table 1)
0.4 Relationship with ISO 9001 • How to use the Standard to meet any quality management
system requirements from regulatory jurisdictions and the
0.5 Compatibility with other expected work by the organization
management systems
• Action required by the organizations related to the standard
definitions and potential for national and regional differences
in definitions
• The complimentary nature of the quality system requirements
and the technical requirements for products
• The strategic determination of an adoption of a Quality
Management System (QMS) and influencers
Section 0.2 describes common term or phrase utilization including:
• As appropriate
• Product
• Risk
• Shall, should, may, and can
Explanations of the meaning of “as appropriate” in the
Standard are similar to “where appropriate” in the Regulation
with the Standard including the necessity to manage risk and
comply with applicable regulatory requirements if a requirement
is deemed appropriate.
Section 0.3 explains the process approach. The Regulation has
no similar explanation.
Section 0.4 explains its relationship with ISO 9001 and
references ISO 9000:2015 with regard to the fundamentals
of Quality Systems. The Regulation does not reference these
standards, although it does use some terms and concepts that
appear in these standards.
Section 0.5 addresses compatibility with management systems
for other types of activities. The Regulation does not.
ISO 13485:2016 places an emphasis on the on the lifecycle of
the medical device.
Effort required to update The Regulation has additional requirements for adherence to
existing 21 CFR Part 820 maintenance schedules, periodic inspections to ensure that
Quality System procedures and maintenance is being performed as scheduled, and making
resultant processes to meet equipment adjustment limitations readily available to personnel
the ISO 13485:2016 Standard: making adjustments.
Minor to Moderate The Standard has an additional requirement pertaining to
supporting services such as transport, communication, or
information systems.
820.70(h) 7.5.2 Cleanliness of product The Regulation requirements for manufacturing materials and
Manufacturing Effort required to update The Standard requirements for cleanliness of product are similar.
material existing 21 CFR Part 820 The Standard includes a provision for documented requirements
Quality System procedures and for product which cannot be cleaned prior to sterilization
resultant processes to meet the or use, but its cleanliness is of significance in use and when
ISO 13485:2 016 Standard: product is supplied to be used non-sterile and its cleanliness is of
Minor significance in use.
The Standard also list two situations where product is cleaned
prior to sterilization where the requirements for documented
work environment in 6.4.1 are not required, prior to the cleaning.
820.70(i) Automated 7.5.6 Validation of processes Requirements are similar between the Regulation and the
processes for production and service Standard. The Regulation includes specific documentation
provision requirements. The Regulation includes production software and
4 Quality management system Quality System software. The Standard covers this requirement
in 4.1.6.
4.1.6
The Standard states that the level of software validation is
“proportionate” to the risk associated with the software
including the effect on the ability of the product to conform to
specifications.
In 4.1.6 the Standard requires that a procedure is documented
for the validation of the application of computer software used
in the Quality Management System. Such software is validated
prior to initial use and, as appropriate, after changes to the
software or its application. The specific approach and activities
associates with the original validation and revalidation is
proportionate to the risk associated with the use of the software.
Effort required to update The Standard requires that the organization shall protect
existing 21 CFR Part 820 product from alteration, contamination or damage when
Quality System procedures and exposed to expected conditions during processing, handling and
resultant processes to meet distribution. The Standard also requires that suitable packaging
the ISO 13485:2016 Standard: and shipping containers are designed and constructed and
Moderate requirements for special conditions be documented if packaging
alone cannot provide preservation. If special conditions are
required, they shall be controlled and recorded.
7.5.9.2 Particular requirements The Regulation requires distribution procedures and records of
for implantable medical devices distribution. The Procedures must cover:
• Control and distribution of finished devices to ensure that
only those devices approved for release are distributed
• Review of purchase orders to ensure that ambiguities and
errors are resolved before devices are released for distribution
• Processes to ensure that when a products quality or fitness
for use deteriorates over time, expired devices, or devices
deteriorated beyond acceptable fitness for are not distributed
The Standard specifically requires distribution records for
implantable devices through to the name and address of
shipping package consignee. Purchase orders and contracts are
covered in the Standard under 7.2 Customer related processes.
The Regulation requires distribution records which include
or reference: the name and address of initial consignee;
identification and quantity of devices shipped, date shipped, and
any control numbers used.
820.170 Installation 4.2.3 Medical device file In general, the Regulation and Standard are similar.
7.5.3 Installation activities The Regulation requires test procedures, where appropriate, for
7.5.8 Identification installation. The Standard requires that the Medical device file
includes requirements or installation, as applicable.
The Standard requires that if the agreed customer requirements
allow installation of the medical device to be performed by an
external party other than the manufacturers, or its supplier, then
the organization shall provide documented requirements for the
medical device installation and verification of installation. The
addition of “agreed customer requirements” is different than
the Regulation.
The Standard requires that the product status is maintained
through installation.