A Quality Management System (QMS) is a fundamental component for the successful operation of medical device manufacturers. QMS development and subsequent implementation ensure consistent product quality and compliance with regulatory standards.
QMS Requirements Based on Device Risk Class:
Manufacturers of medical devices are subject to specific QMS requirements that vary according to the potential risk class of their products. The regulatory framework establishes the following obligations:
- For Class 1 and Non-Sterile Class 2a Devices: Manufacturers have the right to implement and maintain a QMS, but it is not mandatory;
- For Sterile Class 2a and Class 2b Devices: Manufacturers must implement a QMS. However, for these classes, the system may exclude design and development processes;
- For Class 3 Devices: Manufacturers are required to implement a QMS that incorporates design and development processes.
Key Terminology for QMS Development in Medical Device Manufacturing:
- Quality Management System (QMS): A set of interconnected and interacting elements used by an organization to direct and control its activities regarding quality;
- Quality Management System for Medical Devices: The organizational structure, function, procedures, processes, and resources required for the coordinated quality management and control of a medical device manufacturer;
- Quality: The ability of the combined intrinsic characteristics of a product (service) to meet the requirements of the consumer and/or other interested parties;
- Quality: The degree to which inherent (intrinsic) characteristics meet requirements;
- Correction: An action to eliminate a detected nonconformity;
- Corrective Action: An action taken to eliminate the cause of a detected nonconformity or other undesirable situation. Corrective action is taken to prevent the recurrence of the event;
- Preventive Action: An action taken to eliminate the cause of a potential nonconformity or other potentially undesirable situation. Preventive action is taken to prevent the occurrence of an event;
- Manufacturing (Production) Conditions: The infrastructure and production environment necessary to ensure the quality, efficacy, and safety of manufactured medical devices;
- Critical Supplier: A supplier whose products/services directly impact the device’s quality, efficacy, or safety. Supplier control is a vital component of QMS development;
- Manufacturing (Production) Site: a geographically separate complex designed to carry out the entire manufacturing process or specific stages of a medical device. Specific stages of the manufacturing process are understood to mean:
a) Manufacturing the entire medical device or its main units, except for main units that are medical devices registered in the established manner in Russia, in geographically separate complexes that are part of the organizational structure of the manufacturer (producer) of the medical device;
b) Contract manufacturing of the entire medical device or its main units, except for main units that are medical devices registered in Russia in accordance with the established procedure;
c) Sterilization of the medical device (for sterile products);
d) Labeling of the medical device (when performed by the manufacturer).
- Main Units: The products, other than spare parts of the medical device, released into circulation on behalf of the manufacturer (producer) of the registered medical device, not mechanically connected to other main units of the medical device during delivery of the medical device, and ensuring the functioning of the medical device in accordance with its intended purpose.
Note: A production site cannot be a building or premises designated for residential use.
QMS Development & Implementation: Key Requirements for Medical Device Manufacturers:
a) Develop documented requirements for risk management throughout all stages of the medical device lifecycle;
b) Identify the processes necessary for the effective functioning of the medical device quality management system (hereinafter referred to as processes) and the application of these processes within the medical device manufacturer;
c) Determine the sequence and interaction of these processes;
d) Define the criteria and methods necessary to ensure effectiveness in both process implementation and process management;
e) Ensure the availability of necessary production conditions, resources, and information to support and monitor the processes;
f) Monitor, measure (where applicable), and analyze the processes;
g) Take necessary actions to achieve planned results and maintain process effectiveness.
QMS Development: Essential Documentation Requirements:
A critical component of successful QMS development is the creation and maintenance of comprehensive, up-to-date documentation. All elements of the medical device Quality Management System—including the organizational structure, methodologies, and process descriptions—must be formally documented. The QMS documentation must include detailed descriptions of the following:
a) Requirements for the device’s technical characteristics, applicable standards (or specific sections thereof), and where standards are not applied—the methods used to ensure compliance with the General Safety and Performance Requirements (GSPR) applicable to the manufactured devices;
b) The methods and extent of control applied when design, production, and/or final inspection are performed by a third party;
c) Manufacturing processes, quality control and assurance procedures, and systematic measures used to maintain quality—including corrective and preventive action (CAPA) processes;
d) Documentation of quality performance indicators, including internal audit reports, inspection records, test results, and other relevant documentation;
e) The means of monitoring to ensure the device achieves the required quality and that the QMS functions effectively;
f) Plans, procedures, and documentation for customer feedback mechanisms, including post-market safety and performance monitoring.
- Executive & Team Training: Conduct a concise training course for company management, internal auditors, and QMS developers on quality management principles and the core requirements of GOST ISO 13485
- Scope Definition: Determine the scope of the QMS based on the manufacturer’s functions and GOST ISO 13485 requirements
- Preliminary Audit: Perform an audit of the existing quality system (if any), prepare a detailed report identifying nonconformities, and provide recommendations for corrective actions
- QMS Implementation Planning: Develop a comprehensive plan for QMS development and implementation at the production site
- Process Approach Development: Establish and define the organization’s process-based approach to quality management
- Team Identification: Identify internal auditors and QMS developers from within the company’s staff
- Auditor Training & Process Analysis: Conduct advanced training for internal auditors; analyze all processes within the QMS scope against quality criteria and GOST ISO 13485 requirements
- QMS Improvement Program: Execute the improvement program, including the development of all mandatory documents required by the standard
- Staff Training: Train all relevant employees on the QMS rules and procedures established in the documentation
- Procedure Implementation: Roll out and integrate the new QMS procedures and rules into daily operations
- Internal Audit Planning & Execution: Schedule and conduct internal audits to verify system effectiveness
- Corrective Actions: Implement corrective measures based on internal audit findings
- Management Review: Conduct a formal management review of the QMS to ensure its continued suitability, adequacy, and effectiveness
- QMS Certification (Optional): If required, proceed with certification of the implemented QMS through an accredited certification body
QMS Development: Implementation Timeline
The QMS development and implementation process at a manufacturing site typically requires approximately 60-80 working days. This timeline is estimated based on active project execution and does not include waiting periods for client feedback, document approval, or decision-making.
Our Service Fees for QMS Development & Implementation:
| QMS Development and Implementation at a Medical Device Manufacturing Site |
from $3 100 |
| Internal Audit of an Implemented QMS for Compliance with Government Resolution No.136 of February 9, 2022 |
from $1 850 |
Core Regulatory Framework for QMS Development & Production Inspections:
- Government Resolution No. 135 of February 9, 2022 “On Approval of the Rules for Organizing and Conducting Production Inspection of Medical Devices for Compliance with Requirements for the Implementation, Maintenance, and Evaluation of the Quality Management System of Medical Devices Depending on the Potential Risk of Their Use”;
- Government Resolution No. 136 of February 9, 2022 “On Approval of Requirements for the Implementation, Maintenance, and Evaluation of the Quality Management System of Medical Devices Depending on the Potential Risk of Their Use”;
- EEC Council Decision No. 106 of November 10, 2017 “On Requirements for the Implementation, Maintenance, and Evaluation of the Quality Management System of Medical Devices Depending on the Potential Risk of Their Use”.