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United States

423 articles

Quality Systems

Which Combination-Product 4.4 Path Still Applies After QMSR?

A practical 21 CFR 4.4 worksheet for combination product facilities after QMSR: how to verify eligibility, separate-facility rules, and current ISO 13485 or drug CGMP streamlining clauses.

Post-Market Surveillance

Combination Product Safety Reports: Which Clock, Which System, Which Applicant?

A practical 21 CFR Part 4 Subpart B worksheet mapping applicant identity, 4.102 baselines and add-ons, statutory reporting clocks, and electronic routing between FAERS, eMDR, and VAERS.

Post-Market Surveillance

Changing Device Distributors: Who Keeps Complaint and Traceability Files?

A medical device RA/QA guide to records custody when changing distributors: who keeps complaint and traceability files under US, EU, and Canadian post-market rules.

Regulatory Affairs

Device Label Translation: Reconciling Units, Symbols, and Released Versions

How medical device RA/QA teams reconcile units, ISO symbols, and released versions across translation cycles before artwork issuance under FDA QMSR 820.45 and EU MDR GSPR 23.

Quality & Compliance

Incomplete Supplier Change Notices: A Device QA Triage Guide

When a supplier change notice omits affected lots, dates, or technical details, device QA must hold unverified product, issue an evidence request, and halt close-out until facts are verified.

Post-Market Surveillance

MedDeviceRepair: Keeping Loaner Exchanges Traceable When Serial Numbers Change

A three-asset chain-of-custody crosswalk for medical device loaner exchanges: preserve serial traceability across removal, placement, and return without slot-level record overwrites.

Regulatory Strategy

Outsourced Device Testing: What Raw Data Must Your Contract Deliver?

A signed summary is not the deliverable. What protocols, complete reports, raw data, and archive terms medical device manufacturers must contract for premarket evidence and QMSR compliance.

Post-Market Surveillance

VetMedGuide: Building a Useful Veterinary Device Field-Feedback Form

A manufacturer intake worksheet for veterinary analyzer complaints: separate instrument observation, species and matrix, clinic QC evidence, and unsupported causality.

Clinical Evidence

EClinCloud EDC for Device Studies: Linking Versions, Deficiencies and Endpoints

Evaluate whether a configurable EDC study build can reconstruct device models, firmware versions, deficiencies, and endpoint records for FDA and EU MDR trials.

Regulatory

FDA 2026 Container Closure Draft: Device-Constituent CCS, 510(k), & October Clock

FDA August 2026 container closure systems draft guidance: device-constituent CCS vs packaging, 510(k)/PMA vs NDA, Section V.B.3, and Docket FDA-2026-D-7957.

Regulatory

ISO 20417:2026 Guide: FDA Rec# 5-149, July 1 2029 DoC Window & ISO 15223-1

Operational guide to ISO 20417:2026: FDA Rec# 5-149 complete recognition, the July 1 2029 DoC transition window, ISO 15223-1, 21 CFR 801, and EU MDR GSPR 23.

Reimbursement & Market Access

CMS CY 2027 OPPS: Software as a Medical Service (SaMS) & Status Indicator O1

CMS-1850-P proposed SaMS policy: status indicator O1, Table 61 vs Table 62, CLFS-to-APC rate mismatch, and the August 31, 2026 comment deadline.

Clinical Evidence

DHTs as Endpoints in Device Investigations: Investigational Device vs Measurement Tool

FDA DHT clinical investigation guide: investigational device vs remote measurement tool under 21 CFR 812, fit-for-purpose V&V, and August 2026 DDM status.

Quality Systems

IEC 62353 Recurrent Testing After Repair: OEM IFU Duties vs IEC 60601-1 & NFPA 99

IEC 62353 in-service electrical safety testing: manufacturer IFU duties, IEC 60601-1 type test differences, CMS S&C 14-07 major repair rules, and NFPA 99.

Regulatory

ISO 80369 Small-Bore Connector Conversion: 510(k), FDA Windows & Particular Parts

Manufacturer ISO 80369 conversion guide: route-specific particular parts, FDA recognition transition windows through Dec 17, 2028, and 510(k) change forks.

Digital Health & AI

MHRA Ambient Voice Technology 2026: When an AI Scribe Is a Medical Device in Great Britain

MHRA and NHS England 2026 guidance on ambient voice technology (AVT): 9-example medical device qualification tree, Class I vs IIa, DCB0129, and UKCA strategy.

Clinical Evidence

Medical Device Expanded Access: Emergency Use, Compassionate Use & Treatment IDE

Operational guide to US investigational device expanded access: emergency use, compassionate use IDE supplements, Treatment IDE (21 CFR 812.36), and IRB rules.

EU MDR / IVDR

NSAI NB 0050 Medical Devices Divestment 2026: Stay vs Transfer Playbook

Playbook for NSAI NB 0050 clients on the 2026 divestment: confirmed facts, stay-vs-transfer tree, MDR Article 58, IVDR Article 53, MDSAP.

Clinical Evidence

Medical Device Trial Master File (TMF) and ISF Guide: ISO 14155, FDA, and EU MDR

Complete guide to medical device TMF and ISF: ISO 14155:2026 Annex E essential documents, 21 CFR 812.140, EU MDR archiving, and device-unique artifacts.

Clinical Evidence

IVDR Performance Study Requirements: Application vs Notification, Timelines, and Reporting

Comprehensive guide to IVDR Chapter VI performance studies: Article 58 application triggers, Article 70 PMPF notifications, Article 66 timelines, leftover samples, and safety reporting.