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QMS Certification through Medical Device Single Audit Program (MDSAP)

QMS Certification through Medical Device Single Audit Program (MDSAP)

In an era of advancing healthcare technology and globalized markets, ensuring the safety, quality, and compliance of medical devices is paramount. One significant initiative aimed at harmonizing regulatory requirements across multiple countries is the Medical Device Single Audit Program (MDSAP). This ground-breaking program offers a streamlined approach to auditing and assessing the quality management systems (QMS) of medical device manufacturers. Let's delve deeper into the essence of MDSAP, its key components, and the benefits it brings to the medical device industry worldwide.

What is MDSAP?

The Medical Device Single Audit Program (MDSAP) is a cooperative initiative involving regulatory authorities, such as those from the United States, Canada, Australia, Brazil, and Japan, to conduct a single regulatory audit of a medical device manufacturer's QMS. The Medical Device Single Audit Program (MDSAP) Certification is an internationally recognized accreditation that verifies compliance with regulatory requirements for medical devices across multiple countries. MDSAP Certification simplifies the process for medical device manufacturers by allowing them to undergo a single audit to meet the quality management system (QMS) requirements of participating regulatory authorities.

MDSAP and International Standards

The auditing process is centered on the ISO 13485:2016 standard, along with additional country-specific regulatory requirements. The certification process evaluates a manufacturer's QMS compliance with relevant standards and regulations, including ISO 13485:2016 (an international standard for QMS in medical devices), along with additional country-specific regulatory requirements.

MDSAP Participating Regulatory Authorities

The Medical Device Single Audit Program (MDSAP) involves several countries, each participating in this initiative to harmonize medical device regulatory requirements. MDSAP incorporates the regulatory requirements of participating countries and the participating countries in the MDSAP include:

  • United States (U.S.) – represented by the Food and Drug Administration (FDA)

  • Canada – represented by Health Canada

  • Australia – represented by the Therapeutic Goods Administration (TGA)

  • Brazil – represented by the Agência Nacional de Vigilância Sanitária (ANVISA)

  • Japan – represented by the Ministry of Health, Labour and Welfare (MHLW) and the Pharmaceuticals and Medical Devices Agency (PMDA)

These countries collaborate to establish a unified approach to auditing and evaluating the quality management systems (QMS) of medical device manufacturers, aiming to streamline regulatory requirements and improve patient safety across borders. Manufacturers looking to sell their medical devices in these countries can benefit from undergoing a single audit that satisfies the regulatory expectations of multiple jurisdictions participating in the MDSAP program.

MDSAP Auditing Organizations (AO)


MDSAP (Medical Device Single Audit Program) auditing organizations are entities authorized to conduct audits and assessments of medical device manufacturers' quality management systems (QMS) against the MDSAP requirements. These organizations must meet specific criteria set by the International Medical Device Regulators Forum (IMDRF) and respective regulatory authorities participating in the MDSAP.

Several organizations are designated as auditing organizations for MDSAP, including:

  • BSI Group (British Standards Institution) 


  • DEKRA Certification B.V.

  • NSAI (National Standards Authority of Ireland)

  • Intertek

  • SGS SA

These auditing organizations employ qualified auditors who assess and evaluate the effectiveness of a medical device manufacturer's quality management system. The auditors review documentation, conduct on-site inspections, and identify any non-conformities, providing recommendations and guidance for corrective actions to ensure compliance with MDSAP standards.

MDSAP Audit Process

The Medical Device Single Audit Program (MDSAP) Audit Process is a comprehensive assessment designed to evaluate a medical device manufacturer's compliance with regulatory requirements across multiple countries. This unified audit approach streamlines the assessment procedure, allowing companies to undergo a single audit that fulfills the quality management system (QMS) expectations of participating regulatory authorities.

Key stages in the MDSAP audit process include:


  • Documentation Review: The audit begins with an extensive review of the manufacturer's QMS documentation, including policies, procedures, and records related to quality, risk management, design controls, production, and post-market surveillance.

  • Understanding Regulatory Requirements: Manufacturers must understand the specific regulatory requirements of the participating countries to ensure alignment with their quality systems.

On-Site Audit:

  • Audit Planning: The audit team plans the on-site visit, determining the scope, objectives, and areas of focus based on the manufacturer's operations and risk profile.

  • On-Site Assessment: Auditors conduct thorough inspections and interviews to verify the implementation of QMS processes, ensuring compliance with applicable standards and regulations. This includes evaluating areas such as design controls, production, corrective and preventive actions (CAPA), and risk management.

Audit Findings:

  • Non-Conformities Identification: Any discrepancies or non-conformities found during the audit are documented. Non-conformities could range from minor issues to significant failures to comply with regulatory requirements.

  • Classification of Findings: Findings are typically classified based on their severity, impact on product quality, or potential risk to patient safety.

Audit Report:

  • Report Generation: Following the on-site assessment, auditors compile a detailed audit report outlining the findings, observations, and recommendations for corrective actions.

  • Manufacturer Review: The manufacturer has the opportunity to review the audit report, respond to findings, and propose corrective actions within specified timelines.

Corrective Action and Closure:

  • Corrective Action Plan: The manufacturer addresses identified non-conformities by implementing corrective actions outlined in response to the audit findings.

  • Verification of Corrective Actions: Auditors verify the effectiveness of the corrective actions taken by the manufacturer to rectify the identified non-conformities.

  • Closure: Upon successful verification and closure of non-conformities, the audit process concludes.

Ongoing Surveillance Audits:

  • Continuous Monitoring: MDSAP includes periodic surveillance audits to ensure sustained compliance and continuous improvement in the manufacturer's QMS.

The MDSAP audit process aims to promote consistent adherence to quality standards and regulatory requirements while fostering global harmonization in the medical device industry.

Benefits of MDSAP

  • Streamlined Audits: Manufacturers undergo a single comprehensive audit, reducing the need for multiple audits by different regulatory authorities.

  • Enhanced Efficiency: Simplified audit processes save time and resources for both manufacturers and regulatory bodies, fostering operational efficiency.

  • Global Market Access: With MDSAP certification, manufacturers gain easier access to various international markets, facilitating trade and product distribution.

  • Consistent Quality Standards: Adherence to international standards promotes consistency in the quality and safety of medical devices, fostering greater confidence among stakeholders.

  • Reduced Regulatory Burden: Harmonizing requirements alleviates the regulatory burden on manufacturers, allowing them to focus more on innovation and product development.

The Medical Device Single Audit Program (MDSAP) stands as a progressive step towards harmonizing global regulatory requirements for medical devices. By promoting standardized practices and streamlining audit processes, MDSAP supports manufacturers in ensuring the safety, quality, and compliance of their products. Embracing MDSAP not only facilitates market access but also fosters a culture of continual improvement and patient safety across international boundaries.

In today's interconnected world, where medical devices transcend borders, MDSAP represents a crucial framework that cultivates both regulatory compliance and innovation, ultimately benefiting healthcare systems and patients worldwide.

Are you seeking expert guidance for MDSAP compliance? Contact Artixio today for comprehensive MDSAP compliance services tailored to your needs. Ensure your medical device business meets global standards effortlessly. Reach out to us now!




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