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    4. Systemic requirements

    4.1 Organizational requirements

    4.1.1 Establish a QMS.

    • Develop a QMS for your organization.

    • Meet all applicable ISO 14!" re#uire$ents.

    • Meet all applicable regulatory re#uire$ents.

    • Docu$ent your organization%s QMS.

    • I$ple$ent your organization%s QMS.

    • &arry out all re#uire' QMS activities.

    • &arry out all re#uire' ISO 14!" activities.

    • &arry out all re#uire' regulatory activities.

    • (ollo) all re#uire' QMS proce'ures.

    • (ollo) all re#uire' ISO 14!" proce'ures.

    • (ollo) all re#uire' regulatory proce'ures.

    • *pply all re#uire' QMS arrange$ents.

    • *pply all re#uire' ISO 14!" arrange$ents.

    • *pply all re#uire' regulatory arrange$ents.

    • Maintain your organization%s QMS.

    4.1.+ &larify structure.

    • &onsi'er the roles that regulators e,pect you to perfor$.

    • Deter$ine the processes that your organization%s QMS nee's.

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    • &larify ho) QMS processes are applie' throughout your

    organization.

    • *pply a ris- base' approach to your organization%s QMS

    processes.

    4.1. Support processes.

    • Support each QMS process.

    • Support QMS process operations.

    • Support QMS process $onitoring.

    • Support QMS process $easuring.

    • Support QMS process analysis.

    • Support QMS process recor' -eeping.

    4.1.4 Manage changes.

    • Manage your QMS processes.

    • &o$ply )ith ISO 14!" process $anage$ent re#uire$ents.

    • Manage changes to your organization%s QMS processes.

    • &o$ply )ith regulatory process $anage$ent re#uire$ents.

    • &o$ply )ith regulatory change control re#uire$ents.

    4.1." &ontrol outsourcing.

    • Monitor outsource' processes that affect pro'uct confor$ity.

    • &ontrol outsource' processes that affect pro'uct confor$ity.

    4.1. /ali'ate soft)are.

    • Develop a proce'ure to vali'ate an' revali'ate your QMS soft)are.

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    • Develop an approach that is proportional to the ris- that is being

    ta-en.

    • 0se your proce'ure to vali'ate an' revali'ate soft)are

    applications.

    • /ali'ate co$puter soft)are applications for their inten'e' use.

    • /ali'ate soft)are )henever its inten'e' use changes as

    appropriate2.

    • Maintain a recor' of your soft)are vali'ation an' revali'ation

    activities.

    4.+ Docu$entation requirements

    4.+.1 Establish #uality 'ocu$ents.

    4.+.1.1 &larify 'ocu$entation re#uire$ents.

    • &onsi'er your 'ocu$entation re#uire$ents.

    • Inclu'e all re#uire' 'ocu$ents an' recor's.

    • Inclu'e the 'ocu$ents an' recor's that regulations

    re#uire.

    • Inclu'e the 'ocu$ents an' recor's that ISO 14!" +31"

    re#uires.

    • Inclu'e the 'ocu$ents an' recor's that your organization

    re#uires.

    4.+.1.+ &larify file $anage$ent re#uire$ents.

    • Establish a file for each $e'ical 'evice or fa$ily of $e'ical'evices.

    • Maintain a file for each $e'ical 'evice or fa$ily of $e'ical

    'evices.

    4.+.+ Develop a #uality $anual.

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    • repare a #uality $anual for your QMS.

    • Define the scope of your organization%s QMS.

    • Outline the structure of your QMS 'ocu$entation.

    • Inclu'e your QMS proce'ures or refer to the$.

    • Describe ho) your QMS processes interact.

    4.+. &ontrol #uality 'ocu$ents.

    • Establish a proce'ure to control QMS 'ocu$ents.

    • Docu$ent your QMS 'ocu$ent control proce'ure.

    • I$ple$ent your QMS 'ocu$ent control proce'ure.

    4.+.4 Maintain #uality recor's.

    • Establish recor's for your organization%s QMS.

    • Develop proce'ures to control QMS recor's.

    • Docu$ent your recor' control proce'ures.

    • I$ple$ent your recor' control proce'ures.

    • Define $etho's to protect QMS health recor's.

    ". Management requirements

    ".1 Commitment requirements.

    • De$onstrate your ongoing co$$it$ent.

    • Support the 'evelop$ent of your QMS.

    • Support the i$ple$entation of your QMS.

    • Support the $aintenance of your QMS.

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    ".+ E,ternal requirements.

    • Ensure that e,ternal re#uire$ents are 'eter$ine'.

    • Ensure that e,ternal re#uire$ents are being $et.

    ". Policy requirements.

    • lan your #uality policy.

    • Draft your #uality policy.

    • *pply your #uality policy.

    • 5evie) your #uality policy.

    ".4 Planning requirements

    ".4.1 Establish #uality ob6ectives.

    • Establish #uality ob6ectives for your organization.

    • Set ob6ectives nee'e' to $eet pro'uct re#uire$ents.

    • Set ob6ectives nee'e' to $eet regulatory re#uire$ents.

    ".4.+ &arry out #uality planning.

    • lan ho) you%re going to 'evelop your QMS.

    • lan ho) you%re going to 'ocu$ent your QMS.

    • lan ho) you%re going to structure your QMS.

    • lan ho) you%re going to $anage your QMS.

    • lan ho) you%re going to $onitor your QMS.

    • lan ho) you%re going to control your QMS.

    • lan ho) you%re going to i$ple$ent your QMS.

    • lan ho) you%re going to $aintain your QMS.

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    "." Managerial requirements

    ".".1 &larify responsibility an' authority.

    • Define QMS responsibilities an' authorities.

    • Docu$ent QMS responsibilities an' authorities.

    • Define ho) QMS personnel are interrelate'.

    ".".+ *ppoint $anage$ent representative.

    • *ppoint a $e$ber of $anage$ent to oversee your QMS.

    • 7ive $anage$ent representative authority an' responsibility.

    • *ssign authority an' responsibility for 'ocu$enting your QMS.

    • *ssign authority an' responsibility for reporting to top

    $anage$ent.

    • *ssign authority an' responsibility for pro$oting corporate

    a)areness.

    ".". Establish internal co$$unications.

    • Establish appropriate internal co$$unication processes.

    • Encourage co$$unication about the effectiveness of your QMS.

    ". Review requirements

    "..1 erfor$ regular $anage$ent revie)s.

    • Sche'ule your revie)s at planne' intervals.

    • Docu$ent your QMS revie) re#uire$ents.

    • 5evie) your QMS at planne' intervals.

    • 8eep a recor' of $anage$ent revie)s.

    "..+ E,a$ine $anage$ent revie) inputs.

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    • E,a$ine infor$ation about your QMS inputs2.

    • E,a$ine previous $anage$ent revie)s.

    • E,a$ine the results of previous au'its.

    • E,a$ine pro'uct confor$ity infor$ation.

    • E,a$ine process perfor$ance fee'bac-.

    • E,a$ine corrective an' preventive actions.

    • E,a$ine reco$$en'ations for i$prove$ent.

    • E,a$ine fee'bac- about re#uire$ents fro$ !.+.12.

    • E,a$ine ne) or revise' regulatory re#uire$ents.

    • E,a$ine changes that coul' affect your QMS.

    ".. 7enerate $anage$ent revie) outputs.

    • 7enerate your $anage$ent revie) outputs.

    • 7enerate 'ecisions an' actions to i$prove your QMS.

    • 7enerate 'ecisions an' actions to enhance your pro'ucts.

    • 7enerate 'ecisions an' actions to 'eal )ith regulatory changes.

    • 7enerate 'ecisions an' actions to a''ress relevant resource

    nee's.

    • Establish a recor' of your $anage$ent revie)s.

    . Resource requirements.1 Allocation requirements.

    • Deter$ine the resources that your QMS nee's.

    • rovi'e the resources that your QMS nee's.

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    • rovi'e the resources nee'e' to i$ple$ent your QMS.

    • rovi'e the resources nee'e' to $eet regulatory re#uire$ents.

    • rovi'e the resources nee'e' to $eet custo$er re#uire$ents.

    .+ Personnel requirements

    .+.1 Ensure the co$petence of )or-ers.

    • I'entify personnel )ho can affect pro'uct safety or perfor$ance.

    • I'entify )or- that can affect pro'uct safety or perfor$ance.

    • Ma-e sure that these )or-ers are co$petent.

    .+.+ Meet all co$petence re#uire$ents.

    • Establish a process to $anage the co$petence of $e'ical

    'evice )or-ers.

    • 0se your process to $anage the co$petence of $e'ical 'evice

    )or-ers.

    • I'entify suitable $etho's for evaluating training an' a)areness

    activities.

    • Maintain recor's that 'ocu$ent the co$petence of $e'ical 'evice

    )or-ers.

    . Infrastructure requirements

    ..1 Docu$ent the infrastructure that you nee'.

    • Docu$ent the infrastructure that your QMS nee's.

    • rovi'e the infrastructure that your QMS nee's.

    • rovi'e the buil'ings an' utilities that your organization nee's.

    • rovi'e the )or-spaces an' e#uip$ent that your organization

    nee's.

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    • rovi'e the support services that your organization nee's.

    • Maintain the infrastructure that your QMS nee's.

    ..+ Docu$ent your $aintenance re#uire$ents.

    • I'entify $aintenance activities that $ay affect pro'uct safety or

    perfor$ance.

    • Establish $aintenance re#uire$ents for these $aintenance

    activities.

    • Docu$ent $aintenance re#uire$ents for these $aintenance

    activities.

    • Docu$ent $aintenance re#uire$ents for e#uip$ent asappropriate2.

    • Maintain e#uip$ent in accor'ance )ith your $aintenance

    re#uire$ents.

    .4 Environment requirements

    .4.1 Define your $e'ical 'evice )or- environ$ent.

    .4.1.1 Docu$ent your $e'ical 'evice environ$ent.

    • I'entify the )or- environ$ent nee'e' to $eet pro'uct

    re#uire$ents.

    • Docu$ent the )or- environ$ent nee'e' to $eet pro'uct

    re#uire$ents.

    • Establish the )or- environ$ent nee'e' to $eet pro'uct

    re#uire$ents.

    .4.1.+ Docu$ent your environ$ental re#uire$ents.

    • I'entify )or- environ$ents that affect pro'uct safety or

    perfor$ance.

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    • Docu$ent your re#uire$ents for these )or-

    environ$ents.

    • I'entify the environ$ental con'itions that affect ho) )or-

    is perfor$e'.

    • I'entify )or-ing con'itions that affect pro'uct safety or

    perfor$ance.

    • Docu$ent proce'ures to $onitor an' control )or-ing

    con'itions.

    .4.1. Docu$ent your cleanliness e,pectations.

    • I'entify personnel )ho coul' affect pro'uct safety or

    perfor$ance.

    • I'entify those )ho co$e into contact )ith relate' )or-

    environ$ents.

    • Establish suitable health9 cleanliness9 an' clothing

    re#uire$ents.

    .4.1.4 Docu$ent your conta$ination controls.

    • Establish arrange$ents to control pro'ucts that coul' beconta$inate'.

    • Docu$ent arrange$ents to control pro'ucts that coul' be

    conta$inate'.

    .4.+ Define your sterile $e'ical 'evice environ$ent.

    • Establish )or- environ$ent re#uire$ents for sterile $e'ical

    'evices.

    • &o$ply )ith your )or- environ$ent re#uire$ents for $e'ical

    'evices.

    :. Realization requirements

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    :.1 Planning requirements.

    • lan the processes you nee' to realize pro'ucts.

    • Develop the processes that you nee' to realize pro'ucts.

    • Develop a ris- $anage$ent process for pro'uct realization.

    • lan ho) you%re going to realize each pro'uct.

    • (or$ulate #uality ob6ectives for your pro'uct.

    • &larify specific pro'uct realization re#uire$ents.

    • 7enerate pro'uct realization planning outputs.

    • Establish recor's of pro'uct realization activities.

    :.+ Customer requirements

    :.+.1 Deter$ine pro'uct re#uire$ents.

    • &larify your pro'uct re#uire$ents.

    • I'entify re#uire$ents specifie' by your custo$ers.

    • I'entify re#uire$ents 'ictate' by your pro'uct%s inten'e' use.

    • I'entify re#uire$ents i$pose' by your regulatory bo'ies.

    • I'entify re#uire$ents 'efine' by your organization.

    :.+.+ 5evie) your pro'uct re#uire$ents.

    • Evaluate pro'uct re#uire$ents before you accept or'ers.

    • 5evie) pro'uct re#uire$ents before you supply pro'ucts.

    • /erify pro'uct re#uire$ents before you agree to accept or'ers.

    • &onfir$ that pro'uct re#uire$ents can be $et before you

    procee'.

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    • Maintain a recor' of your pro'uct re#uire$ent revie)s.

    :.+. &o$$unicate pro'uct re#uire$ents.

    :.+..1 &o$$unicate )ith custo$ers.

    • Establish arrange$ents to co$$unicate )ith custo$ers.

    • Docu$ent your custo$er co$$unication arrange$ents.

    :.+..+ &o$$unicate )ith regulators.

    • Establish arrange$ents to co$$unicate )ith regulatory

    authorities.

    :. Develoment requirements

    :..1 repare 'esign an' 'evelop$ent proce'ures.

    • Establish proce'ures for 'esign an' 'evelop$ent.

    • Docu$ent proce'ures for 'esign an' 'evelop$ent.

    :..+ Organize 'esign an' 'evelop$ent activities.

    • lan the 'esign an' 'evelop$ent of your pro'ucts.

    • Docu$ent your pro'uct 'esign an' 'evelop$ent plans.

    • Maintain your 'esign an' 'evelop$ent planning 'ocu$ents.

    • &ontrol the 'esign an' 'evelop$ent of your pro'ucts.

    :.. Deter$ine 'esign an' 'evelop$ent inputs.

    • Deter$ine pro'uct 'esign an' 'evelop$ent inputs.

    • 5evie) your pro'uct 'esign an' 'evelop$ent inputs.

    • *pprove your pro'uct 'esign an' 'evelop$ent inputs.

    • Maintain a recor' of 'esign an' 'evelop$ent inputs.

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    :..4 7enerate 'esign an' 'evelop$ent outputs.

    • 7enerate suitable 'esign an' 'evelop$ent outputs.

    • /erify your pro'uct 'esign an' 'evelop$ent outputs.

    • *pprove your pro'uct 'esign an' 'evelop$ent outputs.

    • Maintain recor's of 'esign an' 'evelop$ent outputs.

    :.." &arry out 'esign an' 'evelop$ent revie)s.

    • lan your organization%s 'esign an' 'evelop$ent revie)s.

    • erfor$ revie)s in accor'ance )ith planne' arrange$ents.

    • Maintain recor's of your 'esign an' 'evelop$ent revie)s.

    :.. erfor$ 'esign an' 'evelop$ent verifications.

    • lan your 'esign an' 'evelop$ent verification activities.

    • Docu$ent your 'esign an' 'evelop$ent verification plans.

    • erfor$ verifications in accor'ance )ith planne' arrange$ents.

    • 8eep recor's of your 'esign an' 'evelop$ent verification

    activities.

    :..: &on'uct 'esign an' 'evelop$ent vali'ations.

    • lan your organization%s 'esign an' 'evelop$ent

    vali'ation activities.

    • Docu$ent your organization%s 'esign an' 'evelop$ent vali'ation

    plans.

    • erfor$ vali'ations in accor'ance )ith your planne'

    arrange$ents.

    • 8eep recor's of 'esign an' 'evelop$ent vali'ation activities.

    :..! lan 'esign an' 'evelop$ent transfers.

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    • lan pro'uct 'esign an' 'evelop$ent transfers.

    • Docu$ent 'esign an' 'evelop$ent transfer plans.

    • 0se your plans an' proce'ures to $a-e transfers.

    • 8eep recor's of 'esign an' 'evelop$ent transfers.

    :..; &ontrol 'esign an' 'evelop$ent changes.

    :..;.1 Establish control of your changes.

    • Establish processes to control 'esign an' 'evelop$ent

    changes.

    • 0se processes to control changes that affect your $e'ical'evices.

    :..;.+ I'entify an' recor' your changes.

    • I'entify 'esign an' 'evelop$ent changes.

    • *pprove changes before you i$ple$ent the$.

    • 5ecor' 'esign an' 'evelop$ent changes.

    :..;. 5evie) an' evaluate your changes.

    • 5evie) an' evaluate 'esign an' 'evelop$ent changes.

    • 5evie) an' evaluate the effect changes coul' have.

    :..;.4 Maintain a recor' of your revie)s.

    • 5ecor' results of your revie) of 'esign an' 'evelop$ent

    changes.

    :..13 Maintain 'esign an' 'evelop$ent files.

    • Maintain a 'esign an' 'evelop$ent file for each 'evice or fa$ily of 

    'evices.

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    • Inclu'e or reference recor's that 'ocu$ent co$pliance an'

    changes.

    :.4 Purc!asing requirements

    :.4.1 Manage purchasing process.

    :.4.1.1 repare purchase proce'ures.

    • Establish proce'ures to control pro'uct purchases.

    • Docu$ent proce'ures to control pro'uct purchases.

    :.4.1.+ &ontrol selection of suppliers.

    • lan the selection an' evaluation of your suppliers.

    • Establish supplier selection an' evaluation criteria.

    • Evaluate an' select your organization%s suppliers.

    • *pprove suppliers that $eet your selection an'

    evaluation criteria.

    • *pprove suppliers that $eet or can $eet all relevant

    re#uire$ents.

    :.4.1. Monitor supplier perfor$ance.

    • lan ho) you%re going to $onitor supplier perfor$ance.

    • Monitor the perfor$ance of your organization%s suppliers.

    • 0se $onitoring results to re

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    • lan your organization%s pro'uct purchases.

    • 5evie) purchase re#uire$ents before sharing the$.

    • Maintain your organization%s purchasing 'ocu$ents an' recor's.

    :.4. /erify purchase' pro'ucts.

    • Develop $etho's an' activities to verify purchase' pro'ucts.

    • Ma-e arrange$ents to verify the pro'ucts you plan to purchase.

    • /erify that your purchase' pro'ucts $eet purchase re#uire$ents.

    • &onsi'er )hat to 'o )hen changes are $a'e to purchase'

    pro'ucts.

    • Establish an' $aintain a recor' of purchase' pro'uct

    verifications.

    :." Pro"uction requirements

    :.".1 &ontrol $e'ical 'evice pro'uction an' service provision.

    :.".1.1 lan an' perfor$ pro'uction an' service provision.

    • lan your pro'uction an' service provision activities.

    • &arry out pro'uction an' service provision activities.

    • Monitor pro'uction an' service provision activities.

    • &ontrol pro'uction an' service provision activities.

    :.".1.+ &larify cleanliness9 installation9 an' servicing e,pectations.

    :.".1.+.1 Define re#uire$ents for cleanliness or conta$ination

    controls.

    • Define cleanliness or conta$ination control

    re#uire$ents for pro'ucts that you clean

    prior to sterilization or use.

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    • Define cleanliness or conta$ination control

    re#uire$ents for pro'ucts that cannot be

    cleane' prior to sterilization or use.

    • Define cleanliness or conta$ination control

    re#uire$ents for pro'ucts supplie' non

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    :.".1. Maintain a recor' of sterilization process para$eters.

    • Establish a recor' of your sterilization process para$eters.

    • 5ecor' sterilization para$eters for each batch of $e'ical

    'evices.

    :.".+ /ali'ate processes use' for pro'uction an' service provision.

    :.".+.1 /ali'ate processes an' soft)are if outputs aren%t being

    verifie'.

    • I'entify processes that generate outputs that are

    not or cannot be verifie' by subse#uent $onitoring

    an' $easure$ent until it%s too late.

    • Establish proce'ures to vali'ate pro'uction an'

    service 'elivery processes an' soft)are applications

    that coul' affect your pro'ucts an' services.

    • Develop plans to vali'ate pro'uction an' service

    'elivery processes that generate outputs that are

    not or cannot be verifie' until it%s too late.

    • /ali'ate processes an' soft)are applications that

    coul' generate output 'eficiencies an' coul' affectyour pro'ucts an' services.

    :.".+.+ /ali'ate sterilization processes an' pro'uct pac-aging

    processes.

    • repare proce'ures for vali'ating sterilization processes.

    • Docu$ent your sterilization process vali'ation

    proce'ures.

    • repare proce'ures to vali'ate pac-aging for sterile barrier

    syste$s.

    • Docu$ent your pac-aging process vali'ation proce'ures.

    :.". I'entify $e'ical 'evice pro'ucts an' establish traceability.

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    :."..1 reserve pro'uct i'entity throughout pro'uct realization.

    • repare proce'ures an' syste$s to control i'entify of

    $e'ical 'evices.

    • Establish proce'ures to $aintain i'entify 'uring pro'uctrealization.

    • Docu$ent your pro'uct i'entification syste$s an'

    proce'ures.

    :."..+ Establish suitable traceability proce'ures an' recor's.

    :."..+.1 Establish suitable pro'uct traceability proce'ures.

    • &larify your pro'uct traceability re#uire$ents.

    • Establish your pro'uct traceability proce'ures.

    • Maintain a recor' of your traceability activities.

    :."..+.+ Establish suitable recor's for i$plantable 'evices.

    • Establish traceability recor's for i$plantable

    $e'ical 'evices.

    • E,pect suppliers an' 'istributors to have

    traceability recor's.

    :.".. Maintain pro'uct status throughout pro'uct realization.

    • I'entify the status of $e'ical 'evices throughout pro'uct

    realization.

    • Maintain the status of $e'ical 'evices throughout pro'uct

    realization.

    • 0se status infor$ation to control the 'isposition of $e'ical

    'evices.

    :.".4 rotect property supplie' for $e'ical 'evices by custo$ers.

    http://www.praxiom.com/iso-definition-2005.htm#Traceabilityhttp://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_devicehttp://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_devicehttp://www.praxiom.com/iso-13485-definitions.htm#3.11_Medical_devicehttp://www.praxiom.com/iso-definition-2005.htm#Traceabilityhttp://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_devicehttp://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_devicehttp://www.praxiom.com/iso-13485-definitions.htm#3.11_Medical_device

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    • I'entify property supplie' by custo$ers to be use' by $e'ical

    'evices.

    • /erify property supplie' by custo$ers to be use' by your $e'ical

    'evices.

    • Safeguar' property supplie' by custo$ers to be use' by $e'ical

    'evices.

    • Maintain a recor' of custo$er property that is lost9 'a$age'9 or

    unsuitable.

    • 5eport lost9 'a$age'9 or unsuitable custo$er property to your

    custo$ers.

    :."." reserve $e'ical 'evice pro'ucts an' co$ponents.

    :.".".1 Develop proce'ures to preserve pro'uct confor$ity.

    • Establish proce'ures to preserve the confor$ity of

    pro'ucts.

    • Docu$ent an' $aintain your pro'uct preservation

    proce'ures.

    • 0se your proce'ures to preserve the confor$ity ofpro'ucts.

    :.".".+ revent pro'uct 'a$age9 alteration9 an' conta$ination.

    • revent $e'ical 'evice 'a$age9 alteration9 an'

    conta$ination.

    • rotect pro'ucts )hen e,pose' to hazar's an' e,pecte'

    con'itions.

    :. Measurement requirements

    • I'entify $onitoring an' $easure$ent re#uire$ents.

    • Select suitable $onitoring an' $easure$ent e#uip$ent.

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    • Establish your $onitoring an' $easure$ent proce'ures.

    • repare calibration an' verification plans an' proce'ures.

    • rotect your $onitoring an' $easure$ent e#uip$ent.

    • /ali'ate your $onitoring an' $easure$ent soft)are.

    • *pply your $onitoring an' $easure$ent proce'ures.

    !. Reme"ial requirements

    !.1 lanning re#uire$ents

    • lan $onitoring9 $easure$ent9 an' analytical processes..

    • lan ho) $onitoring $etho's )ill be use' ensure confor$ity an'

    effectiveness.

    • lan ho) $easure$ent )ill be use' to ensure confor$ity an'

    effectiveness.

    • lan ho) analytics )ill be use' to ensure confor$ity an'

    effectiveness.

    !.+ 5esearch re#uire$ents

    !.+.1 Establish suitable fee'bac- $etho's an' proce'ures.

    !.+.1.1 Develop fee'bac- $etho's an' gather infor$ation.

    • Establish fee'bac- $etho's an' proce'ures.

    • Establish custo$er fee'bac- $etho's an' proce'ures.

    • Establish pro'uction fee'bac- $etho's an'

    proce'ures.

    • E,a$ine the infor$ation you have gathere'.

    • 0se your fee'bac- to $easure QMS effectiveness.

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    • 0se your fee'bac- to facilitate ris- $anage$ent.

    • 0se your fee'bac- to support pro'uct realization.

    !.+.1.+ Investigate co$plaints9 ta-e action9 an' report results.

    !.+.1.+.1 Develop an' 'ocu$ent co$plaint han'ling

    proce'ures.

    • Establish your co$plaint han'ling proce'ures.

    • Docu$ent your co$plaint han'ling proce'ures.

    • Docu$ent relate' responsibilities an'

    re#uire$ents.

    !.+.1.+.+ Develop an' 'ocu$ent co$plaint reporting

    proce'ures.

    • Establish proce'ures for reporting co$plaints to

    regulators.

    • 5eport co$plaints to regulators )hen a'verse

    events occur.

    • Maintain a recor' of your regulatory reports an'notifications.

    !.+.+ lan an' perfor$ internal au'its at planne' intervals.

    • lan your organization%s internal au'it progra$.

    • &arry out your internal au'its at planne' intervals.

    • Maintain a recor' of au'it plans an' perfor$ance.

    • Eli$inate all 'etecte' nonconfor$ities an' causes.

    • (ollo)

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    • Establish suitable $etho's to $onitor an' $easure each QMS

    process.

    • I$ple$ent suitable $etho's to $onitor an' $easure each QMS

    process.

    • Deter$ine )hether or not each QMS process is achieving

    planne' results.

    • =a-e re$e'ial action )henever processes fail to achieve planne'

    results.

    !.+.4 Monitor an' $easure $e'ical 'evice characteristics.

    !.+.4.1 /erify that all $e'ical 'evice re#uire$ents are being $et.

    • Monitor an' $easure your organization%s pro'uct

    characteristics.

    • Establish a recor' of pro'uct $onitoring an' $easure$ent

    activities.

    • &o$plete all planne' arrange$ents before you release your 

    pro'ucts.

    !.+.4.+ 8eep a recor' of i$plantable 'evice testers an' inspectors.

    • Establish a recor' of i$plantable $e'ical 'evice testing

    an' inspection.

    • I'entify the people )ho test or inspect i$plantable

    $e'ical 'evices.

    !. ro'uct re#uire$ents

    !..1 revent uninten'e' 'elivery or use of nonconfor$ing pro'ucts.

    • &larify ho) you inten' to prevent uninten'e' pro'uct 'elivery or

    use.

    • revent the uninten'e' 'elivery or use of your nonconfor$ing

    pro'ucts.

    http://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_devicehttp://www.praxiom.com/iso-13485-definitions.htm#3.6_Implantable_medical_device

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    • Establish a recor' of your organization%s nonconfor$ing pro'uct

    activities.

    !..+ Deal )ith pre

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    • &larify ho) pro'uct re)or- shoul' be recor'e'.

    !.4 *nalytical re#uire$ents

    • &onsi'er ho) you plan to evaluate your QMS.

    • Establish proce'ures to evaluate your QMS.

    • 7ather infor$ation an' 'ata about your QMS.

    • *nalyze infor$ation an' 'ata about your QMS.

    !." I$prove$ent re#uire$ents

    !.".1 =a-e action to change QMS an' pro'ucts.

    • I'entify any changes that $ust be $a'e.

    • I'entify changes that $aintain QMS suitability an' effectiveness.

    • I'entify changes that $aintain pro'uct safety an' perfor$ance.

    • Ma-e any changes that $ust be $a'e. 

    !.".+ =a-e action to correct actual nonconfor$ities.

    • Docu$ent a corrective action proce'ure.

    • Specify ho) actual proble$s )ill be investigate'.

    • Specify ho) corrective actions )ill be 'evelope'.

    • Specify ho) corrective actions )ill be verifie'.

    • Specify ho) corrective action )ill be ta-en.

    • Specify ho) corrective action )ill be revie)e'.

    • I$ple$ent your corrective action proce'ure.

    • Maintain recor's of corrective action ta-en.

    !.". =a-e action to prevent potential nonconfor$ities.

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    • Docu$ent a preventive action proce'ure.

    • Specify ho) potential proble$s )ill be investigate'.

    • Specify ho) preventive actions )ill be 'evelope'.

    • Specify ho) preventive actions )ill be verifie'.

    • Specify ho) preventive action )ill be ta-en.

    • Specify ho) preventive action )ill be revie)e'.

    • I$ple$ent your preventive action proce'ure.

    • Maintain recor's of preventive action ta-en.

    *lso see ISO 14;:1 5is- Manage$ent Stan'ar' for Me'ical Devices in lain

    English2.

    http://www.praxiom.com/iso-14971.htmhttp://www.praxiom.com/iso-14971.htmhttp://www.praxiom.com/iso-14971.htm