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Class I devices do not require a Quality Management System (QMS), whilst Class IIa require a QMS to ISO 9002:1994 + EN 46002:1996 + Annex VII for a Technical File. Class IIb devices require a QMS to ISO 9001:1994 + EN 46001:1996 + Annex II clause 3.2 (c ) for a Technical File Whilst Class III require a QMS to ISO 9001:1994 + EN 46001:1996 + a Design Dossier in accordance with Clause 4 of Annex II.
What happens to EN 46000 now that the "new" version of ISO 9001 was published in December 2000?
EN 46001/2/3:1996 is still valid and can be used to demonstrate compliance for Medical Devices until December 2003. However, during the transition period, Companies are advised to begin to convert their QMS's to replace EN 46001/2/3 with ISO 13485:1996.
How does ISO 13485 fit into a Medical Device compliance picture now?
ISO 13485 is a much better standard than EN 46001/2/3:1996. ISO 13485 is widely accepted Internationally, whereas EN 46001/2/3 is only recognized in Europe. Canada, for example, have insisted on ISO 13485 in preference to EN 46000, for some time now.
What are the differences between ISO 13485 and EN 46001/2/3?
At first glance, the two standards might seem identical, as the clause numbers are the same. But closer inspection reveals subtle differences. The following is a non-exhaustive summary of ISO 13485's content;
| CLAUSE |
CLAUSE TITLE |
ISO 13485 ADDITIONAL REQUIREMENTS |
| 4.2.2 | Quality System | The Product File (4.2.2) includes Installation & Servicing |
| 4.4.1 | Design Control (General) | Requires Risk Management to be conducted throughout the design process |
| 4.5 | Document & data Control | identical to EN 46000 |
| 4.6 | Purchasing Records | identical to EN 46000 |
| 4.8 | Identification & Traceability | the term "refurbish" is replaced by "rework to specified requirements" |
| 4.9 | Process Control | almost identical but s/w validation included |
| 4.10 | Final Inspection & Test | identical to EN 46000 |
| 4.13 | Control of non-conforming product | the impact of the rework on product must be reviewed and documented |
| 4.14 | Corrective & Preventive Action | almost identical to EN 46000 |
| 4.15 | Handling, Storage...etc....Delivery | sterile requirements removed, but are covered in 4.9 |
| 4.16 | Quality Records | almost identical to EN 46000 |
| 4.18 | Training | requirements repositioned to clause 4.9 (A) |
| 4.20 | Statistical Techniques | removed but still necessary |
Within the 3 year transition (by December 2003) there will be a 'special' Medical Device version of ISO 9001:2000 which will incorporate the revised requirements of ISO 13485. Companies are advised to start as soon as possible and embrace the new requirements gradually, over say the next 12 months or so.
How do I comply with the "Process Approach" for ISO 9001:2000?
The requirements are contained in the first clause of the standard, which is reproduced here;
4.1 General requirements
The organization shall establish, document, implement and maintain a quality management system and continually improve its effectiveness in accordance with the requirements of this International Standard.
The organization shall
a) identify the processes needed for the quality management system and their application throughout the organization (see 1.2),
b) determine the sequence and interaction of these processes,
c) determine criteria and methods needed to ensure that both the operation and control of these processes are effective,
d) ensure the availability of resources and information necessary to support the operation and monitoring of these processes,
e) monitor, measure and analyse these processes, and
f) implement actions necessary to achieve planned results and continual improvement of these processes.
These processes shall be managed by the organization in accordance with the requirements of this International Standard.
Where an organization chooses to outsource any process that affects product conformity with requirements, the organization shall ensure control over such processes. Control of such outsourced processes shall be identified within the quality management system.
NOTE Processes needed for the quality management system referred to above should include processes for management activities, provision of resources, product realization and measurement.
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