Why Perform Quality Audits?

Quality Audits are required by regulation. They identify systemic gaps in regulatory compliance. Causes of poor product quality may be identified. Audits may be leveraged to identify process improvement and cost reduction opportunities.
One audit we conducted identified unnecessary inspections at incoming inspection, redundant in-process inspections, and unnecessary device history record reviews. Our recommended savings were in the tens of thousands of dollars per year.

Your inspection is closed and you have been issued an FDA 483

Off-the-shelf Quality Management System customized for your business, FDA & ISO audit-tested, with an option for cloud-based electronic document controls and minimal implementation time.
Vision28 professionals have experience developing and defending quality systems in companies whose sizes range from Fortune 100 worldwide companies to start-ups trying to get their first product approved by FDA.

Unlock the Path to Market: Simplify Your 510(k) FDA Clearance Solutions

A Journey you Don't Have to Take Alone

Navigating the maze of FDA requirements for 510(k) clearance is an intricate, time-consuming task. A single misstep can cost your organization valuable time and resources. That's why we're here: to be your compass, your guide, and your partner in achieving swift FDA clearance for your medical devices.
What matters is how you manage a crisis rather than worrying about how you got there—don’t compound the problem. Recalls require a solid recall plan, effective communication with customers, and thoughtful interaction with the FDA.
If you are in the midst of a difficult product recall, or you are just planning risk mitigation in the event of a recall, Vision28 can help you meet all regulatory requirements in the most pragmatic way for your business.
15 business days to respond to an FDA 483 – Time is of the essence.
No medical device or IVD manufacturer desires to receive a Form 483 or Warning Letter from FDA. A 483 is issued at the conclusion of anon-site inspection if FDA field investigators observe any deficiencies in your quality system or conditions that may violate the Food, Drug, and Cosmetic Act.

If you are responding to an FDA 483 or Warning Letter, Vision28 will assist you in communicating with the FDA to agree on a path to clear the observations and will help you rectify any deficiencies.
Unlock the Path to Market: Simplify Your 510(k) FDA Clearance
A Journey You Don't Have to Take Alone
Navigating the maze of FDA requirements for 510(k) clearance is an intricate and time-consuming task. A single misstep can cost your organization valuable time and resources. That's precisely why we're here: to serve as your compass, guide, and partner, ensuring swift FDA clearance for your medical devices.
21 CFR 7 Subpart C - Recalls
Recall Risks

Product corrections and removals (Recalls) impact many medical device manufacturers each year and can put your company, your brand, and your patients at risk.

If managed poorly, a recall can have devastating consequences for your reputation, market share, and bottom line.

In extreme cases, it may even result in FDA inspectors visiting your manufacturing facilities on a surprise inspection, or worse, visiting your customers to “persuade” them to comply with the recall request!

Minimizing
Recall Risks

Handled properly, a timely conclusion can minimize financial and regulatory risk while protecting public health.

Complex regulations and the logistics of recalls demand a partner experienced in medical device recalls and FDA communications.  Otherwise, you are not effectively managing your business risks.

Partnering withVision28 enables you to focus on your core business, while our recall experts interface with FDA to handle your recall quickly and compliantly.

What You Should Know to Initiate a Voluntary Recall

Under 21 CFR 806, Medical Device Correction and Removals, manufacturers and importers are required to make a report to FDA of any correction or removal of a medical device(s) if the correction or removal was initiated to reduce a risk to health posed by the device.

How to perform a Health Hazard Evaluation to help FDA determine your recall classification.

How to develop your Recall Strategy that you will submit to FDA.

How to write your Recall Letter for your customers, and how to track their responses.

How to close your recall with FDA.

What is a
Recall?

Recall
Removal or correction of a marketed product that the FDA considers to be in violation of the law.  Recall does not include a market withdrawal or a stock recovery.  (21 CFR 7.3(g) 

Correction
Correction means repair, modification, adjustment, relabeling, destruction, or inspection (including patient monitoring) of a product without its physical removal to some other location.  (21 CFR 7.3(h))

Market Withdrawal
Removal or correction of a distributed product with a minor violation not subject to FDA action, or which involves no violation, e.g., normal stock rotation practices, routine equipment adjustments and repairs, etc.

Stock Recovery
Removal or correction of a product that has not been marketed or that has not left the direct control of the firm and no portion of the lot has been released for sale or use.

Recalls Happen; We Can Help

- We will help you properly notify the FDA, distributors, and customers of a recall.
- We will guide you through generating compliant documentation to open, track, and close a recall.
- We will help submit required monthly recall updates to the FDA.
- We can perform recall effectiveness checks required by the FDA for recall closure.
- We can teach you to write and submit recall closure letters.

21 CFR 820 MDSAP ISO 13485 CMDR EU-MDR

Certified Auditors
Our auditors are certified to perform inspections for the EU MDR, ISO 13485, and have over 20 years of auditing experience.

All of our audits are compliant to ISO 19011:2018 Guidelines For Auditing Management Systems
Mock Audits
Mock audits will reveal weaknesses in your quality systems while training your employees how to setup for an audit, what to say and not say, and introduce processes for successful outcomes.
FDA and Notified
Body Inspections
We can help manage FDA and Notified Body inspections, help you respond to any observations, and guide you to remediation of observed deficiencies while maintaining a positive relationship with the auditing body.
QMS Gap Analysis
Our QMS Gap Analysis will do a deep dive into your quality systems using a non-inspection approach, and we will help identify where you have regulatory deficiencies, and also identify non-value added elements that can be removed to streamline your quality system.
FDA Form 483 & Warning Letters
Form 483

You must respond to the 483 within 15 business days, identifying your specific course of action to correct the findings. A detailed response for each item addressed in the 483 is expected. The quality and promptness of your response to this letter are extremely important.

If the response to the 483 is deemed insufficient, the FDA may issue a Warning Letter to your firm.

If not handled properly, business interruptions may occur, potentially affecting your customers, sales, and profits!

How to respond
to an FDA 483

Respond to guidance provided by the FDA investigators.

Provide adequate Corrective Actions that address the deficiencies noted in the FDA 483.

Provide Preventive Actions to ensure future compliance.

Responses should be comprehensive and well organized.

Document corrective and preventive actions in your Corrective and Preventive Action (CAPA) quality system.

Warning Letters
‍‍

The FDA’s Regulatory Procedures Manual (RPM) on Warning Letters states:

"When it is consistent with the public protection responsibilities of the agency and depending on the nature of the violation, it is the Food and Drug Administration's (FDA) practice to give individuals and firms an opportunity to take voluntary and prompt corrective action before it initiates an enforcement action.”  

Additionally, the RPM notes that "Warning Letters should be posted on FDA.gov to permit the public to be informed."

How can
We Help?

We have been writing FDA 483 responses for over 20 years for Fortune 100companies and others and have assisted in avoiding several warning letters. Using our experience, we can assist you in preparing an effective response to the FDA, and we can perform remedial actions to ensure your quality system is in full compliance with the regulations.

Our FDA 483 & Warning Letter Services
Analyze
Analyze the findings of the FDA Form 483 and/or Warning Letter.
Project Planning
Suggest appropriate actions and timeline to satisfy the FDA.
Coach and Support
Assist your company in charting a course of action.
Implement the Plan
“Roll up our sleeves” and implement “Corrective and Preventive Actions” until the observations are closed out.

Need Help Responding to an FDA 483?

- We will work with you to write an appropriate response to any warning letters you’ve received, structure it in a format the FDA expects, and submit it before the deadline.
- We will conduct a mock inspection after you’ve remediated the observations made by the FDA as described in your 483 response.
- We will examine each response and verify you have done exactly what you said you would do.
- We will then communicate the results of this inspection to the FDA as part of your close-out letter to demonstrate that you’ve taken the 483 letters seriously by bringing in a third party to help you remediate.
- A 483 does not have to lead to serious business interruptions. You just need to have the right partner to work through what needs to be done.

Our Regulatory Experts Are Second to None

- We will write and submit your Q-submission, 510(k), De Novo, or PMA for your IVD to the FDA.
- We will work directly with you to notify or obtain approval from your European Notified Body for your IVD device.
- We will also prepare a global regulatory strategy for the registration of your IVD in other markets.
- We will guide you step-by-step through the applicable regulations to be able to market your device wherever you are.

21 CFR 820 / MDSAP / ISO 13485 / CMDR / EU-MDR

Certified Auditors
Our auditors are certified to perform inspections for 21 CFR 820, the EU MDR, ISO 13485, MDSAP, CMDR, and have over 20 years of auditing experience.

All of our audits are compliant with ISO 19011:2018 Guidelines For Auditing Management Systems
Mock Audits
Mock audits will uncover weaknesses in your quality systems, while also training your employees on how to prepare for an audit, what to say and what to avoid saying, and introducing processes that lead to successful outcomes.
FDA and Notified
Body Inspections
We can help manage FDA and Notified Body inspections, help you respond to any observations, and guide you to remediation of observed deficiencies while maintaining a positive relationship with the auditing body.
QMS Gap Analysis
Our QMS Gap Analysis will do a deep dive into your quality systems using a non-inspection approach, and we will help identify where you have regulatory deficiencies, and also identify non-value added elements that can be removed to streamline your quality system.
Industry-Leading Expertise
We bring unparalleled insights and knowledge to your 510(k) clearance process. From initial documentation to final submission, we offer comprehensive support every step of the way.
Personalized
Attention
We understand that no two medical devices are alike. Our approach is tailored to meet the unique demands and nuances of your product, ensuring optimal outcomes.
Cost-Efficient Solutions
Our targeted, streamlined procedures aim to shorten your time-to-market while maximizing your ROI, ensuring that every moment invested translates into valuable returns for your business.
Real-Time
Updates
Stay in the loop with real-time updates on the progress of your 510(k) application, letting you plan your market entry with greater confidence and accuracy.
Our 510(k) Clearance Services
Pre-Market Evaluation
We'll help you evaluate the market landscape, focusing on device classification, predicates, and potential risks.
Document Preparation
From risk assessments to clinical evaluations, our team prepares all necessary documentation to the highest standards of regulatory compliance.
Submission and Liaison
We'll submit your 501(k) application to the FDA and serve as your liaison, managing all correspondence and queries to expedite the clearance process.
Post-Market Support
Our job doesn't end with FDA clearance. We offer post-market surveillance and compliance monitoring to ensure sustained success.
Our Quality Audit Services
Pre-Audit Document Review
We will review your standard operating procedures against the relevant regulations prior to our audit.
On-Site or Remote Audit
We can audit remotely or on-site. Audit duration will depend on the size of your manufacturing operation. Most small companies we audit take one to two days.
Audit Report
We will provide you with a detailed audit report compliant with ISO 19011:2018 Guidelines For Auditing Management Systems.
Post-Audit Support
Our job doesn't end with the audit report. We offer post audit CAPA remediation to ensure sustained success.

21 CFR 820 - ISO 13485 - MDSAP - EU MDR

Paper-On- Glass
Ideal for start-ups and growth-phase companies that don't want to spend significant dollars on a medical device quality system but seek the advantages of a computer-based system with electronic signature capabilities, and aim to get a system up and running in weeks instead of months.
Inspection and
Audit Tested
Our QMS system has been audited by FDA and Notified Bodies for over eight years. A time and audit tested Quality Management System.
SOPs Included
SOP-0001 Quality Manual
SOP-0002 Product Development(CONTRACT)
SOP-0002 Product Development
SOP-0003 Control of Quality Records
SOP-0004 Employee Training
SOP-0005 Document Control
SOP-0006 Customer Feedback and Post-Market Surveillance
SOP-0007 Management Responsibility
SOP-0008 Nonconformance
SOP-0009 Risk Management (for ISO14971-2019)
SOP-0010 Supplier Management
SOP-0011 Corrective and Preventive Action(CAPA)
SOP-0012 Internal Audit
SOPs Included
SOP-0012 Internal Audit
SOP-0013 Customer Communications
SOP-0014 Production Procedures(CONTRACT)
SOP-0014 Production Procedures
SOP-0015 Analysis of Data
SOP-0016 Inspection, Measuring, and Test Equipment (IMTE)
SOP-0017 Clinical Evaluation
SOP-0018 IVD Performance Evaluation
SOP-0018 RMA and Non-conforming Product Investigation
SOP-0019 Technical File
SOP-0020 Product Release to Markets
WI-0006A FDA Medical Device Reporting
WI-0006B European Medical Device Reporting
WI-0006E Canada Medical Device Reporting
Our Quality Audit Services
QMS Customization
We will construct a QMS specifically for your company and how you do business
QMS Training
We will train your staff so they will be able to independently use the system.
QMS Support
Your staff will have our support as they become proficientwith your new QMS
Virtual Quality Department
Our commitment extends beyond the mere implementation of your new QMS. We offer to serve as your virtual quality and regulatory department, providing comprehensive support at a fraction of the cost of some companies' licensing fees for their QMS software systems.
Our Recall Services
Initiating a Recall
We will help you to bound the recall of your devices, write a Recall Plan, and help you notify FDA, distributors and customers.
Recall Documentation
We will generate compliant documentation to open, track, and close the recall.
FDA Communication
We will submit the required monthly updates to FDA, and we will perform effectiveness checks required by FDA to determine if the recall may be closed.
Recall Closure
Once the effectiveness check goals are archived, we will write and submit a recall closure letter to FDA.

Need Help Responding to an FDA 483?

Industry-Leading Expertise
We bring unparalleled insights and knowledge to your 510(k) clearance process. From initial documentation to final submission, we offer comprehensive support every step of the way.
Personalized
Attention
We understand that no two medical devices are alike. Our approach is tailored to meet the unique demands and nuances of your product, ensuring optimal outcomes.
Cost-Efficient Solutions
Our targeted, streamlined procedures aim to shorten your time-to-market while maximizing your ROI, ensuring that every moment invested translates into valuable returns for your business.
Real-Time
Updates
Stay in the loop with real-time updates on the progress of your 510(k) application, letting you plan your market entry with greater confidence and accuracy.
Our 510(k)
Clearance Services
Pre-Market Evaluation
We'll help you evaluate the market landscape, focusing on device classification, predicates, and potential risks.
Document Preparation
From risk assessments to clinical evaluations, our team prepares all necessary documentation to the highest standards of regulatory compliance.
Submission and Liaison
We'll submit your 501(k) application to the FDA and serve as your liaison, managing all correspondence and queries to expedite the clearance process.
Post-Market Support
Our job doesn't end with FDA clearance. We offer post-market surveillance and compliance monitoring to ensure sustained success.
  • We will work with you to write an appropriate response to any warning letters you’ve received, structure it in a format the FDA expects, and submit it before the deadline.
  • We will conduct a mock inspection after you’ve remediated the observations made by the FDA as described in your 483 response.
  • We will examine each response and verify you have done exactly what you said you would do.
  • We will then communicate the results of this inspection to the FDA as part of your close-out letter to demonstrate that you’ve taken the 483 letters seriously by bringing in a third party to help you remediate.
  • A 483 does not have to lead to serious business interruptions. You just need to have the right partner to work through what needs to be done.
Industry-Leading Expertise
We bring unparalleled insights and knowledge to your 510(k) clearance process. From initial documentation to final submission, we offer comprehensive support every step of the way.
Personalized
Attention
We understand that no two medical devices are alike. Our approach is tailored to meet the unique demands and nuances of your product, ensuring optimal outcomes.
Cost-Efficient Solutions
Our targeted, streamlined procedures aim to shorten your time-to-market while maximizing your ROI, ensuring that every moment invested translates into valuable returns for your business.
Real-Time
Updates
Stay in the loop with real-time updates on the progress of your 510(k) application, letting you plan your market entry with greater confidence and accuracy.
Need help with Your inspection is closed and you have been issued an FDA 483?

Schedule a Free Consultation

Your journey to a successful regulatory submission and your LEAN Quality System begins here

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