Kinsel David
Terumo Cardiovascular Systems Corporation, Ann Arbor, MI, USA.
World J Pediatr Congenit Heart Surg. 2012 Jan 1;3(1):77-81. doi: 10.1177/2150135111422720.
Medical devices used in the United States must comply with federal regulations established to ensure that specified requirements have been met. The article will focus on 1 of 14 elements of the Quality System Regulation (QSR)-Design Controls. A high-level overview of these design control requirements is provided to increase awareness of the device development process and provide a basis for mutual understanding for continued dialogue with end users. Design control requirements were established by the US Food and Drug Administration (FDA) as an element of the QSR in 1996. Device manufacturers are required to have a quality management system (QMS) to ensure their devices are safe and effective. The QMS is established by writing operating procedures to achieve consistent application of the methods used to control quality and comply with regulatory requirements. The FDA has the responsibility to audit device manufacturers for compliance with the regulation. The requirements of the QSR and the resulting device design control procedures lend themselves to what is commonly known as the waterfall development process. This iterative process results in documented evidence that is defined in the QSR as the Design History File. This record of development is essential for managing the product life cycle. The elements and purpose of the design control process will be presented to illuminate today's development environment.
Collaboration between device developers and the practitioner is essential for improving clinical outcomes and reducing time to market of innovative devices.
在美国使用的医疗设备必须符合为确保满足特定要求而制定的联邦法规。本文将聚焦于质量体系法规(QSR)的14个要素之一——设计控制。提供对这些设计控制要求的高层次概述,以提高对设备开发过程的认识,并为与终端用户持续对话的相互理解提供基础。设计控制要求由美国食品药品监督管理局(FDA)于1996年作为QSR的一个要素确立。设备制造商必须拥有质量管理体系(QMS),以确保其设备安全有效。通过编写操作程序来建立QMS,以实现用于控制质量和符合法规要求的方法的一致应用。FDA有责任对设备制造商进行合规审计。QSR的要求以及由此产生的设备设计控制程序适用于通常所说的瀑布式开发过程。这个迭代过程会产生在QSR中定义为设计历史文件的书面证据。这个开发记录对于管理产品生命周期至关重要。将介绍设计控制过程的要素和目的,以阐明当今的开发环境。
设备开发者与从业者之间的合作对于改善临床结果和缩短创新设备的上市时间至关重要。