Medical Device Single Audit Program (MDSAP)
The International Medical Device Regulators Forum (IMDRF) recognizes that a global approach to auditing and monitoring the manufacturing of medical devices could improve their safety and oversight on an international scale. At its inaugural meeting in Singapore in 2012, the IMDRF identified a work group to develop specific documents for advancing a Medical Device Single Audit Program (MDSAP).
The Medical Device Single Audit Program allows an MDSAP recognized Auditing Organization to conduct a single regulatory audit of a medical device manufacturer that satisfies the relevant requirements of the regulatory authorities participating in the program.
International partners that are participating in the MDSAP include:
- MDSAP Members
- Therapeutic Goods Administration of Australia
- Brazil’s Agência Nacional de Vigilância Sanitária
- Health Canada
- Japan’s Ministry of Health, Labour and Welfare, and the Japanese Pharmaceuticals and Medical Devices Agency
- U.S. Food and Drug Administration
- MDSAP Official Observers:
- European Union (EU)
- Singapore's Health Sciences Authority (HSA) (NEW)
- United Kingdom's Medicines and Healthcare products Regulatory Agency (MHRA)
- The World Health Organization (WHO) Prequalification of In Vitro Diagnostics (IVDs) Programme
- MDSAP Affiliate Members:
- Argentina's National Administration of Drugs, Foods and Medical Devices (ANMAT)
- Ministry of Health of Israel
- Kenya's Pharmacy and Poisons Board (NEW)
- Republic of Korea's Ministry of Food and Drug Safety
- Federal Commission for Protection from Sanitary Risks (COFEPRIS) of Mexico
- TFDA - Taiwan Food and Drug Administration
From 01 January 2014 to 31 December 2016, FDA, alongside its international partners, participated in a Medical Device Single Audit Program Pilot. On 29 June 2017, a report was generated summarizing the outcomes of prospective “proof-of-concept” criteria established to confirm the viability of the Medical Device Single Audit Program. The outcomes documented in the Final MDSAP Pilot Report are based on data generated during the three (3) year pilot.
Based on its evaluation of the MDSAP Final Pilot Report, the MDSAP Regulatory Authority Council (the international MDSAP governing body) determined that the MDSAP Pilot had satisfactorily demonstrated the viability of the Medical Device Single Audit Program.
FDA will continue to accept MDSAP audit reports as a substitute for routine Agency inspections. Firms with activities related to the Electronic Product Radiation Control (EPRC) provisions of the Act will continue to be subject to FDA inspections for the EPRC activities.
Recent Updates
- Extension of Remote and Hybrid Auditing Pilot - MDSAP AU P0036 (New: August 1, 2024)
- Limited Extension of Temporary Extraordinary Measures related to MDSAP (New: February 24, 2023)
- MDSAP P0003.004: MDSAP Roles and Responsibilities (New: January 6, 2023)
- MDSAP F0003.2.001 MDSAP Membership Application Form (New: January 6, 2023)
- Additional Extension of Temporary Extraordinary Measures for Remote Auditing (New: September 30, 2022)
- Temporary Halt on Acceptance of Auditing Organization Applications (New: February 7, 2022)
- Further Extension of Temporary Extraordinary Measures for Remote Auditing (New: June 29, 2022)
- Extension of Remote Auditing (Transmittal: January 20, 2022)
- COVID-19 Remote Audits (New: December 31, 2020)
- ANVISA Resolutions (New: December 18, 2019)
Auditing Organizations
Participant Survey
Medical Device Firms and Auditing Organizations participating in the Medical Device Single Audit Program are invited to provide feedback at the survey link below:
See what the industry has to say about MDSAP audits:
"Auditors followed published MDSAP audit guidance very closely. We are now preparing to obtain MDSAP certificates for all ISO 13485/CMDCAS locations when MDSAP becomes fully operational in 2017."
"MDSAP allows a reduction in the number of audits conducted resulting in less business disruption. The MDSAP audit was well planned and the well-organized audit expectations allowed us to plan resources ahead of time. Additionally, qualified and competent auditing organizations conduct audits in a consistent manner. The transition from our previous audit cycle to the MDSAP audit program was easy due to the documents available on the MDSAP website. Definitely, more sites will be added to the MDSAP program in 2017 and 2018."
"MDSAP auditors are experienced and well-trained and apply a task-based audit approach. There is a reduction in the number of audits which brings less business disruption. GREAT web-based materials and guidelines are available to industry."
MDSAP Virtual Forum Presentations - December 2-4, 2020
On December 2-4, 2020, MDSAP Regulatory Authorities from the Therapeutic Goods Administration of Australia (TGA), Brazil's National Health Surveillance Agency (ANVISA), Health Canada (HC), Japan's Pharmaceuticals and Medical Devices Agency (PMDA) and the U.S. Food and Drug Administration (FDA) participated in a virtual forum with MDSAP Auditing Organizations. During the forum, regulators from Australia, Brazil and Japan presented the following regulatory updates:
MDSAP Stakeholder Day Presentations - December 5-6, 2019
On December 5-6, 2019, FDA participated in the MDSAP Stakeholder Day with the Therapeutic Goods Administration of Australia, Brazil's National Health Surveillance Agency, Health Canada, and Japan's Pharmaceuticals and Medical Devices Agency and regulators from Argentina's National Administration of Drugs, Foods and Medical Devices, Colombia's National Institute for Food and Drug Surveillance, South Korea's Medical Device Safety Bureau, Taiwan Food and Drug Administration and Venezuela's INHRR.
- TGA Use of MDSAP
- ANVISA Update
- HC Update
- MHLW and PMDA Use of MDSAP
- FDA Use of MDSAP - Regulatory Updates
MDSAP Stakeholder Day Presentations - December 5, 2018
On December 5, 2018, FDA participated in the MDSAP Stakeholder Day with the Therapeutic Goods Administration of Australia, Brazil's National Health Surveillance Agency, Health Canada, and Japan's Pharmaceuticals and Medical Devices Agency and 200 representatives trade organizations and device manufacturers participating in MDSAP.
- 18-113 - AO Recognition Status
- 18-114 - HC MDSAP Transition Update
- 18-115 - ANVISA Regulatory Update
- 18-115 - FDA Regulatory Update
- 18-115 - Japan Regulatory Update
- 18-115 - TGA Regulatory Update
- 18-116 - FDA Update ISO 13485
- 18-117- Workshop Grading NC
MDSAP Stakeholder Day Presentations - May 9, 2018
On May 9, 2018, FDA participated in the MDSAP Stakeholder Day with the Therapeutic Goods Administration of Australia, Brazil's National Health Surveillance Agency, Health Canada, and Japan's Pharmaceuticals and Medical Devices Agency and representatives from 60 device manufacturers marketing in Canada.
- 18-28 - Recent Changes to MDSAP
- 18-30 - TGA - Recent and Upcoming Regulatory Changes
- 18-30 - Regulatory Updates - Brazil
- 18-30 - Regulatory Updates (PMDA)
- 18-31- Status of Transition in Canada
- 18-32 - How HC uses MDSAP
- 18-32 - How the RAs use MDSAP - Brazil
- 18-32 - How the Regulatory Authorities use MDSAP (FDA)
- 18-32 - How the Regulatory Authorities use MDSAP (PMDA)
- 18-32 - How the TGA uses MDSAP
- 18-33 - Workshop I - feedback
- 18-34 - Workshop II - feedback
Resources For You
- MDSAP Regulatory Authority Contact Information
- MDSAP Invitation - September 8, 2016
- Announcement of New MDSAP Modules
- CDRH Learn (Postmarket Activities Section/ Inspections - Global Harmonization)
- MDSAP Final Pilot Report July 2017
- FDA EIR MDSAP Audit Report Equivalence, September 29, 2016
- New Candidate AO Participation in the Transitional Phase of the Medical Device Single Audit, November 29, 2016