QMSAdvisor

Who We Serve: Technology

In Vitro Diagnostics

In vitro diagnostics are regulated as medical devices, but the evidence looks different: reagent stability, lot-to-lot consistency, specimen studies and instructions for use that a laboratory will follow to the letter. We help IVD manufacturers line those records up with their claims before an investigator or notified body tests them.

Typical Regulatory Exposure

In the US, IVDs are medical devices subject to the QMSR and to the premarket pathway for their classification. The clinical laboratories that use them are regulated separately under CLIA, a framework for laboratory testing rather than for manufacturers, which is why a test's complexity categorization matters to your customers without being part of your own quality system obligations.

Several standards shape IVD-specific evidence. ISO 18113 covers the information supplied by the manufacturer with IVD reagents and instruments, ISO 23640 covers stability evaluation of IVD reagents, and ISO 20916 covers clinical performance studies that use specimens from human subjects. ISO 15189 applies to medical laboratories and matters to manufacturers whose customers and study sites work under it. ISO 14971 applies too, with much of the risk sitting in incorrect results rather than direct physical harm.

In the EU, the IVDR replaced the earlier directive with a risk-based classification that brings far more IVDs under notified body review than before. Manufacturers moving from self-declaration face their first notified body audits, a performance evaluation that must be kept current, and post-market surveillance expectations that reach well beyond complaint handling.

Where Audits Find Gaps

  1. 01

    Stability Claims Ahead of the Data

    Shelf-life or in-use stability claims rest on accelerated data or a study still in progress, with no recorded plan for confirming them with real-time results.

  2. 02

    Calibrator Traceability Not Documented

    Release testing passes lots, but the traceability of calibrators and control materials to reference materials or methods is not documented.

  3. 03

    Instructions for Use That Drift From the Studies

    Specimen types, storage conditions or interfering substances listed in the instructions do not match what the analytical studies actually covered.

  4. 04

    Specimen Study Records Incomplete

    Clinical performance studies lack documented specimen sourcing, consent or ethics records, or a clear link between the protocol and the final report.

  5. 05

    Erroneous Results Not Treated as Complaints

    Customer calls about unexpected or discordant results are handled as technical support, with no evaluation of whether they point to a product problem or a reportable event.

Relevant Standards and Regulations

Relevant Services

Audits and Inspections You May Face

Questions

Does CLIA apply to us as the manufacturer?

CLIA regulates the laboratories that perform testing, not the manufacturer's quality system. It still matters to you, because the complexity categorization of your test affects which laboratories can run it. Your own quality system obligations come from the device regulations.

We sold under self-declaration in the EU. What changes under the IVDR?

Depending on how your device is classified under the IVDR rules, you may now need a notified body to assess your quality system and technical documentation. That brings conformity assessment audits, surveillance audits and unannounced audits, plus performance evaluation and post-market surveillance documentation the notified body will review.

Do you review our analytical and clinical performance data?

We review whether the studies are documented, controlled and consistent with your claims and labeling. We do not re-run statistics or act as a laboratory. Findings point to where the evidence and the claims disagree.

In Vitro Diagnostics

Get an Advisor's View of Your Quality System

Tell us about your devices and the audit or inspection ahead, and an advisor will scope an assessment for your kind of product. Please don't send confidential documents yet: secure upload is set up after onboarding.