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MDSAP — the Medical Device Single Audit Program — replaces multiple country-specific audits with one audit recognized by five regulators: the US FDA, Canada Health, Brazil ANVISA, Japan MHLW/PMDA, and Australia TGA. For medical device manufacturers and their distributors, MDSAP is the single most efficient compliance lever available: one audit, five markets. This guide explains how the program works, what it covers, and how manufacturers and importers use it.

Video edukasi pelatihan MDSAP

How the Single Audit Works

MDSAP runs a single audit against a unified set of requirements: the ISO 13485 quality management system standard as the backbone, plus the participating regulators’ country-specific requirements (the US FDA’s QSR/21 CFR 820 elements, Canada’s Medical Devices Regulations, Brazil’s ANVISA requirements, Japan’s QMS Ministerial Ordinance, and Australia’s TGA framework). The audit is performed by an accredited auditing organization (AO) under contract to the International Medical Device Regulators Forum (IMDRF), and the audit report is shared with the participating regulators. The practical structure: a full audit every three years with annual surveillance audits in between, and the audit’s scope covers the manufacturer’s QMS processes — management, design, production, purchasing, corrective action, and the rest of the ISO 13485 map. The audit’s currency for the manufacturer: passing MDSAP satisfies the audit requirements of all five participating regulators — for Canada, MDSAP is the mandatory route for most device classes; for the others it reduces or substitutes the regulatory audit burden. The program’s official documentation and participating-regulator details are published through the FDA’s MDSAP pages and the IMDRF — the FDA’s MDSAP program page is the authoritative entry point.

What the Audit Covers: The 7 Process Areas

The MDSAP audit examines the manufacturer’s QMS across seven process areas: management responsibility, design and development, production and process controls, purchasing and supplier management, corrective and preventive action (CAPA), customer feedback and complaint handling, and document control and records. Each area is assessed against both ISO 13485 and the applicable country requirements — the auditor scores findings as major or minor, and a major finding triggers a corrective action timeline. For a medical equipment manufacturer like Sanyang (operating tables, surgical lights, hospital beds), the audit’s practical weight sits in design controls (the design history file for each device), production controls (the traceability from materials to finished device), and CAPA (the closed-loop handling of complaints and nonconformances). The preparation effort for a first MDSAP audit is typically 6–12 months of QMS work for a manufacturer coming from an ISO 13485 baseline, because the country-specific elements add requirements beyond the standard.

Produksi pabrik pendant medis untuk kesiapan audit MDSAP

Why Distributors and Importers Should Care

The MDSAP relevance for distributors is indirect but real: a manufacturer holding a current MDSAP certificate carries the audit file that distributors’ own regulatory work builds on — the technical file, the QMS evidence and the country-specific documentation are all verifiable through the MDSAP audit record. In practice, distributors evaluating suppliers for Canada-bound programs should treat MDSAP certification as a near-requirement (Canada mandates MDSAP for most device classes); for other markets it is the strongest available evidence of QMS maturity. The verification step for a distributor: check the MDSAP certificate’s currency and the auditing organization’s accreditation, and confirm the certificate’s scope covers the device categories being purchased. A manufacturer that runs ISO 13485 and MDSAP (Sanyang’s certification base is CE and ISO 13485, with the QMS documentation structured for audit-readiness) can produce the audit trail on request, and the pusat kepatuhan dan sertifikasi mencantumkan kumpulan sertifikat — pusat kepatuhan mencakup kumpulan sertifikat dan halaman tentang mendokumentasikan latar belakang SMK (Sistem Manajemen Mutu).

Foto pabrik troli darurat ABS

MDSAP vs ISO 13485: Perbedaan Praktis

Hubungannya bersifat aditif, bukan alternatif: ISO 13485 adalah dasar SMK, MDSAP adalah audit yang membuktikan dasar tersebut terhadap persyaratan lima regulator sekaligus. Produsen dapat memiliki ISO 13485 tanpa MDSAP (jejak pasar yang lebih kecil), tetapi produsen yang menjual ke salah satu dari lima pasar yang berpartisipasi harus menjalankan MDSAP karena audit ini menggabungkan beban audit — alternatifnya adalah audit terpisah per pasar, masing-masing dengan jadwal dan temuan sendiri. Bagi produsen, nilai audit MDSAP juga bersifat internal: audit terpadu memaksa SMK untuk memenuhi persyaratan ketat yang berlaku, yang menaikkan standar kualitas untuk setiap pasar. Aturan keputusan: menjual ke Kanada — MDSAP wajib untuk sebagian besar kelas; menjual ke AS, Brasil, Jepang, atau Australia — MDSAP menggantikan atau menyederhanakan audit regulasi; menjual hanya ke pasar di luar lima negara tersebut — ISO 13485 tetap menjadi dasar dengan registrasi lokal di atasnya.

Pertanyaan Umum

Apa itu MDSAP?

Program Audit Tunggal Perangkat Medis: satu audit yang diakui oleh lima regulator (FDA, Health Canada, ANVISA, MHLW/PMDA, TGA) yang menggantikan beberapa audit khusus negara untuk produsen perangkat medis.

Apa saja yang dicakup oleh audit MDSAP?

SMK di tujuh area proses — manajemen, desain, produksi, pembelian, CAPA, keluhan, kontrol dokumen — dinilai terhadap ISO 13485 plus persyaratan khusus negara dari lima regulator.

Apakah MDSAP wajib?

Untuk Kanada, ya untuk sebagian besar kelas perangkat; untuk empat pasar partisipan lainnya, hal ini menggantikan atau menyederhanakan beban audit regulasi.

Seberapa sering audit dijalankan?

Audit penuh setiap tiga tahun dengan audit pengawasan tahunan di antaranya.



MDSAP adalah langkah konsolidasi audit: satu audit, lima pasar, dan persyaratan ketat yang berlaku sebagai standar kualitas. Bacaan terkait: pusat kepatuhan dan latar belakang produsen.

Sebelum memesan, lakukan lima pemeriksaan sertifikat di dalam daftar periksa ulang CE MDR vs MDD kami.

Regional buying patterns differ by regulator and channel; our Latin America medical equipment market guide maps the five agencies and the tender cycles.

For a structured 15-criteria scorecard when comparing medical equipment manufacturers, see medical equipment supplier evaluation.

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