This episode explores the transition from the Quality System Regulation (QSR) to the Quality Management System Regulation (QMSR) and the foundational elements required for medical device compliance. Host Etienne Nichols and guest Mike Drues discuss the philosophy of building a usable system rather than a "museum of SOPs," emphasizing that the standard list of QMS sections should be viewed as a starting point rather than an exhaustive checklist.

The conversation examines the critical differences between 510(k), De Novo, and PMA pathways regarding manufacturing requirements. While a 510(k) submission may not strictly require detailed manufacturing information at the time of filing, Mike explains why companies must remain audit-ready from the moment they register their establishment with the FDA. The discussion clarifies the timing of registration and the "radar" companies enter once they become commercially active.

Finally, the dialogue focuses on a "triage" approach for resource-constrained startups. By prioritizing Design Controls and Risk Management during early development, teams can remain compliant and ethical without over-investing in post-market systems, such as complaint handling, before they have a product on the market. Mike warns against the dangers of "copy-and-paste" quality systems, urging manufacturers to use professional judgment to tailor their processes to their specific technology.

1. 00:00 - Introduction to QMS requirements and guest Mike Drues.
2. 03:45 - The core sections of a QMS according to the Quality System Regulation.
3. 05:12 - Why the QSR list is a starting point, not a stopping point.
4. 08:20 - Regulatory vs. Ethical vs. Economical: The three legs of the medical device stool.
5. 10:30 - Do you need a full QMS for 510(k) vs. PMA submissions?
6. 13:15 - Understanding the timing and strategy for FDA Establishment Registration.
7. 15:40 - The Triage Approach: Which QMS sections matter most during early development?
8. 19:00 - The dangers of boilerplate SOPs and non-specific quality manuals.

1. Prioritize the Big Four: During the development phase, focus your limited resources on Design Controls, Risk Management, Document Control, and Supplier Quality Management.
2. Understand Pathway Nuances: While 510(k) submissions don't require manufacturing details, you must be fully compliant and ready for inspection once your establishment is registered and the product is launched.
3. Avoid Boilerplate SOPs: Quality systems must be specific to your organization. Including irrelevant device types or procedures in...