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Glossary

FDA 21 CFR Part 820

Full name: Title 21 CFR Part 820, Quality System Regulation
FDA 21 CFR Part 820, commonly called the Quality System Regulation or QSR, establishes the quality system requirements medical device manufacturers must meet to legally market devices in the United States. It covers design controls, document control, purchasing controls, corrective and preventive action, and other core quality processes, closely aligned with many ISO 13485 requirements though historically maintained as a distinct U.S. regulation. 

Quick facts

Category U.S. medical device quality system regulation
Used by Medical device manufacturing and related life sciences
Also called QSR, Part 820
Related standards ISO 13485, QMSR, FDA 21 CFR Part 11
Related processes Design controls, document control, CAPA, purchasing controls, complaint handling
Semantic match FDA 21 CFR Part 820, Quality System Regulation, QSR, medical device quality system requirements

What is FDA 21 CFR Part 820?

FDA 21 CFR Part 820 sets out the quality system requirements medical device manufacturers, and organizations throughout the device supply chain, must meet to legally distribute devices in the United States. It covers the full device lifecycle, from design and development through production, distribution and post-market activities.

Core requirements include design controls, requiring a structured design and development process with defined inputs, outputs, verification and validation; document and record controls; purchasing controls for suppliers and purchased components; and corrective and preventive action processes for addressing nonconformities.

Historically maintained as a distinct U.S. regulation, Part 820 shares substantial overlap with ISO 13485, and FDA has moved toward harmonizing its requirements more closely with the international standard through the Quality Management System Regulation, or QMSR, framework.

Why is FDA 21 CFR Part 820 important?

Compliance with Part 820 is a legal requirement for marketing medical devices in the United States, making it foundational, non-negotiable infrastructure for any device manufacturer serving this market.

The regulation's design control and risk management requirements reflect the direct connection between medical device quality and patient safety, with FDA inspections specifically evaluating whether these processes are genuinely followed, not just documented.

Because Part 820 closely aligns with ISO 13485, organizations already certified to the international standard often find themselves well-positioned to meet Part 820's requirements, though gaps can still exist depending on the specific regulatory framework in effect.

How does FDA 21 CFR Part 820 work?

Part 820's core requirement areas include:

  1. Design controls. Follow a structured design and development process with defined inputs and outputs.
  2. Document controls. Maintain and control documents governing the quality system.
  3. Purchasing controls. Evaluate and control suppliers and purchased components.
  4. Production and process controls. Control manufacturing processes affecting device quality.
  5. CAPA. Investigate and correct nonconformities and prevent recurrence.
  6. Records. Maintain device history records, device master records and complaint files.

FDA 21 CFR Part 820 vs. ISO 13485

Comparison FDA 21 CFR Part 820 ISO 13485
Jurisdiction United States International
Enforcement FDA inspections Third-party certification audits

Real-world examples of FDA 21 CFR Part 820

A medical device startup builds its quality system around Part 820 requirements from the outset, establishing design controls before beginning formal product development.

An established manufacturer undergoes an FDA inspection focused on verifying that its CAPA process genuinely investigates root cause rather than only documenting surface-level fixes.

A contract manufacturer serving medical device clients aligns its purchasing controls with Part 820 expectations, ensuring supplier qualification and incoming inspection meet the regulation's requirements.

Regulations and standards related to FDA 21 CFR Part 820

FDA 21 CFR Part 820 has historically operated as the primary quality system regulation for medical devices marketed in the United States, with FDA moving toward greater alignment with ISO 13485 through the newer QMSR framework, which incorporates ISO 13485 by reference while retaining certain FDA-specific requirements.

Organizations should confirm the current regulatory framework in effect for their specific situation, since the transition toward QMSR represents an evolving area of medical device regulation.

How QT9 helps with FDA 21 CFR Part 820

QT9 QMS FDA 21 CFR Part 820 capabilities

  • Support design controls from risk management through product design.
  • Automate document control, CAPA and purchasing control workflows.
  • Maintain device history records and device master records.
  • Support complaint handling with structured investigation workflows.
  • Provide pre-validated, audit-ready documentation for FDA inspections.
  • Align quality processes with both Part 820 and ISO 13485 expectations.

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Common mistakes with FDA 21 CFR Part 820

Common mistakes include treating design controls as a documentation exercise completed after development rather than a structured process followed throughout, which FDA inspections specifically probe for.

Other problems include assuming ISO 13485 certification alone fully satisfies Part 820 without confirming specific regulatory expectations, particularly during the evolving transition toward the QMSR framework.

Frequently asked questions

Part 820 is commonly called the Quality System Regulation, or QSR, reflecting its role in establishing quality system requirements for medical device manufacturers in the United States.
The two share substantial overlap and similar core requirements, but they are historically distinct regulatory frameworks. FDA has moved toward closer alignment through the QMSR framework, which incorporates ISO 13485 by reference.
Part 820 applies to medical device manufacturers and organizations throughout the device supply chain seeking to legally distribute devices in the United States.
Design controls require a structured design and development process with defined inputs, outputs, verification and validation, ensuring the finished device meets both design requirements and user needs.
QMSR, or Quality Management System Regulation, is FDA's evolving framework that incorporates ISO 13485 by reference while retaining certain FDA-specific requirements, representing the direction FDA has moved toward harmonizing device quality regulation internationally.
Yes. FDA conducts inspections of medical device manufacturers to verify their quality systems genuinely meet Part 820 requirements, examining whether processes like design controls and CAPA are followed in practice, not just documented.

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Last reviewed: July 21, 2026