MDSAP Readiness, Review, and Remediation

The Medical Device Single Audit Program (MDSAP) allows a single quality system audit to satisfy regulatory expectations across multiple participating regulatory authorities. For manufacturers distributing devices internationally, MDSAP has become a central component of regulatory strategy and market access.

An MDSAP audit evaluates whether a manufacturer’s quality management system consistently supports safe and effective medical device development and lifecycle management across multiple regulatory jurisdictions.

Unlike traditional quality audits, MDSAP follows a structured audit model that examines interconnected processes such as management oversight, design and development controls, supplier management, post-market surveillance, and adverse event reporting.

Frelong Health helps organizations evaluate and strengthen their quality systems so they can withstand the structured scrutiny of an MDSAP audit.

MDSAP Readiness Assessment

We conduct structured readiness reviews based on the MDSAP audit model to determine whether an organization’s existing quality system can support a successful audit.

This includes evaluating core quality system processes such as design controls, supplier management, complaint handling, and regulatory reporting to determine whether documentation and operational practices align with audit expectations.

Process Alignment with the MDSAP Audit Model

The MDSAP audit model evaluates seven interconnected processes that collectively demonstrate regulatory control of medical device development and lifecycle management.

Frelong Health helps organizations align their procedures and documentation with these audit expectations so that quality system processes are clearly defined, consistently implemented, and capable of supporting audit review.

These processes operate within quality systems aligned with standards such as ISO 13485 and are recognized by regulators participating in the Medical Device Single Audit Program.

Gap Analysis and Remediation

When gaps are identified, we work with organizations to strengthen the documentation and operational processes needed to support audit readiness.

This may include improvements to supplier control procedures, post-market surveillance processes, complaint handling workflows, or documentation supporting design and development controls.

The objective is to ensure that quality system processes are both operationally effective and clearly documented for audit review.

Audit Preparation Support

As organizations approach an MDSAP audit, preparation becomes critical. Frelong Health assists teams in reviewing documentation, clarifying process ownership, and ensuring teams understand how quality system processes operate in practice.

This preparation helps organizations approach audits with confidence and reduces the likelihood of findings that can delay market access or require extensive remediation.

Result

Organizations gain a quality management system that not only supports regulatory compliance but also demonstrates operational control across the interconnected processes evaluated during an MDSAP audit.

Make it stand out.

  • Define it.

    Every regulated product begins with a concept.

    A new device. A new algorithm. A new way to support clinical decisions.

    But in regulated healthcare, innovation alone is not enough. Teams must define the regulatory pathway, intended use, system boundaries, and risk posture that will guide development.

    Frelong Health works with companies to translate early technical vision into a clear regulatory and development strategy, one that regulators, auditors, and partners can understand from the beginning.

  • Structure it.

    Innovation must be supported by structure.

    Design controls, risk management, lifecycle traceability, verification planning, and cybersecurity expectations all form the foundation of a compliant system.

    Frelong Health helps organizations structure their quality systems, development documentation, and regulatory evidence into a coherent framework aligned with standards such as ISO 13485 and IEC 62304.

    The result is not just documentation, it is a working regulatory architecture that supports development rather than slowing it down.

  • Ace it.

    Regulators do not evaluate intentions.

    They evaluate evidence.

    Submissions, audits, and inspections examine whether your development process, risk controls, and documentation can withstand regulatory scrutiny from authorities such as the U.S. Food and Drug Administration and Health Canada.

    Frelong Health helps companies strengthen their documentation, resolve gaps, and prepare their systems to stand up to regulatory review, audit, and market authorization processes.