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CMDA key terms

CMDA · Get comfortable with the vocabulary.

Audit

A systematic, independent, and documented process for obtaining objective evidence and evaluating it objectively to determine the extent to which audit criteria are fulfilled.

Related: Audit criteria, Audit evidence, Audit program
Audit criteria

The set of policies, procedures, requirements, standards, or regulations used as a reference against which audit evidence is compared; they define what the auditor evaluates.

Related: Audit, Audit evidence, Nonconformity
Audit evidence

Records, statements of fact, or other information that are relevant to the audit criteria and can be verified; evidence may be qualitative or quantitative.

Related: Objective evidence, Audit criteria, Sampling
Objective evidence

Verifiable data or facts, such as records, observations, or measurements, that support the existence or truth of something and are not based solely on opinion.

Related: Audit evidence, Sampling
Audit scope

The extent and boundaries of an audit, including the organizational units, processes, locations, and time period covered; it defines what the audit will and will not examine.

Related: Audit plan, Audit criteria
Audit plan

A description of the activities and arrangements for an audit, including schedule, auditees, areas to examine, and assigned auditors.

Related: Audit scope, Lead auditor, Opening meeting
Audit program

A set of interrelated audit activities planned for a specific time frame and directed toward achieving a specific purpose, often covering multiple audits.

Related: Audit plan, Internal audit, Surveillance audit
Lead auditor

An auditor who is designated to manage an audit team, including planning, conducting, reporting, and following up on the audit.

Related: Auditor competence, Audit plan, Closing meeting
Auditor competence

The demonstrated ability to apply knowledge, skills, and personal attributes needed to perform audit activities effectively and ethically.

Related: Lead auditor, Independence, Impartiality
Independence

Freedom from conditions that threaten objectivity, such as being audited by someone with responsibility for the activity being audited.

Related: Impartiality, Auditor competence
Impartiality

The presence of objectivity and absence of bias or conflict of interest in audit decisions and reporting; auditors must base conclusions on evidence rather than personal or commercial interests.

Related: Independence, Auditor competence
Sampling

Selecting a subset of records, items, or processes for examination when examining all available evidence is impractical, to draw conclusions about the whole.

Related: Audit evidence, Objective evidence
Opening meeting

A meeting at the start of an audit to confirm scope, criteria, schedule, roles, and audit methods with the auditee.

Related: Audit plan, Audit interviewing, Closing meeting
Closing meeting

A meeting at the end of an audit to present findings, conclusions, and any required follow-up to the auditee and relevant management.

Related: Opening meeting, Audit report, Nonconformity
Audit interviewing

A planned conversation with auditees to gather information and clarify evidence, using open and probing questions while avoiding leading or judgmental language.

Related: Objective evidence, Opening meeting, Audit evidence
Nonconformity

Failure to meet a requirement specified in audit criteria, such as a regulation, standard, procedure, or contractual obligation.

Related: Major nonconformity, Minor nonconformity, Corrective action
Major nonconformity

A nonconformity that significantly affects product safety, regulatory compliance, or the effectiveness of the quality management system, or that indicates a systemic failure.

Related: Nonconformity, Minor nonconformity, CAPA
Minor nonconformity

A nonconformity that is isolated or limited in impact and does not indicate a systemic breakdown of the quality management system.

Related: Nonconformity, Major nonconformity, Observation
Observation

A statement of fact noted during an audit that does not constitute a nonconformity but may indicate a risk, weakness, or opportunity for improvement.

Related: Opportunity for improvement, Nonconformity, Audit report
Opportunity for improvement

A suggestion, not a requirement, identifying a possible way to enhance effectiveness or efficiency without implying a failure to meet criteria.

Related: Observation, Audit report
Corrective action

Action taken to eliminate the cause of a detected nonconformity and prevent recurrence; it addresses root cause rather than only correcting the observed problem.

Related: Nonconformity, Root cause analysis, CAPA
Preventive action

Action taken to eliminate the cause of a potential nonconformity or other undesirable situation to prevent occurrence.

Related: Corrective action, CAPA, Root cause analysis
CAPA

A structured process for correcting problems and preventing their recurrence or occurrence, typically including investigation, root cause analysis, action planning, implementation, and effectiveness verification.

Related: Corrective action, Preventive action, Root cause analysis
Root cause analysis

A systematic method to determine the underlying reason a problem occurred, rather than merely describing symptoms or the immediate cause.

Related: Corrective action, CAPA
Quality management system

A set of interrelated processes, responsibilities, and resources used to direct and control an organization with regard to quality.

Related: ISO 13485, Management review, Internal audit
ISO 13485

An international standard specifying requirements for a quality management system where an organization needs to demonstrate its ability to provide medical devices that consistently meet customer and regulatory requirements.

Related: Quality management system, Design controls, Risk management
Design controls

A structured set of procedures and records used to control the design process and ensure that device design requirements are met and verified before release.

Related: Design history file, Risk management, Process validation
Design history file

A compilation of records documenting the design history of a finished device, demonstrating that the design was developed in accordance with the approved design plan.

Related: Design controls, Device master record
Risk management

A systematic process for identifying, evaluating, controlling, and monitoring risks to patients, users, and others throughout the device lifecycle.

Related: ISO 14971, Design controls, Process validation
ISO 14971

An international standard that provides a framework and requirements for applying risk management to medical devices, including risk analysis, evaluation, control, and monitoring.

Related: Risk management, Design controls
Process validation

Establishing by objective evidence that a process consistently produces a result or product meeting predetermined requirements; it is required when output cannot be fully verified by subsequent inspection or testing.

Related: IQ/OQ/PQ, Design controls, Risk management
IQ/OQ/PQ

Installation, operational, and performance qualification: sequential validation activities confirming equipment is installed correctly, operates as intended, and performs consistently under production conditions.

Related: Process validation
Device master record

A compilation of records containing the procedures and specifications for a finished device, including production, quality assurance, packaging, and labeling requirements.

Related: Design history file, Traceability, Quality management system
Traceability

The ability to trace the history, application, or location of an item, including materials, components, and devices, through records such as lot or serial numbers.

Related: Device master record, Audit evidence
Management review

Top management's periodic evaluation of the quality management system to ensure its continuing suitability, adequacy, and effectiveness, including decisions on improvement.

Related: Quality management system, Internal audit
Internal audit

An audit conducted by an organization on itself, or by a party on its behalf, to evaluate its own quality management system or processes.

Related: Audit program, Management review, Auditor competence
Supplier audit

An audit performed at a supplier's site or remotely to evaluate the supplier's ability to meet specified quality and regulatory requirements.

Related: Audit program, Audit criteria, Nonconformity
Certification audit

An independent audit by a certification body to assess whether an organization's management system conforms to a standard and can be certified.

Related: Surveillance audit, Audit program, Audit report
Surveillance audit

A periodic audit after initial certification to verify continuing conformity and effective maintenance of the management system; it is usually narrower than a recertification audit.

Related: Certification audit, Audit program, Internal audit
Audit report

A documented record of audit results, including scope, criteria, findings, conclusions, and any recommendations, provided to relevant parties.

Related: Closing meeting, Nonconformity, Corrective action