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Common Non-conformities to MDSAP Audit

Discover common MDSAP audit non-conformities, including documentation errors, country-specific regulatory gaps, risk management issues, and supplier controls, with practical tips to prepare for successful ISO 13485 and global medical device compliance audits.

Published :

June 10, 2026

Updated :

October 21, 2026

Published :

June 10, 2026

Updated :

October 21, 2026

Common Non-conformities to MDSAP
Common MDSAP Audit Non-conformities: ISO 13485 Compliance & Audit Preparation
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Picture of by Sanket Thorat
by Sanket Thorat

Assistant Manager
Regulatory Affairs | 5.7+ Years of Experience

MDSAP Audit

The Medical Device Single Audit Program (MDSAP) was formed by the International Medical Device Regulatory Forum (IMDRF) to adopt a global regulatory approach and promote consistency and transparency by harmonizing the program. It consists of ISO 13485:2016 and regulations and standards of 5 participating countries.

You can check out our page on MDSAP audit to learn more about it. 

MDSAP observes various non-conformities while auditing. Continue reading to find out some of the common non-conformities found during MDSAP audits.

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Who Are the Participants in MDSAP?

MDSAP audits prove to be of great value to manufacturers as a single audit ensures compliance with the regulations of 5 different medical device markets. It is accepted by the following regulatory bodies:

  • Australia (TGA: Therapeutic Goods Administration of Australia). 
  • Brazil (ANVISA: Brazil’s Agência Nacional de Vigilância Sanitária) 
  • Canada (Health CANADA) 
  • Japan (MHLW: Japan’s Ministry of Health, Labour and Welfare, and the Japanese Pharmaceuticals and Medical Devices Agency) 
  • USA (FDA: Food and Drug Administration).

Common Non-conformities to MDSAP Audits

Below are some non-conformities found while conduction audit:

  • Preparedness for Country specific requirements

While preparing the QMS documentation for MDSAP. The companies miss out on mentioning the country specific requirements.  

  • Documentation errors

As per medical device experts, mostly non-conformances are found in this area. MDSAP audit will require you to demonstrate evidence of conformity to the program. Documentation is crucial to ensure this as it holds records of everything from product design to post-market activities.

Risk management was first introduced in ISO 13485:2016 to make organizations consider the risks involved in the design, development and manufacturing phases. MDSAP prioritizes risk and makes it an underlying element of all processes.

  • Purchase and supply control

With MDSAP’s emphasis on purchasing, it has now become an underlying process for everything. You will now have to consider how purchasing will affect your supply chain and further the delivery of product to end customers.

Tips for Successful MDSAP Audit

  • Organize your documents

Documents are crucial at all stages hence all the documents must be organized and made accessible for a successful audit. The audits are scheduled activity and the auditing organization (AO) will visit the site only once so make sure you are ready with all the documents before the audit.

  • Perform Gap analysis and internal audits

The auditing organizations and manufacturers who have gone through the MDSAP audits agree that using a MDSAP companion document is the best way to prepare for the audit. An MDSAP companion document will help you create a gap analysis and perform an effective internal audit. The companion document is a handy supplement for manufacturers and will help them understand what areas the auditors will focus on.

  • Use the MDSAP audit model to determine AO needs

MDSAP audit model is an AO’s guide with all the information needed for the audit. All the questions that an AO will ask are listed in this comprehensive guide. And each question is aligned with relevant sections of ISO 13485:2016 and other specific requirements of participating medical device regulatories.

Operon Strategist Can Help You Prepare for MDSAP Audit

MDSAP audits will make your medical device compliance-ready at the international level and in 5 prominent medical device markets. Contact us for the right guidance for your MDSAP audit. 

Operon Strategist is a medical device regulatory consulting firm that provides CDSCO medical device registration consultancy services and ISO 13485 certification consultancy services. Contact us today and let our expert team guide you toward successful regulatory approvals.

Picture of Sanket Thorat
Sanket Thorat

Assistant Manager – Regulatory Affairs | 5.7+ Years of Experience
Medical device regulatory affairs professional specializing in medical device registration, quality management systems, regulatory submissions, and international market access.

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