You must respond within 15 days, and you must show FDA how your establishment will be brought back to compliance.
FDA requires that manufactures establish and maintain procedures regarding labeling activities.
Failing to report serious patient injuries will win you a warning letter.
FDA expects all installation activities to be documented.
Document control is a critical part of your QMS.
The DMR is nothing more than the recipe (a.k.a. secret sauce), while the DHR is documented evidence of compliance.
There really is not much rocket science involved when attempting to determine the odds of a device establishment being awarded a prized agency warning letter when the establishment is on the receiving end of sixteen Form 483 observations during an inspection.
The doctor struggles to understand how the observation extracted from the warning letter referenced in this week’s guidance managed to rise to the level of a Form 483 Observation.
There really is no excuse for receiving a Form 483 observation for management review.
Simply stated, an inspection needs to add some value; otherwise, what’s the point?