Raad voor Accreditatie (Dutch Accreditation Council RvA) Specific Accreditation Protocol for Certification according to ISO/IEC 13485

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Raad voor Accreditatie (Dutch Accreditation Council RvA) Specific Accreditation Protocol for Certification according to ISO/IEC 13485 Document code: RvA-SAP-C021-UK Version 2, 6-6-2017

A Specif ic Accreditation Protocol (SAP) describes the assessment serv ice f or a specif ic accreditation. It should be read in conjunction with the generic Rv A regulations and policy documents. A current v ersion of the SAP is av ailable through the website of the Rv A. (www.rv a.nl).

Content 1 Relevant documents 4 1.1 Accreditation requirements 4 1.2 Additional standards 4 1.3 Additional documents 4 1.4 Certification documents 4 2 Scope of accreditation 4 3 Accreditation assessments 4 3.3 Reassessments and surveillance 5 3.4 Scope extension 5 3.5 Policy concerning witnessing 5 4 Specific assessment issues 6 5 Transition to ISO 13485:2016 6 5.1 General 7 5.2 RvA assessment of the scope extension for ISO 13485:2016 7 5.3 Granting the scope extension for ISO 13485:2016 7 5.4 Accredited certificates 7 5.5 Annex to the declaration of accreditation 7 6 Other information 8 7 Changes from the previous version of this document 8 Annex 1: Example of a full scope for ISO 13485 9 Dutch Accreditation Council (RvA) page 3 of 9

1 Relevant documents 1.1 Accreditation requirements EN ISO/IEC 17021-1, Conformity assessment Requirements for bodies providing audit and certification of management systems Therefor the remainder of this document should be read in conjunction with the SAP C000 Specific Accreditation Protocol for EN ISO/IEC 17021-1. 1.2 Additional standards ISO/IEC TS 17021-3, Conformity assessment- Requirements for bodies providing audit and certification of management systems, Part 3: competence requirements for auditing and certification of quality management systems 1.3 Additional documents IAF-documents applicable for accreditation for ISO 13485 certification: IAF MD 8: Application of ISO/IEC 17011:2004 in the Field of Medical Device Quality Management Systems (ISO 13485), Issue 2 IAF MD 9: Application of ISO/IEC 17021 in the Field of Medical Device Quality Management Systems (ISO 13485), Issue 2 The current versions of the documents are available on the IAF website (www.iaf.nu). 1.4 Certification documents Certification bodies certify against: ISO 13485; Medical devices Quality management systems Requirements for regulatory purposes 2 Scope of accreditation In accordance with the requirements of IAF MD8, the scope of accreditation for ISO 13485 is granted per technical area corresponding to the directives concerning medical devices. These have been listed in Annex 1. Please note that the Annex (in line with IAF MD9) indicates both Main Technical Areas (the dots) and Technical Areas (the dashes). 3 Accreditation assessments 3.1 Documents to be submitted No additional requirements compared to SAP C000. 3.2 The type and content of assessments In addition to the generic rules for the type and content of RvA assessments as defined in SAP C000, for this specific accreditation, the requirements from the following table apply. The type, extent and content of the assessment depend on the requested scope of accreditation, existing other accreditations and the functioning of the CB in the past (where relevant). Assessment method Pre-assessment Initial or reassessment Office assessment Witnessing (optional) At least one dossier per Technical Area See policy concerning witnessing (3.5) Surveillance (see RvA- BR005 for the general policy) (annual) At least one dossier per Main Technical Area See policy concerning witnessing (3.5) 1) Based upon the requested scope extension (in RvA- F105), the RvA w ill determine the assessment method Scope extension 1) At least one dossier per Technical Area See policy concerning witnessing (3.5) Dutch Accreditation Council (RvA) page 4 of 9

3.3 Reassessments and surveillance In line with the requirements of IAF MD 8 (7.11.2) the RvA surveillance on-site office assessments shall be conducted at least once a year. Surveillance and reassessment will include on-site assessment as well as witnessing. The witnessing program shall ensure, as a minimum, one audit from each of the Main Technical Areas (shown in Annex 1 of the IAF MD8) under the scope of accreditation within an accreditation cycle. The sampling for witnessing will give priority to higher risk areas. 3.4 Scope extension The assessment by RvA in case of an application for an additional technical area shall include at least the defined requirements for competence in that sector, records of the qualification process of auditors for that sector, and a complete certification dossier in that sector. 3.5 Policy concerning witnessing In line with the requirements of IAF MD8 (7.5.6) the samples for witnessing of audits shall include an audit of the higher risk class of the Technical Areas covered under the scope of accreditation. The witnessing program shall ensure, as a minimum, one audit from each of the Main Technical Areas (shown in Annex 1 of the MD8) under the scope of accreditation. The experience of the CB recognized for one or more medical device regulatory scheme(s), among other factors, will be considered in the witnessing schedule. Typical regulatory schemes are: Medical Device Directive (MDD - 93/42/EEC), In-Vitro Diagnostic Devices Directive (IVD - 98/79/EEC) and Active Implantable Medical Devices Directive (AIMD - 90/385/EEC) and also Canadian Medical Devices Conformity Assessment System (CMDCAS) and Therapeutic Goods Administration, Therapeutic Goods Regulations by Australia. Previous results of witnessing will be taken into account in the witness strategy. All locations where one or more key activities are performed shall be assessed during the accreditation cycle. In case of extension of scope, the strategy for the assessment depends on the sector and the already accredited scope. The following guidelines are applicable: In case the requested technical area is for a main technical area (i.e. in another bullet, see Annex 1) the CB is not yet accredited for, a witness shall be included. In case the requested technical area is considered to be a higher risk than the ones already accredited, a witness shall be included. The classification of the risk categories for the technical areas is similar to the classification of the medical devices as set down in the medical devices directive 93/42/EEC (annex IX). Dutch Accreditation Council (RvA) page 5 of 9

4 Specific assessment issues In line with the requirements 4.4.1 and 4.5.1. of the IAF MD9, the RvA assessors will check whether the CB has made agreements with their clients to release audit report information to regulators that recognize ISO 13485. Initial, surveillance and reassessments In every assessment for this scheme the specific normative criteria mentioned in IAF MD9 are applicable in addition to the requirements contained in EN ISO/IEC 17021-1. During the office assessments specific attention will be paid to the following clauses of MD9 which hold additional requirements: (Note: as some of the requirements in EN ISO/IEC 17021-1:2015 have been renumbered in comparison to its predecessor, the references between brackets below, contain the appropriate reference to EN ISO/IEC 17021-1:2015) Impartiality MD 5.2 Management of impartiality MD 6.2.3 Committee for safeguarding impartiality (cl. 5.2.3) Competence MD 7.1.1 Management and personnel competence MD 7.2.1 Auditor competence MD 7.2.4 Auditor experience MD 7.2.9 Personnel making the certification decision (cl. 7.2.8) Information requirements MD 8.1.3 Publicly accessible information (cl. 8.1.2) MD 8.2.1 Certification documents Process Requirements MD 9.1.3.2 General requirements (cl. 9.2.2.1.2 Audit team selection and assignments) MD 9.1.4.1 Determining audit time (also cl. 9.1.4.2) MD 9.1.5 Multi-site sampling MD 9.1.9.6 Identifying and recording audit findings (cl. 9.4.5) MD 9.2.2.1 Application Review (cl. 9.1.2.1) MD 9.2.3 Initial certification audit (cl. 9.3.1.1) MD 9.2.3.1 Stage 1 audit (cl. 9.3.1.2) MD 9.3.2.1 Surveillance audit (cl. 9.6.2.2) MD 9.5.2 Short-notice audits (cl. 9.6.4.2) Also, the Annexes A (Medical Devices Technical Areas), B (Required types of knowledge and skills for personnel involved with the ISO 13485 activities), C (Auditor qualification, training and experience) and D (Table D.1 Relationship between effective number of personnel and audit duration (Initial Audit only)) of IAF MD9:2015 are normative in ISO 13485 certification. The RvA assessment plans and reports shall refer to these requirements when they will be/have been part of the assessment. 5 Transition to ISO 13485:2016 On 1 March 2016 the international standard ISO 13485:2016 Medical devices Quality management systems requirements for regulatory purposes has been published. This standard replaces the second edition ISO 13485:2003 and ISO/TR 14969:2004 and it incorporates the Technical Corrigendum ISO 13485:2003/Cor.1:2009 and it supersedes EN ISO 13485:2012. IAF has decided on a three year transitions arrangement. This document describes the RvA policy and practices concerning the granting of accreditation for ISO 13485:2016 to certification bodies (CB) which are currently accredited for the previous version of ISO 13485. Dutch Accreditation Council (RvA) page 6 of 9

5.1 General Accredited certification to ISO 13485:2016 can only be issued once the CB has been accredited to deliver certification to the new standard, so after the scope is extended with the new standard. For this reason, although normally the RvA accreditation does not indicate the version of ISO 13485 for which the CB has been accredited, the RvA will indicate on the scope whether accreditation includes certification against the 2003 or 2016 version. During the transition period, it will do so at the earliest opportunity (e.g. after regular assessments, or with changes in the scope). This means that when the appendix to the RvA accreditation certificate does not specifically refer to the ISO 13485:2016 version, the CB is not yet accredited for the 2016 version. The accreditation for ISO 13485:2003 will remain valid until the end of the transition period. This will be indicated on the scope of accreditation, by adding the version of the standard. The fact that significant changes have been introduced in the new standard, resulted in a decision by RvA, that an office assessment and a witness assessment will be part of the scope extension process. 5.2 RvA assessment of the scope extension for ISO 13485:2016 To start the assessment process the CB should send an application form for extension of accreditation (RvA-F105). This should be accompanied by a transition plan, indicating when and how the CB intends to prepare itself and carry out accredited certification against the revised standard. The CB should keep its RvA contact person up to date with relevant changes to the transition plan, i.e. those which may have an impact on the accreditation assessments. The implementation of the plan will be assessed by the RvA as follows: With a document review the RvA assessment team will review the transition plan and verify whether or not the CB has an adequate plan to address the new and changed requirements in its processes for auditing and qualification of assessors and other staff Based on the plan the RvA will schedule the office assessment to assess the implementation of the plan. Before the office assessment will be conducted the RvA expects that the CB has carried out an internal audit and management review regarding the new activity. During the office assessment the RvA-team will assess the reports of this internal audit and management review and will also assess the implementation of the plan. During the office assessment the body the RvA-team will select the audit that will be witnessed. In a witness assessment, the assessment team will verify the implementation of the changed procedures and processes. 5.3 Granting the scope extension for ISO 13485:2016 The non-conformities that are revealed during the scope extention assessment activities will be processed according to policy rule BR004. A positive decision on the extention of the scope will only be taken in case all non-conformities that relate to this specific scope are closed. If the RvA has not been able to take a positive decision regarding granting accreditation for ISO 13485:2016, the accreditation against ISO 13485:2003 will be withdrawn per 1 March 2019. 5.4 Accredited certificates It should be noted that accredited certificates to the ISO 13485:2016 shall be issued only after: the RvA has granted accreditation to the CB to deliver certification to the new standard and the CB has confirmed by one or more audits that the client complies with all requirements of the new version of the standard. 5.5 Annex to the declaration of accreditation The annex to the declaration of accreditation which was amended to indicate the version of ISO 13485 for which the CB has been accredited (see 5.1) will refer to both versions as soon as accreditation is Dutch Accreditation Council (RvA) page 7 of 9

granted. On 1 March 2019 the annex will be adjusted and the dates of the versions will be removed, which means that the CB is accredited to the valid version, which will be the ISO 13485:2016. 6 Other information RvA technical expert: Ingrid Grotenhuis (Ingrid.grotenhuis@rva.nl) 7 Changes from the previous version of this document Compared to version 1 dated 26 September 2014, the following significant changes has been made: Changes due to the updates of IAF MD8 and IAF MD9 both of 2015, e.g. attention to new elements in ch. 4 above, witnessing and office audit frequency. Updating due to new SAP-structure with reference to SAP-C000. Changes due to the transition to EN ISO/IEC 17021-1:2015. Changes due to the transition to ISO 13485:2016 Dutch Accreditation Council (RvA) page 8 of 9

Annex 1: Example of a full scope for ISO 13485 Standard / Normative document ISO 13485 Certification scheme Medical devices Quality management systems Requirements for regulatory purposes for the scopes: Non-active Medical Devices - General non-active, non-implantable medical devices - Non-active implants - Devices for wound care - Non-active dental devices and accessories - Non-active medical devices other than specified above Active (non-implantable) Medical Devices - General active medical devices - Devices for imaging - Monitoring devices - Devices for radiation therapy and thermotherapy - Active (non-implantable) medical devices other than specified above Active Implantable medical devices - General active implantable medical devices - Implantable medical devices other than specified above In Vitro Diagnostic Medical Devices - Reagents and reagent products, calibrators and control materials for: Clinical Chemistry Immunochemistry (Immunology) Haematology/Haemostasis/Immunohematology Microbiology Infectious Immunology Histology/Cytology Genetic Testing - In Vitro Diagnostic Instruments and software - IVD Medical Devices other than specified above Sterilization Methods for medical Devices - Ethylene oxide gas sterilization (EOG) - Moist heat - Aseptic processing - Radiation sterilization (e.g. gamma, x-ray, electron beam) - Sterilization method other than specified above Devices incorporating/utilizing specific substances/technologies - Medical devices incorporating medicinal substances - Medical devices utilizing tissues of animal origin - Medical devices incorporating derivates of human blood - Medical devices utilizing micromechanics - Medical devices utilizing nanomaterials - Medical devices utilizing biological active coatings and/or materials or being wholly or mainly absorbed Dutch Accreditation Council (RvA) page 9 of 9