Illustration showing how regulatory debt in medical device development accumulates beneath compliance processes

Regulatory Debt. What it is and Why It Always Comes Due at the Worst Possible Moment?

Regulatory debt in medical device development I think you have heard the word “Technical debt”. It is “a qualitative description of the cost to maintain a system that is attributable to choosing an expedient solution for its development.” The term technical debt was coined by Ward Cunningham in 1992 but after that it has been revised, with the main highlight being

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A notebook with handwritten notes about FDA QMSR effectiveness verification

FDA QMSR is effective now!

FDA QMSR is in effect. What comes after implementation? On January 31st, 2024, FDA released their final rule amending the Quality System Regulation (QSR) to better align with ISO 13485:2016, the international standard for quality management systems for medical devices. The final rule changes the title of 21 CFR Part 820 from the Quality System Regulation to the Quality

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MedTech regulatory documentation with post-it notes showing questions about EU MDR, FDA, device classification, QMS and regulatory timelines.

The Three Strategic Headaches of a MedTech Startup Founder and How to Solve Them Early

Medtech startup regulatory strategy often determines the outcome of the race between innovation and regulation. For a founder, the reality is like trying to run fast while assembling the track underneath you. The pressure isn’t just about building a great product. It’s about making decisions early that quietly determine whether the company can ever sell

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Updated FDA guidance: Clinical Decision Support Software

On January 2026 FDA updated Clinical Decision Support guidance. Updated guidance: Clinical Decision Support Software. This updated guidance supersedes “Clinical Decision Support Software” issued on September 28, 2022 guidance document. Definitions To make the guidance easier to follow, here are a few key terms used throughout this article: CDS (Clinical Decision Support)Software intended to support

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