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Yes, U.S. medical device certifications generally require an audit system. In the United States, the FDA regulates medical devices under the Quality System Regulation (QSR), also known as 21 CFR Part 820. This regulation mandates that manufacturers establish, implement, and maintain a quality management system (QMS) that ensures their products meet safety and effectiveness standards.

A crucial aspect of the QMS is the audit system. Manufacturers are required to conduct internal audits to assess the performance of their quality management system and ensure compliance with FDA regulations. These internal audits help identify potential areas of non-compliance or inefficiencies before they become significant issues.

In addition to internal audits, the FDA conducts periodic inspections of medical device manufacturers. These inspections serve to verify that the manufacturer's QMS is compliant with QSR requirements. The frequency and scope of these inspections depend on the type of device and the manufacturer's history of compliance.

Moreover, manufacturers seeking ISO 13485 certification—a globally recognized standard for medical device quality management systems—must also undergo regular audits by accredited third-party organizations. These audits assess adherence to ISO standards and ensure that the manufacturer's quality management practices are robust and effective.

Overall, an audit system is a fundamental component of the certification process for medical devices in the U.S., ensuring that products are consistently manufactured to meet regulatory requirements and maintain high standards of quality.

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