Pillarstone Quality

Your Roadmap to Effective MDSAP
Implementation and Audit Readiness 

At PillarStone Quality, we simplify MDSAP (Medical Device Single Audit Program) implementation by breaking it into clear, achievable phases aligned specifically to the MDSAP audit model. Our proven approach helps medical device manufacturers implement a compliant Quality Management System (QMS) and prepare confidently for successful certification.

We support organizations targeting compliance for the U.S. FDA, Health Canada, TGA (Australia), ANVISA (Brazil), and PMDA (Japan) through a structured, regulator-focused roadmap.

The 8 Phases of MDSAP Implementation

Phase 1

Comprehensive Gap Analysis

  • We evaluate your current QMS against ISO 13485, the MDSAP audit model, and country-specific regulatory requirements.
  • This identifies critical compliance gaps and audit risks to form the foundation of your roadmap.
Phase 2

Establish an MDSAP-Compliant QMS

  • We refine your quality manual and regulatory procedures to meet high-level audit expectations.
  • Your system is designed to be audit-defensible, ensuring it withstands process-based inspections.
Phase 3

Process Owner & Management Alignment

  • We review procedures with stakeholders to ensure documentation reflects real-world operations.
  • Leadership accountability is aligned with MDSAP expectations to ensure audit success.
Phase 4

Full QMS Implementation

  • We guide your team to ensure procedures are followed and objective evidence is consistently generated.
  • Risk management, CAPA, and change controls are fully embedded into your daily operations.
Phase 5

Specialized MDSAP Internal Audit

  • We conduct internal audits following the official MDSAP audit model, focusing on process-based sequencing and regulatory sampling.
  • This prepares your team for the intensity and depth of an actual regulatory audit.
Phase 6

Auditing Organization (AO) Audit – Stage 1

  • Your selected MDSAP Auditing Organization verifies your readiness and documentation completeness.
  • We support you in closing any gaps before moving to the final certification stage.
Phase 7

Stage 2 Audit & MDSAP Certification

  • The Stage 2 audit evaluates the full effectiveness of your QMS against the international model.
  • Upon completion, you earn MDSAP certification, which is recognized by multiple global regulatory authorities.
Phase 8

Ongoing Compliance & Maintenance  

  • We support long-term compliance through surveillance audit preparation and regulatory change management.
  • Our partnership ensures you remain FDA and Health Canada inspection-ready at all times.

Common MDSAP Implementation Challenges

Change bullets to the below:

  • Resistance to change
  • Lack of management commitment or insufficient resources
  • Lack of awareness and understanding of the standard
  • Insufficient documentation and inadequate team support
PillarStone Why Choose Us

Why Choose PillarStone Quality 

Proven MDSAP Framework

Structured, audit-aligned implementation roadmap 

Solutions

Regulatory Expertise

Deep experience with FDA, Health Canada, and global MDSAP authorities 

Track Record

End-to-End Support

From gap analysis through certification and surveillance audits 

Support

Cost-Effective Solution

More efficient than hiring and training internal regulatory staff  

Partnership

Audit-Focused Approach

Built around how MDSAP auditors actually audit