How RQMIS Helped a Medical Device Startup Scale Globally

The Situation

A start-up medical device manufacturer needed to achieve:

  • FDA clearance
  • ISO 13485 certification
  • MDSAP program approval

There was just one problem: They had no internal Regulatory or Quality team to make any of it happen.

In other words, they needed to build a compliant organization while trying to bring a product to market—at the same time.

The Solution

RQMIS stepped in as a fully outsourced Regulatory and Quality function, providing both strategy and execution.

End-to-End Regulatory & Quality Support

  • Established remote Regulatory and Quality departments
  • Delivered ongoing consultancy at a fraction of the cost of building an internal team

Global Regulatory Strategy & Execution

  • Defined the regulatory pathway for the device
  • Managed FDA submissions
  • Supported market access in Canada and the European Union (Notified Body)

Quality System & Compliance Buildout

  • Guided implementation of a compliant QMS aligned with ISO 13485
  • Supported the company through certification and audit readiness
  • Enabled successful MDSAP program approval

The Outcome

  • Achieved FDA clearance
  • Secured ISO 13485 certification
  • Obtained MDSAP approval
  • Built a fully functional Regulatory and Quality infrastructure—without hiring an internal team

The RQMIS Approach

RQMIS stepped in as a fully outsourced Regulatory and Quality partner, delivering both high-level strategy and hands-on execution.

1. Global Regulatory Strategy Expansion

  • Refined and strengthened the existing FDA regulatory strategy
  • Expanded it to include Europe (EU MDR) and Health Canada
  • Guided the company toward a De Novo 510(k) pathway through direct FDA interaction

2. Direct FDA Engagement & Negotiation

  • Participated in FDA meetings and negotiations
  • Supported Pre-Submission discussions
  • Helped secure agreement on regulatory requirements

Result: Alignment with FDA expectations instead of guesswork.

3. Clinical & Submission Support

  • Supported execution of a Phase 3 clinical study for Health Canada
  • Managed key aspects of regulatory submissions across regions4. Full Remote Regulatory & Quality Department

4. Full Remote Regulatory & Quality Department

  • Provided an on-demand Regulatory and Quality function
  • Eliminated the need for full-time internal hires
  • Scaled support based on project needs

Smart move for a startup: expertise without overhead.

5. Quality Management System (QMS) Buildout

  • Designed and implemented a fully integrated QMS
  • Aligned with:
    • 21 CFR Part 820 (FDA QSR)
    • ISO 13485
    • MDSAP requirements
  • Supported documentation, change control, and quality processes

The Outcome

  • Achieved ISO 13485 certification
  • Secured MDSAP program approval
  • Advanced FDA De Novo submission pathway
  • Executed European regulatory strategy
  • Built a scalable Regulatory & Quality infrastructure

What This Actually Shows

This wasn’t just consulting—it was building a company’s regulatory backbone from zero.

Instead of:

  • Hiring multiple full-time specialists
  • Navigating global regulations through trial and error
  • Risking delays or rejections

…the company got:

  • Immediate access to expert-level execution
  • A clear, aligned global strategy
  • Faster and more efficient market readiness

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