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+# Quality Manual Template
+
+# [COMPANY NAME]
+## QUALITY MANUAL
+
+**Document Number:** QM-001
+**Revision:** 00
+**Effective Date:** [DATE]
+**Page:** 1 of [X]
+
+---
+
+## DOCUMENT CONTROL
+
+### Approval Signatures
+
+| Role | Name | Signature | Date |
+|------|------|-----------|------|
+| Chief Executive Officer | [NAME] | | [DATE] |
+| Quality Manager | [NAME] | | [DATE] |
+| Management Representative | [NAME] | | [DATE] |
+
+### Revision History
+
+| Revision | Date | Description of Changes | Approved By |
+|----------|------|------------------------|-------------|
+| 00 | [DATE] | Initial release | [NAME] |
+|  |  |  |  |
+
+### Distribution List
+
+| Copy No. | Holder | Location | Date Issued |
+|----------|--------|----------|-------------|
+| 001 | Master Copy | Document Control | [DATE] |
+| 002 | [NAME/DEPT] | [LOCATION] | [DATE] |
+|  |  |  |  |
+
+---
+
+## TABLE OF CONTENTS
+
+1. [Introduction](#1-introduction)
+   - 1.1 [Company Overview](#11-company-overview)
+   - 1.2 [Purpose of the Quality Manual](#12-purpose-of-the-quality-manual)
+   - 1.3 [Document Control and Revisions](#13-document-control-and-revisions)
+   - 1.4 [Definitions and Abbreviations](#14-definitions-and-abbreviations)
+
+2. [Scope and Exclusions](#2-scope-and-exclusions)
+   - 2.1 [Scope of QMS](#21-scope-of-qms)
+   - 2.2 [Products Covered](#22-products-covered)
+   - 2.3 [Applicable Regulatory Requirements](#23-applicable-regulatory-requirements)
+   - 2.4 [Exclusions and Justifications](#24-exclusions-and-justifications)
+
+3. [Quality Policy and Objectives](#3-quality-policy-and-objectives)
+   - 3.1 [Quality Policy Statement](#31-quality-policy-statement)
+   - 3.2 [Quality Objectives](#32-quality-objectives)
+   - 3.3 [Communication of Policy and Objectives](#33-communication-of-policy-and-objectives)
+
+4. [Quality Management System](#4-quality-management-system)
+   - 4.1 [General Requirements](#41-general-requirements)
+   - 4.2 [Documentation Requirements](#42-documentation-requirements)
+
+5. [Management Responsibility](#5-management-responsibility)
+   - 5.1 [Management Commitment](#51-management-commitment)
+   - 5.2 [Customer Focus](#52-customer-focus)
+   - 5.3 [Quality Policy](#53-quality-policy)
+   - 5.4 [Planning](#54-planning)
+   - 5.5 [Responsibility, Authority and Communication](#55-responsibility-authority-and-communication)
+   - 5.6 [Management Review](#56-management-review)
+
+6. [Resource Management](#6-resource-management)
+   - 6.1 [Provision of Resources](#61-provision-of-resources)
+   - 6.2 [Human Resources](#62-human-resources)
+   - 6.3 [Infrastructure](#63-infrastructure)
+   - 6.4 [Work Environment and Contamination Control](#64-work-environment-and-contamination-control)
+
+7. [Product Realization](#7-product-realization)
+   - 7.1 [Planning of Product Realization](#71-planning-of-product-realization)
+   - 7.2 [Customer-Related Processes](#72-customer-related-processes)
+   - 7.3 [Design and Development](#73-design-and-development)
+   - 7.4 [Purchasing](#74-purchasing)
+   - 7.5 [Production and Service Provision](#75-production-and-service-provision)
+   - 7.6 [Control of Monitoring and Measuring Equipment](#76-control-of-monitoring-and-measuring-equipment)
+
+8. [Measurement, Analysis and Improvement](#8-measurement-analysis-and-improvement)
+   - 8.1 [General](#81-general)
+   - 8.2 [Monitoring and Measurement](#82-monitoring-and-measurement)
+   - 8.3 [Control of Nonconforming Product](#83-control-of-nonconforming-product)
+   - 8.4 [Analysis of Data](#84-analysis-of-data)
+   - 8.5 [Improvement](#85-improvement)
+
+9. [Appendices](#9-appendices)
+   - Appendix A: [List of Documented Procedures](#appendix-a-list-of-documented-procedures)
+   - Appendix B: [Organization Chart](#appendix-b-organization-chart)
+   - Appendix C: [Process Map](#appendix-c-process-map)
+   - Appendix D: [Definitions and Abbreviations](#appendix-d-definitions-and-abbreviations)
+   - Appendix E: [Applicable Regulatory Requirements](#appendix-e-applicable-regulatory-requirements)
+
+---
+
+## 1. INTRODUCTION
+
+### 1.1 Company Overview
+
+**Company Legal Name:** [FULL LEGAL COMPANY NAME]
+**Business Address:** [STREET ADDRESS, CITY, STATE/PROVINCE, ZIP/POSTAL CODE, COUNTRY]
+**Manufacturing Site(s):** [LIST ALL MANUFACTURING SITES]
+**Type of Business:** [e.g., Medical Device Manufacturer, Contract Manufacturer, etc.]
+
+[COMPANY NAME] was [established/founded] in [YEAR] and specializes in [BRIEF DESCRIPTION OF BUSINESS FOCUS].
+
+**Mission Statement:** [INSERT COMPANY MISSION STATEMENT]
+
+### 1.2 Purpose of the Quality Manual
+
+This Quality Manual documents the Quality Management System (QMS) of [COMPANY NAME]. The purpose of this manual is to:
+
+- Describe the QMS established and maintained in accordance with ISO 13485:2016
+- Demonstrate compliance with applicable regulatory requirements
+- Serve as the primary reference document for the structure and operation of the QMS
+- Provide guidance for employees, customers, regulatory authorities, and certification bodies
+
+This manual applies to all activities affecting the quality of medical devices designed, manufactured, distributed, and/or serviced by [COMPANY NAME].
+
+### 1.3 Document Control and Revisions
+
+This Quality Manual is a controlled document. The Document Control Coordinator maintains the master copy and distribution list.
+
+- **Approval Authority:** Chief Executive Officer and Quality Manager
+- **Review Frequency:** Annually, or as needed when significant changes occur
+- **Revision Process:** Changes are reviewed and approved per SOP-4.2.4 Control of Documents
+- **Distribution:** Controlled copies are issued to individuals listed in the Distribution List
+
+All recipients of controlled copies are responsible for ensuring they are using the current revision.
+
+### 1.4 Definitions and Abbreviations
+
+| Term/Abbreviation | Definition |
+|-------------------|------------|
+| CAPA | Corrective and Preventive Action |
+| CFR | Code of Federal Regulations |
+| DHF | Design History File |
+| DHR | Device History Record |
+| DMR | Device Master Record |
+| FDA | U.S. Food and Drug Administration |
+| IFU | Instructions for Use |
+| ISO | International Organization for Standardization |
+| MDF | Medical Device File |
+| MDR | Medical Device Regulation (EU) |
+| M&M Equipment | Monitoring and Measuring Equipment |
+| NCR | Nonconformance Report |
+| QMS | Quality Management System |
+| QMSR | Quality Management System Regulation (FDA) |
+| QSR | Quality System Regulation (FDA - former) |
+| SOP | Standard Operating Procedure |
+| WI | Work Instruction |
+
+---
+
+## 2. SCOPE AND EXCLUSIONS
+
+### 2.1 Scope of QMS
+
+This Quality Management System applies to [COMPANY NAME] and covers all activities related to [LIST ACTIVITIES: e.g., design, development, production, storage, distribution, installation, servicing] of medical devices.
+
+**Organizational Scope:**
+- All departments and functions at [COMPANY NAME]
+- All employees, contractors, and temporary staff performing work affecting product quality
+
+**Physical Locations:**
+- [LIST ALL FACILITIES AND ADDRESSES]
+
+**Activities Covered:**
+- [✓ / ✗] Design and Development
+- [✓ / ✗] Manufacturing and Production
+- [✓ / ✗] Installation
+- [✓ / ✗] Servicing
+- [✓] Storage and Distribution
+- [✓] Purchasing
+- [✓] Customer Communication
+
+### 2.2 Products Covered
+
+This QMS covers the following medical device product families:
+
+| Product Family | Device Classification | Intended Use | Applicable Markets |
+|----------------|----------------------|--------------|-------------------|
+| [PRODUCT NAME/FAMILY] | [Class I/II/III] | [BRIEF INTENDED USE] | [FDA/EU/Other] |
+|  |  |  |  |
+
+### 2.3 Applicable Regulatory Requirements
+
+The QMS is designed to comply with the following standards and regulatory requirements:
+
+**International Standards:**
+- ISO 13485:2016 - Medical devices — Quality management systems — Requirements for regulatory purposes
+- ISO 14971:[YEAR] - Medical devices — Application of risk management to medical devices
+- [OTHER APPLICABLE ISO/IEC STANDARDS]
+
+**Regulatory Requirements:**
+- **United States:** FDA 21 CFR Part 820 (QMSR) - Quality Management System Regulation
+- **European Union:** EU MDR 2017/745 - Medical Devices Regulation [or IVDR 2017/746 for IVDs]
+- **Canada:** Canadian Medical Devices Regulations (SOR/98-282)
+- [OTHER APPLICABLE REGIONAL REQUIREMENTS]
+
+**Recognized Standards:**
+- [LIST PRODUCT-SPECIFIC STANDARDS, e.g., IEC 60601, ISO 10993, etc.]
+
+### 2.4 Exclusions and Justifications
+
+The following clauses of ISO 13485:2016 are excluded from the scope of this QMS:
+
+[IF NO EXCLUSIONS:]
+> There are no exclusions from ISO 13485:2016. All clauses are applicable and have been implemented.
+
+[IF EXCLUSIONS EXIST, USE THIS FORMAT:]
+
+**Clause 7.3 - Design and Development**
+
+**Status:** [EXCLUDED / PARTIALLY EXCLUDED / FULLY IMPLEMENTED]
+
+**Justification (if excluded):**
+> [COMPANY NAME] [operates as a contract manufacturer and produces medical devices according to complete design specifications provided by customers / only distributes medical devices designed and manufactured by third parties / etc.]. All design and development activities are [performed by customers / performed by a separate corporate entity / not applicable to business model]. [COMPANY NAME] has no responsibility for design inputs, outputs, verification, validation, design changes, or design history files.
+
+**Clause 7.5.3 - Installation Activities**
+
+**Status:** [EXCLUDED / PARTIALLY EXCLUDED / FULLY IMPLEMENTED]
+
+**Justification (if excluded):**
+> The medical devices manufactured by [COMPANY NAME] are [supplied ready for use and do not require installation / intended for installation by customer personnel under separate contractual arrangements]. Installation activities are [not performed / performed by authorized distributors or customers].
+
+**Clause 7.5.4 - Servicing Activities**
+
+**Status:** [EXCLUDED / PARTIALLY EXCLUDED / FULLY IMPLEMENTED]
+
+**Justification (if excluded):**
+> [COMPANY NAME] does not provide servicing of medical devices after delivery. Products are [intended for single use / serviced by authorized service partners under separate arrangements / serviced by customer personnel]. Post-delivery activities are limited to technical support and complaint handling.
+
+---
+
+## 3. QUALITY POLICY AND OBJECTIVES
+
+### 3.1 Quality Policy Statement
+
+**QUALITY POLICY**
+
+[INSERT YOUR COMPANY-SPECIFIC QUALITY POLICY HERE. The policy should include:
+- Commitment to meeting customer and regulatory requirements
+- Commitment to maintaining QMS effectiveness
+- Framework for quality objectives
+- Signature of top management
+- Date
+
+Example:]
+
+> At [COMPANY NAME], quality is our highest priority. We are committed to designing, manufacturing, and delivering medical devices that meet the highest standards of safety, performance, and reliability.
+>
+> Our commitments include:
+> - Compliance with ISO 13485 and all applicable regulatory requirements
+> - Understanding and meeting customer and patient needs
+> - Establishing and achieving measurable quality objectives
+> - Managing risks throughout the product lifecycle
+> - Continually improving our processes and products
+> - Maintaining competent and motivated personnel
+> - Responding promptly and effectively to feedback and complaints
+>
+> This policy applies to all employees, contractors, and suppliers. This policy is reviewed annually and communicated throughout the organization.
+>
+> [SIGNATURE]
+> [NAME], Chief Executive Officer
+> [DATE]
+
+### 3.2 Quality Objectives
+
+The organization has established the following measurable quality objectives to support the Quality Policy:
+
+| Objective | Measurement | Target | Responsibility | Review Frequency |
+|-----------|-------------|--------|----------------|------------------|
+| Customer Satisfaction | Survey rating | ≥ [X] out of 5.0 | [ROLE] | Quarterly |
+| Product Quality | Defect rate | < [X]% | [ROLE] | Monthly |
+| On-Time Delivery | % on-time | ≥ [X]% | [ROLE] | Monthly |
+| CAPA Effectiveness | % closed on time | ≥ [X]% | [ROLE] | Monthly |
+| Training Completion | % complete on schedule | 100% | [ROLE] | Quarterly |
+| Internal Audit Findings | Findings addressed | ≥ [X]% within 30 days | [ROLE] | After each audit |
+| [OTHER OBJECTIVES] |  |  |  |  |
+
+Quality objectives are monitored, reported in management review, and revised as necessary to drive continual improvement.
+
+### 3.3 Communication of Policy and Objectives
+
+The Quality Policy and Quality Objectives are communicated to all personnel through:
+
+- Employee orientation and training
+- Posting in common areas of the facility
+- Inclusion in employee handbook
+- Management review meetings
+- Department meetings
+- This Quality Manual (available to all personnel)
+- [OTHER COMMUNICATION METHODS]
+
+All employees are made aware of the relevance and importance of their activities and how they contribute to achieving quality objectives.
+
+---
+
+## 4. QUALITY MANAGEMENT SYSTEM
+
+### 4.1 General Requirements
+
+#### 4.1.1 QMS Establishment
+
+[COMPANY NAME] has established, documented, implemented, and maintains a Quality Management System in accordance with ISO 13485:2016 and applicable regulatory requirements. The QMS covers all processes necessary to ensure medical device safety, performance, and regulatory compliance.
+
+The QMS processes have been identified and are documented in this Quality Manual and referenced procedures. These processes include:
+
+**Management Processes:**
+- Management commitment and review
+- Quality planning
+- Internal communication
+- Resource management
+
+**Product Realization Processes:**
+- [Design and development - if applicable]
+- Purchasing
+- Production and service provision
+- Customer-related processes
+
+**Support Processes:**
+- Document and record control
+- Human resources and training
+- Infrastructure and maintenance
+- Software validation
+
+**Monitoring and Measurement Processes:**
+- Customer feedback and complaints
+- Internal audits
+- Process and product monitoring
+- Nonconformance control
+- Corrective and preventive action
+- Data analysis
+
+#### 4.1.2 Process Interactions
+
+The QMS processes are interconnected and operate as a system. Process interactions are illustrated in the Process Map (Appendix C). Key interactions include:
+
+- Management review provides direction and resources for all processes
+- Product realization processes transform customer requirements into conforming products
+- Support processes enable effective product realization
+- Monitoring processes provide feedback for improvement
+- Risk management is integrated throughout all processes
+- All processes contribute to meeting quality objectives
+
+#### 4.1.3 Outsourced Processes
+
+[IF APPLICABLE - otherwise state "Not applicable"]
+
+The following QMS processes are outsourced to external parties:
+
+| Process | Service Provider | Control Method | Responsible Party |
+|---------|-----------------|----------------|-------------------|
+| [e.g., Sterilization] | [PROVIDER NAME] | Supplier qualification, contract, ongoing monitoring | [ROLE] |
+| [e.g., Calibration] | [PROVIDER NAME] | Qualified service provider, certificates reviewed | [ROLE] |
+|  |  |  |  |
+
+Outsourcing does not relieve [COMPANY NAME] of responsibility for conformity to customer and regulatory requirements. Control of outsourced processes is documented in [REFERENCE PROCEDURE].
+
+#### 4.1.4 Risk Management
+
+[COMPANY NAME] has established documented requirements for risk management throughout product realization in accordance with ISO 14971. Risk management is integrated into:
+
+- Design and development (when applicable)
+- Production and process control
+- Purchasing and supplier management
+- Post-market surveillance and feedback
+- Corrective and preventive action
+
+Risk management files are maintained as part of the Medical Device File for each device type. Risk management activities, methods, and records are defined in SOP-[NUMBER] Risk Management.
+
+#### 4.1.5 Software Validation
+
+Computer software applications used in the QMS are validated prior to initial use and after changes that could affect their intended use. Software requiring validation includes:
+
+- [QMS/ERP software]
+- [Electronic document management systems]
+- [Production control software]
+- [Automated test equipment software]
+- [Other software affecting product quality or QMS effectiveness]
+
+Validation is based on risk assessment and includes:
+- Documented validation approach
+- Risk-appropriate validation activities
+- Defined acceptance criteria
+- User responsibilities
+- Validation records maintained
+
+Software validation procedures and records are documented in SOP-[NUMBER] Software Validation.
+
+### 4.2 Documentation Requirements
+
+#### 4.2.1 General
+
+The QMS documentation includes:
+
+**Tier 1:** Quality Policy and Quality Manual (this document)
+
+**Tier 2:** Documented Procedures (SOPs)
+- The [31+] documented procedures required by ISO 13485:2016
+- Additional procedures established by the organization
+- Referenced in Appendix A
+
+**Tier 3:** Work Instructions (WIs)
+- Detailed step-by-step instructions for specific tasks
+- Department or process-specific documents
+
+**Tier 4:** Records and Forms
+- Evidence of conformity to requirements
+- Evidence of effective QMS operation
+- Maintained per retention requirements
+
+**Additional Documentation:**
+- Medical Device Files
+- Risk management files
+- Design and development files (when applicable)
+- Validation and verification documents
+- External documents (standards, regulations, customer specifications)
+
+#### 4.2.2 Quality Manual
+
+This Quality Manual is established and maintained to describe the scope of the QMS, document or reference QMS procedures, describe process interactions, and outline the documentation structure.
+
+This manual is controlled per SOP-[NUMBER] Control of Documents and is reviewed annually for continuing suitability.
+
+#### 4.2.3 Medical Device File
+
+A Medical Device File (MDF) is established and maintained for each medical device type or device family. The MDF contains all documentation required by ISO 13485:2016 Clause 4.2.3, including:
+
+- General description of device and intended use/purpose
+- Label and instructions for use specifications
+- Product specifications
+- Manufacturing specifications
+- Procedures for purchasing, manufacturing, and servicing
+- Procedures for measuring and monitoring
+- Installation requirements (when applicable)
+- Risk management file(s)
+- Verification and validation information
+- Design and development file(s) (when applicable)
+
+MDF structure, content, and control are defined in SOP-[NUMBER] Medical Device File.
+
+**Current Medical Device Files:**
+- [LIST MDFs MAINTAINED]
+
+#### 4.2.4 Control of Documents
+
+All QMS documents are controlled to ensure:
+- Approval before issue
+- Review and update as necessary
+- Current revision status identified
+- Relevant versions available at point of use
+- Documents remain legible and identifiable
+- External documents controlled
+- Obsolete documents prevented from unintended use
+- Obsolete documents identified if retained for reference
+
+Document control responsibilities, requirements, and procedures are defined in SOP-[NUMBER] Control of Documents.
+
+The Document Control Coordinator is responsible for document control system operation.
+
+#### 4.2.5 Control of Records
+
+QMS records provide evidence of conformity to requirements and effective QMS operation. Records are controlled to ensure:
+- Legibility, identification, and retrievability
+- Proper storage, security, and integrity
+- Appropriate retention time (minimum: device lifetime)
+- Proper disposition
+- Changes remain identifiable
+
+Record control responsibilities, requirements, and procedures are defined in SOP-[NUMBER] Control of Records.
+
+Records are retained for at least [X years or device lifetime, whichever is longer], in accordance with applicable regulatory requirements.
+
+---
+
+## 5. MANAGEMENT RESPONSIBILITY
+
+[CONTINUE WITH SECTIONS 5-8 FOLLOWING THE SAME PATTERN: State requirement, describe implementation, reference procedure, identify responsibility]
+
+[Note: For brevity, I'm providing the format. The user can expand each section following this pattern]
+
+---
+
+## 9. APPENDICES
+
+### APPENDIX A: LIST OF DOCUMENTED PROCEDURES
+
+[CREATE TABLE OF ALL 31+ PROCEDURES]
+
+### APPENDIX B: ORGANIZATION CHART
+
+[INSERT ORGANIZATION CHART]
+
+### APPENDIX C: PROCESS MAP
+
+[INSERT PROCESS INTERACTION DIAGRAM]
+
+### APPENDIX D: DEFINITIONS AND ABBREVIATIONS
+
+[EXPAND FROM SECTION 1.4]
+
+### APPENDIX E: APPLICABLE REGULATORY REQUIREMENTS
+
+[DETAILED LIST OF ALL APPLICABLE REGULATIONS]
+
+---
+
+**END OF QUALITY MANUAL**
+
+---
+
+**Document Number:** QM-001
+**Revision:** 00
+**Page:** [X] of [X]