---
title: "Management Review, Definition | MedTech Terms"
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Quality & Risk [Quality System](/ecosystems/quality-system)[Startup Lifecycle](/ecosystems/startup-lifecycle)

# Management Review

Top-management evaluation of QMS performance at planned intervals.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

[ISO 13485](/terms/iso-13485) clause 5.6 and 21 CFR 820.20 require top management to review the QMS at defined intervals, evaluating audit results, customer feedback, process performance,  [CAPA](/terms/capa), and the need for resources or improvement. 

What the regulation says

Management review is a mandatory activity for medical device manufacturers, as stipulated by regulations like 21 CFR 820.20(c) from the FDA and standards such as  [ISO 13485](/terms/iso-13485):2016 clause 5.6. These reviews ensure the continuing suitability, adequacy, and effectiveness of the Quality Management System (QMS). The reviews must include assessing opportunities for improvement and the need for changes to the QMS, including the quality policy and quality objectives. 

## What this means in practice

Management reviews should produce documented decisions and actions. Inspectors often request meeting minutes and follow-up evidence. 

## Examples

-   A MedTech company reviews its QMS annually, where top management examines internal audit reports, customer complaint trends, and production output data to decide on resource allocation for new equipment.
-   During a management review, a manufacturer identifies a recurring issue with product non-conformities and decides to initiate a corrective action plan, including retraining production staff.
-   Following new regulatory updates, a management review meeting assesses the impact on the QMS and approves changes to design control procedures to maintain compliance with EU MDR Annex I.

Common pitfalls

-   • Failing to document management review outputs, including decisions and actions, can lead to audit findings. 
-   • Not involving appropriate top management personnel in the review process undermines its effectiveness and regulatory compliance. 
-   • Conducting reviews as a mere formality, without genuine critical evaluation and follow-up on identified actions, is a common pitfall. 
-   • Excluding crucial inputs, such as audit results, customer feedback, or process performance data, can result in an incomplete and ineffective review. 
-   • Delaying or omitting corrective and preventive actions (CAPA) identified during management review can lead to systemic quality issues and regulatory non-compliance. 

## Frequently asked questions

What is the primary purpose of a management review? 

The primary purpose is to ensure the ongoing suitability, adequacy, and effectiveness of the Quality Management System, identifying opportunities for improvement and necessary changes. 

Who should participate in a management review? 

How often should management reviews be conducted? 

What are the required inputs for a management review? 

## Cross-references

### Follows

Comes after in a typical workflow or lifecycle.

-   [
    
    Internal Audit
    
    
    
    ](/terms/internal-audit)

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Quality & Risk

Internal Audit

Planned, independent evaluation of QMS conformity and effectiveness.





](/terms/internal-audit)[

Quality & Risk

Quality Management System Regulation(QMSR) 

FDA's harmonized successor to the QSR, incorporating ISO 13485:2016 by reference.





](/terms/qmsr)[

Quality & Risk

Quality System Regulation(QSR / 21 CFR 820) 

FDA's current good manufacturing practice (cGMP) requirements for medical devices.





](/terms/qsr)[

Standards

ISO 13485

International standard for medical device quality management systems.





](/terms/iso-13485)

### More in Quality & Risk

· Same category 

[

Quality & Risk

Biocompatibility

Ability of a material to perform with an appropriate host response in a specific application.





](/terms/biocompatibility)[

Quality & Risk

CAPA Effectiveness Check

Verification step confirming a corrective or preventive action actually fixed the problem.





](/terms/capa-effectiveness)[

Quality & Risk

Change Control

Formal QMS process for evaluating, approving, and implementing changes that could affect product quality or compliance.





](/terms/change-control)[

Quality & Risk

Complaint Handling

Process for receiving, evaluating, and responding to device complaints.





](/terms/complaint-handling)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (2)

-   [Quality System](/ecosystems/quality-system)
-   [Startup Lifecycle](/ecosystems/startup-lifecycle)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

ISO· 1 AAMI· 1 MDIC· 1 

1.  [1 
    
    ISO 13485:2016
    
    Verified 
    
    ISO · iso.org 
    
    
    
    ](https://www.iso.org/standard/59752.html)
2.  [2 
    
    AAMI - Quality Systems Resources
    
    Verified 
    
    AAMI · aami.org 
    
    
    
    ](https://www.aami.org/standards)
3.  [3 
    
    MDIC Case for Quality
    
    Verified 
    
    MDIC · mdic.org 
    
    
    
    ](https://mdic.org/program/case-for-quality/)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

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Updated

5/5/2026

[Compare with another term](/compare?a=management-review)

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Card Lesson Quiz

Top-management evaluation of QMS performance at planned intervals.

-   · Management reviews should produce documented decisions and actions. 
-   · Inspectors often request meeting minutes and follow-up evidence. 

Remember this

Watch out: Failing to document management review outputs, including decisions and actions, can lead to audit findings.

Related terms

-   [ISO 13485 ](/terms/iso-13485)
-   [Quality System Regulation(QSR / 21 CFR 820) ](/terms/qsr)
-   [Quality Management System Regulation(QMSR) ](/terms/qmsr)
-   [Internal Audit ](/terms/internal-audit)

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