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It is technically referred to by IAF as MLA Multilateral Recognition Arrangement. I think it looks like MRA, but its not really called that. Its more than an "agreement" its an arrangement of high level surveillance, from the very top of the IAF, by a special assessment team that is managed by the IAF MLA Management Committee. They manage all IAF MLA signatory member surveillance, on behalf of all IAF MLA signatories. The IAF MLA MC report to the IAF MLA Group on how its members are operating, after each assessment is completed. The EA will now subject themselve to regular reviews under this "Arrangement". It is quite an impressive assessment, taking weeks, with a 40 page report that comes out of it covering a huge number of areas that are quite important to assuring credibility of all our QMS certs.
China or Japan are part of this, since both the Chinese National Accreditation Service (CNAS) and Japanese Accreditation Board (JAB) are very active in the IAF MLA. JAB provided me with a co-convener for the ISO 13485 WG.
I work with AHWP members, and they are moving toward ISO 13485 in their new guidance, and they have very little stomach for another "Western scheme" they didn't have a part in. At ISO and IAF, they were stakeholders. CNAS and JAB were both in my working group for the ISO 13485 accreditation development, along with European members, of the NB and Regulatory community (ZLG in Germany).
IMDRF is not an international organization, as defined under WTO terms, which would mean they are open to all, and treat all as equal voices, like ISO, IEC, IAF and ILAC, even AHWP, is far more "International" as they accept regulators from Middle East and Asia.
MDSAP is too early to tell, but if it remains voluntary in the US, as I'm told it will, and voluntary in the Europe as well, why would we sign up? For Brazil? Are you joking. Tarrifs are 30%, that alone keeps our products out of Brazil, so what then, Canada? OK, maybe Canada, we sit on the border with Canada. If your a small company in any other part of the world, your not going to sell into Canada. Canada has only 10% of the registered firms that US FDA has, so that is a warning to what happens when you mandate an expensive program that foreign manufacturers don't care about.
Consider that smaller countries like Brazil and Canada make up less than 1% of sales. How much would you pay to get a piece of pie that is 1/100th the size of the pie. Consequently, these same countries import 90% of their medical devices, so when they isolate themselves by adopting expensive and instrusive programs, they do horrific damage to their healthcare system, such as happened in Canada, which still hasn't recovered from CMDCAS.
Australia was smart, they went right after EFTA and accept CE certs. So industry includes Australia in their big junk of European Pie. MDSAP is not going to be required in Europe or the United States, it will be voluntary, so I'm told, especially in the USA. So they really better take their time and do this right, or they Brazil and Canada are going to get stuck with as being the only two countries mandating MDSAP, and they will only further isolate themselves.
Canada did sign an MRA with Europe, so maybe their is hope for them, if they recognize the CE mark. I don't believe they will abandone their annual licensing fees, so this might be a problem for some manufacturers in Europe. Time will tell.