Design Review Documentation Strategies for FDA-Auditable Medical Electronics

Simon Hinds
|  Created: May 23, 2025
Design Review Documentation Strategies for FDA-Auditable Medical Electronics

Medical electronics is a highly regulated field, and design review documentation offers a structured approach to ensure that medical devices meet all required standards before reaching the market. In this article, I outline a comprehensive strategy for design review documentation, specifically focusing on Design Review in CFR21 part 820, and demonstrate how Altium 365 can facilitate this process.

Formal Design Reviews For Medical Electronics

According to 21 CFR 820.30(e), formal design reviews must be conducted at appropriate stages of the design process. These reviews are intended to assess the adequacy of the design and identify any potential issues.

The FDA requires that these formal reviews occur at key points in the development cycle, involving a multidisciplinary team that evaluates the design from multiple perspectives (including technical feasibility, regulatory compliance, and user needs).

The primary goal of design reviews is to ensure that the project is progressing as intended and that any issues are identified and resolved early. Regular reviews help organizations detect design flaws before they escalate, minimizing the risk of costly rework, delays, or even recalls.

Design reviews also serve as a critical checkpoint for verifying that the design aligns with regulatory standards and user expectations, ultimately contributing to a safer and more effective final product. Thorough documentation of each review is essential for demonstrating compliance with FDA requirements and maintaining a clear record of the decision-making process.

Altium 365 Design Review streamlines this process by offering a centralized platform for initiating, managing, and documenting PCB design reviews. It ensures traceability across all review activities and helps teams systematically capture and address feedback, enhancing both efficiency and regulatory readiness.

Strategies for Design Review Documentation

Centralized Documentation Repository

Centralized Documentation Repository

Strategy: Use Altium 365 to store all design reviews in one place. All team members have access to the latest versions of documents and can easily retrieve historical data for reference.

Benefit: Enhance collaboration and ensure consistency in documentation. Make it easier to track changes and updates.

Rationale: By centralizing documentation, teams can avoid the confusion and inefficiencies that arise from having multiple versions of documents scattered across separate locations. Altium 365 allows for the seamless integration of various document types, including design specifications, review notes, and regulatory compliance records. This centralized approach streamlines access and ensures that all team members are working with the most up-to-date information, reducing the risk of errors and miscommunication. Having a single repository simplifies the process of preparing for audits, as all necessary documentation is readily available in one place.

Real-Time Collaboration

Real-Time Collaboration

Strategy: Leverage Altium 365's real-time collaboration features to conduct design reviews with team members across various locations. Use commenting and annotation tools to provide immediate feedback and address issues as they arise.

Benefit: Facilitate timely communication and decision-making. Reduce delays in the review process.

Rationale: Real-time collaboration is crucial in a globalized work environment where team members are often spread across different time zones and locations. Altium 365's collaboration tools support asynchronous communication, allowing stakeholders to provide feedback directly through their web browsers. This approach ensures everyone has access to the latest design context. By centralizing comments and updates, Altium 365 Design Review eliminates common challenges like miscommunication or version control issues, allowing distributed teams to work more effectively. The platform's annotation tools allow reviewers to markup design documents directly, highlighting specific areas of concern and suggesting targeted improvements. This immediate feedback loop helps resolve issues quickly, keeps the design process on track, and ensures that any potential problems are addressed promptly.

Use comments and tasks as you normally would in Altium 365, but now you can track them by each design review.
Altium 365 Design Review: Use comments and tasks and track them by each design review.

Automated Review Workflows

Automated Review Workflows

Strategy: Leverage Altium 365 to implement structured and collaborative workflows for PCB design reviews. Define review stages, assign tasks to specific team members, and use platform notifications to maintain visibility and accountability throughout the process.

Benefit: Promote a consistent and organized review process. Ensure that all necessary steps are completed and no critical tasks are overlooked.

Rationale: Altium 365 empowers engineering managers and team leaders to coordinate design reviews as part of a broader workflow. By outlining clear review stages and assigning roles within the platform, teams can ensure that each phase of the review is handled methodically. Notifications and task tracking features help keep all stakeholders informed of their responsibilities and deadlines. This structured approach enhances the quality and reliability of design reviews by enabling repeatable, well-documented collaboration across distributed teams. Workflows can be customized to match the needs of individual projects, supporting flexibility while reinforcing process rigor.

Traceability and Audit Trails

Traceability and Audit Trails

Strategy: Use Altium 365 for traceability and maintain a comprehensive audit trail of all design review activities. Document who reviewed what, when, and what decisions were made.

Benefit: Get a clear and traceable record of the review process, essential for regulatory compliance and audits.

Rationale: Traceability is a key requirement for regulatory compliance. It provides a clear record of the design review process and the decisions made at each stage. Altium 365's traceability features allow organizations to document every aspect of the review process, including who participated in the reviews, what documents were reviewed, and what decisions were made. This comprehensive audit trail is invaluable during regulatory audits, as it demonstrates that the organization has followed a systematic and thorough review process. Additionally, traceability helps to identify any gaps or weaknesses in the review process, allowing organizations to make continuous improvements and ensure that their design reviews are as effective as possible.

Integration with Design Data

Integration with Design Data

Strategy: Integrate design review documentation with actual design data within Altium 365. Link review comments and decisions directly to specific design elements, such as schematics or PCB layouts.

Benefit: Ensure that feedback is contextually relevant and that design changes are accurately implemented based on review outcomes.

Rationale: Integrating design review documentation with design data ensures that feedback is tied directly to relevant design elements, making it easier for designers to interpret and act on suggestions. Altium 365 Design Review enables reviewers to annotate design files and link comments to specific components, schematics, or PCB layouts. This context-rich feedback reduces misinterpretation and errors, making reviews more effective. It also creates a clear record of how the design has evolved through each round of input. By keeping design and review teams aligned around the same data, communication improves and feedback is visibly reflected in the final design.

Version Control

Version Control

Strategy: Utilize Altium 365's version control capabilities to manage different iterations of design review documents. Monitor revisions over time and restore earlier versions when needed.

Benefit: Manage document revisions effectively. Ensures that the most current information is always available.

Rationale: Version control is vital to managing the iterative design review process. Altium 365’s version control features enable teams to track changes over time, ensuring all revisions are documented and the most current information is always accessible. This is especially important in medical device development, where accurate, up-to-date documentation is critical for regulatory compliance. Version control also provides a safety net by allowing teams to revert to previous versions if needed. By managing revisions effectively, organizations can ensure their design review documentation is accurate, complete, and ready for audits.

Standardized Review Templates

Standardized Review Templates

Strategy: Develop and use standardized templates for design review documentation within Altium 365. Ensure that all necessary information is captured consistently across different reviews.

Benefit: Promote uniformity in documentation. Easily compare and analyze review outcomes.

Rationale: Standardized templates ensure design reviews are consistent and complete. Altium 365 Design Review enables organizations to create and apply templates for review documentation, so every review follows the same format and captures all required details. This consistency simplifies comparison and analysis across reviews, while predefined sections help prevent important information from being missed. By promoting uniform documentation, teams can improve review quality, support better decision-making, and streamline the design process.

Comprehensive Review Checklists

Comprehensive Review Checklists

Strategy: Create detailed checklists to guide the design review process. Include specific criteria that need to be evaluated at each review stage.

Benefit: Ensure thoroughness in reviews. Identify potential issues systematically.

Rationale: Comprehensive review checklists ensure that all key aspects of a design are thoroughly evaluated. Altium 365 Design Review enables organizations to create detailed checklists that guide reviewers through each stage, covering technical performance, regulatory compliance, user requirements, and more. Structured checklists help reviewers spot potential issues systematically and avoid overlooking critical details. They also create a consistent review framework, improving review quality and reducing the risk of errors. This consistency makes it easier to train new reviewers and ensures that all reviews meet the same high standard.

Design Review feature - checklist templates
Altium 365 Design Review: Use included templates for various reviews or build your own and track progress.

Conclusion

Strong design review documentation is essential to ensure medical devices meet FDA requirements and are safe and effective for use. With Altium 365, organizations can streamline review workflows, boost collaboration, and maintain detailed, traceable documentation. Centralized repositories, real-time feedback, automated workflows, and built-in traceability all support a more efficient and compliant review process.

These strategies help teams catch and resolve design flaws early while meeting regulatory expectations, reducing the risk of costly recalls or compliance issues.

Integrating review documentation with live design data, applying version control, and using standardized templates and checklists further improve review quality and consistency. These practices ensure that feedback is clear and actionable, changes are properly tracked, and all critical information is captured.

By adopting these methods, you can strengthen your review process and confidently develop FDA-auditable medical devices that are reliable, safe, and market-ready. A well-documented, thorough design review isn’t just best practice. It’s key to compliance and quality.

Interested in managing the medical electronics lifecycle, simplifying compliance, and launching innovations faster? Learn more about cloud collaboration for medical device development.

About Author

About Author


Simon is a supply chain executive with over 20 years of operational experience. He has worked in Europe and Asia Pacific, and is currently based in Australia. His experiences range from factory line leadership, supply chain systems and technology, commercial “last mile” supply chain and logistics, transformation and strategy for supply chains, and building capabilities in organisations. He is currently a supply chain director for a global manufacturing facility. Simon has written supply chain articles across the continuum of his experiences, and has a passion for how talent is developed, how strategy is turned into action, and how resilience is built into supply chains across the world.

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