FDA 483 OBSERVATION · #263 OF 1,923 MOST-CITED

Quality System Procedures

FDA cited this observation 112 times across 110 firms in recent inspections. Below: how it breaks down by program area and fiscal year, and real examples of how FDA worded it on Form FDA 483.

What this grouping is not

An observation-type page groups FDA’s published citation records. The grouping, the compliance steps and the root causes are SPEQ synthesis, not an FDA classification of any citation, and a count measures what FDA published rather than risk.

BY PROGRAM AREA
Devices112
BY FISCAL YEAR
FY20264
FY202513
FY20247
FY20234
FY20227
FY20216
FY20206
FY201913
FY20188
FY201722
FY201622

What this observation is associated with

Firms cited for this observation also appear in FDA compliance actions — warning letters, injunctions, or seizures — at 0.9× the rate of the average FDA-cited firm (7.3% vs 7.8%), across 110 FEI-matched firms.

This is an association, not causation, and reflects co-occurrence in FDA's records — not a claim that the observation caused or preceded the action.

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How FDA worded it — real examples

Quality system procedures and instructions have not been established.

Emerald Supply Inc · Brooklyn, New York · Devices · 2026-04-16

Quality system procedures and instructions have not been established.

Endonovo Therapeutics, Inc. · Woodland Hills, California · Devices · 2025-10-31

Quality system procedures and instructions have not been established.

Clavmed · Dzierzoniow (Gmina) · Devices · 2025-10-29

Quality system procedures and instructions have not been established.

AHA TECHNOLOGIES, INC. · Detroit, Michigan · Devices · 2025-10-14

Quality system procedures and instructions have not been established.

RINI TECHNOLOGIES, INC. · Oviedo, Florida · Devices · 2025-08-08

Quality system procedures and instructions have not been established.

ATZ Manufacturing · Marshall, Minnesota · Devices · 2025-07-24

Related SPEQ references

Where to read the requirements behind this observation area on SPEQ. These are SPEQ's topic and audience pages — not an FDA classification of the citation.

Pharmaceutical quality system →Medical devices →

Examples are a representative sample of FDA's published inspection observations. Open the 483 observation explorer →