Medical Device · SaMD · Class II SMBs

Investor-grade quality operations, deployed inside your QMS in 3 to 6 weeks.

Alterra AI installs operational AI where medical device SMBs bleed time and cash — CAPA, complaints, 510(k) prep, supplier files. No new platform. Every action logged for FDA CP 7382.850 and ISO 13485:2016.

QMSR-aligned by design ISO 13485:2016 evidence trail 21 CFR Part 11 compatible Built on your existing QMS
~40%
Faster CAPA closure
60–80%
Doc-drafting time cut
2–3x
Audit-ready surface
3–6 wks
Time to first deployment

Ranges reflect Alterra AI project estimates modeled on public benchmarks (FDA Form 483 data 2023–2026, FDA Group, MedDeviceGuide, RAPS). Individual results vary by baseline maturity.

Why now

The QMSR clock already started. Investors already noticed.

FDA's Quality Management System Regulation took effect February 2, 2026 — no transition period. Meanwhile, CAPA (12.4%), design controls (12.3%), and complaint handling (10.6%) account for over one-third of all Form 483 observations. If a diligence team runs those searches on your company, the answers had better be clean.

CAPA aging drags the entire quality dashboard

Open CAPAs past 90 days signal weak investigation ownership and are the first thing an acquirer's quality diligence lead asks about. Manual root-cause analysis is where the days disappear.

510(k) submissions rebuilt from scratch every time

Predicate rationales, testing summaries, labeling, and cybersecurity docs get re-authored for every submission. FY2026 user fee is $26,067 — but internal prep cost of $30K–$500K is where the real bleed lives.

Supplier files that don't survive a real inspection

FDA Compliance Program 7382.850 explicitly lists supplier audit reports as inspectable. "Verbal check-ins" and emailed summaries are now Form 483 exposure. Most SMBs cannot produce a complete supplier file on 30 minutes' notice.

Four business cases

Where Alterra AI drops in — and what it moves.

Each solution is a discrete, scoped engagement with a fixed timeline and named KPI targets. Deploy one, deploy all four. No platform lock-in.

Business Case 01

QMS & QMSR Readiness

Bring your quality management system into ISO 13485:2016 + QMSR alignment. AI-drafted procedures, mapped risk records, ready-for-inspection evidence packages under CP 7382.850.

50–70%
Faster gap remediation
100%
Procedure traceability
Read the business case
Business Case 02

CAPA & Complaint Handling

AI-assisted intake, root-cause analysis, and effectiveness verification for CAPA — with automatic trend detection across complaints, nonconformances, and MDR-eligible events.

~40%
Median cycle-time cut
2–3x
Trend-signal density
Read the business case
Business Case 03

Regulatory Submissions & Intelligence

510(k), Technical File, and change-assessment drafting from your DHF, protocols, and predicate library. Pre-sub package assembly with cybersecurity, SBOM, and PCCP-aware sections.

60–80%
Drafting time reduction
4–9 mo
Clearance path stays defensible
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Business Case 04

Supplier Quality & Audit Readiness

Supplier scorecards, SCAR management, and complete audit-ready supplier files — with continuous monitoring for FDA warning letters, recalls, and certification lapses affecting your ASL.

<30 min
Time to produce supplier file
-50%
Supplier-related 483 risk
Read the business case
Investor & acquirer lens

The five signals diligence teams look for — and where AI moves them.

Every dollar of enterprise value in a growing medtech is priced against quality risk. These are the metrics that show up in QoR, buyer due diligence, and QMSR inspection outcomes.

Open CAPA aging (median days)

The single most-asked question in quality diligence. Buyers want a downward trend they can point to at the closing table.

Before
140–180 days
After (target)
< 90 days

Complaint-to-CAPA conversion

High conversion rates mean the trend engine works. Zero conversion means no one is looking.

Before
Ad hoc
After
Signal-driven, monthly

Submission on-time rate

Late 510(k) submissions delay revenue. Clean, well-organized packages accelerate FDA review cycles.

Before
50–70% on-time
After (target)
>90% on-time

Supplier defect & SCAR rate

Trended supplier quality data is the fastest way to prove ASL discipline to an acquirer.

Before
Reactive
After
Scored + monitored
How we engage

Four steps. Fixed scope. Nothing rides on a platform switch.

Alterra AI's medtech engagement layers on top of your existing QMS — Greenlight Guru, MasterControl, Qualio, Veeva, or spreadsheet-based systems. You keep your platform. You get the operational improvement.

01

48-hour Ops Assessment

Read-only review of your QMS, CAPA log, complaint log, top-3 supplier files, and last inspection outcome. Prioritized findings ranked by risk and time-to-value.

02

Scoped proposal

Fixed-fee, fixed-timeline proposal on one to four business cases. Named KPI targets, sign-off deliverables, and validation plan.

03

Build in your systems

AI workflows deployed inside your existing QMS and CRM. Every action logged, versioned, and mapped to a controlled process step. IQ/OQ artifacts included.

04

Handover + KPI monitoring

Live in 3–6 weeks. You own everything. Optional 90-day KPI monitoring package with monthly investor-ready metric packs.

Straight answers

Questions medtech quality & regulatory leaders actually ask.

Will FDA accept AI-generated content in an inspection?

FDA does not prohibit AI-assisted authoring. What matters is that the record was created inside a controlled process with human review, version control, and an auditable trail. Alterra AI treats every AI action as a controlled process step — logged, attributable, and reviewable — so evidence stands up to FDA CP 7382.850 inspections and Notified Body audits.

Do you replace our QMS?

No. We deploy on top of Greenlight Guru, MasterControl, Qualio, Veeva, ETQ, or your spreadsheet-based system. If you're mid-migration, we'll align the build to your target platform.

How does this hold up under EU MDR and ISO 13485 audit?

ISO 13485:2016 is now incorporated by reference into 21 CFR Part 820 under the QMSR. Our deployment uses ISO 13485 clause structure as the design baseline, so the same evidence supports MDR Technical Files and Notified Body audits without a parallel build.

What if we're pre-revenue or pre-clearance?

Common for our clients. Pre-clearance companies benefit most from the QMS/QMSR and Regulatory Submissions business cases — building a QMS designed to survive its first inspection instead of one retrofit under pressure.

How is this different from a big consulting firm?

We ship working systems in 3–6 weeks with fixed-fee scope. Big firms deliver strategy decks and staff-augmentation retainers. Both have a place — ours is faster and closer to the operating floor.

Who owns the AI and the data?

You do. Everything is built in your instance of your systems. No Alterra platform, no ongoing license fees. Optional monitoring is a separate, cancelable service.

Ready to see the assessment in 48 hours?

One conversation. A read-only review of your QMS, CAPA log, and last inspection outcome. A prioritized punch list ranked by risk and time-to-value. No obligation.

Book the 48-hour Assessment