Method·September 21, 2026 · 3 min read

Recognized. Not published.

FDA's 2023 guidance formally recognizes the Voluntary Improvement Program, a third-party quality-maturity appraisal, and ties real regulatory opportunities to it — risk-based inspection planning, faster PMA manufacturing-change tracks. No public FDA database records which firms or sites have been appraised.

By Connor Griggs — Regulatory & Quality Strategist

FDA does not run the appraisal, does not publish who has taken it, and does not put a result anywhere a portfolio watch could read. It nonetheless wrote a guidance document formally recognizing the program and describing, in writing, what a passing appraisal can buy a manufacturer at FDA. The recognition is real. The record of who holds it is not.

What FDA actually recognized

The Voluntary Improvement Program (VIP) is a third-party quality-maturity appraisal, run through the Medical Device Innovation Consortium and ISACA, that scores a manufacturing site’s practices against a device-specific adaptation of the Capability Maturity Model Integration framework — a maturity-scoring approach used well outside medical devices. FDA does not administer the appraisal. FDA’s role, set out in a final guidance issued September 2023, is to describe how the agency will engage with a site once it has one: weighing appraisal participation in risk-based inspection planning, and in eligibility for faster PMA manufacturing-change tracks — a 30-Day Notice, a site change, a manufacturing module — that a lower-maturity site would not get.

No field, because there is no database

Every other fact this blog has traced back to a missing field lives somewhere structured first — openFDA carries the record, and the gap is what one column doesn’t say. VIP participation has no such home to be missing from. MDIC has not published a public roster of appraised sites; FDA’s own guidance describes the program’s mechanics and its regulatory weight without listing a single participant. A site’s VIP status is not a fact withheld from an existing FDA database. It was never the kind of fact FDA’s public databases are built to carry.

A quality signal FDA has agreed to act on, and a quality signal FDA has agreed to publish, turned out to be two different commitments — and only one of them was made.

The method

A competitor’s warning letters, recalls, and 510(k) history are readable because FDA’s own systems produce them as a byproduct of enforcement and clearance work — a monitoring feed inherits that structure for free. A competitor’s quality-maturity appraisal was built the opposite way: voluntary, run by a third party, and reported to FDA on terms the guidance leaves to the participant and FDA to work out directly. No public feed, including this one, closes that gap by reading harder; the gap is the design, not an omission. This is regulatory intelligence and method, never regulatory advice about what a specific site’s absence from public VIP information should be read to mean.

Practice
A K-number is public. The other isn't.
Method
Exempt covers the type, not the use
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The supplement got eSTAR. The PMA did not.
Method
Congress ordered a guidance, not a rule
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AI-enabled is a list. Not a field.
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The companion diagnostic list changed its name
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The master file neither of you can read
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The condition inside the approval order
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The repair FDA calls manufacturing
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Vacated in March. Filed in September.
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Classified. Not waived.
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Emergency use isn't defined in Part 812
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The two-year inspection clock is gone
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The PMA clock starts at the last module
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The Q-Sub that doesn't buy you more time
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Lapsed and revoked end an EUA differently
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A recall strategy has a grade. openFDA doesn't.
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A granted De Novo becomes a predicate.
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Least burdensome changes the ask, not the bar.
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The lab is accredited. Not the device.
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Breakthrough is law. STeP is a guidance.
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MDSAP replaces routine. Not for-cause.
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No field on a 510(k) says what it treats
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Discretion is a policy. Exclusion is a statute.
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Designated by one office. Approved by another.
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MedSun sits beside MAUDE, not inside it
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The five-unit device never gets a K-number
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Meeting the criteria isn't a tracking order
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The PMA clock doesn't stop at approval
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The K-number doesn't track today's device
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A MAUDE report proves it was filed
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Not every MDR starts with the manufacturer
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Completed. Not terminated.
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The device-ban list has three entries
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The UDI exception has its own deadline
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MDUFA VI is being negotiated in public
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The inspection manual changed, not the rule
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The count Congress had to legislate
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The small-business rate isn't retroactive
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A detention order has no docket to read
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PMA approvals moved off the Federal Register
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A citizen petition names names
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A market withdrawal isn't a recall
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Not every device letter comes from CDRH
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Closed on one device. Open on the rest.
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No IDE is confirmed until the PMA is
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The remedial-action call sets the clock
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Jurisdiction is a letter, not a field
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An address is not a footprint
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The final rule that isn't final yet
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The special controls aren't in the record
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Exempt from GMP. Not from complaints.
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The notify list isn't the shortage list
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A constraint can't be skipped. A script can.
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No cron sends this. A person does.
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Corrected, not rewritten
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Quiet is a finding, not a default
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The summary is public. The statement isn't.
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A competitor's 513(g) leaves no trace
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An empty response field proves nothing
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A petition is public. Its outcome isn't.
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The panel is a category, not a meeting
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An accessory carries its own classification
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A TPLC report is a category, not a device
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A 522 order is a question, not a verdict
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A PCCP change leaves no new record
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Not every signal becomes a recall
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eSTAR did not remove the acceptance check
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An early alert has no recall number yet
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A consent decree isn't a database row
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The record has no cybersecurity field
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Classification Change is not one event
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Publication date is not effective date
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One event. Many recall numbers.
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Quantity is a sentence, not a number
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How a firm told you is a field too
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A RIN outlives the document number
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The docket ID is not the comments
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The 510(k) record doesn't name the predicate
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The 510(k) FDA didn't review first
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The letter FDA doesn't have to post
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Cleared doesn't say which track it took
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The clock stops. The calendar doesn't.
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Why a guessed match never reaches you
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The standards list never names a device
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The guidance isn't in the Federal Register.
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Filtered. Not discarded.
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There are two recall databases, not one
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Breakthrough status is confidential by law
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One MAUDE report is not one malfunction
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A supplement number is not a track
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Cleared is not approved
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Nationwide doesn't mean your building
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Not every correction reaches FDA
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Registered. Not reviewed.
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Contact ODE is not a pathway
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Almost no recall is FDA-mandated
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FDA's device names read like a card catalog
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openFDA is free. It is not unlimited.
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GUDID stores the model. Not the box.
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Detention doesn't need a warning letter
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A Class I device, a Class I recall
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21 CFR 820 didn't move. Its contents did.
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The product code that doesn't exist yet
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The classification posts. The 483 behind it doesn't.
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A recall has three dates, and the pipeline had to pick one
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The count is real. The rate is not.
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The firm on the record is not the firm on the box
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Low confidence is an instruction, not a hedge
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The same company, spelled three ways
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A device that was never a medical device
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FDA's warning letters, addressed by column number
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Your regulation has a decimal. FDA's watch doesn't.
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Three letters is too short to search for
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Most warning letters never close
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The guidance that skipped the draft
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Ongoing, as of when?
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The least interesting fact in a 510(k)
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No recall arrives with a product code attached
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The deadline that doesn't email you
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The warning letter has two dates
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How to monitor FDA without drowning
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Your predicate was recalled. Now what?
Method
Why no item reaches you without a human