The US Food and Drug Administration needs 21 CFR 820 and, the Health Canada requires compliance to Medical Device Single Audit Program (MDSAP). These certifications require additional QMS and regulatory criteria before your device is approved for sale.
Canada- QMS requirements for medical device companies
Under MDSAP, manufacturers of Class II, III, and IV medical devices must demonstrate ISO 13485 compliance. The QMS requirements of the Canadian Medical Devices Regulations (CMDR) are included in the MDSAP. Before your device can be sold in Canada, a Health Canada and MDSAP-accredited Auditing Organization (AO) must certify your MDSAP-compliant quality system. As of January 1, 2019, MDSAP compliance is mandatory.

