21 CFR 820.198(a) citations
FDA investigators cited 21 CFR 820.198(a) 3,905 times at 3,147 facilities in the inspection citations FDA publishes, most recently in an inspection that ended Jan 16, 2026. A citation is an observation listed on Form FDA 483 at the end of an inspection; it is not a final agency decision.
Citations by fiscal year
| FDA fiscal year | Citations |
|---|---|
| 2026 | 60 |
| 2025 | 218 |
| 2024 | 197 |
| 2023 | 190 |
| 2022 | 147 |
| 2021 | 54 |
| 2020 | 150 |
| 2019 | 255 |
| 2018 | 241 |
| 2017 | 285 |
Recent citations
The latest inspections that cited this section. Facility names link to each facility's FDA record.
| Inspection ended | Facility | Country | Observation |
|---|---|---|---|
| Jan 16, 2026 | Marson Medical, Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 15, 2026 | Apex Medical Technologies, Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 15, 2026 | Expanse Medical Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 15, 2026 | MIDWAY MEDICAL | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been established. |
| Jan 13, 2026 | Conformis Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 12, 2026 | Innova Vascular Inc | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 12, 2026 | ZIIP INC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 9, 2026 | Encore Laboratory | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 8, 2026 | 4DMedical Ltd. | Australia | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Jan 8, 2026 | Esco Medical Technologies Ltd. | Lithuania | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 31, 2025 | Peter Schiff Enterprises | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 19, 2025 | INSPIRE MEDICAL SYSTEMS INC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 18, 2025 | ZIOSOFT, INC. | Japan | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 17, 2025 | Ventec Life Systems, Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 12, 2025 | BAND CONNECT | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been established. |
| Dec 12, 2025 | Black Diamond Video Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 12, 2025 | Foresight Imaging, LLC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 11, 2025 | AVATION MEDICAL | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been established. |
| Dec 11, 2025 | Hatch Product Development LLC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 11, 2025 | Specialty Health Products CO, LLC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 11, 2025 | Thoracent, LLC | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been established. |
| Dec 10, 2025 | 3B Medical, Inc. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 9, 2025 | Mid Central Medical, LLC. | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 5, 2025 | Bossong Hosiery Mills Inc | United States | Procedures for receiving, reviewing, and evaluating complaints by a formally designated unit have not been adequately established. |
| Dec 5, 2025 | Jedmed Instrument Company | United States | Complaint files are not adequately maintained. |
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