The Campaign
Field Note · Surgical kits · 9 min read

Finding an FDA-Compliant ERP System for Surgical Device Production

Your surgical kit has 47 components. The FDA wants to trace them all — by lot, by expiration, by sterilization batch.

5 chapters
Chapter 01

Why kits are different

A standalone medical device is hard enough to track. A surgical kit is an order of magnitude harder. You're not tracking one device. You're tracking dozens of components, each with its own lot number, expiration date, supplier, and — for the items that need it — its own sterilization cycle.

When something goes wrong, the FDA expects answers fast. Not approximate answers. Specific ones. Which sterilization batch did the kit go through? Which component lots were used? How many other kits share any of those lots? Which hospitals received them? Which procedures have already consumed them?

Generic ERP systems treat a kit as a parent SKU with a child BOM. That's adequate for shipping. It's nowhere near adequate for the kind of audit trail surgical kits demand.

Chapter 02

Where most systems fail

The most common failure mode is treating component traceability as optional metadata instead of a core record. The kit ships as a single line item, the components are listed on a packing slip, and the link between "this kit" and "these specific lots" lives in someone's head — or worse, in a spreadsheet that gets recreated each shift.

Expiration tracking is the second classic failure. A kit's effective expiration is the earliest expiration of any component inside it. If your system can't compute that automatically — and flag kits that are aging out before the kit itself has a problem — you're going to ship expired product. Eventually. Then you're going to explain to an investigator why.

The third failure is consignment. Many surgical kits live at hospitals on consignment, with usage reported back to the manufacturer after each procedure. If your system can't track field inventory, ingest usage data, trigger replenishment, and bill correctly — all while preserving lot-level traceability through the entire chain — you're managing it on spreadsheets, and spreadsheets don't survive audits.

Chapter 03

Capabilities that actually matter

An ERP built for surgical kit manufacturers handles these as first-class workflows, not as bolt-ons:

  • Create, ship, and track unique kits with serialized components and per-component expiration dates
  • Sell individual kit components directly to customers needing replacements, with full lot history preserved
  • Manage consignment operations with complete chain-of-custody documentation
  • Perform kit inventory audits at hospital locations, with reconciliation against shipped quantities
  • Track kit usage in actual surgeries with automated inventory consumption and billing
  • Compute kit-level expiration as the earliest component expiration, automatically
  • Reverse-trace: given any component lot, find every kit it shipped in and every hospital that received those kits
Chapter 04

What this enables clinically and commercially

When the system is right, hospitals can instantly see what's available, what's expiring, and what's been used. That minimizes waste, which makes you easier to do business with. It also maximizes patient safety, because expired or recalled components get pulled before they reach an OR table.

On your side, the same data drives forecasting, sales operations, and revenue recognition. The hospital uses three kits this week — your replenishment order generates automatically, the invoice is correct, the lot history is preserved, and your CFO doesn't have a heart attack at quarter-end reconciling consignment inventory.

When the system is wrong, every one of those workflows becomes a manual process held together by heroics. It works until it doesn't, and when it doesn't, the failure mode is usually a recall.

Chapter 05

Questions to ask before you buy

If you're evaluating ERP for a kit business, push past the demo screens. Ask these specific questions and watch how the vendor answers them:

  • Show me a kit's expiration date being recalculated automatically when a component lot's expiration changes.
  • Show me a recall starting from a single component lot and identifying every affected kit and hospital.
  • Show me consignment inventory at a hospital being audited and reconciled with one click.
  • Show me a single component being sold standalone with its original lot history intact.
  • How does your customer's quality team prove all of this during an FDA inspection?