In Search of a Compliance Solution on Atlassian Cloud for Skinuvita, a Digital Health Startup

Skinuvita?is a German startup making phototherapy more accessible to patients with chronic skin diseases through e-health technologies for a safe and efficient home treatment.

Phototherapy?is a highly efficient first-line treatment for chronic skin diseases. However, it’s difficult to apply, because patients can’t integrate the required frequency of 3-6 weekly sessions at the doctor’s office into their daily lives.

The main problem?of home-therapy is that dermatologists don’t have access to remote therapy data of patients (e.g applied dosage and response to sessions) and there is consequently no basis to develop and adapt therapy plans which is a central element of the guidelines for a prescription. This results in the avoidable prescription of immunosuppressive medication, connected to stronger side effects (patients) at a higher cost (insurance).

Skinuvita?uses e-health technologies to enable a safe and efficient phototherapy treatment. Skinuvita’s new product is based on a rental model covering the patient’s therapy duration (ca. 3 months).

Following is?a transcript of the interview with?Jens Pelzetter, Skinuvita’s CTO, about?automating their regulatory compliance, specifically their?Quality and Risk Management processes?on Atlassian Jira and Confluence tools with the help of Atlassian apps.

Q:?What were?the must-have requirements?for your electronic Document Management Solution?

A:?We looked for an eDMS solution for Skinuvita that had to fulfil the following requirements:

1. Electronic?Document Management – no more need for paper-based system,
2. Automated Approval?Processes,
3. Electronic Signatures,
4. Good text-editing?capabilities,
5. Integrated to Jira and Confluence?as these are already in use in the company,
6. Usable via web-browser?so developers don’t need to use a specific operating system.

Q:?Which?electronic Document Management Solutions did you try?and which one did you pick?

A:?We tried several solutions for electronic Document and Quality Management including MS SharePoint with Power Automate flows and many standalone solutions.

The main issue with the other solutions was that they were either not integrated to Atlassian tools (like PLM Solution from Siemens) or simply too expensive.

None of the other solutions we investigated met all the must-have requirements for the electronic Document Management Solution, whereas?the SoftComply Cloud eQMS Solution?on Confluence met them all.

Q:?What were the must-have features?for the Risk Management solution?

A:?We were looking for a risk management solution that was developed for?medical device developers, i.e. where we could pick the?suitable risk evaluation?and?risk?assessment model, and would have the following features:

• A solution that has?guidance in the form on risk templates?was also an important feature.
• Solution customizability?for scalability was also very important.
• It was also vital that the solution?integrated well with Jira?– our software developers were experienced Jira users as it supports the Scrum methodology best. It wasn’t difficult to convince the non-technical team to use Jira once the compliance tools on Jira and Confluence met our requirements.

Q: Which Risk Management solution?did you choose?

A:?We started with Excel and some of our mentors also gave us certain Excel tables for medical device risk management but manual risk traceability for large Excel tables did not work out. Formatting those large Excel tables took us as long as the actual management of risks content-wise.

For our Risk Management needs we decided to go with?the SoftComply Risk Manager app on Jira Cloud.?Other risk management apps on Jira did not meet our requirements.

We needed something that was?integrated to Jira?which our developers were already using and the SoftComply Risk Manager, being?built specifically for safety-critical industries, met all of our requirements.?

The fact that?the SoftComply Risk Manager offers risk templates for FMEA and Hazard Analysis out-of-the box that can be further customized?provided a wonderful starting point for us.

Q:?Many medical device and digital health startups struggle with implementing their electronic Document Management System. What did you find was the key to successful implementation of your eDMS?

A:?We found that the key factors of successfully implementing the eDMS were the following:

• Having someone to work on the Quality/Documentation System fulltime in Skinuvita,
• Having a Quality System that has great embedded guidance in the templates and SOPs,
• Some consultancy like mentorship is also great to get.

Q: How much time do you think the SoftComply Cloud eQMS Solution saved you?

A:?We believe that the automated document management system with digital approval flows of the eQMS saves the management?at least 5-10h per month. SoftComply Cloud eQMS is easy to understand and configure while MS Sharepoint required a lot of administrative oversight.

“Most importantly, eDMS does not keep me up at night anymore after we implemented the SoftComply Cloud eQMS solution.”

Q:?Do you have any?recommendations to other medical device and digital health startups?in achieving regulatory compliance?

A:?Indeed, three things come to mind that could help a medical device or digital health startup to achieve regulatory compliance:

1. Start as early as possible?with the implementation of the QMS system and the technical documentation.
2. Get familiar with the international standards?– in addition to ISO13485, ISO14971, IEC62304 and IEC60601, check also the IEEE standard for software documentation before your development work.
3. Most companies do the QMS retrospectively so having?software documentation from the beginning?will help you write the technical documentation for your QMS as well. Find a solution that fits your company’s workflows so you don’t need to change your processes because of the tool.

Q:?What are the?main benefits of the SoftComply eQMS and Risk Management solutions & why would you recommend them?to other medtechs and digital health startups?

A:?We would definitely recommend these solutions to other startups because they are:

• Affordable?– most affordable regulatory compliance tools out there you can get.
• Integrated?to Atlassian Jira and Confluence that a lot of startups are using already.
• Supported?as you go based on your needs. For complete newbies more help may be needed but for those who have in-house Quality Manager the onboarding support is just right. SoftComply’s technical support is fast and extremely helpful.
• Configurable?– SoftComply solutions are completely customisable and thereby you can fit them perfectly to your processes.
• Made for medtechs?– lots of practical guidance embedded in both of the solutions, full example QMS documentation set for the eQMS content as well as ready-made templates for Hazard Analysis and FMEA in the SoftComply Risk Manager solution.

You can read the full interview?here.?For more information about SoftComply products, feel free to contact us.