The medical device certification management system in the United States is not directly based on ISO 13485, but it shares some similarities. ISO 13485 is an international standard for quality management systems (QMS) specifically for medical devices. In the U.S., the FDA's regulations govern the certification of medical devices, and these are primarily based on the Federal Food, Drug, and Cosmetic Act (FDCA) and related FDA regulations, particularly 21 CFR Part 820, which sets requirements for QMS similar to ISO 13485.