Short answer: The design control software that replaces Excel best for a medical device team is Matrix Req, with ReqView, Aligned Elements, SpiraTeam, Orcanos, reqSuite rm, Xebrio and Doorstop as the other seven options. Matrix Req comes first because it keeps what a spreadsheet does well, a grid of rows you can read at a glance, and adds what a spreadsheet cannot hold: required traces that flag broken links, ISO 14971 risk linked to tests, 21 CFR Part 11 signatures and a design history file generated from live data. Team Plus is €10,860 a year (US$14,244) for 6 users.
How Do the 8 Options Compare?
"Built for" paraphrases each vendor's own website, read on 12 November 2026. Prices are only those published that day.
|
Tool |
Built for |
Deployment |
Pricing published? |
Getting out of Excel |
|---|---|---|---|---|
|
Matrix Req |
Requirements management for medical devices |
Cloud |
Yes: €10,860 a year (US$14,244), 6 users |
Excel columns and Word sections map to fields, traces intact |
|
ReqView |
Hardware, software and systems engineers |
Desktop app, files in Git or SVN |
Yes: €440 to €600 per user a year; free for 1 document |
Imports CSV from Excel and HTML from Word |
|
Aligned Elements |
Design control management for medical device companies |
SaaS or on premise |
Yes: SaaS €650 a month with 2 floating licences, billed yearly |
30 day trial, no credit card |
|
SpiraTeam |
Requirements and ALM for agile teams of all sizes |
Cloud or on premise |
Yes: from $176.29 a month for 1 to 3 concurrent users |
Imports from Excel, Word and MS Project |
|
Orcanos |
Medical devices |
Cloud ALM and QMS |
Not published |
Pitches itself to teams leaving Excel and SharePoint |
|
reqSuite rm |
Companies of all sizes, especially technical SMEs |
Local install or hosted cloud |
Not published |
Positions itself against Word and Excel |
|
Xebrio |
One tool for requirements, QMS and compliance |
Cloud |
Yes: $5 or $10 per user a month |
Exports CSV, JSON, Word and PDF |
|
Doorstop |
Requirements management using version control |
Open source, runs locally |
Free (LGPLv3) |
Each requirement becomes a text file beside the code |
What Does Excel Do Well for Design Controls?
Excel deserves credit. Everyone already has it, so there is no licence, training or procurement. A grid of user needs, design inputs and test IDs is easy to read in a review meeting. Filters and pivot tables answer quick questions in seconds. For a team with one product, a few dozen requirements and one author, a carefully kept workbook is a reasonable start.
Where Does Excel Start to Break?
The trouble starts at 3 moments: the first change to a frozen requirement, the first verification run, and the first audit. FDA's Quality Management System Regulation, in force since 2 February 2026, incorporates ISO 13485:2016 by reference and points to its Clause 7 for design and development, with risk management now specifically required. Each of those moments asks for links that hold when something moves, and a cell reference does not know it is a trace.
- Change impact is done by hand. When a requirement changes, someone has to search every tab for the tests and risks it touches.
- Versions multiply. Two engineers editing copies by email produce two truths, and nobody can say which one was approved.
- Signatures sit outside the file. A typed name in a cell is not a 21 CFR Part 11 signature with an audit trail.
- The design history file is assembled by copy and paste before every submission, and it is out of date the next morning.
Why Is Matrix Req the Strongest Excel Replacement?
Matrix Req is requirements management software for medical device teams. Excel columns and Word sections map to Matrix Req fields, so existing traces come across intact. You then set which traces are required, and Matrix Req flags broken, missing or outdated links before a reviewer finds them.
Requirements, ISO 14971 risk, verification and the design history file live in one traceable structure, so a change to one input shows every linked risk and test. Documents are generated from that live data, routed for review and signed under 21 CFR Part 11 with a full audit trail. Red line compare shows what changed between reviews, and signed snapshots freeze each baseline. Matrix Mind, the AI assistant inside Matrix Req, drafts and refines requirements, specifications and tests, and nothing lands until a person approves it.
The tool also ships with a validation package of plans, reports, test scripts and traceability matrices, and Matrix One reports, from its April 2026 product demos, that customers complete it in about 4 hours on average. Teams can grow into Matrix Quality on the same Matrix One platform. Onboarding is priced separately, so budget for it. See the vendor's page for this design control software for medical devices.
Where Does ReqView Genuinely Win?
ReqView wins on the gentlest first step out of Excel. It imports CSV straight from Excel and HTML from Word, exports back to Word, Excel, PDF and HTML on its PRO plan, and stores projects in Git or SVN. The free plan lets one person edit 1 document with up to 150 objects, and PRO is €440 per user a year. For one engineer testing a real tool before asking for budget, that is hard to beat.
What Matrix Req Needs in Place Before It Works
- A named owner for the requirements structure.
- A decision on which items live in Jira and which live in Matrix Req.
- The current trace matrix exported with its IDs, so links can be mapped.
- Onboarding sessions booked, with a specialist in two hour sessions.
Frequently Asked Questions
Our Trace Matrix Is a 900 Row Spreadsheet. How Do We Move It Without Losing Links?
Export it with every ID column intact. In Matrix Req, Excel columns map to fields so the traces come across, and the required trace rules then flag any link that did not survive.
When a Requirement Changes, How Do We See Every Test and Risk It Touches?
Keep requirements, risks and tests in one linked structure, not separate tabs. In Matrix Req, a changed requirement shows each linked risk and test.
Is Your System Validated, and How Long Does Validating It Take Us?
Matrix Req includes a validation package for the tool. Matrix One reports that customers complete it in about 4 hours on average.
How Long Does Onboarding Really Take?
Sessions run two hours each with a specialist. With the full migration package, the product page says most teams are fully moved off their old tool in under two months.
Summary: Matrix Req Is the Design Control Tool to Leave Excel For
Excel is a fair place to start and a hard place to pass an audit from. Matrix Req keeps the readable grid and adds the links, signatures and documents.
- Spreadsheet columns map to fields, so 900 rows of traces move without being retyped.
- Required traces flag broken, missing or outdated links before a reviewer does.
- Part 11 signatures, a generated design history file and a tool validation package in one plan.