This question becomes tricky because these documents should be carefully reviewed to ensure the safety and effectiveness of the device. We would not want minor miscalculation to snowball into a much larger issues that can become detrimental to the whole organization. Therefore, care must be taken when approving any Design Control documentation. The purpose of sending out documents a week in advance is to provide those in attendance of the Design Review Meeting ample time to go through the details of the document. To improve efficiency of the approval process would be heavily dependent on the project team’s swift response to the design change requests. The structure of a Design Review Meeting is coordinated to be as thorough as possible and made capable of running smoothly with the guidance of a moderator to keep the meeting on topic.