Friday, May 15, 2020

Some of my upcoming webinars:


FDA CDS Software Regulation: The Latest Guidance on Clinical Decision Support Software 19-May, 2020 at 01:00 PM ET.
https://www.eventbrite.com/e/fda-cds-software-regulation-the-latest-guidance-on-clinical-decision-support-software-tickets-85457099485


Verification and/or Validation to meet US FDA CGMP and ISO 13485 Requirements 10-June, 2020 at 01:00 PM EST 
https://worldcomplianceseminars.com/webinardetails/799

How to Deploy Root Cause & CAPA to Minimize Human Error 24-June, 2020 at 01:00 PM ET

Medical Device Change Management 08-July, 2020 at 01:00 PM ET 
https://worldcomplianceseminars.com/webinardetails/849

jel@jelincoln.com
Questions / Answers from my recent IQ, OQ, PQ Webinar

1. Ques: when leveraging vendors' documentation, for example SAT testing leveraging into qualification, what are the main principles to be in place.

Ans:  Take your VMP requirements for the validation of that piece of equipment, subtract those SAT-satisfied tests, and develop test cases for the remainder, including any SAT tests that may be negatively impacted by actions upon the equipment since the SAT was performed, e.g., movement / transport, installation ... I've done this many times and had no push-back from regulatory agencies.  In fact it's specifically mentioned in ASTM E 2500 as an acceptable / preferred method.  

2.  Ques: what are the main principles with bracketing/family approach testing? 

Ans:  It would depend on the equipment family we're talking about (its complexity, inherent variability and end user risk).  As I mentioned in the webinar, I'm not much of a believer in Like-for-like, due to inherent variability in any equipment's manufacturing process.  But anything that is not (or minimally) subject to such variability, such as the equipment's software / firmware, in differing serial numbers of the same model of equipment, having the same software rev. no. / release no., could be considered, and those remaining / hardware elements, of minimal variability (based on data, or to a lesser degree, a priori considerations), if also low risk to the end user / patient, could be considered. 

Usually this "consideration" would mean that the validation of the 2nd , 3rd ... iteration of the "same" type of equipment, would be much reduced in possible number of test cases, number of elements in each test case,  reduced test case sample sizes (PQs), the numbers of PQs run, degree of repetitive descriptive documentation, etc., ... in subsequent validations compared to the first (of course, with cross-references in subsequent related validations to the initial validation).

In some / many cases the issue falls into a grey area, and it might be wise to validate, rather than try to develop a rationale and defend that rationale repeatedly with all stakeholders / inspectors, with the strong possibility after all that you could still lose the argument with a regulatory agency and have to validate anyway (been there, done that). 

jel@jelincoln.com  

Thursday, April 30, 2020

A Question on My Recent Webinar on Project Management for FDA Regulated Companies

Query : I'm an informally trained Project Management ... Now I am working on launching product and don't have FDA/EPA experience and we are launching product that falls under either regulation. Would this course (Project Management for FDA regulated companies) be of help?

Ans:  Definitely.  This course focuses on use of simple PM tools to drive FDA projects  (basically PM for the non-PM certified manager).  We cover 3 key tools:  the Gantt Chart (emphasized), the  CPM, and the PERT (with the last two considered for their network, and parallel path illustrative value); also discussing additional tools such as flow charts and cause and effect diagrams to assist in developing Milestones and Tasks.
The projects discussed with sample milestones / templates are:  
  • Design Control (21 CFR 820.30) / Design and Development Planning (ISO 13485:2016 7.3) for new device development; 
  • Product / Process / Equipment / Software Validation; 
  • Product Risk Management (ISO 14971); 
  • Use Engineering / Human Factors Engineering (IEC 62366-1:2015); 
  • Regulatory compliance inspection (Form 483) remediation.  

Due to the short length of the presentations, only the key milestones of each are listed / discussed, but that should be enough to start on the right path to use PM tools in those areas, fleshing out the tasks under the milestones by "reverse engineering", discussed in the webinar.  
Design Control does have an extensive Milestones / tasks listing, but most of the others only focus on Milestones.  
Though not discussed in the webinar, one could take the 21 "tabs" of the FDA's required 510(k) submission to develop the key Milestones for a 510(k) submission as well. 

jel@jelincoln.com

The 21 510(k) "tabs" have been added as project milestones discussed in subsequent versions of my Project Management webinars. - - JEL 09/20/2023

Tuesday, April 14, 2020

Key steps in the validation of the pharmaceutical manufacturing process per US FDA Guidance Document:

Process Validation Guidance Document (Pharma), US FDA,  Jan 2011
  • Stage 1 – Process Design
  • Stage 2 – Qualification
    • Part 1 – Facility Design
    • Part 2 – Qualification of Utilities & Equipment
      • Subsection 1 – Installation Qualification
      • Subsection 2 – Operational Qualification
      • Subsection 3 – Performance Qualification
    • Part 3 – Process Performance Qualification (PPQ)  
  • Stage 3 – Continued Process Verification (ongoing)

John E. Lincoln, jel@jelincoln.com

Friday, January 24, 2020

EO Sterilization Re-validation

If you perform an annual documentation / process review (review of past years' sterile load lot information), with no problems noted, documented, then the following is required every two years, assuming nothing in your process / product has had major changes:
The minimum re-validation requirements of ISO 11135-1:
  • Re-validate PCDs (verify that the ½ cycle BIs are more resistant than product bioburden);
  • Bioburden measurement (should be doing quarterly; no changes in average levels);
  • EO residuals (no subtle changes in product / process / packaging that could increase residuals)
  • 1 Half Cycle (verify overkill)
  • 1 Full Cycle (also used for the EO residuals testing); if acceptable / sterile, can be released for sale.
Also every two years, a full EO validation is required, e.g., 1st year:  Initial full validation, 2nd year:  If OK review, then abbreviated V&V (per above); 3rd year:  full validation; 4th year:  If OK review, then abbreviated V&V (per above); and so on.

John E. Lincoln               jel@jelincoln.com

Tuesday, October 22, 2019



Verification and Validation Webinar - Recent Q&A,   John E. Lincoln,  10/22/2019

Some production-oriented V&V questions:


1.     When it comes to authoring and execution of test protocols, what is my role/responsibly as an automation engineer that has designed and implemented a change to the validated system?  What specifically is validation?

Ans:  You or whoever in your company is responsible for validations must reverify / revalidate whatever has been impacted by the change.  Referencing the original validation, the new V&V would normally not be as extensive as the original, unless the whole equipment / system was changed / replaced.  All based on risk (i.e., the amount of effort / depth) to the ultimate end-user / patient.

I define validation as a series of verifications (tests, checks, inspections) to prove that the item being validated meets its intended purpose(s), as defined by requirements / standards / guidance documents, et al. And there are formal CGMP and ISO definitions which say similar. Those requirements, et al, are changed into test cases which are then run to prove that the requirement exits and has been met, without any negative results.

2.     I noticed in your sample IQ ,OQ, and PQ’s, the evidence collected to prove operational acceptance appears to be strictly signatures.  What is your opinion on screenshots?  If required by validation, whose responsibility (validation, automation, production, etc.) should it be for taking screenshots (collecting evidence)?

Ans:  My definitions:  The IQ is a check list, where each installed requirement / item is checked by a qualified individual (per HR records) who signs off on the presence and functionality of that item on the check list; The OQ is composed of test cases to verify the presence and functionality of each test case based on each requirement ; the PQs (of which there are several depending upon input variables) re-challenge those OQ items / requirements that are subject to further variability by having test cases using sample sizes larger than n=1 (which is the case for OQ test cases); so each PQ has various test cases challenging requirements subject to variability, with each PQ test case using samples of n=30, or 125, etc, per a valid sampling plan based on a solid statistical rationale  (quote / reference a text book, a standard, e.g., Z 1.4, or use an industrial statistician  / consultant).

Screen shots are an excellent tool, and I and others have made much use of them.  However, they must be described in the narrative, may need a unique ID number for each, and each should be signed / initialed and dated, and added to the Test Report.  Responsibility for the screen shots can vary, should be defined by SOP (or the test protocol), but is usually done by those qualified to obtain such and/or who have a vested interest in obtaining them (the one handling the V&V usually). 
 
3.   In your OQ example, you did specify a separation between tester and verifier.  Does this imply that validation should not execute test protocols?  Or is this simply a matter of capability?  I.E. if validation is capable, there is no issue with a computer system validation engineer functioning as a tester?

Ans:  The tester can be the operator, an engineer / tech, or another trained / familiar with the operation being run.  The verifier is often a QC person, not necessarily overly familiar with the specific operation being run (the test case), but who verifies that the instructions in the test case were followed, and the actual achieved results were what were recorded.

4.   In general, it seemed like the focus was on devices, and I’m looking for clarification for where control systems and devices might differ in terms of risk.  For example, on SW V&V Elements – 1, when speaking of LOC (Min, Mod, Maj), you mentioned that Class II device must get elevated to Mod.  How does this relate to software in a data rich control system software environment?  Our systems are primarily Class 4 and 5 software systems (PLC, Operator Interface, Batch Reporting), and for the majority of changes there is little risk to patient or product.  However, because we are modifying Class 4 and 5 systems, it is often hard for us to convince our validation and quality partners that risk is negligible, and they feel their one size fits all approach is therefore justified.

Ans:  The  principle of risk (ultimately to patient / end user) still applies, tho sometimes with some operations its difficult to trace through, that’s why reference to an appropriate ISO 14971 or ICH Q9 Risk Management File is useful.  To somewhat eliminate second-guessing by stake-holders, including gov’t regulatory and internal regulatory, anticipate such push-back, and include an analysis of risk, tied to those files, in your V&V Test Report documentation.  I also try to include such references, tied to specific Risk File line items, with appropriate Test Cases.

"One size fits all" is safest from a bureaucratic standpoint, but is extremely wasteful of resources, and unnecessary.  Your SOPs on V&V should allow some leeway / “trust” in those trained (engineers) to make supported / documented decisions (e.g., I wouldn’t do the degree of effort on a PLC V&V as on a complex software V&V), yet I have done work with companies that required the same level of documentation / approvals for both (painful).

5.   What is your opinion on validation's role when it comes to installing software / firmware patches?  Would it ever be appropriate for IT/Automation to determine the level of risk and be allowed to decide if a log entry is adequate vs determining when full blown change management is required?

Ans:  First, your SOPs must clearly state the methods to be chosen, and how documented.  Second, from a QA standpoint, any patch I feel (my opinion) should be documented by a rev level change.  Unless there’s some identifier in the code, easily accessed.  In other words, there has to be 1) a clear distinction for each change made to the software, 2) changes are themselves V&V’d, approved, including QC/QA, and 3) documented. 

If a log entry is defined by the company as valid, it probably should be supported in documentation somewhere by at least two signatures approving the change.
From a regulatory standpoint, you can’t have one version / release in the field (or in production / manufacturing), but none or few of that version / release are identical to another (sadly another problem I’ve seen). There must be a clear documented history of each. How you as a company chose to work that out (and document for forward / backward traceability) is up to you, subject to the above considerations.

Remember:  I mentioned that this presentation is only one valid approach to V&V, but one that has been field tested, and reviewed by US FDA and EU ISO / Notified-Body inspectors / auditors for over 37 years, with no objections. A company can have another viable and compliant method.

Further considerations:

V&V of production systems generally can have some less depth than device software / firmware - primarily because there are usually redundant checks / verifications "wired" into the production process downstream of a validated item, which are documented in the batch record.  This can also be referenced in the Test Report / Protocol as further justification, similar to patient risk, for degree of effort in a V&V.

-- John E. Lincoln                                                          jel@jelincoln.com

Note:  Para 5 above's reference to the acceptability of a log is geared to the patches to one internal company- / manufacturing-used program, where the log book is a defined part of the change control for a piece of equipment / process.  It does not apply to device / product software or software as a medical device which is distributed to the field / public and would be subject to formal CGMP defined change control for all old and new product in distribution by means of revision / release numbers;  All defined by SOP. - JEL, 02/25/25