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FDA - GMP820.60/61 |
The complete Good Manufacturing Practice documentation of the Food & Drug administration is available from the U S Government Printing Office Bookstores. You may contact them directly at (202) 512-1800.
The purpose of section is to ensure that all products, including manufacturing materials used in the manufacture of a finished device, are properly identified as to their current status, for example, whether they are accepted, rejected, or reworked. This requirement is intended to help prevent inadvertent use or release of unacceptable product into manufacturing.
MAINTENANCE
Device manufacturers must maintain, clean, and adjust equipment
used in the manufacture of medical devices where failure to do so could
have an adverse effect on the equipment's operation and hence the device.
For example, failure to maintain, clean, and adjust a sealing and/or
packaging machine used for primary packaging of sterile devices will
eventually result in defective packages and thus nonsterile products.
A manufacturer must determine if the equipment requires maintenance and apply the appropriate parts of the GMP requirements for equipment. The user usually can determine if specific equipment requires maintenance by reviewing the equipment operations and maintenance manuals usually supplied by the equipment manufacturer. If failure to maintain equipment does not appear to adversely affect the device, FDA will not insist that the manufacturer meet the maintenance requirement. Typically, a manufacturer wil l maintain equipment simply because it prolongs equipment life and minimizes the need for major service. If it is necessary to maintain, clean, or adjust equipment, the manufacturer must:
There is no GMP requirement for a written maintenance procedures, although one is recommended to assure that all aspects of maintenance are covered. An example of an operation and maintenance procedure, "P.C. Board Cleaning," is exhibited at the end of this chapter.
Equipment Selection
The purchase of stable and accurate measuring equipment can reduce
the frequency of calibration and increase confidence in the company's
metrology program. Where economically feasible, equipment with more
accuracy than needed for various measurements can be used longer without
recalibration than equipment that marginally meets the desired accuracy
requirements. Delicate instruments, however, that are "pushing the
state-of-the-art" should not be used for routine measurements unless no
other approach is feasible.
MANUFACTURING MATERIALS
The proper or optimum operation of manufacturing equipment often
requires the use of manufacturing materials. The GMP regulation defines
"manufacturing material" as any material, such as a cleaning agent,
mold-release compound, lubricating oil, or other substance, used to
facilitate a manufacturing process and which is not intended by the
manufacturer to be included in the finished device [820.3(1)].
Manufacturing materials are specified, procured, inspected/tested, etc.,
the same as components. For details see Components, chapter 8 of this
manual.
Analyze Use
The use of manufacturing materials that may adversely affect the
finished device should be carefully analyzed. Each process should be
designed to use a minimum amount of adverse materials so as to reduce
costs, reduce removal efforts, and increase the in trinsic safety of the
device. The fact that a manufacturing material has been removed or limited
below the adverse level may be determined by either of the two general
approaches below.
When manufacturing materials such as oils, mold-release compounds, gases, cleaning agents, etc., are used on or in equipment, manufacturers must:
AUTOMATED PRODUCTION AND QA SYSTEMS
The hardware system, software program and general quality
assurance system controls discussed below are essential in the automated
manufacture of medical devices. The systematic validation of software and
associated equipment will assure compliance with the GMP regulation; and
reduce confusion, increase employee morale, reduce costs, and improve
quality. Further, proper validation will smooth the integration of
automated production and quality assurance equipment into manufacturing
operations.
Medical devices and the manufacturing processes used to produce them vary from the simple to the very complex, thus, the GMP regulation needs to be and is a flexible quality assurance system. This flexibility is valuable as more device manufacturers move to automated production, test/inspection, and record-keeping systems.
One of the basic requirements of the GMP regulation is that formal processing procedures be established, implemented, and controlled as necessary to assure that device design specifications are met [820.100]. Thus, among many other quality assurance elem ents, processing methods and equipment [820.20(a), 820.60] must be selected, and specific operating parameters established and evaluated, in order to establish valid and reliable manufacturing processes. The activities conducted to verify process and equi pment specifications are collectively referred to as process validation.
In addition to this general requirement for all significant processes, the GMP regulation has specific requirements in sections 820.61 and 820.195 for validating and controlling automated equipment used in the manufacture of medical devices.
Software Validation Guidelines
The GMP regulation requires [820.61] that software programs be
validated by adequate and documented testing when computers are used as
part of an automated production or quality assurance system. Software used
in automated production and quality assuranc e systems consists of
programs or codes that cause computerized equipment to perform desired
tasks, plus operator manuals and instructions. FDA has drafted general
guidelines, "Principles of Process Validation" located in the appendix,
that can be used wi th the GMP regulation to establish a software
validation program. There are also standards, books, and articles that can
be used for guidance. Military Specification MIL-S-52779A and the
Institute of Electrical and Electronic Engineers (IEEE) "Standard fo r
Software Quality Assurance Plan" (IEEE Std 730-1984) are examples.
Manufacturers, however, should not rely completely on such documents, but must examine their software needs and develop whatever controls are necessary to assure software is adequate for its intended use [820.20(a)(4)].
Employee Responsibility and Training
The device manufacturer should identify individuals or departments
responsible for software quality and clearly specify their
responsibilities. These individuals and/or department personnel should
have sufficient training, authority, responsibility, and freedom of action
to specify and evaluate the design and use of software and associated
equipment.
A manufacturer probably will experienced problems if employees operating the automated system or inputting data do not have adequate background and/or training. Employees must have adequate knowledge of the system through both on-the-job experience and f ormal training. Those responsible for data input should be able to recognize data errors [820.25]. The GMP regulation requires that adequate checks be designed and implemented to help prevent inaccurate data input [820.20(a)(4), 820.195]. This requirement can be accomplished by the aforementioned training and by software controls. Where practical, software programs should have built-in error controls such as prompts, alpha-only fields, numeric-only fields, length limits, range limits, and sign (+) control to help eliminate mistakes during data entry. These error-control or human-factors requirements, as appropriate, should be part of the specifications for software being developed or purchased.
Formal Development of Software
Manufacturers that develop their own software should follow a
prescribed quality assurance plan and document each step of the
development. The software should be appropriately structured and
documented so that any future changes can be accomplished, even by a
different programmer, with a minimum of difficulty and maximum reliability.
To validate software, it must be:
The testing of the software with the actual medical device production or testing equipment should exercise all program functions under all expected production conditions. The testing should include the input of normal and abnormal data to test program performance and error handling. The validation must assure to a high degree that the software and associated equipment meet the company specifications. Testing and results should be documented. Any serious deficiencies must be corrected.
Commercial Software and Equipment
When an outside contractor is engaged to develop software, the
device manufacturer must make sure that the contractor clearly understands
the software requirements and translates them into documented
specifications with sufficient objectivity that compliance can be
measured. FDA recognizes that most of the validation may be done by the
contractor; however, the device manufacturer is still responsible for the
adequacy and the validation of the software. Therefore, the contract
should require the contractor to develop the software according to a
quality assurance plan that includes validation.
When possible, the purchaser also should conduct pre-award audits to verify adequacy of the contractor's quality assurance program. Two key elements that should be checked are the contractor's test plans and system for controlling changes to documentation. Subsequent audits should be conducted as needed to verify that the contractor is complying with the quality assurance plan. The manufacturer who has custom software prepared and validated by a contractor must ensure the software program is running prop erly and producing correct results before using the program to produce medical devices for distribution.
Manufacturers who purchase commercial equipment with incorporated software must still validate the software and associated equipment for the intended applications. If, however, the software has been validated by the developer and proven through use, the purchaser need not test it as comprehensively as new software. For example, automated production and test equipment that is controlled by software can usually be validated through use of a "dummy" device. This "dummy" device should exercise all functions and decisions in normal and worst-case situations that may reasonably be expected during production. In some cases, vendors provide test programs that may be used to assure that the equipment will appropriately and accurately perform all intended function s before it is used for routine production.
Validation of Equipment and Processes
Automated machine tools such as lathes, printed-circuit drills and
component inserters usually can be validated by conducting a first-and
last-piece inspection of representative product lots. The record of this
activity may be noted on the routine quality control or production
records for the machine. Validation of complex microprocessor-controlled
equipment, such as sterilizers, to verify satisfactory operation is
generally a more extensive activity than the validation of machine tools.
Typically, verification must be done by using a calibrated measurement
instrument to check the actual parameters achieved during trial runs, and
comparing these measurements with the setpoints and data outputs of the
automated system. In all cases, under the GMP regulation the user is
responsible for:
The master record [820.3(i)], as explained in chapter 6, is a compilation of records containing the design, formulation, specifications, complete manufacturing procedures, quality assurance requirements, and labeling for a finished device.
All changes to specifications, software programs, and other master record documents must be formally reviewed and approved before implementation [820.100(a) and (b)]. Because changes in one part of software can affect other parts of software, adequate consideration must be given to side-effects of these changes. Such changes are much easier to make and evaluate when the original software is appropriately structured and thoroughly documented.
Automated Data Collection and Processing
In addition to aiding the production of devices, computers may be
used to collect and maintain quality control and production records. These
records are called the device history record in the GMP regulation. A
device history [820.3(h)] is a compilation of records containing the
production history of a finished device. When device history records or
master records are maintained by computer, appropriate controls must be
used to assure that data is entered accurately, changes are instituted
only by author ized personnel, and records are secure. Hard copy or
alternative systems such as duplicates, tapes, or microfilm should also be
used to avoid losing records as a result of inadvertent erasure or other
catastrophe. As appropriate, access to records and data bases should be
restricted to designated individuals.
The GMP regulation requires [820.181] that device master records be signed by designated individuals, and that changes to master records be signed by individuals designated to authorize such changes. In addition, signatures are required when certain data [820.185(a)(2), 820.185(c)] are recorded in critical device history records. The GMP regulation also requires [820.101] that only designated employees operate equipment used to perform critical operations on critical devices and that the history record c ontain [820.185(b)] the names of these individuals.
The GMP regulation was promulgated when most records were hard copy for which written signatures were appropriate; however, the increased use of computers and related input/output peripherals has affected FDA policy regarding GMP signature requirements. In response to the use of new electronic technology, FDA has issued an advisory opinion stating that magnetically coded badges or other computer-compatible identifiers may be used in lieu of signatures as long as there are adequate controls to prevent ina ccurate data input. If coded badges and the like are not controlled (i.e., not restricted to designated employees), they will not meet the applicable GMP requirements.
Manufacturers may wish to keep appropriate records such as master records and complaint files at central or corporate offices. If the overall data handling system is controlled as stated above, firms may maintain appropriate GMP records at central locati ons if they can transmit these records to the manufacturing establishment by electronic mail (computer plus modem) or other high speed data transfer system.
Equipment Controls and Audits
Automated equipment and any peripheral equipment requiring
maintenance and/or calibration must be included in a formal calibration
and maintenance program [820.60, 820.61]. Also, environmental factors such
as temperature, humidity, cleanliness, static el ectricity, magnetic
fields, and power-supply fluctuations can adversely affect automated
equipment and data storage mechanisms such as magnetic discs and tapes.
Consequently, necessary precautions, environment controls, and maintenance
programs [820.46, 8 20.60, and 820.61] must be implemented to prevent
adverse effects on the equipment and stored data.
During their quality assurance system audit [820.20(b)], manufacturers should audit the use and control of their automated production and quality assurance systems. The audit should include software and equipment maintenance procedures and records, and should evaluate the adequacy of security measures, change controls, and other controls necessary to maintain software quality and proper performance of associated equipment. The audit must be documented, important results reviewed with management, and corrective action taken as appropriate.
EQUIPMENT CALIBRATION
The GMP regulation is intended to help assure that devices will be
safe, effective and in compliance with the FD&C Act. To support this goal,
each medical device manufacturer must develop and implement a quality
assurance (QA) program that assures with a high degree of confidence that
all finished devices meet the company's device master record
specifications. These specifications should, in turn, reflect the company
quality claims (see section 501(c), FD&C Act). Such assurance is obtained
by many activi ties including the measurement of component and device
parameters. These measurements must be made with appropriate and
calibrated equipment.
Each manufacturer must assure that production equipment and quality assurance measurement equipment (mechanical, electronic, automated, etc.) are:
In establishing a quality assurance system, manufacturers should determine which measurements are necessary to assure that finished devices meet approved master record specifications, and that the instruments used to make these measurements are included in a calibration program. When measurement equipment that is part of the calibration system is located in the same areas as instruments that are not part of the system, the system equipment should be identified by label, tag, color code, etc., to assure it is the only equipment used in determining compliance of a component, in-process devices, or finished device with specifications.
Equipment used only for monitoring a parameter need not be calibrated but should be identified (e.g., for monitoring). A monitoring function might be to indicate if a voltage or other parameter exists, but the exact value is not important.
CALIBRATION REQUIREMENTS
The GMP regulation requires in section 820.61(a) that equipment be
calibrated according to written procedures that include specific
directions and limits for accuracy and precision. Figure 5.1 illustrates
bias, precision and accuracy.
Precision has no unit of measure and only indicates a relative degree of repeatability, i.e., how closely the values within a series of replicate measurements agree with each other. Repeatability is the result of resolution and stability.
Bias is a measure of how closely the mean value in a series of replicate measurements approaches the true value. The mean value is that number attained by dividing the sum of the individual values in a series by the total number of individual values.
Accuracy is the measure of an instrument's capability to approach a true or absolute value. Accuracy is a function of precision and bias. Because different manufacturers have different accuracy requirements, each manufacturer must decide the level of accuracy required for each measurement and provide equipment to achieve that accuracy.
Proper and period calibration will assure that the selected equipment continues to have the desired accuracy. GMP calibration requirements are:
Information contained in calibration procedures should be adequate to enable qualified personnel to properly perform the calibrations. An example of a calibration procedure for mechanical measuring tools appears at the end of this chapter.
A typical calibration procedure includes:
The selection and training of competent calibration personnel is an important consideration in establishing an effective metrology program. The GMP regulation requires that, "calibration shall be performed by personnel having the necessary education, training, and experience." Personnel involved in calibration should ideally possess the following qualities:
These decals are examples of the types commonly used to identify the status of measurement instruments and tools. They are available as catalog items or a firm may use its own artwork to purchase decals with specialized wording.
Typical calibration decals have a write-on surface. A tough paper or cloth stock and a pressure sensitive adhesive are used for easy application and removal of the decal. "Due" is the blank for the date when recalibration is due. Measuring equipment that is not calibrated or otherwise unsuitable for use should be placed in a quarantine area or labeled with a "calibration void" decal.
A seal or protective cover for exposed, recessed calibration controls on instruments. The calibration control cannot be adjusted without breaking the seal or removing the instrument case. A decal to be applied to measurement or monitoring instrume nts not intended for use in determining conformance to device master record specifications with respect to testing, manufacturing, environmental control, etc. Calibration information is entered onto cards or forms, one for each piece of equipment, or entered into a computerized data system. Most data systems include the calibration date, by whom calibrated, date recalibration is due, the reason for the calibration, comments, address of the manufacturer and calibration laboratory, equipment specifica tions, serial number, use, etc. An example of a typical card used to record calibration information follows.
Card # EEEE of # EEEE CALIBRATION CARD TYPE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE MANUFACTURER EEEEEEEEEEEEEEEEEEEEEEE MODEL EEEEEEEEEEEEEEEEEEEEEEEEEEEEE SERIAL NO. EEEEEEEEEEEEEEEEEEEEEEEEEEEE DATE OF PURCHASE EEEEEEEEEEEEEEEEEE ASSIGNED TO DEPT. EEEEEEEEEEEEEEEEEEEEE LOCATION EEEEEEEEEEEEEEEEEEEEEEEEE CAL. CYCLE EEEEEEEEEEEEEEEEEEEEEEEEEEE USE q FREQUENT q MODERATE q SELDOM q NOT USED DATE OF REASON FOR CAL. DATE NEXT CAL. INFO. ACCURACY, DEFECTS, LAST CAL. (BROKEN, NORMAL, ROUGH USE) CAL. DUE LUBE, CLEAN, ETC. TO BE CALIBRATED BY: NAME EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE COMPANY AND ADDRESS EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE PHONE EEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE FORM #1700- EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
A firm should use a suitable method to remind employees that recalibration is due. For small firms, calibration decals on the measuring equipment may be sufficient because recalibration can be tracked by scanning the decals for the recalibration date. Fo r other firms, a computerized system, calibration cycle cards, tickler file, or the like may be used. Calibration cycle cards are maintained in a 12-month (12-section) tickler file. There is one card per item of measuring equipment. The cards in the secti on of the file for the current month are pulled and all of the equipment listed is calibrated. For example, in a 6-month calibration cycle, when an instrument is calibrated in May, the card is moved from the May section to the October section of the file. When the file is checked in October, the cycle card will be there to remind the firm that calibration is due. The process is repeated until an event such as instrument wear-out occurs and the respective cycle card is removed from the file.
Cycle cards are used where a firm has many instruments to be calibrated. It would be rather difficult to keep track of the calibration of a large number of instruments by reviewing calibration record cards or scanning the decal on each instrument. It is easier to use a cycle card file. A cycle card file or equivalent also must be used if the calibration records are filed by type of instrument or manufacturer rather than due date. A typical cycle card follows. The "calibration card number" blank refers to the calibration record card for the same item of equipment.
MANUFACTURER: EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE INSTRUMENT: EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE MODEL NO. EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE SERIAL NO. EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE CALIBRATION INTERVAL: EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE LOCATION OF EQUIPMENT: EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE CALIBRATION CARD NO. EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE Form No.
The meaning of traceability to NBS is not always self-evident. Two general methods commonly used to establish and maintain traceability to NBS are:
EQUIPMENT ENVIRONMENT
As appropriate, environmental controls must be established and
monitored to assure that measuring instruments and standards are
calibrated and used in an environment that will not adversely effect the
accuracy required. Consideration should be given to the effects of
temperature, humidity, vibration, and cleanliness when purchasing, using,
calibrating, and storing instruments.
AUDIT OF CALIBRATION SYSTEM
The calibration program must be included in the quality assurance
system audits required by the GMP regulation. These audits should
determine the continuing adequacy of the calibration program and assess
compliance with the program.
Many manufacturers utilize contract calibration laboratories to calibrate their measurement and test equipment. If this is the case, the FDA views the contract laboratory as an extension of the manufacturer's GMP program or quality assurance program. Nor mally, FDA does not inspect contract laboratory facilities, but it would expect the manufacturer to audit the contract lab, if feasible, to verify that proper procedures are being used. If problems occurred due to inadequate calibration, and FDA needed to determine where the problems existed, FDA could visit the contract laboratory. Either the contract laboratory or the manufacturer might be held responsible for inadequate procedures leading to a defective, unsafe device or false data. Generally, the manufacturer of the finished device is responsible for assuring the device is manufactured under an acceptable GMP program.
When a medical device manufacturer utilizes a contract calibration laboratory, FDA expects the manufacturer to have evidence that the equipment was calibrated according to the GMP requirements. The manufacturer can do this by:
The contractor should have in place the applicable controls called for in the GMP regulation. For example, the contract should have:
INTEGRATING MEASUREMENTS INTO THE QA SYSTEM
Proper and controlled calibration can contribute to overall
quality by assuring that unacceptable items are not accepted, and
acceptable items are not rejected. If the appropriate product-quality
parameters are not checked, however, calibrated equipment will have little
impact on assuring quality.
A good quality assurance program must include calibration activities. However, proper calibration will be of little use unless the applications of the measurement equipment are properly developed and qualified during the preproduction development of insp ection test methods and procedures. As stated, effectiveness depends on the participation and influence of QA at the preproduction stage. Calibration of equipment cannot correct poor design of products nor can it compensate for poor applications of equipm ent and techniques. It is the continued use of a completed, integrated quality assurance system that assures that safe and effective devices are produced.
EXHIBITS
Examples of calibration cards, decals, and cycle cards were
presented above in the text. Examples of a device cleaning procedure and a
calibration procedure follow. Manufacturers may use these as presented if
they match the firms operations; or may modify them to meet specific
requirements.
P.C. Board Cleaning
This procedure covers the cleaning of printed circuit boards by
using an automatic washer. The procedure covers operation, shut down,
cleaning, and routine maintenance.
Calibration Procedures for Mechanical Measuring Tools
This is a calibration procedure for mechanical measuring tools, In
actual use, the initial accuracy of each tool is checked using the
procedure and is recorded. Thereafter, each tool is recalibrated (checked)
versus the initial accuracy. Of course, the initial accuracy must meet or
exceed the requirements of the measurements to be made with the tool.
Precision is checked by making several measurements at various points on
the tool's measuring face (surface).