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Validation Services Session 6 Medical Device Plan and Execute a Process Validation Study 29 March 2017 Frits Vogt [email protected]

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Validation Services

Session 6 Medical Device

Plan and Execute a Process Validation Study

29 March 2017

Frits Vogt

[email protected]

Content

Plan and Execute a Process Validation StudyI. Introduction

II. Design & Development

III.Process Validation

IV.Interactive Exercise

Validation Services

I. Introduction

Regulations & Standards

Design & Development Process

Process Validation

Validation Services

Regulation & standards

Design & Development:

– ISO 13485 section 7.3

– QSR (21 CFR 820)

Activities include:

– Design Verification

– Design Validation

– Design Review

– Design Transfer

– Design changes

– Design History File

Validation Services

Regulation & standards

Process Validation:

– ISO 13485 section 7.5.6

– FDA Process Validation Guidance

Validation Services

ISO 13485 section 7.5.6

7.5.6 Validation of processes for production and service provision

The organization shall validate any processes for production and service

provision where the resulting output cannot be or is not verified by

subsequent monitoring or measurement and, as a consequence,

deficiencies become apparent only after the product is in use or the

service has been delivered.

Validation shall demonstrate the ability of these processes to achieve

planned results consistently.

The organization shall document procedures for validation of

processes, including:

Records of the results and conclusion of validation and necessary actions

from the validation shall be maintained (see 4.2.4 and 4.2.5).

Validation Services

FDA Process Validation GuidanceFor purposes of this guidance, process validation is defined as the

collection and evaluation of data, from the process design stage through

commercial production, which establishes scientific evidence that a

process is capable of consistently delivering quality product. Process

validation involves a series of activities taking place over the lifecycle of the

product and process.

Validation Services

FDA Process Validation Guidance

Stage 1: Process Development

Defining the commercial manufacturing process based on knowledge gained through development and scale-up activities.

Stage 2: Process Qualification

Confirming that the manufacturing process as designed is

capable of reproducible commercial manufacturing

Stage 3: Continued Process Verification

Ongoing assurance is gained during routine production that the process remains in a state of control.

Validation Services

8

Process Validation (FDA)

FMEA,

CPP/CQA

DOE

Process Control

IPC monitoringbatch records

Design FacilityQualification

Utilities/Equipment

ProcessPerformanceQualification

Process monitoringStatisticaltrending

Product &Process

Development

Stage 1Process Design

Stage 2Process Qualification

Stage 3Continued Process

Verification

Process Validation

Activities include:

– Validation of processes

– Change management

– Risk Management

– Document control

Validation Services

II. Design & Development

Define – Design Input

Develop – Design Output

Design Verification & Validation

Validation Services

D&D process

Validation Services

Technical Requirements(Medical Device)

Design Input

Validation Services

Broad / General

Often not quantified

End user

Intended use

Regulatory

Internal needs

Validation Services

Specific

Measurable

Conditioning of other TDI’s

As Early As Possible

Validation Services

TranslationRational

Why is the TDI applicable for the specific UR

Validation Services

TranslationRational

UR UR Type

TDI Translation Rationale Test Method

#

Design Input Record

Validation Services

UR UR Type

TDI Translation Rationale Test Method

#

Tube must be able to connect to vacuum port

User need

Tube length including connectors: 74.9: ± 3 cm

Feasibility studies indicated that a raw material tube length of 70 cm should be applied

DV protocol: Length measurement by means of ruler

System safety:Product connection strengths should be sufficient

Regulatory

The connection between the tube and the connectors must be able to withstand a static pull force of 15 N for at least a time of 15 seconds.

The specific load (force and time) is retrieved from EN ISO 1135-4.

DV protocol

Sterile package integrity must be maintained

Regulatory

Pouch seal minimum tensile strengthSeal strength for seals:Minimum seal strength should be 1.2 N/15mm

Requirement for patient safety ISO11607– 1 & -2

EN 868-5

Company SOP for seal strength

Primary packaging shall not have any holes.

Requirement for patient safety ISO11607– 1 & -2.

Company SOP

Seal Width minimal 6 mm. Requirement for patient safety ISO11607– 1 & -2.

Company SOP

Design Process

Validation Services

Design Process

Validation Services

The Design Output is the complete set of documentation that originates from the

design process and is needed to manufacture the designed product.

Records of design outputs can include specifications, manufacturing

procedures, engineering drawings, and engineering or research logbooks.

Validation Services

Prototypes should be equivalent to the ‘regular production units’

Design Verification & Validation

Validation Services

Validation Services

Documented evidence that the prototypes comply with the TDI’s

Every TDI must be covered

(physical, chemical, microbiological, functional and safety testing, biocompatibility,

shelf life, ……)

Worst case / Bracketing

Validated Test Methods

‘We did a good job - We designed the product well’

Technical Requirements(Critical Quality AttributesOf Medical Device)

Sterilization and PackagingRequirements

Baseline Design Verification: Tubes Medical Device

IDTechnical Design Input Result

Pass/Fail

Tube length including connectors: 74,9: ± 3 cm LTL: 74,35 UTL: 75,92

Pass

The connection between the tube and the connectors must be able to withstand a static pull force of 15 N for at least a time of 15 seconds.

N=59 (c=0) Pass

D-Value:With the chosen sterilization process the product will be sterile Sterility Assurance Level [SAL]: ≤ 10-6

BIs: no growthPass

Pouch seal minimum tensile strengthSeal strength for seals:Minimum seal strength should be 1.2 N/15mm

Pooled LTL: 3,14N/15mm Pass

Primary packaging (Multivac) shall not have any holes. N=59 (c=0)

Pass

Multivac seal width minimal 6 mm. N=59 (c=0) Pass

22

Design Transfer / Validation of Processes

Validation Services

Product / Process Development /

Innovation Design Transfer Production

Design Verification

Production Units

User Requirements

Design Validation

Prototypes

Validation of

processes

DI generation DO generation

Graph 1: Validation of processes

Design & Development

Note: Process Development activities and documents with an * are not mandatory

Validation of Processes

Validation Services

Validation of Processes

Validation Services

Stage 1

Process Development

Define Process:

- URS

- FS*, DS*

- VMP

-Traceability

Matrix*

Develop Process:

- Risk

Assessment

- Engineering

Study*

Stage 2

Process Qualification

Verify Process

- FAT*

- SAT*

- Supplier

Assessment*

Qualify Process

- IQ, OQ

- PQ, PPQ*

- VSR*

Stage 3

Continued Process Verification

Re-qualification

Process Control

Change Control

Note: Process Development activities and documents with an * are not mandatory

III. Process Validation

Risk Based testing

Sample size determination

Process Validation plan/protocol

Execution

Process Validation report

Case examples

Validation Services

Risk Based Testing

Risk Based Testing : ISO/FDA

Residual Risk Classification Table

Sampling plan for DV and PQ

Sampling plan for Production

Examples

– A Medical Device

– Reliability plot

– Distribution plot

Validation Services

Risk Based Testing ISO 13485 and the QSR (21 CFR 820)

Where appropriate, statistical techniques, shall be used for establishing, verifying and controlling the acceptability of product and process .

Sampling plans, when used, shall be established and maintained based on a valid statistical rationale to ensure that the sampling methods are adequate for their intended use.

Validation Services

Example Residual Risk Classification Table

Based on Risk Management Procedure in accordance with ISO 14971

Validation Services

Severity

Ranking Negligible

(1)

Minor

(2)

Serious

(3)

Critical

(4)

Catastrophic

(5)

Occurr

ence

Frequent

(5) Unacceptable Unacceptable Unacceptable Unacceptable Unacceptable

Probable

(4) Class II Class II Unacceptable Unacceptable Unacceptable

Occasional

(3)

Class III Class II Class I Unacceptable Unacceptable

Remote

(2) Class III Class III Class II Class I Unacceptable

Improbable

(1) Class III Class III Class III Class II Class I

Risk Based Testing

Sampling plan, example:

Validation Services

Data Type Risk

Class

Confidence Reliability, Probability of Conformance,

Population Percentage or Acceptable Quality

Limit

Variable

(reliability)

I

95%

99% Reliability

II 95% Reliability

III 90% Reliability

Attributive

(probability

analysis)

I

95%

99% Probability of conformance

II 95% Probability of conformance

III 90% Probability of conformance

Variable

(probability

analysis)

I 95% 99% Population percentage

II 95% Population percentage

III 90% Population percentage

Lot Acceptance

Sampling

I

AQL 1.0

II AQL 4.0

III AQL 6.5

Example Risk Management File: Process FMEA

Validation Services

Process Step FunctionPotential Hazard /

Hazardous Situation

Cause (Initiating

Event)Effect of Failure Potential Harm

Before Measures Control Method

(Prevention /

Detection)

After Measures

SEV OCC Total Risk Score SEV OCC Total Risk Score

Cutting tubes Cutting tube length

Component supplyTo deliver ordered

componentsIncorrect components

Human error, not

according to

specification

LeakageNo harm to patient.

User inconvenience1 2 Acceptable

Incoming goods

inspection

1 1 Acceptable

Components not as

specified

Substances leaching

from material

Toxic/allergic reaction

could lead to death5 1 ALAP 5 1 ALAP

Tube cutters Cutting tubes Wrong lengthHuman error, not

according to instructionKinking of tubes

No harm to patient.

User inconvenience1 2 Acceptable IPC 1 1 Acceptable

Outer sterile

packaging, rotating

sealer (Medipeel bag,

N/A for ATV Vacuum

Line)

Seal packagingimproper packaging

seal Wrong seal parameters Not sterile

Infection, result

possible sepsis which

could lead to death

5 1 ALAP

IPC

5 1 ALAP

DV&V

Validation of sterile

package

ETO sterilization ETO sterilizationETO not according to

specification

Human error, not

according to

specification

Not sterile

Infection, result

possible sepsis which

could lead to death

5 1 ALAP

Bio Indicator

5 1 ALAPETO indicator

Validation of sterile

package

Post conditioning Degassing of the setDegassing time not

within specification

Human error, not

according to

specification

EtO/ECH residue Toxic/allergic reaction

could lead to death5 2 Unacceptable

Validation of

sterilization process5 1 ALAP

Quarantine timeQuarantine time to

purge rest ETO gas

Quarantine time not

within specification

Human error, not

according to

specification

EtO/ECH residue Toxic/allergic reaction

could lead to death5 2 Unacceptable

Validation of

sterilization process5 1 ALAP

Performace Qualification PlanRisk Based Testing

Sample size

The confidence and reliability-levels of the various testing are based upon

the criticality of the failure mode:

Risk Class III: 95 % confidence / 90 % reliability

Risk Class II: 95 % confidence / 95 % reliability

Risk Class I: 95 % confidence / 99 % reliability

Validation Services

Sampling plan for PQ

Validation Services

Quality Attribute Risk Class Sample Size

(n)

Allowed non

conformances (c)

The degree of insertion of the

tubes after gluing II 59 0

Tubing length’s according

specification (DV&V test)III 29 0

Tube connections test and

over pressure tests (DV&V

test)

II 59 0

Correct configuration III 29 0

No kinks in tubing III 29 0

End control testing BMR 1 per lot 0

Performance Qualification Report

Validation Services

Quality Attribute Number of non

conformances

Sample Size

(n)

Conclusion

The degree of insertion of the

tubes after gluing 0 59 Pass

Tubing length’s according

specification (DV&V test)0 29 Pass

Tube connections test and

over pressure tests (DV&V

test)

0 59 Pass

Correct configuration 0 29 Pass

No kinks in tubing 0 29 Pass

End control testing 0 1 per lot Pass

Sampling plans in Production

Continued Process Verification:

Incoming Goods Inspection

In Process Control

Final Product Release Testing

Different tools:

Process capability (short term and long term)

Statistical Process Control:

– control charts

– statistical process control

– opportunities for process improvement.

Lot acceptance sampling (AQL) can be used if process capability not

sufficiently demonstrated

Validation Services

Risk Based Testing: exampleSampling plan for Finished Product Control tests (APS)

Validation Services

Quality attribute Data type Risk Class

based on

procedure

TT-003

Minimum

required

reliability of

conformance

& confidence

interval

Sample

size

(used)

Number

of

defects

Reliability of

conformance

based on

capability

analysis

Con

clus

ion

Seal strength Variable I 99% & 95% 188 0 100% In

control

Overwrap

integrity

Attributive I 99% & 95% 843 0 100% In

control

Visual inspection

of the seal quality

Attributive I 99% & 95% 843 0 100% In

control

Product must be

free from

contamination

Attributive III 90% & 95% 843 11 98% In

control

Diameter of the

pump tubes

Attributive III 90% & 95% 843 0 100% In

control

Setup of

disposable on the

device

Attributive III 90% & 95% 843 1 99% In

control

IV. Interactive Exercise

Using a real life example, participants will develop a

validation study using a risk based approach to determine

the sample size.

Validation Services

Example: new sealer

PQ protocol

– Similar to Design Verification protocol

– Risk Based Testing according to SOP

PQ report

– Similar to Design Verification protocol

– Risk Based Testing according to SOP

Validation Services