the top 10 list – best lessons learned from fda warning letters walter nowocin medtronic,...

The Top 10 List – Best Lessons Learned from FDA Warning

Letters

Walter NowocinMedtronic, Inc./Minneapolis, MinnesotaMeasurement Science Conference

23 March, 2012

Objectives

Review metrology related warning letters over the past five years – the best of the best

Have discussions involving best practices on avoiding similar occurrences

Pass along lessons learned Learn about new FDA search site

Source of Data

All data in this presentation was taken from the ‘FDA Electronic Freedom of Information Reading Room – Warning Letter and Responses’

http://www.fda.gov/foi/warning.htm

In the past I used the FDA site to search the past twelve months of warning letters containing the words calibrate, calibrated, or calibration.

For example in 2010, I searched a total of 437 warning letters with 15 having calibration issues.

FDA Warning Letter Search Site

http://www.fda.gov/foi/warning.htm

FDA Form 483 ‘Reading Room’

http://www.fda.gov/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/default.htm

www.fda.gov/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/default.htm

General Observations

Over five years, warning letters have increased while calibration specific issues have decreased.

Calibration issues tend to be basic; i.e. past due dates, no procedures, etc.

If there are calibration issues, they are usually associated with many other quality system issues. Rarely a warning letter just for calibration.

Most violations are to company specific requirements and not FDA requirements.

FDA Warning Letter Categories Quality System Regulation - 820 Medical Devices

Current Good Manufacturing Practice – Finished Pharmaceuticals

Good Laboratory Practice Regulations - Nonclinical Laboratory Studies

Current Good Manufacturing Practice – API (Active Pharmaceutical Ingredient)

FDA 501k Product Approval Process

820.72(a) – No Annual Cal; Failed on Demo of Cal – 7 Jan 08

Number 10

501(a)(2)(B) – Incorrect Use of ‘N/A’ – 28 April 2008

Number 9

820.70(i) Failure to Validate Computer Software – 25 Mar 2008

Number 8

cGMP for API – Failed to Calibrate within Intended

Range (7 April 2011)

Number 7

820.72 (b) – Cal Procedures; Accuracy and Precision (18 Sep 08)

Validation of Heat Sealer

No Calibration of Temperature Gauges for monitoring heat sealer

Number 6

211 – Overdue Cal Trending (23 Dec 09)

What Calibration Metrics are you monitoring for quality trends?

Do you have established ‘trigger’ points for investigation action?

Number 5

211.192 – Out of Specification Investigation (22 Apr 09)

Analytical Lab finding, but is a lesson learned for Cal Labs.

Number 4

820.72(b)(1) – Traceability to Reference Standard – 8 Dec 06

Number 3

211.68 – Original Calibration Data (7 May 09)

Number 2

820.72(b)(2) – Self Calibration Program (26 Feb 09)

Number 1

Any questions on these warning letters or Form 483s?