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8/7/2019 complaints & record
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Module 5 Slide 1 of 24 WHO - EDM
Part One, Sections 6 and 7
Basic Principles of GMP
Complaints and Recalls
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Module 5 Slide 3 of 24 WHO - EDM
C omplaints and RecallsObj ectives
T o identify the key issues in product complaint andrecall handlingT o understand the specific requirements fororganization, procedures and resourcesT o understand and develop actions to resolve currentissues applicable to you
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Module 5 Slide 5 of 24 WHO - EDM
Part One, 6.2 6.9
C omplaints and RecallsComplaints Pr ocedu r e - I
D esignated responsible person May be authorized personIf not, must advise authorized person of resultsSufficient support staff Access to records
Written procedure describing action to be taken
Acknowledge and respond to complainant within areasonable period
Record written and verbal comments
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Module 5 Slide 6 of 24 WHO - EDM
Part One, 6.2 6.9
C omplaints and RecallsComplaints Pr ocedu r e - II
Investigate and review
QA review complaintAppropriate follow up actions
Review of trends
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Module 5 Slide 7 of 24 WHO - EDM
Part One, 6.4
C omplaints and RecallsReco r ds of Complaint Investigation
N ame of productN ame of active substance ( INN ) if necessary
Strength, dosage formBatch numberN ame of complainant and nature of complaintRecords, retention sample investigated, other batchesreviewed and staff interviewedResult of investigation: Justified or N ot justifiedIf justified, actions taken to prevent reoccurrenceSign-off upon completion
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Module 5 Slide 8 of 24 WHO - EDM
C omplaints and RecallsD ecision f r om a Complaint Investigation
C omplaint justified
Actions to prevent reoccurrenceOngoing observation of processRecall product may be required
C omplaint not justified Advise customer of findings Appropriate marketing response
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Module 5 Slide 9 of 24 WHO - EDM
Part One, 6.8
C omplaints and RecallsO the r issues
Regular review of trends requiredReoccurring problemsPotential recall or withdrawal
Inform competent authority of serious quality problems
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Module 5 Slide 10 of 24 WHO - EDM
C omplaints and RecallsClassification of D efects
If complaint is justified, then there has been a failure of thequality system
Once defect has been identified, company should bedealing with it in an appropriate way, even recall.T he definition of defects is useful.T he following system has been found in some countries(but it is not a WHO guideline):
C ritical defects Major defectsOther defects
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Module 5 Slide 11 of 24 WHO - EDM
C omplaints and RecallsCr itical D efects
T hose defects which can be life threatening andrequire the company to take immediate action by allreasonable means, whether in or out of businesshours
Examples
Product labelled with incorrect name or incorrect strengthC ounterfeit or deliberately tampered-with product Microbiological contamination of a sterile product
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Module 5 Slide 12 of 24 WHO - EDM
C omplaints and RecallsM a jor D efects
T hose defects which may put the patient at some risk butare not life threatening and will require the batch recall or
product withdrawal within a few daysExamples
Any labelling/leaflet misinformation (or lack of information) whichrepresents a significant hazard to the patient
Microbial contamination of non-sterile products with some risk for patientsNon-compliance to specifications (e.g. active ingredient assay)
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Module 5 Slide 13 of 24 WHO - EDM
C omplaints and RecallsO the r D efects
T hose defects which present only a minor risk to thepatient batch recall or product withdrawal wouldnormally be initiated within a few days
Examples
Readily visible isolated packaging/closure faultsC ontamination which may cause spoilage or dirt and wherethere is minimal risk to the patient
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Module 5 Slide 14 of 24 WHO - EDM
C omplaints and RecallsReasons fo r Recall
C ustomer complaintD etection of GMP failure after release
Result from the ongoing stability testing
Request by the national authorities
Result of an inspection
Known counterfeiting or tamperingAdverse reaction reporting
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Module 5 Slide 15 of 24 WHO - EDM
C omplaints and RecallsD etection of G M P failu r e
T he photo shows an active tablet in the rowof placebos in a bi-phasic oral contraceptive
blister pack.
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Module 5 Slide 16 of 24 WHO - EDM
Part One, 7.1
C omplaints and RecallsPr oduct Recall Pr inciple
T here should be a system to recall from the marketpromptly and effectively, products known orsuspected to be defective.
(WHO GMP)
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Module 5 Slide 17 of 24 WHO - EDM
C omplaints and RecallsD efinition
RecallRemoval from the market of specified batches of a product May refer to one batch or all batches of product
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Module 5 Slide 18 of 24 WHO - EDM
Part One, 7.2, 7.3
C omplaints and RecallsD esignated Responsi b le Recall P er son
May be authorized personIf not, must advise authorized person of results
Sufficient support staff for urgency of recallIndependent of sales and marketing
Access to records
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Module 5 Slide 19 of 24 WHO - EDM
Part One, 7.2, 7.3
C omplaints and RecallsS O P fo r Recall
Established, authorized
Actions to be taken
Regularly checked and updatedC apable of rapid operation to hospital and pharmacy levelC ommunication concept to national authorities and
internationally
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Module 5 Slide 20 of 24 WHO - EDM
Part One, 7.4, 7.5
C omplaints and RecallsD ist r ibution Reco r ds
Available to designated person for recall purposes
AccurateInclude information on:
W holesalersDirect customers
Batch numbersQuantities
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Module 5 Slide 21 of 24 WHO - EDM
Part One 7.6 - 7.8
C omplaints and RecallsW r itten p r og r ess r epo r t and r econciliation
Record progress as procedure followedReconcile delivered with recovered products
Issue final report
E ffectivemess of p r ocedu r es checkedTest effectiveness from time to time
S ecu r e seg r egated sto r age of r etu r ned goodsEssential to keep returned goods away from other goods