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Tuesday, 15 October 2013

Documentation in QMS: Pharmacuticals

Before we proceed further to Quality Manual let us review documentation system requirements given in ISO Standard and ICH Q10.

ISO 9001:2008 requires that, in addition to documented statement of quality policy & quality objectives and quality manual, QMS documentation shall include:
  • documented procedures and records required by this International Standard, and
  • documents, including records, determined by the organization to be necessary to ensure the effective planning, operation and control of its processes.'

ISO 9001:2008 standard require 6 mandatory procedure and 21 records as given below:

S.No
ISO
9001:2008
Clause
Documented Procedures
1
4.2.3
Control of documents
2
4.2.4
Control of records
3
8.2.2
Internal audit
4
8.3
Control of nonconforming product
5
8.5.2
Corrective action
6
8.5.3
Preventive action
Sr.No
Para.
Record Required
1
5.6.1
Management reviews
2
6.2.2 (e)
Education, training, skills and experience
3
7.1 (d)
Evidence that the realization processes and resulting product fulfill requirements
4
7.2.2
Results of the review of the requirements relating to the product and actions arising from the review
5
7.3.2
Design and development inputs
6
7.3.4
Results of design and development reviews and any necessary action
7
7.3.5
Results of design and development verification and any necessary action
8
7.3.6
Results of design and development validation and any necessary action
9
7.3.7
Results of the review of design and development changes and any necessary action
10
7.4.1
Results of supplier evaluations and actions arising from evaluations
11
7.5.2 (d)
As required by the organization to demonstrate the validation of processes where subsequent monitoring and measurement cannot verify the resulting output
12
7.5.3
Unique identification of the product, where traceability is a requirement
13
7.5.4
Customer property that is lost, damaged, or otherwise found to be unsuitable for use
14
7.6 (a)
Standards used for calibration or verification of measuring equipment where no international or national measurement standards exist
15
7.6
Validity of previous results when measuring equipment is found not to conform to its requirements
16
7.6
Results of calibration or verification of measuring equipment
17
8.2.2
Internal audit results
18
8.2.4
Evidence of product conformity with the acceptance criteria and indication of the authority responsible for the release of the product
19
8.3
Nature of the product nonconformities and any subsequent actions taken, including concessions obtained
20
8.5.2
Results of corrective actions
21
8.5.3
Results of preventive actions

ICH Q10 and FDA's Guidance Document on Process Validation expects documentation control and knowledge management throughout the life-cycle stages of a product. Pharmaceutical documentation starts from the R&D stage, commercial production and continues post marketing & post product discontinuation. 

ICH Q10 emphasize on the lifecycle approach to pharmaceutical QMS. Documentation system shall capture this life cycle approach and this documented evidence should be preserved. Each stage in the product life cycle has its unique set of documents which makes control of documents a challenging task.

Fig 1: Pharmaceutical Quality System ICH Q10 (Source Internet)



FDA's process validation guidance document emphasizes scientific approach to process validation and product life cycle which shall be captured through documentation control. This guidance document defines process validation as “the collection and evaluation of datafrom 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.”

The guidance describes process validation activities in three stages.

Stage 1Process Design: The commercial manufacturing process is defined during this stage based on knowledge gained through development and scale-up activities.

Stage 2Process Qualification: During this stage, the process design is evaluated to determine if the process is capable of reproducible commercial manufacturing.

Stage 3Continued Process Verification: Ongoing assurance is gained during routine production that the process remains in a state of control.

Requirements of documentation are emphasized in section IV: Documentation.

ISO Standard expects control over documents and records. The Standard requires that all the documents shall be approved, reviewed periodically, made available at point of use, shall remain legible and identifiable and obsolete documents shall be controlled. The standard also requires control over documents of external origin. Documents of external origin can be customer drawings/plans, documents of suppliers and vendors, reference documents and standards, or any other document which can be misused if not controlled.

The standard defines records as special type of documents. Records shall be controlled through a documented procedure which defines the controls needed for the identification, storage, protection, retrieval, retention and disposition of records. Records shall remain legible, readily identifiable and retrievable.

For better understanding we have divided plant documents into two main categories:

QMS Documents: 
These are the documents which are required by ISO 9001:2008 for implementation of QMS and continual improvement. Few other administrative documents are also included for better understanding and demarcation.

Product Documents: 
These are the documents covering the product realization cycle or product life cycle as defined in ISO 9001:2008 and ICH Q10 respectively. This category includes manufacturing procedures, manufacturing formulas, product specifications, Testing Procedures, maintenance procedures, Support processes etc. The makeup of these documents is derived by GMP, GLP, GCP, product requirements and other statutory and regulatory requirements. WHO provides guidance for vaccines in Technical Report Series (WHO-TRS) and other publications series such as V&B, IVB, VSQ etc.

Templates of Documents categorized as QMS Documents to be posted in this blog are:
1.           Preparation of SOP
2.           Control of Documents
3.           Control of Records
4.           Competence, awareness and training
5.           Job Responsibilities of Key personnel
6.           Procedure for vendor approval with classification of materials
7.           Customer/ Market Complaint
8.           Product recall
9.           Internal Audit
10.        Handling of Non Conformance (Deviation and OOS)
11.        Change Control
12.        Corrective and Preventive Action


Template documents categorized as Product documents to be posted in this blog are:
1.           Shipping Qualification
2.           Shipping Validation
3.           Validation Policy
4.           Calibration Policy
5.           Autoclave Performance Qualification
6.           Incubators and Environment Chamber Qualifications
7.           Cold Room Qualification
8.           HVAC, LAF and BSC Qualification
9.           DHS and Tunnel Qualification
10.        Aseptic Media Fill, Process Simulation Study
11.        Cleaning Validation Policy
12.        Sterile Filtration Validation
13.        Environmental Monitoring
14.        Warehouse Thermal Mapping
15.        Stability Plan


Terms often used in documentation:


Quality Manual (QM): This top-level document defines the company's quality policies and quality objectives; defines the scope of the quality system, including details and justification for any exclusions; describes the overall quality system, its processes, and their sequence and interaction; and references applicable operational procedures.


Quality Operational Procedures: These are second-level documents defining specific quality system processes. Operational procedures explain the what, when, who and how for a process, and define what records must be established to document the results.


Quality Forms (FORM): These are usually one-page forms or matrices defining a "template" for establishing a record.


Work Instructions: The purpose of work instructions is to guide personnel in performing specific tasks, such as carrying out and controlling a production processes, handling products, calibrating measuring equipment, conducting tests or inspections, etc.


Labeling and packaging specifications: These documents include component, sub-assembly, assembly, and packaging drawings and specifications; bills of materials (or lists of ingredients); compositions; formulations; diagrams; software specifications; user manual, packaging artwork, sterilization documents (where applicable) and other such documents defining the medical device and its packaging. For some contracts these documents may be of external origin, e.g. supplied by customers.


Manufacturing specifications: Documents under this category include process/ assembly lines diagrams; specifications for equipment, tools, and molds; manufacturing environment specifications; setup procedures; operator instructions; machine maintenance procedures; blank travelers, nonconforming product/process forms, and other reporting forms; and other such documents defining the manufacturing processes and the manner of production.


Quality assurance/control procedures and specifications: Documents under this category include process control specifications/charts; control plans, instructions and acceptance criteria for incoming, in-process, and finished device inspection and testing; procedures and acceptance criteria for the verification of packaging, labeling, installation, and servicing activities; blank forms for inspection/ testing reports and other device history records; release document review list; and other such documents defining how products and manufacturing processes are controlled and verified.


Standards and codes: These are international, national and local regulations, standards, and codes that define operational, quality and product requirements.


Device Master Record/ Master Formula Record: Engineering, manufacturing and quality specifications, and other such documentation that define the medical device/pharma product (or a family of similar devices/products) and the manner of production are organized into a Device Master Record (DMR)/ Master Formula Record (MFR). The DMR/MFR may be in the form of one or several files or binders with the actual documents, or in the form of an index referencing these documents and their revision status and location. The procedure instructs how DMR’s/ MFR’s are established and maintained.

When a DMR/MFR document is withdrawn or superseded by a new revision, a copy of the obsolete document is retained for a period of time at least equivalent to the lifetime of the medical device/product, but not less than two years from the date of product release. If this document retention policy is in conflict with relevant regulatory requirements, the regulatory requirements shall take precedence.

References:

ISO 9001:2008 Quality management systems — Requirements
ICH Q10 Pharmaceutical Quality System
Food and Drug Administration:  Guidance for Industry- Process Validation: General Principles and Practices (2011)

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