Autoclavation Validation Protocol
Large Volume Parentrals
Quality Assurance Department
                                                Document No.                      :             
                                                Issue No.                               :                   
                                                Issue Date                            :              
Table of Content
| SECTION | DESCRIPTION | PAGE | 
| 1.0 | Pre-execution approval | 3 | 
| 1.1 | Signatory List | 3 | 
| 1.2 | Validation Team | 3 | 
| 2.0 | Glossary of Terms | 4 | 
| 2.1 | List of Abbreviation | 4 | 
| 2.2 | Definition | 4 | 
| 3.0 | Instruction | 6 | 
| 4.0 | Responsibilities | 8 | 
| 5.0 | Equipment   Identification | 9 | 
| 6.0 | Equipment   Description | 10 | 
| 7.0 | Related Documents | 11 | 
| 8.0 | Equipment Used for Qualification | 11 | 
| 1.0 | Objective | 13 | 
| 2.0 | Scope | 13 | 
| 3.0 | Installation Site Requirements | 13 | 
| 4.0 | Installation Qualification   Procedure | 15 | 
| 5.0 | Incidents / Deviations | 17 | 
| 6.0 | Final Comments about validation | 17 | 
| 7.0 | Signature Identification Sheet | 27 | 
| 8.0 | Final Approval of Qualification | 28 | 
| 9.6 | Protocol Training Record | 29 | 
1.         PRE-EXECUTION APPROVAL
Successful  completion of this protocol will provide documented evidence that all  key aspects of the Autoclave used in LARGE VOLUME PARENTRALS SECTION  adheres to appropriate application criteria, comply with standard  operating procedures, and meet current Good Manufacturing Practices  (cGMP) requirements.
1.1       sIGNATORY lIST
The signature below indicates approval of this protocol and its attachments for execution.
|  | Name & Designation | Signature | Date | 
|  |  |  |  | 
| Prepared By | Q.A Representative |  |  | 
|  |  |  |  | 
| Reviewed & Reviewed By | Production   manager |  |  | 
|  |  |  |  | 
| Approved By  | Manager Quality   Control  |  |  | 
1.2              Validation Team
All individuals participating in the execution of this protocol must fill out a row in the table below.
|         Name   & Designation | Responsibility | Signature   & Initial | Date | 
|  |  |  |  | 
| Q.A Executive | Prepare   the protocol and coordinate the validation study. generate amendments to the   protocol as required |  |  | 
| Microbiologist | Microbiological   validation of sterilization process. Document the microbiological aspects of   the study |  |  | 
| Production   Pharmacist | Protocol   training of operators and provide the resources for validation study |  |  | 
2.0       GLOSSARY OF TERMS
2.1       List of Abbreviation
CGMP             Current Good Manufacturing Practices 
FDA                 Food and Drug Administration
GAMP              Good Automated Manufacturing Practice
GMP                Good Manufacturing Practice
IQ                    Installation Qualification
OQ                  Operation Qualification
2.2       Definitions
Acceptance Criteria                Agreed standards or ranges, which must be achieved.
Critical component                  A  component within a system where the operation, contact, data, control,  alarm, or failure may have a direct impact on the quality of the  product.
Critical Instrument                   Any instrument that directly affects product safety, purity, or efficacy.
Direct Impact System             An engineering system that may have a direct impact on product quality.
Factor Acceptance Test         Documenting the performance characteristics of equipment prior to shipment to site.
Impact Assessment                The  process of evaluating the impact of the operating, controlling alarming  and failure conditions of a system on the quality of a product.
Indirect Impact System           An engineering system considered not having a direct impact on product quality.
Installation Qualification          Documenting  the process equipment and ancillary system are constructed and  installed according to pre-determined specifications and functional  requirements.
No Impact System                  This  is a system that will not have any impact, either directly or  indirectly, on product quality. These systems are designed and  commissioned following Good engineering Practice only.
Non-critical Component          A  component within a system where the operation, contact, alarm or  failure may have an indirect impact or no impact on the quality of  product.
Operating Limits                     The minimum and /or maximum values that will ensure that product and safety requirements are met.
Operational Qualification        Establishing  confidence that process equipment and ancillary systems are capable of  consistently operating within established limits and tolerances.
Performance Qualification      The  documented verification that al aspects of a facility, utility or  equipment that can affect product quality perform as intended meeting  pre-determined acceptance criteria.
Performance Testing              The  process by which the performance of interdependent system is  demonstrated as within the required tolerances, the output of  interdependent system is demonstrated as delivering the required duty or  capacity, the interdependent functions of system are interdependent to  be as specified and appropriate.
Piping and Instrumentation 
Diagrams                                Primary  source of design information for utility systems and process equipment.  They are used to depict the process flow, equipment configuration,  process parameters, instrumentation, and materials of construction. They  also are used to perform overall material and energy balances and  pressure balances.
3.0       INSTRUCTION
3.1.      General Instruction
All performers and reviewers must complete qualification forms using the following guidelines:
·                     Complete all items on a form in full, except the optional comment’s section.
·                     Document  any deviation from defined protocols and expected results. Owner  approval of protocol deviations must be documented before final approval  signatures can be obtained.
·                     Write  additional comments on an addendum sheet when there is not enough space  on a form to accommodate all comments. Use these three steps when  adding an addendum sheet.
1.         Number the page alphanumerically.
2.         Initial and date additions.
3.         Insert the addendum sheet behind the original page.
·                     Make all entries in permanent black or blue ball pen.
3.2       Correcting Entries
If you need to make corrections on a form, use the procedures described below:
3.2.1    Correcting Short Entries
To correct a short entry [such as a single word or test result] on a form:
1.         Draw a diagonal line, bottom left to upper right, through the miss entered or incorrect information.
2.         Write the correction to the upper right of the original entry.
3.         Give brief explanation of change 
4.         Initial and date the change.
3.2.2    Correcting Long Entries
  To correct a long entry or information block on a form:
1.         Draw a diagonal line, bottom left to upper right, through the miss entered or incorrect information.
2.         Write the correction on a separate addendum page.
3.         Give brief explanation of change.
4.         Initial and date the changes.
5.         Number the page alphanumerically
6.         Place the addendum page behind the original page.
3.3       Marking Elements That Are Not Applicable
Mark  each element carefully according to the instruments below, so that it  will be clear that the element is unnecessary and that you have not  skipped or forgotten the element.
1.         Draw a diagonal line, bottom left to upper right corner, through the element that is not required.
2.         Write  the letters NA [Not Applicable], your initials, and the date above the  line. Include comments above the line or on the form to document the  reason the element is not required.
3.         Where NA is indicated as an option, select this field.
The performer and reviewer must sign and date all forms, as usual, even when part or all of the form is marked “NA”.
Note:             All original entries must remain legible after any corrections have been made.
3.4     Caution
  The following conditions require “re-qualification”;
·                     When a Instrument modification has been completed, it affects the installation qualification.
·                     When the software or firmware has been upgraded or changed
·                     When this Instrument is being removed from where it was originally installed.
3.5       Re-calibration / Re-certification Requirements
The following conditions require “re-calibration / re-certification;
·                     For a pre-determined period of time or use.
·                     After any minor service has been done or replacement of parts.
·                     When this Instrument is being removed from where it was originally installed.
4.         RESPONSIBILITIES
4.1       Validation Team
·                     Prepare and approve the validation protocol.
·                     Provide training to the personnel regarding protocol execution.
·                     Assure complete adherence to the protocol during the execution
·                     Generate amendment to the validation protocol, as required.
·                     Document any deviations that occur during protocol execution.
·                     Document Operator SOP Training.
·                     Provide the resources required in executing the validation protocol.
4.2       Quality Assurance
·                     Review the validation protocol and the final reports
4.3       Executive Director 
·                     Approve the validation protocol and the final reports
1.0       Objectives
To verify and establish that the Autoclave is working as per recommendations of the manufacturer.
2.0       Scope
This validation protocol is applicable to the Autoclave intended to be used for steam sterilization in Large Volume Paranterals section.
The protocol will be implemented under the following conditions
§         The validation of sterilization process using saturated steam as the steriliant
§         Prior to the production of a new sterilizer.
§         A change In the load design or weight that would result in a load that is more difficult to sterilize.
3.0       Equipment Identification
| Equipment   Name | Autoclave | Verified | 
| Model   Number |  | Yes   ¨  No ¨ | 
| Serial   Number |  | Yes   ¨  No ¨ | 
| Make |  | Yes   ¨  No ¨ | 
| Asset   No. |  | Yes   ¨  No ¨ | 
| Location |  | Yes   ¨  No ¨ | 
It has the following sub-components
| S.   No. | Description | Check | 
| 1 | Time controller | ¨ | 
| 2 | Pressure   controller | ¨ | 
| 3 | Pressure gauge | ¨ | 
| 4 | Safety Valve | ¨ | 
| 5 | Thermometer | ¨ | 
| _________________ Performed By |  |  |  | _________________ Approved By | 
6.0       EQUIPMENT DESCRIPTION
The Autoclave intended to be used for steam sterilizations process. It has following specifications:-
| S. No. | Parameter | Range | Readability  | Check | 
| 1 | Timer | 0—60   min | 1   min | ¨ | 
| 2 | Pressure | 0—4.0   kg/cm2 | 0.2   kg/cm2 | ¨ | 
| 3 | Temperature | 50   –150°C | 1°C | ¨ | 
7.0        LOAD IDENTIFICATION
| Nature of   load | 1000 ml   polythene bottles | 
| Quantity   of load | 2000   bottles per lot | 
8.0       STERILIZATATION CYCLE PARAMETERS
| Sterilization   set point | 106°C | 
| Temperature   range | +0.5°C | 
| Expose time |       3.0 Hours | 
9.0       Equipment Used for PROCESS VALIDATION
|     Equipment |    Calibration | Certificate No. | Issue Date | |
| YES | NO | |||
| Recording   potentiometer | ¨ | ¨ | ___________ | ________ | 
| Thermocouples & lead wires | ¨ | ¨ | ___________ | ________ | 
| Biological   indicator i.e. B.   stereothermophyllus | ¨ | ¨ | ___________ | ________ | 
| _________________ Performed By |  |  |  | _________________ Approved By | 
10.0    strerilizatation procedure
§               Place six thermocouples in the load at the slow to heat points as determined 
         Previously by (Heat Distribution and Heat Penetration studies)
§               Place thermocouples exterior and near to (Penetration TC)and expose to  chamber steam distribution TC)
§               Place BIs (Biological Indicators) at each of the slow to heat penetration location. 
§               Load autoclave extend TC out of autoclave and attach to potentiometer 
§               Position one TC by controller record sensor 
§               Close autoclave door
§               Perform, function check of TC .replace if defective.
§               Replace autoclave sensor chart with a new one 
§               Check to make sure that cycle parameters are set 
§               Set potentiometer for a 3.0 Hours scan cycle.
§               Initiate sterilization cycle and potentiometer cycle at same time                  
§               Allow cycle to continue until it is completed. Collect all potentiometers, controls and computer control record and place with protocol.
§               Have computer graph results and calculate Fo value. After load has cooled, remove BIs and have tested 
§               Incubate BIs in incubator at 55Cº for 48 hrs
11.0             ACCEPTANCE CRITERIA
1-      BDS Strip
All  four colors segment of the processed indicator are black. If all other  critical process parameters such as temperature, pressure and  sterilization are in accordance with cycle reference.
2-      Bio-Indicator i.e. B. stereothermophyllus
No growth should be observed after incubation for 48 Hours.
11.1            Results
Temperature               :           106°C
Pressure                     :           2.0 Psi
Sterilization Time        :           60 mins
1-      Evaluation of the BDS strip.
| S.#. | Position of Indicator strip | Stick BDS-test indicator   strip on | Acceptance Criteria | Results | |
| All four color segment of   indicators strip are black | |||||
| Yes | No | ||||
| 1 | Middle/Bottom | Tray#29 | ¨ | ¨ |  | 
| 2 | Front /top Centre | Tray#40 | ¨ | ¨ |  | 
2-      Evaluation of the Bio-indicator i.e. B. stereothermophyllus 
| S.#. | Position of  B. stereothermophyllus | Acceptance Criteria | Observation | |||
| No growth is observed after incubation   for 48 Hours | ||||||
| Yes | No | |||||
| 1 | Front/top center | Front/bottm center | Middle/cent left | ¨ | ¨ |  | 
| 2 | Middle/bttm right | Rare/top bottom | Rare/bot center | ¨ | ¨ |  | 
| 3 | Front/top right | Front/botm left | Middle/ center | ¨ | ¨ |  | 
| 4 | Middle/bttm Center   | Rare/top right | Rare/bttm center | ¨ | ¨ |  | 
| 5 | Front/top center | Front/bottm center | Middle/cent left | ¨ | ¨ |  | 
| 6 | Middle/bttm right | Rare/top bottom | Rare/bottm center | ¨ | ¨ |  | 
All acceptance criteria have been met.                      Verified By / Date
Yes ____________No _____________                     _____________
If No or N/A, explain in Comments.
     
12.0.   Incidents/Deviations
To  document any discrepancy or variations noted during the execution of  the Process Validation Protocol. Any action to be taken to resolve an  outstanding issue is to be identified within the incident report.
| INCIDENT # | DESCRIPTION OF INCIDENT | RECORDED BY | DATE | 
|  |  |  |  | 
|  |  |  |  | 
|  |  |  |  | 
|  |  |  |  | 
|  |  |  |  | 
|  |  |  |  | 
| COMMENTS: ____________________________________________________________ ____________________________________________________________ | 
13.0     Final Comments about PROCESS VALIDATION 
________________________________________________________________ 
________________________________________________________________ 
________________________________________________________________ 
________________________________________________________________ 
SIGNATURE IDENTIFICATION SHEET
This  sheet is a record of each individual who signs or initials any page  included in this protocol or in the attached document. Each person shall  be identified by typed or printed name.
Name                                Signature and Initials                               Department
__________________       _________________________                _____________________
__________________       _________________________                _____________________
__________________       _________________________                _____________________
__________________       _________________________                _____________________
__________________       _________________________                _____________________
__________________        ________________________                 _____________________
__________________        ________________________                 _____________________
__________________        ________________________                 _____________________
__________________       _________________________                _____________________
FINAL APPROVAL OF QUALIFICATION
This  document certifies that the process of Autoclavation has been validated  as specified and complies with Standard Operating Procedures, and  satisfies the requirements for cGMPs.
|  | Name & Designation | Signature | Date | 
|  |  |  |  | 
| Prepared By | Q.A Representative |  |  | 
|  |  |  |  | 
| Reviewed & Reviewed By | Production   manager |  |  | 
|  |  |  |  | 
| Approved By  | Manager Quality   Control  |  |  | 
PROTOCOL TRAINING
Training Session Date         :        ____________________
Instructor                               :        ____________________
Protocol Reference             :        ____________________
| Name | Title  | Signature | Date | 
 
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