Thursday, August 26, 2010

format AUTOCLAVATION VALIDATION PROTOCOL

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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