GMP guidelines for HVAC

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SUPPLEMENTARY 1 GUIDELINES ON 2 GOOD MANUFACTURING PRACTICES FOR HEATING, 3 VENTILATION AND AIR-CONDITIONING SYSTEMS F...

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Working document QAS/15.639 August 2015 Draft document for comment

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SUPPLEMENTARY GUIDELINES ON GOOD MANUFACTURING PRACTICES FOR HEATING, VENTILATION AND AIR-CONDITIONING SYSTEMS FOR NON-STERILE PHARMACEUTICAL DOSAGE FORMS

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DRAFT FOR COMMENT

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(August 2015)

Should you have any comments on the attached text, please send these to Dr S. Kopp, Dr S. Kopp, Group Lead, Medicines Quality Assurance, Technologies, Standards and Norms ([email protected]) with a copy to Ms Marie Gaspard ([email protected]) by 10 October 2015. Medicines Quality Assurance working documents will be sent out electronically only and will also be placed on the Medicines website for comment under “Current projects”. If you do not already receive our draft working documents please let us have your email address (to [email protected]) and we will add it to our electronic mailing list.

© World Health Organization 2015 All rights reserved. This draft is intended for a restricted audience only, i.e. the individuals and organizations having received this draft. The draft may not be reviewed, abstracted, quoted, reproduced, transmitted, distributed, translated or adapted, in part or in whole, in any form or by any means outside these individuals and organizations (including the organizations' concerned staff and member organizations) without the permission of the World Health Organization. The draft should not be displayed on any website. Please send any request for permission to: Dr Sabine Kopp, Group Lead, Medicines Quality Assurance, Technologies, Standards and Norms, Department of Essential Medicines and Health Products, World Health Organization, CH-1211 Geneva 27, Switzerland. Fax: (41-22) 791 4730; email: [email protected] The designations employed and the presentation of the material in this draft do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this draft. However, the printed material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. This draft does not necessarily represent the decisions or the stated policy of the World Health Organization.

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SCHEDULE FOR THE PROPOSED ADOPTION PROCESS OF DOCUMENT QAS/15.639 SUPPLEMENTARY GUIDELINES ON GOOD MANUFACTURING PRACTICES FOR HEATING, VENTILATION AND AIRCONDITIONING SYSTEMS FOR NON-STERILE PHARMACEUTICAL DOSAGE FORMS. PROPOSAL FOR REVISION Discussion of proposed need for revision in view of the current trends in engineering and experience gained during the implementation of this guidance in inspection during informal consultation on data management, bioequivalence, GMP and medicines’ inspection

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29 June– 1 July 2015

Preparation of draft proposal for revision by D. Smith, consultant to the Medicines Quality Assurance group and Prequalification Team (PQT)-Inspections, based on the feedback received during the meeting and from PQTInspections

July-August 2015

Circulation of revised working document for public consultation

September 2015

Consolidation of comments received and review of feedback

10 October 2015

Presentation to fiftieth meeting of the WHO Expert Committee on Specifications for Pharmaceutical Preparations

12–16 October 2015

Any other follow-up action as required



Working document QAS/15.639 page 3 52

BACKGROUND

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During the consultation on data management, bioequivalence, GMP and medicines’ inspection held in 2015 the possible revision of the guidance for (WHO Technical Report Series, No. 961, Annex 5, 2011) was discussed with the inspectors. It was suggested that in light of the new developments a draft for revision be prepared. This new proposal for revision was drafted based on the feedback received, the new, current trends in engineering and the experience gained during the implementation of this guidance in inspection.

61 62

At the same time, the opportunity was used to improve the graphic images and make them more readable in e-version as well as in print.

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Summary of main changes

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Below is a list of the main changes that have been made to the WHO Technical Report Series, No. 961, 2011, Annex 5: Supplementary guidelines on good manufacturing practices for heating, ventilation and air-conditioning systems for non-sterile pharmaceutical dosage forms. 1. The Premises section has been moved towards the beginning of the document due to its important impact on HVAC designs. In addition the text has been expanded and a number of sample layouts have been included. 2. The HVAC sections have been re-arranged into a more logical sequence. 3. The Commissioning, Qualification and Validation (C, Q & V) section has been aligned with the proposed revisions to the Supplementary GMP Validation TRS937 Annex4 guideline. 4. Significant notes were added under the new Supplementary notes on test procedures section. 5. The Maintenance section has been separated out of the C, Q & V section. 6. All the diagrams have been revised (mainly to achieve better clarity). 7. Throughout the document additional notes have been added and text revised to provide better understanding and avoid ambiguity. 8. A list of abbreviations has been added.

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Contents page 1. 2. 3. 4. 5.

Introduction Scope of document Glossary Premises Design of HVAC systems and components 5.1 General 5.2 Air distribution 5.3 Recirculation system 5.4 Full fresh-air systems 5.5 Additional system components 6. Protection 6.1 Products and personnel 6.2 Air filtration 6.3 Unidirectional airflow 6.4 Infiltration 6.5 Cross-contamination 6.6 Displacement concept (low pressure differential, high airflow) 6.7 Pressure differential concept (high pressure differential, low airflow) 6.8 Physical barrier concept 6.9 Temperature and relative humidity 7. Dust control 8. Protection of the environment 8.1 General 8.2 Dust in exhaust air 8.3 Vapour and fume removal 9. Commissioning, qualification and validation 9.1 General 9.2 Commissioning 9.3 Qualification 9.4 Supplementary notes on test procedures 10. Maintenance 11. Abbreviations References Further reading

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Introduction Heating, ventilation and air-conditioning (HVAC) play an important role in ensuring the manufacture of quality pharmaceutical products. A well designed HVAC system will also provide comfortable conditions for operators. These guidelines mainly focus on recommendations for systems for manufacturers of solid dosage forms. The guidelines also refer to other systems or components which are not relevant to solid dosage form manufacturing plants, but which may assist in providing a comparison between the requirements for solid dosage-form plants and other systems. HVAC system design influences architectural layouts with regard to items such as airlock positions, doorways and lobbies. The architectural components have an effect on room pressure, differential cascades and crosscontamination control. The prevention of contamination and crosscontamination is an essential design consideration of the HVAC system. In view of these critical aspects, the design of the HVAC system should be considered at the concept design stage of a pharmaceutical manufacturing plant. Temperature, relative humidity and ventilation should be appropriate and should not adversely affect the quality of pharmaceutical products during their manufacture and storage, or the accurate functioning of equipment. This document aims to give guidance to pharmaceutical manufacturers and inspectors of pharmaceutical manufacturing facilities on the design, installation, qualification and maintenance of the HVAC systems. These guidelines are intended to complement those provided in Good manufacturing practices for pharmaceutical products (1) and should be read in conjunction with the parent guide. The additional standards addressed by the present guidelines should, therefore, be considered supplementary to the general requirements set out in the parent guide. Scope of document These guidelines focus primarily on the design and good manufacturing practices (GMP) requirements for HVAC systems for facilities for the manufacture of solid dosage forms. Most of the system design principles for facilities manufacturing solid dosage forms also apply to facilities manufacturing other dosage forms and other classes of products including biological products, herbal medicines, complimentary medicines and finishing process steps for APIs . Additional specific requirements apply for handling of sterile products and hazardous products. Guidelines for hazardous, sterile and biological product facilities are covered in separate

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WHO guidelines (WHO Technical Report Series, No. 957, Annex 3, Technical Report Series, No. 961 Annex 6 and working document WHO/BS/2015.2253, intended to replace Technical Report Series, No. 822, Annex 1, 1992, respectively). These guidelines are intended as a basic guide for use by pharmaceutical manufacturers and GMP inspectors. They are not intended to be prescriptive in specifying requirements and design parameters. There are many parameters affecting a clean area condition and it is, therefore, difficult to lay down the specific requirements for one particular parameter in isolation. Many pharmaceutical manufacturers have their own engineering design and qualification standards, and requirements may vary from one manufacturer to the next. Design parameters and user requirements should, therefore, be set realistically for each project, with a view to creating a cost-effective design, yet still complying with all regulatory standards and ensuring that product quality and safety are not compromised. The three primary aspects addressed in this manual are the roles that the HVAC system plays in product protection, personnel protection and environmental protection (Figure 2). Cognizance should be taken of the products to be manufactured when establishing system design parameters. A facility manufacturing multiple different products may have more stringent design parameters with respect to cross-contamination control, compared with a single product facility. Risk assessment studies should be an integral part of the facility design and implementation, from the URS stage right through to validation, as indicated in the diagram below (Figure 1). Validation protocols and criteria should be justified by links to a written risk assessment.

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Figure 1

207

GMP compliance sequence diagram PROJECT INCEPTION

NC

E

USER REQUIREMENT SPECIFICATION

QUALIFICATION & VALIDATION

FACILITY LAYOUTS RISK RISK ASSESSMENT ASSESSMENT STUDIES STUDIES

C OM

Installations

P M

A

ENERGY EFFICIENCY STUDIES

G 209 210

CE

208

N

HVAC & SERVICES DESIGNS

PL I

M CO

C OM PL I A

GM P

PL I A NC E

GM

P

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Figure 2 The guidelines address the various system criteria according to the sequence set out in this diagram

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Glossary The definitions given below apply to terms used in these guidelines. They may have different meanings in other contexts. acceptance criteria Measurable terms under which a test result will be considered acceptable. action limit The action limit is reached when the acceptance criteria of a critical parameter have been exceeded. Results outside these limits will require specified action and investigation. air changes per hour The volume of air supplied to a room, in m3/hr, divided by the room volume, in m3. air-handling unit The air-handling unit serves to condition the air and provide the required air movement within a facility. airflow protection booth A booth or chamber, typically for purposes of carrying out Sampling or Weighing, in order to provide product containment and operator protection. Similar to UDAF protection but not necessarily a Grade A condition. airlock An enclosed space with two or more doors, which is interposed between two or more rooms, e.g. of differing classes of cleanliness, for the purpose of controlling the airflow between those rooms when they need to be entered. An airlock is designed for and used by either people or goods (PAL, personnel airlock; MAL, material airlock). alert limit The alert limit is reached when the normal operating range of a critical parameter has been exceeded, indicating that corrective measures may need to be taken to prevent the action limit being reached. as-built Condition where the installation is complete with all services connected and functioning but with no production equipment, materials or personnel present. at-rest Condition where the installation is complete with equipment installed and

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operating in a manner agreed upon by the customer and supplier, but with no personnel present. central air-conditioning unit (see air-handling unit) change control A formal system by which qualified representatives of appropriate disciplines review proposed or actual changes that might affect a validated status. The intent is to determine the need for action that would ensure that the system is maintained in a validated state. clean area (cleanroom)11 An area (or room or zone) with defined environmental control of particulate and microbial contamination, constructed and used in such a way as to reduce the introduction, generation and retention of contaminants within the area. closed system A system where the product or material is not exposed to the manufacturing environment. commissioning Commissioning is the documented process of verifying that the equipment and systems are installed according to specifications, placing the equipment into active service and verifying its proper action. Commissioning takes place at the conclusion of project construction but prior to validation. containment A process or device to contain product, dust or contaminants in one zone, preventing it from escaping to another zone. contamination The undesired introduction of impurities of a chemical or microbial nature, or of foreign matter, into or on to a starting material or intermediate, during production, sampling, packaging or repackaging, storage or transport. controlled area An area within the facility in which specific environmental facility conditions and procedures are defined, controlled, and monitored to prevent degradation or cross-contamination of the product. 1

Note: Clean area standards, such as ISO 14644-1, provide details on how to classify air cleanliness by means of particle concentrations, whereas the GMP standards provide a grading for air cleanliness in terms of the condition (at-rest or operational), the permissible microbial concentrations, as well as other factors such as gowning requirements. GMP and clean area standards should be used in conjunction with each other to define and classify the different manufacturing environments.

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controlled-not classified An area where some environmental conditions are controlled (such as temperature), but the area has no cleanroom classification critical parameter or component A processing parameter (such as temperature or relative humidity) that affects the quality of a product, or a component that may have a direct impact on the quality of the product. critical quality attribute A physical, chemical, biological or microbiological property or characteristic that should be within an appropriate limit, range or distribution to ensure the desired product quality. cross-contamination Contamination of a starting material, intermediate product or finished product with another starting material or product during production. design condition Design condition relates to the specified range or accuracy of a controlled variable used by the designer as a basis for determining the performance requirements of an engineered system. design qualification Design qualification is the documented check of planning documents and technical specifications for conformity of the design with the process, manufacturing, GMP and regulatory requirements. direct impact system A system that is expected to have a direct impact on product quality. These systems are designed and commissioned in line with good engineering practice and, in addition, are subject to qualification practices. exfiltration Exfiltration is the egress of air from a controlled area to an external zone. facility The built environment within which the clean area installation and associated controlled environments operate together with their supporting infrastructure. good engineering practice Established engineering methods and standards that are applied throughout the project life-cycle to deliver appropriate, cost-effective solutions.

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hazardous substance or product A product or substance that may present a substantial risk of injury to health or to the environment HVAC Heating, ventilation and air-conditioning. Also referred to as Environmental control systems indirect impact system This is a system that is not expected to have a direct impact on product quality, but typically will support a direct impact system. These systems are designed and commissioned according to good engineering practice only. infiltration Infiltration is the ingress of air from an external zone into a controlled area. installation qualification Installation qualification is documented verification that the premises, HVAC system, supporting utilities and equipment have been built and installed in compliance with their approved design specification. Most penetrating particle size (MPPS) MPPS is a means of determining HEPA & ULPA filter efficiencies. The MPPS is the particle size with the highest penetration for a defined filter medium. (MPPS Integral overall efficiency is the efficiency, averaged over the whole superficial face area of a filter element under a given operating conditions of the filter. MPPS local efficiency is the efficiency, at a specific point of the filter element under given operating conditions of the filter) NLT Not less than NMT Not more than 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 according to good engineering practice only. non-critical parameter or component A processing parameter or component within a system where the operation,

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contact, data control, alarm or failure will have an indirect impact or no impact on the quality of the product. normal operating range The range that the manufacturer selects as the acceptable values for a parameter during normal operations. This range must be within the operating range. OOS Out of specification operating limits The minimum and/or maximum values that will ensure that product and safety requirements are met. operating range Operating range is the range of validated critical parameters within which acceptable products can be manufactured. operational condition This condition relates to carrying out room classification tests with the normal production process with equipment in operation, and the normal staff present in the specific room. operational qualification (OQ) Operational qualification is the documentary evidence to verify that the equipment operates in accordance with its design specifications in its normal operating range and performs as intended throughout all anticipated operating ranges. oral solid dosage (OSD) Usually refers to an OSD plant that manufactures medicinal products such as tablets, capsules and powders to be taken orally. pass-through-hatch (PTH) or pass box (PB) A cabinet with two or more doors for passing equipment or product, whilst maintaining the pressure cascade and segregation between two controlled zones. A passive PTH has no air supply or extract. A dynamic PTH has an air supply into the chamber. performance qualification (PQ) Performance qualification is the documented verification that the process and/ or the total process related to the system performs as intended throughout all anticipated operating ranges.

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point extraction Air extraction to remove dust with the extraction point located as close as possible to the source of the dust. pressure cascade A process whereby air flows from one area, which is maintained at a higher pressure, to another area at a lower pressure. qualification Qualification is the planning, carrying out and recording of tests on equipment and a system, which forms part of the validated process, to demonstrate that it will perform as intended. quality critical process parameter (QCPP) A process parameter which could have an impact on the critical quality attribute. relative humidity The ratio of the actual water vapour pressure of the air to the saturated water vapour pressure of the air at the same temperature expressed as a percentage. More simply put, it is the ratio of the mass of moisture in the air, relative to the mass at 100% moisture saturation, at a given temperature. standard operating procedure (SOP) An authorized written procedure, giving instructions for performing operations, not necessarily specific to a given product or material, but of a more general nature (e.g. operation of equipment, maintenance and cleaning, validation, cleaning of premises and environmental control, sampling and inspection). Certain SOPs may be used to supplement product-specific master and batch production documentation. turbulent flow Turbulent flow, or non-unidirectional airflow, is air distribution that is introduced into the controlled space and then mixes with room air by means of induction. unidirectional airflow (UDAF) Unidirectional airflow is a rectified airflow over the entire cross-sectional area of a clean zone with a steady velocity and approximately parallel streamlines (see also turbulent flow). validation

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The documented act of proving that any procedure, process, equipment, material, activity or system actually leads to the expected results. validation master plan (VMP) Validation master plan is a high-level document which establishes an umbrella validation plan for the entire project, and is used as guidance by the project team for resource and technical planning (also referred to as master qualification plan). Premises There is a close relationship between architectural design and HVAC design, as they both have an impact on the functionality of the other. HVAC system design influences architectural layouts with regard to items such as airlock positions, doorways and lobbies. The architectural layouts and building components have an effect on room pressure differential cascades and cross-contamination control. The prevention of contamination and cross-contamination is an essential design consideration of the HVAC system. In view of these critical aspects, the design of the HVAC system should be considered at the concept design stage of a pharmaceutical manufacturing plant, and the design should be closely co-ordinated with the architectural designers. In addition the architectural layout must ensure that the material flow is in a logical sequence, excluding material flow reversals where possible. As the efficient operation of the air-handling system and cleanliness levels attained are reliant on the correct building layout and building finishes, the following items should be considered. 4.2.1. Adequate airlocks, such as personnel airlocks (PAL) and/or material airlocks (MAL), change rooms and passages should be provided to protect passage between different cleanliness conditions. These should have supply and extract air systems as appropriate. 4.2.2. Areas such as airlocks, change rooms and passages, should be designed so that the required pressure cascades can be achieved. 4.2.3. Detailed diagrams depicting pressure cascades, air flow directions and flow routes for personnel and materials should be prepared and maintained.

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4.2.4. Where possible, personnel and materials should not move from a higher cleanliness zone to a lower cleanliness zone and back to a higher cleanliness zone (if moving from a lower cleanliness zone to a higher cleanliness zone, changing /decontamination procedures should be followed). 4.2.5. The final stage of the changing room should be the same GMP classification grade as the area into which it leads. Changing rooms should be of a sufficient size to allow for ease of changing. Changing rooms should be equipped with mirrors so that personnel can confirm the correct fit of garments before leaving the changing room. Appropriate hand wash and sanitizing facilities should be provided. Hand-wash basins should be provided with elbow taps or sensor operated taps. 4.2.6. Door gaps around the door perimeter have a marked impact on the pressure differential across the doorway. The fit of the doors should be agreed upon between the architect and the HVAC designer to ensure that the correct leakages are allowed for. Likewise the maintenance of doors is a critical factor in room pressure control (a poorly fitting door can severely compromise a room pressure differential). 4.2.7. Where the opening and closing of airlock doors could lead to crosscontamination, these airlock doors should not be opened simultaneously. An interlocking system and a visual and/or audible warning system should be operated to prevent the opening of more than one door at a time. 4.2.8. Doors should be carefully designed to avoid un-cleanable recesses; sliding doors may be undesirable for this reason. Swing doors should open to the high-pressure side and be provided with self-closers. Exceptions are permitted based on egress and site environmental, fire, health and safety containment requirements. 4.2.9. The choice of building finishes and materials also has an impact on air conditioning performance and air cleanliness. Materials should be selected that will provide a well-sealed building to facilitate room pressure control. Materials and paint finishes should also be non-dust and particle liberating as this impacts on room cleanliness. Finishes should be easy to clean and non-absorbent. To reduce the accumulation of dust and to facilitate cleaning, there should be no un-cleanable recesses and a minimum of projecting ledges, shelves, cupboards and equipment.

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The following diagrams illustrate some typical room and suite layouts with their associated room pressures. These are purely examples and other factors may dictate different room arrangements and room pressures. Figure 3 Typical weigh booth layout

Material Flow

Dispensary Post-Staging Room 35 Pa

Change Room

Pallet

SOB

Perforated Worktop 35 Pa

BIN

BIN

BIN

BIN

BIN

Table Scale

25 Pa BIN

BIN

Airflow Protection Plenum

Wash Bay Floor Scale Material Flow

35 Pa

Dispensary Pre-Staging Room

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15 Pa

Return Air Shaft

Weigh Booth

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Figure 4 Typical dispensary suite

Production Passage

Dispensary Post-Staging Room

MAL

Change Room

Airflow Protection Plenum

MAL

Wash Bay

Change Room

Weigh Booth 2

Return Air Shaft

Return Air Shaft

Weigh Booth 1

MAL

Airflow Protection Plenum

MAL

Brocken Bulk Store

Wash Bay

MAL

MAL Material Flow

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Warehouse Area

Dispensary Pre-Staging Room

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Figure 5 Sampling booth for small volumes

SOB Return Air Shaft

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Figure 6 Sampling Booth for larger volumes

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Figure 7 Change rooms and ablution layouts

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Figure 8 Compression cubicle with change room and MAL

L R ow et L ur ev n el Ai r

Passage

l ve r L e Ai w rn L o e tu R

SOB

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Figure 9 Compression cubicle without change room and MAL (inclusion of airlocks dependant on risk assessment)

L R ow et L ur ev n el Ai r

15 Pa

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30 Pa Supply Air Grille

Passage

l ve r L e Ai w rn Lo etu R

Compression Cubicle

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Passage

Figure 10 Wash-bay suite

Material Flow

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Design of HVAC systems and components General 5.1.1. The required degree of air cleanliness in most OSD manufacturing facilities can normally be achieved without the use of high-efficiency particulate air (HEPA) filters, provided the air is not recirculated or in the case of a single-product facility. Many open product zones of OSD form facilities are capable of meeting ISO 14644-1 Class 8 or Grade D, “at-rest” condition, measured against particle sizes of 0.5 µm and 5 µm, but cleanliness may not necessarily be classified as such by manufacturers. 5.1.2. A risk assessment should be carried out to determine the cleanroom conditions required and the extent of validation required. 5.1.3. There are two basic concepts of air delivery to pharmaceutical production facilities: a recirculation system, and a full fresh air system

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(100% outside air supply). For recirculation systems the amount of fresh air should not be determined arbitrarily on a percentage basis, but, for example, by the following criteria: • •

• •

sufficient fresh air to compensate for leakage from the facility and loss through exhaust air systems; sufficient fresh air to comply with national building regulations (depending on occupant density, between 1 and 2.5 ACPH will often satisfy occupancy requirements); sufficient fresh air for odour control; sufficient fresh air to provide the required building pressurization

5.1.4. Where automated monitoring systems are used, these should be capable of indicating any out-of-specification (OOS) condition without delay by means of an alarm or similar system. Sophisticated computerbased data monitoring systems may be installed, which can aide with planning of preventive maintenance and can also provide trend logging. (This type of system is commonly referred to as a building management system (BMS), building automation system (BAS) or system control and data acquisition (SCADA) system. If these systems are used for critical decision-making, they should be validated. If the BMS is not validated in full (or in part for these critical parameters), an independent validated environmental monitoring system (EMS) should be provided, specifically for recording and alarming critical parameters. Critical parameters could include for example, room temperature in production areas, humidity, differential pressures, fan failure alarms, etc.) , 5.1.5. Failure of a supply air fan, return air fan, exhaust air fan or dust extract system fan can cause a system imbalance, resulting in a pressure cascade malfunction with a resultant airflow reversal. 5.1.6. A fan interlock failure matrix should be set up, such that if a fan serving a high pressure zone fails, then any fans serving surrounding lower pressure areas should automatically stop, to prevent an airflow reversal and possible cross-contamination. This fan stop-start matrix should apply to the switching on and switching off of systems to ensure that there is no flow reversal causing cross-contamination. 5.1.7. Appropriate alarm systems should be in place to alert personnel if a critical fan fails All critical alarms should be easily identifiable and visible and/or audible to relevant personnel.

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Air distribution 5.2.1. The positioning of supply and extract grilles should be such as to provide effective room flushing. Low-level return or exhaust air grilles are usually preferred. However, where this is not possible, a higher air change rate may be needed to achieve a specified clean area condition, e.g. where ceiling return air grilles are used. 5.2.2. There may be alternative locations for return air. For example, referring to Figure 11, Room 1 (low-level return air) and Room 2 (ceiling return air)..

HEPA Filter

Secondary Filter

Supply Air Fan

Figure 11 Air-handling system with high-efficiency particulate air filters in airhandling unit Primary Filter

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Cooling Coil

5.2. 659

676 677 678 679 680 681 682 683

The airflow schematics of the two systems (Figures 1 1 and 1 2) indicate air-handling units with return air or recirculated air, having a percentage of fresh air added. Depending on product characteristics and dust loading it is sometimes preferable to fit filters on return air outlets or in return air ducting.

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Figure 12 is a schematic diagram of an air-handling system serving rooms with horizontal unidirectional flow, vertical unidirectional flow and turbulent flow, for rooms 3, 4 and 5, respectively. In this case the HEPA filters are terminally mounted at the rooms, and not in the AHU. Terminally mounted HEPA filters can assist with preventing crosscontamination from room to room in the event of a fan failure condition. The decision whether to install terminal HEPA filters should be based on a risk-assessment study.

Secondary Filter

Supply Air Fan

HEPA Filters

Cooling Coil

Figure 12 Horizontal unidirectional flow, vertical unidirectional flow and turbulent flow Primary Filter

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699 700 5.3. 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715

Recirculation system 5.3.1. There should be no risk of contamination or cross-contamination (including by fumes and volatiles) due to recirculation of air. 5.3.2. Depending on the airborne contaminants in the return-air system it may be acceptable to use recirculated air, provided that HEPA filters are installed in the supply air stream (or return air stream) to remove contaminants and thus prevent cross-contamination. The HEPA filters for this application should have an EN 1822 classification of H13. 5.3.3. HEPA filters may not be required where the air-handling system is serving a single product facility and there is evidence that crosscontamination would not be possible.

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5.3.4. Recirculation of air from areas where pharmaceutical dust is not generated such as secondary packing, may not require HEPA filters in the system. 5.3.5. HEPA filters may be located in the air-handling unit or placed terminally. Where H E P A fi l t e r s a r e t e r m i n a l l y m o u n t e d t h e y s h o u l d preferably not be connected to the ducting by means of flexible ducting. Due to the high air pressure required for the terminal filter, this connection should preferably be a rigid duct connection. Where flexible ducting is used, it should be as short as possible and properly fixed to withstand duct pressure. When HEPA filters are terminally mounted, it should be possible to carry out filter integrity tests from within the room. The filter housings will therefore require ports for measuring appropriate upstream concentration (refer to ISO 14644.3) and penetration concentration from within the room. In addition it should be possible to monitor the filter pressure drop in individual HEPA filters. 5.3.6. Air containing dust from highly toxic processes and/or solvents or flammable vapours should never be recirculated to the HVAC system.

Full fresh-air systems 5.4.1. The required degree of filtration of the exhaust air depends on the exhaust air contaminants and local environmental regulations. HEPA filters in the exhaust system would normally only be required when handling hazardous materials. Figure 13 indicates a system operating on 100% fresh air and would normally be used in a facility dealing with toxic products or solvents, where recirculation of air with contaminants should be avoided.

Working document QAS/15.639 page 27 751 752 753 754

755 756 757

Figure 13 Full fresh-air system

Working document QAS/15.639 page 28

HEPA Filter

Secondary Filter Primary Filter

Secondary Filter

HEPA Filter

Exhaust Air Fan

Fresh Air

Cooling Coil

Supply Air Fan

Figure 14 Full fresh-air system with energy recovery Primary Filter

758 759 760

761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 5.5. 777 778 779 780 781 782 783

5.4.2. Energy-recovery wheels if used in multiproduct facilities should have been subjected to a risk assessment to determine if there is any risk of cross-contamination. When such wheels are used they should not become a source of possible contamination (see Figure 14). Note: Alternatives to the energy-recovery wheels, such as crossover plate heat exchangers and water-coil heat exchangers, may be used in multiproduct facilities. 5.4.3. The potential for air leakage between the supply air and exhaust air as it passes through the wheel should be prevented. The relative pressures between supply and exhaust air systems should be such that the exhaust air system operates at a lower pressure than the supply system. Additional system components 5.5.1. A schematic diagram of the airflow for a typical system serving a low relative humidity suite is represented in Figure 15. Air can be dried with a chemical drier (e.g. a rotating desiccant wheel which is continuously regenerated by means of passing hot air through one segment of the wheel). Alternative methods of drying air are also available.

Working document QAS/15.639 page 29 784 785

Figure 15 Air-handling system with chemical drying CHEMICAL DRIER UNIT Reactivation Air Fan

Chemical Drier Desiccant Wheel

= Supply Air = Return Air = Fresh Air = Exhaust Air

S

F E

Secondary Filter

-

HEPA Filter

AIR HANDLING UNIT Supply Air Fan

+

Primary Filter

R

Cooling Coil

F

Fresh Air

Process Air Fan

Primary Filter

Reactivation Heater

E

S

R +

S

LOW HUMIDITY PRODUCTION FACILITY

R

R

786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808

R

5.5.2. The figure illustrates the chemical drier handling part of the fresh air/return air mixture on a bypass flow. The location of the chemical drier should be considered in the design phase. The practice of locating the complete chemical drier unit in the production cubicle is not recommended as this could be a source of contamination or cross-contamination. Examples of appropriate locations for the drying wheel could include: — full flow of fresh/return air; — partial handling of fresh/return air (bypass airflow); — return air only; — fresh air only; or — pre-cooled air with any of the above alternatives. 5.5.3. Possible additional components that may be required in air handling should be considered depending on the climatic conditions and locations. These may include items such as: ‒ ‒ ‒ ‒

frost coils on fresh air inlets in very cold climates to preheat the air; reheaters for humidity control automatic air volume control devices sound attenuators

Working document QAS/15.639 page 30 809 810 811 812 813 814 815 8166. 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852

‒ ‒ ‒ ‒

snow eliminators to prevent snow entering air inlets and blocking airflow dust eliminators on air inlets in arid and dusty locations moisture eliminators in humid areas with high rainfall fresh air precooling coils for very hot or humid climates.

Protection 6.1.

Products and personnel

6.1.1. Areas for the manufacture of pharmaceuticals, where pharmaceutical starting materials and products, utensils, primary packing materials and equipment are exposed to the environment, should be defined as “clean areas”, “clean zones”, “controlled areas” or “cleanrooms”. 6.1.2. The achievement of a particular clean area condition depends on a number of criteria that should be addressed at the design and qualification stages. A suitable balance between the different criteria will be required in order to create an efficient clean area. 6.1.3. Some of the basic criteria to be considered which affects room cleanliness should include: • • • • • • • • • • • • • • • •

building finishes and structure• dust control and containment air filtration air change rate or flushing rate room pressure location of air terminals and directional airflow temperature relative humidity material flow personnel flow gowning procedures equipment movement process being carried out (open or closed system) outside air conditions occupancy type of product cleaning standard operating procedures (SOPs).

6.1.4. Air filtration and air change rates should be set to ensure that the defined clean area condition is attained.

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6.1.5. The air change rates should be determined by the manufacturer and designer, taking into account the various critical parameters using a risk based approach with due consideration of capital and running costs and energy usage. Primarily the air change rate should be set to a level that will achieve the required clean area condition. 6.1.6. Air change rates are normally determined by the following considerations (could normally vary between 6 and 20 air changes per hour): •

• • • • • • • • •

area condition required: whether a specific room cleanliness condition is in fact required and whether the room condition is rated for an “at rest” condition or an “operational” condition (air change rate should be selected on need rather than tradition); the product characteristics (e.g. odours, hygroscopicity, etc.); the quality and filtration of the supply air; particulates generated by the manufacturing process; particulates generated by the operators; configuration of the room and air supply and extract locations; sufficient air to achieve containment effect and to clean up the area; sufficient air to cope with the room heat load; sufficient air to balance extract rates; sufficient air to maintain the required room pressure.

6.1.7. If a cleanroom classification is specified, the manufacturer should state whether this is achieved under “as-built” (Figure 16), “at-rest” (Figure 17) or “operational” (Figure 18) conditions. 6.1.8. Room classification tests in the “as-built” condition should be carried out on the bare room, in the absence of any equipment or personnel. 6.1.9. Room classification tests in the “at-rest” condition should be carried out with the equipment operating where relevant, but without any operators. Because of the amounts of dust usually generated in a solid dosage facility, the clean area classifications would be rated for the “at-rest” condition. 6.1.10. Room classification tests in the “operational” condition are normally carried out during the normal production process with equipment operating, and the normal number of personnel present in the room. When qualifying for the operational condition details of the process operating, number and positions of staff should be stipulated for each room, to enable future qualifications to duplicate the same conditions. 6.1.11. Room clean-up or recovery tests are performed to determine whether the installation is capable of returning to a specified cleanliness

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917 918 919 920

level within a finite time, after being exposed briefly to a source of airborne particulate challenge. Room “clean-up” or “recovery” tests should demonstrate a change in particle concentration by a factor of 100 within the prescribed time (as per ISO 14644-3 clause B.12) (3). The guidance time period for clean-up or recovery is about 15 to 20 minutes. In some instances it is not possible to increase the concentration by a factor of 100 (such as for an ISO 14644 Class 8 condition) as the high particle concentration can damage the particle counter. In this instance the particle decay method can be used as per ISO 14644-3 clause B.12.3.2. 6.1.12. Materials and products should be protected from contamination and cross-contamination during all stages of manufacture (see also section 6.5 for cross-contamination control). Note: contaminants may result from inappropriate premises (e.g. poor design, layout or finishing), poor cleaning procedures, contaminants brought in by personnel, poor manufacturing process and a poor HVAC system. Figure 16 “As-built” condition

Working document QAS/15.639 page 33 921 922

Figure 17 “At-rest” condition

923 924 925 926

Figure 18 “Operational” condition

927

Working document QAS/15.639 page 34 928 929 930 931 932 933 934 935 936 937 938 939 940 941 942 943 944 945 946 947 948 949 950 951

6.1.13. Airborne contaminants should be controlled through effective ventilation and filtration. 6.1.14. External contaminants should be removed by effective filtration of the supply air (see Figure 19 for an example of a shell-like building layout to enhance containment and protection from external contaminants). 6.1.15. Internal contaminants should be controlled by dilution and flushing of contaminants in the room, or by displacement airflow (See Figures 20 and 21 for examples of methods for the flushing of airborne contaminants). 6.1.16. Airborne particulates and the degree of filtration should be considered critical parameters with reference to the level of product protection required. 6.1.17. Personnel should not be a source of contamination. 6.1.18. The level of protection and air cleanliness for different areas should be determined according to the product being manufactured, the process being used and the product’s susceptibility to degradation (Table 3).

Working document QAS/15.639 page 35

Figure 19 Shell-like containment control concept

Waste Exit

Personnel Movement

Personnel Movement

952 953 954

955 956 957 958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975 976

6.2.

Air filtration

Note: The degree to which air is filtered plays an important role in the prevention of contamination and the control of cross-contamination. 6.2.1. The type of filters required for different applications depends on the quality of the ambient air and the return air (where applicable) and also on the air change rates. Table 4 gives the recommended filtration levels for different levels of protection in a pharmaceutical facility. Manufacturers should determine and prove the appropriate use of filters. 6.2.2. Filter classes should always be linked to the standard test method because referring to actual filter efficiencies can be very misleading (as different test methods each result in a different efficiency value for the same filter). (Referring to filter classifications such as an 85% filter or a 5 µm filter are not valid classifications and should not be used, as this can lead to the incorrect filter being installed. Only the EN 779 and EN 1822 or ISO 29463 classifications, as per Tables 1 and 2, should be used.)

Working document QAS/15.639 page 36

Table 1 Comparison of filter test standards

EU 14 EU 13 EU 12 EU 11 EU 10 EU 9 EU 9 EU 8

Merv rating

Average arrestance Am (%)

Average dust spot efficiency Em (%)

Merv 18 Merv 17

Merv Merv Merv Merv

16 15 14 13

EU 7 Merv 12 EU 6 Merv 11

EU 5

Merv 10 Merv 9 Merv 8 Merv 7

EU 4 EU 3

EU 2 EU 1

981

Merv 6 Merv 5 Merv 4 Merv 3 Merv 2 Merv 1

>98 >98 >95 >95 >95 >95 >95 >95 >95 >95 >90 >90 90 85 80 75 70 65 95 95 90 85 80 75 70 65 60 55 50 45 40 35 30 25 20 ISO 5) tests to be in accordance with ISO 14644-1 Annex B.2 Log of pressure differential 12 months readings to be produced - critical plants should be logged daily, preferably continuously. In accordance with ISO 14644-3 Airflow readings for supply air and return air grilles to be measured 12 months and air change rates to be calculated. In accordance with ISO 14644-3 Annex B.4 Air velocities for containment systems and unidirectional flow 12 months protection systems to be measured. In accordance with ISO 14644-3 Annex B.4

Working document QAS/15.639 page 70

Filter penetration tests to be carried out by a competent person to 12 months demonstrate filter media, filter seal (to verify filter and filter frame integrity.. In integrity) accordance with ISO 14644-3 Annex B.6 Demonstrate that contaminant is Containment leakage (to verify absence of maintained within a room by cross-contamination) means of: 12 months • airflow direction smoke tests HEPA filter leakage tests

• room air pressures. In accordance with ISO 14644-3 Annex B.13 Recovery (to verify clean-up time) Room temperatures (to verify temperature tolerance adherence)

Warehouse and store temperatures (to verify temperature mapping conditions)

Room Humidities (To verify humidity tolerance adherence)

Test to establish time that a 12 months cleanroom takes to recover from a contaminated condition to the specified cleanroom condition. In Demonstrate that room temperatures at determined 12 months locations comply with specified tolerances. In accordance with ISO 14644-3 Annex B.8.2 Demonstrate that store temperatures are uniform within specified tolerances In accordance with WHO 45th 36 months report (WHO Technical Report Series, No. 961), Annex 9 and WHO 49th report (WHO Technical Report Series, No. 992), Annex 5 plus Supplements 1 to 16 Demonstrate that room humidities at determined locations comply 12 months with specified tolerances. In accordance with ISO 14644-3 Annex B.9.2

Working document QAS/15.639 page 71 1817 1818 1819 1820 1821 1822 1823 1824 1825 1826 1827 1828

9.6.17. Requalification should also be done when any change, which could affect system performance, takes place.

1829 1830 1831 1832

In some instances it is not possible to increase the concentration by a factor of 100 (such as for an ISO 14644 Class 8 condition) as the high particle concentration can damage the particle counter. In this instance the particle decay method can be used as per ISO 14644-3 clause B.12.3.2.

1833 1834 1835 1836 1837

9.6.19. If energy-saving procedures such as reducing the airflow during non-production hours are used, precautionary measures should be in place to ensure that the systems are not operated outside the defined relevant environmental conditions.

1838 1839 1840 1841 1842

These precautionary measures should be based on a risk assessment to ensure that there is no negative impact on the quality of the product. Qualification tests should be carried out to demonstrate that there are no flow reversals, loss of room pressurisation cascade, temperature, humidity excursions, etc.

1843 1844 1845 1846 1847 1848

9.6.20. Additional documents that should be included in the qualification manuals should include system airflow schematics, room pressure cascade drawings, zone concept drawings, air-handling system allocation drawings, particle count mapping drawings, etc.

9.6.18. Room clean-up or recovery tests are performed to determine whether the installation is capable of returning to a specified cleanliness level within a finite time, after being exposed briefly to a source of airborne particulate challenge. Room clean-up or recovery tests should demonstrate a change in particle concentration by a factor of 100 within the prescribed time (as per ISO 14644-3 clause B.12) (3). The guidance time period for clean-up or recovery is about 15 to 20 minutes.

Working document QAS/15.639 page 72 1849 1850 1851 1852 1853 1854 1855 1856 1857 1858 1859 1860 1861 1862 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889

9.7.

Supplementary notes on test procedures

9.7.1.

General

9.7.1.1. Tests should be carried as described in ISO 14644-3. However below are some supplementary notes and aspects that provide additional guidance. 9.7.2. Airflow measurements 9.7.2.1. The ISO 14644 method - "B.4.3.3 Supply airflow rate calculated from filter face velocity" - should not be used to measure the airflow at diffuser outlets. The diffuser air directional blades or swirl outlets result in highly inaccurate measurements. 9.7.2.2. The cone and anemometer method is more accurate. Other methods can be used such as volume flow regulators with built in orifice and pressure differential ports, whereby airflow can be read off a graph from the corresponding pressure differentials. 9.7.3.

Non-viable air particle counts

9.7.3.1. Particle count test results should be calculated using the UCL (upper confidence level) formulas as described in ISO 14644-3, if there are up to nine locations. The practice of using the average value of all particle count readings as the pass criteria is not acceptable. 9.7.3.2. Ensure that the test certificate states the condition under which the test was taken i.e. “as built”, “at-rest” or “operational”. The operational condition should be clearly defined for each room. (For example: number of staff, staff locations, manner of equipment operating, etc.) 9.7.3.3. ISO 14644-1 clause B.4.3.42 states that when only one test location is determined by formula, “take a minimum of three single sample volumes (B.4.2) at that location.” A more representative result would be obtained by taking a single sample at each of three different locations in that room. The actual locations should be based on a risk assessment. 9.7.3.4. In addition to determining the number of the sampling locations based on the area of the clean room, a risk assessment should

Working document QAS/15.639 page 73 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 10.1. 1929 1930 1931

determine if additional sample locations are warranted. Consider aspects such as personnel and/or production activities and air flow dead spots. 9.7.3.5. Where a UDAF is located within a room the UDAF and its background environment should be considered separately in terms of sampling location calculations, and should be individually certified. 9.7.3.6. The mapping drawing indicating test location should be included with the test certificate, and the same mapping locations should be used for future tests for comparative purposes. 9.7.4. HEPA filter integrity tests 9.7.4.1. Filter media, frame and seal should be tested for each filter and results for media, frame and seal penetration reflected separately on the test certificates. 9.7.4.2. When HEPA filters are terminally mounted at the room, it should be possible to carry out filter integrity tests from within the room. The filter housings will therefore require ports for measuring appropriate upstream concentration and penetration concentration from within the room. In addition it should be possible to measure the filter pressure drop in individual HEPA filters, also preferably from within the room. These pressure drops should be recorded on the filter test certificate as an indication of the filter life. (The practice of measuring the appropriate upstream concentration from the ceiling void or at the air handling plantroom, and then measuring the filter penetration concentration in the room is unacceptable. The time lag between measuring the upstream concentration and the penetration concentration could mean that by the time the room penetration is measured, the upstream concentration is no longer the required concentration.) 9.7.4.3. the product. 10.

The test procedure should not compromise the quality of

Maintenance

Maintenance records, maintenance procedures and Operating & Maintenance Manuals should be sufficient to indicate that the company has control over the HVAC systems. There should be a planned preventive maintenance programme, procedures and records for the HVAC

Working document QAS/15.639 page 74 1932 1933 1934 1935 10.2. 1936 1937 1938 1939 1940 10.3. 1941 1942 1943 1944 1945 1946 10.4. 1947 1948 1949 10.5. 1950 1951 1952 10.6. 1953 1954 1955 10.7. 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977

system. Records should be kept for a sufficient length of time should they be required for any product defect analysis. O&M manuals, schematic drawings, protocols and reports should be maintained as reference documents for any future changes and upgrades to the system. These documents should be kept up to date, containing any system revisions made. The O&M manuals should typically contain the following information: system description, operating instructions, trouble shooting, commissioning data, maintenance instructions, list of equipment suppliers, spare parts list, equipment data/capacity schedules, supplier’s literature, control system description, electrical drawings and as-built drawings. Maintenance personnel should receive appropriate training, and training records should be kept. HEPA filters should be changed either by a specialist or a trained person, and then followed by installed filter leakage testing. Any maintenance activity should be assessed critically to determine any impact on product quality including possible contamination. Maintenance activities should normally be scheduled to take place outside production hours, and any system stoppage should be assessed with a view to the possible need for requalification of an area as a result of an interruption of the service. References 1.

Good manufacturing practices for pharmaceutical products: main principles. In: WHO Expert Committee on Specifications for Pharmaceutical Preparations Thirty-seventh report. Geneva, World Health Organization, 2003 (WHO Technical Report Series, No. 908), Annex 4. http://whqlibdoc.who.int/trs/WHO_ TRS_908_eng.pdf; Quality assurance of pharmaceuticals. A compendium of guidelines and related materials. Volume 2, Second updated edition. Good manufacturing practices and inspection. Geneva, World Health Organization, 2007; and Quality assurance of pharmaceuticals. A compendium of guidelines and related materials. Geneva, World Health Organization, 2015 (CD-ROM) (in print).

2.

Expert Committee on Specifications for Pharmaceutical Preparations.Fortieth report. Geneva, World Health Organization, 2005 (WHO Technical Report Series, No. 937)

Working document QAS/15.639 page 75 1978 1979

http://whqlibdoc.who.int/trs/WHO_TRS_937_eng.pdf.

1980 3. 1981 1982 1983 1984 1985

Technical supplements to Model guidance for the storage and transport of time- and temperature-sensitive pharmaceutical products. WHO Expert Committee on Specifications for Pharmaceutical Preparations. Forty Ninth report. Geneva, World Health Organization, 2015 (WHO Technical Report Series, No. 992), Annex 5.

1986 4. 1987 1988 1989 1990 1991

Model guidance for the storage and transport of time- and temperature-sensitive pharmaceutical products (jointly with the Expert Committee on Biological Standardization). WHO Expert Committee on Specifications for Pharmaceutical Preparations. Forty-fifth report. Geneva, World Health Organization, 2011 (WHO Technical Report Series, No. 961), Annex 9.

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Further reading Quality assurance of pharmaceuticals. A compendium of guidelines and related materials, Volume 1. Geneva, World Health Organization, 1997. Quality Assurance of Pharmaceuticals. A compendium of guidelines and related materials, Volume 2, Second updated edition. Good manufacturing practices and inspection. Geneva, World Health Organization, 2007. http:// www.who.int/medicines/areas/quality_safety/quality_assurance/productio n/ en/index.html; and Quality Assurance of Pharmaceuticals. A compendium of guidelines and related materials. Geneva, World Health Organization, 2015 (CD-ROM) (in print). World Health Organization. Supplements and updates available at: www.who.int/medicines. ASHRAE handbook 1999. HVAC Applications, SI edition. Atlanta, GA, ASHRAE, 2007. http://www.ashrae.org/technology/page/548. ASHRAE handbook 2000. HVAC Systems and Equipment. Atlanta, GA, ASHRAE, 2008. http://www.ashrae.org/technology/page/548. Daly BB. Woods practical guide to fan engineering. Colchester, Woods of Colchester Ltd. Third impression, June 1985. Cambridge, Cambridge University Press. www.flaktwoods.com.

Working document QAS/15.639 page 76 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051

European Commission. The rules governing medicinal products in the European Community, Volume IV. Good manufacturing practice for medicinal products. European Commission, Brussels, 2005. http://www.cen.eu/cenorm/ sectors/sectors/healthcare/index.asp. ISPE Baseline® pharmaceutical engineering guides, Volume 2. Oral solid dosage forms, Second Edition / November 2009, International Society for Pharmaceutical Engineering. http://www.ispe.org/. ISPE Baseline® pharmaceutical engineering guides for new and renovated facilities, Volume 5. Commissioning and qualification, 1st ed. Tampa, Fl, International Society for Pharmaceutical Engineering, 2001. http://www.ispe.org/. International Cleanroom Standards, ISO 14644. Geneva, International Organization for Standardization. http://www.iso.org/iso/standards_ development.htm. Luwa. Introduction to high efficiency filtration. Bulletin 50.10.10, Sheet 020. Pharmaceutical Inspectorate Convention/Pharmaceutical Inspection Co-operation Scheme. Guide to Good Manufacturing Practice for Medicinal Products. PH 1/97 (Rev. 3), 15 January 2002. PIC/s GMP Guide (PE 009) http://www.picscheme.org/publication.php?id=4. ICH Q9: “Quality Risk Management”, November 2005 http://www.ich.org. World Health Organization. Guidelines on quality risk management, Geneva, World Health Organization, 2013 (WHO Technical Report Series, No. 981), Annex 2). ***

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