NEWSLETTER No. 63 | March 2012 | 18th Year The Business Designers Pharma Compliance 1– 3 What Will the 16th AMG Amendment Entail? Operational Excellence 4 – 5 High Asset Utilization Due to EGO Medtech Compliance 6 – 7 How Compliant are Your Medical Devices? The Technology Designers Laboratory Planning 10 – 11 Labs Planned for Transformation Pharma Design / Qualification 12 – 13 The Hospital Pharmacy as a Pharmaceutical Manufacturer The Business Designers Career 14 – 15 Through Diploma Thesis to the Job Chemgineering Group Qualification / Validation 8 – 9 Qualification and Validation Alla Turca QuickNews 16 Engineering Strongly Positioned for Your Projects w! r no iste g e R logy o n h Tec m u ty For safe ent ought estm th «Inv o wellt due ing» n nz plan utte 2|M 1 0 4.2 27.0 m/ .co ring e gine m u hem w.c gie-for w w nolo tech What Will the 16th AMG Amendment Entail? Important changes to pharmaceutical drug safety for manufacturers Since December 2011, the ministerial draft bill of the 16th Amendment of the Pharmaceutical Law (AMG) and other pharmaceutical regulations are on hand. It is their goal to implement the new EU directives on pharmacovigilance,1 pharmaceutical drug safety as well as protection from falsification into German law. At nearly regular intervals of approximately two years, proceeding amendments of European directives, there follows an amendment of the German laws. This is a fact which clearly proves how important pharmaceutical safety adapted to the latest state of the art is to legislators. The planned update of the law is already the fifth amendment within the past ten years. The current draft, which is currently being discussed in different bodies, focuses No. 63 | March 2012 | 18th Year 1 Editorial: On our own account Dear Readers, «It is not the strongest or most intelligent species that survive, but those who adapt most quickly.» The significance of Darwin’s law can be observed not only in nature but also in day-to-day business life. Equally Chemgineering Group continuously adapts to the needs of clients and the market. Thus our business unit engineering – The Technology Designers – now has strengthened its cross-border market orientation by being led as one entity. In doing so, we achieve an efficient engineering organization as well as a harmonized know-how development in specialist disciplines across state and company borders. In addition, Chemgineering has boosted market activities in Austria. We successfully acquired some significant projects and expanded our engineering team with new professionals as well as experienced employees from Chemgineering Group. With their help we are intensifying our on-site support for you. You can only benefit from this novelty: With overall more than 150 experts we are a large and competent partner for your projects. Due to fast and simply available resources we are able to rapidly meet your demand or implement changes. Moreover, we expect having the ability to start projects more quickly. At the same time, your local and global project support is ensured – with the same people of contact, the same standards and the same quality. We are convinced to respond to your needs even better in the new constellation and are looking forward to a continuing good cooperation. Our cross-border performance is being represented from the year one in our Chemgineering Newsletter, whose on-hand edition carries you off to the Bosporus. Please enjoy now the specialist articles of our consulting and engineering professionals who use their scarce time apart from projects to share with you valuable information from market development and project practice. Wishing you an inspiring reading, Dr. Armin Mayer Head of Engineering Chemgineering Group 2 No. 63 | March 2012 | 18th Year on the topics of pharmacovigilance (Directive 2010/84/EU) and falsification of drugs (Directive 2011/62/EU). As part of this amendment of the AMG, among other things amendments and updates in the Pharmaceutical and Active Agent Restoration Ordinance (AMWHV), the GCP ordinance2 and the DIMDI Pharmaceutical Ordinance3 are included. You can read the content focus areas in the following passages. Chapter: Pharmacovigilance The tenth section of the Pharmaceutical Law, which previously encompassed the paragraphs 62 and 63 under the heading «Observation, Collection and the Effect of Pharmaceutical Risks», has now been placed under the headline «Pharmacovigilance». Here the specifications of the European directive are completely applied so that extensive adaptations of the aforementioned paragraphs occur. The terms upon which the law is based are supplemented by the following items: · Risk management system, · Risk management plan, · Pharmacovigilance system · Pharmacovigilance master documentation. The marketing authorization holder is obligated to oversee market observations to record pharmaceutical risks with an individual pharmaceutical risk management system. In other words, an adapted risk management system should be established for each pharmaceutical product. As a further innovation, the marketing authorization holder is responsible for the regulation to perform audits of his pharmacovigilance system. In this regard, also the term «secondary effects» is made broader: A secondary effect is defined as all dangerous and unintentional effects which occur in the new definition also regardless of the dosage. In order to considerably improve the recording of secondary effects and to thereby ensure the security of pharmaceuticals, special emphasis is placed on the patients. In the future, on package inserts they must be explicitly instructed to directly report suspicious cases of secondary effects to their physicians, pharmacists or other members of healthcare professions or even the Higher Federal Authority. A similar request should also be applied in the field-specific information. Drug safety increased To increase the protection against falsifications of drugs, safety characteristics should be attached on all pharmaceuticals which require prescriptions (§ 10 AMG). Thus, the genuineness and the identification of the individual packaging are reviewed and if necessary real manipulations must be proven. As part of the authorization process, also a statement by the pharmaceutical manufacturer must be submitted which provides information on supplier audits (result and date). In the newly formulated provisions on the inspections by the monitoring authorities, in addition to good manufacturing practice (GMP) also good distribution practice (GDP) is listed without details being described on this. Here reference is also made to the explanations in Directive 2011/62/EU, which basically states: 1. The commission shall adopt principles and guidelines of good manufacturing practice for active substances. 2. The principles of good distribution practice (GDP) for active substances shall be adopted by the commission in the form of guidelines. 3. The commission shall adopt guidelines for the formalised risk assessment for ascertaining the appropriate good manufacturing practice for excipients. Import regulations tightened A series of alterations is included, also in the import of active ingredients: In § 72a «Certificates», the WHO standard for GMP as a permissible standard is removed again so that de facto the requirements become stricter as required in Directive 2011/62/ EU: «… the standards specified by the Union are at least equivalent.» In addition, the authorities of the exporting countries should regularly monitor the manufacturers of active ingredients, including repeated and unannounced inspections. In the event Impact for marketing authorization holders and manufacturers: · A risk management system, as it is known in the medical devices industry with the ISO 14971 guideline, is now to be implemented by the marketing authorization holders – beginning with the development, over manufacturing up to market observation. · Secondary effects are to be identified, documented and reported more intensively according to the pharmacovigilance system. · The requirements for purchase of active pharmaceutical ingredients and excipients for manufacturing pharmaceutical products are going to increase significantly in the future. of deviations, the local (European) authorities should be informed. We have to wait and see how this is implemented in practice. By suspending no. 4 in paragraph 1a of the AMG, the requirements placed on import have also proved effective for plant materials in a state until initial extraction. The import restrictions should not apply to active substances which are imported from countries that are on a yet to be published list of the European Commission. Audits extended according to AMWHV In the Pharmaceutical and Active Agent Restoration Ordinance (Arzneimittel- und Wirkstoffherstellungsverordnung), the changes of §11 «Self-inspections and Supplier Qualifications» should be specified as follows: · The manufacture and sale of the active pharmaceutical ingredients (API) should be audited. · Audits by suitable third parties should also be permitted according to the rules of the QM system of the pharmaceutical manufacturer. · Audits should also be extended to importers or sellers of the API and include the verification of the registration with the relevant authority. · A formalised risk assessment for excipients should also include the audit of the compliance with an appropriate good manufacturing practice (GMP). · The specifications for drugs and active agents should include the accepted manufacturers and suppliers. Outlook After the associations and bodies were required to submit their observations and notes in January, the new law and its formulations must be finalized in by mid-2012. Experience has shown there will still be some review cycles before the final adoption in Parliament occurs. For active agent and commodity traders: · More information has to be reported to the authorities. · Due to the new requirements to the competent authorities in the manufacturers’ countries the import of active agents is supposed to be tightened. · The requirements for excipients are approximating those for active pharmaceutical igredients. 1 Pharmacovigilance is the same as pharmaceutical safety. WHO defines pharmacovigilance as the «science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other possible drug-related problems.» (In: WHO 2002: The importance of pharmacovigilance, safety monitoring of medicinal products. http://whqlibdoc.who.int/hq/2002/a75646.pdf) 2 GCP: Good Clinical Practice 3 DIMDI: German Institute of Medical Documentation and Information Dr. Friedrich Elstner Dr. Jan-Carsten Hempel Senior Consultant GMP-Compliance & Medical Devices Leiter Q/V Compliance Chemgineering – The Business Designers Chemgineering – The Technology Designers [email protected] [email protected] No. 63 | March 2012 | 18th Year 3 The Business Designers High Asset Utilization Due to EGO How you can boost your effectiveness and persuade investors In the last two issues of the Newsletter, you were introduced to the Chemgineering approach for an efficient business organization – EGO – and learned about possible uses in the first sample applications. In this edition, we will show you how to manage or improve the capacity utilization. Part 3 Figure 1 shows the assignment of the loss types of availability, rate and quality and the resulting effect in the calculation of the components. Using Available Time In addition to recording interference factors, it is critical to define the available time for your OEE concept. We make a distinction between the net OEE, the actual capacity of the equipment and the gross OEE for the actual effectiveness of the production. As shown in Figure 2, it is important to distinguish between planned and external losses. Overall Equipment Effectiveness If it is a question of equipment utilization, your investors will pose three questions to you as an operator: 1. How high is the current capacity? 2. How long can existing equipment cover needs? 3. What can you do to improve the capacity situation? To provide information here in a qualified manner, a concept for overall equipment effectiveness (OEE) will be helpful to you. This key indicator represents the acknowledged measurement for the value added by a piece of equipment. The indicator itself is calculated as the product of the availability of the equipment, its speed or ratio with which the equipment runs and the quality of products (number of yields) and is expressed in percent: OEE = Availability × Rate × Quality Making Interference Factors Visible In order to improve the equipment utilization and thereby the value added, the first most important thing is to record the interference factors. The resulting losses are usually assigned to six loss types which, experience has shown, cover the entire spectrum. Table 1 shows the loss types and the respective goal. The available time for a system in which it can optimally produce is reduced due to the effect of the interference factors. By calculating the OEE, these interference factors are visible and will provide you with the first approach for improvement. 4 No. 63 | March 2012 | 18th Year The net OEE for equipment running in single shift mode can be between 25 and 30%. The gross OEE of the same equipment will be between 75 and 90%. The first key figure will show you that you still have reserves in production which, for example, can be used with an alternative shift model. The second key figure shows you how good the capacity of the equipment is when it is running. Based on this information, it is possible to calculate how much more product the equipment can produce with less interferences. Design Your OEE Concept Pragmatically The increase in the net OEE immediately becomes clear through the reduction of costs and thereby in the improvement of your margins. To do this, your individual OEE concept must be coordinated with management, the staff must be trained in data recording and a continuous improvement process (CIP) must be established. Once the OEE concept and the accompanying CIP are established, the investors’ questions mentioned at the start can be answered at any time objectively. We will gladly assist you during implementation. Dr. Thomas Lellau Managing Consultant Chemgineering – The Business Designers [email protected] Loss type Goal Explanation Machine damages 0 > 1 min, must be reduced to zero for all machines Set-up and adjustment minimization As short as possible: shorter than 10 minutes without other adjustments Reduced speed 0 Should meet the machine specifications, or, with improvements, even exceed them Short idle times 0 < 1 min, must be reduced to zero for all machines Defects and refinishing 0 The size can vary but should be expressed in parts per million (e.g. under 300 ppm) Start loss minimization Is in competition with 2 and is sometimes difficult to separate from 5 Table 1 Available time Availability losses (1) larger machine breakdowns, idle times, maintenance (>1 min) (2) Installation, refitting and adjustment Production time at maximal rate Availability Available time – idle times Available time = 90% × Performance losses Production time Rate (3) Short idle times (>1 min) Actual output max. output during production time (4) Loss of speed (incl. starting time) = 95% × Quality losses Production time at maximal rate & quality Quality (5) Quality issues during the process, rework Actual output – waste actual waste (6) Waste at the starting = 99% OEE = 85% Figure 1: Calculation of OEE. A value from 85% – as shown in this example – is considered excellent. · 365 days × 24 hours · Pro rata within a year, with new installations Gross time available Planned losses Scheduled time available External losses Net available time · Adaption to shifts (e.g. 230 days × 8 hours) · Inspections, etc. · Losses which are not in the control of the production site (e.g. power failure, strike-actions, etc.) The goal must be to find a reasonable and traceable definition of the available time. This must not lead to a random adaptation of the planned and external losses. Gross OEE Net OEE = = OEE vs. gross available time OEE vs. available time = = actual plant utilization actual production effectiveness Figure 2: Distinction between gross and net OEE. By defining planned and external losses, a realistic net OEE can be calculated. No. 63 | March 2012 | 18th Year 5 The Business Designers How Compliant are Your Medical Devices? New Patient Rights Law and Its Effects The German federal government wants to reinforce patient rights. In a joint initiative of the Ministries of Health and Justice, a «patient rights law» is to be created. Among other things, it obligates the insurance companies and public health care entities to support the insured in claims for damages. This would also have consequences for the manufacturers of medical devices. What does strengthening patient rights mean for the manufacturers of medical devices? Which scenarios can develop from the initiative? Are even the rumored «American conditions» in product liability menacing? Do manufacturers have to be prepared to a flood of complaints? A glance on the website of the relevant authority in Germany, the Federal Institute of Pharmaceuticals and Medical Products (BfArM), shows a growing number of incidents with medical devices. An incident means: «Every malfunction or every change in the characteristics and/or the performance as well as any improper behavior in the labeling or the instructions for use 6 No. 63 | March 2012 | 18th Year of a product can result in or has resulted in the death of a patient or a severe deterioration of the health state of a patient or a user …» (Directive 93/42/EEC, Article 10, section 1, paragraph a). The Two Sides of the Same Coin This does not necessarily mean that the quality of medical devices or medical care has gotten worse. Rather, different forces propel this development: On the one hand, there are the growing expectations of today’s patients that they can fully recover from following treatment or at least have major improvements in the circumstances which have caused their illness. This expectation is reinforced by the demands we as people place on mobility – a loss of mobility is considered a major restriction in life quality. On the other hand, there is the rapidly increasing maturity of today’s patients. This is partially accelerated by the change in generation and with the associated self-awareness of younger generations. This is pushed by the dynamic of the media to bring damage claims to light quickly and in detail, often peppered with a fundamental mistrust against industrial companies. What is more obvious than attributing possible errors to the failure of medical devices? The wave of complaints is almost pre-programmed and here people forget that 100% safety cannot be achieved or at least not at all costs. Not to disregard the growing cost pressure on all parties involved (health insurances, hospitals, or nursing care insurances). In case of a complaint generally costs occur for the subsequent treatment of the patient. Quality Audit Required The positive approach to strengthening patient rights will hardly pass by medical devices manufacturers without a trace. In particular patient safety and thereby the quality assurance system and the proof of quality assurance will still be more in focus than previously. How persuasive are your test records? Manufacturers who have validated their test methods may rest easy! Manufacturers that did not see tests in the light of a validation will probably come in the compulsion to act. Not to disregard the control and storage of the test protocols, especially with electronic systems this calls for computerized systems validation (CSV). In the very regulated pharmaceuticals industry, the «Batch Record Review» is considered a tried-and-tested means to scrutinize your own quality records. In US law for pharmaceutical products (21 CFR Part 820), this corresponds to the claims in the «Device History Record» (DHR). Here, «state of the art» is to link the product release for sales or implementation to the review of the manufacturing and test protocols. Apart from this, it is important with this review to recognize possible quality issues or their patterns at an early stage. In the future, manufacturers will subsequently have to pay much more attention to the meaningfulness and unambiguousness of their quality records, known as proof documents. In addition, the focus will be on the controllability of the production processes – how safe and reproducible is the production result? Manufacturers who possess an efficient risk manage- ment system over the whole production cycle of their medical devices may probably rest here easy, too! Is your QM system fit for authorities? Would you present/make available your quality records to an attorney or court with a clear conscience? Depending on the implementation of the established quality assurance system – on paper or in reality? – this may have major consequences, including imprisonment. The fact that many companies have not yet arrived at a compliant QM system is actually hard to understand. Since the entry into effect of today’s legal ruling on medical devices – 90/385/EEC on active implantable medical instruments (AIMDD), 93/42/EEC on medical devices (MDD) and the 98/79/ EC on in vitro diagnostics (IVDD) – 17 years have now passed. That left enough time to optimize the established processes and boost efficiency. Meanwhile the required tools should be established by each medical devices manufacturer in his organization. To be mentioned in particular are risk management, qualifications and validations, deviation management and the system for corrections and preventative actions. Fit for New Demands The demands and rights of the patients are growing and thereby also the effort and risk for medical devices manufacturers. How well prepared is your company for future challenges? What about conformity of your pharmaceutical products? Have you decided for a careful check or a rapid market launch? The Chemgineering Business Designers gladly assist you in implementing a future-proof system. Martin Rümke Senior Consultant Medtech Compliance Chemgineering – The Business Designers [email protected] No. 63 | March 2012 | 18th Year 7 Chemgineering Group Qualification and Validation Alla Turca Personal experiences when building a new pharmaceutical manufacturing plant in Turkey. Chemgineering provided qualification and validation support for a Turkish pharmaceutical company in building a new plant for contract manufacturing. Read the experience report of two participants from Business and Technology Design here. In the past few years, countries in southeastern Europe have made economic and industrial progress, especially Turkey. The country between the two seas has linked the Orient and Occident for centuries and has rich natural and industrial resources. Due to its strong and modern industry, the state is attracting more and more investors and manufacturers. Pharmaceutical production has played a major role in the general industrialization for quite some time. In the past two years, there have been several green field investments in this area in Turkey, each valued at over 50 million Euros. The desert lives Chemgineering was awarded to accomplish design reviews in the newly constructed plant of a pharmaceutical manufacturer, 8 No. 63 | March 2012 | 18th Year to qualify the HVAC facilities and to validate the computerized systems (CSV). The client’s production site is located in central Turkey, far away from the port cities like Istanbul, Izmir or Antalya. As the perfect host, our client organized an exclusive hotel accommodation and the efficient transport from the hotel to the construction site with small mini-vans. The construction site was located in an industrial zone comprised of several thousand hectares which went to the horizon and seemed endless. Supposedly, this land was still a desert without asphalt and traffic just a decade ago. Also the relatively new highway, streets and buildings could be developed on it. Clearly large amounts were invested here and certainly others are planned. There must be quality Design reviews and qualification could be performed without interference. The design model was on a high level and required a lot of care and experience. We communicated in English, which the employees on the client side spoke rather well. Their written English was even much better than verbal expression, which was very important for creation of the documents. The client employees were nice and very extroverted in terms of the collaboration and about learning new things, particularly in the area of qualification, a relatively new topic in Turkey. The client tried to procure as much as possible of the equipment from domestic manufacturers but not at the cost of quality. For example, AIR HANDLING UNITS FROM LOCAL MANUFACTURER WERE INSTALLED. They were manufactured with the high quality as it is required in the pharmaceutical industry. Equipment components such as HPW plants or blister machines which are not produced in Turkey in the needed quality were from EU manufacturer ordered and installed. This means that our client was able to combine domestic and foreign products of the highest quality for this project respecting the local authorities, the EU laws and the GMP guidelines. Corporate management with SAP® The construction of a new production facility also required the redesign of the company processes and thereby also the company software which should be used to control these processes. Chemgineering was entrusted with assisting in the validation of the SAP® system. This task included validation coaching, validation planning and document review according to GAMP 5®. For handling the finance and controlling tasks the SAP® module FI/CO was used which the company had been taken over from the parent company. The topic of computer validation was essentially new territory for the departments involved. At a joint on-site workshop at the Istanbul headquarters, the validation strategy was set with the most important milestones and the tasks were prioritized. There was already some preliminary work with the local implementation partners based on the standard SAP® introduction method ASAP (accelerated SAP). However, it was quickly clear that the procedure needed to be more focused on the process. This required a lot of explanation and persuasion. But this was the only opportunity to get a grip on this complex project and to keep the test and documentation costs in hand based on risk. Validating with a high level of motivation The goal was, based on system-oriented specifications (business blueprints – BBP’s), to divide the business processes within the planned SAP® modules into main and sub-processes in a practical manner and to develop the respective validation documentation according to GAMP 5®. A universal multi-level risk assessment provided information on the test scope and depth. The Chemgineering expertise from comparable projects was extremely beneficial. The time-consuming document creation process was supported by new client employees who were prepared in Istanbul for their future duties in the plant in central Turkey. As consultants, we were very impressed by the high level of motivation and the ability to grasp new information quickly as shown by these young college graduates. Soft skills demanded All project members spoke somewhat fluent English. At the same time, the communication turned out to be one of the greatest challenges. A SAP® validation is per se no trivial matter and it is not always easy to express special issues and contexts in a foreign language in a direct and understandable manner. In addition, for the purpose of a review, relevant documents had to be translated into English or Turkish. Most of all in e-mail communication this requires patience from both sides. While the project was underway for well over a year, there were status meetings every two to three months in Istanbul to clarify unanswered questions personally, something which was essential despite all modern communication technologies. A decisive factor for the tasks as a consultant was a healthy portion of human empathy. That is because there were situations which made it necessary to respond to a sense of insecureness at some stages, to communicate between departments or simply to motivate people. Due to the high level of commitment of everyone involved, the validation could ultimately be successfully concluded and the SAP® system can begin operation with the official go-live. Ready for New Projects Our client as well as other pharmaceutical companies are planning the expansion of existing plants and building new ones. Thus, various new investments are to be expected in Turkey in the near future. Due to the positive experiences of the Business and Technology Designers, Chemgineering is looking forward to new projects in Turkey. Dr. Peter Schober Andrija Marinkovic Senior Consultant Project Engineer Chemgineering – The Business Designers Chemgineering – The Technology Designer [email protected] [email protected] No. 63 | March 2012 | 18th Year 9 The Technology Designers Labs Planned for Transformation Functional and future-oriented workspaces thanks to the experience of industry architects. How does the general public define the term «lab planner»? The answer in most cases is: «A lab planner is comparable to a kitchen planner – he just draws equipment layout designs.» That is not entirely accurate, as there are fundamental differences between planning a kitchen and planning a lab. For example, a kitchen planner only goes into action when the building has already been completed and he has to adapt to existing situations. A lab planner, on the other hand, accompanies the planning process from the start. An industrial building is planned from the inside out, the building design is tailored to fit the interior. Ergo: Design follows function. The complex planning of a lab requires the skills of a generalist who serves as the interface between future users and all persons participating in the planning process. He also has detailed knowledge of relevant laws, ordinances and directives. Start With A Dialogue Lab planning does not begin with an inventory of existing equipment and locations, but rather with a dialogue. This dialogue with future users: · helps getting to know the people and their individual needs and · benefits their work method in and around the lab. In this, the most important thing is to understand the steps required, to ask follow-up questions and to optimize, if necessary. These are the initial steps on the exciting journey from project start-up to moving into the new lab. It is only after the completion of this dialogue phase that the assessment and 10 No. 63 | March 2012 | 18th Year analysis of the information gathered can begin, eventually resulting in a condensed picture of all relevant matters. The result is an optimized planning basis in the form of a diagram of all production steps, using short routes in the lab and to required secondary rooms. The illustration is also used to show possibilities for an effective work method. This diagram allows «outsiders» – i.e. the planner and users – to get a different perspective of the daily work in the lab. This «revelation» constitutes the basis for the start of planning and the recording of technical data. Taking this and other influencing factors into account, it is now possible to start layout development. In line with requirements Three key groups of factors have considerable impact on laboratory planning (see Fig. 1): · client requirements, · requirements of construction laws / ordinances, · lab requirements. Among these, the client specifications are the most complex influence group. Client interests and perceptions must be brought into harmony with the respective legal regulations and the specified budget must be met in the process. The other two influence groups provide a framework which serves as a kind of playing field. The planner is able to move relatively freely within the boundaries of this playing field, which enables him, through the creative interpretation of relevant laws and regulations, to develop appropriate solutions despite narrow guidelines. The incentive and the challenge for the planner lie in fully utilizing this predefined framework to find innovative solutions for every new and unique project. Mastering interfaces In addition to the influence factors listed above, there are many interfaces between individual participants (client, user, architect, TGA, professional planner, fire protection, etc.) that must be taken into account and coordinated (Fig. 2). This is both a tricky and intense matter which becomes easier to control using intuition and suitable tools. The architect for lab planning becomes a «juggler» who considers the pros and cons of all factors before designing a tailor-made layout for the user. However, as stated above, the number one influence factor is the client request. A Perfect Solution: Everything from A Single Source Simultaneous work is recommended in order to quickly achieve planning results. Under the direction of the architect for lab client planning, the design team is divided into smaller teams, each of which begins to develop the bases for individual project areas independently. A regular exchange of information between the planners is essential in order to communicate and present established bases and possible concepts. An intensive exchange results in the best possible result for the client at a relatively early date in the project. The planning phase results in a concept which combines the best of all areas and serves as the basis for further planning. It is also an inestimable advantage that the client gets all planning services from a single source and only has one contact person. Rely on Experience Practical experience shows that labs – especially research labs – are usually modified, modernized and put to use again within record time every two or three years. The rapid progress of technology as well as frequent changes in the composition of the user groups require flexible and convertible labs which are quickly available for new work. Even in existing labs, this flexibility can be realized to a large extent. Nonetheless, a small amount of modification actions, particularly in the media supply area, is always required to adjust the lab situation to new needs. Leave nothing to chance and put your lab into the hands of experienced lab planners and architects such as the Chemgineering Technology Designers. We will be happy to advise you. · Internal Standards · URS · Cost Client Technical Planner Lab Laws/ Regulations Lab · LBO · EN / DIN Norms · Fire Control · ArbStättV · BGV Lab Labor Fire Control · Lab Guideline · GMP / GLP · GenTG / BioStoffV · GefahrstoffV User Architect Authority Figure 1: Major demands placed on lab planning MEP Figure 2: Interfaces Antonio Condemi Abbreviations TGA: Technical Building Equipment or MEP: Mechanical, Electrical and Plumbing LBO: State Construction Ordinance URS: User Requirements ArbStättV: Workplace Ordinance BGV: Professional Association Ordinances GenTG: Gene Technology Law BioStoffV: Bio-Materials Ordiance GefahrstoffV: Hazardous Materials Ordinance Architect and specialist for fire protection structural and property monitoring (EIPOS) Chemgineering – The Technology Designers [email protected] No. 63 | March 2012 | 18th Year 11 The Technology Designers The Hospital Pharmacy as a Pharmaceutical Manufacturer Prepare well for the inspection by the authorities New rules determine when public and hospital pharmacies fall under the Regulation on Operating Instructions for Medicinal Products (Arzneimittelbetriebsordnung). Thus the requirements for the manufacture, control and storage of drugs in the pharmacy are tightened. Have you already asked yourself whether your pharmacy is bound to demonstrate an operational approval in accordance with the Pharmaceutical Products Act (AMG)? According to this law, pharmaceutical products which are transferred to other public or hospital pharmacies in frequency, number and quantity that go beyond regular pharmacy business have to be recorded. If the regular limit for pharmacy businesses is exceeded,1 the basic legal conditions for the manufacture of pharmaceuticals change. In addition to the Pharmacy Practice Order, the Pharmaceutical and Active Ingredient Manufacture Ordinance (Arzneimittel- und Wirkstoffherstellverordnung) will become the legal basis, and an operational approval is required 12 No. 63 | March 2012 | 18th Year according to the Pharmaceutical Product Act (Arzneimittelgesetz). In most cases, the manufacture of cytostatics and aseptic manufacture are involved. Following Safety Regulations In general, the law requires sufficient personnel protection (workplace protection) and product protection in manufacturing of pharmaceuticals. Whereas aseptic manufacture poses special demands on product protection, the preparation of cytostatics, on the one hand, must comply with workplace safety regulations and, on the other, meet pharmaceutical standards. When manufacturing cytostatics, the greatest care is to be taken in terms of personnel protection which may result in conflicts between personnel protection and product protection. Here the interpretation of the spatial and technical requirements raises questions as before. These safety requirements are summarized in particular in the cytostatics directives of the federal states. In addition, for the manufacture of cytostatics in pharmacies, the Pharmacy Operations Ordinance (ApBetrO), the Pharmaceutical Products Act (AMG) and the requirements of the EC GMP guideline including Annex 1 «Manufacture of Sterile Medicinal Products» should be followed. Clean Room Design According to the GMP rules, aseptic manufacturing steps are to be implemented in clean room class A with an environment of clean room class B. Product and personnel protection can be achieved in a simple way by installing an isolator. A high level of protection can be achieved among other things by producing in a closed system and maintaining a negative air pressure difference. The air may not be recirculated or carried into other areas. In addition, HEPA filters must be used for release of the air into the environment. Through such a closed system the environment can be reduced to clean room class C and the costs for operation and monitoring can be considerably reduced. Via a controlled environment the connection to other zones is established. Moreover, separate air lock systems are to be set up for staff and materials. Thus, it should be ensured that the doors of the air lock cannot be opened simultaneously. In addition, the rooms must be protected from the access by unauthorized persons. Qualifying Efficiently Within the qualification steps it is reviewed whether all user and GMP requirements in the planning and execution phase have been taken into account and whether, following completion, the required specifications can be met under production conditions. The qualification concept should therefore consistently follow the approach of «slim qualification». If documents and the experience of suppliers and qualification experts such as Chemgineering are integrated, the time and personnel costs are reduced considerably. This process can be flexibly adapted to different tasks and project-specific concerns as required by the operator. 1 According to the German Pharmacy Operations Order (Apothekenbetriebsverordnung, ApBetrO), this number is 100 transferrable packages per batch or the corresponding quantity in one day. In addition, in Austria, in collaboration with the Federal Ministry of Health (BMG), AGES PharmMed, the Austrian Chamber of Pharmacists as well as committed pharmacists, an assessment grid has been developed which allows a fair and yet simple and practice-oriented (self-)evaluation despite the numerous possibilities of each individual pharmacy due to a general approval obligation (§ 63 Arzneimittelgesetz, AMG). In accordance with Art. 19 c of the Swiss Pharmaceutical Practice Order (VAM), there can be at most 3,000 transfer-ready packages manufactured per calendar year as a subcontractor in accordance with Art. 9 paragraph 2b HMG with a total of maximum 90,000 individual bottles of a medication according to Art. 9 paragraph 2 letters a–c HMG (Federal Law on Medications and Medical Products or also the Pharmaceuticals Law, HMG). Every aspect of this requires a certification and risk check of the relevant authority. In Great Shape for Inspection Does your existing documentation and quality planning withstand inspections by the authorities? Due to the additional requirements, an expansion to the GMP-oriented documentation can be necessary. Benefit from our experience from numerous pharmacy projects on the way toward operating approval. Within just a few hours, a Chemgineering Fitness Check will show you whether there is a need for action at your company. Secure your market position now! Dr. Gerald Banko Project Manager Qualification Chemgineering – The Technology Designers [email protected] No. 63 | March 2012 | 18th Year 13 The Technology Designers Through Diploma Thesis to the Job Degree theses at the Chemgineering Technology Designers’ elaborate viable solutions to basic questions in the business. With their herewith presented papers two graduands started their track at Chemgineering. The Path of the Water Since his degree thesis in 2009 at Chemgineering Technology AG in Pratteln, the bio-engineer Thomas Peter (Dipl. Ing. FH Bingen) has been involved with the topic of «Selective handling of endocrine-active waste waters from biotechnology.» According to the European Water Directive, water is «[…] no conventional commercial good but rather an inherited material which must be protected, defended and handled correspondingly […].»1 The goal of this is to protect and improve the sustainable handling of water resources and the eco-systems which directly depend on the water. However, the use of chemicals and the handling of waste waters are being discussed publicly again and again.2 One of the best known groups of synthetically organic compounds (SOC’s) are the alkylphenols which were used for decades in every branch of industry in large quantities. As a result of their incomplete decomposition by the microorganisms at a sewage treatment plant, they get into the aquatic environment as persistent (hard-to-decompose) and endocrine (hormonally active) substances and with clearing sludge they get into agriculture, too. To dam up these problems, the EU decided in 2003 that the nonylphenol concentration in products should be less than 0.1 mass %. Also in the biotechnology industry, chemicals were used, e.g. octylphenolethoxylates (OPEO) in downstream processing to manufacture virus-free medicines. For this purpose, a threshold limit value of 1 kg per plant and year was determined. This forces companies to resolve the question: Which strategy to 14 No. 63 | March 2012 | 18th Year clean or dispose of accumulated waste water is both environmentally as well as economically implementable? This issue was the subject matter of my degree thesis. As the biological and physical cleaning capabilities in the SOC’s do not offer any satisfactory solution, the waste water current is often collected separately in practice and later burned. Thermal oxidation of the waste water under stress is therefore used as a benchmark for strategy development. The development of a concept for waste water treatment can be subdivided into two phases: In the first phase of the selection process, the goal is to check for the effectiveness of cleaning technologies in terms of the material-specific and legally required threshold limit values. To approximately assess this, in particular the know-how of planning specialists and previously obtained experience were used as resources besides trade literature. This analysis quickly shows which methods get on the shortlist from the technical and financial perspective. As alternative technologies for thermal oxidation, first microbial decomposition possibilities, then advanced oxidation processes (AOP) and adsorption possibilities were taken into account in the degree thesis. In practice, the composition of the waste water often cannot be compared with the theoretical conditions. In a second phase, this circumstance makes lab tests with the pre-selected processes and the waste water to be cleaned essential. The results obtained clearly show whether the tested technologies can actually maintain the required decomposition values. They also allow the acquisition costs and the later operating costs of the respective systems to be reliably estimated or calculated. Here it should be noted that the «chemical cocktail» in the waste water can not only influence the effectiveness of the process but also the analytics to be performed. In this phase, it is a good idea to enter into a dialogue with the relevant water authority and discuss the analytics. The described procedure of the systematic concept development makes it possible to develop an action strategy which gives the client both environmental as well as economic added value. Major cost differentials can be achieved rather between different technologies than between the technology providers. Therefore, particularly an innovative strategy development as the Technology Designers’ is a basis for sustainable waste water cleaning which both takes the legal requirements for environmental protection and the economic interests of the client into account. comparison and the conversations with the authorities, in this case it was possible to define an AOP which decomposes the endocrine material residual-free and can therefore meet the required decomposition values. Due to the complete destruction of the OPEO and octylphenol (OP) during decomposition, the client can now forego the unecological and expensive combustion of the waste water. 1 Bmu.de; last update: March 2011 2 For example «Sewage treatment plants let through toxins, retrofitting is necessary» in Tagesanzeiger.ch of March 18th, 2011 or «The hazardous chemical bisphenol A could create erection problems» in Spiegel.de of November 12, 2009. Thomas Peter Project Engineer Special Technologies Chemgineering – The Technology Designers [email protected] It has been shown in just a short period of time that this topic is in no way «only» a theoretical task. For a client we could create a concept for successful on-site treatment of the waste water stream polluted with OPEO. As a result of the technology Process Validation Guide As part of her degree thesis completed in 2010 at Chemgineering in Pratteln, Sabrina Flad (Dipl. Ing. Pharmaceutical Engineer Polytechnic Albstadt-Sigmaringen) created an «Internal Guide for Process Validation» which is still consulted even today in projects. The life sciences market is heavily shaped by authority and market requirements in the GMP area (Good Manufacturing Practice). In addition to the legal specifications, there are additional influence factors which have to be taken into account in the GMP area, such as directives, guidelines, standards and the current market standard. They give planners the following challenges when implementing GMP projects: · There are various laws and guidelines which are continuously further developed. · In laws there are often no clear statements, only rough descriptions of the requirements. · There are different definitions of the terms for the same or similar activities. · The described requirements and content of the steps which ensure quality can be interpreted in different ways in a GMP project and the overall project life cycle. · The GMP activities, quality assurance of the Good Engineering Practice (GEP) and the tests required by law are not clearly differentiated from each other. · There are many conceptual methods provided by numerous publications. · There are also different client concepts which sometimes do not account for the company size, the product range and the previously indicated requirements. The research revealed that a structure is required for the whole validation. This helps to clearly differentiate the system qualification from the process validation as well as to clearly and distinctly describe the definitions and the contents of qualifications and validation steps with the respective activities (see Fig. 1). The resulting Chemgineering guideline «Process Validation» is used for internal training, project implementation, consulting assignments, service delineations in the offer phase between the client and the service provider as well as for concept proposals to clients who still do not use an established qualification concept. Validation Equipments, Facilities Processes, Procedures, Methods Qualification Process Validation · Design Qualification DQ · Installation Qualification IQ · Operational Qualification OQ · Performance Qualification PQ · Validation of Methods · Process Validation · Validation Batches · Cleaning Validation · Sterilisation Validation · Transportation Validation Figure 1: Classification of Validation Sabrina Flad Project Engineer Pharma Design Chemgineering – The Technology Designers These requirements were analyzed in greater detail as part of the degree thesis and all were combined into a uniform guide. The creation of this guide first required extensive and thorough research in the different bodies of legislation and their correlations. [email protected] No. 63 | March 2012 | 18th Year 15 QuickNews Chemgineering Group The Business Designers The Technology Designers Chemgineering Business Design AG Güterstrasse 107 4133 Pratteln 1 | Switzerland T +41 61 467 89 00 Engineering Strongly Positioned for Your Projects The Power of 150,000 Volt From 2012 on, the business unit Engineering of Chemgineering Group has strengthened their market orientation by transnationally organizing themselves in specialist disciplines. Overall more than 150 Technology Designers are available as strong and flexible partners for your projects. The following chart gives you an insight into the new structure: «Project Delivery» is now being led as an own department. In addition, the lineup of the project directors strengthens the meaning of projects. We primarily develop our employees in a so-called know-how management pool. Depending on their expertise, our people contribute to the corresponding specialist groups within six further departments. The Technology Designers In this new constellation, we are looking forward to provide you with «viable solutions for life sciences» in 2012 and beyond! Project Delivery Project Directors Project Managers Construction Managers Pharma Design Solida Liquida Packaging Process Design Process 1 Process 2 Process 3 Energy/ Infra HVAC E+I Automation Building Design Q/V Compliance Q/V Compliance 1 Q/V Compliance 2 Special Techn. Biotech Clean Media Logistics Simulation Plant Design 1 Plant Design 2 Maintenance CAD Plant Design Project Support Chemgineering Business Design GmbH Kreuzberger Ring 13 65205 Wiesbaden | Germany T +49 611 77 88 70 Chemgineering Business Design GmbH Gusshausstrasse 22 1040 Vienna | Austria T +43 1 255 74 13 The Technology Designers Chemgineering Technology AG Güterstrasse 107 4133 Pratteln 1 | Switzerland T +41 61 467 54 54 Chemgineering Technology GmbH Kreuzberger Ring 13 65205 Wiesbaden | Germany T +49 611 77 88 70 Energy & Infrastructure Chemgineering Technology GmbH Gusshausstrasse 22 1040 Vienna | Austria T +43 1 255 74 13 Chemgineering d.o.o. Suboticka 23 11000 Belgrade | Serbia T +381 11 241 25 55 Publishing information Editor: Chemgineering Holding AG Corporate Communications, Uta Ünal Güterstrasse 107 | 4133 Pratteln 1 | Switzerland www.chemgineering.com Design: WOMM Werbeagentur AG, Basel Print: Schwabe AG, Muttenz/Basel Circulation: 1500 copies Printed on FSC-certified paper 16 No. 63 | March 2012 | 18th Year
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