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Presented By,
  APARNA.CHALLURI
  Reg.no: 11FJ1SO402
Under the guidance of,
  Mrs. NANSRI SAHA
Dept’ of Pharmaceutics



                          1
RETURNED GOODS:

• Pharmaceutical products can be returned from market for
various reasons e.g. Quality problems , accidental damage of
goods etc.
• such products when returned from market should have the
following action immediately taken on it.
i.Physically examine the condition of the goods returned. Also
check all the relevant documents.
ii.Ask Q.C. department to evaluate the quality of the goods
received and take a decision on whether these products can be
reprocessed ,recovered or needs to be destroyed.

                                                                 2
iii. If it possible to reprocess and recover, then such products
    after reprocessing or retesting may be considered for
    relabeling , repacking and reselling the same.

iv. Q.C. department should evaluate all aspects of the
     received material.

v.   Where even a slightest doubt arises about the quality of the
     product , it should not be considered suitable for reissue or
     reuse.

vi. Any action taken should be recorded.


Documents required:
•  SOP on handling of returned goods
                                                                     3
Recovered materials:

Recovered materials are defined as “those materials
   that have been diverted or removed from the solid
waste stream for sale, reuse or recycling,
   whether or not they require subsequent separation and
processing

Recovering materials that would otherwise be disposed of
as waste is one way
to conserve resources. If done properly, it can benefit the
environment, conserve raw materials and reduce energy.

                                                              4
The addition of all or part of earlier batches , conforming to
the required quality , into a batch of same product at pre
defined stage of manufacture should be authorized before
hand.

The recovery should be carried out in accordance with a
defined procedure after evaluation of risks involved, including
any possible effect on shelf life.

The recovery should be recorded.

Normally 5 to 10 % of recovery can be added into fresh batch,
provided the recovered material is meeting the specifications.

 Such additions must be properly authorized and recorded.

                                                                  5
•Rejected production batches should be reprocessed in
exceptional situations.
•Such reprocessing should be permitted only if the
reprocessed batch is going to meet the same specification
after reprocessing
•A detailed record of such reprocessing should be kept.
•Reprocessed batches should be given by means of which,
such batches can be identified as reprocessed batches.
•Such batches should be separately monitored through out
their shelf life.


                                                            6
COMPLAINT HANDLING
DEFINATION OF COMPLAINT:
 “Complaint is defined as statement that is something
  wrong or not good enough, which shows customer
  dissatisfaction about the company and the product”.

Example: Complaint about packaging materials,
  Concerning about the product etc.



                                                         7
NEED FOR COMPLAINT HANDLING
SYSTEM
 It gives the company an opportunity to improve the
  quality of the product
 It is helpful to maintain cGMP
 It maintains committed relationship between the
  customer and company
 It is the regulatory obligation.




                                                       8
SOP on complaint handling
 OBJECTIVE: To lay out the procedure for investigation
  and reporting the market complaints.
 RESPONSIBILITY: The quality assurance manager along
  with manager of the complaint related department.
PROCEDURE:
      Complaints shall be classified in following categories
  to facilitate investigation:
 Product quality complaints (non therapeutic).
 Packaging complaints (shortages and packaging error).
 Medical complaints (therapeutic problems).
                                                           9
Receiving the complaints/ verbal

 Forwarding to heads of QA,QC dept.


 Investigation of the complaints

Report(product, complainant, sample,
      action taken etc. details)
Assigning a specific PCR number Ex:
             PCR/001/11.

          Recalls if any
    Maintenance of register of
          complaints.
                                       10
Time period for investigation after receipt of complaints:
 Product quality complaints – within 5 days.
 Packaging and quality complaints – within 10 days.
 Medical complaint – within 3 days.
Complaint records shall be maintained at least one year
  after expiration date of medicines.
Complaint records shall be reviewed and a monthly
  summary shall be prepared for the management.



                                                         11
PRODUCT NAME                     COMPLAINT CATEGORY
Batch no. Mfg.date expiry date   Packaging/   product      quality/
                                 medical.
Name / address of the
complainant:
Complaint reported through:
Complainant sample enclosed: Total quantity involved
yes / no
Quality of sample enclosed:
Investigation report             PCR received by
                                 On:
                                 Investigation done by:
Action taken                     Conclusion:
                                 Confirmed/not confirmed
                                 PCR no:
                                 PCR approved by:
recommended           corrective
actions                                                               12
Product complaint data sheet
Product complaint data sheet should have the
 following details:
 Serial number assigned to the complaints.
 Exact nature of the complaints.
 Name of the complainants.
 Address of the complainants.
 Date of complaint received.
 If verbal, name of the person who received the
  complaint.
 Name of the product, strength and batch number
  of the product.
 Reference to analytical record number.

                                                   13
 Quantity involved in the complaint.
 Size of sample obtained from the complainant.
 Evaluation of complaint by QC department.
 Materials and records used to perform evaluation.
 Other possible effected materials, products and
  results of their investigation.
 Name and signature of the investigator(s) and
  date.
 Action taken by the company.
 Copy of reply sent to complainant.

                                                      14
Steps in handling of complaints
The proposed handling system is in compliance with
  the GMP Guidelines of EU, USA and Brazil and is
  presented in four steps:
1. Receiving complaints.
2. Technical investigation.
3. Corrective actions/feedback to
Customers.
4. Monthly reports/trend analysis.



                                                      15
Receiving complaints
It is important to have open channels with with
  customers in order to receive their suggestions, doubts
  and complaints. Generally, these channels are toll-free
  numbers, e-mails, chat-rooms and P.O. boxes.
 The most flexible channels are toll-free numbers and
  chat-rooms.
 A person must be appointed in charge of receiving
  complaints and inputting them into appropriate
  investigation form that shall be addressed.



                                                        16
 The investigation form must include:
 Information about the complainant:
            - Name
            - Address
            - phone no.
            - E mail
 Information about the drug product
            - Product name
            - Lot no
            - MFG & Exp date
            - Amount of the product with the problem.
            - Detailed description of the complaint.

                                                        17
customer
                    Make a complaint
                 through toll free no., E-
                     mails, P.O. Box


  Company's
contact person
                  •Open the investigation, including
                 information about the customer and
                 about the complaint(product name,
                     lot no., mfg & expiry date and
                        complaint description.)
 QA complaint       •Ask the customer to return the
    officer               product for analysis.

                                                  18
Technical investigation
Upon receipt of the investigation form, the QA unit is
   able to start the investigation.
It is divided into two phases:
 Documentation based investigation.
 Laboratory analysis.
Documentation based investigation:
    The primary documentation to be reviewed consists
   of:
 Complaint files: This is constituted to check how many
   other complaints of the same nature had occurred to a
   specific lot and how they were handled.
 Batch records must be verified in order to see if there
   were any non-conformance during the production.
                                                          19
Laboratory analysis phase
It consists of requesting the Quality Control (QC)
  laboratory to analyze.
 Complaint samples.
 Retained samples.
Complaint samples are the customer sample.
Retained samples – the reserve samples
 representative of the lot manufactured (which
 were kept under appropriate conditions of
 temperature, humidity and light so that the drug
 product was not affected).
The company elects a person in the QA unit to be
 in charge of technical investigation of each
 complaint, e.g. a Complaint Officer.
                                                      20
Documentation based              Laboratory analysis
•Check complaint files            •Analyze complained sample
for previous complaints           and retained sample.
of same nature.                   •Send results to QA
•Check batch records.             complaint officer



                         QA
                      COMPLAINT
                       OFFICER
             BASED ON DOC.
          REVIEW & LAB ANALYSIS
               , HE FINISHES
           INVESTIGATION AND
          PROVIDES CONCLUSION



CONFIRMED                NON-          COUNTERFEIT
COMPLAINT              CONFIRMED         / TAMPER
    S                  COMPLAINTS       SUSPICION
                                                               21
 There are three possible conclusions, as follows:
 Confirmed complaints.
 Non confirmed complaints.
 Counterfeit/ tamper suspicion.
CONFIRMED COMPLAINTS:
 When both complaint and retained samples showed
  out-of-specification (OOS) results or when only the
  complaint sample showed OOS results.
Example:
 a single unexplained failure may be when one tablet is
  missing in the intact blister strip in the complaint
  sample, but no deviation was found in the retained
  samples or during the in-process controls and final QC
  analysis recorded in the batch record.

                                                           22
NON-CONFIRMED COMPLAINTS:
 When both complaint and retained samples showed
  results in compliance with specifications or when only
  the complaint sample showed OOS results.
 OOS results in a complaint sample can be attributed to
  misuse or mishandling, when the drug product was not
  kept under appropriate conditions of temperature,
  humidity and light so that the identity, strength, quality
  and purity of the drug product could be affected.
Example:
    Tablets of the complaint sample show a change in their
  appearance that is characteristic of a light, humidity or
  high temperature exposure.
                                                               23
COUNTERFEIT / TAMPER SUSPICION:
 When the retained sample is within the
  specification but the complaint sample is clearly
  OOS with no reason for that, such as a counterfeit
  or tampered drug product.
Example:
 when packaging material is different from the
  original; an example of tampering is when the
  color of the drug product is completely different
  from the original or when any foreign substance
 was added to the product.


                                                       24
 The Complaint Officer must also check if the
  complaint represents a serious and unexpected adverse
  drug experience.
 The Complaint Officer and the QA Manager must sign
  off the investigation form once the investigation is
  completed.
 30 days is a reasonable time to conclude an
  investigation.
 Complaint files should be retained for at least 1 year
  after the expiry date of the lot.


                                                       25
CORRECTIVE ACTIONS AND FEEDBACK TO
  CUSTOMERS
 For all confirmed complaints, corrective actions must be
  implemented. These actions can range from a simple and
  quick training to some employees to a formal Corrective
  Action and Preventive Action (CAPA) handling.
 If a CAPA is opened, a multidisciplinary team consisting of
  representatives of QA, QC, Regulatory Affairs and
  Production Management must be established.
 Concerning non-confirmed complaints originating from
  misuse or inadequate handling of the drug product. The
  customer should receive a written response together with
  scientific information on the correct use and handling.

                                            Contd …
                                                                26
As feedback to the customer, the company
 must write a response letter to the complainant
 to explain the investigation approach taken,
 the results obtained and any implications, in
 case the quality problem was confirmed.
The customer should be sent a free
 replacement product together with the
 response letter, since the customer returned
 the product (the ‘complaint sample’) to the
 company for analysis and a quality problem was
 found.

                                               27
CORRECTIVE ACTIONS
RANGE FROM QUICK           FEED BACK TO CUSTOMERS WRITE
 TRAINING TO CAPA          RESPONSE LETTER TO CUSTOMER
    HANDLING.               DELIVER A FREE OFFER PRODUCT




     STEP 4: MONTHLY REPORTS AND TREND ANALYSIS
 QA COMPLAINT OFFICER EVALUATES MONTHLY REPORTS.
     PARETO ANALYSIS FOR CONFIRMED COMPLAINTS




                                                           28
MONTHLY REPORTS AND
TREND ANALYSIS
 Monthly reports should be elaborated in order to evaluate
  the amount and the nature of the complaints received and
  to perform a trend analysis of these complaints.
The monthly reports must answer the following questions:
 How many complaints did the company receive in the
  period?
 How many were confirmed?
 How many were non-confirmed or were counterfeit/tamper
  suspicion?
 Graphic methods of displaying data are important adjuncts
  to data analysis and presentation.
 The report must be readily available mainly during GMP
  inspections.
                                                              29
Documentation final product complaint
report
 Nature of the complaint--------------------------
 Date------------------
 Complaint:-------------------------
 Originator of the complaint & title ----------------------------
 Distribution contact person & title ----------------------------
 Method of notification----------------------------
 Name------------------------------------------------------
 Phone No.------------------------------       P.O#--------
 Date shipped-------------Invoice#-------
 Product name:-----------------           Control no:----------
 EXP date:---------------- Quantity involved---------------------
                                                                     30
 Total quantity shipped----------------------------------------
 Reason for complaint return request--------------------------
 Complaint#------------ Product--------------------
 Evaluation of complaints:
              1.Physical characteristics-------------------------
              2.Sign of deterioration ----------------------------
              3.Other observation--------------------------------
 Quality control Findings:
              1.Returned sample--------------------------
              2.Returned sample re assay---------------
              3. initial data-------------------------------------


                                                                   31
 4.Quality control comments & suggestions -------------------
    ----------------------------------------------------------------------
    ----------------------------------------------------------------------
    ----------------------------------------------------------------------
    ----------------------------------------------------------------------
    -------
   Quality control-------------------,Date--------------------
   Complaint#____________________________________
   Product_______________________________________
   Packaging/Labeling/Inserts
    evaluation_________________________________________
    __________________________________________________
    ____________________________________
   Remarks___________________________________________
    ________________________________________


                                                                         32
Resultant action taken:
 1.Method,Date of customer notification &
  authorized
  action_________________________________________
  ____________________________________________
 2.Comments____________________________________
  _______________________________________________
  __________________________________________
 3.Completion date for action taken
  _______________
    4.Quality assurance evaluation
  _______________________________________________
  _______________________________________________
  _________________________________
                                                33
Customer complaint record book
Repor Date    Produ Receiv Produ Date    Date
t no. receive ct    ed by ct lot investi investi
       d      name          no.    gation gation
                                   started ended




                                              34
RECALL HANDLING
 ‘‘Recall’’ means a firm’s removal or correction of a marketed
  product that the Food and Drug Administration considers
  to be in violation of the laws it administers and against
  which the agency would initiate legal action, e.g., seizure.
The main objectives of this recall plan are:
 Stop the distribution and sale of the affected product.
 Effectively notify Management, customers and regulatory
  authority.
 Efficiently remove the affected product from the
  marketplace, warehouse and/or distribution areas.
 Dispose and Conduct a root cause analysis and report the
  effectiveness and outcome of the recall.
 Implement a corrective action plan to prevent another
  recall.
                                                                 35
SOP on recall
 RESPONSIBILITY:
 General manager / vice president: (QA/QC, Regulatory)
 General Manager: manufacturing.
 In case of adverse event a committee evaluates the crisis. It
  consists of following individuals:
 GM/V.P/QA/QC, Regulatory
 GM Manufacturing
 GM, Formulation and Development
 Medical advisor
 Vice president - Marketing
 Vice president – International Marketing
 Vice president – Technical Operations

                                                                  36
PROCEDURE:
 Any employee becoming aware of such medicine should
  immediately notify to higher authorities.
 Immediately quarantine existing in-house of relevant medicine.
  Record the following information:
a) The product name, strength, packs size, batch no., mfg and
    expiry date.
b) The total number of units released for sale.
c) Date on which distribution commenced.
d) Total number of units distributed.
e) Number of units still in stock.
f) Nature of reported violation.
 In the light of above information higher officials evaluates the
  health hazard presented by the violation medicine and
  documents it on “ medicine recall control document”.
                                                                     37
INDIAN PHARMACEUTICALS LIMITED
              Medicine recall control document
 Product information:
1. Manufacturer ---------------------------------------------------------------
2. Product name---------------------------------------------------------------
3. Strength-----------------------------------------------------------------------
4. Pack size--------------------------------------------------------------------
5. batch number ---------------------------------------------------------------
6. total number of units originally released for sale: _________
7. Date of which distribution commenced: ______________
8. Total number of units distributed: _____________________
9. Number of units still in stock:
 At factory
 With stockiest (s)
10. The nature of the reported violation:
   __________________________________________________
                                                                                     38
 Formulating a proposed recall strategy. It specifies the nature of
  communication to be used (phone, fax, telegram, letters,
  telemail, etc) as well as the level in the distribution chain to
  which recall is extended.(wholesalers, retailers, public, etc).

 Relevant records shall be submitted to regulatory authorities
  with proposed plan of action.

             INDIAN PHARMACEUTICALS LIMITED
               Medicine recall control document
3. RECALL STRATEGY
3.1. Nature of communication (phone, fax, telegraphs, letters, news
   papers, etc.)
   __________________________________________________
   __________________________________________________
Depth of recall: (Wholesalers, retailers, general public)
   __________________________________________________

                                                                       39
The GM, QA/QC Regulatory or GM manufacturing
  implements recall without delay.
They also prepare an interim reconciliation report after
  30 days and submit a copy to concerned authorities.
After that prepares a final reconciliation report after 90
  days and submits a copy for verification of the success of
  recall.
 NAME OF        QUANTITY QUANTITY QUANTITY
 THE        DISTRIBUTE RETURNED                ACCOUNTE
 DISTRIBUTE D                                  D
 D




 TOTAL
                                                               40
 Signature of GM, QA/QC Regulatory G.M.
  manufacturing
    should be taken.
 Steps should betaken to prevent the re-occurrence.
Prior to completion of recall the following points should
  be considered:
 Method of destruction of the product .
 A designed area to receive returned medicines.
 Inventory of medicine.
 Destruction authorization.
The recall will be terminated when the GM, QA/QC
  Regulatory or GM manufacturing are assured that recall
  has been completed reasonably and a “medicine record
  status report” is completed.
                                                             41
INDIAN PHARMACEUTICALS LIMITED
MEDICINE RECALL OR WITHDRAWAL, PROCEDURE STATUS
  REPORT
Date: ________ product: ___________ Strength:____________
Pack size: ____________ B.no: _________Exp.date: ________
Nature of defect: ____________________________________
Reason for recall: _____________________________________
Indication of health risk or any other reason: ________________
Reported clinical problems: ______________________________
Method of communication to users:
Method         Action        Date        Target Group     Number
 Phone
 Letter
 Telegram
 TV
 Radio, Press etc.

                                                                   42
GM, QA/QC Regulatory or GM manufacturing shall
  prepare a “ Standardized recall letter” and “press
  statement”.
              INDIAN PHARMACEUTICALS LIMITED
                   STANDARD RECALL LETTER
Dear customer:
    It has come to our notice (product name) _______________
  having batch number ______________ or has shown ________
  please refrain from prescribing or dispensing any of this batch
  number and return all your stock of this batch number to our
  office at: __________________________________________
    All returned stock or this batch number will be replaced as free
  of charge. We apologies for any inconvenience caused to you and
  thank you for your co-operation.
Yours faithfully,
G.M. QA/QC Regulatory

                                                                   43
 After the authorization by GM, QA/QC Regulatory or GM
   manufacturing, the recalled material along with stock in hand
   shall be destroyed and that should be recorded.
RECALL CLASSIFICATION:
FDA classified the product recall depending on the health hazard
   caused by the product .
(1) Class I is a situation in which there is a reasonable probability
    that the use of, or exposure to, a violative product will cause
    serious adverse health consequences or death.
(2) Class II is a situation in which use of, or exposure to, a
    violative product may cause temporary or medically reversible
    adverse health consequences.
(3) Class III is a situation in which use of, or exposure to, a
    violative product is not likely to cause adverse health
    consequences.

                                                                    44
RECALL POLICY:
 Recall is an effective method of removing or
  correcting consumer products that are in violation
  of laws administered by the FDA.
 Recall may be undertaken voluntarily and at any
  time by manufacturers and distributors, or at the
  request of FDA.
 Recall is generally more appropriate and affords
  better protection for consumers. Seizure, multiple
  seizure, or other court action is indicated when a
  firm refuses to undertake a recall requested by the
  Food and Drug Administration.

                                                        45
HEALTH HAZARD EVALUATION:
 An evaluation of the health hazard presented by a product
  being recalled or considered for recall will be conducted
  by an ad hoc committee of Food and Drug
  Administration.
 It involves the assessment of hazards to various segments
  of the population, degree of seriousness, likelihood of
  occurrence, consequences etc.
RECALL TEAM:
 A recall coordinator is to be appointed and members of a
  recall team identified from the various functional areas.
 All members must ensure that all procedures are carried
  out effectively and efficiently. The team should receive
  appropriate training.
 The Recall Management Team list shall be updated at
  least four times a year.
                                                          46
NAME           ALTERNATE   BUSINESS PHONE   AFTER HOURS   RESPONSIBILITIE
                     PERSON                         PHONE         S DURING
                                                                   RECALL




Chief Executive   Production                                   •   Decision
Officer           Manager                                          Making
                                                               •   Media
                                                                   Communicati
                                                                   on
                                                               •   Contacting
                                                                   Accounts
                                                               •   CFIA,/
                                                                   Health
                                                                   Departments
                                                                   Contact
                                                               •   Obtaining
                                                                   Legal
                                                                   Counsel

Quality           Production                                       Quality
Assurance         Manager                                          Assurance /
Manager                                                            Technical
                                                                   Advisory
                                                                   Complaint
                                                                   Investigation
                                                                   CFIA /
                                                                   Health
                                                                   Departments
                                                                   Contact

                                                                                   47
RECALL STRATEGY:
(1) A recall strategy that takes into account the following
    factors :
(i) Results of health hazard evaluation.
(ii) Ease in identifying the product.
(iii) Degree to which the product's deficiency is obvious
   to the consumer or user.
(iv) Degree to which the product remains unused in the
   market-place.
(v) Continued availability of essential products.



                                                         48
 Elements of a recall strategy:
 Depth of recall.
 Public warning.
 Effectiveness checks:
 Level A--100 percent of the total number of consignees to
  be contacted.
 Level B- greater that 10 percent and less than 100 percent
  of the total number of consignees.
 Level C--10 percent of the total number of consignees to
  be contacted.
 Level D--2 percent of the total number of consignees to be
  contacted.
 Level E--No effectiveness checks.
                                                              49
 TERMINATION OF RECALL:
 A recall will be terminated when the FDA is
  confident that product has been removed from
  market in accordance with recall strategy. FDA’s
  written notice to the regulatee is the real
  termination.




                                                     50
PRODUCT RECALL CHART
               Assemble the recall
               management team

              Notify health agencies

            Identify all products to be
                     recalled

      Detain and segregate all products to be
      recalled which are in the firms control

                  Prepare the
                  press release
                  Prepare the             Contd ….
                distribution list
                                                     51
Prepare and distribute
  the notice of recall

Verify the effectiveness
      of the recall


 Control the recalled
      products

Decide what to do with
 the recalled product

  Fix the cause of the
 recall if the problem
occurred at your facility
                            52
References
1.Us53 Food &drug administration.21 code of federal
  regulation-part 211.198.
2. Current good manufacturing practices of
  pharmaceuticals - Manohar . A . Potdar.
3. How to practice GMP By P.P. Sharma
4. Validation in pharmaceutical industry by P.P. Sharma.
5. Recall Manual
 (http://www.google.co.in/#sclient=psy&hl=en&source=hp&q=RECALL
 +MANUAL&pbx=1&oq=RECALL+MANUAL&aq=f&aqi=g2g-v2g-
 m1&aql=&gs_sm=e&gs_upl=30014l34331l0l35759l13l12l0l0l0l0l1466l12191
 l6-
 4.7l11l0&bav=on.2,or.r_gc.r_pw.&fp=259c071b4fb78fb5&biw=1358&bih=
 566)
                                                                   53
References
 6. Complaint Handling in Pharmaceutical Companies
    Glaucia Karime Braga*; Faculty of Pharmaceutical
   Sciences, University of Sao Paulo, Brazil.
 7. WHO technical reports series, No. 908, 2011.
 8. Good Manufacturing Practices for pharmaceuticals –
   A Plan for total Quality control from manufacture to
   consumer 5th edition - Sidney H. Willig.
9. www.interscience.com
10. www.google .com
11.www.photobucket.com

                                                          54
I here by conclude that , all complaints
and recalls and other information concerning
potentially defective products must be carefully
reviewed according to written procedures and
corrective action should be taken, it gives the
company an opportunity to improve the quality
of the product and afford better protection for
consumers.


                                                    55
56

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Complaint and recall handling

  • 1. Presented By, APARNA.CHALLURI Reg.no: 11FJ1SO402 Under the guidance of, Mrs. NANSRI SAHA Dept’ of Pharmaceutics 1
  • 2. RETURNED GOODS: • Pharmaceutical products can be returned from market for various reasons e.g. Quality problems , accidental damage of goods etc. • such products when returned from market should have the following action immediately taken on it. i.Physically examine the condition of the goods returned. Also check all the relevant documents. ii.Ask Q.C. department to evaluate the quality of the goods received and take a decision on whether these products can be reprocessed ,recovered or needs to be destroyed. 2
  • 3. iii. If it possible to reprocess and recover, then such products after reprocessing or retesting may be considered for relabeling , repacking and reselling the same. iv. Q.C. department should evaluate all aspects of the received material. v. Where even a slightest doubt arises about the quality of the product , it should not be considered suitable for reissue or reuse. vi. Any action taken should be recorded. Documents required: • SOP on handling of returned goods 3
  • 4. Recovered materials: Recovered materials are defined as “those materials that have been diverted or removed from the solid waste stream for sale, reuse or recycling, whether or not they require subsequent separation and processing Recovering materials that would otherwise be disposed of as waste is one way to conserve resources. If done properly, it can benefit the environment, conserve raw materials and reduce energy. 4
  • 5. The addition of all or part of earlier batches , conforming to the required quality , into a batch of same product at pre defined stage of manufacture should be authorized before hand. The recovery should be carried out in accordance with a defined procedure after evaluation of risks involved, including any possible effect on shelf life. The recovery should be recorded. Normally 5 to 10 % of recovery can be added into fresh batch, provided the recovered material is meeting the specifications.  Such additions must be properly authorized and recorded. 5
  • 6. •Rejected production batches should be reprocessed in exceptional situations. •Such reprocessing should be permitted only if the reprocessed batch is going to meet the same specification after reprocessing •A detailed record of such reprocessing should be kept. •Reprocessed batches should be given by means of which, such batches can be identified as reprocessed batches. •Such batches should be separately monitored through out their shelf life. 6
  • 7. COMPLAINT HANDLING DEFINATION OF COMPLAINT:  “Complaint is defined as statement that is something wrong or not good enough, which shows customer dissatisfaction about the company and the product”. Example: Complaint about packaging materials, Concerning about the product etc. 7
  • 8. NEED FOR COMPLAINT HANDLING SYSTEM  It gives the company an opportunity to improve the quality of the product  It is helpful to maintain cGMP  It maintains committed relationship between the customer and company  It is the regulatory obligation. 8
  • 9. SOP on complaint handling  OBJECTIVE: To lay out the procedure for investigation and reporting the market complaints.  RESPONSIBILITY: The quality assurance manager along with manager of the complaint related department. PROCEDURE:  Complaints shall be classified in following categories to facilitate investigation:  Product quality complaints (non therapeutic).  Packaging complaints (shortages and packaging error).  Medical complaints (therapeutic problems). 9
  • 10. Receiving the complaints/ verbal Forwarding to heads of QA,QC dept. Investigation of the complaints Report(product, complainant, sample, action taken etc. details) Assigning a specific PCR number Ex: PCR/001/11. Recalls if any Maintenance of register of complaints. 10
  • 11. Time period for investigation after receipt of complaints:  Product quality complaints – within 5 days.  Packaging and quality complaints – within 10 days.  Medical complaint – within 3 days. Complaint records shall be maintained at least one year after expiration date of medicines. Complaint records shall be reviewed and a monthly summary shall be prepared for the management. 11
  • 12. PRODUCT NAME COMPLAINT CATEGORY Batch no. Mfg.date expiry date Packaging/ product quality/ medical. Name / address of the complainant: Complaint reported through: Complainant sample enclosed: Total quantity involved yes / no Quality of sample enclosed: Investigation report PCR received by On: Investigation done by: Action taken Conclusion: Confirmed/not confirmed PCR no: PCR approved by: recommended corrective actions 12
  • 13. Product complaint data sheet Product complaint data sheet should have the following details:  Serial number assigned to the complaints.  Exact nature of the complaints.  Name of the complainants.  Address of the complainants.  Date of complaint received.  If verbal, name of the person who received the complaint.  Name of the product, strength and batch number of the product.  Reference to analytical record number. 13
  • 14.  Quantity involved in the complaint.  Size of sample obtained from the complainant.  Evaluation of complaint by QC department.  Materials and records used to perform evaluation.  Other possible effected materials, products and results of their investigation.  Name and signature of the investigator(s) and date.  Action taken by the company.  Copy of reply sent to complainant. 14
  • 15. Steps in handling of complaints The proposed handling system is in compliance with the GMP Guidelines of EU, USA and Brazil and is presented in four steps: 1. Receiving complaints. 2. Technical investigation. 3. Corrective actions/feedback to Customers. 4. Monthly reports/trend analysis. 15
  • 16. Receiving complaints It is important to have open channels with with customers in order to receive their suggestions, doubts and complaints. Generally, these channels are toll-free numbers, e-mails, chat-rooms and P.O. boxes.  The most flexible channels are toll-free numbers and chat-rooms.  A person must be appointed in charge of receiving complaints and inputting them into appropriate investigation form that shall be addressed. 16
  • 17.  The investigation form must include:  Information about the complainant: - Name - Address - phone no. - E mail  Information about the drug product - Product name - Lot no - MFG & Exp date - Amount of the product with the problem. - Detailed description of the complaint. 17
  • 18. customer Make a complaint through toll free no., E- mails, P.O. Box Company's contact person •Open the investigation, including information about the customer and about the complaint(product name, lot no., mfg & expiry date and complaint description.) QA complaint •Ask the customer to return the officer product for analysis. 18
  • 19. Technical investigation Upon receipt of the investigation form, the QA unit is able to start the investigation. It is divided into two phases:  Documentation based investigation.  Laboratory analysis. Documentation based investigation: The primary documentation to be reviewed consists of:  Complaint files: This is constituted to check how many other complaints of the same nature had occurred to a specific lot and how they were handled.  Batch records must be verified in order to see if there were any non-conformance during the production. 19
  • 20. Laboratory analysis phase It consists of requesting the Quality Control (QC) laboratory to analyze.  Complaint samples.  Retained samples. Complaint samples are the customer sample. Retained samples – the reserve samples representative of the lot manufactured (which were kept under appropriate conditions of temperature, humidity and light so that the drug product was not affected). The company elects a person in the QA unit to be in charge of technical investigation of each complaint, e.g. a Complaint Officer. 20
  • 21. Documentation based Laboratory analysis •Check complaint files •Analyze complained sample for previous complaints and retained sample. of same nature. •Send results to QA •Check batch records. complaint officer QA COMPLAINT OFFICER BASED ON DOC. REVIEW & LAB ANALYSIS , HE FINISHES INVESTIGATION AND PROVIDES CONCLUSION CONFIRMED NON- COUNTERFEIT COMPLAINT CONFIRMED / TAMPER S COMPLAINTS SUSPICION 21
  • 22.  There are three possible conclusions, as follows:  Confirmed complaints.  Non confirmed complaints.  Counterfeit/ tamper suspicion. CONFIRMED COMPLAINTS:  When both complaint and retained samples showed out-of-specification (OOS) results or when only the complaint sample showed OOS results. Example:  a single unexplained failure may be when one tablet is missing in the intact blister strip in the complaint sample, but no deviation was found in the retained samples or during the in-process controls and final QC analysis recorded in the batch record. 22
  • 23. NON-CONFIRMED COMPLAINTS:  When both complaint and retained samples showed results in compliance with specifications or when only the complaint sample showed OOS results.  OOS results in a complaint sample can be attributed to misuse or mishandling, when the drug product was not kept under appropriate conditions of temperature, humidity and light so that the identity, strength, quality and purity of the drug product could be affected. Example: Tablets of the complaint sample show a change in their appearance that is characteristic of a light, humidity or high temperature exposure. 23
  • 24. COUNTERFEIT / TAMPER SUSPICION:  When the retained sample is within the specification but the complaint sample is clearly OOS with no reason for that, such as a counterfeit or tampered drug product. Example:  when packaging material is different from the original; an example of tampering is when the color of the drug product is completely different from the original or when any foreign substance was added to the product. 24
  • 25.  The Complaint Officer must also check if the complaint represents a serious and unexpected adverse drug experience.  The Complaint Officer and the QA Manager must sign off the investigation form once the investigation is completed.  30 days is a reasonable time to conclude an investigation.  Complaint files should be retained for at least 1 year after the expiry date of the lot. 25
  • 26. CORRECTIVE ACTIONS AND FEEDBACK TO CUSTOMERS  For all confirmed complaints, corrective actions must be implemented. These actions can range from a simple and quick training to some employees to a formal Corrective Action and Preventive Action (CAPA) handling.  If a CAPA is opened, a multidisciplinary team consisting of representatives of QA, QC, Regulatory Affairs and Production Management must be established.  Concerning non-confirmed complaints originating from misuse or inadequate handling of the drug product. The customer should receive a written response together with scientific information on the correct use and handling. Contd … 26
  • 27. As feedback to the customer, the company must write a response letter to the complainant to explain the investigation approach taken, the results obtained and any implications, in case the quality problem was confirmed. The customer should be sent a free replacement product together with the response letter, since the customer returned the product (the ‘complaint sample’) to the company for analysis and a quality problem was found. 27
  • 28. CORRECTIVE ACTIONS RANGE FROM QUICK FEED BACK TO CUSTOMERS WRITE TRAINING TO CAPA RESPONSE LETTER TO CUSTOMER HANDLING. DELIVER A FREE OFFER PRODUCT STEP 4: MONTHLY REPORTS AND TREND ANALYSIS QA COMPLAINT OFFICER EVALUATES MONTHLY REPORTS. PARETO ANALYSIS FOR CONFIRMED COMPLAINTS 28
  • 29. MONTHLY REPORTS AND TREND ANALYSIS  Monthly reports should be elaborated in order to evaluate the amount and the nature of the complaints received and to perform a trend analysis of these complaints. The monthly reports must answer the following questions:  How many complaints did the company receive in the period?  How many were confirmed?  How many were non-confirmed or were counterfeit/tamper suspicion?  Graphic methods of displaying data are important adjuncts to data analysis and presentation.  The report must be readily available mainly during GMP inspections. 29
  • 30. Documentation final product complaint report  Nature of the complaint--------------------------  Date------------------  Complaint:-------------------------  Originator of the complaint & title ----------------------------  Distribution contact person & title ----------------------------  Method of notification----------------------------  Name------------------------------------------------------  Phone No.------------------------------ P.O#--------  Date shipped-------------Invoice#-------  Product name:----------------- Control no:----------  EXP date:---------------- Quantity involved--------------------- 30
  • 31.  Total quantity shipped----------------------------------------  Reason for complaint return request--------------------------  Complaint#------------ Product--------------------  Evaluation of complaints: 1.Physical characteristics------------------------- 2.Sign of deterioration ---------------------------- 3.Other observation--------------------------------  Quality control Findings: 1.Returned sample-------------------------- 2.Returned sample re assay--------------- 3. initial data------------------------------------- 31
  • 32.  4.Quality control comments & suggestions ------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- ---------------------------------------------------------------------- -------  Quality control-------------------,Date--------------------  Complaint#____________________________________  Product_______________________________________  Packaging/Labeling/Inserts evaluation_________________________________________ __________________________________________________ ____________________________________  Remarks___________________________________________ ________________________________________ 32
  • 33. Resultant action taken:  1.Method,Date of customer notification & authorized action_________________________________________ ____________________________________________  2.Comments____________________________________ _______________________________________________ __________________________________________  3.Completion date for action taken _______________  4.Quality assurance evaluation _______________________________________________ _______________________________________________ _________________________________ 33
  • 34. Customer complaint record book Repor Date Produ Receiv Produ Date Date t no. receive ct ed by ct lot investi investi d name no. gation gation started ended 34
  • 35. RECALL HANDLING  ‘‘Recall’’ means a firm’s removal or correction of a marketed product that the Food and Drug Administration considers to be in violation of the laws it administers and against which the agency would initiate legal action, e.g., seizure. The main objectives of this recall plan are:  Stop the distribution and sale of the affected product.  Effectively notify Management, customers and regulatory authority.  Efficiently remove the affected product from the marketplace, warehouse and/or distribution areas.  Dispose and Conduct a root cause analysis and report the effectiveness and outcome of the recall.  Implement a corrective action plan to prevent another recall. 35
  • 36. SOP on recall  RESPONSIBILITY:  General manager / vice president: (QA/QC, Regulatory)  General Manager: manufacturing.  In case of adverse event a committee evaluates the crisis. It consists of following individuals:  GM/V.P/QA/QC, Regulatory  GM Manufacturing  GM, Formulation and Development  Medical advisor  Vice president - Marketing  Vice president – International Marketing  Vice president – Technical Operations 36
  • 37. PROCEDURE:  Any employee becoming aware of such medicine should immediately notify to higher authorities.  Immediately quarantine existing in-house of relevant medicine. Record the following information: a) The product name, strength, packs size, batch no., mfg and expiry date. b) The total number of units released for sale. c) Date on which distribution commenced. d) Total number of units distributed. e) Number of units still in stock. f) Nature of reported violation.  In the light of above information higher officials evaluates the health hazard presented by the violation medicine and documents it on “ medicine recall control document”. 37
  • 38. INDIAN PHARMACEUTICALS LIMITED Medicine recall control document  Product information: 1. Manufacturer --------------------------------------------------------------- 2. Product name--------------------------------------------------------------- 3. Strength----------------------------------------------------------------------- 4. Pack size-------------------------------------------------------------------- 5. batch number --------------------------------------------------------------- 6. total number of units originally released for sale: _________ 7. Date of which distribution commenced: ______________ 8. Total number of units distributed: _____________________ 9. Number of units still in stock:  At factory  With stockiest (s) 10. The nature of the reported violation: __________________________________________________ 38
  • 39.  Formulating a proposed recall strategy. It specifies the nature of communication to be used (phone, fax, telegram, letters, telemail, etc) as well as the level in the distribution chain to which recall is extended.(wholesalers, retailers, public, etc).  Relevant records shall be submitted to regulatory authorities with proposed plan of action. INDIAN PHARMACEUTICALS LIMITED Medicine recall control document 3. RECALL STRATEGY 3.1. Nature of communication (phone, fax, telegraphs, letters, news papers, etc.) __________________________________________________ __________________________________________________ Depth of recall: (Wholesalers, retailers, general public) __________________________________________________ 39
  • 40. The GM, QA/QC Regulatory or GM manufacturing implements recall without delay. They also prepare an interim reconciliation report after 30 days and submit a copy to concerned authorities. After that prepares a final reconciliation report after 90 days and submits a copy for verification of the success of recall. NAME OF QUANTITY QUANTITY QUANTITY THE DISTRIBUTE RETURNED ACCOUNTE DISTRIBUTE D D D TOTAL 40
  • 41.  Signature of GM, QA/QC Regulatory G.M. manufacturing should be taken.  Steps should betaken to prevent the re-occurrence. Prior to completion of recall the following points should be considered:  Method of destruction of the product .  A designed area to receive returned medicines.  Inventory of medicine.  Destruction authorization. The recall will be terminated when the GM, QA/QC Regulatory or GM manufacturing are assured that recall has been completed reasonably and a “medicine record status report” is completed. 41
  • 42. INDIAN PHARMACEUTICALS LIMITED MEDICINE RECALL OR WITHDRAWAL, PROCEDURE STATUS REPORT Date: ________ product: ___________ Strength:____________ Pack size: ____________ B.no: _________Exp.date: ________ Nature of defect: ____________________________________ Reason for recall: _____________________________________ Indication of health risk or any other reason: ________________ Reported clinical problems: ______________________________ Method of communication to users: Method Action Date Target Group Number  Phone  Letter  Telegram  TV  Radio, Press etc. 42
  • 43. GM, QA/QC Regulatory or GM manufacturing shall prepare a “ Standardized recall letter” and “press statement”. INDIAN PHARMACEUTICALS LIMITED STANDARD RECALL LETTER Dear customer: It has come to our notice (product name) _______________ having batch number ______________ or has shown ________ please refrain from prescribing or dispensing any of this batch number and return all your stock of this batch number to our office at: __________________________________________ All returned stock or this batch number will be replaced as free of charge. We apologies for any inconvenience caused to you and thank you for your co-operation. Yours faithfully, G.M. QA/QC Regulatory 43
  • 44.  After the authorization by GM, QA/QC Regulatory or GM manufacturing, the recalled material along with stock in hand shall be destroyed and that should be recorded. RECALL CLASSIFICATION: FDA classified the product recall depending on the health hazard caused by the product . (1) Class I is a situation in which there is a reasonable probability that the use of, or exposure to, a violative product will cause serious adverse health consequences or death. (2) Class II is a situation in which use of, or exposure to, a violative product may cause temporary or medically reversible adverse health consequences. (3) Class III is a situation in which use of, or exposure to, a violative product is not likely to cause adverse health consequences. 44
  • 45. RECALL POLICY:  Recall is an effective method of removing or correcting consumer products that are in violation of laws administered by the FDA.  Recall may be undertaken voluntarily and at any time by manufacturers and distributors, or at the request of FDA.  Recall is generally more appropriate and affords better protection for consumers. Seizure, multiple seizure, or other court action is indicated when a firm refuses to undertake a recall requested by the Food and Drug Administration. 45
  • 46. HEALTH HAZARD EVALUATION:  An evaluation of the health hazard presented by a product being recalled or considered for recall will be conducted by an ad hoc committee of Food and Drug Administration.  It involves the assessment of hazards to various segments of the population, degree of seriousness, likelihood of occurrence, consequences etc. RECALL TEAM:  A recall coordinator is to be appointed and members of a recall team identified from the various functional areas.  All members must ensure that all procedures are carried out effectively and efficiently. The team should receive appropriate training.  The Recall Management Team list shall be updated at least four times a year. 46
  • 47. NAME ALTERNATE BUSINESS PHONE AFTER HOURS RESPONSIBILITIE PERSON PHONE S DURING RECALL Chief Executive Production • Decision Officer Manager Making • Media Communicati on • Contacting Accounts • CFIA,/ Health Departments Contact • Obtaining Legal Counsel Quality Production Quality Assurance Manager Assurance / Manager Technical Advisory Complaint Investigation CFIA / Health Departments Contact 47
  • 48. RECALL STRATEGY: (1) A recall strategy that takes into account the following factors : (i) Results of health hazard evaluation. (ii) Ease in identifying the product. (iii) Degree to which the product's deficiency is obvious to the consumer or user. (iv) Degree to which the product remains unused in the market-place. (v) Continued availability of essential products. 48
  • 49.  Elements of a recall strategy:  Depth of recall.  Public warning.  Effectiveness checks:  Level A--100 percent of the total number of consignees to be contacted.  Level B- greater that 10 percent and less than 100 percent of the total number of consignees.  Level C--10 percent of the total number of consignees to be contacted.  Level D--2 percent of the total number of consignees to be contacted.  Level E--No effectiveness checks. 49
  • 50.  TERMINATION OF RECALL:  A recall will be terminated when the FDA is confident that product has been removed from market in accordance with recall strategy. FDA’s written notice to the regulatee is the real termination. 50
  • 51. PRODUCT RECALL CHART Assemble the recall management team Notify health agencies Identify all products to be recalled Detain and segregate all products to be recalled which are in the firms control Prepare the press release Prepare the Contd …. distribution list 51
  • 52. Prepare and distribute the notice of recall Verify the effectiveness of the recall Control the recalled products Decide what to do with the recalled product Fix the cause of the recall if the problem occurred at your facility 52
  • 53. References 1.Us53 Food &drug administration.21 code of federal regulation-part 211.198. 2. Current good manufacturing practices of pharmaceuticals - Manohar . A . Potdar. 3. How to practice GMP By P.P. Sharma 4. Validation in pharmaceutical industry by P.P. Sharma. 5. Recall Manual (http://www.google.co.in/#sclient=psy&hl=en&source=hp&q=RECALL +MANUAL&pbx=1&oq=RECALL+MANUAL&aq=f&aqi=g2g-v2g- m1&aql=&gs_sm=e&gs_upl=30014l34331l0l35759l13l12l0l0l0l0l1466l12191 l6- 4.7l11l0&bav=on.2,or.r_gc.r_pw.&fp=259c071b4fb78fb5&biw=1358&bih= 566) 53
  • 54. References 6. Complaint Handling in Pharmaceutical Companies Glaucia Karime Braga*; Faculty of Pharmaceutical Sciences, University of Sao Paulo, Brazil. 7. WHO technical reports series, No. 908, 2011. 8. Good Manufacturing Practices for pharmaceuticals – A Plan for total Quality control from manufacture to consumer 5th edition - Sidney H. Willig. 9. www.interscience.com 10. www.google .com 11.www.photobucket.com 54
  • 55. I here by conclude that , all complaints and recalls and other information concerning potentially defective products must be carefully reviewed according to written procedures and corrective action should be taken, it gives the company an opportunity to improve the quality of the product and afford better protection for consumers. 55
  • 56. 56