Unit: 2 Premises, Pharmaceutical Quality Assurance

 


Location and Surrounding

Selection of a site for construction of a pharmaceutical factory is an important decision. This decision should be taken after careful consideration of various aspects. Ideally location of the factory site should be hygienic and its surrounding should be such as to have minimum sources of pollution. It should be away from open sewage, drain public lavatory or any factory which produces disagreeable or obnoxious odor or fumes or large quantity of soot, dust or smoke, chemical or biological emissions. Other factors that should be considered while selecting a site for pharmaceutical factory include

- Transportation facilities for transportation of men, equipment and materials

- Availability of suitable water

- Availability of electricity power

- Availability of maintenance facility for repair and maintenance of plant

- Availability of communication facility

- Proximity of civic facilities like education, housing, recreation, local transport, shopping, etc for factory personnel

- Local statutory restrictions

- Government incentives like cash subsidies, tax exemptions, etc

Building

First step in construction of building is to make layout. There are many points which should be kept in mind whiling designing a layout for factory premises. Silent points are given below:-

  1.    Total area of land available
  2. Percentage of area that can be converted under local laws
  3.       Dosage forms to be manufactured (tablet, capsule, ointments, injection, etc)
  4.     Scale of operation i.e. small scale, medium scale, large scale Different areas that are required, to be provided in pharmaceutical  factory( storage area, weighing area, production area, quality control area, ancillary area)
  5.  Requirement of building for hazardous materials
  6.    Specific requirement for utilities (boiler for generation of steam, gases, water)
  7.       Logical flow of material i.e. goods in store-production-quarantine and assembly- warehouse- goods out
  8.    Provision for national or local factory law
  9.     Future projects                                                                                                                             The layout and design must aim to minimizing the risk of contamination, permitting effective cleaning and maintenance in order to avoid cross contamination, build up of dust or dirt and any adverse effect on the quality products in general.                                                                      Some general guidelines are given below which will be helpful in preparing layout, designing and construction of building.
  10. Since little modification can be carried out in water supply lines and drainage system after construction of the buildings, a thoughtful consideration should be given to these aspects.
  11. Toilets should be communicated directly either with production or with storage areas.
  12.    There should be adequate facilities for changing and storing clothes
  13. Rest and refreshment room should be separate from other areas.
  14.  As far as possible maintenance workshops should be separated from production areas
  15.   If possible there should be separate building for animal house
  16.   Floors should be smooth and impervious. This can be achieved in cement flooring or mosaic flooring. Where heavy equipment is to be moved from one place to another. Edge lines between floor and walls should be smooth and slightly curved so that these can be cleaned easily. Adequate slope should be provided towards drainage system. Floors of areas where acids or alkalis are handled may be constructed of acid proof tiles.
  17.   Internal walls should be plastered with cement to smooth finish and should be finished with appropriate paint.
  18.  Ceiling should be smooth and impervious. This can be achieved by plastering with cement to smooth finish and by painting.
  19. Overhead ducts, pipes, lighting fixtures should be avoided in production areas, because these are not cleanable surface. If unavoidable, these should be contained within suspended or false ceiling.
  20.  Doors and windows should be hard, smooth and impervious. wooden doors should be avoided in production area, whenever required hydraulics door closer should be provided. Now a day a synthetic material Nuwud MDF is available. This material is fire retardant, moisture resistant, termite and fungus resistant.
  21.   Drains in the building should be adequate size and should have trapped gullies. Where drains are connected directly to sewer, these must be provided with an air break or mechanical device to prevent back siphonage.
  22.   Passage of adequate width should be provided to facilitate movement of personnel, machinery and materials.

Principle Areas of Pharmaceutical Manufacturing Facilities

The regulatory guidelines provide information on some common areas in the facility :

1.      Ancillary area- These area covers:

-          Rest and refreshment room, toilets and wash area

-          Cloth storage area

-          Change area of employees

-          Engineering workshop

-          Animal house and similar areas

2.      Warehouse Area /Storage area- Various categories of the materials are required to store in a pharmaceutical manufacturing unit. Categories of the materials, which  need special attention are:

-          Starting material

-          Packaging material

-          Intermediates

-          Bulk finished products

-          Finished products

-          Products in quarantine

-          Release materials

-          Rejected materials

-          Returned products

-          Recalled products

Sufficient space should be provided for different categories of materials. These area should be maintained clean and dry. Where special storage conditions (eg temperature and humidity) are required these should be provided, checked and monitored.

Materials like narcotics, highly active materials and materials having special risk of abuse, fire or explosion should be stored in a safe and secure areas. These materials should be handled in accordance with the provisions of legislation.

3.      Weighing area- Weighing operations are generally carried out in storage areas and processing areas. Weighing operations can produce dust and floating dust can contaminate other materials. Therefore weighing area should be cubicalized. Where low bioburden is required to be maintained, weighing area should be provided with laminar flow bench. Sensitizing materials can be weighed in dedicated facilities meant for such materials.

4.      Quality control area- like production areas, quality control areas also have some features that should be taken into consideration while designing and constructing. These include:-

i)                   Quality control laboratories should be located in distinctly separate area

ii)                 Quality control laboratory should designed to suit the intended operations

iii)               Different types of testing i.e. chemical, instrumental, microbiological and biological should be physically separated from each other.

iv)               If quality control laboratory is busy in analyzing special products like radio isotopes, preparation of either containing live pathogenic microorganism, dedicated facility should be provided and appropriate precaution should be taken.

v)                  Sufficient space should be provided in quality control laboratory for installing of the equipment, instruments and movement of men and materials. Sufficient space should be provided for storage of

-          Storage of chemical and reagents

-          Samples received for testing

-          Reference sample

-          Reference standard

-          Records

i)                   Certain samples require controlled conditions for storage for example, reference standard, microbial cultures. For storage of such material appropriate storage facilities should be provided ( e.g. refrigerator)

ii)                 Certain work benches where corrosive materials like acids are used should have acid proof tops

iii)               Appropriate exhaust systems are required for removing laboratory fumes. Operations with excess fumes, fuming cupboards should be constructed with powerful exhausts.

5.      Production Area-

i)                   General category products (other than antibiotics, cytotoxic and hormones) should be manufactured in separate manufacturing facility

ii)                 Highly potent, sensitive or live micro-organism, etc should be produced in separate areas to avoid cross contamination

iii)               Premises should be designed to have a logical flow of materials, well organized layout of plant and machinery and ease of cleaning both equipment  and facility

iv)               Depending on volume of material to be handled, adequate space  should be provided to avoid mix-ups

v)                  Production areas should be properly ventilated with suitably designed HVAC (Heating, Ventilation and Air Conditioning) system, appropriate to product being handled

vi)               Premises for packaging of pharmaceuticals should be specifically designed and laid out so as to avoid mix-ups and cross contamination.

Sanitation

CFR 211.56 gives guidelines of sanitation. It states-

1.      Any building used for manufacture, processing, packing or holding of a drug product shall be maintained in a clean and sanitary condition, any such building should be free from rodents, birds, insects, and other vermin.


2.      There should be written procedures assigning responsibility for sanitation and describing in sufficient detail the cleaning schedules, methods, equipment and materials to be used in the cleaning the building and facilities, such written procedure should be followed.

3.      There shall be written procedure for use of suitable rodenticides, insecticides, fungicides, fumigating agents and cleaning and sanitizing agents. Such written procedure shall be designed to prevent the contamination of equipment, component drug product container and closures, packaging and labeling materials or drug products and shall be followed.

4.      Sanitation procedure shall apply to work performed by contractors or temporary employees as well as work performed by full time employee during the ordinary course of operation.

5.      Certain points to be noted in this regards:-

i)                   Disinfectant must be rotated during the sanitation programme to avoid resistance development by microbes

ii)                 Microbial profiles of the critical areas in the manufacturing facility should be studied and monitored.

iii)               SOPs on sanitation should clearly provide the frequency of sanitation, concentration of specific detergents and disinfectant used.

iv)               Procedure for preparation, filtration and storage of disinfectant. Diluted disinfectant must be used on the same day and should not be stored for use in future

v)                  Sanitary supervisor is an important person in the system of sanitation and should be trained enough in the requirement of sanitation in pharmaceutical  manufacturing facilities

vi)               SOPs should be available even for cleaning and sanitation of external are of facilities like roads, lawn, etc. cutting and disposal of lawns (grass) is an important aspect of sanitation, since the cut grass has potential of presence of small crawling or other insects and they can pose a danger to the operating facilities.

Maintenance

CFR 211.58 states that “Any building used in the manufacture, processing, packing or holding of a drug product shall be in a good state of repair.”

Facility maintenance includes the following things

-          Spoilage of plaster

-          Peeling of a paint

-          Leakage from the ceiling or other surfaces

-          Leakage from pipe lines of waters, steam, gases, etc

-          Plumbing problems

-          Loose or broken tiles

-          Improper closing of doors, windows

-          Improper electrical wiring

-          Improper electrical fitting/ fixtures

-          Missing tube lights , etc

A detailed checklist may be prepared for the points to be looked into, during routine inspection of the facilities and the identified deficiencies should be rectified immediately and the facility must always be maintained in a state of good repair.

Environment Control in Sterile Area

Sterile products are very critical and sensitive in nature hence it requires very high degree of precaution and prevention is required in its preparation and there shall be strict compliance with standard prescribed by regulatory authorities. 

Air classification system for manufacture of sterile products

Grades Maximum permitted
numberof particles/m3
Maximum
no of viable
microorgani
sm
permitted
per m3
At rest In operation
0.5 to
5 μm
> 5 μm 0.5 to
5 μm
> 5 μm
A 3500 0 3500 0 Less than 1
B 3500 0 350,000 2000 5
C 350,000 2000 3500,000 20,000 100
D 3500,
000
20,
000
Not
defined
Not
defined
500

Types of operations to be carried out in the various grades for aseptic preparation

Grade

Types of operations for aseptic preparation

A

Aseptic preparation and filling

B

Background room condition for activities requiring Grade A

C

Preparation of the solution to be filtered

D

Handling of components after washing

Recommended limits for microbiological monitoring of clean area “In operation”

Grade Air sample CFU/ m3 Settle plates (dia. 90 mm CFU/2hrs) Contact plates (dia. 55 mm CFU/plate) Glove points (Five fingers CFU/glove)
A <1 <1 <1 <1
B 10 5 5 5
C 100 50 25 -
D 500 100 50 -

US FDA guidelines for air classification

Clean area classification 0.5 μm particles/ ft3 0.5 μm particles/ m3 Microbiological limit
CFU/ft3 CFU/m3
100 100 3500 <1 <3
1000 1000 35000 <2 <7
10000 10000 350000 <3 <18
100000 100000 3500000 <25 <88

Utilities and Maintenance in Sterile Areas

In addition to general requirements of the building and facilities, certain additional requirements must be met for manufacture of sterile product

1.      Walls ceiling and floor surfaces should be hard, smooth, impervious, non shedding, non-flaking, non cracking, all corners covered, and with unbroken surfaces. T thin layer of (2mm) epoxy coating may give desired finish.

2.      Avoid ledges and other horizontal surfaces which could collect particulate matter or disturb uniform air flows.

3.      Install pipes, ducts and other utilities in a manner to avoid recesses and other difficult to clean and sanitize. For this reason utility services may be dropped down close to the point of use through a round, mirror polished SS 304 or 316 grade pipes.

4.      Adequate space for gowning areas, garment storage, soiled garments disposal and hand washing should be provided. Hot air dryers should be provided for drying hands and feet wherever required.

5.      Gowning area should be separated from other areas of material movement. Change rooms for gowning may be provided with number of air locked rooms. Generally entry to aseptic area and exit from aseptic area should be from different routes. Cleaner side airlocks should be at relatively higher air pressure than that of less cleaner side. Adjacent rooms should have minimum 15 pascal (1.5 mm of water gauge) pressure differential to achieve desired effect.

6.      Everywhere personnel entry and material entry should be separate

7.      Clean room should not have drains and sinks (in grade A and B areas) in C grade area, if drain or sink is needed they should have sufficient hygienic control over there.

8.      When two different grade areas n(say b and C) are separated by windows, these windows should have double glass. The relatively non critical area should have openable window glass, which can help in cleaning and sanitizing the enclosed space in the two glass windows

9.      Furniture like tables ,chairs, etc in the critical clean room area should be made from SS304

10.  Employee welfare rooms (like canteen, restrooms, etc), animal house are potential source of contamination and hence they should be well segregated from clean area operations.

11.  The facility should be designed in a fashion that A and B grade activities could be seen through the double glass window. This help senior supervisor staff to supervise the activities without entering that area.

12.      HVAC System- i) Temperature- this has to be product specific but normally in critical area (A, B and C) it may be 23 °C± 2 °C.

ii) Relative Humidity- this is also product specific but generally a relative humidity of 45% ±5% is recommended

iii) Air velocity- In case of HEPA filters the air velocity normally required is between 80-120 feet per minute.

iv)  Differential pressure and room to room air balancing- normally a differential pressure between the adjacent rooms is recommended to be 15 Pascal. (10pascal= 1 mmg water gauge)

v) HEPA filter and their integrity- it must be tested regularly by DOP or DOS testing methods

vi) Laminar Air Flow Units (LAF) - All class A installation should have LAF units working. They can be either vertical or horizontal.

i)                   Air System Failure Alarm (ASFA) - all aseptic area (grade A nod B) must be fitted with ASFA. This can be only audio or audio visual.

Control of Contamination

Following information should be given to the person working in this area

-          There are two main types of contamination- Living and Non-living

-          While making sterile products our concern should be particularly with preventing, removing or destroying micro-organisms (bacteria. Moulds, yeasts, viruses).

-          Some microbes are very dangerous to us. Others can be quite harmless and even useful in some circumstances. ALL OF THEM MUST BE KEPT AWAY OR REMOVED FROM STERILE PRODUCT.

-          Non-living contamination, whether it is undesired chemical substance or just inactive dust, powder or fibers must be kept out of sterile products

-          Microorganisms can produce dangerous PYROGENS. These must not be allowed to develop in or on sterile products.

1.      Controlling contamination-Clean Rooms

i)                   A number of stages in sterile product manufacture are carried out in clean rooms

ii)                 The term ‘Clean Room’ has special meaning in sterile product manufacture.

The clean room is the room where the air is supplied, under pressure (positive), through special filters (HEPA) designed to keep any micro organisms and other particles in the air down to defined low level.

iii)             In sterile area all the surface of floors, walls, ceiling, etc should be hard and free from cracks to avoid dust and micro organism accumulation and should permit easy cleaning.

1.      Control of contamination- People

All people who are going to work in the aseptic area should be emphasized on the following points to control the contamination

i)                   Keep, body, hair, face, hands and fingernails clean.

ii)                 Report any illness, cuts or respiratory, gut or skin problem

iii)               Follow the written changing and wash-up procedure exactly.

iv)               Do not wear cosmetics, jewelry or wrist watches

v)                  Leave all personal items (wallets, coins, keys, comb, etc) in the changing room.

vi)               Do not take papers, documents into a clean room

vii)             Always move gentle and steadily (Brisk movement shed large particles from body movement)

viii)           Keep talking to an absolute minimum (No talk should be the objective)

2.      Control of contamination by cleaning and disinfections

i)                   The written procedures regarding cleaning and disinfection should be followed EXACTLY and STRICTLY.

ii)                 Before disinfection, it is necessary to clean the area completely.

iii)               All the cleaning and disinfecting agents and materials themselves should be clean

iv)               Avoid cleaning by mops ,use equipment

v)                  Use vacuum cleaner for sucking dust

vi)                Always start cleaning walls and ceiling from top to avoid recontamination.

vii)             Special care should be taken for selecting right cleaning and disinfecting agents in right dilution.

viii)           All the equipments and accessories must be cleaned after used and stored in clean and dry place.

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