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    Amjad Ganma

    M. Sc Pharmaceutical Validation (London)

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    1. Organization Set-up

    Design Criteria The Facility should be designed to help to protect the

    product.

    One of the Process and Operational critical requirement is

    the role in how a facility is organized to preventcontamination and mix of products.

    Considerations of potential product hazards and

    containment requirements.

    Fitting or integrating the process or operationalrequirements into a project site is considered essential for a

    successful project. The main goal is to protect the product.

    The implementation of the facility design to achieve this is

    facility modeling.

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    1. Organization Set-up

    Design Criteria

    Site and Building Considerations in the aspect of

    Sanitization :

    Environmental Protection is essential Operator protection is essential

    Product

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    1. Organization Set-up

    Layout Consideration

    The main goal is to protect the product from contamination.

    Layout and facility design should achieve the ways for facilitymodeling.

    The process specialist, architect, layout engineer, HVAC engineerand QA should collaborate for successful integration design.

    Product and Process requirements and information.

    Conceptual layout should be enhanced and refined to produce anequipment and facility layout.

    The layout should determine equipment relationship andintegrate equipment needs as well access and movementrequirements for people, components etc.. To permitdevelopment of an efficient layout.

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    1. Organization Set-up

    Room Function/Finishes Room for aseptic processing for product or components.

    Room/area immediately adjacent to the above,comprised of material/personnel airlocks.

    Preparation room closely related to aseptic processingroom.

    Room/area immediately adjacent to preparation room,comprising material airlocks, personnel clean change,secondary packaging and other associated areas.

    Room for ancillary/support functions includes: Warehousing Office

    Plant utilities

    Circulation area

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    1. Organization Set-up

    Surface Finishes and Materials of Construction Finish materials should be non-shedding, non-porous and

    resistant to sustaining microbial growth.

    Surfaces should be smooth and easy to clean with

    minimal ledges Joints

    No corners (that are difficult to access)

    Importantly near the product and process equipment.

    Finishes should be able to withstand repeated Cleaning Sanitization with various chemicals

    Resist surface oxidation.

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    1. Organization Set-up

    Surface Finishes and Materials of Construction

    Doors hardware should be carefully considered

    Easy Cleaning

    Hands Off proximity sensors and openers wherever

    necessary.

    Door swings should be opposite direction of airflow to

    assist in maintaining the differential pressure. 10. ISO_Controlled Environment Design.pdf

    http://localhost/var/www/apps/conversion/tmp/scratch_2/10.%20ISO_Controlled%20Environment%20Design.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/10.%20ISO_Controlled%20Environment%20Design.pdf
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    1. Organization Set-up

    GMP Requirement for Electrical Systems GMP considerations when designing, selecting and installing

    electrical equipment within aseptic processing areas are limitedto ensuring that equipment is cleanable, ledge and crevice free,non-shedding and sealed.

    The criteria for equipment appear to be identical from Grade 5to Grade 8 environments, the degree of these aspects maydiffer (e.g. equipment in grade 5 environment will require ahigh standard). Recessed electrical devices will help achieve thestandard required in each of these areas.

    Sealed components are specified, no only to alleviate the risk of

    contamination, but also to cope with the different pressureregimes of adjacent rooms. In Grade 5 environment, the termsealed refers to being hermetically sealed, whereas in Grade8 environments, the term sealed to a high degree ofprotection against the ingress of water and dust.

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    1. Organization Set-up

    GMP Requirement for Electrical Systems Sealing properties of the fixtures should withstand water jet

    pressures in wash down areas.

    Stainless steel or aluminum fixtures, because they are non-

    shedding and resistive to corrosive environments, may

    considered appropriate. Materials should be compatible with

    room cleaning agents, which may be corrosive.

    Wiring and wiring accessories should be hidden within the:

    Building fabric to improve cleanliness.

    Particularly in higher classification areas.

    The number of penetrating through walls, ceiling, or floors for

    services to equipment should be minimized.

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    1. Organization Set-up

    Electrical System

    Room Classification

    Pharmaceutical Grade 8 EnvironmentGrade 5 and Grade 7

    Environment

    Power distribution Non, Outside Area None, Outside Area None, Outside Area

    LightingCleanable, ideally non-

    shedding

    Cleanable and sanitizable,

    minimum ledges, non-

    shedding, sealed, crevice free.

    Cleanable and sanitizable,

    minimum ledges, non-

    shedding, sealed, crevice

    free.

    Outlets and

    miscellaneous

    Equipment

    Cleanable, ideally non-

    shedding

    Cleanable and sanitizable,

    minimum ledges, non-

    shedding, sealed, crevice free.

    Cleanable and sanitizable,

    minimum ledges, non-

    shedding, sealed, crevice

    free.

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    2. Basic Training

    Microbiology for Non-Microbiologist:

    The FDA Requirement

    Control of microbiological contamination . 21 CFR

    211.113.

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    2. Basic Training

    Microbiology for Non-Microbiologist: The Characteristics of Microorganisms

    Fungi: molds, yeasts, mushrooms, rusts, and smuts. Parasites ordecomposers. Fungi contain no chlorophyll and cannot synthesize food.Instead they secrete enzymes that digest food material outside theorganisms.

    Bacteria: Bacteria are tiny single-cell microorganisms, usually a fewmicrometers in length that normally exist together in millions. A gram ofsoil typically contains about 40 million bacterial cells. A milliliter of freshwater usually holds about one million bacterial cells. Bacteria come inthree main shapes:

    - Spherical (like a ball) : These are usually the simplest ones. Bacteria

    shaped like this are calledcocci(singularcoccus).- Rod shaped: These are known asbacilli(singularbacillus). Some of

    the rod-shaped bacteria are curved; these are known asvibrio.

    - Spiral: These known are asspirilla (singularspirillus). If their coil isvery tight they are known asspirochetes.

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    2. Basic Training Microbiology for Non-Microbiologist:

    Mycoplasma species are often found in research laboratories ascontaminants in cell culture. Mycoplasma cell culturecontamination occurs due to contamination from individuals orcontaminated cell culture medium ingredients. The acceptedname was chosen because Mycoplasma were observed to have afungi-like structure - hence "Myco," and it also had a flowing

    plasma-like structure without a cell wall - hence "plasma." The Characteristics of Microorganisms

    Mycoplasma: Mycoplasma is the smallest known cell and is about0.1 micron (m) in diameter.

    Virus

    Viruses are too small to be seen directly with a light microscope.Viruses infect all types of organisms, from animals and plants tobacteria and archaea. although there are millions of different types.Viruses are found in almost every ecosystem on Earth and theseminute structures are the most abundant type of biological entity.The study of viruses is known as virology, a sub-specialty ofmicrobiology.

    http://en.wikipedia.org/wiki/Micronhttp://en.wikipedia.org/wiki/Micronhttp://en.wikipedia.org/wiki/Micron
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    2. Basic Training

    Microbiology for Non-Microbiologist:

    What is Microbe?

    Bacteria are named with two names.

    The first name is the Genus and is always capitalized.

    The second name is the species and is never capitalized.

    The names of bacteria are always written in italics, or underlined.(example: Escherichia coli or Escherichia coli).

    Microbes are Bacteria, Fungi, Yeast, Algae and Virus.

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    2. Basic Training

    Microbiology for Non-Microbiologist: Microbes in Facility

    Bacteria can double themselves by splitting in half. This doubling time

    varies with the type of bacteria.

    E. coli has a doubling or generation time for 20 minutes.

    With this generation speed, a single E. coli bacterial cell can grow as

    indicated in this table.

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    Endotoxins- gram negatives we are always

    looking to prevent in products. Cause

    serious adverse events in patients, such as,

    fevers, shock and even death. Endospores- Spore forming bacteria, they

    can survive heat, UV. If spores survive the

    Aseptic Process they can germinate andgrow in favorable conditions

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    2. Basic Training

    Microbiology for Non-Microbiologist: Pyrogens:

    When bacteria are killed using an autoclave, their

    skeletal remains are still present on the item thatwas sterilized.

    These are known as pyrogens.

    When injected into the body, pyrogens will cause

    the patient to have a fever.

    A dry heat oven /Tunnel is used to eliminate

    pyrogens.

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    2. Basic Training

    Microbiology for Non-Microbiologist Sources of Bacteria

    Humans

    1 gram of fecal matter container 109 bacteria.

    40% of fecal matter is microbial matter.

    Our body has 1kg of bacteria at any one time.

    These are reasons we humans are the greatest contributor to

    contamination in the clean room. We can slough off bacteria from

    our skin, and we can carry soil in with us.

    Other sources of Bacteria:

    Bio-burden is the bacteria in the environment.

    - These comes from water, air, personnel, raw material, working

    surfaces and the manufacturing area.

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    2. Basic Training

    Gowning Training: Good personnel hygiene including the following:

    Bathing or showering routinely.

    Washing the hair.

    Trimming facial hair

    Cleaning the fingernails.

    Wearing clean clothing and shoes.

    Clean room personnel must believe in and practicethese basic steps in good hygiene practices.

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    2. Basic Training

    Gowning Training: Five criteria must be met for a fabric to be used as a clean

    room garment:

    Comfortable to wear.

    Function design to contain contaminating

    particles and bacteria shed from the skin and

    clothing of personnel.

    Posses antistatic characteristics. Ability to withstand sterilization.

    Durability.

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    2. Basic Training

    Gowning Training: Pre-Gowning Procedure:

    Remove all street garments that are not required for warmthand or modesty.

    Bouffant/Hair net (Make sure to contain all hair)

    Shoe covers: Contain all laces and lassels.

    Wash hand: Using bactericidal soap and dry thoroughly.

    First sterile gloves: Follow aseptic technique by touching onlythe inside of gloves. Sanitize.

    Sanitize gloves after donning each articles, if required. Mask: Adjust for a snug facial fit.

    Hood: Ensure snug fit and proper neck seal.

    ENTER THE CHANGE AREA WALKING ACROSS THE TACKY MAT.

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    2. Basic Training

    Gowning Training: Gowning Procedure: Maintain Proper Gown Control Prior to

    and throughout aseptic operations, an operator should notengage in any activity that poses an unreasonablecontamination risk to the gown.

    See the Sterile Gowning Procedure in the picture...\sterile_gowning_procedure.pdf

    Personnel Process:

    Bathing will remove microorganisms, but will increase thenumber of particles emitted from the body.

    The mechanical process of washing will remove bacteria frommicrocolonies accumulated on the skin, bacterial cells will bespread over the entire surface of the body, particularly nearthe perineum and on the face

    http://localhost/var/www/apps/conversion/tmp/scratch_2/sterile_gowning_procedure.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/sterile_gowning_procedure.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/sterile_gowning_procedure.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/sterile_gowning_procedure.pdf
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    2. Basic Training

    Gowning Procedure: The washing process will remove the outer oily sebum layer

    of the skin, causing skin scales to dry, curl up, and peel off

    the body.

    This causes an increase in particulate dispersion ratesimmediately after showering.

    Within two hours after bathing the surface of the skin will

    resume its original pattern of microcolonies.

    Therefore, employees working in clean rooms should batheat least two hours before they enter the clean room

    environment to minimize the extent of the skin particulate

    shedding due to the bathing process

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    2. Basic Training

    * 100.000 Particles (Contaminant emission =

    dust skin particles, hair, germs, viruses,

    smoke etc)

    Size: 0.001 micron to 10 micron 1 micron =

    1/1.000mm

    Cleanroom Behavior: Emission of Particles

    1 x 5 x* 10 x* 25 x*

    50 x* 100 x* 150x/300x*

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    2. Basic Training

    Cleanroom Behavior:

    Movements no faster than air

    flow.

    Controlled, not abrupt,movements.

    Never taking objects against

    the air flow.

    Protective clothing always

    sealed.

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    2. Basic Training

    Fast walking causes

    turbulences due to low

    pressure points

    Cleanroom Behavior: Inappropriate behavior

    Seizing something quickly from

    above creates turbulences and

    contamination outbursts.

    If installations and appliances are

    set horizontally to the air current,

    turbulence is created on the

    underside.

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    2. Basic Training Cleanroom Behavior: Dos Behavior in the Cleanroom

    Training: All staff working at a Clean Workplace must be trainedrepeatedly in all aspects which are relevant to the work in question.

    Staff: At the clean workplace only the required amount of staff shouldbe present.

    Checks: As far as possible, all monitoring and inspections should be

    carried out from outside. Visitors: If inspections, service staff or visitors enter the Clean Work-

    place, the same rules of behavior apply as for permanent workers in thearea.

    Moving about: The movement of people between the clean workplaceand the surrounding areas should be kept to a minimum.

    Private items: It is not permitted to take food, cigarettes, jewelry andother personal items to the clean workplace.

    Materials: Apart from the materials directly needed or the productiongoods to be processed immediately, no objects or materials may bestored in the vicinity of the Clean Workplace.

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    2. Basic Training Cleanroom Behavior: Dos Behavior in the Cleanroom

    Movements: At the clean workplace, the staff must move in a controlledand considered manner. Since the emission of particles and germs isrelated to the workers activity and the type of movement, quick and abruptmovements might cause a strong current and thus are to be avoided at alltimes.

    Working Clothes: Care must be taken that the prescribed working clothes

    are worn in the cleanroom in the correct way at all times. Contacts: In order to avoid contaminating the gloves unnecessarily (dust,

    fats, salts, gems), nothing may be touched at the workplace apart from theappropriate equipment and tools. (Do not fold arms, do not scratch, do nottouch door handles or telephone receivers).

    Communication: Speaking, coughing and sneezing may never take place inthe direction of the critical working area.

    Jobs: When temporarily not working or merely observing at the cleanworkplace, the staff must move as far away as possible from the criticalarea.

    Handling: Interventions in the critical work area must take place in such away that neither the hand nor the arm of the staff comes between theHEPA filter and the object.

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    2. Basic Training

    Understanding Disinfection: Sterilization and Disinfection is afundamental tool of infection control. A large number of equipments andinstruments are designed for reuse, they also can transmit pathogens if anyof the steps involved in reprocessing, cleaning, disinfection, or sterilizationare inadequate.

    Sterilization: The complete removal or destruction of allforms of microbial life (Bacteria, Viruses, Fungi, Spores)

    Probabilistic Notion:

    No absolute assurance that there is 0 microorganisms.

    Sterility Assurance Level (SAL) used as measure of sterility.

    SAL: Probability of survival of microorganisms after sterilizationprocess.

    Expressed as log 10 (Probability of survival)

    SAL of 6:

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    2. Basic Training

    Understanding Disinfection: Cleaning: The removal of adherent visible soil (blood, protein

    substance and debris), dust or other foreign material by manual

    or chemical process.

    Sanitizing: Process that reduces microbial population on object

    to a safe level e.g 70% IPA

    Decontamination: Process that removes pathogenic

    microorganisms from an object to make it safe to handle.

    Antiseptics: Chemicals to prevent growth or destroy.

    Used on living tissues.

    Disinfectants: Chemicals used for disinfection.

    Used for objects& Destroys Pathogens

    Sterilizing: Absence of Microorganisms

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    2. Basic Training Understanding Disinfection

    Cleaning agents and Disinfectants:

    should be handled with care ,as they are potent and often hazardous.

    should not be mixed which can result in drastic reduction in antimicrobial activity.

    Care should be taken to ensure that the disinfectant does not causecorrosion or discoloration of paint work or flooring.

    Two or more disinfectants are used at regular intervals to obviate theproliferation of resistant strains of micro organisms and for thatdisinfectants used should be of different chemical type and withdifferent spectrum of anti microbial activity.

    Disinfectants and cleaning agents should not be stored more than 24 hrsas organisms can grow on storage.

    Disinfectants are available as concentrated solutions and hence theyshould be diluted. Dilutions should be made with freshly collecteddistilled water. Used solutions of cleaning agents and disinfectants mustbe discarded and the empty containers must be washed at the end ofthe day.

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    2. Basic Training

    Understanding Disinfection

    Reasons For Using A Disinfectant

    Destroy or remove microorganisms that are present

    Prevent entry of microorganisms into a manufacturingfacility

    Prevent dissemination of microorganisms throughout amanufacturing facility

    Eliminate and prevent buildup of pyrogens

    A properly designed and maintained disinfection program that provides thepharmaceutical manufacturing areas with an environment relatively freefrom microorganisms on a consistent basis is an expectation of mostregulatory agencies worldwide.

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    2. Basic Training

    Sources of Contamination Percentage distribution of the sources of

    contamination.

    Process : 30 40 %

    People : 30 40 %

    Equipment : 20 30 %

    Process Media : 5 10 %

    Air : 5 10 %

    It is important to take the contamination from people into

    account , which contributes considerable 30% of the total

    contamination in the cleanroom.

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    2. Basic Training

    Source of Contamination.

    Example "Fishbone" diagram for contaminated

    product in next slide is illustrated to simplify the

    Cause & Effect Diagram for Potential Causes of

    Contaminated Product

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    2. Basic Training

    Sources of Contamination:

    External Impurities Internal Impurities

    Introduction of contaminated outside

    air or circulating air *Staff

    Staff Process

    Impure process media or raw materialProduction equipment, machines, tools

    etc.

    Inadequately cleaned materials, tools

    etc.

    Unsuitable building materials, work

    materials

    Mechanical abrasion in the cleanroom

    * poor filter quality, not airtight filter seal surfaces, leakage in the ducting

    system, abrasion in air recirculation equipment and in the ducting system

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    2. Basic Training:

    Microbiological Controlled Environment Recommended limits for Microbiological monitoring of clean areas

    during operation:

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    2. Basic Training

    Microbiological Controlled Environment

    Parameters that need to be controlled are: air flow

    filtration, room pressurizations, air velocities,

    temperature, relative humidity

    Clean room location must designed that in and out air

    locks, gowning and de-gowning, door interlocks,

    visibility, personnel flow, material flow, the

    introduction of components, location of utilities,

    location of the equipment inside the clean room.

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    2. Basic Training Microbiological Controlled Environment

    Particles in Outdoor Air: Number of Particles / m on

    Outdoor Air

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    2. Basic Training

    Microbiological Controlled Environment Elements of Microbial Monitoring

    Sampling Methods

    Media & Incubation Conditions

    Sampling Locations

    Frequency of Sampling

    Alert & Action Limits

    Trend Analysis

    Out of Limits Investigations

    Corrective Action

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    2. Basic Training

    Microbiological Controlled Environments Microbial Monitoring Frequency

    Air, Surfaces and Personnel Monitoring Should be doneFrequently During Aseptic Operation.

    Product Contact Surfaces Should be Monitored at the Endof the Aseptic Operation.

    Monitoring Sites

    Air monitoring should be done adjacent to the fillinglocation.

    Product contact surfaces areas, non contact areas, openvials, stopper track, etc.

    Personnel monitoring should be done at the sleeves andgloves.

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    3. Process Flow

    Classification of Clearnroom Classification for airborne environmental cleanliness

    requirement 0.5 5 Class 100,000 ISO 8 3,520,000 29300

    Class 10,000 ISO 7 352,000 2930 Class 1,000 ISO 6 35,200 293

    Class 100 ISO 5 3520 29

    Micro Settling Plates Action Levels (diam. 90mm; cfu/4hours)

    Class 100- 1 CFU however samples from class 100 (ISO 5)

    environments should normally yield no microbialcontaminants.

    Class 1,000- 3 CFU / 4 hours

    Class 10,000- 5 CFU/ 4 hours

    Class 100,000- 50 CFU/ 4 hours

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    3. Process Flow

    Material Movement

    Material/Personnel Flow, in order to produce an acceptable sterile

    product, the design of personnel and material flows should

    minimize or prevent the introduction of contamination to the

    clean area. 04. Aseptic Processing Area.pdf

    One-way personnel flow is preferred, providing physically separate entry

    and exit routes or the separation can be achieved by ? ISO 14644-4

    Process or operation waste should be removed from the aseptic area

    without contaminating the product either by direct contact or passing

    through areas.

    Due to the problems in maintaining the Differential pressure , the airlock to

    be used between rooms or areas of different air quality classification

    http://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/04.%20Aseptic%20Processing%20Area.pdf
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    3. Process Flow

    Contact sterile materials only with sterile instruments: Sterile instruments should always be used in handling of sterilized materials.

    Between uses, sterile instruments should be held under class 100 (ISO 5) conditionsand maintained in a manner that prevents contamination. Instruments should bereplaced as necessary throughout an operation.

    Move slowly and deliberately: Rapid movements can create unacceptable turbulence in a critical area. Such

    movements disrupt the unidirectional airflow, presenting a challenge beyondintended cleanroom design and control parameters. The principle of slow, carefulmovement should be followed throughout the cleanroom.

    Keep the entire body out of the path of unidirectional airflow: Unidirectional airflow design is used to protect sterile equipment surfaces, container-

    closures, and product.

    Multiple filling rooms: Aseptic filling validation should be performed on all filling lines within a facility on a

    rotating basis. Also, the differences in air flow and turbulence can have a directimpact on the performance of the room

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    4. Sanitization

    Selection of disinfectant: The selection of suitable disinfectants and theverification of their effectiveness in surface challenge testing is critical in thedevelopment of a cleaning and sanitization program :

    a) The number and types of microorganisms to be controlled

    b) the nature of the surface material being disinfected and its compatibility withthe disinfectant /corrosiveness of the disinfectant to equipment with repeated

    applicationc) the concentration, application method, and contact time of the disinfectant

    d) the amount of organic compounds on the surface that may inactivate adisinfectant

    e) the safety considerations for operators applying the disinfectant

    f) the compatibility of the disinfectant with cleaning agents and other disinfectants

    g) the planned disinfectant rotationh) the spectrum of activity of commercially available disinfectants

    i) Thee steps that need to be taken to avoid the contamination of pharmaceuticalproducts by a disinfectant.

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    4. Sanitization:

    The cGMP 21 CFR 211.67, Equipment Cleaning and Maintenancerequirements for written procedures for cleaning, maintenance, andsanitization of pharmaceutical manufacturing equipment

    a) the assignment of responsibility,

    b) establishment of schedules,

    c) details of cleaning operations,

    d) protection of clean equipment prior to use, e) inspection for cleanliness immediately prior to use,

    f) maintenance of cleaning and sanitization records

    g) Staff involved in disinfection require training in microbiology, industrypractices for cleaning and sanitization, safe handling of concentrateddisinfectants, the preparation and disposal of disinfectants, and

    appropriate application methods Dilutions:

    It should be emphasized that the preparation of the correct dilutions iscritical because many disinfectant failures can be attributed to use ofdisinfectant solutions that are too dilute

    4 S i i i

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    4. Sanitization : Concentration Exponents of

    Common Antiseptics, Disinfectants, and Sterilants

    DisinfectantConcentration

    Exponents

    Red. in disinf.activity for 3 folddilution

    Hydrogen peroxide 0.5 1.7

    Sodium hypochlorite 0.5 1.7

    Mercuric chloride 1 3

    Chlorhexidine 2 9

    Formaldehyde 1 3

    Alcohol 9 19683

    Phenol 6 729

    Quaternary ammonium compounds 0.8 to 2.5 2.4-15.6

    Aliphatic alcohols 6.0 to 12.7 729-1146673

    Phenolic compounds 4 to 9.9 81-52905

    4 S i i i I i

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    4. Sanitization: Important issue

    need to be taken in consideration MICROBIAL RESISTANCE TO DISINFECTANTS: periodically subjected to

    use-dilution testing with the agents used in the disinfection program

    The rotation of an effective disinfectant with a sporicide is encouraged

    The daily application of sporicidal agents is not generally favoredbecause of their tendency to corrode equipment and because of thepotential safety issues with chronic operator exposure

    Disinfectants applied on potential product contact surfaces aretypically removed with 70% alcohol wipes

    handling of concentrated disinfectants and the mixing of incompatibledisinfectants. For example, concentrated sodium hypochloritesolutions (at a concentration of more than 5%) are strong oxidants

    and will decompose on heating, on contact with acids, and under theinfluence of light, producing toxic and corrosive gases includingchlorine.

    4 S iti ti I t t i

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    4. Sanitization: Important issue

    need to be taken in consideration Material Safety Data Sheets for all the disinfectants used in a

    manufacturing area should be available to personnel handlingthese agents

    Endotoxins are not appreciably retention by 0.2m sterilizingfilter, so any potential endotoxins contamination to the productfrom compounding and sterile filtrate receiving tank should be

    preclude by developing reliable reproducible cleaningprocedures for these vessels

    Its good practice to place the equipment in a service area andnot in aseptic area, and to place the outlet of any drain in aservice area due to high moisture level of potential airbornecontamination

    Steam traps and other component should be located ourtsidethe clean room to preclude any stagnant condensate/water inthe clean room

    4 S iti ti

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    4. Sanitization: CLASSIFICATION OF

    DISINFECTANTS

    Chemical Entity Classification Example

    Aldehydes Sporicidal agent 2% Glutaraldehyde

    AlcoholsGeneral purpose disinfectant,

    antiseptic, antiviral agent70% Isopropyl alcohol, 70% alcohol

    Chlorine and sodium hypochlorite Sporicidal agent 0.5% Sodium hypochlorite

    Phenolics General purpose disinfectant 500 g per g Chlorocresol, 500 g perg chloroxylenol

    Ozone Sporicidal agent 8% Gas by weight

    Hydrogen peroxideVapor phase sterilant, liquid

    sporicidal agent, antiseptic4 g per g H2O2 vapor, 10%25%

    solution, 3% solution

    Substituted diguanides Antiseptic agent 0.5% Chlorhexidine gluconate

    Peracetic acid Liquid sterilant, vapor phase sterilant

    0.2% Peracetic acid, 1 g per g

    peracetic acid

    Ethylene oxide Vapor-phase sterilant 600 g per g Ethylene oxide

    Quaternary ammonium compoundsGeneral purpose disinfectant,

    antiseptic

    Concentration dependent onapplication, Benzalkonium

    chloride

    -Propiolactone Sporicidal agent 100 g per g

    -Propiolactone

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    4. Sanitization

    It must be assured that no humidity remain after cleaning ( e.g film or liquidunder equipment)

    Cleaning solution must be freshly prepared from contaminant free detergentwith sterile WFI f its not sterilized by filtration. There must be strict limitationfor the time of use for these solution as number of microorganism mayrapidly increased given sufficient time for exponential groth

    Its not acceptable to leave wipes or cleaning tools exposed to theenvironment for drying after cleaning process

    Wipes for cleaning and disinfectant should be sterile and disposable orsterilized between each use

    Its not acceptable to have cleaning solution ready to use during the dayunless it kept well protected in closed container

    The area that can be cleaned with a single wipe or portion of cleaningsolution dispensed in a bucket should be limited in order to preventuncontrolled spreading of an eventual contamination over a large area

    For cleaning of the rooms, formal validation studies are not required why !!!

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    4. Sanitization

    For product contact part .disinfection of critical surface with 70%IPA,even its not sporicidal procedure, since there is no concern forspore based on the environmental monitoring data.

    In clean room, cleaning fluid are the only source of water available tosupport microbial growth, so the water sources from controlled loophave less than 10cfu\100ml, this mean 10 liters of buckets have 1000

    cfu without consideration the organism that were introduced withthe detergent. These organism that would be introduced on the floorwhich is not a problem if the disinfection program is effective.

    Alcohol are not sporicidal, but spores cant germinate and proliferatein alcohol , so this spres can be removed by !!

    Its impossible to allow sufficient time for disinfectant to be fullyactive as specified by disinfectant supplier, since its understood that adisinfectant agent after entering the microbial cell during the wetperiod,may continue to act intracellularely even after drying of thesurface

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    4. Sanitization

    Automatic cleaning systemAdvantage

    a) No critical intervention in the filling system is needed during setup ofthe equipment

    b) Higher security of cleaning and sterilization of pipes and tubes that may

    be difficult to sterilize in an autoclavec) Configure both CIP system and the component for cleaning, execute

    the cycle and return the component to service or subsequentsterilization

    d) Highly reliable and achieve a reproducible process

    e) Repeatable temperature, time and reagent concentration control

    f) Reduce the number of aseptic connection points to a minimum,therefore, reduce the brisk of microbial contamination at such point

    g) Higher capacity and control of process parameters

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    4. Sanitization

    Antiseptic An agent that inhibits or destroys microorganisms on livingtissue including skin, oral cavities, and open wounds

    Disinfectant A chemical or physical agent that destroys or removes

    vegetative forms of harmful microorganisms when applied to a surface

    pH of the disinfectant.Many disinfectants are more active in the ionized form, while others

    are more active in the nonionized form. The degree of ionization

    will depend on the pKa of the agent and the pH of the

    disinfection environment. For example, phenol, with a pKa of 10,

    will be more effective at a pH below 7 where it is nonionized

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    4. Sanitization MECHANISM OF DISINFECTANT ACTIVITY

    TargetDisinfectant

    Cell wall Formaldehyde, hypochlorite, and glutaraldehyde

    Cytoplasmic membrane, action on membranepotential

    Anilides and hexachlorophene

    Membrane enzymes, action on electron-transport chain

    Hexachlorophene

    Action on ATP Chlorhexidine and ethylene oxide

    Action on enzymes with Ethylene oxide, glutaraldehyde, hydrogen peroxide, hypochlorite, andiodine

    Action on general membrane permeability Alcohols, chlorhexidine, and quaternary ammonium compounds

    Cell contents, general coagulation Chlorhexidine, aldehydes, and quaternary ammonium compounds

    Ribosomes Hydrogen peroxide

    Nucleic acids Hypochlorites

    Thiol groups Ethylene oxide, glutaraldehyde, hydrogen peroxide, and hypochlorite

    Amino groups Ethylene oxide, glutaraldehyde, and hypochlorite

    General oxidation Hypochlorite

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    4. Sanitization: Facility Sanitization

    Two Bucket

    Fill water in the two suitable different color

    bucket (Example: Yellow and Blue) Soak the MOP in the Yellow color bucket

    and wring the same in yellow bucket .

    Soak the MOP in the blue color bucket andlet the water drip but wring into Yellowbucket .

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    4. Sanitization

    AFTER FILLING

    PHENOLICS ARE USED IMMEDIATELY AFTER BATCH

    OPERATIONS

    70% IPA IS USED IMMEDIATELY BEFORE BATCH

    OPERATIONS

    AFTER MAJOR CONTAMINATION EVENTS:

    FACILITY: 1 X with 0.5% HYPOCHLORITE

    EQUIPMENT: 1 X with 0.5% HYPOCHLORITE AND 2 X

    PHENOLICS

    FACILITY: TWO PASSES WITH PHENOLICS

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    4. Sanitization

    DAILY: If NO batch operations were conducted in the

    room:

    FLOOR ONLY with PHENOLIC

    MAJOR CONTAMINATION OR HEPA SHUTDOWN: FULL FACILITY

    WITH

    0.5% SODIUM HYPOCHLORITE FOLLOWED BY TWO FULL

    FACILITY DISINFECTIONS WITH PHENOLICS

    WEEKLY: (or after each batch operation):

    WALLS, FLOOR AND FIXTURES with PHENOLIC

    MONTHLY: FULL FACILITY (CEILING, WALLS, FLOOR)

    DISINFECTION with 0.5% SODIUM HYPOCHLORITE

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    4. Sanitization:

    Material Handing

    Step One: Wash the parts by filtered water (WFI)

    Step Two: Disinfect on Entry Side of Cleanroom Step Three: Disinfect on Clean side of the cleanroom

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    4. Sanitization:

    PROCESS FLOW

    USE STERILE POLYPROPYLENE WASTE BAGS

    DISCARD AND REPLENISH DISINFECTOR AFTER EVERY

    ROOM. DISINFECT THE CLASS 100 ROOMS FIRSTWORK

    FROM

    CLEANER TO DIRTIER ROOMS

    WASH THE MOP AND BUCKET HARDWARE BEFORE

    AUTOCLAVING FOR THE NEXT USE

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    4. Sanitization:

    DISINFECTING THE FLOORS

    REPLENISH THE MOP

    START FROM THE BACK OF THE ROOM AND

    MOP TOWARDS THE BACK WALL REVERSE MOP

    Repeat

    DOUBLE BUCKET

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    4. Sanitization:

    DISINFECTION OF WALLS

    START AT THE WALL FURTHEST FROM THE DOOR

    USE THE DOUBLE BUCKET METHOD

    MOVE THE MOP IN ONE DIRECTION ONLY RINSE AND REPLENISH USING THE DOUBLE

    BUCKET METHOD AFTER EVERY ROW

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    Example for the type of Organism

    Types of Microorganisms Found in

    Cleanrooms: Cleaning and Disinfection in

    Cleanrooms.pdf

    http://localhost/var/www/apps/conversion/tmp/scratch_2/Cleaning%20and%20Disinfection%20in%20Cleanrooms.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/Cleaning%20and%20Disinfection%20in%20Cleanrooms.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/Cleaning%20and%20Disinfection%20in%20Cleanrooms.pdfhttp://localhost/var/www/apps/conversion/tmp/scratch_2/Cleaning%20and%20Disinfection%20in%20Cleanrooms.pdf
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    The End

    Amjad Ganma, M.Sc (London)

    Quality Unit ManagerTabuk Pharmaceutical Manufacturing Co.,

    Tabuk, Saudi Arabia

    Per. Email: [email protected]

    Off Email : amjad@tpmc com sa