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Best Practices in Medical Device Auditing

Date post: 01-Nov-2014
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FDA Audit Process Training using turtle diagrams presented by Rob Packard, founder of http://MedicalDeviceAcademy.com and Brigid Glass, CEO of Brigid Glass & Associates.
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Slide 1 Today’s Webinar: Best Practices in Medical Device Auditing MedicalDeviceAcademy.com
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Page 1: Best Practices in Medical Device Auditing

Slide 1

Today’s Webinar: Best Practices in Medical Device Auditing

MedicalDeviceAcademy.com

Page 2: Best Practices in Medical Device Auditing

Slide 2

With what? Resources

Outputs To whom/

where

What results? Performance

indicators

Inputs From

whom/ where

How done? Methods/

Documentation

With Who? Personnel

Process (specific value

added activities)

Checklists are fast, but you can win with Turtle Diagrams.

Page 3: Best Practices in Medical Device Auditing

Slide 3

Step 1 – Describe the Process

Step 1: Incoming Inspection

(Clause 7.4.3)

Process Owner: QC Supervisor

Page 4: Best Practices in Medical Device Auditing

Slide 4

Step 2 - Inputs

Step 1: Describe the Process Process Inputs

Step 2

1. Purchase Orders (Clause 7.4.1) 2. Purchasing Info (Clause 7.4.2)

Page 5: Best Practices in Medical Device Auditing

Slide 5

Step 3 - Outputs

Step 1: Describe the Process Process Outputs Process Inputs

Step 2 Step 3

1. Inspection Record (Clause 7.4.3) 2. Nonconforming Material (Clause 8.3) 3. Acceptance Sticker (Clause 7.5.3)

Page 6: Best Practices in Medical Device Auditing

Slide 6

Step 4 – With What?

Step 1: Describe the Process Process Outputs Process Inputs

Step 2 Step 3

With What Equipment Facilities & Materials?

1. Suitable Environment for Inspection (Clause 6.4) 2. Validation of Software (Clause 7.5.2.1) 3. Gage R&R Study (Clause 7.5.2.1) 4. Calibration of Measurement Devices (Clause 7.6)

Page 7: Best Practices in Medical Device Auditing

Slide 7

Step 5 – Who?

Step 1: Describe the Process

Who?

With What Equipment Facilities & Materials?

Process Outputs Process Inputs

Step 2 Step 3

1. Assignment of Responsibilities & Authorities (Clause 5.5.1) 2. Sampling of Training Records (Clause 6.2.2)

Page 8: Best Practices in Medical Device Auditing

Slide 8

Step 6 – How Done?

How Done?

Process Outputs Process Inputs

Step 2 Step 3

Who?

With What Equipment Facilities & Materials?

1. Control of Documents (Clause 4.2.3) 2. Control of External Standards (Clause 4.2.3)

Step 1: Describe the Process

Page 9: Best Practices in Medical Device Auditing

Slide 9

Step 7 - Metrics

Metrics

Process Outputs Process Inputs

Step 2 Step 3

Who?

How Done?

With What Equipment Facilities & Materials?

1. Quality Objectives (Clause 5.4.1) 2. Monitoring & Measurement of Processes (Clause 8.2.3) 3. Data Analysis (Clause 8.4)

Step 1: Describe the Process

Page 10: Best Practices in Medical Device Auditing

Slide 10

With what? Resources

Outputs To whom/

where

What results? Performance

indicators

Inputs From

whom/ where

How done? Methods/

Documentation

With Who? Personnel

Process (specific value

added activities)

Checklists are fast, but you can win with Turtle Diagrams.

Page 11: Best Practices in Medical Device Auditing

Slide 11

And on the other side of the planet...

Page 12: Best Practices in Medical Device Auditing

Slide 12

Audit Programme Planning

Page 13: Best Practices in Medical Device Auditing

Slide 13

Begin with the end in mind

Stephen R. Covey, “The 7 Habits of Highly Effective People”,

the second habit.

Page 14: Best Practices in Medical Device Auditing

Slide 14

Begin with the End in Mind

• The first creation is in your mind

• Have clarity on your outcomes and your mental filters will find for you the resources and opportunities that you need.

• The second creation is where you make it happen.

Page 15: Best Practices in Medical Device Auditing

Slide 15

Once you have a clearly-formed, detailed outcome for your audit programme, you

will make it happen that way.

Page 16: Best Practices in Medical Device Auditing

Slide 16

What outcomes do you want for your audit programme?

How do you want your audit programme

to be?

Page 17: Best Practices in Medical Device Auditing

Slide 17

Clarifying Your Outcome

• The big picture

• Requirements

• Soft factors

Page 18: Best Practices in Medical Device Auditing

Slide 18

The Big Picture

1. What do your audit policy and objectives say?

2. What are your key processes?

3. What changes is the business plan flagging?

4. What do top management want you to audit?

5. What should be the range and scope?

Page 19: Best Practices in Medical Device Auditing

Slide 19

Audit Criteria

1. What regs and standards?

2. What regs and standards are changing?

3. What other management systems can you integrate into your audits?

4. What customer requirements?

Page 20: Best Practices in Medical Device Auditing

Slide 20

Soft Factors?

1. What worked well?

2. What learning outcomes for auditees?

3. How do you want auditors to feel?

4. What learning outcomes for auditors?

5. How do you want the audit team and the audit programme to be perceived?

Page 21: Best Practices in Medical Device Auditing

Slide 21

What outcomes do you want from your audit programme?

Download the hand-out: MedicalDeviceAcademy.com

Page 22: Best Practices in Medical Device Auditing

Slide 22

The Challenge

• Create in your mind the equivalent of my food garden,

– supplying delicious food all year and

– an energising place to hang out.

• Begin with the end in mind.

Page 23: Best Practices in Medical Device Auditing

Slide 23

Plan audits to your process, not the calendar.

Page 24: Best Practices in Medical Device Auditing

Slide 24

Process Interaction Diagram

Planning (7.1)

Production (7.5.1)

Final Inspection

(8.2.4)

Shipping (7.5.5)

Core Processes

Product Realization Process

Support Processes

Document Control (4.2.3)

Record Control (4.2.4)

Training (6.2.2)

Calibration (7.6)

Validation (7.5.2)

Monitoring (8.2.3)

Management Processes

CAPA (8.5.2 & 8.5.3)

Internal Auditing (8.2.2)

Data Analysis (8.4)

Purchasing (7.4.1)

Incoming Inspection

(7.4.3)

Post-Market Surveillance (8.2.1)

Management Review (5.6)

Risk Management (7.1)

Page 25: Best Practices in Medical Device Auditing

Slide 25

New Definitions

Adjacent Links in the Product Realization Process = Major Steps in the Process Adjoining Links in the Product Realization Process

= Communication of Information & Transport of Materials between Dept.

Page 26: Best Practices in Medical Device Auditing

Slide 26

Adjacent Link Auditing

Direction of Process Flow

Receiving Inspection

Purchasing Product

Realization Planning

Production

Upstream Downstream

Page 27: Best Practices in Medical Device Auditing

Slide 27

Adjacent Link / Turtle Diagram

Metrics

Process Outputs Process Inputs

Who?

How Done?

With What Equipment Facilities & Materials?

Describe the Process

Page 28: Best Practices in Medical Device Auditing

Slide 28

2012 Audit Agenda

Page 29: Best Practices in Medical Device Auditing

Slide 29

Critical Processes to Audit

• Final Inspection, Test and Release of Product

• Product Realization Planning

• Final Packaging & Shipping

• Nonconforming Materials & Rework Processes

Page 30: Best Practices in Medical Device Auditing

Slide 30

Adjacent Processes

Critical Processes to Audit

Upstream Adjacent Process

Downstream Adjacent Process

Product Realization Planning

Buyer at Customer Buyer at Supplier

Nonconforming Materials & Rework Processes

QC Inspectors at Supplier

Engineering at Customer

Final Packaging & Shipping

QC Inspectors at Supplier

Receiving Inspection at Customer

Final Inspection, Test & Release of Product

Production at Supplier Final Packaging & Shipping at Supplier

Page 31: Best Practices in Medical Device Auditing

Slide 31

2013 Audit Agenda

Page 32: Best Practices in Medical Device Auditing

Slide 32

Q & A

Page 33: Best Practices in Medical Device Auditing

Slide 33

Thank You

MedicalDeviceAcademy.com

Early Bird Pricing thru February 18, 2013


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