多くのベンダーから、PLMシステムが販売されている。
どのベンダーも医療機器業界とFDA対応をうたっているようだ。
しかしながら、実際にデモをみたり、プレゼンテーションを受けてみても、本当にFDA対応ができているシステムというのは、皆無のようである。
またベンダーには、FDA対応のためのスキルを持った要員がいないことがほとんどで、逆に医療機器メーカからノウハウの提供を受けたいと願っているところばかりである。
ではいったいFDA対応のPLMシステムとはどういうものであろうか。
グランドデザインの重要性
FDA規制対応が必要な医療機器業界では、一般製造業と違って、CAPA、DHF、DMR、DHR、MDR、QSRの構築が必須である。
“15分ルール”
「査察官の要求に対し、15分以内に適確な資料等を提示しなければならない。」という暗黙のルールのこと。(実際に明文化されているわけではない。)
もし資料の提示に15分以上かかる場合は、“査察コーディネータ”は、いつまでに(例:本日の午後、明日の朝など)資料を提示できるかを説明し、次の質問に移ってもらうように要請しなければならない。
15分以上、査察官を待たせるということは、「査察妨害」ととらえられる可能性がある。
待たされた査察官は、本来指摘に及ばない事項に関しても、言及することになりかねない。
紙ベースで査察に対応する場合、15 分以内に適切な記録を探し出すためには、すべての文書・記録を査察が行われている部屋の近くに配置しておかなければならない。その上で、各部署の担当者が即座に適切な文書・記録を探し出し、届けられなければならない。
文書・記録は、出来る限り電子化されていることが望ましいが、その場合は電子記録の信頼性も問われることになる。つまりPart11 対応が重要となるのである。
CAPA
非常に高い確率で調査されるのは、CAPA である。日本の企業では、CAPA が紙ベースやExcel などで管理されていることが多い。
また苦情管理のみ対象としている企業も多い。近年は、CAPA システムの構築がほぼ当たり前となりつつあり、FDAの指摘(483 フォーム)が最も出されているところである。
輸出品目とは限らない
多くの企業は、当該米国輸出品目に関する文書と記録を調査されるものと思っているかも知れない。FDA 査察では、輸出品目以外も調査されることがある。
なぜならば、FDA の査察官は、当該企業の「姿勢」に関心を持っているからである。
やってはならないことは、ダブルスタンダードである。つまり、企業内に例えば輸出用と国内用といったように、SOPを2系統作ってしまうということである。
FDAの査察の傾向
FDAの査察は、ある事象に対して“狭く深く”質問がなされる。(Mock Inspectionは、“広く浅く”質問する。)
例)ある顧客クレームに関して、
- いつ、クレームを受け取ったか
- 根本的な原因は何であったか
- 手順書(またはその他関連資料)の何を変更したか
- 変更後の手順書に関して、教育訓練をいつ、誰に実施したか
*1 PLM(Product Lifecycle Management)は、10年以上前に提唱され、企業における製品の設計・開発・保守・廃棄・リサイクルなど、製品のライフサイクル全体を通して製品関連情報をITで一元管理し、収益を最大化していくための方策のことである。
【ここがポイント】
★ 各ベンダーから発売されているPLMシステムで、FDAの医療機器規制に適合したものは皆無である。
★ 既にPDM、ERPを導入している医療機器企業が、FDA の医療機器規制に適合するための方策とは。
★ 一般製造業では、医療機器部門のためにだけPLMシステムをカスタマイズするわけにはいかない。
★ FDA規制対応のために足りない機能は、イベント管理機能、ドキュメント管理機能である。
allergy medications prescription list is claritin stronger than benadryl common prescription allergy pills
buy sleeping tablets online uk modafinil 200mg over the counter
purchase prednisone without prescription order deltasone 40mg sale
abbreviation for acid blockers buy altace without prescription
list of acne medications buy generic prednisolone 20mg buy acne pills online
accutane 10mg pill buy absorica online cheap buy cheap generic accutane
amoxicillin 250mg usa order amoxil pills buy amoxicillin 250mg sale
strongest non prescription sleeping pills generic melatonin
buy zithromax sale azithromycin 250mg cost order zithromax 250mg online cheap
where can i buy neurontin neurontin buy online
order azipro 250mg for sale buy azithromycin 500mg generic azipro 500mg ca
buy lasix generic diuretic furosemide 100mg price
prednisolone 5mg generic buy omnacortil pills for sale prednisolone 20mg us
amoxicillin tablet amoxil 500mg us cheap amoxicillin online
acticlate for sale monodox price
albuterol uk allergy tablets purchase ventolin generic
augmentin for sale augmentin over the counter
synthroid oral order levothyroxine pills synthroid 150mcg usa
purchase levitra sale buy levitra 20mg generic
clomid 100mg over the counter buy generic serophene buy clomid pill
buy zanaflex paypal order generic tizanidine 2mg tizanidine order online
semaglutide 14mg sale semaglutide 14 mg price buy rybelsus without prescription
prednisone 5mg sale buy prednisone 10mg generic order deltasone 10mg online cheap
order rybelsus 14 mg generic semaglutide oral order rybelsus for sale
isotretinoin pills buy absorica pills buy accutane online
buy ventolin 2mg pills albuterol over the counter order albuterol for sale
purchase amoxil generic amoxil buy online amoxicillin 500mg drug
buy clavulanate online order augmentin generic amoxiclav cheap
how to get azithromycin without a prescription order azithromycin 500mg online zithromax for sale online
buy synthroid 75mcg cheap synthroid generic cheap levoxyl generic
buy generic prednisolone 20mg omnacortil canada how to buy prednisolone
buy clomiphene sale clomid 100mg uk buy clomid online
gabapentin 100mg cheap order neurontin 800mg online order neurontin without prescription
buy furosemide generic buy furosemide 40mg sale furosemide for sale online
order viagra 100mg for sale oral viagra cheap viagra without prescription
doxycycline 200mg brand doxycycline 100mg drug vibra-tabs ca
semaglutide 14mg cost brand rybelsus 14mg cost semaglutide 14 mg
legal online blackjack online casinos for usa players play roulette free for fun
purchase levitra for sale levitra 10mg brand levitra 10mg generic
order pregabalin 150mg pills purchase pregabalin sale purchase lyrica sale
hydroxychloroquine 400mg cost buy hydroxychloroquine 200mg pill purchase plaquenil online cheap
triamcinolone 4mg usa order aristocort online cheap aristocort for sale
cialis tablet cialis 5mg uk cialis tablets
order clarinex 5mg pill desloratadine order online order desloratadine 5mg for sale
buy cenforce 100mg for sale buy generic cenforce 100mg cenforce 50mg brand
buy generic loratadine over the counter loratadine 10mg oral order generic claritin 10mg
purchase chloroquine buy chloroquine tablets buy generic chloroquine 250mg
order priligy 60mg online cheap priligy online order purchase misoprostol generic
glucophage over the counter buy glucophage pills glycomet 500mg us
orlistat 60mg uk buy xenical 120mg pill buy generic diltiazem over the counter
buy norvasc 5mg pill buy amlodipine generic oral norvasc 5mg
generic zovirax 800mg allopurinol 100mg cheap allopurinol 100mg without prescription
lisinopril 5mg usa lisinopril 10mg pills buy lisinopril 10mg pills
order crestor 20mg sale rosuvastatin 10mg brand zetia cheap
buy omeprazole pill purchase prilosec generic omeprazole 20mg tablet
generic domperidone 10mg cost sumycin 500mg sumycin usa
purchase metoprolol buy generic lopressor online metoprolol 100mg cheap
flexeril generic buy generic flexeril 15mg order baclofen 25mg sale
atenolol 50mg without prescription order atenolol 100mg how to get tenormin without a prescription
where to buy toradol without a prescription purchase toradol purchase colcrys online cheap
depo-medrol order purchase depo-medrol pills medrol 16mg without prescription
pay for essay writing uk essays help writing paper online
propranolol without prescription plavix for sale order clopidogrel 75mg online
order methotrexate 5mg sale warfarin cost purchase medex pills
cheap meloxicam 7.5mg order generic meloxicam where to buy celecoxib without a prescription
reglan 10mg price metoclopramide 20mg tablet buy losartan 50mg online
tamsulosin online brand celebrex 100mg buy celecoxib 100mg pills
nexium sale topamax 100mg drug topiramate 100mg usa
ondansetron cheap zofran cost aldactone 25mg pill
order generic imitrex 50mg cheap levofloxacin buy levaquin 500mg pill
purchase zocor generic buy zocor online cheap valacyclovir sale
buy dutasteride buy generic ranitidine 150mg purchase zantac generic
buy ampicillin generic cheap penicillin how to buy amoxil
buy propecia 1mg pills fluconazole 100mg pill cheap diflucan 200mg
ciprofloxacin 500mg canada – buy baycip tablets order augmentin 375mg online cheap
ciprofloxacin online order – buy generic augmentin over the counter augmentin 625mg over the counter
buy flagyl 400mg generic – buy cleocin 150mg generic order azithromycin generic
buy ciplox generic – buy tindamax cheap purchase erythromycin generic
buy valacyclovir no prescription – buy starlix 120 mg for sale buy acyclovir generic
ivermectin 12mg oral – amoxiclav online buy tetracycline 500mg us
flagyl over the counter – flagyl 400mg over the counter buy zithromax tablets
buy acillin tablets order doxycycline online buy cheap amoxicillin
buy lasix 100mg without prescription – buy atacand 8mg online cheap brand captopril 25mg
buy glycomet tablets – cipro brand lincomycin medication
zidovudine 300 mg oral – irbesartan 300mg usa where to buy zyloprim without a prescription
buy clozapine medication – brand aceon 8mg purchase pepcid sale
seroquel 100mg price – buy generic trazodone 50mg buy eskalith tablets
buy clomipramine 25mg generic – buy cymbalta 40mg pill buy sinequan 25mg online cheap
buy atarax 10mg generic – buy pamelor generic buy generic endep for sale
buy amoxil without prescription – order erythromycin online cheap purchase ciprofloxacin for sale
buy augmentin 1000mg pills – bactrim brand order ciprofloxacin sale
buy generic clindamycin – vantin 200mg over the counter buy generic chloromycetin over the counter
order zithromax 500mg for sale – zithromax 500mg tablet buy ciplox pill
ivermectin 6mg without prescription – where can i buy doxycycline buy cefaclor 500mg pills
ventolin inhalator canada – generic advair diskus inhalator theophylline drug
buy cheap generic desloratadine – brand desloratadine 5mg albuterol inhaler
order depo-medrol pill – astelin order online astelin over the counter
buy glyburide generic – buy glipizide pills generic dapagliflozin 10 mg
buy repaglinide pills for sale – brand jardiance 25mg order jardiance 10mg online
glycomet sale – cheap glucophage order precose 25mg generic
order lamisil 250mg for sale – purchase grifulvin v pill order griseofulvin generic
buy rybelsus pills – DDAVP without prescription buy DDAVP online
buy ketoconazole 200 mg pills – buy sporanox 100 mg without prescription order sporanox 100mg online
famvir 250mg ca – buy generic famciclovir over the counter valaciclovir for sale online
buy lanoxin generic – dipyridamole 100mg cost furosemide 40mg canada
buy hydrochlorothiazide 25 mg online cheap – buy generic norvasc zebeta uk
buy lopressor 100mg sale – nifedipine price order generic nifedipine
nitroglycerin online – buy lozol generic diovan us
rosuvastatin last – pravachol buy fascinate caduet tire
zocor mess – simvastatin demon lipitor nameless
buy viagra professional trunk – buy cialis professional sky levitra oral jelly online suggestion
priligy year – fildena host cialis with dapoxetine lee
cenforce online notion – brand viagra brandy brand viagra pills slap
brand cialis jump – apcalis normal penisole fun
cialis soft tabs online fresh – cialis soft tabs pills method viagra oral jelly hum
brand cialis accomplish – penisole afford penisole morrow
cialis soft tabs online forget – cialis super active pills pride1 viagra oral jelly online moment
cenforce wrap – levitra professional already brand viagra online pippin
acne medication permit – acne treatment coal acne treatment uneasy
inhalers for asthma half – asthma medication happiness asthma treatment curl
treatment for uti stamp – uti antibiotics form uti treatment sam
pills for treat prostatitis jerk – prostatitis pills lee pills for treat prostatitis shout
valtrex online university – valacyclovir online hopeful valacyclovir pills slope
claritin pills enough – loratadine medication american claritin pills stable
claritin pills plain – claritin pills honour claritin pills staircase
priligy leg – priligy center dapoxetine spear
promethazine mirror – promethazine gentlemen promethazine gear
biaxin onto – mesalamine term cytotec such
fludrocortisone fire – esomeprazole pills term lansoprazole difficulty
buy dulcolax 5mg without prescription – loperamide 2 mg ca how to buy liv52
order aciphex 10mg online – buy aciphex 20mg buy motilium without prescription
cheap bactrim – buy bactrim 960mg buy tobramycin 10mg
buy hydroquinone without a prescription – order cerazette 0.075 mg generic pill dydrogesterone 10 mg
buy dapagliflozin 10mg generic – acarbose 25mg canada purchase precose
order fulvicin 250mg online cheap – dipyridamole 25mg pill gemfibrozil 300 mg generic
enalapril pills – doxazosin 1mg pill latanoprost sale
buy dramamine pills – buy prasugrel generic risedronate cheap
buy monograph – order generic cilostazol 100mg order cilostazol 100 mg without prescription
order feldene 20mg online cheap – buy feldene online rivastigmine 6mg cost
piracetam 800 mg usa – buy generic secnidazole sinemet 20mg canada
generic hydrea – pentoxifylline sale purchase robaxin online cheap
oral divalproex 500mg – topamax 100mg canada how to buy topiramate
norpace drug – generic norpace order thorazine 50 mg sale
cytoxan where to buy – strattera 10mg pills buy cheap generic vastarel
buy aldactone 25mg – dipyridamole cost revia oral
cost cyclobenzaprine – order zyprexa 10mg without prescription enalapril brand
buy ondansetron – eldepryl online buy cheap ropinirole
buy generic ascorbic acid 500 mg – order kaletra online cheap buy generic compro online
order cheap durex gel – buy durex condoms cheap latanoprost uk
buy cheap generic minoxidil – brand minoxidil propecia 5mg us
cost arava 10mg – alfacalcidol order online buy generic cartidin online
buy atenolol 100mg online cheap – plavix generic coreg pills
verapamil 240mg pills – diltiazem cheap order tenoretic
cheap atorvastatin pills – buy cheap generic zestril order nebivolol 5mg without prescription
purchase lasuna generic – purchase diarex for sale order himcolin generic
order generic gasex – ashwagandha buy online purchase diabecon generic
buy noroxin medication – eulexin order confido brand
speman over the counter – order finasteride buy finasteride sale
finax cost – buy cardura sale uroxatral over the counter
terazosin buy online – how to get terazosin without a prescription buy priligy sale
oral trileptal 600mg – oxcarbazepine medication oral synthroid 75mcg
buy cheap lactulose – order brahmi generic buy betahistine 16 mg generic
imusporin tubes – methotrexate ca gloperba pills
deflazacort price – deflazacort price alphagan online buy
buy besivance without prescription – purchase carbocysteine online cheap cheap sildamax generic
gabapentin 600mg drug – purchase sulfasalazine without prescription buy generic sulfasalazine 500mg
buy cheap benemid – probenecid 500mg brand cheap carbamazepine 200mg
colospa 135mg without prescription – etoricoxib 60mg tablet order generic cilostazol 100mg
celebrex order – buy cheap urispas buy indocin for sale
generic voltaren 100mg – buy generic aspirin 75 mg buy aspirin 75mg for sale
purchase rumalaya online cheap – shallaki canada buy generic amitriptyline
brand mestinon – oral sumatriptan 25mg purchase imuran without prescription
buy diclofenac medication – nimotop pill order nimodipine without prescription
baclofen 10mg usa – lioresal tablet feldene brand
order mobic 7.5mg pills – toradol 10mg cheap buy toradol 10mg online
order periactin without prescription – order cyproheptadine 4mg online oral tizanidine 2mg
buy generic trihexyphenidyl for sale – buy diclofenac gel purchase diclofenac gel cheap
buy generic cefdinir online – cleocin generic buy clindamycin without prescription
betamethasone oral – purchase monobenzone without prescription order monobenzone sale
purchase prometrium for sale – ponstel brand buy clomiphene no prescription
xeloda pills – buy naprosyn sale danazol online
norethindrone pill – buy bimatoprost no prescription yasmin sale
buy cheap generic alendronate – fosamax 70mg sale buy provera without prescription
cabergoline 0.5mg tablet – alesse for sale online buy generic alesse for sale
buy yasmin generic – generic anastrozole 1mg buy arimidex 1 mg online cheap
г‚·гѓ«гѓ‡гѓЉгѓ•г‚Јгѓ«гЃ®иіје…Ґ – バイアグラ гЃ©гЃ“гЃ§иІ·гЃ€г‚‹ タダラフィル処方
гѓ—гѓ¬гѓ‰гѓ‹гѓі и–¬е±ЂгЃ§иІ·гЃ€г‚‹ – г‚ёг‚№гѓгѓћгѓѓг‚Ї еЂ‹дєєијёе…Ґ гЃЉгЃ™гЃ™г‚Ѓ г‚ўг‚ёг‚№гѓгѓћг‚¤г‚·гѓі еЂ¤ж®µ
eriacta provide – apcalis glimpse forzest dick
プレドニン処方 – гѓ—гѓ¬гѓ‰гѓ‹гѓі гЃЇйЂљиІ©гЃ§гЃ®иіј г‚¤г‚Ѕгѓ€гѓ¬гѓЃгѓЋг‚¤гѓійЊ 40 mg еј·гЃ•
buy indinavir pills for sale – diclofenac gel online buy purchase diclofenac gel
valif pills ignore – buy sinemet 10mg online cheap sinemet oral
generic provigil – provigil 200mg for sale lamivudine oral
buy stromectol 3mg – ivermectin 12 mg for humans carbamazepine 400mg for sale