Managing Your Complaints and Obstacles in Post-Market Requirements — Results from Top Medical Device Observations During an Inspection: One and a Half-day In-Person Seminar by Ex-FDA Official

By: Rita Hoffman, RAC, Managing Partner Regs & Recall Strategies, LLC and Former FDA CDRH Recall Branch Chief
Location :- AC Hotel Minneapolis Downtown, MN | Thursday, October 18, 2018 | Friday, October 19, 2018

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Course Description:

Post-Market activities, Complaint Handling, MDRs, and Recalls are expensive, time consuming, and often lead to more serious financial consequences. Over 80% of FDA Inspection target observations for lack of compliance in these areas.

By attending this seminar, you will discover:

  • How to overcome one of the biggest obstacles device manufacturers face
  • How the FDA expects you to develop and implement proper handling of complaints reportable or non-reportable, product complaint handling and documentation
  • How and when to file Medical Device Reports (MDR), effective and appropriate communication with the appropriate regulatory agencies in the event of a recall.
  • How to conduct a correction and removal actions to avoid a recall crisis, including required recordkeeping, expectation from FDA and other regulatory agencies in the event of a recall and key factors in implementing and maintaining compliance with the regulations and real life experiences of FDA.

Spend one and a half days in an interactive course led by Ms. Rita Hoffman, Former FDA CDRH Recall Branch Chief with over 36 years with FDA and leading Industry Expert, who will provide the participants with tools to minimize risk of regulatory enforcement actions.

**New course materials have been added, updated content will include:

  • Creating Standard Operating Systems (SOPs) for Post-Market Quality Systems and
  • What to expect from the changes in ORA with Inspection Structure Realignment

This Seminar will have you stop spinning your wheels with nonessential activities, and leave you with a comprehensive learning package that only Rita Hoffman, a former FDA CDRH Recall Branch Chief with experience across the device, drug and veterinary industries can provide.

Learning Objectives:

  • Understand how to comply with complicated Compliant Handling, MDR and Recall requirements
  • Firms MDR reporting and FDA’s handling of reports
  • Company preparation in the event of a Recall, recall strategy, notification letter and communicating with the FDA
  • Minimize your risk of regulatory enforcement actions
  • Assist with the creation and maintenance of effective procedures for handling complaints, reportable events and recalls
  • Understand the relationship and interaction with other quality system elements as they relate to complaints and reportable events
  • Walk-through of case examples
  • Step-By-Step guide to designing Standard Operating Systems for communicating process for firm’s success
  • Discussion of FDA’s New Guidance’s on Risk and how it interacts with Recalls

Who Will Benefit:

This course will benefit anyone in the medical device industry that handles functions involving product complaints, recalls, medical device reporting.

  • Regulatory Affairs
  • QA/QC
  • Project Managers
  • Regulatory Professional
  • Risk Managers
  • Complaint Handling Teams
  • CAPA Teams

Topic Background:

Medical Device Reporting (MDR) and recall compliance are critical to the continue survival of all device manufacturers. The FDA is continuing their efforts to issue numerous FDA Warning Letters and serious enforcement actions, including criminal & civil penalties levied on companies that failed to properly report events and take proper corrective and removal actions. The number of device companies having their recall classified as a Class 1 (most severe) recall has surged in the past three years. Additionally, product liability and financial risks are staggering when companies fail to properly report and take action when required.

This course will provide an understanding of MDR & recall compliance and the interrelationship of Complaint Handling, CAPA, and Risk Management processes. It will be beneficial to all device manufacturers and is recommended for any individuals or teams that are involved in medical device reporting (MDR) and correction & removal processes, including recalls.

Course Outline

Day One (8:30 AM - 5:00 PM)

  • 08.30 AM - 09.00 AM: Registration
  • 09.00 AM: Session Start
  • Introduction to class (20 min)
  • Complaint Handling and FDA Expectations (120 min)
    • What is a complaint?
    • How do you distinguish among a product complain, a satisfaction complaint and a customer inquiry.
    • Firms Responsibilities and Definitions
    • Should companies document all service call complaints
    • Complaint Forms
    • FDA Expectations for written procedures on complaint files
  • Medical Device Reporting Procedures (MDR) (90 min)
    • Understand the MDR regulation 21CFR 803
    • Definitions 21 CFR 803.3
    • MDR Procedures 21 CFR 803.17
    • Types of MDR reports
    • MDR reporting by firm, agents and exemptions
    • Who should maintain files, how long should files be maintained
    • Final regulations on eMDRs
    • Identifying a Malfunction
    • Malfunction --To report or not to report
    • Serious injury triggers
    • Person Qualified Makes Medical Judgment
  • MDR FDA Perspective (30 min)
    • CDRH Mandatory vs. Voluntary Reporting
    • What happens to an MDR report submitted to FDA
    • Manufacturer and User Facility Device Experience (MAUDE) and new data system being implemented
    • Medical Products Safety Network (MedSun)
    • UDI requirements
  • eMDR (20 min)
    • Brief overview of eMDR (20 min)
    • Understanding Timelines for Reporting
    • Problems with eMDR
  • New Guidance Documents for Postmarket Regulations (30 min)
    • Case for Quality
    • Changes in Traditional Compliance Requirements
    • Emerging Signals
    • Scope of Evolving Guidance Documents
    • Benefit Risk Assessments
    • Notable Changes in FDA Thinking
  • Recalls: Definitions and Legal Authority (45 min)
    • What is a recall?
    • Legal Authority (Chapter 7, 21CFR 806)
    • What are the key elements of 21CFR 806
    • What information needs to be reported and when?
    • Voluntary vs. Mandatory recalls
    • Definitions – Corrections, Removals
    • Reporting requirements for non-recall field actions
    • Classification system – Classifying a Recall?
    • What is different about Class 1 recall
  • Being Recall Ready –Proactive Steps to Avoid Crisis (45 min)
    • Internal Decision Making
    • Early warning signs
    • Assembling “The Team” – Assigning decision making authority
    • Elements of an effective recall team
    • Responsibilities of other departments
    • Examples of Close-calls
    • Guidelines and best practices for having contingency plan in place
Day TWo (8:30 AM – 4:00 PM)

  • Evaluating Risk and Health Hazard Evaluation (HHE) (60 min)
    • Analyzing adverse event and product quality reports
    • Identifying trends, Data and factors to consider
    • Assessing need to conduct HHE
    • HHE Procedures
    • Human Factors Issues
    • Opening a CAPA to Determine Root Cause and relationship to CAPA System
  • Elements of a Correction and Removal Report (806.10) (90 min)
    • Designing an 806 Report
    • Communicating with FDA
    • e 806 reporting
    • Expanding a C & R Report
    • Records/Exemptions
  • Developing Effective Strategies and Communicating with FDA (80 min)
    • Elements of a good Recall Strategy
    • What does the FDA expect strategy to contain?
    • Effective Notification Letter to minimize consequences
    • Knowing when to contact FDA District
    • Discussing Recall Strategy with FDA – Seeking input and support of your strategy to avoid common pitfalls
    • Issuance of Press Release and communication with customers
  • Notification Letters and Press Release (45 min)
    • Terminating a Recall
    • How and when does termination take place?
    • Communication between the firm and the District Office.
    • Requesting a formal recall closeout.
    • CAPA and finding the root cause (overview only)
  • Silent Recalls vs. Product Enhancements (30 min)
    • Device changing environment
    • Guidance Document and expectations
    • Product improvement (Repair or Modification)
    • Decision 803 or 806
  • Product Retrieval Issues, Effectiveness Checks and Status Reports (50 min)
    • Receiving and accounting for returned products
    • Supply chain challenges – distribution, wholesale, repackaging
    • Global recall market
    • Designing an efficient Effectiveness Checks
    • Coordination and Discussion with FDA
    • Evaluating recall effectiveness Data
    • Developing and formatting status reports
  • Changes in Inspections, Look-back from Recalls and Other Field Actions (30min)
    • What are the consequences of a recall?
    • How do you prepare for a post recall inspection
    • What customers and other outside communication are necessary?
    • What factors should you consider when determining whether or not to get your product back?
    • What to expect during inspection
    • How FDA has changes inspection (Who, What, How)
  • Termination of a Recall (15 min)
    • Who, how and when does termination happen
    • Exporting a Recalled Product
    • Communication between firm and District Office
    • Requesting formal closeout by FDA
  • Mock Recall and Wrap-up (35 min)

Meet Your Instructor

Rita Hoffman
Rita Hoffman
RAC, Managing Partner Regs & Recall Strategies, LLC and Former FDA CDRH Recall Branch Chief

Rita Hoffman, RAC. Managing Partner Regs & Recall Strategies, LLC .Ms. Hoffman has more than 36 years of FDA experience across the device, drug and veterinary industries. She has an intimate understanding of FDA regulatory and compliance issues from the perspective of both FDA and regulated industry. As an FDA compliance consultant, she provides clients with regulatory insight, advises on critical compliance deficiencies, performs compliance and new product audits, provides insight and guidance on recall strategies to the medical device industry, and advises on jurisdiction determinations for combination products.

Ms. Hoffman retired from the FDA in January 2011 as the Recall Branch Chief for the Center for Devices and Radiological Health (CDRH), where she was responsible for oversight and review for all medical device recalls. Ms. Hoffman held several positions including the Center for Drug Evaluation and Research (CDER) Jurisdiction Review Officer (providing guidance on drug/device product designation, combination products and co-packaging), Acting Associate Ombudsman, Small Business Liaison, and was a Policy Analyst for eight years in the Office of the Commissioner. She served as co-chair of RAPS’ Baltimore/Washington Metropolitan Area Chapter for 2-terms, and in 2008 was presented with the Special Recognition Award by RAPS.

Venue

Location :

AC Hotel Minneapolis Downtown
401 Hennepin Avenue,
Minneapolis, MN 55401, USA
Tel: +1 612-338-0700

October 18-19, 2018



How to Reach

General Driving Directions:

Minneapolis-St Paul International Airport (MSP)
  • Head northwest on Green Lane and keep right to continue toward Glumack Dr.
  • Keep left at the fork and merge onto MN-5 E.
  • Take MN-55 W/Hiawatha Ave to S 3rd St in Minneapolis.
  • Take the 3rd Street/Washington Avenue exit from MN-55 W/Hiawatha Ave and keep left.
  • Continue on S. 3rd St for 0.9 Miles and then turn left onto Hennepin Ave. Hotel is one block down on the left side.
St Paul Downtown Airport (STP)
  • Head northwest on Eaton St toward Airport Rd.
  • Turn right onto E Lafayette Frontage Rd.
  • Turn left onto Plato Blvd. Turn right onto Wabasha St South.
  • Turn left onto W Kellogg Blvd and keep right to stay on Kellogg.
  • Turn right onto 7th St W/Fort Rd. Take the ramp onto I-94 W.
  • Take exit 235A for Riverside Ave toward 25th Ave. Continue on Riverside Ave.
  • Turn right onto 19th Ave South, then take a left turn onto S. Washington Ave.
  • Turn Left onto 2nd Avenue then an immediate right onto 3rd St.
  • Take a left onto Hennepin Ave, hotel is one block down on the left side.

Disclaimer: Directions to the venue above have been taken from the hotel website. Attendees are advised to check with the hotel for confirmation of these directions before starting for the venue. GRC Seminars is not responsible for any inaccuracies in the same.
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Local Attractions of Minneapolis, MN

Cathedral of St. Paul
Built in 1915 on the highest point in the city, this cathedral is one of the largest in the country. A replica of St. Peter's in Rome, the building boasts a newly restored 175-foot-high copper dome, a massive rose window, and granite-and-travertine construction.

Frederick R. Weisman Art Museum
Set on a bluff overlooking the Mississippi River, the Weisman Art Museum is part of the University of Minnesota campus. You won't miss the trademark Frank Gehry-designed building; its fluid form defies conventional architectural lines, and its metallic finish gleams in the sunlight. The permanent collection is especially strong in American modernist paintings, ceramics, Mimbres pottery, and Korean furniture.

Historic Fort Snelling
This living history museum commemorates the establishment of a fort here in the wilderness in 1819 by Col. Josiah Snelling and his troops, who opened the area for homesteaders. Costumed guides are the focus of a living history reenactment during the summer months, re-creating the activities of everyday army life during the 1820s.


Mill City Museum
Minneapolis's Mill City Museum recounts the history of the flour industry that earned the city the nickname "Mill City" in the late 19th century. Set in the ruins of what was once the world's largest flour mill the museum re-creates old milling techniques with period equipment railroad cars and interactive exhibits. Visitors also learn the impact of the nation's first high-quality finely milled flour on the gastronomy of the Twin Cities and the country.

Minneapolis Institute of Arts
More than 5,000 years and 80,000 pieces of fine and decorative arts comprise the permanent collection at the MIA, including a 2,000-year-old mummy, European masters (Rembrandt, Titian, and Monet, among others), architectural and decorative arts, and a comprehensive photography exhibit. If you're short on time, ask for the "Highlights" brochure to make sure you don't miss the museum's best.

Minnesota History Center
An impressive array of artifacts is housed in this three-story museum, including photographs, music, and videos, all of it celebrating Minnesota history. Kids enjoy sitting in the re-created basement of a Minnesota farmhouse while a simulated tornado passes overhead. Adults enjoy listening to recordings of Minnesota musicians, including Bob Dylan, Steven Greenberg, and Prince.