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Opal Events: “Medical Devices Summit” in Boston, MA

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1 Opal Events: “Medical Devices Summit” in Boston, MA
Unique Device Identification (UDI) Labeling Techniques to Get You Ahead of the Market Gary Saner Sr. Manager, Information Solutions - Life Sciences Opal Events: “Medical Devices Summit” in Boston, MA February 20, 2015

2 Agenda FDA Unique Device Identifier (UDI) Requirements
Medical Device Manufacturer’s 12 Steps to UDI Compliance Reference Material

3 FDA UDI Requirements for Medical Devices

4 Background “The Food and Drug Administration (FDA) has released a final rule requiring that most medical devices distributed in the United States carry a Unique Device Identifier, or UDI.” “As part of the UDI system, the FDA is also creating the Global Unique Device Identification Database (GUDID) which will include a standard set of basic identifying elements for each device with a UDI.”

5 FDA’s Purpose and Public Health Benefits of UDI
Medical Device UDI enhances and provides support for: Global Visibility Medical Device recalls Adverse Events Reporting Tracking and tracing (reduced counterfeiting) Supply chain security and efficiencies Reduced medical errors Post-market surveillance An easily accessible source of device information for patients, clinicians, and the public

6 Unique Device Identifier (UDI) Definition
A UDI is a unique numeric or alphanumeric code that consists of two parts: Device Identifier (DI) and Production Identifier (PI) UDI = DI + PI(s) Device Identifier (DI) – a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device Production Identifier (PI) – a conditional, variable portion of a UDI that identifies one or more of the following when included on the label of a device: Lot or Batch Number Serial Number Expiration Date Manufactured Date Donor Identification Number Distinct identification code required by § (c) for a human cell, tissue, or cellular and tissue-based product (HCT/P) regulated as a device.

7 UDI Regulation Overview
Label UDI (Device Id + Production Id) on Device Label & Pkg UDI in plain-text (human readable) and Automatic Id and Data Capture (AIDC) technology (1D/2D barcode, RFID, near-field communication…) Date Format YYYY-MM-DD ( ) Direct Marking (DM) Multiple use and reprocessed devices Permanently mark UDI on device FDA Global UDI Database (GUDID) Submit DI and device attributes Public access, global model GUDID Reporting – include UDI as available

8 UDI Compliance Timeline
Reference: FDA UDI website

9 UDI Final Rule Highlights
Label UDI (DI+PI) required on product label and package in plain text and AIDC format UDI must use an FDA approved Issuing Agency-Standard (GS1-GTIN, HIBCC-HIBC, ICCBBA-ISBT) If AIDC is not visible, include a disclosure notice PI to include Lot/Batch #, Serial #, Mfg Date, Expiration Date, and HCT/P Code if on label If Manufacturing /Expiration dates are displayed on label other than in UDI, use YYYY-MM-DD format (dates in UDI must use Issuing Agency date format) UDI required on Unit of Use, Base Product, Level 1 Pkg, Level 2 Pkg up to shipping container UDI required on stand-alone “device” software (e.g., on About or Help page), downloads exempt from AIDC

10 UDI Final Rule Highlights (continued)
Direct Marking: permanent UDI mark required if multi-use & reprocessed (excludes implants) “mark” can be a durable label affixed or attached to device or a physical part mark (etch, ball peen, etc.) “reprocessed” infers a cleaning, wipe down, sterilization, or similar process between patients GUDID Registry Labelers must submit device DI and attributes to FDA GUDID FDA GUDID Web Interface FDA ESG using SPL documents Medical Device Reporting, Facility Annual Report, etc. UDI must be included in various device reports, if UDI is available GUDID

11 UDI Final Rule Highlights (continued)
Exceptions and Extensions General Exception: research (non clinical), investigational, vet device, exports, national stockpile Inventory Exception: +3 years after Class compliance date Class III Requested Extension: +1 year, if request (by June 23, 2014) is approved Class I GMP Exception: UDI not required Class I PI Exception: No PI component required in UDI Class I Retail Exception: UPC can be UDI Single Use Device Exception: if multiple in 1 Pkg (any class/except implants), then UDI required on device package, not required on single use device label Convenience Kit Exception: UDI required on kit, UDI not required on components Combination Product Exception: UDI required on product, UDI not required on components (special NDC cases) Class III Contact Lens and Intraocular Lens Extension: +1 year, Sep 2015 Class II Single-use Implants Sterilized before use Extension: Labeling only +1 year, Sep 2016 All NHRICs and NDCs assigned to devices: rescinded by , request use of labeler code Manufacturer determines UDI update: based on new version/model number

12 Key FDA UDI Documentation
UDI Rule Proposed Amended Final Guidance for Industry (GFI) Recmd UDI Small Entity Guidance UDI Issuing Agency Formats GUDID Draft Final (1st phase) Final (complete) Latest GUDID Data Elements Revision (Rules) SPL Implementation Specification – XML Message Definition Revision (SPL Folder name, FDA PT, etc.) Latest Revision (MRI, DIN, Vocab) Revision (Rules) Additional Support Website, Webinars, Videos, Help Desk, Exceptions, FAQ Class III Intraocular Lens Extension 2015 Single-use Implant (Sterilized Before Use) Label Extension 2016

13 Medical Device Manufacturer’s 12 Steps for UDI Compliance

14 12 Steps Summary UDI Prep Create UDI Governance Team
Research/Identify FDA UDI Requirements for Your Products Evaluate Your Situation Define and Implement UDI Labeling Plan Evaluate, Select, and Implement GUDID Solution Create FDA Accounts (GUDID, ESG) Collect Source GUDID Data Normalize and Validate Source GUDID Data Submit GUDID Data to FDA Process ACK Messages Initiate & Maintain Data and System International Readiness GUDID Prep Production

15 Step 1 – Create UDI Governance Team
Analysis, Planning, Roadmap Product Design Label, DM Mfg Production Control MDM, Inventory, Supply Chain Regulatory Collect and Submit Data to FDA Marketing Publish, Order Mgmt Financial Funding, Budget Data is most likely in disparate systems All data may not be in accessible electronic format

16 Step 2 – Research/Identify FDA UDI Requirements for Your Products
Research FDA UDI Final Rule and Guidance relevant to Your Products Identify your Product Class(es), Timing/Extensions, Exceptions, Direct Marking, etc. UDI Final Rule Final GUDID Guidance for Industry GUDID Data Elements Reference Table SPL Implementation Files Check UDI Activity in Industry Associations

17 Step 3 – Evaluate Your Situation
Evaluate your “Data Situation” Data location, gaps, owners, formats, etc. Evaluate Internal Standards Product Identification / Batch / Serialization Issuing Agency (GS1, HIBCC, or ICCBBA) for Product Identification UDI Formats by FDA-Accredited Issuing Agency Evaluate Systems Existing MDM, Labeling System, etc. Existing AIDC Technology (1D, 2D, etc.) for UDI Presentation on Label Evaluate Processes Workflow Compliance Documentation Training

18 Step 4 – Define and Implement UDI Labeling Plan
Plan and Implement UDI Labeling (and Direct Marking) Process Revise Production Systems, e.g., MDM, ERP, PLM, Labeling, Inspection, Supply Chain Initiate Product / Batch / Serialization Identification Process Select and implement Issuing Agency (GS1, HIBCC, or ICCBBA) standard Assign Device Identifiers to Products (Primary, Secondary, Unit of Use, Direct Marking, Package Levels) Assign Production Identifiers to Batch / Lot / Serialization (ensure uniqueness) Revise Labels: Add Human Readable UDI, AIDC UDI, and correct Date format to templates Ensure dynamic data flows from production system to product label Implement AIDC Technology (1D, 2D, etc.) for UDI Presentation If Direct Marking is required, implement permanent marking process Perform necessary System Validation and Training Create necessary Documentation (DHF, SOPs, Work Instructions, etc.)

19 Step 5a – Evaluate, Select, and Implement GUDID Solution

20 Step 5b – Evaluate, Select, and Implement GUDID Solution Choose Submission Method
* SaaS – Software as a Service

21 Description/Comments FDA GUDID Web Interface
Step 5c – Evaluate, Select, and Implement GUDID Solution Submission Method Comparison Submission Method Description/Comments Technology Cost Operations Cost FDA GUDID Web Interface You (or third party) enter data directly into the FDA GUDID Best suited for low volume Transcription error concern Limited international reuse “No” software cost Your admin, data entry, & QA labor Internal Software Buy / build / upgrade software (ERP, PLM, MDM, Labeling or other) to collect data and build SPLs Submit SPLs to FDA via the ESG (AS2) “Own” software (buy/build/upgrade, install, validate, train, maintain) ESG account (AS2) Your admin & operations labor Hosted Software (Software as a Service) Use external software to collect data, build, and submit SPLs to FDA via the ESG High volume submissions “Rent” software Outsourced Service External provider accepts your data, builds, and submits SPLs to FDA via the ESG on your behalf “No” internal Admin & operations labor Service cost Gray Sheet UDI Article, AS2 - Applicability Statement 2

22 Step 5d – Evaluate, Select, and Implement GUDID Solution Select and Implement Method
Selection Considerations Solution Capabilities, Expertise, and Experience SPL Data Validation Controlled Vocabularies FDA ESG Submission ACK Processing and Reporting On-going Data Management (ease and capability) “Future Proof” Scalable International capabilities 21 CFR Part 11 Compliance (not relevant for FDA GUDID Web Interface) Cost Effective Implement Chosen Solution

23 Step 6a – Create FDA Accounts (GUDID, ESG) Request GUDID Account Form
GUDID Pre-Production Account Set Up Process Request a Pre-Production (Test) GUDID Account Request Form from the FDA

24 Step 6b – Create FDA Accounts (GUDID, ESG) Complete and Submit GUDID Account Form
GUDID Pre-Production Account Set Up Process Complete the GUDID Account Request Form (Identify Labeler DUNS Numbers / Users / Roles) Attachment to from the FDA (top half of page 1; 3 pages total)

25 Step 6c – Create FDA Accounts (GUDID, ESG) Setup ESG Account
ESG Account Set Up Process (if using SPL Submissions) Request ESG Test Account Send Letter of Non-Repudiation Obtain and Send a Digital Certificate Register/Launch ESG Test Account Send Test Submissions (connectivity test, compliance test) Apply for ESG Production Account Launch ESG Production Account

26 Step 6d – Create FDA Accounts (GUDID, ESG) Test GUDID Pre-Production Account using ESG Connection
GUDID Pre-Production Account Testing Process (if using SPL Submissions) Complete 4 Test Scenarios – SPL submission into GUDID

27 Step 6e – Create FDA Accounts (GUDID, ESG) Setup GUDID Production Account
GUDID Production Account Set Up Process Request a Production GUDID Account using the same process as the Pre-production account Use the same Application Form as before; make any changes necessary for the GUDID Production environment

28 Step 7a – Collect Source GUDID Data
Collect Source Production GUDID data Collect data from multiple sources, such as: Production Systems, e.g., PLM, MDM, ERP Labeling System (label templates, dynamic data) Regulatory Systems If necessary, capture data from Label (e.g., “single use” icon) Populate (55) GUDID Values into Records Merge partial records from multiple data sources If desired, collect additional data fields for your internal purposes and/or future UDI submissions to international Regulatory Authorities

29 Step 7b – Collect Source GUDID Data
GUDID Data (directly) GUDID Data (needs coding) Reference: FDA “GUDID GFI” Jun

30 Step 7c – Collect Source GUDID Data
Identification Pri DI Issuing Agency Primary DI # Brand Name Version/Model # Catalog # Device Description Sec DI Issuing Agency Secondary DI # DM Exempt (Y/N) DM DI Different (Y/N) DM DI # Regulatory Publish Date Distribution End Date Distribution Status* Premrkt Exempt (Y/N) Premrkt Submission # Supplement # FDA Listing # Product Code Product Code Name* GMDN Code GMDN Name* GMDN Definition* Rx (Y/N) OTC (Y/N) Packaging Device Count Unit of Use DI # Kit (Y/N) Pkg DI # Pkg Quantity Pkg Contains DI # Pkg Type Pkg Discontinue Date Pkg Status* Characteristics Single Use (Y/N) Combo Product (Y/N) HCT/P (Y/N) Contains Rubber (Y/N) Not Made with Rubber (Y/N) MRI Safety Info Size Type Size Value Size Unit Size Text Storage & Handling Type S&H Low value S&H High Value S&H Unit Storage Conditions Sterile Pkg (Y/N) Sterile Req'd Sterile Method Production Control Lot/Batch (Y/N) Serial # (Y/N) Mfg Date (Y/N) Expiration Date (Y/N) Donation Id # (Y/N) Labeler Labeler DUNS # Labeler Name* Labeler Address* Contact Phone Contact 55 Submitted by Labeler (some can have multiple values) 7 Populated by FDA GUDID System * Populated by FDA GUDID System

31 Step 8a – Normalize & Validate Source GUDID Data
“Normalize” data to FDA GUDID specs Follow FDA Business Rules. For example: GS1 GTINs must be 14 numeric characters Date Format must be YYYY-MM-DD Where applicable, ensure values utilize Controlled Vocabularies. For example: “cm” for Size Unit of Measure “Cel” for Temperature (Degrees Celsius) For “grouped data,” all necessary related fields must be populated. For example: Clinically Relevant Size Type = Length Clinically Relevant Size Value = 25 Clinically Relevant Size Unit = cm For “dependent data,” all necessary related fields must be populated. For example: If “Require Sterilization prior to use?” = “Yes,” then “Sterilization Method” must be populated Validation of all content: the key to accuracy for your SPL submissions to the FDA “Problematic” Data Elements from our experience. For example: Labeler DUNS Numbers Device Identifiers assignment GMDN or FDA Preferred Term Values Packaging and Kit Configurations

32 Step 8b – Normalize & Validate Source GUDID Data
GUDID Data Record 55 Submitted Data Elements Product ID Elements (Pri DI, Sec DI, UoU DI, DPM DI, GMDN) Regulatory Elements (FDA Listing #, Auth. #, ProCode) Labeler and Contacts Characteristics (Sterile, Size, Production Control) Package Elements (Pkg DI, Qty) RT GUDID Record Template provided by request

33 Step 9 – Submit GUDID Data to FDA
“Go Live” – Submit Production Device Records For Manual, Individual Record Entry: Enter data via FDA GUDID Web Interface Perform QC on Data Entry For Automated, Bulk Entry: Create fully-valid SPL UDI submissions per FDA business rules Validate SPL XML per FDA schema requirements Submit SPL UDIs to FDA via ESG WebTrader – record-by-record manually driven process AS2 (Applicability Statement 2) – communication protocol for automated bulk transfer

34 Step 10 – Process ACK Messages
Applicable to SPL Submissions only Monitor and Collect FDA ACK messages ACK 1 – FDA receipt confirmation ACK 2 – CDRH receipt confirmation ACK 3 – CDRH validation results Pass Fail, explanatory error message provided Report ACKs Indicate GUDID Record Publication Status Unpublished Published, in Grace Period Published Retired (product taken off market)

35 Step 11 – Initiate & Maintain Data and System
Start Manufacturing Confirm Device Record is Published in GUDID Cutover process to include UDI on Label (with direct marking where applicable) Manage existing Inventory within 3 year allowed window Flow DI and PI from production systems to labels Data Maintenance Update/retire Device Labels and GUDID records as appropriate Add Device Labels and GUDID records for new products System Maintenance (for in-house software only) Update, Validate, Train, and Document system changes Knowledge Maintenance Monitor and Implement changing FDA Regulations and Guidance (subscribe to FDA UDI/GUDID notifications)

36 Step 12 – International Readiness
International Medical Devices Regulatory Forum (IMDRF) Cornerstone of global medical device regulatory direction Group of Medical Device Regulators (Australia, Brazil, Canada, China, EU, Japan, Russia, U.S.) A single worldwide UDID will not be implemented Per Laurent Selles, Senior Coordinator for International Relations, EC; Munich, May 2014 Regional UDIDs will contain core information and have varying regional content. “Convergence, not Harmonization” EU Late 2015 / most likely 2016 – EU UDI Mandate Other regulatory authorities actively involved in UDI EU Asia (China, Japan, Korea, Singapore) Australia Canada South America (Brazil, Argentina)

37 Reed Tech Contact Information Web: Phone: or Address: 7 Walnut Grove Drive, Horsham, PA, USA Gary Saner Sr. Manager, Information Services – Life Sciences

38 Reference Material

39 Reed Tech UDI Resources
Available from ReedTech.com: GUDID Readiness Kit Reed Tech GUDID Data Element List Multiple Options To Weigh For Moving A UDI Into FDA’s Database “The Gray Sheet”  6 January  2014 UDI Training Course (in collaboration with Lernia Training Solutions) Available Upon Request: Sample GUDID Account Request Form Reed Tech GUDID Record Template

40 UDI Resources FDA UDI “Home Page” UDI Help Desk GUDID Information
UDI Rule, GUID Guidance, Compliance Dates, Resources UDI Help Desk GUDID Information Basics, Guidance, Account Request, GUDID Web Interface, HL7 SPL, GUDID Status GUDID Web Interface (Login) CDRH Resources (FDA Presentations: GUDID overview, account setup, etc.) IMDRF – EC Medical Devices –

41 Medical Device UDI Glossary
AIDC Automatic Id and Data Capture – technology used for automated product identification (typically 1D/2D barcode, RFID, near-field communication, etc.) DI Device Identifier – static product identification (uniquely identifies company and product version) ESG Electronic Submissions Gateway – FDA agency-wide secure solution for accepting electronic regulatory submissions in electronic, bulk format GUDID FDA Global UDI Database – registry of Medical Device DI and attributes GS1 GS1 – an international, not-for-profit association that develops global standards (e.g., Global Trade Item Number-GTIN and Application Identifiers-AI) to improve the efficiency and visibility of supply and demand chains across sectors; Issuing Agency FDA approved agency (standard) used to represent Medical Device UDI (GS1, HIBCC, and ICCBBA) HIBCC Health Industry Business Communications Council – a non-profit organization that develops electronic exchange standards (e.g., Health Industry Bar Code-HIBC) for health care trading partners; HL7 Health Level Seven – standards developing organization providing international healthcare information system interoperability standards for the exchange, integration, sharing, and retrieval of information ICCBBA International Council for Commonality in Blood Banking Automation – international standards organization (not-for-profit, nongovernmental) responsible for the ISBT 128 Standard (International Standard for Blood and Transplant); PI Production Identifier – dynamic manufacturing information (i.e. batch/lot #, serial #, mfg. date, expiration date, and HCT/P code) SPL Structured Product Labeling – document markup standard (XML) approved by HL7 and adopted by FDA as a mechanism for exchanging product information UDI Unique Device Identifier = Device Identifier (DI) + PI (Production Identifier) per approved Issuing Agency XML Extensible Markup Language – markup language defining a set of rules for document encoding in both human and machine readable language.

42 Global UDID Data Elements


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