From: <Saved by Windows Internet Explorer 7>
Subject: G&B Electronic Designs Limited, Warning Letter
Date: Mon, 3 Mar 2008 08:42:45 -0500
MIME-Version: 1.0
Content-Type: multipart/related;
	type="text/html";
	boundary="----=_NextPart_000_0036_01C87D0A.8D99C8F0"
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198

This is a multi-part message in MIME format.

------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: text/html;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://www.fda.gov/foi/warning_letters/s6338c.htm

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" =
"http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd">
<HTML><HEAD><TITLE>G&B Electronic Designs Limited, Warning =
Letter</TITLE><!-- #BeginTemplate "/Templates/warningletters.dwt" =
--><!-- DW6 --><!-- #BeginEditable "Metadata" -->
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META http-equiv=3DContent-language content=3Den>
<META content=3D"G&amp;B Electronic Designs Limited " name=3Dkeywords>
<META content=3D"" name=3Ddescription>
<META content=3D05-01-07 name=3DPosted>
<META content=3Dmm-dd-yyy name=3Dupdated><LINK=20
href=3D"http://www.fda.gov/foi/stylesheets/news.css" type=3Dtext/css =
rel=3Dstylesheet>
<STYLE type=3Dtext/css>
@media Print   =20
{
.contacts {
	FONT-SIZE: 8pt
}
    }
H3 {
	FONT-WEIGHT: bold; FONT-SIZE: 0.8em; FONT-FAMILY: Arial, Helvetica, =
sans-serif; TEXT-ALIGN: center
}
BODY {
	FONT-FAMILY: Arial, Helvetica, sans-serif; TEXT-ALIGN: left
}
P {
	FONT-SIZE: 0.8em
}
.mainlist {
	FONT-SIZE: 0.8em; MARGIN-LEFT: 12pt; TEXT-ALIGN: left
}
.skip {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:link {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:visited {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:hover {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.skip A:active {
	PADDING-RIGHT: 0px; PADDING-LEFT: 0px; FONT-WEIGHT: normal; FONT-SIZE: =
0px; PADDING-BOTTOM: 0px; MARGIN: 0px; LINE-HEIGHT: 0px; PADDING-TOP: =
0px
}
.tablefont {
	FONT-SIZE: 0.8em; FONT-FAMILY: Arial, Helvetica, sans-serif
}
</STYLE>
<!-- #EndEditable -->
<META content=3D"MSHTML 6.00.6000.16544" name=3DGENERATOR></HEAD>
<BODY bgColor=3D#ffffff>
<DIV class=3Dskip><A=20
href=3D"http://www.fda.gov/foi/warning_letters/s6338c.htm#top"><IMG =
height=3D1=20
alt=3D"Skip Navigation" =
src=3D"http://www.fda.gov/graphics/dot_clear.gif" width=3D1=20
border=3D0></A> </DIV>
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" align=3Dcenter =
border=3D0>
  <TBODY>
  <TR>
    <TD class=3Dhedbackground height=3D68><A=20
      href=3D"http://www.fda.gov/default.htm"><IMG height=3D68=20
      alt=3D"FDA Logo links to FDA home page"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_01.gif"=20
      width=3D100 border=3D0></A></TD>
    <TD class=3Dhedbackground height=3D68>
      <DIV class=3Dcenter><A =
href=3D"http://www.fda.gov/default.htm"><IMG height=3D68=20
      alt=3D"U.S. Food and Drug Administration"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_02.gif"=20
      width=3D384 align=3Dtop border=3D0></A></DIV></TD>
    <TD class=3Dhedbackground vAlign=3Dcenter align=3Dright =
height=3D68><A=20
      href=3D"http://www.hhs.gov/"><IMG height=3D68=20
      alt=3D"HHS Logo links to Department of Health and Human Services =
website"=20
      =
src=3D"http://www.fda.gov/graphics/mastheadart/images/fda_mast_03.gif"=20
      width=3D116 border=3D0></A></TD></TR></TBODY></TABLE>
<P class=3Dheader><A href=3D"http://www.fda.gov/default.htm">FDA Home =
Page</A> | <A=20
href=3D"http://www.fda.gov/search.html">Search FDA Site</A> | <A=20
href=3D"http://www.fda.gov/opacom/hpchoice.html">FDA A-Z Index</A> | <A=20
href=3D"http://www.fda.gov/comments.html">Contact FDA</A></P>
<P><IMG height=3D1 alt=3D"horizonal rule" src=3D"" width=3D"100%" =
border=3D0></P><!-- #BeginEditable "Title head" -->
<TABLE cellSpacing=3D0 cellPadding=3D0 width=3D"100%" border=3D0>
  <TBODY>
  <TR>
    <TD vAlign=3Dcenter>&nbsp;</TD>
    <TD vAlign=3Dbottom>&nbsp;</TD></TR>
  <TR>
    <TD vAlign=3Dcenter width=3D"67%" height=3D63>
      <H1=20
      style=3D"FONT-WEIGHT: bold; FONT-SIZE: 0.8em; COLOR: #000080; =
BACKGROUND-COLOR: #ffffff; TEXT-ALIGN: left"><IMG=20
      height=3D54 src=3D"http://www.fda.gov/foi/HHS_blue_logo.gif" =
width=3D54=20
      ?>Department of Health and Human Services</H1></TD>
    <TD class=3Dtablefont vAlign=3Dbottom width=3D"33%">Public Health =
Service=20
      <BR>Food and Drug Administration </TD></TR>
  <TR>
    <TD vAlign=3Dcenter>&nbsp;</TD>
    <TD class=3Dtablefont vAlign=3Dtop>
      <P>9200 Corporate Boulevard<BR>Rockville, Maryland=20
20850</P></TD></TR></TBODY></TABLE><BR><!-- #EndEditable --><A =
name=3Dtop></A><!-- #BeginEditable "body" -->
<P>APR 24 2007 </P>
<P align=3Dcenter><STRONG>WARNING LETTER </STRONG></P>
<P>VIA FEDERAL EXPRESS </P>
<P>Mr. Gary McBrown <BR>Quality Manager <BR>G&amp;B Electronic Designs =
Limited=20
<BR>54, Woolmer Industrial Estate <BR>Bordon, Hampshire, GU35 9QF =
<BR>United=20
Kingdom </P>
<P>Dear Mr. McBrown: </P>
<P>During an inspection of your firm located in Bordon, Hampshire, from =
November=20
20-23, 2006, an investigator from the United States Food and Drug =
Administration=20
(FDA) determined that your firm manufactures the Tracklt and NicoletOne=20
Ambulatory Electroencephalograph Recorder devices. Under section 201(h) =
of the=20
Federal Food, Drug, and Cosmetic Act (the Act), 21 U.S.C. 321(h), these =
products=20
are devices because they are intended for use in the diagnosis of =
disease or=20
other conditions or in the cure, mitigation, treatment, or prevention of =

disease, or are intended to affect the structure or function of the =
body. </P>
<P>This inspection revealed that these devices are adulterated within =
the=20
meaning of section 501(h) of the Act (21 U.S.C. =A7 351(h)), in that the =
methods=20
used in, or the facilities or controls used for, their manufacture, =
packing,=20
storage, or installation are not in conformity with the Current Good=20
Manufacturing Practice (CGMP) requirements of the Quality System (QS) =
regulation=20
found at Title 21, Code of Federal Regulations (C.F.R.), Part 820. These =

violations include, but are not limited to, the following: </P>
<P>1. Failure to assure that when the results of a process cannot be =
fully=20
verified by subsequent inspection and test, the process shall be =
validated with=20
a high degree of assurance and approved according to established =
procedures, as=20
required by 21 CFR 830.75(a). For example: </P>
<BLOCKQUOTE>
  <P>a. Automated machines were used for the screening, placing, and =
soldering=20
  processes for the circuit boards used in the NicoletOne device but no=20
  procedures were established to validate the processes to assure that =
specified=20
  requirements are met. </P>
  <P>b. There are no written procedures for ensuring the installation,=20
  operation, or performance of the NicoletOne device for the automated =
screen=20
  printing machine, automated pick and place machine, and the reflow =
oven.=20
</P></BLOCKQUOTE>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because you have confused process validation with equipment =
qualification. Also,=20
no procedures have been submitted for review and no timetable for =
corrective=20
action and response was indicated. </P>
<P>2. Failure to assure that when computers or automated data processing =
systems=20
are used as part of the production or quality system the manufacturer =
shall=20
validate computer software for its intended use according to an =
established=20
protocol, as required by 21 CFR 820.70(i). For example, electronic =
records are=20
used, but there was no software validation. No procedures are =
established to=20
validate for its intended purpose the Microsoft Word or Microsoft Excel =
software=20
used in creating and maintaining nonconformance records, product return =
records,=20
internal audit corrective action records, or preventive action records. =
</P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because off-the-shelf software must be validated for its intended =
purpose. You=20
have stated that a review will be conducted of the existing forms and an =

implementation of a new record control system to meet FDA requirements =
will be=20
pursued. A new system may not be necessary; however, no procedures have =
been=20
submitted for review and no timetable for corrective action and response =
was=20
indicated. </P>
<P>3. Failure to establish and maintain adequate procedures to control =
product=20
that does not conform to specified requirements . The evaluation of=20
nonconforming product shall include a determination of the need for an=20
investigation and notification of the persons responsible for the=20
nonconformance. The evaluation of nonconforming product and any =
associated=20
investigation shall be documented, as required by 21 CFR 90(a). For =
example,=20
nonconformance report no. 1073 describes the need to relabel a device by =
a=20
customer. The record does not include any analysis or other =
documentation of an=20
evaluation into this nonconformance. </P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because it does not address the FDA 483 citation and it appears that you =
are=20
unaware there is no requirement to report to FDA all nonconformances. =
FDA must=20
be notified only under the requirements of the Medical Device Reporting=20
regulation, the Corrections and Removals regulation, and the Recall =
regulation.=20
</P>
<P>Our inspection also revealed that your TrackIt and NicoletOne =
Ambulatory EEG=20
devices are misbranded under section 502(t)(2) of the Act, 21 U.S.C. =
352(t)(2),=20
in that your firm failed or refused to furnish material or information=20
respecting the device that is required by or under section 519 of the =
Act, 21=20
U.S.C. 360i and 21 C.F.R. Part 806 - Reports of Corrections and Removals =

regulation. Significant deviations include, but are not limited to, the=20
following: <BR><BR>4. Failure to submit a written report to FDA of any=20
correction or removal of a device, as required by 21 CFR 806.10. For =
example,=20
nonconformance report no. 1073 describes the need to relabel a device by =
a=20
customer. The record does not include a heath hazard analysis or other=20
documentation of an evaluation to justify why a field correction was not =

reported to the FDA.<BR><BR>We have reviewed your response and have =
concluded=20
that it is inadequate because you did not provide justification for not=20
reporting the correction or removal action to FDA which shall contain=20
conclusions and any follow-ups, and be reviewed and evaluated by a =
designated=20
person. </P>
<P>Our inspection also revealed that your Tracklt and NicoletOne =
Ambulatory EEG=20
devices are misbranded under section 502(o) of the Act, 21 U.S.C. =
352(o), in=20
that your firm failed or refused to furnish material or information =
respecting=20
the device that is required by or under section 510 of the Act, 21 =
U.S.C.=20
360(i)(1) and 21 C.F.R. Part 807 - Establishment Registration and Device =
Listing=20
for Manufacturers and Initial Importers of Devices regulation. =
Significant=20
deviations include, but are not limited to, the following: </P>
<P>5. Failure to assure that any establishment within any foreign =
country=20
engaged in the manufacture, preparation, propagation, compounding, or =
processing=20
of a device that is imported or offered for import into the United =
States shall=20
register and list such devices in conformance of such requirements of =
Subparts=20
B. The official correspondent for the foreign establishment shall =
facilitate=20
communication between the foreign establishment's management and =
representatives=20
of the Food and Drug Administration, as required by 21 CFR 807.40(a). =
For=20
example, the inspection revealed your firm has not registered or listed =
with the=20
FDA and you are importing devices into the United States. </P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because you have not registered or listed your devices with the FDA, and =
have=20
not identified your US agent. </P>
<P>A followup inspection will be required to assure that corrections are =

adequate. We will contact the appropriate people and request an =
establishment=20
re-inspection. An FDA trip planner will be in touch with you to arrange =
a=20
mutually convenient date for this inspection. </P>
<P>You should take prompt action to correct the violations addressed in =
this=20
letter. Failure to promptly correct these violations may result in =
regulatory=20
action, which may include detaining your devices without physical =
examination=20
upon entry into the United States until the corrections are completed, =
Section=20
801(a) of the Act (21 U.S.C. =A7 381(a)). Also, U.S. federal agencies =
are advised=20
of the issuance of all Warning Letters about devices so that they may =
take this=20
information into account when considering the award of contracts. =
Additionally,=20
premarket approval applications for Class III devices to which the =
Quality=20
System regulation deviations are reasonably related will not be approved =
until=20
the violations have been corrected. Requests for Certificates to Foreign =

Governments will not be granted until the violations related to the =
subject=20
devices have been corrected. </P>
<P>Please notify this office in writing within fifteen (15) working days =
from=20
the date you receive this letter of the specific steps you have taken to =
correct=20
the noted violations, including an explanation of how you plan to =
prevent these=20
violations, or similar violations, from occurring again. Include =
documentation=20
of the corrective action you have taken. If your planned corrections =
will occur=20
over time, please include a timetable for implementation of those =
corrections.=20
If corrective action cannot be completed within 15 working days, state =
the=20
reason for the delay and the time within which the corrections will be=20
completed. </P>
<P>Your response should be sent to: Nicole L. Wolanski, Chief, =
Cardiovascular=20
and Neurological Devices Branch, Division of Enforcement B, Office of=20
Compliance, Center for Devices and Radiological Health, 2098 Gaither =
Road,=20
Rockville, Maryland 20850. If you have any questions about the content =
of this=20
letter please contact her via telephone at 240-276-0295, or via fax at=20
240-276-0129. </P>
<P>Finally, you should know that this letter is not intended to be an=20
all-inclusive list of the violations at your facility. It is your =
responsibility=20
to ensure compliance with applicable laws and regulations administered =
by FDA.=20
The specific violations noted in this letter and in the Inspectional=20
Observations, Form FDA 483 (FDA 483), issued at the closeout of the =
inspection=20
may be symptomatic of serious problems in your firm's manufacturing and =
quality=20
assurance systems. You should investigate and determine the causes of =
the=20
violations and take prompt actions to correct the violations and to =
bring your=20
products into compliance. </P>
<P>Sincerely yours, </P>
<P>/S/</P>
<P>Timothy A. Ulatowski <BR>Director <BR>Office of Compliance <BR>Center =
for=20
Devices and <BR>Radiological Health </P><!-- #EndEditable -->
<P class=3Dfooter><A href=3D"http://www.fda.gov/foi/foia2.htm">FOI Home =
Page</A> |=20
<A =
href=3D"http://www.accessdata.fda.gov/scripts/wlcfm/recentfiles.cfm">Most=
=20
Recent Warning Letters</A><BR><A =
href=3D"http://www.fda.gov/default.htm">FDA Home=20
Page</A> | <A href=3D"http://www.fda.gov/search.html">Search FDA =
Site</A> | <A=20
href=3D"http://www.fda.gov/opacom/hpchoice.html">FDA A-Z Index</A> | <A=20
href=3D"http://www.fda.gov/comments.html">Contact FDA</A> | <A=20
href=3D"http://www.fda.gov/privacy.html">Privacy</A> | <A=20
href=3D"http://www.hhs.gov/Accessibility.html">Accessibility</A></P>
<P class=3Dfooter>FDA/Freedom of Information=20
</P><!-- #EndTemplate --></BODY></HTML>

------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/dot_clear.gif

R0lGODlhAQABAID/AP///wAAACH5BAEAAAAALAAAAAABAAEAAAICRAEAOw==

------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_01.gif
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------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_02.gif
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------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/graphics/mastheadart/images/fda_mast_03.gif
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=

------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: image/gif
Content-Transfer-Encoding: base64
Content-Location: http://www.fda.gov/foi/HHS_blue_logo.gif
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------=_NextPart_000_0036_01C87D0A.8D99C8F0
Content-Type: text/css;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://www.fda.gov/foi/stylesheets/news.css

BODY {
	MARGIN-LEFT: 10%; COLOR: #000000; MARGIN-RIGHT: 10%; FONT-FAMILY: =
Arial, Helvetica, sans-serif; BACKGROUND-COLOR: #ffffff
}
P {
	FONT-SIZE: 83%
}
H1 {
	MARGIN-TOP: 6px; FONT-WEIGHT: bold; FONT-SIZE: 140%; MARGIN-BOTTOM: =
6px; COLOR: #000080; FONT-STYLE: italic; BACKGROUND-COLOR: #ffffff; =
TEXT-ALIGN: center
}
H2 {
	FONT-WEIGHT: bold; FONT-SIZE: 105%; TEXT-ALIGN: center
}
H3 {
	FONT-WEIGHT: bold; FONT-SIZE: 83%; MARGIN-BOTTOM: -8pt; TEXT-ALIGN: =
left
}
.mainlist {
	FONT-SIZE: 83%; MARGIN-LEFT: 12pt; TEXT-ALIGN: left
}
A:hover {
	COLOR: #cc0000; BACKGROUND-COLOR: #ffffff
}
.center {
	TEXT-ALIGN: center
}
.header {
	MARGIN-TOP: 8px; FONT-SIZE: 75%; MARGIN-BOTTOM: 5px; TEXT-ALIGN: center
}
.footer {
	FONT-SIZE: 75%; TEXT-ALIGN: center
}
.small {
	FONT-SIZE: 75%
}
.hedbackground {
	BACKGROUND-IMAGE: url(/graphics/mastheadart/images/fda_mast_bkgrd.gif)
}

------=_NextPart_000_0036_01C87D0A.8D99C8F0--

