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Subject: TOSOH AIA, Inc. Warning Letter
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      <P>2098 Gaither Road <BR>Rockville, MD =
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<P>MAY 9 2007 </P>
<P align=3Dcenter><STRONG>WARNING LETTER </STRONG></P>
<P>VIA FEDERAL EXPRESS {AND FACSIMILE} </P>
<P>Yoshihiko Nagata, Ph.D. <BR>Plant Manager, Diagnostic Reagents =
Production=20
<BR>TOSOH AIA, Inc. <BR>2, Iwasekoshi-Machi <BR>Toyama City. Japan </P>
<P>Dear Dr. Nagata: </P>
<P>During an inspection of your firm located in Toyama City, Japan on =
December=20
4, 2006 through December 7, 2006, investigator(s) from the United States =
Food=20
and Drug Administration (FDA) determined that your firm manufactures =
AIA-PACK PA=20
PSA Assay and ST AIA-PACK PA PSA. Under section 201(h) of the Federal =
Food.=20
Drug, and Cosmetic Act (the Act), 21 U.S.C. 321(h), these products arc =
devices=20
because they are intended for use in the diagnosis of disease or other=20
conditions or in the cure, mitigation, treatment, or prevention of =
disease. or=20
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, current procedure concerning electronic data storage in the or =
the=20
facilities or controls used for, their manufacture, packing, storage, or =

installation are not in conformity with the Current Good Manufacturing =
Practice=20
(CGMP) requirements of the Quality System (QS) regulation found at Title =
21,=20
<STRONG>Code of Federal Regulations</STRONG> (C.F.R.), Part 820. We =
received a=20
response from Charles P. Gill, RA/Quality Assurance Manager dated =
December 22,=20
2006 concerning our investigator's observations noted on the Form FDA =
483, List=20
of Inspectional Observations that was issued to you. We address this =
response=20
below, in relation to each of the noted violations. These violations =
include,=20
but are not limited to, the following: </P>
<BLOCKQUOTE>
  <P>1. Failure to perform design verification to confirm that the =
design output=20
  meets the design input requirements, as required by 21 CFR=20
820.30(f).</P></BLOCKQUOTE>
<P>For example: the protocol entitled "Verification Method Protocol" =
requires=20
that the samples<STRONG> [redacted]</STRONG> containing the monoclonal=20
antibodies, derived from the bioreactors, be stored at=20
<STRONG>[redacted]</STRONG>C and<STRONG> [redacted]</STRONG>C for=20
<STRONG>[redacted]</STRONG> and <STRONG>[redacted]</STRONG> days: =
however, the=20
final report entitled "Design Process Change Verification" document =
revealed=20
that the samples were placed in an incubator at =
<STRONG>[redacted]</STRONG>C at=20
<STRONG>[redacted]</STRONG> relative humidity suggesting that the =
humidity was=20
neither monitored nor recorded; you failed to document the storage =
details such=20
as the initial placement, any movement and/or the identification of the=20
refrigerators in which the samples were stored at =
<STRONG>[redacted]</STRONG>C=20
and tested at months<STRONG> [redacted] </STRONG>and =
<STRONG>[redacted]</STRONG>=20
as required by their established stability protocol =
<STRONG>[redacted]</STRONG>=20
you failed to adhere to the requirements established by the stability =
protocol=20
<STRONG>[redacted]</STRONG> in that, the method for tracking (i.e. =
Microsoft=20
Excel) the number of samples placed in the incubator was =
unauthenticated. </P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because although, sections "7.3 Design and Development", "7.5.1.2 =
Storage of=20
Record" and "List of Quality Record" of the "Quality System Procedure" =
were=20
revised to ensure that relevant data is explicitly included and =
controlled in=20
the procedure, you failed to verify that the design outputs met the =
desired=20
inputs. Secondly. the format of the equipment control ledger for =
refrigerators=20
and incubators: as well as, the new record format used in the validation =
study=20
have been revised and implemented to fully document design validation=20
activities: however, no documentation was provided to demonstrate that=20
measurable design outputs were adequately defined to complete design =
validation=20
activities. </P>
<BLOCKQUOTE>
  <P>2. Failure to store records so as to minimize deterioration, =
prevent loss=20
  and back up of automated data processing systems as required by 21 CFR =

  820.180. </P></BLOCKQUOTE>
<P>For example: the electronic data did not correlate with the paper =
records;=20
you had not established an electronic data back-up procedure; and =
finally, data=20
was copied onto the server from one system to the next via floppy: =
therefore, no=20
limited access or data protection had been established. </P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because you failed to encrypt and/ or physically secure your data =
back-up system=20
to comply with the requirements to prevent deterioration or deletion of =
the=20
analyzer data. Your revision to the current "Quality System Procedure", =
with=20
regard to the electronic data storage, to include: a data back-up system =
using=20
CD-R (non-rewritable CD); as well as, to require the most responsible =
person to=20
make photocopies of the serial paper print out and maintain an =
electronic file=20
has been noted. </P>
<BLOCKQUOTE>
  <P>3. Failure to adequately validate the intended use of this PC and =
its=20
  software, as required by 21 CFR 820.70(i). </P></BLOCKQUOTE>
<P>For example: the dedicated PC <STRONG>[redacted]</STRONG> attached to =

the<STRONG> [redacted]</STRONG> was not secure in that access to the =
data on=20
<STRONG>[redacted]</STRONG> was not granted by a unique username and =
password or=20
equivalent method; there as no documentation associated with the =
electronic data=20
for whom was responsible for collection of the analytical results as =
several=20
quality control personnel have access to the <STRONG>[redacted]</STRONG> =
no=20
software changes in the study data could be detected as there was no =
audit trail=20
capability; and finally, the electronic data did not correlate with the =
paper=20
records. </P>
<P>We have reviewed your response and have concluded that it is =
inadequate=20
because no system validation was conducted to ensure accuracy, =
reliability,=20
consistent intended performance, and the ability to discern invalid or =
altered=20
records. </P>
<P>A follow tip inspection will be required to assure that corrections =
are=20
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
violation(s), or similar violation(s). from occurring again. Include=20
documentation of the corrective action you have taken. If your planned=20
corrections will occur over time, please include a timetable for =
implementation=20
of those corrections. If corrective action cannot be completed within 15 =
working=20
days. state the reason for the delay and the time within which the =
corrections=20
will be completed. If the documentation is not in English, please =
provide a=20
translation to facilitate our review. </P>
<P>Your response should be sent to: James Woods (HFZ-440), 2098 Gaither =
Road,=20
Rockville, MD 20850. If you have any questions about the content of this =
letter=20
please contact: Cecily Jones at 240-276-0493 or 240-276-0652. </P>
<P>Finally, you should know that this letter is not intended to be an=20
all-inclusive list of the violation(s) at your facility. It is your=20
responsibility to ensure compliance with applicable laws and regulations =

administered by FDA. The specific violation(s) noted in this letter and =
in the=20
Inspectional Observations, Form FDA 483 (FDA 483), issued at the =
closeout of the=20
inspection may be symptomatic of serious problems in your firm's =
manufacturing=20
and quality assurance systems. You should investigate and determine the =
causes=20
of the violation(s), and take prompt actions to correct the violation(s) =
and to=20
bring your products into compliance. </P>
<P>Sincerely yours, </P>
<P>/S/</P>
<P>Steven I. Gutman. M.D., M.B.A. <BR>Director <BR>Office of In Vitro =
Diagnostic=20
<BR>Device Evaluation and Safety <BR>Center for Devices and Radiological =
Health=20
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