10 FDA Inspection Strategies that DON’T Work
If you were just notified of an FDA inspection and you don’t think you are ready, using tricks to hide your problems is a huge mistake. I have heard a few recommendations over the years for “secrets” to hide those problems. In this post, I share my favorite “secrets”–and why they DON’T work.
Here are my top 10 ways to make an FDA inspection worse:
10. Stalling when the investigator makes a request – This just irritates investigators. At best, the investigator will use the waiting time to identify additional documents to sample or to review the information you have provided more closely. At worst, the investigator will accuse the company of not cooperating with the inspection, and the investigator may return the following week with several more team members to help them. Whenever this occurred during a third-party audit that I conducted, I would move onto another area and interview someone. However, before I left the person that was slow to respond, I provided the person with a list of documents and records that I expected to be waiting for me upon my return. In extreme cases, I had to bluntly tell the management representative that I needed documentation more quickly. As an instructor, I teach auditors techniques for coping with this tactic.
9. Suggesting records for the investigator to sample – This is specifically forbidden in the case of third-party inspections and audits. The FDA has work instructions for identifying sample sizes, and samples are supposed to be selected randomly. In reality, samples are rarely random, and usually, the investigator is following a trail to a specific lot, part number, etc. When clients offered me samples, I tried to be polite and review the record they provided. However, I also would request several other records or follow a trail, as I have indicated above. Another approach I often use is to focus on high-risk items (i.e., – a risk-based approach to sampling). In general, you can expect the FDA investigators to sample more items than a registrar–and sample sizes are often statistically derived if the number of records is sufficiently large. When sample sizes are quite small, I recommend sampling 100% of the records since the previous inspection/audit. This is not always possible for third-party auditors, but internal auditors often can achieve this.
8. Outsourcing processes to subcontractors – The FDA recently reinstated the requirement for contract manufacturers and contract sterilizers to be registered with the FDA by October 1, 2012. Therefore, hiding manufacturing problems from the FDA by outsourcing manufacturing is increasingly more difficult to do. In addition, the FDA focuses heavily on supplier controls and validation of outsourced processes. Therefore, an investigator will identify high-risk processes performed by subcontractors and request documentation of process validation by that supplier. If the company does not have the validation reports, this could quickly escalate to a 483, and possibly a visit to the subcontractor.
7. Trying to correct problems during the inspection – This is what I like to call the document creation department. At one company I worked for, we noticed a mistake across several of the procedures and made a change overnight between the first and second days of the audit. When the auditor asked for the procedures in the morning, he asked, “Is the ink dry yet?” The auditor then proceeded to request records that demonstrated compliance with the newly minted procedures. As you might have guessed, this resulted in several nonconformities. When clients attempt to correct problems found by an investigator, the investigator typically will respond with the following statement, “I applaud you for taking immediate action to contain and correct the problem. However, you still need to perform an investigation of the root cause and develop a corrective action plan to prevent a recurrence. To do this investigation properly may take several days.” I also teach auditors to memorize this phrase.
6. Writing a letter to file – When companies make minor design changes, one of the most common approaches is to “write a letter to file.” This phrase indicates that the design team is adding a memo to the Design History File (DHF) that justifies why design validation is not required or why regulatory notification/approval is not required. The FDA used to publish a decision tree to help companies make these decisions. In fact, such a decision tree is still part of the Canadian significant change document. The FDA recently withdrew a draft document that eliminated many perceived opportunities to utilize the “letter to file” approach. However, the FDA will still issue a 483 to a company if the investigator can identify a change that required validation that was not done, or a 510(k) that was not submitted for a design change. In fact, the FDA looks explicitly for these types of issues when an investigator is doing a “for cause” inspection after a recall or patient death.
5. Shut it down – Not running a production line that has problems is an ideal strategy for hiding problems. However, the FDA and auditors will simply be forced to spend more time sampling and reviewing records of the problematic production line. If you need to shut a line down, ensure everything is identified as nonconforming, and carefully segregate rejected product from good product. You should also use these problem lines as an opportunity to show off your investigation skills and your ability to initiate CAPAs. If you simply forgot to validate a piece of equipment, or do some maintenance, take your lumps and keep production running. If you are a contract manufacturer, never shut it down without notifying the customer. If you do not tell your customer, you will get a complaint related to on-time delivery and a 483.
4. Storing all records off-site – I first heard about this tactic during an auditor course I was co-teaching. During the course, we had many reasons why the company should be able to provide the records in a timely manner. However, I have experienced this first-hand as a third-party auditor. When this happens, I do three things: 1) increase my sampling of records that are available, 2) carefully review supplier controls and supplier evaluation of the storage facility (assuming it is outsourced), and 3) verify that the company has a systematic means for tracking the location (i.e., – pallet and box) for every record sent to storage. FDA investigators will simply move along to another record and follow-up on their earlier request with a second visit, or a request to send a copy of the document to them after the inspection.
3. Identifying information as confidential – A company can claim information is confidential and may not be shared with the public. Still, very little information is “confidential” concerning the FDA or Notified Bodies. Therefore, this strategy rarely works. In fact, this will enrage most FDA investigators. In training courses, I train auditors to ask the auditee to redact confidential information. For example, a CAPA log may have confidential information in the descriptions, but the trend data on opening and closing dates are never confidential.
2. The FDA is not allowed to look at those records – Although this statement is technically true for internal audit reports and management reviews, the FDA always says that they can access this information through the CAPA system. What the FDA means is that there should always be evidence of CAPAs from internal audits and management reviews. If there is not, then this will quickly become a 483. Another person I met tells the story that when they agreed to share the management review records with the investigator, the inspector rarely issued a 483. When they refused to share the management review with the FDA, the inspection went quite badly from that point forth. I don’t agree with being vindictive, but it happens.
1. Show me where that is required – This is just silly. Investigators and auditors are trained on the regulations, while you are educated on your procedures. Spend your time and effort, figuring out how your procedures meet the regulations in some way. Challenging the investigator excites the investigator. We all like a challenge–and we rarely lose. One auditee tried this approach with me in front of their CEO. This experience allowed me to show off that I had memorized the clause in question–and the corresponding guidance document sections. I think the CEO realized quickly that the management representative was not qualified.
My final advice is to do your best to help the investigator do their job, and treat every 483 as “just an opportunity to improve.” Just ensure you submit a response in 14 days, or you will receive a Warning Letter too!
Posted in: FDALeave a Comment (4) ↓
Joe Azary was kind enough to make a few valuable comments in response to my posting. I thought I would copy the comments over to this posting for everyone’s benefit. Another perspective is always good and I agree with his comments on #9 & 7. With regard to #6, I think his percentages are off, but letters to file have worked more often than not in the past. I think we will see that trend changing in coming months.
Below is the link for Joe’s profile:
#9 Suggesting Records – sometimes the inspector will give the company the option to chose what records they will bring or ask for examples. That gives you the opportunity to essentially suggest a record and obviously provide a good example.
#7 Correct Problems during the Inspection – Many problems cannot be corrected during the inspection because they require root cause analysis and actions that will take some time. However, I ask seen companies effectively take action during an inspection as a way to demonstrate how seriously they take the inspector’s observation. At least it has never been detrimental to do this.
#6 Also, letters to file are pretty common method to justify why a 510(k) is not filed or to document the rationale for decision making (regarding why a change does not require re-validation, etc..). I have found these to be useful during inspection because a company does not have to go by memory and it shows a thought process when evaluating changes and making decisions. In my experience 99% of the time the letters to file have not been challenged. Of course, there are the 1% of the time when an inspector may disagree with the conclusion or rationale.
I’d like to add one to the list: Never try to impress the inspector. I recently experienced this with a client who tried to toot their own horn during a FDA inspection. I saw the inspector get a cheeky smile just before a barrage of questions and requests to challenge the company.
Thank you for the pingback. I like your new posting a lot. I have seen this several times before–unfortunately 1st hand. In these cases, if your “house” is in order I recommend formal complaints to the NB with specific objective evidence. Sometimes the NB will say…”well it’s just a sampling.” However, I have addressed my written complaints directly to the VP-level and above. In each case my client was assigned a much better auditor for the next audit. If you have these complaints at the closing meeting, you may also request information on the dispute process. This process is required by ANAB and SCC. Similar processes exist for the FDA, and I know of several companies that have made some ground pushing back on the FDA. The key is to do this in a formal way AFTER the audit or inspection, because people take it personally and like to argue.