FDA cites Bausch + Lomb Manufacturing Facility

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FDA has issued a Form 483 to Bausch + Lomb following a 3/12-20 inspection of the company's sterile drug manufacturing facility in Tampa, FL, identifying multiple observations involving complaint investigations, aseptic manufacturing practices, environmental monitoring, and quality system controls.

One observation focused on complaint handling. FDA investigators said the company failed to adequately investigate several adverse event complaints, including reports involving a metal shard found in an ophthalmic ointment, patient complaints describing burning, severe itching and a sensation of "shards of glass," and another complaint involving a severe reaction to an ophthalmic product. Investigators also cited the company for failing to submit a required Field Alert Report after a customer reported finding a black substance inside a drug container and cap.

The inspection also identified extensive concerns with aseptic processing practices. According to the Form 483, investigators observed operators moving rapidly through critical Grade A and Grade B cleanroom areas, improper sterile glove donning, personnel reaching over exposed containers, inappropriate handling of sterile tools during manufacturing interventions, and operators directly contacting sterile product components. FDA concluded that procedures intended to prevent microbiological contamination of sterile drug products were not adequately established or followed.

Additional observations addressed deficiencies in the firm's environmental monitoring program and quality oversight. FDA cited failures to investigate repeated environmental monitoring excursions, inadequate assessments of objectionable microorganisms recovered in manufacturing areas, and insufficient scientific justification supporting contamination control decisions.

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