Heparin-Containing Device Labeling Guidance

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FDA has published a guidance, Heparin-Containing Medical Devices and Combination Products: Recommendations for Labeling and Safety Testing, to address safety concerns about serious and fatal events related to use of heparin sodium products. The document notes that the U.S. Pharmacopeia (USP) drug substance monograph for heparin sodium and the monographs for heparin lock flush solution and heparin sodium injection have undergone several revisions following the adverse event reports.

“Investigation of heparin product overdose errors identified the expression of drug strength in the labels as a major contributing factor in these errors,” FDA says. “This guidance addresses these safety concerns by clarifying new expectations for labeling with regard to the revised heparin USP monographs, as well as outlining safety testing recommendations.”

FDA says recommendations in the guidance reflect the agency’s current position and may change in the future as new scientific information or new detection methods become available. The guidance will be revised as needed to reflect any additional revisions to the USP monographs.

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