‘Insanitary’ Conditions Found at Advanced Care Infusion

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A 2/12-2/23/15 FDA inspection at Tri-Med, Inc., (doing business as Advanced Care Infusion-Shelby), Shelby Twp., MI, found “serious deficiencies” in the firm’s practices for producing sterile drugs, according to a just-released 12/18/15 Warning Letter from the agency’s Detroit District Office. “The FDA investigator observed that your sterile drug products were prepared, packed, or held under insanitary conditions, whereby they may have become contaminated with filth or rendered injurious to health, causing your drug products to be adulterated,” the letter declares.

Several examples are given of observations indicating that the firm’s products “may be produced in an environment that poses a significant contamination risk.”

The letter says that some of the firm’s proposed corrective actions appear adequate, while others are deficient. “FDA strongly recommends that your management immediately undertake a comprehensive assessment of your operations, including facility design, procedures, personnel, processes, materials, and systems,” the letter says. “In particular, this review should assess your aseptic processing operations. A third-party consultant with relevant sterile drug manufacturing expertise could be useful in conducting this comprehensive evaluation.”

Tri-Med was told to respond with a list of specific steps taken to correct the violations, with documentation of each step and a timetable for completion.

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