Product Development and Quality Management Consulting Medical Plastics – Future Needs from the Perspective of the Medical Device Manufacturer Indian Medical Devices & Plastics Disposables Industry 2009 Ahmedabad, India February 27-28, 2009 Dr. Vinny Sastri President, WINOVIA® LLC www.winovia.com All rights reserved - WINOVIA® LLC 2009 1 AGENDA • Introduction • Methodology • Results • Conclusion All rights reserved - WINOVIA® LLC 2009 2 SURVEY Purpose: - Understand the trends and needs of medical plastics from the perspective of the device manufacturer. - To hear the voice of the device manufacturer. • Regulations • Performance • Quality • Buyer-supplier interaction and relationships All rights reserved - WINOVIA® LLC 2009 3 METHODOLOGY • Live one-on-one, interactive interviews • Follow-up questions • Anonymous • Small, medium and large companies • Those involved in the selection and use of plastics -Product design and development, manufacturing, quality etc. • All functional levels - vice presidents, owners, directors, managers, engineers, scientists All rights reserved - WINOVIA® LLC 2009 4 SURVEY - RESPONDENTS BREAKDOWN Class III 17% Class I 32% High Performance Engineering 19% Commodity 28% Engineering 53% Class II 51% Breakdown by Device Class Breakdown by Plastic Type Use Small 13% Large 41% Medium 46% Breakdown by Company Size All rights reserved - WINOVIA® LLC 2009 (Preliminary Results) 5 MATERIAL SUPPLIERS & THE QUALITY SYSTEMS REGULATIONS Finished Device Manufacturers Finished Device Manufacturers FDA – 21 CFR Parts 820 Quality Systems Regulation ISO 13485:2003 Medical devices – Quality management systems – Requirements for regulatory purposes Purchasing Controls Purchasing Raw Material and Component Suppliers Raw material specifications, acceptance criteria Identification and traceability Supplier audits and qualification All rights reserved - WINOVIA® LLC 2009 6 VALUE CHAIN FINISHED DEVICE MANUFACTURER ASSEMBLER PROCESSOR DESIGN SUPPLIER All rights reserved - WINOVIA® LLC 2009 7 TRENDS • • • • • • Cost reduction Increased substitution of plastic for metals and glass Single use devices replacing reusable devices Cleanliness Coatings for surface modification and property enhancement Globalization – products and raw material supply • • • • Smaller Lighter Stronger More performance features All rights reserved - WINOVIA® LLC 2009 8 PERFORMANCE • • • • • • • • • • Light weight High strength Impact strength Dimensional stability Finishes and colors Wear resistance Abrasion resistance Fatigue Aesthetics (colors, finishes) Flow • Electrostatic dissipative (ESD) and electro conductive materials • Electromagnetic Interference (EMI) /Radiofrequency Interference (RFI) shielding – inherent in the plastic or with secondary spraying or shielding operations • Antistatic materials • Thermal management • Impregnated with drugs, antibacterial drugs, anti-thrombosis drugs (controlled release) “We need polyolefins that act as polyurethanes” All rights reserved - WINOVIA® LLC 2009 9 STERILIZATION AND CLEANLINESS 50 STERILIZATION • Gamma used the most, followed by EtO and Autoclave • Higher temperature materials at lower cost for autoclaving 45 40 35 30 25 20 15 10 5 • Need for more radiation stable grades 0 Gamma EtO Autoclave None eBeam (Does not add up to 100 as companies may use more than one method of sterilization) CLEANLINESS • Increased demand for material cleanliness, purity • No contamination • No discoloration • Follow current Good Manufacturing Practices (cGMP) All rights reserved - WINOVIA® LLC 2009 10 CHEMICAL RESISTANCE AND DURABILITY CHEMICAL RESISTANCE • Cleaning solutions • Solvents • Ointments (as in catheter tips) • IPA, alcohols for cleaning DURABILITY • Long term ageing and shelf life studies based on product life cycle and intended use • Long term durability • Durability in different environments and climates All rights reserved - WINOVIA® LLC 2009 11 BIOCOMPATIBILITY – BIOSTABILITY • USP Class VI • Biocompatibile materials that do not degrade over time • Biocompatibility (from months to 5 – 10 years…) – Biostability • Non-leachables • Education and understanding of how raw materials affect biocompatibility Biological effects include: • Cytotoxicity • Sensitization • Irritation/Intracutaneous • Systemic Toxicity • Subchronic Toxicity • Genotoxicity • Implantation • Hemocompatibility • Carcinogenesis • Reproductive • Biodegradation All rights reserved - WINOVIA® LLC 2009 12 ISO 10993 STANDARDS Standard Description ISO 10993-1:2003 Evaluation and testing ISO 10993-2:2006 Animal welfare requirements ISO 10993-3:2003 Tests for genotoxicity, carcinogenicity and reproductive toxicity ISO 10993-4:2002 Amd 1:2006 Selection of tests for interactions with blood ISO 10993-5:1999 Tests for in vitro cytotoxicity ISO 10993-6:2007 Tests for local effects after implantation ISO 10993-7:1995 Ethylene oxide sterilization residuals ISO 10993-8:2000 Selection and qualification of reference materials for biological tests ISO 10993-9:1999 Framework for identification and quantification of potential degradation products ISO 10993-10:2002 Amd 1:2006 Tests for irritation and delayed-type hypersensitivity ISO 10993-11:2006 Tests for systemic toxicity ISO 10993-12:2007 Sample preparation and reference materials ISO 10993-13:1998 Identification and quantification of degradation products from polymeric medical devices ISO 10993-14:2001 Identification and quantification of degradation products from ceramics ISO 10993-15:2000 Identification and quantification of degradation products from metals and alloys ISO 10993-16:1997 Toxicokinetic study design for degradation products and leachables ISO 10993-17:2002 Establishment of allowable limits for leachable substances ISO 10993-18:2005 Chemical characterization of materials ISO/TS 10993-19: 2006 Physico-chemical, morphological and topographical characterization of materials ISO/TS 10993-20:2006 Principles and methods for immunotoxicology testing of medical devices All rights reserved - WINOVIA® LLC 2009 13 NEEDS •Partnering Technical expertise not sales Materials expertise Processing expertise Applications expertise Problem solving •Breadth of material portfolio •Meet performance criteria and specifications •Responsiveness (CAPAs, NCMRs…etc) •Master Files “Listen to some of our ideas” All rights reserved - WINOVIA® LLC 2009 14 NEEDS •New technologies •New materials •Customization •Assurance of supply •No formulation changes •Giving market analysis, pricing trends •Communication (technologies, pricing) •Building confidence and trust in quality and supply “Learn the medical device business and regulations” All rights reserved - WINOVIA® LLC 2009 15 QUALITY SYSTEMS – AN ENTERPRISE APPROACH Customer Needs Customer Satisfaction Post-production Monitoring Design & Development Production Test and Release Quality Systems – A Total Systems Approach All rights reserved - WINOVIA® LLC 2009 16 ESSENTIAL COMPONENTS AND PROCESS PARAMETERS Components Component 1 Incoming inspection and testing of critical components / raw materials Component 2 Component 3 Process Parameters Process Parameter 1 Control of critical process parameters Process Parameter 2 Process Parameter 3 All rights reserved - WINOVIA® LLC 2009 Production, labeling, packaging, sterilization, inspection, test and release Safe, Effective, Consistent Finished Device/Product Consistency Process validation Purchasing controls Traceability 17 PROCESSING • • • • • • Flow Low flash Consistency Robustness during processing Thermal stability Meet performance criteria and specifications • Effects of processing on: Sterilization Chemical resistance Leachables and extractables Biocompatibility All rights reserved - WINOVIA® LLC 2009 18 CONCLUSION • • • • • • • • • • Cost reduction pressures High performance materials at lower costs Customized formulations New technologies and materials Breadth of product portfolio Partnering Data and information sharing Responsiveness Quality and consistency Use of current Good Manufacturing Practices All rights reserved - WINOVIA® LLC 2009 19 Product Development and Quality Management Consulting Thank you ! Questions ? WINOVIA® LLC is a consulting company that provides customized, sustainable solutions and strategies in new product development, quality management and high performance materials. WINOVIA® LLC provides consulting and training in: FDA and ISO Quality Systems Regulations for Medical Devices Design Controls Process Validation Design for Six Sigma and New Product Development Six Sigma and Total Quality Management Strategic Technology Roadmaps Materials Expertise and Material Selection Dr. Vinny Sastri WINOVIA® LLC 136 Chestnut Street, Albany, NY 12210 www.winovia.com VSastri@winovia.com +1 518-436-8110 All rights reserved - WINOVIA® LLC 2009 20