Biomedical Engineering Reference
In-Depth Information
Table 6.1
Uses of full resolution and AIM-based CI systems in OIP lifecycle management: the right impactor for the right purpose. (a) In product development (
From
[
11
]
—used
with permission
); (b) in commercial production (
Developed based on
[
11
]); (c) in post-approval changes (
Developed based on
[
11
]); (d) in add-on device development (
Developed
based on
[
11
] )
Impactor type/lifecycle stage
(goal of APSD testing)
AIM-QC system with EDA metrics (
LPM/SPM
and
ISM
)
AIM-pHRT system (
CPM
,
FPM
and
EPM
)
Full resolution impactor
(a) Product development
(
Goal: establish a target
APSD profi le for a safe
and effective product
)
Defi ne APSD of product for the clinical batches
Identify failure modes for the APSD
Use full-resolution for OOS investigations and
justifi cation of changes
In order to prepare for routine use of AIM-QC, also
conduct studies to select optimal boundary
between
LPM
and
SPM
(e.g., near
MMAD
or to
maximize sensitivity to signifi cant failure modes)
Use as a screening tool in early development
In order to prepare for routine use of AIM-QC,
also conduct studies to:
1. Establish correlation of
LPM
and
SPM
to
full- resolution APSD
2. Determine appropriate specifi cations for
LPM/SPM
and
ISM
(e.g., as 90 % confi dence
intervals on the
LPM/SPM
and
ISM
values
observed with a representative sample of
product)
Use as a screening tool in early
development
Conduct studies to establish correlation
of
CPM
,
FPM
, and
EPM
to
full-resolution APSD. This
information will provide support
for the subsequent use of the
selected AIM-pHRT confi guration
by establishing an IVIVR or IVIVC
(b) Commercial production
(
Goal: confi rm that the
APSD of commercial
batches is the same as
that of clinical batches
)
Use full-resolution APSD for OOS investigations
Use AIM-QC for routine quality control
(release and stability)
(c) Post-approval changes
(e.g. supplier change)
(
Goal: demonstrate
sameness of APSD
)
If, for product registration, it has already been proven
that data from the AIM-QC were equivalent to
those from full resolution CI, simply demonstrate
that the results are still equivalent
Use full-resolution APSD for complete justifi cation
of change only if the regulatory agency requires
such a demonstration
Use AIM-QC as a rapid indicator of the same
quality
Once an IVIVR or IVIVC has been
established, use AIM-pHRT as a
rapid indicator that clinically
relevant fractions have not changed
(d) Add-on device
development
(
Goal: minimize
oropharyngeal
deposition
)
Provides baseline data to compare with OIP alone
Use AIM-pHRT to optimize add-on
devices, ensuring clinically
equivalent performance to that of
OIP without add-on device
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