home *** CD-ROM | disk | FTP | other *** search
- Federal Register
- Vol. 59, No. 131
- Monday, July 11, 1994
-
- [Docket No. 93N─0378]
-
- North Carolina Memorial Hospital; Revocation of U.S. License No. 314
-
- AGENCY: Food and Drug Administration, HHS.
-
- ACTION: Notice.
-
- SUMMARY: The Food and Drug Administration (FDA) is announcing the revocation
- of the establishment license (U.S. License No. 314) and product license issued
- to the North Carolina Memorial Hospital, doing business as the Clinical
- Coagulation Laboratory, for the manufacture of Source Plasma. In a letter to
- FDA dated February 10, 1993, the firm voluntarily requested revocation of its
- establishment and product licenses and thereby waived an opportunity for a
- hearing.
-
- DATES: The revocation of the establishment license (U.S. License No. 314) and
- product license became effective August 24, 1993.
-
- FOR FURTHER INFORMATION CONTACT: Stephen Ripley, Center for Biologics
- Evaluation and Research (HFM─635), Food and Drug Administration, 1401
- Rockville Pike, Rockville, MD 20852─1448, 301─594─3074.
-
- SUPPLEMENTARY INFORMATION: FDA has revoked the establishment license (U.S.
- License No. 314) and the product license issued to the North Carolina Memorial
- Hospital, doing business as the Clinical Coagulation Laboratory, University of
- North Carolina School of Medicine, Chapel Hill, NC 27514, for the manufacture
- of Source Plasma.
-
- FDA conducted an inspection of the Clinical Coagulation Laboratory between
- July 30 and August 15, 1991. The inspection documented serious deviations from
- the applicable Federal regulations and the biologics standards in the firm's
- license. Deviations identified during the inspection included, but were not
- limited to, the following: (1) Failure to adequately determine donor
- suitability, in that: (a) three donors who admitted to a history of hepatitis,
- liver disease, or jaundice were regularly accepted for Source Plasma donation
- (21 CFR 640.63(c)(11)); (b) two donors who previously tested repeatedly
- reactive for the hepatitis B surface antigen (HBsAg) continued to be accepted
- for donation, despite having never met the established criteria for donor
- reentry as described in the December 2, 1987, FDA HBsAg protocol (21 CFR
- 610.41); (c) two donors who failed to donate for a period of 6 months were not
- processed as new donors (21 CFR 640.65(b)(1)(iii)); and (d) five donors did
- not have serum protein electrophoresis testing performed every 4 months (21
- CFR 640.65(b)(1)(i)); (2) failure to limit the frequency of Source Plasma
- donation to two times within a 7-day period, in that at least two donors were
- allowed to donate three times in a 7-day period (21 CFR 640.65(b)(5)); (3)
- failure to observe, standardize, and calibrate equipment used in the
- collection, processing, and distribution of blood components (21 CFR 606.60);
- (4) failure to maintain adequate and complete standard operating procedures
- for all steps in the collection, processing, storage, and distribution of
- blood components (21 CFR 606.100(b)); and (5) failure to report important
- changes in responsible personnel or manufacturing methods to FDA's Center for
- Biologics Evaluation and Research (21 CFR 601.12 (a) and (b)).
-
- FDA determined that the deviations from Federal regulations were significant
- and constituted a danger to public health, warranting a suspension pursuant to
- 21 CFR 601.6(a). In a letter to the North Carolina Memorial Hospital dated
- September 3, 1991, FDA detailed the violations noted above and suspended the
- firm's establishment and product licenses for the manufacture of Source
- Plasma. In a letter to the firm dated May 20, 1992, FDA indicated that the
- firm had responded satisfactorily to FDA's September 3, 1991, suspension
- letter. In the same letter, FDA permitted the firm to resume collecting and
- storing Source Plasma on a limited basis for the purpose of reinspection to
- determine compliance.
-
- FDA conducted a followup inspection of the firm between July 27 and July 29,
- 1992. The inspection documented several continuing deviations from Federal
- regulations. These deviations included, but were not limited to, the
- following: (1) Inadequate facilities to provide for the storage of blood or
- blood components; (2) incomplete or incorrect disposition records; and (3)
- incomplete or inadequate written procedures. FDA permitted the firm to
- continue to collect and store Source Plasma on a limited basis, but FDA did
- not permit the firm to distribute the prepared plasma until otherwise notified
- by FDA.
-
- FDA attempted to conduct a reinspection of the firm on February 2, 1993, to,
- in part, determine the firm's status. During this inspection, it was observed
- that the donor chair had been removed and that no plasma had been collected
- since the inspection ending July 29, 1992. The inspection was terminated
- because a meaningful inspection could not be performed.
-
- In a letter to FDA dated February 10, 1993, the firm requested voluntary
- revocation of its licenses and thereby waived its opportunity for a hearing
- under 21 CFR 601.5(a). The agency granted the licensee's request by letter
- dated August 24, 1993, which revoked the establishment license (U.S. License
- No. 314) and the product license for the manufacture of Source Plasma.
-
- FDA has placed copies of the letters relevant to the license revocation on
- file under the docket number found in brackets in the heading of this document
- with the Dockets Management Branch (HFA─305), Food and Drug Administration,
- rm. 1─23, 12420 Parklawn Dr., Rockville, MD 20857. These documents include the
- following: FDA letters of September 3, 1991, May 20, 1992, and August 24,
- 1993; and the firm's letter of February 10, 1993. These documents are
- available in the Dockets Management Branch (address above) between 9 a.m. and
- 4 p.m. Monday through Friday.
-
- Accordingly, under section 351 of the Public Health Service Act (42 U.S.C.
- 262), 21 CFR 601.5, and under authority delegated to the Commissioner of Food
- and Drugs (21 CFR 5.10) and redelegated to the Director, Center for Biologics
- Evaluation and Research (21 CFR 5.68), the establishment license (U.S. License
- No. 314) and the product license issued to the North Carolina Memorial
- Hospital, doing business as the Clinical Coagulation Laboratory, for the
- manufacture of Source Plasma were revoked, effective August 24, 1993.
-
- This notice is issued and published under 21 CFR 601.8 and the redelegation at
- 21 CFR 5.67.
-
- Dated: June 27, 1994.
-
- Michael G. Beatrice,
-
- Deputy Director, Center for Biologics Evaluation and Research.
-
- [FR Doc. 94─16617 Filed 7─8─94; 8:45 am]
-
- BILLING CODE 4160─01─F
-
-
-