Regulatory Open Forum

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  • 1.  Regulatory industry and cybersecurity on global scale

    Posted 09-Aug-2016 09:19

    From identity theft and fraud, to corporate hacking attacks, cybersecurity has never been more important for businesses, organizations and governments. Cybersecurity is a huge global concern - not just for manufacturers of healthcare and related products. The Food and Drug Administration (FDA) held a public meeting in January 2016 to discuss the threat and ramification of cybersecurity related issues. What are your main concerns when it comes to the regulatory industry and cybersecurity on a global scale?

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    Elijah Wreh MS
    Regulatory Affairs Manager (Pre-Market)
    Invacare Corporation
    Elyria OH
    United States
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  • 2.  RE: Regulatory industry and cybersecurity on global scale

    Posted 09-Aug-2016 10:43
    Elijah,

    "What are your main concerns when it comes to the regulatory industry and cybersecurity on a global scale?"

    Whether there is any potential for patient safety to be compromised and also whether all reasonably foreseeable and known potential hazards are identified, controlled and mitigated.

    Also your firm's contingency plan in the event of occurrence! 

    Thank you.  

    s/ David
    ______________________________________________
    Dr. David Lim, Ph.D., RAC, ASQ-CQA 
    Phone (Toll-Free): 1-(800) 321-8567



    "Knowledge is power only when it is practiced and put into action." - Regulatory Doctor

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  • 3.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 10:08

    Hi, Elijah -

    I completely agree that as we come into the digital age, this is an important topic for our industry.  Overall, pharma faces many of the same challenges as other industries, and most large companies have effective groups planning for this threat.

    My personal concerns break down into the following, focusing on the unique risks of pharma:

    1) Malicious intent

    • Medical devices with a software component – hacking could result in ineffective or dangerous devices
    • Automated equipment – hacking of automated manufacturing equipment could jeopardize manufacturing, resulting in lost revenue and potentially drug shortages.
    • Destruction of records – already addressed by most companies as part of disaster planning, but hacking adds an additional level of risk, and regulated industry has a higher volume of required records.

    2) Information theft

    • Patient personal information – just like any other industry with access to personal information, it is essential that pharma protects this data against theft or misuse.
    • Proprietary business or manufacturing information - this is the same risk that all businesses with proprietary information face.

    3) Counterfeiting/product theft

    • Labeling – access to electronic copies of labeling, serialization mechanisms, and/or hidden security measures would make products easier to counterfeit.
    • Expiry or other lot information – Altering or erasing information on expired or sub-quality lots could enable counterfeiters to pass these off as saleable units
    • Shipment/storage information – Acquiring information on shipment and storage plans could make theft easier to occur or more difficult to detect.

    I'll be interested to see what additional concerns others have...

    Best,

    Cathy

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    Catherine Anderson PHD
    Senior Manager - Regulatory CMC
    Hillsborough NC
    United States



  • 4.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 12:41

    Catherine,

    You are working in my neighboring State.

    Here is one cybersecurity case for infusion pump here.

    For pharma, implementation of DQSA and DSCSA will address your concerns. 

    D





  • 5.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 12:59

    I think Catherine put together a really good list. I'd add a couple of other considerations.

    - DOS attacks - for telemedicine and other devices with remote monitoring, a DOS could lead to important risks without actually targeting the device. If significant parts of the internet are slowed or offline, there will be impacts.

    - the time to get approvals for some types of devices & drugs when making cyber-security updates. FDA is aware of this, and in fact appears to be proposing a reasonable approach in the recent Draft Guidance on when to File a 510(k) for software changes. However, this does not yet help with PMA devices, drug production lines etc.

    g-

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    Ginger Glaser RAC
    Vice-President, Quality and Regulatory Affairs
    Maplewood MN
    United States



  • 6.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 13:24

    Medical networked devices for example with embedded software are poised to revolutionize the healthcare industry, they also pose the threat of subjecting end users (patients) and healthcare providers to security breaches and malware infections. One primary concern is whether these connected medical devices can maintain the Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance in the instance of a security breach.

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    Elijah Wreh MS
    Regulatory Affairs Manager (Pre-Market)
    Invacare Corporation
    Elyria OH
    United States



  • 7.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 13:31
    Ginger,

    "the recent Draft Guidance on when to File a 510(k) for software changes. However, this does not yet help with PMA devices"

    As for PMA devices, please refer to FDA guidance issued on 2014-10-02 regarding "Cybersecurity Management."

    D





  • 8.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 16:22

    Thanks for sharing your experience with cybersecurity within the Pharmaceutical industry. What kind of pharmaceuticals your company manufacture? Is there a guidance document issue by the FDA Center for Drug Evaluation and Research (CDER) on cybersecurity?

    The FDA Center for Devices and Radiological Health (CDRH) issued a draft guidance document on January 22, 2016 entitled "Postmarket Management of Cybersecurity in Medical Devices." The guidance document is a draft and is being distributed for comment purposes only.

    I encourage everyone to comment on the draft guidance document. 

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    Elijah Wreh MS
    Regulatory Affairs Manager (Pre-Market)
    Invacare Corporation
    Elyria OH
    United States



  • 9.  RE: Regulatory industry and cybersecurity on global scale

    Posted 10-Aug-2016 18:54

    I think the security concerns escalate exponentially as you go from a standalone device with embedded software, to LAN to WAN to wireless.

    I don't think internet-linked or wireless devices will ever be secure, and the Millennials, iGens and Yet-to-Comes will accept the loss of personal privacy and safety risks in much the same way as Californians accept earthquakes.  In the meantime, most efforts related to cybersecurity will be, like most efforts related to physical security, focused more on making people feel secure than on actually making them secure.  And on legal CYA, of course.  It doesn't matter so much what security is breached, but whether it might leave you on the losing end of a class action.

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    Julie Omohundro, ex-RAC (US, GS), still an MBA
    Principal Consultant
    Class Three, LLC
    Durham, North Carolina, USA
    919-544-3366 (T)
    434-964-1614 (C)
    julie@class3devices.com