I recommend to my clients that they have separate SOPs for correction, corrective action, and preventive action. To "open a CAPA project" strikes me as confusing the roles of corrective action and preventive action.
The problem starts with 820.100 which is titled Corrective and preventive action. It actually includes three things: data analysis, corrective action, and preventive action. In addition, 820.90 covers correction for products (as part of disposition).
One can have a correction without a corrective action, a corrective action without a correction, or the combination of the two.
Preventive action is a separate and distinct process for potential nonconformances.
Often times I see people mistakenly calling a correction a corrective action. Then they want to pair it with a preventive action.
This is the wrong pairing. It should be correction paired with corrective action.
Writing separate SOPs and clearly stating the applicability of each is important to proper application of the QMS.
Original Message:
Sent: 08-Jun-2023 21:52
From: Anonymous Member
Subject: Critical materials for unapproved supplier
This message was posted by a user wishing to remain anonymous
In my world, "open a CAPA" is short for "open a CAPA project", meaning to start investigating something under the SOP that describes the process for corrective actions and preventive actions.
That probably doesn't help. :-)
Every newbie still has to learn the distinction between corrections, corrective actions, and preventive actions. But it still feels like they all belong in the same SOP, the CAPA SOP.
Original Message:
Sent: 08-Jun-2023 17:38
From: Dan O'Leary
Subject: Critical materials for unapproved supplier
Avilla,
I'm a device guy and don't venture into pharma or biologics unless there is a combination product.
You say, "I have never seen a CAPA SOP that allowed for the fact that there may not be a PA for some of the CAs. It is quite an interesting concept".
Let me use this to illustrate a common misunderstanding in devices, paraphrasing the definitions from ISO 9000:2015.
A correction eliminates a detected nonconformance.
A corrective action eliminates the cause of a detected nonconformance.
A preventive action eliminates the cause of potential nonconformance.
If the manufacturer has a detected nonconformity, then a correction fixes the problem. Corrections include rework, repair, and regrade.
If the manufacturer wants to avoid recurrence of the non-conformity, then corrective action is the appropriate method.
If the manufacturer has a potential nonconformity, (it hasn't happened yet) then preventive action is the appropriate method.
The correct pairing is correction and corrective action.
The incorrect pairing, which is the problem, is corrective action and preventive action.
To "open a CAPA" is to make the incorrect pairing, i.e., putting together two things that don't fit.<o:p></o:p>
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 08-Jun-2023 17:19
From: Arvilla Trag
Subject: Critical materials for unapproved supplier
You do make some very good points, Dan O'Leary. I notice you cite device-related sources only. I am strictly biotech and am completely unfamiliar with the device world's guidance and acronyms.
I suspect the phrase "open a CAPA" comes from the Document Control world where a form is required for everything (that's an observation, not a criticism). You are quite correct that there is not a preventive action for everything, but the CA and the PA are typically symbiotic. I have done over 275 GxP audits in my career, and I have never seen a CAPA SOP that allowed for the fact that there may not be a PA for some of the CAs. It is quite an interesting concept.
As far as not using a term that "causes confusion and leads to incorrect application of the processes", I must say while I have yet to see it cause confusion, I have seldom see either process executed per written procedures, guidance or regulations. I am, therefore, not convinced that even if we could remove these phrases from our industry lexicon there would be any appreciable difference in how corrective actions and preventive actions are developed, executed and perceived.
I also largely agree with your statement about "to assume there is a root cause is to fail to understand how problems arise". I have seen the "5 questions" approach used and completely fail to reach anything resembling a credible "root cause"; that does not mean this method should be categorically discarded, as it comes closer to working most of the time than not. Nothing is perfect, which is job security for most of us.
Alas, much like the indescribably irritating "up-speak" that has made its insidious way into our society's speech patterns, I am afraid there is no way to eradicate "CAPA" and "root cause". You appear to be of an age that indicates your school actually taught something about English, grammar and correct usage of words, otherwise you would not find these terms so objectionable. Perhaps you can find some comfort in the knowledge that those of us who can write in cursive, tell time on an analog clock, and figure out how to use a phone on a land-line are going to have the last laugh when all is said and done.
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Arvilla Trag RAC
Principal Consultant
CMC Compliance Services
Iron River MI
United States
Original Message:
Sent: 08-Jun-2023 16:49
From: Dan O'Leary
Subject: Critical materials for unapproved supplier
While true that " 'root cause analysis' and 'CAPA' are commonly used terms in both drug and device industries as well as many others" it just means there is a common mistake. Root cause implies there is one cause for the problem investigated. This is rarely, if ever true. A problem needs a sequence of events, more than one thing, to arise. Multiple things need to go wrong at the same time. (There is a lot of work on this problem as an application of the Swiss Cheese Model.) To assume there is a "root cause" is to fail to understand how problems arise.
Note that neither FDA QSR, nor ISO 13485:2016, nor ISO 9000:2015 use the term. The best approach is to stop using a term that causes confusion and leads to inadequate investigations.
"CAPA is found in 820.100 and many other locations." This is a misunderstanding. Neither FDA QSR, nor ISO 13485:2016, nor ISO 9000:2015 use the term "CAPA". 820.100 is named "Corrective and preventive action", not CAPA. In ISO 13485:2016, the corresponding section is 8.5 Improvement.
In addition, GHTF/SG3/N18:2010 advises against the term saying, "The acronym 'CAPA' will not be used in this document because the concept of corrective action and preventive action has been incorrectly interpreted to assume that a preventive action is required for every corrective action."
I often hear that someone wants to "open a CAPA". This is not correct because CA and PA are two different processes with two different applications; each address a different type of problem and are not used together.
The best approach is to stop using a term that causes confusion and leads to incorrect application of the processes.<o:p></o:p>
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 26-May-2023 07:34
From: Arvilla Trag
Subject: Critical materials for unapproved supplier
You have a variety of potential root causes. The first that comes to mind is inadequate training in SOPs (purchasing group); inadequate SOPs; and there are likely to be some others I cannot list as I am not familiar with your organization. The CAPA for the inadequate training is retraining and likely to include a few other points (such as scheduled refresher training). The preventive part could potentially be to improve the SOP on approved suppliers, or perhaps improve access to the list of approved suppliers. This could also be the corrective part if the root cause is an inadequate SOP.
Considering that the purchase of this critical material from an unapproved supplier persists, I would recommend that QA and regulatory meet with this group and have a "come to Jesus" talk about compliance and meeting regulatory commitments, and the potential impact of failing to do both. If all else fails it may be necessary to involve HR or executive management.
For the record, "root cause analysis" and "CAPA" are commonly used terms in both drug and device industries as well as many others; CAPA is found in 820.100 and many other locations.
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Arvilla Trag RAC
Principal Consultant
CMC Compliance Services
Iron River MI
United States
Original Message:
Sent: 25-May-2023 08:45
From: Dan O'Leary
Subject: Critical materials for unapproved supplier
This is a non-conformance because your company, purchasing, has failed to follow your company's procedure.
There is no such thing as "root cause" in quality. You won't find the term in either ISO 13485:2016 or ISO 9000:2015. It is a concoction of the Department of Redundancy Department. The correct term is "cause".
It is hard to determine the cause without a little more information. For example, the purchasing procedures could be deficient in that they don't have this requirement. Perhaps, the purchasing agents have not been trained. Perhaps, they just choose to ignore the procedure because they are under pressure to bring in inventory. You need to conduct an investigation.
There is no such thing as a CAPA. In this case, because you have a detected nonconformance, a corrective action is appropriate. A preventive action doesn't enter consideration.
The corrective action includes an investigation to determine the cause and actions to prevent recurrence.
Is there some reason why the supplier is unapproved? Does the company use the material anyway? If so, you might have a bigger problem.<o:p></o:p>
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Dan O'Leary CQA, CQE
Swanzey NH
United States
Original Message:
Sent: 25-May-2023 07:12
From: Anonymous Member
Subject: Critical materials for unapproved supplier
This message was posted by a user wishing to remain anonymous
Hi RAPS experts,
could you please advise on the following.
how can we deal with the case where we have purchased critical materials from unapproved supplier (not in our approved supplier list)? as per our procedure, critical materials have to sourced from approved supplier only. is this a non-conformance? if yes, what is the root cause that I can attribute this to? we do not have any additional controls to ensure materials conformity in such case.
the problem is that purchasing department keeps buying critical materials from this supplier even after realizing it is not on our approval list. not sure if we need to raise CAPA or NC is sufficient? we are currently at the last stage of approval process for this supplier.
we are a small RUO manufacturer company with ISO-13485 CERT.
any help and advice on this are highly appreciated.
Thanks.