15.05.2014 Views

Annex 1 [317 KB PDF] - Path

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Needle-free intradermal delivery device questionnaire<br />

Manufacturer information<br />

Company name:<br />

Address:<br />

Contact person:<br />

E-mail:<br />

Website:<br />

Name of intradermal delivery device:<br />

Answer the following questions. Supporting documentation should be provided where possible. There is<br />

no limit to the amount of text you may enter. Please also provide a copy of the Instructions for Use.<br />

1. Provide the following summary of clinical and preclinical information related to device performance:<br />

1.1. List vaccines delivered intradermally with the device.<br />

1.2. List any pediatric use of the device and specify ages. Describe study results.<br />

1.3. Describe the injection's effect on the skin (duration and type, e.g., wheal).<br />

1.4. Describe the injected volume expressed as a percentage of intended dose.<br />

1.5. Describe the volume delivered to the dermis expressed as a percentage of injected volume.<br />

2. List any regulatory clearances, including approval date and indications for use. If clearances are either<br />

planned or in process, please list the expected or actual date of submission.<br />

3. Does the device comply with ISO 21649:2006?<br />

3.1. Please specify which requirements have not been verified or those you anticipate will<br />

not be met by your device.<br />

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Needle-free intradermal delivery device questionnaire<br />

4. Does the device comply with PQS E08/JI01.1?<br />

4.1. Please specify which requirements have not been verified or those you anticipate will not<br />

be met by your device.<br />

5. What is the dose (or range of doses) the device is capable of delivering (ml)?<br />

6. Describe the method of waste disposal for the consumables. What waste stream is appropriate for<br />

consumables?<br />

7. From what standard vial sizes is the device capable of drawing vaccines using the included<br />

accessories? Can vaccine be drawn from an ampoule?<br />

8. State the device's power source. If the device is manually primed, describe the mechanism and force<br />

(N) required to do so.<br />

9. What is the weight and size of the device (kg, length x width x height)? In addition, please list the<br />

packaged weight and size of requisite accessory equipment (kg, length x width x height).<br />

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Needle-free intradermal delivery device questionnaire<br />

10. How much training (hours) is recommended for an operator to be able to use the device reliably?<br />

Please state the minimum level of expertise expected that a trainee have prior to learning to use the<br />

device.<br />

11. Please list the environmental specifications for both device use and storage.<br />

12. What is the expected lifetime of the device (number of injections)? What is the shelf life of the<br />

consumables (years)?<br />

13. How many dry fires can be reasonably expected without a degradation of performance?<br />

14. Describe the cleaning protocol for the device.<br />

15. What is the dead space of the syringe (μl)?<br />

16. Is this device also capable of other depths of delivery? Please also list your other delivery devices and<br />

their respective depths of delivery. For devices in development, please indicate expected date of<br />

availability for clinical studies and regulatory clearance.<br />

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