Annex 1 [317 KB PDF] - Path
Annex 1 [317 KB PDF] - Path
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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