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CERTIFICATE OF ACCREDITATION
ANSI-ASQ National Accreditation Board 500 Montgomery Street, Suite 625, Alexandria, VA 22314, 877-344-3044
This is to certify that
Nelson Laboratories, Inc. 6280 S. Redwood Road
Salt Lake City, UT 84123
has been assessed by ANAB
and meets the requirements of international standard
ISO/IEC 17025:2005
while demonstrating technical competence in the field(s) of
TESTING
Refer to the accompanying Scope(s) of Accreditation for information regarding the
types of tests to which this accreditation applies.
AT-1382
Certificate Number
ANAB Approval
Certificate Valid To: 03/16/2017
Version No. 002 Issued: 03/09/2016
This laboratory is accredited in accordance with the recognized International Standard ISO/IEC 17025:2005.
This accreditation demonstrates technical competence for a defined scope and the operation of a laboratory
quality management system (refer to joint ISO-ILAC-IAF Communiqué dated January 2009).
Version 002 Issued: 03/09/2016 Page 1 of 4
500 Montgomery St. Suite 625│ Alexandria, VA 22314│703-836-0025 │ www.anab.org
SCOPE OF ACCREDITATION TO ISO/IEC 17025:2005
Nelson Laboratories, Inc. 6280 S. Redwood Road, Salt Lake City, UT 84123
Kevin Buckingham Phone: 801-290-7500
[email protected] www.nelsonlabs.com
TESTING
Valid to: March 16, 2017 Certificate Number: AT - 1382
I. Microbiological
ITEMS, MATERIALS
OR PRODUCTS
TESTED
SPECIFIC TESTS OR
PROPERTIES
MEASURED
SPECIFICATION,
STANDARD METHOD OR
TECHNIQUE USED
*KEY EQUIPMENT OR
TECHNOLOGY
Medical Devices,
Raw Materials Agar Overlay
STP0031 based on
ANSI/AAMI/ISO 10993-1,5,12
USP <87>, USP<1031>
ISO Class 5 Hoods
Microscope
Incubators
Antimicrobial
Preservatives
Antimicrobial Preservative
Effectiveness
STP0131 based on USP <51>,
STP0132 based on
USP <51> and EP 5.1.3
Incubators
Medical Devices,
Drugs Bacterial Endotoxins
STP0046 based on USP <85>,
USP<161>, USP<797>,
AAMI ST72, EP 2.6.14,
ASTM D7102-04, BS EN 455-3
Microplate Reader
Medical & Surgical Face
Masks
Bacterial Filtration
Efficiency (BFE)
Viral Filtration Efficiency
(VFE)
STP00004 and STP0007 based on
ASTM F2101, EN14683, ASTM
F2100
Andersen Sampler
Textiles,
Gloves
Barrier Testing (Viral
Penetration)
STP0062 and STP0174 based on
ASTM F1671,
AAMI PB70, ISO16604
ISO Class 5 Hoods
Incubators
Textiles,
Medical Devices,
Tissues,
Pharmaceuticals
Bioburden
STP0036 based on ISO 11737-1,
STP0050 based on
ISO11737-2, 11137-01 and -02,
AAMI TIR 17, 35, 37,
STP0051 based on ISO 11737-01
and -02, 11137-01 and -02, AAMI
TIR 17, 33, 37 and STP0044 based
on
ISO11137-01 and -02,
AAMI TIR 33, 35
ISO Class 5 Hoods
Incubators
Version 002 Issued: 03/09/2016 Page 2 of 4
500 Montgomery St. Suite 625│ Alexandria, VA 22314│703-836-0025 │ www.anab.org
ITEMS, MATERIALS
OR PRODUCTS
TESTED
SPECIFIC TESTS OR
PROPERTIES
MEASURED
SPECIFICATION,
STANDARD METHOD OR
TECHNIQUE USED
*KEY EQUIPMENT OR
TECHNOLOGY
BIs, PCDs
Biological Indicators
(Population verification,
Process Challenge Device
(PCD) Preparation, BI
Sterility)
STP0045,
STP0079, and SOP0180 based on
USP<55>, ISO 11138-1 to -4, ISO
11135-1 to -2, ISO 14161, ISO
14937,
ISO 17665-2, AAMI TIR 13, 14,
16, BS EN 550
BI Sterility Suite
Class 5 Hoods
Incubator
Medical Devices, Reusable
Devices
Cleaning, Disinfection,
Sterilization
STP0083and STP0129 based on
AAMI TIR 12, 30, ASTM E1837,
ISO17664
STP0086 based on ANSI/AAMI
ST79, AAMI TIR12,
ANSI/AAMI/ISO 17665, USP
<1211>
STP0152 based on AAMI TIR 12,
USP<1211>, ANSI/AAMI/ ISO
11135-1
STP0153 based on
ANSI/AAMI/ISO 14937, AAMI
TIR12, USP <1211>
STP0159 based on ISO 17664,
ANSI/AAMI ST79, ANSI/AAMI
ST77, ANSI/AAMI/ISO 11135,
AAMI TIR30
Washer/Disinfectors
Sterilizers (Steam, EO, VHP)
Packaging Materials for
Medical Device &
Pharmaceutical
Container Closure (Bacterial
Ingress)
STP0164 based on PDA TR 27
and FDA Guidance for Industry:
Container and Closure Integrity
Testing
Pressure/Vacuum Vessel
Incubators
Medical Devices,
Raw Materials Hemolysis
STP0033 based on
ANSI/AAMI/ ISO 10993-1,4,12
STP0155 based on ASTM F756-
08, STP0093 based on
ANSI/AAMI/ISO 10993-1,4,12
and ASTM F756-08
Spectrophotometer
Incubators
Medical Devices,
Raw Materials MEM Elution
STP0032 based on
ANSI/AAMI/ ISO 10993-1,5,12
USP <87>, USP<1031>
ISO Class 5 Hoods
Microscope
Incubators
Filters
Microbial Retention
(Including Filter Bubble
Point/Integrity Test)
STP0103 based on
ASTM F838-05
Flow Meter
Pressure Gauge
ISO Class 5 Hood
Incubators
Medical Devices,
Pharmaceuticals
Microbiological Examination
of NonSterile Products
(Enumeration and Specified
Organisms, USP 61/62)
STP0169 and STP0165 based on
USP<61> and USP<62>
ISO Class 5 Hoods
Incubators
Version 002 Issued: 03/09/2016 Page 3 of 4
500 Montgomery St. Suite 625│ Alexandria, VA 22314│703-836-0025 │ www.anab.org
ITEMS, MATERIALS
OR PRODUCTS
TESTED
SPECIFIC TESTS OR
PROPERTIES
MEASURED
SPECIFICATION,
STANDARD METHOD OR
TECHNIQUE USED
*KEY EQUIPMENT OR
TECHNOLOGY
Medical Devices,
Pharmaceuticals
Organism Identification
(Genetic and Gram Stain)
STP0105, STP0173 and STP0037
based on USP<1113>
Genetic Sequencers
Thermocyclers
Automatic Gram Stainer
ISO Class 5 Hoods
Incubators
Microscopes
Medical Devices,
Pharmaceuticals,
Biologics,
Tissues
Product Sterility
Bacteriostasis / Fungistasis
STP0077 and STP0078 based on
USP<71>, USP<161>,
USP<797>, ISO 11737-2,
1137-01 and -02, PIC/S PI 012-3,
EP 2.6.1, JP XV 4.06, ISO 17665,
AAMI TIR 33
ISO Class 5 Cleanrooms and
Hoods
Incubators
Water, Food, Cosmetics,
Pharmaceuticals Standard Plate Counts
STP-0035 based on USP <71>
STP0169 based on USP<61>
ISO Class 5 Hoods
Incubators
Textiles,
Gloves
Barrier Testing:
Synthetic Blood and Water
Resistance (Hydrostatic
Pressure, Impact Penetration)
STP0061, STP0071 and STP0072
based on ASTM F1670,
AAMI PB70, ISO 16603,
AATCC 42 and 127
Hydrostatic Head Tester
Incubators
Packaging Materials for
Medical Device &
Pharmaceutical
Container Closure (Dye
Ingress)
STP0149 based on
ANSI/AAMI/ISO 11607-1,2,
ASTM D4491-07, PDA TR 27and
FDA Guidance for Industry:
Container and Closure Integrity
Testing
Vacuum Vessel
UV/Vis Spectrophotometer
Medical Devices Ethylene Oxide (EO)
Residual Analysis
STP0016 based on
ANSI/AMMI/ISO10993-7, 2008,
USP <621>
Gas Chromatograph (GC)
Medical Devices, Injectables
and Ophthalmic Solutions,
Pharmaceutical Products
Particulates
STP0011 based on
USP <788>, <789>, EP 2.9.19,
2.9.31, BP Appendix XIII A,
BH EN 45502-1, 45502-2-1
ISO 8536-4
Liquid Particle Counting
System
Microscope system
Medical & Surgical Face
Masks
Particulate Filtration
Efficiency (PFE) STP0005 based on ASTM F2299
Particle Generator
Particle Counter
Water – USP,
Water – EP
Water Purity Analysis
TOC
Conductivity
pH
STP-0024 based on USP<1231>,
USP<1230> and
all USP monograph waters,
STP0028 based on USP<643>
STP0029 based on USP<791>
STP0147 based on USP<645>
Ion Analyzer
TOC Analyzer
Version 002 Issued: 03/09/2016 Page 4 of 4
500 Montgomery St. Suite 625│ Alexandria, VA 22314│703-836-0025 │ www.anab.org
ITEMS, MATERIALS
OR PRODUCTS
TESTED
SPECIFIC TESTS OR
PROPERTIES
MEASURED
SPECIFICATION,
STANDARD METHOD OR
TECHNIQUE USED
*KEY EQUIPMENT OR
TECHNOLOGY
Polymers, Non-volatile
Residue, Materials
FTIR,
Material Characterization
STP0021 based on
USP <851> and USP <197> FTIR Spectrophotometer
Notes: 1. * = As Applicable
2. This scope is formatted as part of a single document including the Certificate of Accreditation No. AT-1382
_________________________ Vice President
600 N. Plankinton Ave., Suite 300 Milwaukee, WI 53203 USA
414-347-9858
500 Montgomery St., Suite 625 Alexandria, VA 22314 USA
703-836-0025 www.anab.org
5300 W Cypress Street, Suite 180 Tampa, FL 33607 USA
813-443-0517
February 10, 2015 VIA EMAIL Kevin Buckingham Nelson Laboratories, Inc. 6280 S. Redwood road Salt Lake City, UT 84123 RE: New Name, Look, and Changes for the ANSI-ASQ National Accreditation Board Dear Kevin: In keeping with our announcement last November 13, the ANSI-ASQ National Accreditation Board has moved to the single ANAB brand. The Calibration and Testing laboratories program, formerly called ACLASS, will now be known as ANAB. ANAB now encompasses all of our accreditation programs, including management systems CBs, calibration and testing laboratories, forensic testing laboratories, medical testing laboratories, medical examiners, inspection bodies, forensic inspection agencies and police crime units, proficiency test providers, and reference material producers. Effective immediately, all documents and forms for the company supporting all our conformity assessments programs are updated with the new logo. We want all our customers, assessors, friends, and interested parties to be assured that this brand consolidation is a focusing improvement and will be rolled out over the coming two to three years. As each initial or surveillance or re-assessment is done over the coming year in our laboratory- and forensics-related programs, we will update the scopes of accreditation and certificates to include the new logo. After posting these to our website as updates, we will send the related accreditation symbol files to each organization for their use. Our customers have two years to make the changes internally, to our updated name and symbol. Also please note that we are no longer listing separate links to the accreditation certificate and the scope of accreditation on our website. Both items are now uniformly posted on our website as a single document and pdf file and link. The first page will represent the certificate sheet, and all additional pages will represent the scope of accreditation. Please feel free to contact your laboratory- or forensics-related ANAB Accreditation Manager for more information. Sincerely, Kelly Feist Kelly Feist Accreditation Manager, Testing
Virgil M. McCarthy
Subject: RE: Registration Number 1721109: Successful 2016 Medical Device Establishment
Registration
From: CDRH Registration and Listing [mailto:[email protected]]
Sent: Saturday, November 21, 2015 6:21 PM To: Matthew D. Cushing
Subject: Registration Number 1721109: Successful 2016 Medical Device Establishment Registration
Dear Matthew Cushing:
This e-mail provides confirmation that the annual registration for the following medical device establishment has been successfully completed for 2016:
Registration Number: 1721109 Owner Operator Number: 10042149 NELSON LABORATORIES, INC. 6280 S Redwood Rd Salt Lake City, UT 84123 UNITED STATES
If you do not see a registration number assigned to the establishment and your establishment previously had one, please send an email to [email protected] and include the registration number you believe is assigned to your establishment. We will review and determine if a duplicate registration has been created for your establishment.
Your registration is valid until December 31, 2016. Registration for 2017 will be conducted between October 1 and December 31, 2016.
Please note that registering your device facility and listing your devices does not, in any way, constitute FDA approval of your facility or your devices.
Should you have any questions, please send an e-mail to the CDRH Registration and Listing Helpdesk at [email protected].
See Instructions for OMB Statement. FORM APPROVED:OMB No.0910-0543. Expiration Date: 3/31/2017
FORM FDA - 3356 (5/14)
DEPARTMENT OF HEALTH AND HUMAN SERVICESPUBLIC HEALTH SERVICE
FOOD AND DRUG ADMINISTRATION
6280 South Redwood Road
Nelson Laboratories, Inc
801-290-7500 EXTa. PHONE
6. MAILING ADDRESS OF REPORTING OFFICIAL (Include institution name if applicable, number and street, city, state, country, and post office code)
a. PHONE EXT801-290-7692
PART I - ESTABLISHMENT INFORMATION PART II - PRODUCT INFORMATION
4. PHYSICAL LOCATION (Include legal name, number and street, city, state, country, and post office code)
Salt Lake City, Utah 84123
9. REPORTING OFFICIAL'S SIGNATURE
c. TITLE Regulatory Affairs Manager
a. TYPED NAME
d. DATE
Matthew D. Cushing, BS
5. ENTER CORRECTIONS TO ITEM 4
7. ENTER CORRECTIONS TO ITEM 6
VALIDATION--FOR FDA USE ONLY
3. OTHER FDA REGISTRATIONS
a. BLOOD FDA 2830
b. DEVICES FDA 2891
c. DRUG FDA 2656
NO.
NO.
NO.
FEI: 0001721109
FEI: 0151663234
10. ESTABLISHMENT FUNCTIONS AND TYPES OF HCT / Ps
Xa. Bone
b. Cartilage
c. Cornea
d. Dura Mater
VALIDATED BY FDA:20-NOV-2015DISTRICT: DenverPRINTED BY FDA:03-DEC-2015ESTABLISHMENT REGISTRATION AND LISTING FOR HUMAN CELLS, TISSUES,
AND CELLULAR AND TISSUE-BASED PRODUCTS (HCT/Ps)(See reverse side for instructions)
8. U.S. AGENT
b. E-MAIL [email protected]
a. E-MAIL
b. PHONE
3000233845FEI:
1. REGISTRATION NUMBER 2. REASON FOR SUBMISSIONa. INITIAL REGISTRATION / LISTING
c. CHANGE IN INFORMATION
b. ANNUAL REGISTRATION / LISTINGX
19-NOV-2015
s.
t.
u.
v.
1
(FDA Establishment Identifier)
d. INACTIVE
Nelson Laboratories, IncAttn: Matthew D. Cushing, BS6280 South Redwood RoadSalt Lake City, Utah 84123
b. SATELLITE RECOVERY ESTABLISHMENT
c. TESTING FOR MICRO-ORGANISMS ONLY
Establishment Functions
Types of HCT / Ps
f. Fascia
g. Heart Valve
h. Ligament
e. EmbryoSIPDirectedAnonymous
X
X
X
X
X
X
X
X
X
X
X
X
X
X
i. OocyteSIPDirectedAnonymous
j. Pericardium
l. Sclera
n. Skin
p. Tendon
r. Vascular Graft X
X
X
X
X
X
X
X
X
X
X
11. HC
T/P
s D
ES
CR
IBE
D IN
21 C
FR
1271.10
12. HC
T/P
s R
EG
UL
AT
ED
AS
M
ED
ICA
L D
EV
ICE
S
13. HC
T/P
s R
EG
UL
AT
ED
AS
D
RU
GS
OR
B
IOL
OG
ICA
L D
RU
GS
Recover Screen Test Package Process Store Label Distribute
14. PROPRIETARY NAME(S)
q. Umbilical Cord Blood
AutologousFamily RelatedAllogeneic
o. Somatic Cell Therapy Products
XXX
AutologousFamily RelatedAllogeneic
X X
m. SemenSIPDirectedAnonymous
k. Peripheral Blood Stem
XXX
AutologousFamily RelatedAllogeneic
X X
X(MANUFACTURING ESTABLISHMENT FEI NO._________________
Certificate of GMP Compliance of a Manufacti. Irer
Australian Government
Department of HealthTherapeutic Goods Administration
Certificate Number:
M1-2013-CE-08/22-I
Issued to:
Nelson Laboratories Inc
Manufacturing Site Address:
6280 South Redwood Road
Salt Lake City UT United States Of America
The Therapeutic Goods Administration, the Competent Authority of Australia, confirms that thismanufacturer has been inspected following section 32EA(I) of the Theropeutic GoodsAct1989inconnection with manufacturers of Biologicals (items made from or containing human cells orhuman tissues) located outside Australia.
From the knowledge gained during inspection of this manufacturer, the latest of, that wasconducted on 20 to 23 Ianuary 2015, it is considered that the manufacturer complies with theGood Manufacturing Practice (GMP) requirements of the Australian Code of Good ManufacturingPractice for Human Blood and Tissues (2000).
This certificate reflects the status of the manufacturing site at the time of the inspection notedabove. This certificate remains valid until the expiry date provided that re-inspections areconducted as determined by the Therapeutic Goods Administration as the issuing Authority.This certificate should not be relied upon to reflect the compliance status after the expiry date.
EXPIRY DATE : 23 Ianuary 201.8
ISSUE DATE : 7 September 201.5
Name and signature of an authorised person of the Competent Authority of Australia:
Signed:
This centncate Is valid only If the securlty provisions Iblue and grey curved dotted lines on the bottom half oreach pagej are vlsible
This certificate remains valld only if re-Inspections are conducted when scheduled by rhe Therapeutic Goods Administration
The authenticity of this certificate may be verified with the Therapeutic Goods Administration as the Issuing authority
PO Box 100 Waden ACT 2606 ABN 409394068040262328444 0262328605 info@Iga. gov. au WWW tga gov au
...........^:^,*....^:^:.........Hongxiajin
Director, Licencing and CertificationManufacturing Quality Branch
Page I of 2
Certificate of GMP Compliance of a Manufacti. Irer
*
* *
Allstralian Government
Department of HealthTherapeutic Goods Administration
MANUFACTURING OPERATIONS
This certificate covers the following steps in the manufacture of therapeutic goods at themanufacturing site address specified above.
Manufacturing Type
Human Tissue
The following limitations are applicable to these manufacturing operations:
The certificate is restricted to sterility testing, including barteriostasis andfungistasis testing.
Certificate Number:
M1-2013-CE-08/22-I
Sterility
Sterile & Non Sterile
Manufacturing Step
Testing microbial
Name and signature of an authorised person of the Competent Authority of Australia:
Signed:
This certificate Is valid only Irthe security provisions Iblue and grey curved dotted lines on the bottom half of each pagej are visible.
This certificate remains valid only it re. irisp CLIons are conducted when scheduled by the Therapeutic Goods Administration.
The authentl IQ, orthls centncare may be verified with the Therapeutic Goods Administration as the Issuing authority
PO Box 100 Waden ACT 2606 ABN 40 9394068040262328444 0262328605 ' : info@19a. gov. au WWW tga gov au
...,................,....................................
Hongxia jinDirector, Licencing and Certification
Manufacturing Quality Branch
I^,- ^-,-
TGA'^:;^^^;:^,Page 2 of 2