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Manufacturing Plan and Costing



                             Mr. P. Waghmare
                             Miss H. Gwani
                             Miss V. Varkey
                             Miss S. Jain

   Your Safe delivery… our   Mr. D. Igwe
  utmost concern             Mr. A. Awosusi
Contents
   Introduction

   G7 Technology: Working Principle

   Product Development of SaphvidTM

   Product Development: Gantt Chart and Costing

   Clinical Trials and Their Validation

   Manufacturing process in detail

   Summary
G 7 Diagnostic kit
      Strip: SaphvidTM


      Intended Use: Early detection of Pre-eclampsia.


      Device Used: Triage Meter


      Need of the hour:

      • No effective diagnostic method available

      • 12% of maternal deaths
Comparison
 Existing               G7
Technology          Technology
                   S.No.   Biochemical Marker
                           Use of three Marker:Plasma Concentration     Manifest
                                              Trimester 1 Trimester 2   Preeclampsia
   Use of one                         -PlGF
  Marker: PLGF     1.
                                      -sEng
                           sflt-1 (Soluble fms-    --         high      Early increase
                                       -sflt
                           like tyrosine kinase)


                   2.      Soluble Endoglin        --         high      Early increase
  Fluorescence             (sEng) nanoparticle
                            Gold
   antibody for                antibody with
  quantification   3.           fluorescence
                           Placental Growth        low        low       further
                           Factor (PlGF)                                decrease
SaphvidTM : Working Principle
          Reaction Chamber




                                   PlGF

             Array of Antibodies   sEng

                                    sflt
Product Development of SaphvidTM




Validation of raw              Validation
    materials       Assembly                Verification
                                of strip
Product Development : Step 1



Validation of
raw materials
Raw Materials              Validation
                              Composition and film
          Strip material      forming temperature



          Nanoparticles      N-WCPC Model 3788


Strip                        Western Blot, TME, IHC
        Antibody screening   in correlation with WB +
                             IP in cycles


        Polystyrene latex         Solubility test


             Filter test          β-Ratio testing
Product Development : Step 2


   Validation of raw materials          Assembly
• Preparation of 3 layer plastic base (strip)

• Create micro capillary path on the strip

• Coat the reagents on the strip

• Integrate filter over reagents
Product Development : Step 3
Validation of Strip

          Marker       Control (pg/mL)   Pre-eclampsia
                                            (pg/mL)

           Sflt-1       1458.8- 4117.6   1615.7-8274.5
           PlGF           65.8-285         47.4-151.8
           sEng          3573.8-6238      5401-17617.4


   If [sflt- 1]/ [PlGF] > 45 High chances of Pre-eclampsia
Product Development : Gantt Chart
                         25-Jul-10 02-Nov-10 10-Feb-11 21-May-11 29-Aug-11 07-Dec-11 16-Mar-12 24-Jun-12

Market and customer analysis




          Product Validation

                   Feedback

                       Legal


                                        File patent
Product Development: Costing
S.No.                     Tasks                 Start Date   Duration (days)   End Date     Cost involved
                                                                                               (£'000)



  1       Market and customer analysis          25-07-2010         90          23-10-2010        10
          (Business plan draft)

  3       Identifying the protein markers       25-07-2010        260          11-04-2011

          Nano particles testing                25-07-2010        150          22-12-2010

  2       Funding                               04-11-2010         90          02-02-2011

  4       Screening the Antiobodies 1 and 2     23-12-2010         90          23-03-2011        7

  5       Contract with suppliers               12-04-2011         90          11-07-2011        10

  6       Design Consutlants/ Manufacturers     11-08-2011         90          09-11-2011       5.85

  7       Assembly process and testing          10-11-2011        180          08-05-2012        4

  8       Product layout optimization           08-05-2012         90          06-08-2012        1.7

  9       Quality Control and Assesment                                                          20
          Product Validation                    24-03-2011        300          18-01-2012
          Product Verification                  08-05-2012        120          05-09-2012
          Feedback                              06-08-2012         30          05-09-2012

  10      Legal                                 10-10-2010        600          01-06-2012        30
          filing a patent (UK, Europe, world)
          licencing
          liability
          therapeutical consequences
           reliability of results
  11      Salary                                                                                247
Extras:   Capital                                                                               100
          Lab facility development                                                               25


          Total                                                                                460.55
Clinical Trial Design: UK




          10                50              5 Hospitals
        Regions           Hospitals         per Region




Test   20patients per   No of   • Week 12   Req.   2 Strips/patient
         Hospital        test   • Week 19
Hospitals in major regions:
 •University Hospital (Coventry)
                                      •West Midlands
 •The royal london hospital
                                      • London
 •Royal Bournemouth (general hospital)•South west England
 •
                                      •East of England
 •Hinching BrookeMajor
                    hospital
                                      •East midlands
                  Region
 •Royal Berkshire hospital            •Yorkshire and Humber
                       s              •North east England
 •Bradford royal infirmary
                                      •North west England
 •Sunderland royal hospital           •Wales
                                      •South west England
 •James cook university hospital

 •Countess of chester hospital

 •Trowbridge community hospital

                                   http://www.performance.doh.gov.uk/tables97/index.htm
Clinical Trials
                          • No of Subjects:300
                  Phase   • Target: women-
                            pregnant & non-
                    1       pregnant (below
                            menopause)


                          • No. of Subject: 500
                  Phase   • Target: All are pregnant
                            women but with varying
                    2       degree of vulnerability
                            (High & Low Risk)



                          • No. Of Subject:1000
                  Phase   • Pregnant women in week
                            12 and 19 and with are at
                    3       high risk (>75% risk of
                            pre-eclampsia)
Steps of Clinical Trials
• Approval: Hospital board

• Patient consent

• Train staff in proper use of the device

• Use Saphid™ strips with traditional methods

• Review clinical record of the patient

• Data collection

• Assessment of The Saphid™ strip

• Check for discrepancies between our strip and other methods of
  diagnosis
Manufacturing Process: Overview

                      Specification To   • Validated Raw
• Inspection &        Manufacturer         Materials
  Approval         • Raw Material        • Filter, Polystyrene
• Contract                                 Latex, Antibodies,
                   • Product &             Strip Material
  (Agreement)        Process
      Identify                                Materials from
    Manufacturer                                Supplier
Manufacturing Process- cont.


                     Manufacturing
• Detailed                           • Quality Check
  Instructions   • Define Process    • Printing &
• To             • Batch Size          Labeling
  Manufacturer     Details
                 • Quality Check
        SOP                               Packaging
Manufacturing process
Produce the plastic base
• Three layers of strip material assembled together


    Create the capillary path on the base with
    a laser


         Coat the reagents on the strip


              Integrate the filter over the reagents


                                    FINAL STRIP
Manufacturing process information
                Process                               Parameters

                 Scale                                 Pilot scale
                                                       Full scale
              Equipment                      Automated and Programmed

            Temperature                                15 – 20˚C
          Relative Humidity                              1- 5%
   Sterilisation steps and aseptic conditions to be followed during the entire
                             manufacturing process.

  Manufacturer of SaphvidTM :
  Raupack Limited
  131 High Street,
  Old Woking, GU22 9LD,
  United Kingdom, tel: +44 (0)1483 736800 fax: 736810, info@raupack.co.uk
EQUIPMENT QUALIFICATION
      Design       • Verifies system design as per User
Qualification (DQ)   Requirement Specification (URS).


   Operational     • Verifies system operations satisfying all
Qualification (OQ)   functional requirements.


  Installation         • Verifies system installation as specified in
Qualification (IQ)       the design.


  Performance      • Verifying that system performance satisfies
                     all performance requirements including
Qualification (PQ)   those specified in the URS.
Manufacture Process validation and evaluation
•       Batches:
    •      Number
    •      Batch size
    •      Place and date of manufacture
    •      Yield
    •      Batch purpose (Validation, stability, clinical trial)

•       Process
    •      Equipment
    •      Process parameters
    •      Validation protocol

•       Results
    •      Critical steps
    •      In process control
    •      Finished product specification.
Manufacturing Process Control of Critical steps and Intermediates
 Manufacturing step                Test Item                       Methods                 Acceptance
                                                                                            criteria

After assembly of strip      Thickness, width and              Vernier calliper             99-100%
       material                    length
After creating capillary      Depth, diameter of              Laser Micrometer              98-100%
 path on the base with      capillary and uniformity
         laser.
  After coating nano-            Fluorescence                    Fluorometer                99-100%
  particle fluorescent
       antibodies

   After coating the         Quantity and activity     Antigen test and laser micrometer    99-100%
    antibody array
After placing filter and     Position and diameter             Visual inspection            98-100%
time gate and sample                                     Laser micrometer and vernier
          port                                                     calliper
After placing filter over         Appearance                   Visual inspection            98-100%
   strip components
 After strip assembly         Appearance, mass,        Visual inspection, weighing and      99-100%
                               selectivity and          test with pre-eclamptic blood
                                 specificity.                      sample.
Gantt Chart: Manufacturing (Pilot )
                                    07-Sep-12   04-Feb-13   04-Jul-13
               Identify Manufacturer

              Contract (Agreement)
          Raw material specification
         Process Specification + SOP

                  Phase 1: 300 (630)
               Phase 3: 1000 (2070)
                       Quality Check
   Instructions (define and printing)
                          Packaging




                 Identifying centres
Protocol for conducting clinical trials
                  Analysis of Results
                Regulatory Approval
Cost of manufacturing (Pilot scale)
S.No.                         Tasks               Start Date   Duration (days)    End Date    Costing (000) GBP



 1      Identify Manufacturer                     07-09-2012         25          02-10-2012          2.5


 2      Inspection and Approval                   22-09-2012         20          12-10-2012           2
        Contract (Agreement)                      13-10-2012         10          23-10-2012

 3      Raw material specification                04-11-2012         15          19-11-2012
        Product specification                     13-10-2012         20          02-11-2012          1
        Process Specification + SOP               19-11-2012         75          02-02-2013


 4      Manufacturing (Batch Size)
        Phase 1: 300 (630)                        03-02-2013          7          10-02-2013        12.6
        Phase 2: 500 (1050)                       15-08-2013         10          25-08-2013        18.9
        Phase 3: 1000 (2070)                      01-03-2014         20          21-03-2014        37.26

 5      Quality Check                             11-02-2013         7           18-02-2013          0.5

 6      Instructions (define and printing)        19-02-2013         7           26-02-2013        0.075
        Labels                                    27-02-2013         7           06-03-2013        0.12
        Packaging                                 07-03-2013         7           14-03-2013        0.375
        Quality Check                             15-03-2013         7           22-03-2013         0.5

 7      Storage                                   23-03-2013         2           25-03-2013          0

 8      Transport                                 26-03-2013         1           27-03-2013          2

 9      Clinical Trials
        Identifying centres                       04-11-2012         60          03-01-2013
        Consent from patients and hospitals       24-11-2012         60          23-01-2013          5
        Protocol for conducting clinical trials   04-11-2012         30          04-12-2012
        Documentation                             28-03-2013          7          04-04-2013          0.1
        Analysis of Results                       05-04-2013         10          15-04-2013          0.1

 10     Regulatory Approval                       16-04-2013        180          13-10-2013          3.5
 11     Salary                                                                                       88
        R&D Manager                                                                                  45
        Manufacturing Manager                                                                        28
        Marketing analyst                                                                            15

        Total                                                                                      189.74
Cost of manufacturing (full scale)
S. No. Activity                  Cost GBP (000)(1st year)   Cost GBP (000)(2nd year)   Cost GBP (000)(3rd year)

  1    Salary                              299                        299                        310


  2    Manufacturing the strip            4000                       4500                       5610

  3    Packaging                           80                        87.5                       115.5

  4    Instructions                        24                         30                        39.6

  5    Labelling                           30                         25                         33

  6    Quality Check                        3                          3                          3

  7    Transport                            2                         2.5                        3.5

  8    Documentation                       1.5                        1.5                        1.5

  9    Analysis                             3                         3.5                         4

       Total                             4442.5                      4952                      6120.1
Suppliers:
Raw Materials          Specification                    Suppliers
Strip material         Plastic material                 Millipore Corporation

Filter material        PA66, Polyamide                  Yuexing sailaqi gauze
                                                        filter co. Ltd.

Fluorescent            FluoroNanogold-anti-human Fab'- Universal Biologicals
nanoparticle- linked   Alexa Fluor 488
antibody
                       PlGF

                       Human Endoglin/CD105 MAb
Secondary              (Clone 166713), Mouse IgG1            R & D systems
antibodies
                       Human VEGF R1 (Flt-1) MAb
                       (Clone 49560
Packaging


                                   25 packs
 Strip wrapped in foil to
 keep out moisture




                     Instruction manual
Failure mode and effect
        Failure mode              Possible effect           Corrective action
                                      1.Identify finding
       Mistakenly switching                (review)
                                  Wrong result              Proper labelling of event
                                                                Assessment/ raw
Review samples effectiveness of
       and report                                           material trays
                                                                Report
corrective actions
        Contamination of raw      Unreliable result         Proper storage of raw
        materials                                           materials
        Wrong analysis for the   Unreliable result           Print out the
        samples analysed from
                 4.Close finding                             measurement file
                                                           2.Evaluate finding
        key steps (verification)                              (disposition)




Corrective action tracking
and implementation                                               Corrective action plan.
                                     3.Resolve finding
                                     (implementation)
Summary
•Cost of product development estimated at GBP 460,000

•Steps involved in clinical trials

•Estimated units of strips to be manufactured:
  •Year 1: 4,000,000

•Total costs associated with manufacturing:
  •Year 1: GBP 4,442,500
THANK YOU !

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G7 Manufacturing Plan and Costing

  • 1. Manufacturing Plan and Costing Mr. P. Waghmare Miss H. Gwani Miss V. Varkey Miss S. Jain Your Safe delivery… our Mr. D. Igwe utmost concern Mr. A. Awosusi
  • 2. Contents  Introduction  G7 Technology: Working Principle  Product Development of SaphvidTM  Product Development: Gantt Chart and Costing  Clinical Trials and Their Validation  Manufacturing process in detail  Summary
  • 3. G 7 Diagnostic kit Strip: SaphvidTM Intended Use: Early detection of Pre-eclampsia. Device Used: Triage Meter Need of the hour: • No effective diagnostic method available • 12% of maternal deaths
  • 4. Comparison Existing G7 Technology Technology S.No. Biochemical Marker Use of three Marker:Plasma Concentration Manifest Trimester 1 Trimester 2 Preeclampsia Use of one -PlGF Marker: PLGF 1. -sEng sflt-1 (Soluble fms- -- high Early increase -sflt like tyrosine kinase) 2. Soluble Endoglin -- high Early increase Fluorescence (sEng) nanoparticle Gold antibody for antibody with quantification 3. fluorescence Placental Growth low low further Factor (PlGF) decrease
  • 5. SaphvidTM : Working Principle Reaction Chamber PlGF Array of Antibodies sEng sflt
  • 6. Product Development of SaphvidTM Validation of raw Validation materials Assembly Verification of strip
  • 7. Product Development : Step 1 Validation of raw materials
  • 8. Raw Materials Validation Composition and film Strip material forming temperature Nanoparticles N-WCPC Model 3788 Strip Western Blot, TME, IHC Antibody screening in correlation with WB + IP in cycles Polystyrene latex Solubility test Filter test β-Ratio testing
  • 9. Product Development : Step 2 Validation of raw materials Assembly • Preparation of 3 layer plastic base (strip) • Create micro capillary path on the strip • Coat the reagents on the strip • Integrate filter over reagents
  • 10. Product Development : Step 3 Validation of Strip Marker Control (pg/mL) Pre-eclampsia (pg/mL) Sflt-1 1458.8- 4117.6 1615.7-8274.5 PlGF 65.8-285 47.4-151.8 sEng 3573.8-6238 5401-17617.4 If [sflt- 1]/ [PlGF] > 45 High chances of Pre-eclampsia
  • 11. Product Development : Gantt Chart 25-Jul-10 02-Nov-10 10-Feb-11 21-May-11 29-Aug-11 07-Dec-11 16-Mar-12 24-Jun-12 Market and customer analysis Product Validation Feedback Legal File patent
  • 12. Product Development: Costing S.No. Tasks Start Date Duration (days) End Date Cost involved (£'000) 1 Market and customer analysis 25-07-2010 90 23-10-2010 10 (Business plan draft) 3 Identifying the protein markers 25-07-2010 260 11-04-2011 Nano particles testing 25-07-2010 150 22-12-2010 2 Funding 04-11-2010 90 02-02-2011 4 Screening the Antiobodies 1 and 2 23-12-2010 90 23-03-2011 7 5 Contract with suppliers 12-04-2011 90 11-07-2011 10 6 Design Consutlants/ Manufacturers 11-08-2011 90 09-11-2011 5.85 7 Assembly process and testing 10-11-2011 180 08-05-2012 4 8 Product layout optimization 08-05-2012 90 06-08-2012 1.7 9 Quality Control and Assesment 20 Product Validation 24-03-2011 300 18-01-2012 Product Verification 08-05-2012 120 05-09-2012 Feedback 06-08-2012 30 05-09-2012 10 Legal 10-10-2010 600 01-06-2012 30 filing a patent (UK, Europe, world) licencing liability therapeutical consequences reliability of results 11 Salary 247 Extras: Capital 100 Lab facility development 25 Total 460.55
  • 13. Clinical Trial Design: UK 10 50 5 Hospitals Regions Hospitals per Region Test 20patients per No of • Week 12 Req. 2 Strips/patient Hospital test • Week 19
  • 14. Hospitals in major regions: •University Hospital (Coventry) •West Midlands •The royal london hospital • London •Royal Bournemouth (general hospital)•South west England • •East of England •Hinching BrookeMajor hospital •East midlands Region •Royal Berkshire hospital •Yorkshire and Humber s •North east England •Bradford royal infirmary •North west England •Sunderland royal hospital •Wales •South west England •James cook university hospital •Countess of chester hospital •Trowbridge community hospital http://www.performance.doh.gov.uk/tables97/index.htm
  • 15. Clinical Trials • No of Subjects:300 Phase • Target: women- pregnant & non- 1 pregnant (below menopause) • No. of Subject: 500 Phase • Target: All are pregnant women but with varying 2 degree of vulnerability (High & Low Risk) • No. Of Subject:1000 Phase • Pregnant women in week 12 and 19 and with are at 3 high risk (>75% risk of pre-eclampsia)
  • 16. Steps of Clinical Trials • Approval: Hospital board • Patient consent • Train staff in proper use of the device • Use Saphid™ strips with traditional methods • Review clinical record of the patient • Data collection • Assessment of The Saphid™ strip • Check for discrepancies between our strip and other methods of diagnosis
  • 17. Manufacturing Process: Overview Specification To • Validated Raw • Inspection & Manufacturer Materials Approval • Raw Material • Filter, Polystyrene • Contract Latex, Antibodies, • Product & Strip Material (Agreement) Process Identify Materials from Manufacturer Supplier
  • 18. Manufacturing Process- cont. Manufacturing • Detailed • Quality Check Instructions • Define Process • Printing & • To • Batch Size Labeling Manufacturer Details • Quality Check SOP Packaging
  • 19. Manufacturing process Produce the plastic base • Three layers of strip material assembled together Create the capillary path on the base with a laser Coat the reagents on the strip Integrate the filter over the reagents FINAL STRIP
  • 20. Manufacturing process information Process Parameters Scale Pilot scale Full scale Equipment Automated and Programmed Temperature 15 – 20˚C Relative Humidity 1- 5% Sterilisation steps and aseptic conditions to be followed during the entire manufacturing process. Manufacturer of SaphvidTM : Raupack Limited 131 High Street, Old Woking, GU22 9LD, United Kingdom, tel: +44 (0)1483 736800 fax: 736810, info@raupack.co.uk
  • 21. EQUIPMENT QUALIFICATION Design • Verifies system design as per User Qualification (DQ) Requirement Specification (URS). Operational • Verifies system operations satisfying all Qualification (OQ) functional requirements. Installation • Verifies system installation as specified in Qualification (IQ) the design. Performance • Verifying that system performance satisfies all performance requirements including Qualification (PQ) those specified in the URS.
  • 22. Manufacture Process validation and evaluation • Batches: • Number • Batch size • Place and date of manufacture • Yield • Batch purpose (Validation, stability, clinical trial) • Process • Equipment • Process parameters • Validation protocol • Results • Critical steps • In process control • Finished product specification.
  • 23. Manufacturing Process Control of Critical steps and Intermediates Manufacturing step Test Item Methods Acceptance criteria After assembly of strip Thickness, width and Vernier calliper 99-100% material length After creating capillary Depth, diameter of Laser Micrometer 98-100% path on the base with capillary and uniformity laser. After coating nano- Fluorescence Fluorometer 99-100% particle fluorescent antibodies After coating the Quantity and activity Antigen test and laser micrometer 99-100% antibody array After placing filter and Position and diameter Visual inspection 98-100% time gate and sample Laser micrometer and vernier port calliper After placing filter over Appearance Visual inspection 98-100% strip components After strip assembly Appearance, mass, Visual inspection, weighing and 99-100% selectivity and test with pre-eclamptic blood specificity. sample.
  • 24. Gantt Chart: Manufacturing (Pilot ) 07-Sep-12 04-Feb-13 04-Jul-13 Identify Manufacturer Contract (Agreement) Raw material specification Process Specification + SOP Phase 1: 300 (630) Phase 3: 1000 (2070) Quality Check Instructions (define and printing) Packaging Identifying centres Protocol for conducting clinical trials Analysis of Results Regulatory Approval
  • 25. Cost of manufacturing (Pilot scale) S.No. Tasks Start Date Duration (days) End Date Costing (000) GBP 1 Identify Manufacturer 07-09-2012 25 02-10-2012 2.5 2 Inspection and Approval 22-09-2012 20 12-10-2012 2 Contract (Agreement) 13-10-2012 10 23-10-2012 3 Raw material specification 04-11-2012 15 19-11-2012 Product specification 13-10-2012 20 02-11-2012 1 Process Specification + SOP 19-11-2012 75 02-02-2013 4 Manufacturing (Batch Size) Phase 1: 300 (630) 03-02-2013 7 10-02-2013 12.6 Phase 2: 500 (1050) 15-08-2013 10 25-08-2013 18.9 Phase 3: 1000 (2070) 01-03-2014 20 21-03-2014 37.26 5 Quality Check 11-02-2013 7 18-02-2013 0.5 6 Instructions (define and printing) 19-02-2013 7 26-02-2013 0.075 Labels 27-02-2013 7 06-03-2013 0.12 Packaging 07-03-2013 7 14-03-2013 0.375 Quality Check 15-03-2013 7 22-03-2013 0.5 7 Storage 23-03-2013 2 25-03-2013 0 8 Transport 26-03-2013 1 27-03-2013 2 9 Clinical Trials Identifying centres 04-11-2012 60 03-01-2013 Consent from patients and hospitals 24-11-2012 60 23-01-2013 5 Protocol for conducting clinical trials 04-11-2012 30 04-12-2012 Documentation 28-03-2013 7 04-04-2013 0.1 Analysis of Results 05-04-2013 10 15-04-2013 0.1 10 Regulatory Approval 16-04-2013 180 13-10-2013 3.5 11 Salary 88 R&D Manager 45 Manufacturing Manager 28 Marketing analyst 15 Total 189.74
  • 26. Cost of manufacturing (full scale) S. No. Activity Cost GBP (000)(1st year) Cost GBP (000)(2nd year) Cost GBP (000)(3rd year) 1 Salary 299 299 310 2 Manufacturing the strip 4000 4500 5610 3 Packaging 80 87.5 115.5 4 Instructions 24 30 39.6 5 Labelling 30 25 33 6 Quality Check 3 3 3 7 Transport 2 2.5 3.5 8 Documentation 1.5 1.5 1.5 9 Analysis 3 3.5 4 Total 4442.5 4952 6120.1
  • 27. Suppliers: Raw Materials Specification Suppliers Strip material Plastic material Millipore Corporation Filter material PA66, Polyamide Yuexing sailaqi gauze filter co. Ltd. Fluorescent FluoroNanogold-anti-human Fab'- Universal Biologicals nanoparticle- linked Alexa Fluor 488 antibody PlGF Human Endoglin/CD105 MAb Secondary (Clone 166713), Mouse IgG1 R & D systems antibodies Human VEGF R1 (Flt-1) MAb (Clone 49560
  • 28. Packaging 25 packs Strip wrapped in foil to keep out moisture Instruction manual
  • 29. Failure mode and effect Failure mode Possible effect Corrective action 1.Identify finding Mistakenly switching (review) Wrong result Proper labelling of event Assessment/ raw Review samples effectiveness of and report material trays Report corrective actions Contamination of raw Unreliable result Proper storage of raw materials materials Wrong analysis for the Unreliable result Print out the samples analysed from 4.Close finding measurement file 2.Evaluate finding key steps (verification) (disposition) Corrective action tracking and implementation Corrective action plan. 3.Resolve finding (implementation)
  • 30. Summary •Cost of product development estimated at GBP 460,000 •Steps involved in clinical trials •Estimated units of strips to be manufactured: •Year 1: 4,000,000 •Total costs associated with manufacturing: •Year 1: GBP 4,442,500

Notas del editor

  1. Create capillary Using laser
  2. PHASE 1= 300 patients consisting of pregnant and non pregnant women… <results shld show low values of the 3 biomarkers being tested in non-pregnant women> <opposite shld be observed in results displayed in pregnant women.>PHASE 2= 500 Patients consisting of only pregnant women, but with varying degree of pre-eclampsia risk factors. (detected by conventional methods- doppler ultrasound, hbpressuree.t.c.) <expected result- device is alrite if it reads high levels of biomarkers in womehn in which conventional methods has proved they are at risk of pre-eclamsia.>Phase 3: here only pregnant womehn with ova 75% chance of having pre-eclampsia are tested. A normal correct result will show d expected increased in
  3. Approval from the hospital institutional review boards.Consent from the patients Train staff in proper use of the device. Diagnosing with Saphid™ strips along with other methods of diagnosing pre-eclampsia. Such as ELISA test, liver and kidney function tests.The clinical record of the patient will be reviewed after the patient has delivered to assess if the patient had pre-eclampsia or not.The data will be collected, analysed and stored in a way to ensure patient anymosity and confidentitality. The Saphid™ will be individually accessed for specificty, selectivity, positive and negative predictive values and false-positive and false-negative values. Check for discrepancies between our strip and other methods of diagnosis.
  4. Cost£ 320.54-1.0ml£220/ 500µg£220/ 500µg£205/ 500µg