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Pit-Stop Express
               Operators Manual


Maintaining the Bio-
Pharma Cold Chain
       Guidelines for control and management of
                 Specialised Pit-Stops.




QSM - Quality and Safety Management       Cold Chain Solutions
QSM - Quality and Safety Management


                      Cold Chain             Introduction
                                             The Cold Chain is the management of product temperature, from
                                             source through to the consumer, thereby maintaining the quality and
                                             efficacy of the product. Maintenance of the Cold Chain is the only way
                                             to ensure quality of temperature sensitive medicines, including -

                                                      Over heating
                                                      Accidental freezing
                                                      Colour changes
                                                      Visible sedimentation
                                                      Loss of potency

                                             Good Cold Chain management results in the consumer receiving a
                                             medical product of “fresh” quality, leading to greater satisfaction and
                                             increased demand.

                                             The movement of temperature sensitive products typically involves
                                             long journey times and frequent handling. This makes effective Cold
                                             Chain management critical and even more essential to ensure the
                                             product offered for final sale retains potency and quality.

                                             It’s Everyone’s Responsibility Maintaining the Cold Chain is the
                                             responsibility of everyone who handles the product, from production to
                                             final retail. A breakdown in temperature control at any stage will
                                             impact on the final quality of the product, although the effect may not
                                             be immediately visible.

                                             Without the cooperation of everyone involved in handling temperature
                                             sensitive products, the consumer will not be able to benefit from the
                                             medication.

                                             Transportation Cold transport is the most essential means of
                                             continuing the Cold Chain. By using the right vehicle and equipment
                                             along with correct handling procedures, the product temperature and
                                             quality can be maintained through this important link in the Cold
                                             Chain.




                        Original: 01/10   Subject: Operations Manual             Page: 2/8       Approved by: CCSO
                        Revision: 1/10    Document: 2.0                                          Date: September, 10

A Priority Solution                            Innovating the Cold Supply Chain – Always AHEAD                         from the Innovation Division
QSM - Quality and Safety Management


                      Objectives                 Pit-Stop Express
                                                 Gati Pit-stop express utilize the existing Thermal Management System
                                                 incorporating rechargeable energy packs and insulating carrier boxes.
                                                 This solution allows the customer to do away with conventional air
                                                 freight by switching to a surface mode of distribution.
                                                 The objective is to offer the following to the customer-

                                                 1. Uninterrupted Cold Link: Each individual unit undergoes a pit-stop
                                                    at mid-station halts; ensures long term cold-chain integrity in
                                                    existing parcel packaging.

                                                 2. Small Carbon Footprint: A solution for cold-transportation via
                                                    surface mode, at smaller carbon footprint than aviation offers; the
                                                    customer enjoys a clean image.

                                                 3. Environment Friendly: Provides a CFC Free, Passive Cooling
                                                    Solution in surface transportation.

                                                 4. Portable Transport Units: Provides the opportunity to unitise mixed
                                                    loads and save costs through consolidation of loads.

                                                 5. Reusable transportation units: Each transportation unit can be used
                                                    repeatedly after re-charging the thermal panels.




                        BIO-PHARMA FACTS

                            Temperature excursions can reduce potency, reduce shelf life, or alter a drug so as to make it
                             harmful.

                            Pharmaceuticals are not like snow blowers or sneakers. When those products are recalled or
                             returned, they can be repaired, resold, or donated. Pharmaceuticals, in contrast, are
                             destroyed.

                            For nearly half of the new drugs entering the market, maintaining a specific temperature range
                             is imperative.

                            RFID radio transmissions may be effecting the biologics hence this is being abandoned for 2-
                             dimensional bar codes.

                            The future may involve personalised drugs so expect even more refined protocols for even
                             more expensive medicines.




                        Original: 01/10       Subject: Operations Manual             Page: 3/8       Approved by: CCSO
                        Revision: 1/10        Document: 2.0                                          Date: September, 10

A Priority Solution                                Innovating the Cold Supply Chain – Always AHEAD                         from the Innovation Division
QSM - Quality and Safety Management


                      Guidelines              Transporting the Product

                                                   Plan Ahead:

                                              1. Use a vehicle that offers the fastest transit time.

                                              2. Have sufficient material ready for bracing and securing the load.

                                              3. Arrange the pick-up and delivery times, allowing for realistic
                                                 transit times.

                                              4. Contingency plans should be developed, in conjunction with the
                                                 consignor, to deal with potential problems or delays. The driver
                                                 should be provided with a 24-hour phone number to call if
                                                 problems develop.

                                                   Prepare Before You Load:

                                              1. Measure and record the temperature of the chill packs one hour
                                                 before doing the pit-stop. Produce should be pre-cooled, and this
                                                 should be noted in the paperwork.

                                              2. Use haste-controlled loading docks to transfer produce directly
                                                 from the coolroom to the Transport unit. If these are not available,
                                                 load Transport unit in the shed or shaded loading area.

                                              3. In hot weather, consider pre-cooling to reduce the internal
                                                 temperature in the shipper unit.

                                              4. Ensure the product has adequately stabilised in the coolroom, and
                                                 do not remove until the truck or vehicle is ready for loading.




                        COOL FACTS

                            Produce should be cooled before loading. Refrigerated transport is not designed to cool down
                             the produce.
                            Unless using refrigerated loading docks, pre-cooling of the Transport unit is of added value.
                            All loading operation should be completed as fast as possible to extend utility life of the
                             passive cooling material.




                        Original: 01/10    Subject: Operations Manual             Page: 4/8        Approved by: CCSO
                        Revision: 1/10     Document: 2.0                                           Date: September, 10

A Priority Solution                             Innovating the Cold Supply Chain – Always AHEAD                          from the Innovation Division
QSM - Quality and Safety Management


                      Guidelines             Keep It Cool While Loading
                                             1. If load handling equipment is not available on site, place the TMS
                                                Transport unit on the vehicle bed first. This should be easily done
                                                by two or three persons.

                                             2. Alternately, the produce can be stowed in the TMS Transport unit
                                                inside a coolroom (or ante-room) and the loaded unit can then be
                                                rolled onto the truck’s flat bed.

                                             3. Before loading the produce, place in the TMS panels in the
                                                designed slots inside the Transport unit.

                                             4. The TMS Panels must be charged before using them for transport.

                                             5. Ensure the product is properly stowed in the Transport unit.

                                             6. Brace the load so produce will not move around during transit.

                                             7. Ensure door of the TMS Transport Unit has sealed properly to avoid
                                                air exchange from outside.


                                             Multiple Pick-Up Loads.
                                             1. Making multiple pick-ups is NOT RECOMMENDED. Warming of
                                                produce occurs each time the doors are opened.

                                             2. Where multiple pick-ups are necessary, minimise the time that the
                                                doors are open on each occasion.

                                             3. At each multiple pick-up point, place additional charged TMS
                                                panels to counter the energy loss for door opening.

                                             4. Ensure that the core temperature of each consignment is measured
                                                and recorded before loading. At unloading, temperature
                                                measurements should include at least one measurement from each
                                                consignment.




                       COOL FACTS

                          Place cold shipper in conditioned rooms to safe guard premature loss of thermal energy.
                          When replacing shipper box, consider pre-cooling the box for half an hour with spare chill
                           packs before final replacement.
                          When replacing a damaged shipper box, always renew the chill packs also.
                          Speed is of essence when replacing chill packs – avoid weak links in the cold chain.




                        Original: 01/10   Subject: Operations Manual             Page: 5/8       Approved by: CCSO
                        Revision: 1/10    Document: 2.0                                          Date: September, 10

A Priority Solution                            Innovating the Cold Supply Chain – Always AHEAD                         from the Innovation Division
QSM - Quality and Safety Management


                      Guidelines             Loading / Dispatch
                                                  Avoid carrying mixed commodity loads whenever possible. If mixed
                                                  loads are necessary, the compatibility of the products needs to be
                                                  determined using the following factors:

                                             1. Optimum storage temperature – a compromise temperature during
                                                transport will reduce the storage life of some of the products.
                                                Some products are prone to chilling injury at lower temperatures,
                                                while increased temperatures speed the loss of quality.

                                             2. Ethylene production/sensitivity – ethylene is released by many fruit
                                                and vegetables during ripening, and can cause unwanted ripening
                                                or loss of quality in other products. Products which produce
                                                ethylene generally should not be carried with those sensitive to it.

                                             3. Odours and off flavours - product contamination with odours or off
                                                flavours may not be visible but leads to a loss of quality for the
                                                consumer.

                                             4. Time – the longer the journey, the greater the deterioration id the
                                                produce if compatibility is poor.




                                             Inbound-Unloading
                                             1. If you have allocated a timeslot for unloading, make sure the load
                                                arrives at that time or notify of any delay. This will assist them in
                                                ensuring an efficient unloading schedule, thus maintaining the Cold
                                                Chain.

                                             2. If unable to unload immediately, ensure Transport unit is kept in an
                                                area that limits exposure to harsh ambient.

                                             3. Record any unloading delay on consignment note.

                                             4. Unload in a cool area. Ideally, refrigerated loading docks should be
                                                used. If unavailable, unload in the shed or a shaded area, ensuring
                                                limited exposure of your product to harsh ambient.

                                             5. Organise equipment and/or staff for unloading before opening TMS
                                                Transport unit doors.

                                             6. It is recommended that product core temperature is measured and
                                                recorded in consignment note (see “HOW TO MEASURE CORE
                                                TEMPERATURE” in this booklet).




                        Original: 01/10   Subject: Operations Manual             Page: 6/8       Approved by: CCSO
                        Revision: 1/10    Document: 2.0                                          Date: September, 10

A Priority Solution                            Innovating the Cold Supply Chain – Always AHEAD                         from the Innovation Division
QSM - Quality and Safety Management


                       Protocol                 Chill Packs
                                                     The Chill Packs are thermal energy storing material encapsulated in
                                                      easy to handle pouches. They serve as the cooling cells.
                                                     The fluid inside these pouches is harmless and non-toxic.
                                                     The cooling energy is stored in the molecular arrangement of this
                                                      fluid. When charged, the fluid will be solidified. When all the
                                                      energy is released, the fluid will behave like liquid/jelly.
                                                      CHARGING
                                                     The pouches to be charged in the pit-stop freezers or blast chiller.
                                                     The Chill packs are fully charged when they turn to solid state.
                                                     Use protective hand gloves to avoid chilling injury to handler.
                                                      PROPER HANDLING
                                                     The pouches should be handled gently to avoid any damage and
                                                      subsequent leakage of this precious fluid.
                                                     DO NOT drop the pouches causing damage to the skin.
                                                     DO NOT force the pouches. This will cause abrasion damage.
                                                     DO NOT use any pouch if found punctured or drained. Immediately
                                                      mark the pouch and record damage.
                                                     Isolate chill pack from direct contact with internal product –
                                                      minimize condensate damage and chilling damage from direct
                                                      contact.

                                                Transportation Unit - Shipper
                                                      PROPER HANDLING
                                                     DO NOT puncture or damage the side walls.
                                                     Take Care of internal separation/spacers used.




                      Securing the Shipper




                                                     Drain shipper of any condensate, package to isolate condensation.
                                                     Tape up the lid and secure the shipper with strap.
                                                     Handle each shipper individually, lifting gently onto the truck bed.
                                                     Brace the unit on the truck bed to avoid dynamic movement during
                                                      transportation. Foam pads can be used to facilitate this.




                           Original: 01/10   Subject: Operations Manual               Page: 7/8       Approved by: CCSO
                           Revision: 1/10    Document: 2.0                                            Date: September, 10

A Priority Solution                                 Innovating the Cold Supply Chain – Always AHEAD                         from the Innovation Division
QSM - Quality and Safety Management


                      Information How to Measure Temperatures
                                                  Chill pack temperature measurements require an electronic
                                                  thermometer – a digital spectral thermometer. This thermometer
                                                  needs to be calibrated at least every 4 weeks.

                                                  Take several measurements (minimum of 5) through the load and
                                                  average these to get a representative measurement of the
                                                  temperature.

                                                  Ensure measurements are carried out at different levels and on
                                                  different faces of the load.

                                                  Face the measuring port towards the
                                                  chill packs and press the trigger. Allow
                                                  the thermometer to stabilise before
                                                  reading the temperature.

                                                  To standardize readings, measurements
                                                  should be taken from no more than one
                                                  foot from the surface of the chill
                                                  packs.

                                                  It is preferable to use the same
                                                  instrument to record temperatures for
                                                  the same consignment/set.

                                                  Hold the measuring instrument steady and use the same technique for
                                                  all measurements.



                                                         Typical Temperature Record Chart – Chill Packs
                           Customer Code:                                           Consignment No:
                                          Thermometer used (ID)                     Calibration Date:
                                                                                    Calibration Error:
                                 Date                 Time                  Shipper Tag          Load Temp °C        Discharge Temp °C




                        Original: 01/10        Subject: Operations Manual                 Page: 8/8             Approved by: CCSO
                        Revision: 1/10         Document: 2.0                                                    Date: September, 10

A Priority Solution                                 Innovating the Cold Supply Chain – Always AHEAD                                   from the Innovation Division

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Pharma cold chain

  • 1. Pit-Stop Express Operators Manual Maintaining the Bio- Pharma Cold Chain Guidelines for control and management of Specialised Pit-Stops. QSM - Quality and Safety Management Cold Chain Solutions
  • 2. QSM - Quality and Safety Management Cold Chain Introduction The Cold Chain is the management of product temperature, from source through to the consumer, thereby maintaining the quality and efficacy of the product. Maintenance of the Cold Chain is the only way to ensure quality of temperature sensitive medicines, including -  Over heating  Accidental freezing  Colour changes  Visible sedimentation  Loss of potency Good Cold Chain management results in the consumer receiving a medical product of “fresh” quality, leading to greater satisfaction and increased demand. The movement of temperature sensitive products typically involves long journey times and frequent handling. This makes effective Cold Chain management critical and even more essential to ensure the product offered for final sale retains potency and quality. It’s Everyone’s Responsibility Maintaining the Cold Chain is the responsibility of everyone who handles the product, from production to final retail. A breakdown in temperature control at any stage will impact on the final quality of the product, although the effect may not be immediately visible. Without the cooperation of everyone involved in handling temperature sensitive products, the consumer will not be able to benefit from the medication. Transportation Cold transport is the most essential means of continuing the Cold Chain. By using the right vehicle and equipment along with correct handling procedures, the product temperature and quality can be maintained through this important link in the Cold Chain. Original: 01/10 Subject: Operations Manual Page: 2/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 3. QSM - Quality and Safety Management Objectives Pit-Stop Express Gati Pit-stop express utilize the existing Thermal Management System incorporating rechargeable energy packs and insulating carrier boxes. This solution allows the customer to do away with conventional air freight by switching to a surface mode of distribution. The objective is to offer the following to the customer- 1. Uninterrupted Cold Link: Each individual unit undergoes a pit-stop at mid-station halts; ensures long term cold-chain integrity in existing parcel packaging. 2. Small Carbon Footprint: A solution for cold-transportation via surface mode, at smaller carbon footprint than aviation offers; the customer enjoys a clean image. 3. Environment Friendly: Provides a CFC Free, Passive Cooling Solution in surface transportation. 4. Portable Transport Units: Provides the opportunity to unitise mixed loads and save costs through consolidation of loads. 5. Reusable transportation units: Each transportation unit can be used repeatedly after re-charging the thermal panels. BIO-PHARMA FACTS  Temperature excursions can reduce potency, reduce shelf life, or alter a drug so as to make it harmful.  Pharmaceuticals are not like snow blowers or sneakers. When those products are recalled or returned, they can be repaired, resold, or donated. Pharmaceuticals, in contrast, are destroyed.  For nearly half of the new drugs entering the market, maintaining a specific temperature range is imperative.  RFID radio transmissions may be effecting the biologics hence this is being abandoned for 2- dimensional bar codes.  The future may involve personalised drugs so expect even more refined protocols for even more expensive medicines. Original: 01/10 Subject: Operations Manual Page: 3/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 4. QSM - Quality and Safety Management Guidelines Transporting the Product Plan Ahead: 1. Use a vehicle that offers the fastest transit time. 2. Have sufficient material ready for bracing and securing the load. 3. Arrange the pick-up and delivery times, allowing for realistic transit times. 4. Contingency plans should be developed, in conjunction with the consignor, to deal with potential problems or delays. The driver should be provided with a 24-hour phone number to call if problems develop. Prepare Before You Load: 1. Measure and record the temperature of the chill packs one hour before doing the pit-stop. Produce should be pre-cooled, and this should be noted in the paperwork. 2. Use haste-controlled loading docks to transfer produce directly from the coolroom to the Transport unit. If these are not available, load Transport unit in the shed or shaded loading area. 3. In hot weather, consider pre-cooling to reduce the internal temperature in the shipper unit. 4. Ensure the product has adequately stabilised in the coolroom, and do not remove until the truck or vehicle is ready for loading. COOL FACTS  Produce should be cooled before loading. Refrigerated transport is not designed to cool down the produce.  Unless using refrigerated loading docks, pre-cooling of the Transport unit is of added value.  All loading operation should be completed as fast as possible to extend utility life of the passive cooling material. Original: 01/10 Subject: Operations Manual Page: 4/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 5. QSM - Quality and Safety Management Guidelines Keep It Cool While Loading 1. If load handling equipment is not available on site, place the TMS Transport unit on the vehicle bed first. This should be easily done by two or three persons. 2. Alternately, the produce can be stowed in the TMS Transport unit inside a coolroom (or ante-room) and the loaded unit can then be rolled onto the truck’s flat bed. 3. Before loading the produce, place in the TMS panels in the designed slots inside the Transport unit. 4. The TMS Panels must be charged before using them for transport. 5. Ensure the product is properly stowed in the Transport unit. 6. Brace the load so produce will not move around during transit. 7. Ensure door of the TMS Transport Unit has sealed properly to avoid air exchange from outside. Multiple Pick-Up Loads. 1. Making multiple pick-ups is NOT RECOMMENDED. Warming of produce occurs each time the doors are opened. 2. Where multiple pick-ups are necessary, minimise the time that the doors are open on each occasion. 3. At each multiple pick-up point, place additional charged TMS panels to counter the energy loss for door opening. 4. Ensure that the core temperature of each consignment is measured and recorded before loading. At unloading, temperature measurements should include at least one measurement from each consignment. COOL FACTS  Place cold shipper in conditioned rooms to safe guard premature loss of thermal energy.  When replacing shipper box, consider pre-cooling the box for half an hour with spare chill packs before final replacement.  When replacing a damaged shipper box, always renew the chill packs also.  Speed is of essence when replacing chill packs – avoid weak links in the cold chain. Original: 01/10 Subject: Operations Manual Page: 5/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 6. QSM - Quality and Safety Management Guidelines Loading / Dispatch Avoid carrying mixed commodity loads whenever possible. If mixed loads are necessary, the compatibility of the products needs to be determined using the following factors: 1. Optimum storage temperature – a compromise temperature during transport will reduce the storage life of some of the products. Some products are prone to chilling injury at lower temperatures, while increased temperatures speed the loss of quality. 2. Ethylene production/sensitivity – ethylene is released by many fruit and vegetables during ripening, and can cause unwanted ripening or loss of quality in other products. Products which produce ethylene generally should not be carried with those sensitive to it. 3. Odours and off flavours - product contamination with odours or off flavours may not be visible but leads to a loss of quality for the consumer. 4. Time – the longer the journey, the greater the deterioration id the produce if compatibility is poor. Inbound-Unloading 1. If you have allocated a timeslot for unloading, make sure the load arrives at that time or notify of any delay. This will assist them in ensuring an efficient unloading schedule, thus maintaining the Cold Chain. 2. If unable to unload immediately, ensure Transport unit is kept in an area that limits exposure to harsh ambient. 3. Record any unloading delay on consignment note. 4. Unload in a cool area. Ideally, refrigerated loading docks should be used. If unavailable, unload in the shed or a shaded area, ensuring limited exposure of your product to harsh ambient. 5. Organise equipment and/or staff for unloading before opening TMS Transport unit doors. 6. It is recommended that product core temperature is measured and recorded in consignment note (see “HOW TO MEASURE CORE TEMPERATURE” in this booklet). Original: 01/10 Subject: Operations Manual Page: 6/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 7. QSM - Quality and Safety Management Protocol Chill Packs  The Chill Packs are thermal energy storing material encapsulated in easy to handle pouches. They serve as the cooling cells.  The fluid inside these pouches is harmless and non-toxic.  The cooling energy is stored in the molecular arrangement of this fluid. When charged, the fluid will be solidified. When all the energy is released, the fluid will behave like liquid/jelly. CHARGING  The pouches to be charged in the pit-stop freezers or blast chiller.  The Chill packs are fully charged when they turn to solid state.  Use protective hand gloves to avoid chilling injury to handler. PROPER HANDLING  The pouches should be handled gently to avoid any damage and subsequent leakage of this precious fluid.  DO NOT drop the pouches causing damage to the skin.  DO NOT force the pouches. This will cause abrasion damage.  DO NOT use any pouch if found punctured or drained. Immediately mark the pouch and record damage.  Isolate chill pack from direct contact with internal product – minimize condensate damage and chilling damage from direct contact. Transportation Unit - Shipper PROPER HANDLING  DO NOT puncture or damage the side walls.  Take Care of internal separation/spacers used. Securing the Shipper  Drain shipper of any condensate, package to isolate condensation.  Tape up the lid and secure the shipper with strap.  Handle each shipper individually, lifting gently onto the truck bed.  Brace the unit on the truck bed to avoid dynamic movement during transportation. Foam pads can be used to facilitate this. Original: 01/10 Subject: Operations Manual Page: 7/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division
  • 8. QSM - Quality and Safety Management Information How to Measure Temperatures Chill pack temperature measurements require an electronic thermometer – a digital spectral thermometer. This thermometer needs to be calibrated at least every 4 weeks. Take several measurements (minimum of 5) through the load and average these to get a representative measurement of the temperature. Ensure measurements are carried out at different levels and on different faces of the load. Face the measuring port towards the chill packs and press the trigger. Allow the thermometer to stabilise before reading the temperature. To standardize readings, measurements should be taken from no more than one foot from the surface of the chill packs. It is preferable to use the same instrument to record temperatures for the same consignment/set. Hold the measuring instrument steady and use the same technique for all measurements. Typical Temperature Record Chart – Chill Packs Customer Code: Consignment No: Thermometer used (ID) Calibration Date: Calibration Error: Date Time Shipper Tag Load Temp °C Discharge Temp °C Original: 01/10 Subject: Operations Manual Page: 8/8 Approved by: CCSO Revision: 1/10 Document: 2.0 Date: September, 10 A Priority Solution Innovating the Cold Supply Chain – Always AHEAD from the Innovation Division

Editor's Notes

  1. By Capt. Pawanexh Kohli – to provide a basic insight into post harvest care in cold store of F&V [Confidential]