81_FR_13848 81 FR 13798 - Bacterial Risk Control Strategies for Blood Collection Establishments and Transfusion Services To Enhance the Safety and Availability of Platelets for Transfusion; Draft Guidance for Industry; Availability

81 FR 13798 - Bacterial Risk Control Strategies for Blood Collection Establishments and Transfusion Services To Enhance the Safety and Availability of Platelets for Transfusion; Draft Guidance for Industry; Availability

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 50 (March 15, 2016)

Page Range13798-13801
FR Document2016-05718

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft document entitled ``Bacterial Risk Control Strategies for Blood Collection Establishments and Transfusion Services to Enhance the Safety and Availability of Platelets for Transfusion; Draft Guidance for Industry.'' The draft guidance document provides blood collection establishments and transfusion services with recommendations to control the risk of bacterial contamination of room temperature stored platelets intended for transfusion through the implementation of pathogen reduction technology (PRT) or bacterial testing. The draft guidance also provides recommendations for the use of secondary testing of platelets as the basis to extend the dating period of platelets, when appropriately labeled bacterial detection devices and storage containers are used. The draft guidance replaces the draft guidance entitled ``Bacterial Detection Testing by Blood Collection Establishments and Transfusion Services to Enhance the Safety and Availability of Platelets for Transfusion,'' dated December 2014. The draft guidance, when finalized, is intended to supersede the recommendation in section VII.A.2, in regard to bacterial contamination testing in the document entitled ``Guidance for Industry and FDA Review Staff: Collection of Platelets by Automated Methods'' dated December 2007.

Federal Register, Volume 81 Issue 50 (Tuesday, March 15, 2016)
[Federal Register Volume 81, Number 50 (Tuesday, March 15, 2016)]
[Notices]
[Pages 13798-13801]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05718]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

[Docket No. FDA-2014-D-1814]


Bacterial Risk Control Strategies for Blood Collection 
Establishments and Transfusion Services To Enhance the Safety and 
Availability of Platelets for Transfusion; Draft Guidance for Industry; 
Availability

AGENCY: Food and Drug Administration, HHS.

ACTION: Notice of availability.

-----------------------------------------------------------------------

SUMMARY: The Food and Drug Administration (FDA or Agency) is announcing 
the availability of a draft document entitled ``Bacterial Risk Control 
Strategies for Blood Collection Establishments and Transfusion Services 
to Enhance the Safety and Availability of Platelets for Transfusion; 
Draft Guidance for Industry.'' The draft guidance document provides 
blood collection establishments and transfusion services with 
recommendations to control the risk of bacterial contamination of room 
temperature stored platelets intended for transfusion through the 
implementation of pathogen reduction technology (PRT) or bacterial 
testing. The draft guidance also provides recommendations for the use 
of secondary testing of platelets as the basis to extend the dating 
period of platelets, when appropriately labeled bacterial detection 
devices and storage containers are used. The draft guidance replaces 
the draft guidance entitled ``Bacterial Detection Testing by Blood 
Collection Establishments and Transfusion Services to Enhance the 
Safety and Availability of Platelets for Transfusion,'' dated December 
2014. The draft guidance, when finalized, is intended to supersede the 
recommendation in section VII.A.2, in regard to bacterial contamination 
testing in the document entitled ``Guidance for Industry and FDA Review 
Staff: Collection of Platelets by Automated Methods'' dated December 
2007.

[[Page 13799]]


DATES: Although you can comment on any guidance at any time (see 21 CFR 
10.115(g)(5)), to ensure that the Agency considers your comment on this 
draft guidance before it begins work on the final version of the 
guidance, submit either electronic or written comments on the draft 
guidance by June 13, 2016. Submit either electronic or written comments 
on the collection of information by May 16, 2016.

ADDRESSES: You may submit comments as follows:

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to http://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on http://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Division of Dockets Management (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Division of 
Dockets Management, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket No. 
FDA-2014-D-1814 for ``Bacterial Risk Control Strategies for Blood 
Collection Establishments and Transfusion Services to Enhance the 
Safety and Availability of Platelets for Transfusion; Draft Guidance 
for Industry.'' Received comments will be placed in the docket and, 
except for those submitted as ``Confidential Submissions,'' publicly 
viewable at http://www.regulations.gov or at the Division of Dockets 
Management between 9 a.m. and 4 p.m., Monday through Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' The Agency will 
review this copy, including the claimed confidential information, in 
its consideration of comments. The second copy, which will have the 
claimed confidential information redacted/blacked out, will be 
available for public viewing and posted on http://www.regulations.gov. 
Submit both copies to the Division of Dockets Management. If you do not 
wish your name and contact information to be made publicly available, 
you can provide this information on the cover sheet and not in the body 
of your comments and you must identify this information as 
``confidential.'' Any information marked as ``confidential'' will not 
be disclosed except in accordance with 21 CFR 10.20 and other 
applicable disclosure law. For more information about FDA's posting of 
comments to public dockets, see 80 FR 56469, September 18, 2015, or 
access the information at: http://www.fda.gov/regulatoryinformation/dockets/default.htm.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to http://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Division of Dockets Management, 5630 Fishers 
Lane, Rm. 1061, Rockville, MD 20852.
    Submit written requests for single copies of the draft guidance to 
the Office of Communication, Outreach and Development, Center for 
Biologics Evaluation and Research (CBER), Food and Drug Administration, 
10903 New Hampshire Ave., Bldg. 71, Rm. 3128, Silver Spring, MD 20993-
0002. Send one self-addressed adhesive label to assist the office in 
processing your requests. The draft guidance may also be obtained by 
mail by calling CBER at 1-800-835-4709 or 240-402-8010. See 
SUPPLEMENTARY INFORMATION section for electronic access to the draft 
guidance document.

FOR FURTHER INFORMATION CONTACT: Information Collection Requirements: 
FDA PRA Staff, Office of Operations, Food and Drug Administration, 8455 
Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002, 
[email protected].
    Guidance Document: Jonathan McKnight, Center for Biologics 
Evaluation and Research, Food and Drug Administration, 10903 New 
Hampshire Ave., Bldg. 71, Rm. 7301, Silver Spring, MD 20993-0002, 240-
402-7911.

SUPPLEMENTARY INFORMATION: 

I. Background

    FDA is announcing the availability of a draft document entitled 
``Bacterial Risk Control Strategies for Blood Collection Establishments 
and Transfusion Services to Enhance the Safety and Availability of 
Platelets for Transfusion; Draft Guidance for Industry.'' Platelets are 
associated with a higher risk of sepsis and are related to more 
fatalities than any other transfusable blood component. The risk of 
bacterial contamination of platelets is a leading risk of infection 
from blood transfusion. This risk has persisted despite numerous 
interventions including the introduction, in the last decade, of 
analytically sensitive culture-based bacterial detection methods, which 
are widely used to test platelets prior to their release from blood 
collection establishments to transfusion services.
    The draft guidance provides blood collection establishments and 
transfusion services with recommendations to control the risk of 
bacterial contamination of room temperature stored platelets intended 
for transfusion through the implementation of PRT or bacterial testing. 
PRT is performed shortly after platelet collection by blood collection 
establishments. Bacterial testing encompasses primary testing of 
platelets by blood collection establishments and subsequent secondary 
testing prior to transfusion primarily by transfusion services. The 
draft guidance also provides recommendations for the use of secondary 
testing of platelets as the basis to extend the dating period of 
platelets, when appropriately labeled bacterial detection devices and 
storage containers are used. Additionally, the draft guidance provides 
recommendations to licensed blood establishments for submitting 
biologics license application supplements to

[[Page 13800]]

include bacterial testing of platelet components. The guidance informs 
transfusion services that are currently exempt from registration and 
blood product listing that if they choose to perform secondary testing 
of platelets to extend the dating period, they must register with FDA 
and list the blood products they manufacture.
    The draft guidance applies to all platelet products, including 
platelets manufactured from Whole Blood (Whole Blood Derived (WBD) 
platelets), platelets collected by automated methods from a single 
donor (apheresis platelets), pooled platelets, and platelets stored in 
additive solutions.
    The draft guidance is being issued consistent with FDA's good 
guidance practices regulation (21 CFR 10.115). The draft guidance, when 
finalized, will represent the current thinking of FDA on bacterial risk 
control strategies for blood collection establishments and transfusion 
services to enhance the safety and availability of platelets for 
transfusion. It does not establish any rights for any person and is not 
binding on FDA or the public. You can use an alternative if it 
satisfies the requirements of the applicable statutes and regulations.

II. Paperwork Reduction Act of 1995

    Under the PRA (44 U.S.C. 3501-3520), Federal Agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. ``Collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes Agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
Federal Agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, before submitting 
the collection to OMB for approval. To comply with this requirement, 
FDA is publishing notice of the proposed collection of information set 
forth in this document.
    With respect to the following collection of information, FDA 
invites comments on these topics: (1) Whether the proposed collection 
of information is necessary for the proper performance of FDA's 
functions, including whether the information will have practical 
utility; (2) the accuracy of FDA's estimate of the burden of the 
proposed collection of information, including the validity of the 
methodology and assumptions used; (3) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (4) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques, when 
appropriate, and other forms of information technology.
    Title: Bacterial Risk Control Strategies for Blood Collection 
Establishments and Transfusion Services to Enhance the Safety and 
Availability of Platelets for Transfusion.
    Description: We have identified the following recommendations in 
the draft guidance document as collections of information. In section 
VI, the draft guidance recommends that blood collection establishments 
have in place measures to promptly alert the transfusion services in 
the event that a distributed platelet product is subsequently 
identified as positive for bacterial contamination. In section X.A.2, 
the draft guidance recommends that following secondary testing, 
labeling on the container label or a tie-tag, should relay the 
following information: (1) Type of bacterial detection test performed 
(rapid or culture) and (2) the date and time the bacterial detection 
test was performed.
    Description of Respondents: The third-party disclosure 
recommendations described in the draft guidance affect blood collection 
establishments and transfusion services that collect and manufacture 
platelet products for transfusion, including WBD platelets, apheresis 
platelets, pooled platelets, and platelets stored in additive 
solutions.
    Burden Estimate: The Agency believes the information collection 
provision for blood collection establishments in section VI does not 
create a new burden for respondents and is part of usual and customary 
business practice. Blood collection establishments currently have in 
place standard operating procedures for notifying consignees 
(transfusion services) if a distributed platelet product has 
subsequently tested positive for bacterial contamination.
    In section X.A.2, the draft guidance recommends that following 
secondary testing, establishments should maintain a labeling process 
that relays certain information and is integral to the container (e.g., 
on the container label or an attached tie-tag) and label accordingly. 
FDA estimates the burden of this collection of information as follows:

                                               Table 1--Estimated Annual Third-Party Disclosure Burden \1\
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                      Number of
                    Activity                         Number of     disclosures per    Total annual     Average burden  per disclosure      Total hours
                                                    respondents       respondent      disclosures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Section X.A.2: Following secondary testing,                 2480              403        1,000,000   .05 (3 minutes)...................          50,000
 maintain a labeling process that relays certain
 information and is integral to the container
 (e.g., on the container label or an attached
 tie-tag) and label accordingly.
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ There are no capital costs or operating and maintenance costs associated with this collection of information.

    Table 1 provides an estimate of the annual third-party disclosure 
burden for the information to be submitted in accordance with the draft 
guidance. Based on FDA data and information submitted by industry, FDA 
believes that there are approximately 2 million platelet transfusions 
per year. The recommendation for labeling following secondary testing 
applies to approximately 4,960 transfusion services in the Unites 
States. We estimate that about 50 percent of all platelets will be 
pathogen-reduced and 50 percent will be cultured. Therefore, to 
estimate the annual third-party disclosure burden in table 1, we assume 
that approximately one-half of the transfusion services will label one-
half of the total platelets intended for transfusion in the United 
States following secondary testing. The average burden disclosure for 
transfusion services to implement the recommendation in table 1 is 
based on FDA's experience and industry information.
    This draft guidance also refers to previously approved collections 
of information found in FDA regulations. The collections of information 
in 21 CFR 601.12 and 610.60 have been approved under OMB control number

[[Page 13801]]

0910-0338; the collections of information in 21 CFR 606.65, 606.100, 
606.120, 606.121, 606.122, and have been approved under OMB control 
number 0910-0116; and the collections of information in 21 CFR part 607 
have been approved under OMB control number 0910-0052.
    To ensure that comments on information collection are received, OMB 
recommends that written comments be faxed to the Office of Information 
and Regulatory Affairs, OMB (see ADDRESSES). All comments should be 
identified with the title of the information collection.
    In compliance with the PRA (44 U.S.C. 3407(d)), the Agency has 
submitted the information collection provisions of this document to OMB 
for review. These requirements will not be effective until FDA obtains 
OMB approval. FDA will publish a notice concerning OMB approval of 
these requirements in the Federal Register.

III. Electronic Access

    Persons with access to the Internet may obtain the draft guidance 
at either http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/default.htm or http://www.regulations.gov.

    Dated: March 9, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-05718 Filed 3-14-16; 8:45 am]
 BILLING CODE 4164-01-P



                                                    13798                         Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices

                                                                                                             Active                                                                          Dosage Form/
                                                      Application No.           Drug Name                                                           Strength(s)                                                         Applicant
                                                                                                          Ingredient(s)                                                                         Route

                                                    NDA 011602 .........    KENALOG ............       Triamcinolone             0.025%; 0.1% .....................................        Lotion; Topical .....   Delcor Asset Corp.
                                                                                                         Acetonide.
                                                    NDA 016059 .........    INDOCIN ..............     Indomethacin .......      25 milligrams (mg); 50 mg .................               Capsule; Oral .......   Iroko Pharma-
                                                                                                                                                                                                                      ceuticals, LLC.
                                                    NDA 017560 .........    BACTRIM and                Sulfamethoxazole;         200 mg/5 milliliters (mL); 40 mg/5 mL                     Suspension; Oral        Mutual Pharma-
                                                                              BACTRIM PEDI-              Trimethoprim.                                                                                                ceutical Com-
                                                                              ATRIC.                                                                                                                                  pany, Inc.
                                                    NDA 017598 .........    SEPTRA and                 Sulfamethoxazole;         200 mg/5 mL; 40 mg/5 mL .................                 Suspension; Oral        Monarch Pharma-
                                                                              SEPTRA                     Trimethoprim.                                                                                                ceuticals, Inc.
                                                                              GRAPE.
                                                    NDA 018185 .........    INDOCIN SR ........        Indomethacin .......      75 mg .................................................   Extended-Release        Iroko Pharma-
                                                                                                                                                                                              Capsule; Oral.          ceuticals, LLC.
                                                    NDA 018450 .........    NITROPRESS ......          Sodium                    50 mg/vial ...........................................    Injectable; Injec-      AbbVie Inc.
                                                                                                         Nitroprusside.                                                                       tion.
                                                    NDA 019834 .........    PLENDIL ..............     Felodipine ............   2.5 mg; 5 mg; 10 mg ..........................            Extended-Release        AstraZeneca.
                                                                                                                                                                                              Tablet; Oral.
                                                    NDA 021475 .........    METHYLIN ...........       Methylphenidate           2.5 mg; 5 mg; 10 mg ..........................            Chewable Tablet;        Mallinckrodt Phar-
                                                                                                         Hydrochloride.                                                                       Oral.                 maceuticals.
                                                    NDA 050320 .........    UNIPEN ................    Nafcillin Sodium ...      Equal to (EQ) 500 mg base/vial; EQ                        Injectable; Injec-      Wyeth Ayerst
                                                                                                                                   1 g (gram) base/vial; EQ 2 g base/                         tion.                 Pharma-
                                                                                                                                   vial; EQ 4 g base/vial; EQ 10 g                                                  ceuticals.
                                                                                                                                   base/vial; EQ 20 g base/vial.
                                                    NDA 050406 .........    KEFLEX ...............     Cephalexin ...........    EQ 125 mg base/5 mL; EQ 250 mg                            For Suspension;         Shionogi Inc.
                                                                                                                                   base/5 mL; EQ 100 mg base/mL.                             Oral.
                                                    ANDA 060576 ......      MYCOLOG–II .......         Nystatin;                 100,000 units/g; 0.1% ........................            Cream; Topical .....    Delcor Asset Corp.
                                                                                                         Triamcinolone
                                                                                                         Acetonide.
                                                    ANDA 062117 ......      CEPHALEXIN ......          Cephalexin ...........    EQ 125 mg base/5 mL; EQ 250 mg                            For suspension;         Facta Farmaceutici
                                                                                                                                   base/5 mL; EQ 100 mg base/mL.                             Oral.                   S.p.A.
                                                    ANDA 062606 ......      MYCOLOG–II .......         Nystatin;                 100,000 units/g; 0.1% ........................            Cream; Topical .....    Delcor Asset Corp.
                                                                                                         Triamcinolone
                                                                                                         Acetonide.
                                                    ANDA 062717 ......      UNIPEN ...............     Nafcillin Sodium ...      EQ 500 mg base/vial; EQ 1 g base/                         Injectable; Injec-      Wyeth Ayerst
                                                                                                                                  vial; EQ 2 g base/vial.                                     tion.                 Pharma-
                                                                                                                                                                                                                    ceuticals.



                                                       FDA has reviewed its records and,                        Dated: March 9, 2016.                                             Draft Guidance for Industry.’’ The draft
                                                    under § 314.161, has determined that                      Leslie Kux,                                                         guidance document provides blood
                                                    the drug products listed in this                          Associate Commissioner for Policy.                                  collection establishments and
                                                    document were not withdrawn from                          [FR Doc. 2016–05717 Filed 3–14–16; 8:45 am]                         transfusion services with
                                                    sale for reasons of safety or                             BILLING CODE 4164–01–P                                              recommendations to control the risk of
                                                    effectiveness. Accordingly, the Agency                                                                                        bacterial contamination of room
                                                    will continue to list the drug products                                                                                       temperature stored platelets intended
                                                    listed in this document in the                            DEPARTMENT OF HEALTH AND                                            for transfusion through the
                                                    ‘‘Discontinued Drug Product List’’                        HUMAN SERVICES                                                      implementation of pathogen reduction
                                                    section of the Orange Book. The                                                                                               technology (PRT) or bacterial testing.
                                                                                                              Food and Drug Administration                                        The draft guidance also provides
                                                    ‘‘Discontinued Drug Product List’’
                                                    identifies, among other items, drug                       [Docket No. FDA–2014–D–1814]                                        recommendations for the use of
                                                    products that have been discontinued                                                                                          secondary testing of platelets as the
                                                    from marketing for reasons other than                     Bacterial Risk Control Strategies for                               basis to extend the dating period of
                                                    safety or effectiveness.                                  Blood Collection Establishments and                                 platelets, when appropriately labeled
                                                                                                              Transfusion Services To Enhance the                                 bacterial detection devices and storage
                                                       Approved ANDAs that refer to the                       Safety and Availability of Platelets for                            containers are used. The draft guidance
                                                    NDAs and ANDAs listed in this                             Transfusion; Draft Guidance for                                     replaces the draft guidance entitled
                                                    document are unaffected by the                            Industry; Availability                                              ‘‘Bacterial Detection Testing by Blood
                                                    discontinued marketing of the products                                                                                        Collection Establishments and
                                                    subject to those NDAs and ANDAs.                          AGENCY:     Food and Drug Administration,
                                                                                                              HHS.                                                                Transfusion Services to Enhance the
                                                    Additional ANDAs that refer to these                                                                                          Safety and Availability of Platelets for
                                                    products may also be approved by the                      ACTION:    Notice of availability.
                                                                                                                                                                                  Transfusion,’’ dated December 2014.
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                    Agency if they comply with relevant                       SUMMARY:   The Food and Drug                                        The draft guidance, when finalized, is
                                                    legal and regulatory requirements. If                     Administration (FDA or Agency) is                                   intended to supersede the
                                                    FDA determines that labeling for these                    announcing the availability of a draft                              recommendation in section VII.A.2, in
                                                    drug products should be revised to meet                   document entitled ‘‘Bacterial Risk                                  regard to bacterial contamination testing
                                                    current standards, the Agency will                        Control Strategies for Blood Collection                             in the document entitled ‘‘Guidance for
                                                    advise ANDA applicants to submit such                     Establishments and Transfusion                                      Industry and FDA Review Staff:
                                                    labeling.                                                 Services to Enhance the Safety and                                  Collection of Platelets by Automated
                                                                                                              Availability of Platelets for Transfusion;                          Methods’’ dated December 2007.


                                               VerDate Sep<11>2014   17:40 Mar 14, 2016   Jkt 238001   PO 00000    Frm 00028     Fmt 4703     Sfmt 4703      E:\FR\FM\15MRN1.SGM            15MRN1


                                                                                  Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices                                            13799

                                                    DATES:  Although you can comment on                     Draft Guidance for Industry.’’ Received               SUPPLEMENTARY INFORMATION section for
                                                    any guidance at any time (see 21 CFR                    comments will be placed in the docket                 electronic access to the draft guidance
                                                    10.115(g)(5)), to ensure that the Agency                and, except for those submitted as                    document.
                                                    considers your comment on this draft                    ‘‘Confidential Submissions,’’ publicly                FOR FURTHER INFORMATION CONTACT:
                                                    guidance before it begins work on the                   viewable at http://www.regulations.gov                Information Collection Requirements:
                                                    final version of the guidance, submit                   or at the Division of Dockets                         FDA PRA Staff, Office of Operations,
                                                    either electronic or written comments                   Management between 9 a.m. and 4 p.m.,                 Food and Drug Administration, 8455
                                                    on the draft guidance by June 13, 2016.                 Monday through Friday.                                Colesville Rd., COLE–14526, Silver
                                                    Submit either electronic or written                        • Confidential Submissions—To
                                                                                                                                                                  Spring, MD 20993–0002, PRAStaff@
                                                    comments on the collection of                           submit a comment with confidential
                                                                                                                                                                  fda.hhs.gov.
                                                    information by May 16, 2016.                            information that you do not wish to be
                                                                                                                                                                    Guidance Document: Jonathan
                                                    ADDRESSES: You may submit comments                      made publicly available submit your
                                                                                                                                                                  McKnight, Center for Biologics
                                                    as follows:                                             comments only as a written/paper
                                                                                                                                                                  Evaluation and Research, Food and
                                                                                                            submission. You should submit two
                                                    Electronic Submissions                                                                                        Drug Administration, 10903 New
                                                                                                            copies total. One copy will include the
                                                                                                                                                                  Hampshire Ave., Bldg. 71, Rm. 7301,
                                                      Submit electronic comments in the                     information you claim to be confidential
                                                                                                                                                                  Silver Spring, MD 20993–0002, 240–
                                                    following way:                                          with a heading or cover note that states
                                                      • Federal eRulemaking Portal: http://                                                                       402–7911.
                                                                                                            ‘‘THIS DOCUMENT CONTAINS
                                                    www.regulations.gov. Follow the                         CONFIDENTIAL INFORMATION.’’ The                       SUPPLEMENTARY INFORMATION:
                                                    instructions for submitting comments.                   Agency will review this copy, including               I. Background
                                                    Comments submitted electronically,                      the claimed confidential information, in
                                                                                                                                                                     FDA is announcing the availability of
                                                    including attachments, to http://                       its consideration of comments. The
                                                                                                            second copy, which will have the                      a draft document entitled ‘‘Bacterial
                                                    www.regulations.gov will be posted to
                                                                                                            claimed confidential information                      Risk Control Strategies for Blood
                                                    the docket unchanged. Because your
                                                                                                            redacted/blacked out, will be available               Collection Establishments and
                                                    comment will be made public, you are
                                                                                                            for public viewing and posted on                      Transfusion Services to Enhance the
                                                    solely responsible for ensuring that your
                                                                                                            http://www.regulations.gov. Submit                    Safety and Availability of Platelets for
                                                    comment does not include any
                                                                                                            both copies to the Division of Dockets                Transfusion; Draft Guidance for
                                                    confidential information that you or a
                                                                                                            Management. If you do not wish your                   Industry.’’ Platelets are associated with
                                                    third party may not wish to be posted,
                                                                                                            name and contact information to be                    a higher risk of sepsis and are related to
                                                    such as medical information, your or
                                                                                                            made publicly available, you can                      more fatalities than any other
                                                    anyone else’s Social Security number, or
                                                                                                            provide this information on the cover                 transfusable blood component. The risk
                                                    confidential business information, such
                                                                                                            sheet and not in the body of your                     of bacterial contamination of platelets is
                                                    as a manufacturing process. Please note
                                                                                                            comments and you must identify this                   a leading risk of infection from blood
                                                    that if you include your name, contact
                                                                                                            information as ‘‘confidential.’’ Any                  transfusion. This risk has persisted
                                                    information, or other information that
                                                                                                            information marked as ‘‘confidential’’                despite numerous interventions
                                                    identifies you in the body of your
                                                                                                            will not be disclosed except in                       including the introduction, in the last
                                                    comments, that information will be
                                                                                                            accordance with 21 CFR 10.20 and other                decade, of analytically sensitive culture-
                                                    posted on http://www.regulations.gov.
                                                      • If you want to submit a comment                     applicable disclosure law. For more                   based bacterial detection methods,
                                                    with confidential information that you                  information about FDA’s posting of                    which are widely used to test platelets
                                                    do not wish to be made available to the                 comments to public dockets, see 80 FR                 prior to their release from blood
                                                    public submit the comment as a written/                 56469, September 18, 2015, or access                  collection establishments to transfusion
                                                    paper submission and in the manner                      the information at: http://www.fda.gov/               services.
                                                    detailed (see ‘‘Written/Paper                           regulatoryinformation/dockets/                           The draft guidance provides blood
                                                    Submissions’’ and ‘‘Instructions’’).                    default.htm.                                          collection establishments and
                                                                                                               Docket: For access to the docket to                transfusion services with
                                                    Written/Paper Submissions                               read background documents or the                      recommendations to control the risk of
                                                       Submit written/paper submissions as                  electronic and written/paper comments                 bacterial contamination of room
                                                    follows:                                                received, go to http://                               temperature stored platelets intended
                                                       • Mail/Hand delivery/Courier (for                    www.regulations.gov and insert the                    for transfusion through the
                                                    written/paper submissions): Division of                 docket number, found in brackets in the               implementation of PRT or bacterial
                                                    Dockets Management (HFA–305), Food                      heading of this document, into the                    testing. PRT is performed shortly after
                                                    and Drug Administration, 5630 Fishers                   ‘‘Search’’ box and follow the prompts                 platelet collection by blood collection
                                                    Lane, Rm. 1061, Rockville, MD 20852.                    and/or go to the Division of Dockets                  establishments. Bacterial testing
                                                       • For written/paper comments                         Management, 5630 Fishers Lane, Rm.                    encompasses primary testing of platelets
                                                    submitted to the Division of Dockets                    1061, Rockville, MD 20852.                            by blood collection establishments and
                                                    Management, FDA will post your                             Submit written requests for single                 subsequent secondary testing prior to
                                                    comment, as well as any attachments,                    copies of the draft guidance to the Office            transfusion primarily by transfusion
                                                    except for information submitted,                       of Communication, Outreach and                        services. The draft guidance also
                                                    marked and identified, as confidential,                 Development, Center for Biologics                     provides recommendations for the use
                                                    if submitted as detailed in                             Evaluation and Research (CBER), Food                  of secondary testing of platelets as the
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                                                    ‘‘Instructions.’’                                       and Drug Administration, 10903 New                    basis to extend the dating period of
                                                       Instructions: All submissions received               Hampshire Ave., Bldg. 71, Rm. 3128,                   platelets, when appropriately labeled
                                                    must include the Docket No. FDA–                        Silver Spring, MD 20993–0002. Send                    bacterial detection devices and storage
                                                    2014–D–1814 for ‘‘Bacterial Risk                        one self-addressed adhesive label to                  containers are used. Additionally, the
                                                    Control Strategies for Blood Collection                 assist the office in processing your                  draft guidance provides
                                                    Establishments and Transfusion                          requests. The draft guidance may also be              recommendations to licensed blood
                                                    Services to Enhance the Safety and                      obtained by mail by calling CBER at 1–                establishments for submitting biologics
                                                    Availability of Platelets for Transfusion;              800–835–4709 or 240–402–8010. See                     license application supplements to


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                                                    13800                          Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices

                                                    include bacterial testing of platelet                    provide information to a third party.                   transfusion services in the event that a
                                                    components. The guidance informs                         Section 3506(c)(2)(A) of the PRA (44                    distributed platelet product is
                                                    transfusion services that are currently                  U.S.C. 3506(c)(2)(A)) requires Federal                  subsequently identified as positive for
                                                    exempt from registration and blood                       Agencies to provide a 60-day notice in                  bacterial contamination. In section
                                                    product listing that if they choose to                   the Federal Register concerning each                    X.A.2, the draft guidance recommends
                                                    perform secondary testing of platelets to                proposed collection of information,                     that following secondary testing,
                                                    extend the dating period, they must                      before submitting the collection to OMB                 labeling on the container label or a tie-
                                                    register with FDA and list the blood                     for approval. To comply with this                       tag, should relay the following
                                                    products they manufacture.                               requirement, FDA is publishing notice                   information: (1) Type of bacterial
                                                       The draft guidance applies to all                     of the proposed collection of                           detection test performed (rapid or
                                                    platelet products, including platelets                   information set forth in this document.                 culture) and (2) the date and time the
                                                    manufactured from Whole Blood                               With respect to the following                        bacterial detection test was performed.
                                                    (Whole Blood Derived (WBD) platelets),                   collection of information, FDA invites                     Description of Respondents: The
                                                    platelets collected by automated                         comments on these topics: (1) Whether                   third-party disclosure recommendations
                                                    methods from a single donor (apheresis                   the proposed collection of information                  described in the draft guidance affect
                                                    platelets), pooled platelets, and platelets              is necessary for the proper performance                 blood collection establishments and
                                                    stored in additive solutions.                            of FDA’s functions, including whether                   transfusion services that collect and
                                                       The draft guidance is being issued                    the information will have practical                     manufacture platelet products for
                                                    consistent with FDA’s good guidance                      utility; (2) the accuracy of FDA’s                      transfusion, including WBD platelets,
                                                    practices regulation (21 CFR 10.115).                    estimate of the burden of the proposed                  apheresis platelets, pooled platelets, and
                                                    The draft guidance, when finalized, will                 collection of information, including the                platelets stored in additive solutions.
                                                    represent the current thinking of FDA
                                                                                                             validity of the methodology and                            Burden Estimate: The Agency believes
                                                    on bacterial risk control strategies for
                                                                                                             assumptions used; (3) ways to enhance                   the information collection provision for
                                                    blood collection establishments and
                                                                                                             the quality, utility, and clarity of the                blood collection establishments in
                                                    transfusion services to enhance the
                                                                                                             information to be collected; and (4)                    section VI does not create a new burden
                                                    safety and availability of platelets for
                                                                                                             ways to minimize the burden of the                      for respondents and is part of usual and
                                                    transfusion. It does not establish any
                                                                                                             collection of information on                            customary business practice. Blood
                                                    rights for any person and is not binding
                                                                                                             respondents, including through the use                  collection establishments currently have
                                                    on FDA or the public. You can use an
                                                                                                             of automated collection techniques,                     in place standard operating procedures
                                                    alternative if it satisfies the
                                                                                                             when appropriate, and other forms of                    for notifying consignees (transfusion
                                                    requirements of the applicable statutes
                                                    and regulations.                                         information technology.                                 services) if a distributed platelet product
                                                                                                                Title: Bacterial Risk Control Strategies             has subsequently tested positive for
                                                    II. Paperwork Reduction Act of 1995                      for Blood Collection Establishments and                 bacterial contamination.
                                                       Under the PRA (44 U.S.C. 3501–                        Transfusion Services to Enhance the                        In section X.A.2, the draft guidance
                                                    3520), Federal Agencies must obtain                      Safety and Availability of Platelets for                recommends that following secondary
                                                    approval from the Office of Management                   Transfusion.                                            testing, establishments should maintain
                                                    and Budget (OMB) for each collection of                     Description: We have identified the                  a labeling process that relays certain
                                                    information they conduct or sponsor.                     following recommendations in the draft                  information and is integral to the
                                                    ‘‘Collection of information’’ is defined                 guidance document as collections of                     container (e.g., on the container label or
                                                    in 44 U.S.C. 3502(3) and 5 CFR                           information. In section VI, the draft                   an attached tie-tag) and label
                                                    1320.3(c) and includes Agency requests                   guidance recommends that blood                          accordingly. FDA estimates the burden
                                                    or requirements that members of the                      collection establishments have in place                 of this collection of information as
                                                    public submit reports, keep records, or                  measures to promptly alert the                          follows:

                                                                                           TABLE 1—ESTIMATED ANNUAL THIRD-PARTY DISCLOSURE BURDEN 1
                                                                                                                                             Number of
                                                                                                                         Number of           disclosures        Total annual      Average burden
                                                                                Activity                                                                                                                Total hours
                                                                                                                        respondents              per            disclosures        per disclosure
                                                                                                                                             respondent

                                                    Section X.A.2: Following secondary testing, maintain a                     2480               403            1,000,000       .05 (3 minutes) ....     50,000
                                                      labeling process that relays certain information and
                                                      is integral to the container (e.g., on the container
                                                      label or an attached tie-tag) and label accordingly.
                                                       1 There   are no capital costs or operating and maintenance costs associated with this collection of information.


                                                      Table 1 provides an estimate of the                    services in the Unites States. We                       average burden disclosure for
                                                    annual third-party disclosure burden for                 estimate that about 50 percent of all                   transfusion services to implement the
                                                    the information to be submitted in                       platelets will be pathogen-reduced and                  recommendation in table 1 is based on
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                                                    accordance with the draft guidance.                      50 percent will be cultured. Therefore,                 FDA’s experience and industry
                                                    Based on FDA data and information                        to estimate the annual third-party                      information.
                                                    submitted by industry, FDA believes                      disclosure burden in table 1, we assume                    This draft guidance also refers to
                                                    that there are approximately 2 million                   that approximately one-half of the                      previously approved collections of
                                                    platelet transfusions per year. The                      transfusion services will label one-half                information found in FDA regulations.
                                                    recommendation for labeling following                    of the total platelets intended for                     The collections of information in 21
                                                    secondary testing applies to                             transfusion in the United States                        CFR 601.12 and 610.60 have been
                                                    approximately 4,960 transfusion                          following secondary testing. The                        approved under OMB control number


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                                                                                  Federal Register / Vol. 81, No. 50 / Tuesday, March 15, 2016 / Notices                                                         13801

                                                    0910–0338; the collections of                           SUMMARY:   The Food and Drug                          device is in short supply or is needed
                                                    information in 21 CFR 606.65, 606.100,                  Administration (FDA) is announcing                    for national emergency, (3) facilitation
                                                    606.120, 606.121, 606.122, and have                     that a proposed collection of                         of recalls for devices marketed by
                                                    been approved under OMB control                         information has been submitted to the                 owners and operators of device
                                                    number 0910–0116; and the collections                   Office of Management and Budget                       establishments, (4) identification and
                                                    of information in 21 CFR part 607 have                  (OMB) for review and clearance under                  cataloguing of marketed devices, (5)
                                                    been approved under OMB control                         the Paperwork Reduction Act of 1995.                  administering postmarketing
                                                    number 0910–0052.                                       DATES: Fax written comments on the                    surveillance programs for devices, (6)
                                                       To ensure that comments on                           collection of information by April 14,                identification of devices marketed in
                                                    information collection are received,                    2016.                                                 violation of the law, (7) identification
                                                    OMB recommends that written                                                                                   and control of devices imported into the
                                                                                                            ADDRESSES:   To ensure that comments on
                                                    comments be faxed to the Office of                                                                            country from foreign establishments, (8)
                                                                                                            the information collection are received,
                                                    Information and Regulatory Affairs,                                                                           and scheduling and planning
                                                                                                            OMB recommends that written
                                                    OMB (see ADDRESSES). All comments                                                                             inspections of registered establishments
                                                                                                            comments be faxed to the Office of
                                                    should be identified with the title of the                                                                    under section 704 of the FD&C Act (21
                                                                                                            Information and Regulatory Affairs,
                                                    information collection.                                                                                       U.S.C. 374).
                                                                                                            OMB, Attn: FDA Desk Officer, FAX:
                                                       In compliance with the PRA (44                                                                               Respondents to this information
                                                                                                            202–395–7285, or emailed to oira_
                                                    U.S.C. 3407(d)), the Agency has                                                                               collection are owners or operators of
                                                                                                            submission@omb.eop.gov. All
                                                    submitted the information collection                                                                          establishments that engage in the
                                                                                                            comments should be identified with the
                                                    provisions of this document to OMB for                                                                        manufacturing, preparation,
                                                                                                            OMB control number 0910–0625. Also
                                                    review. These requirements will not be                                                                        propagation, compounding, or
                                                                                                            include the FDA docket number found
                                                    effective until FDA obtains OMB                                                                               processing of a device or devices, who
                                                                                                            in brackets in the heading of this
                                                    approval. FDA will publish a notice                                                                           must register their establishments and
                                                                                                            document.
                                                    concerning OMB approval of these                                                                              submit listing information for each of
                                                    requirements in the Federal Register.                   FOR FURTHER INFORMATION CONTACT:    FDA               their devices in commercial
                                                                                                            PRA Staff, Office of Operations, Food                 distribution. Notwithstanding certain
                                                    III. Electronic Access                                  and Drug Administration, 8455                         exceptions, foreign device
                                                      Persons with access to the Internet                   Colesville Rd., COLE–14526, Silver                    establishments that manufacture,
                                                    may obtain the draft guidance at either                 Spring, MD 20993–0002, PRAStaff@                      prepare, propagate, compound, or
                                                    http://www.fda.gov/BiologicsBlood                       fda.hhs.gov.                                          process a device that is imported or
                                                    Vaccines/GuidanceCompliance                             SUPPLEMENTARY INFORMATION:    In                      offered for import into the United States
                                                    RegulatoryInformation/Guidances/                        compliance with 44 U.S.C. 3507, FDA                   must also comply with the registration
                                                    default.htm or http://                                  has submitted the following proposed                  and listing requirements. The number of
                                                    www.regulations.gov.                                    collection of information to OMB for                  respondents is based on data from the
                                                      Dated: March 9, 2016.                                 review and clearance.                                 FDA Unified Registration and Listing
                                                    Leslie Kux,                                                                                                   System.
                                                                                                            Electronic Submission of Medical                        Burden estimates are based on recent
                                                    Associate Commissioner for Policy.                      Device Registration and Listing—21                    experience with the existing medical
                                                    [FR Doc. 2016–05718 Filed 3–14–16; 8:45 am]             CFR Part 807, Subparts A Through D;                   device registration and listing program,
                                                    BILLING CODE 4164–01–P                                  OMB Control Number 0910–0625—                         electronic system operating experience,
                                                                                                            Extension                                             and the economic analysis for the final
                                                    DEPARTMENT OF HEALTH AND                                   Under section 510 of the Federal                   rule entitled ‘‘Implementation of Device
                                                    HUMAN SERVICES                                          Food, Drug, and Cosmetic Act (the                     Registration and Listing Requirements
                                                                                                            FD&C Act) (21 U.S.C. 360) and part 807,               Enacted in the Public Health Security
                                                    Food and Drug Administration                            subparts A through D (21 CFR part 807,                and Bioterrorism Preparedness and
                                                                                                            subparts A through D), medical device                 Response Act of 2002, the Medical
                                                    [Docket No. FDA–2015–N–3815]                            establishment owners and operators are                Device User Fee and Modernization Act
                                                                                                            required to electronically submit                     of 2002, and Title II of the Food and
                                                    Agency Information Collection                           establishment registration and device                 Drug Administration Amendments Act
                                                    Activities; Submission for Office of                    listing information.                                  of 2007.’’
                                                    Management and Budget Review;                              Complete and accurate registration                   In the Federal Register of October 27,
                                                    Comment Request; Electronic                             and listing information is necessary to               2015 (80 FR 65779), FDA published a
                                                    Submission of Medical Device                            accomplish a number of statutory and                  60-day notice requesting public
                                                    Registration and Listing                                regulatory objectives, such as: (1)                   comment on the proposed collection of
                                                    AGENCY:    Food and Drug Administration,                Identification of establishments                      information. No comments were
                                                    HHS.                                                    producing marketed medical devices,                   received.
                                                                                                            (2) identification of establishments                    FDA estimates the burden of this
                                                    ACTION:   Notice.
                                                                                                            producing a specific device when that                 collection of information as follows:

                                                                                                   TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1
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                                                                                                                                               Number of                                Average
                                                                                                                           Number of                            Total annual
                                                                 21 CFR Section                        FDA Form No.                          responses per                            burden per             Total hours
                                                                                                                          respondents                            responses
                                                                                                                                               respondent                              response

                                                    807.20(a)(5) 2—Submittal of manufac-                          3673             8,594                    1              8,594   1.75 ................           15,040
                                                      turer information by initial importers.
                                                    807.20(a)(5) 3—Submittal of manufac-                          3673             8,594                    3          25,782      .1 ....................          2,578
                                                      turer information by initial importers.                                                                                      (6 minutes) .....



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Document Created: 2016-03-15 04:07:35
Document Modified: 2016-03-15 04:07:35
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of availability.
DatesAlthough you can comment on any guidance at any time (see 21 CFR 10.115(g)(5)), to ensure that the Agency considers your comment on this draft guidance before it begins work on the final version of the guidance, submit either electronic or written comments on the draft guidance by June 13, 2016. Submit either electronic or written comments on the collection of information by May 16, 2016.
ContactInformation Collection Requirements: FDA PRA Staff, Office of Operations, Food and Drug Administration, 8455 Colesville Rd., COLE-14526, Silver Spring, MD 20993-0002, [email protected]
FR Citation81 FR 13798 

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