Skip to main content

State of the Art and Future Directions a Brief Overview

  • Chapter
  • 70 Accesses

Part of the book series: Developments in Hematology and Immunology ((DIHI,volume 29))

Abstract

Good Manufacturing Practice (GMP) and the need for product improvement became a major issue in blood transfusion in many western countries in the late 60s. This was most evident in the United States where a centralized agency, the Food and Drug Administration (FDA), was empowered to control not only the manufacturers of drugs but also blood banks and the manufacturers of products originating from human blood and its components. Today, most countries have created such agencies which control (more or less intensively) the activities of blood banks and fractionation facilities. This appears to be related to several factors:

  1. 1.

    An ever increasing number of safety tests that have to be performed, implying that the possibility of errors also increases.

  2. 2.

    The increasing complexity of technology and equipment

  3. 3.

    A shortage of appropriately trained laboratory personnel in some countries.

  4. 4.

    The development of new products for diseases for which no, or only limited, treatments exist.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

List of selected references, guidelines and governmental rules

General references

  • Bartlett R. Leadership for quality. ASM News 1991;57:15–21.

    Google Scholar 

  • DeBoy J, Jarboe B. Government-mandated cytology proficiency testing: Practical, equitable and defensible standards. ORB 1991:152–61.

    Google Scholar 

  • Juran, J. Quality control handbook. McGraw-Hill, New York NY,1974.

    Google Scholar 

  • Kritchevsky S,. Simmons B. Continuous quality improvement: Concepts and applications for physician care. JAMA 1991;266:1817–23.

    Article  Google Scholar 

  • Milakovich ME. Creating a total quality health care environment. Health Care Manage Rev 1991;16(2):9–20.

    Article  Google Scholar 

  • McLaughlin CP, Kaluzny AD. Total quality management in health: Making it work. Health Care Manage Rev 1990;15(3):7–14.

    Article  MathSciNet  Google Scholar 

  • Rosvoll R (ed). Accreditation requirements manual of the American Association of Blood Banks. American Association of Blood Banks, Arlington VA 1990.

    Google Scholar 

  • Walker R (ed). Technical manual. American Association of Blood Banks, Arlington VA 1990.

    Google Scholar 

  • Julius C, Westphal RG. The safety of blood components and derivatives. Hematology/Oncology Clinics of North America 1992;6(5): 1057–77.

    Google Scholar 

b. Documents issued by the Council of Europe, Health Division, F-67075 Strasbourg Cedex France

  • Recommendation No. R(86)6. Guidelines for the preparation, quality control and use of fresh frozen plasma (FFP), 1986.

    Google Scholar 

  • Recommendation No. R(88)4. Responsibilities of health authorities in the field of blood transfusion, 1988.

    Google Scholar 

  • Recommendation No. R(90)9 + Report. Plasma products and European selfsufficiency, 1990.

    Google Scholar 

  • Guide to preparation, use and quality assurance of blood components, 1991.

    Google Scholar 

c. Documents issued by the Commission of the European Community, Rue de la Loi 200, B-1049 Bruxelles, Belgium

  • The rules governing medicinal products for human use in the European Community. Volume I. Catalogue number CO-71–91–631-EN-C.

    Google Scholar 

  • Notice to applicants for marketing authorisations for medicinal products for human use in the Member States of the Community. Volume II. Catalogue number CB-55–89–293-EN-C.

    Google Scholar 

  • Guidelines on the quality, safety and efficacy of medicinal products for human use. Volume III. Catalogue number CB-55–89–843-EN-C.

    Google Scholar 

  • Addendum (July 1990) CB-59–90–936-EN-C.

    Google Scholar 

  • Addendum No. 2 (May 1992) CO-75–92–558-EN-C.

    Google Scholar 

  • Good Manufacturing Practice for medical products. Volume IV. Catalogue number CO-71–91–760-EN-C.

    Google Scholar 

  • Council directive 89/381/EEC of 14 June 1989, extending the scope of Directives 65/65/EEC and 75/319/EEC on the approximation of provisions laid down by law, regulation or administrative action relating to proprietary medicinal products and laying down special provisions for medicinal products derived from human blood and human plasma (O.J. No. L181 of 28.6.89).

    Google Scholar 

  • Note for Guidance. Medicinal products derived from human blood and plasma in Volume III of the rules governing medicinal products in the European Community, addendum No. 2. Catalogue number CO-75–92–558-EN-C.

    Google Scholar 

  • Note for Guidance. Validation of virus removal and inactivation procedures in Volume III of the rules governing medicinal products in the European Community, addendum No. 2. Catalogue number CO-75–92–558-EN-C.

    Google Scholar 

  • 111/3232/92. Manufacture of products derived from human blood or human plasma, Annex to the EC guide to the GMP.

    Google Scholar 

d. Selected Documents issued by the World Health Organization, WHO, 20, Ave Appia, CH-1211 Geneva, Switzerland

  • Lab/89.5. Minimum targets for blood transfusion services. (Available in English, French, Spanish).

    Google Scholar 

  • Lab/89.6. Consensus statement on accelerated strategies to reduce the risk of transmission of HIV by blood transfusion. (Available in English, French, Spanish).

    Google Scholar 

  • Lab/89.7. Essential blood components, plasma derivatives and substitutes. (Available in English, French, Spanish).

    Google Scholar 

  • Lab/89.8. Essential consumables and equipment of a blood transfusion service. (Available in English, French, Spanish).

    Google Scholar 

  • Lab/89.9. Use of plasma substitutes and plasma in developing countries. (Available in English, French, Spanish).

    Google Scholar 

  • Lab/89.10. Guidelines for the appropriate use of blood. (Available in English, French, Spanish).

    Google Scholar 

  • WHO, 1990. ISBN92–4–154406–6. Management of Blood Transfusion Services.

    Google Scholar 

  • LBS/91.1. Consensus statement on screening of blood donations for infectious agents transmissible through blood transfusion. (Available in English, French, Spanish).

    Google Scholar 

  • WHO, 1992. Guidelines for the organization of a blood transfusion service.

    Google Scholar 

  • WHO/LBS/92.5. Viral inactivation of blood and blood products, by Dr H Suomela, Finland.

    Google Scholar 

  • WHO/LBS/92.6. Report of the GBSI Informal Consultation on “Assessment of training needs in transfusion medicine”.

    Google Scholar 

  • WHO/LBS/92.7. Report of the GBSI Informal Consultation on “Costing of blood transfusion services”.

    Google Scholar 

  • WHO, 1993. Guidelines for quality assurance programs for blood transfusion services.

    Google Scholar 

  • Requirements for the collection, processing and quality control of blood, blood components and plasma derivatives. (A revised edition will be published in 1993).

    Google Scholar 

e. Documents issued by the US Health and Human Services, Food and Drug Ad- ministration, Center of Biologies Evaluation and Research (HFM-635), 8800 Rock- ville Pike, Bethesda, BD 20892

  • Title 21, Code of Federal Regulations, Parts 210, 211, 600, 606, 610, 640, 660.

    Google Scholar 

  • Center for Drugs and Biologies and Center for Devices and Radiological Health (CDRH), Guideline on general principles of process validation (May 1987).

    Google Scholar 

  • FDA 91-4179. CDRH, Medical device good manufacturing practices manual, 56th edition (August 1991).

    Google Scholar 

  • FDA Compliance program guidance manual, blood and blood products, 7342–001 (1992), 7342.002 (1991).

    Google Scholar 

  • FDA Compliance policy guide, FDA access to results of quality assurance program audits and inspections, 7151.02 (1989).

    Google Scholar 

  • FDA Memorandum. April 6, 1988, Control of unsuitable blood and blood products.

    Google Scholar 

  • FDA Memorandum. March 20, 1991, Deficiencies relating to the manufacture of blood and blood components.

    Google Scholar 

  • Federal Register, Volume 43, No. 190, Friday, September 29, 1978. Human and veterinary drugs, current good manufacturing practice in manufacture, processing, packing, or holding, 45013–45087.

    Google Scholar 

  • Federal Register, Volume 40, No. 223, Tuesday, November 18, 1975. Human blood and blood products, collection, storage and processing, 53532–53544.

    Google Scholar 

  • Federal Register, Volume 57, No. 40, Friday, February 28, 1992. Clinical laboratory improvement amendments of 1988, Final Rule, 7002–7288.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Heiniger, H.J. (1994). State of the Art and Future Directions a Brief Overview. In: Sibinga, C.T.S., Das, P.C., Heiniger, H.J. (eds) Good Manufacturing Practice in Transfusion Medicine. Developments in Hematology and Immunology, vol 29. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2608-7_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-2608-7_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6117-6

  • Online ISBN: 978-1-4615-2608-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics