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122   Assurance of sterility for sensitive combination products and materials





                                           Significantly different
                                           & not functionally equivalent
            Difference in means (test control)  0  & functionally equivalent  Significantly different  Not significantly different  Region of functional equivalence ±c
                   Not significantly different
                                 & functionally equivalent


                                              & not functionally equivalent







                 Represent 90% confidence intervals on the difference in means (test control)
            The two means are significantly different when the interval does not cover 0.
            The two means are functionally equivalent when both confidence bounds are within the functional equivalence limits.
          Fig. 5.11  Interpretation of statistical significance and functional equivalence.

          difference relative to the equivalence bounds (equivalence limits), and the
          variability. Several statistical software packages offer power and sample size
          calculations for equivalence testing.

          5.4.6  Sample size for process capability in process validation

          Many medical packaging and pharmaceutical manufacturers are concerned
          about the amount of data required for collection in process stability and
          process capability during validation. There is no specific formula to provide
          a sample size for determining process control and capability. However, there
          are guiding principles and tools that can be used to make decisions in the
          face of uncertainty.
             First, one must have an understanding of the source of variability in the
          process and ensure that data are taken over a time period that allows obser-
          vation of these sources. For example, if a manufacturing process is known
          to vary by raw material batch, then one must ensure production is observed
          over multiple batches vs just one batch to include this source of variability
          into the validation effort. If equipment is known to drift over the months,
          then one day of data from a production line is not sufficient for process
          validation. A team approach to identifying these sources of variation is best.
          The team should include all relevant personnel from technical, quality, and
          operations areas.
             Once the sources of variability have been observed over a sufficient time
          period, a runs chart can be used to check for stability, trends, oscillation, etc.
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