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Welcome
Seminar Agenda

Welcome and Introductions
UDI – what is it all about?
GS1 or HIBCC?
Flexcon’s View on UDI
GUDID Database
Resources for moving forward
Live demos and networking
Who We Are…

Thanks to our sponsor…

Alice Faile
Peter Gallo
Joe Simas
Who We Are…

Thanks to our guest speaker…

Ron Ducharme
Who We Are…
Who We Are…

http://moteam.co/Mo-Technology
A Medical Device is…
"an instrument, apparatus, implement, machine, contrivance, implant, in vitro
reagent, or other similar or related article, including a component part, or accessory
which is:
recognized in the official National Formulary, or the United States
Pharmacopoeia, or any supplement to them,
intended for use in the diagnosis of disease or other conditions, or in the
cure, mitigation, treatment, or prevention of disease, in man or other
animals, or
intended to affect the structure or any function of the body of man or other
animals, and which does not achieve its primary intended purposes through
chemical action within or on the body of man or other animals and which is not
dependent upon being metabolized for the achievement of any of its primary
intended purposes."
What’s UDI All About?

“The Food and Drug Administration
(FDA) is issuing a final rule to
establish a system to adequately
identify devices through distribution
and use…”
What’s UDI All About?
”This rule requires the label of
medical devices to include a
unique device identifier
(UDI)…”
“The labeler must submit product
information concerning devices to FDA's
Global Unique Device Identification
Database (GUDID)…”
What’s UDI All About?

OK, so we have to identify things with some UDI thingy &
send some info to a database?
Sounds easy enough!
Let’s look in a little more detail…
Know your DUNs No and
D&B Address
Ensure you have your
company prefix from your
chosen Issuing Agency

Get all the data together for
labeling and for the GUDID
Database

Have your GMDN account
and get the nomenclature
for your products

Develop labels and package
marking for each layer of
packaging

QA Plan to validate labeling
and barcodes

Test – Validate – Test some more!
Sign up for GUDID access.
Determine how you’ll
upload data
What’s UDI All About?
What Items Need UDI and When?
What’s UDI All About?
UDI Acronyms

Meaning

DUNS

D&B Number – needed for GUDID

UDI

Unique Device Identification

GLN

Global Location Number GS1

GTIN

Global Trade Item Number GS1

GMDN

Global Medical Device Nomenclature

GUDID

Global UDI Database

DI

Device Identifier

PI

Production Identifier

AIDC

Automatic Identification and Data Capture

GS1

The GS1 Standards Organization

HIBCC

Health Industry Business Communications Council

ICCBBA

Bonus points if you know this one!
What’s UDI All About?
What is a UDI?

The UDI is defined as consisting of 2 parts:

The company is called
“The Labeler “ in the Rule

Device Identifier – DI
This identifies the company and the model of the device

Production Identifier – PI
Production data such as Lot number, Expiration Date, Serial Number
The information must be provided in plain text and in AIDC form.

The Rule is flexible on what AIDC technology is used!
What’s UDI All About?
What is Device Identifier (DI)?
DI = the static part of the UDI.
Consists of:
Company Prefix + Item Number

These will depend on the Standards being used

?
What’s UDI All About?
What is Production Identifier (PI)?
PI = the dynamic part of the UDI.
Consists of one or more of:
Lot number
Serial number
Expiration date
Manufacturing date
What’s UDI All About?
Barcode Standards
What’s UDI All About?
Barcode Standards
What’s UDI All About?
Barcode Standards
What’s UDI All About?
Barcode Standards

+ EXP DATE
+LOT/BATCH
+SERIAL NUMBER
What’s UDI All About?
Barcode Standards
What’s UDI All About?
Barcode Standards

Expiration Date

Data Identifier

Data Identifier

Supplier LIC &
Part Number

Data Identifier
Lot Number

Issuing Agency Code (RH)
Data Identifier

Data Identifier

Packaging Level (0 = unit of use)

Manufacture Date
What’s UDI All About?
Barcode Standards
Datamatrix Code

QR Code

Aztec Code

Micro PDF Code
What’s UDI All About?
Barcode Standards

GS1

HIBCC

Making inroads in medical

Well established standard

GTIN is numeric only

Can use existing cat. #s

Huge international presence

Mainly in North America

Annual fee

One time fee

Standard in many logistics chains

?

If I were a betting man…
What’s UDI All About?
RFID Standards
FDA, GS1 & HIBCC all allow for RFID

Note that HIBCC suggests 13.56Mhz
What’s UDI All About?
ICCBBA ISBT 128

International Council for Commonality in Blood Banking Automation
Flexcon’s View

AIDC in Modern Healthcare
What is a medical device?
The Product Code assigned to a device is based upon the medical device
product classification designated under 21 CFR Parts 862-892. Three
classes exist today.

A very wide range of medical products such
as:
Traditional hospital based devices (beds, ventilator, monitors, infusion pumps)
Implants (teeth, hips, etc…)
Patient/home use devices (glucometers)
Disposables, accessories (glucose test strips, catheters)
In vitro diagnostic devices (IVDs) – both clinical lab and Point of Care (POC).
Those used in alternative sites – e.g., homecare, dental
Health Information Technology (HIT)
Convenience kits, Combination products
28
Today’s view without UDI
 Product tracking efforts and recall difficult

 Current systems allow product re-identification by every stakeholder in the supply
chain today
 Healthcare Supply Chain will be able to use the same Unique Device Identifier!
Manufacturer
Product # 305905

Distributor
Product
# MT305905

Hospital or Healthcare Provider
Product # M-5905

Courtesy of Jackie Rae Elkin of Medtronic, Inc.
Global Process Owner - Standard Product Identification
29
Two FDA systems are UDI and SNI

UDI: Unique Device Identification

FINAL Rule!!!

Medical devices
Patient care, diagnostic or treatment devices
Moving forward

SNI: Standardized Numeric Identification
Prescription drugs
Pharmaceuticals
Biologics
Vaccines
Stalled due to recent politics

Guidance
Timelines of Final Rule
Implementation (compliance) timeframes are
generally the same from Proposed Rule:
Year 1: class III and devices licensed under PHS Act
Year 2: class II/I implants and lifesupporting/sustaining
Year 3: rest of class II
Year 5: class I

Note For Direct Marking!
Compliance dates are extended by 2 years
Except for FDASIA (year 2) devices – still at year 2.
The start date is 9/24/13
What Changed from Proposed
Rule High Level?
DIFFERENCES from the PROPOSED RULE:
Combination Products and Kits topics
ironed out
Packaged Single Use Devices (SUDs)
exempt with a common sense
approach (the band-aid in the box
issue)
Direct Marking for direct patient reuse / sterilization equipment
Direct part marking for organic
implants not mandated is another
common sense logical concession that
was well received

•
•
•
•
•
•

New Version or Model revised
NDC/NHRIC Numbers
UPC Exception for Class 1 more
logical approach
Definitions are clearer in the rule
GUDID database has more quality
attributes
Issuing Agencies are now only
private entities and not nonprofit, public, or government.
What does a possible UDI look like?
E.g., The new GTIN that is purchased and linked to the Enterprises’
production information enables the benefits of the UDI initiative
Goals of the UDI Initiative
Reduction of medical errors
Identify compatibility issues
Improve medical device reports (MDRs)
Identify and reduce product counterfeiting
More efficient purchasing, reimbursement, and supply chain
management, thus lowering costs
Enhance medical device asset utilization
Enhance in post-market device surveillance
Support recall of medical devices
Enable chain of custody tracking
Capture device information in Electronic Health Record
UDI Transactions are Three Parts
Reformat your data using an approved
registration authority
Encode the data in AIDC format
Print your label
Label your product
Register your UDI in the FDA data base
Ship the Product
FDA’s UDI Database
Database will be an open, public
database, access shall be free of charge
UDI Device Identifier will be primary key in
the database with associated product
data elements defined
Manufacturers will be responsible for
submitting and maintaining their own
data in the database
All data submissions will need to be in the
HL7 Structured Product Labeling (SPL)
format.
Guidance Released 9/24/13
History of the UDI Regulation
1999 IOM Report – To Err is Human
2004 FDA Pharmaceutical Barcode Rule
2005 and 2006 FDA/FDLI Meeting on UDI with IOM Famous Quote
2006 Public Meeting and Docket FDA-2006N-0292
2007 FDA Amendments Act of 2007 (Congress Passes Law)
2007-2009 – UDI Database Pilots
2008 GHTF Ad-Hoc Working Group on UDI
2009 UDI Workshop and Docket FDA-2008-N-0661
2011 GHTF UDI Guidance published
2012 July 10th - UDI Proposed Regulation Publishes
2012 FDASIA provisions added and Congressional Law to Publish
2012 November 7th – comment period closes for Proposed Rule
2012 November 19th – FDASIA amendment (Dec 19) - “Med Tax”
2013 June– UDI Final Rule sent to OMB
2013 UDI Conference in Baltimore
YOU ARE HERE on 9/24/13
2013 Final Rule Published
The Status as of 9/24/2013
Published Final Rule with comment period
 http://www.fda.gov/MedicalDevices/Devi
ceRegulationandGuidance/UniqueDeviceI
dentification/

Courtesy FLEXcon 2013
FLEXcon® MedFLEX™
A series of polyester products UL-recognized
2 mil silver matte, clear and white
Topcoat is more universally printable
High performance acrylic adhesives
Printable via UV, Emulsion and UV Ink jet
Liner is suitable for optical scanning
IEC compliance pending

Overlaminates
Choice of 1 mil clear and clear matte polyester films
Thank you
The Database
GUDID

Interestingly, not a database of UDI’s
Management of UDI’s with manufacturer

!
GUDID
GUDID
GUDID – sending data

Upload HL7 XML file
Tools already exist to help

Use the web tool

Pay a 3rd party
Exemptions
Printing Your UDIs

TTO – print on flexible packaging
Zebra printers for durable labels

Laser marking solutions
for direct part marking
IDT Labelers – cases and pallets
Printing Your UDIs
GS1 Datamatrix
Printing Your UDIs

ID Technology labels made from
Flexcon Medflex materials
Know your DUNs No and
D&B Address
Ensure you have your
company prefix from your
chosen Issuing Agency

Get all the data together for
labeling and for the GUDID
Database

Have your GMDN account
and get the nomenclature
for your products

Develop labels and package
marking for each layer of
packaging

QA Plan to validate labeling
and barcodes

Test – Validate – Test some more!
Sign up for GUDID access.
Determine how you’ll
upload data
Resources

FDA’s UDI Site: http://idt.gs/fda-udi
Draft DUDID Guide: http://idt.gs/dudid-guide
GS1 Healthcare: http://idt.gs/GS1-Healthcare
HIBCC UID & Standards: http://idt.gs/HIBCC-UDI
Labeling News: http://www.labelingnews.com
Contact me: dholliday@idtechnology.com
Thank you!!

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Ensure UDI Success!

  • 2. Seminar Agenda Welcome and Introductions UDI – what is it all about? GS1 or HIBCC? Flexcon’s View on UDI GUDID Database Resources for moving forward Live demos and networking
  • 3. Who We Are… Thanks to our sponsor… Alice Faile Peter Gallo Joe Simas
  • 4. Who We Are… Thanks to our guest speaker… Ron Ducharme
  • 7. A Medical Device is… "an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including a component part, or accessory which is: recognized in the official National Formulary, or the United States Pharmacopoeia, or any supplement to them, intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or intended to affect the structure or any function of the body of man or other animals, and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of any of its primary intended purposes."
  • 8. What’s UDI All About? “The Food and Drug Administration (FDA) is issuing a final rule to establish a system to adequately identify devices through distribution and use…”
  • 9. What’s UDI All About? ”This rule requires the label of medical devices to include a unique device identifier (UDI)…” “The labeler must submit product information concerning devices to FDA's Global Unique Device Identification Database (GUDID)…”
  • 10. What’s UDI All About? OK, so we have to identify things with some UDI thingy & send some info to a database? Sounds easy enough! Let’s look in a little more detail…
  • 11. Know your DUNs No and D&B Address Ensure you have your company prefix from your chosen Issuing Agency Get all the data together for labeling and for the GUDID Database Have your GMDN account and get the nomenclature for your products Develop labels and package marking for each layer of packaging QA Plan to validate labeling and barcodes Test – Validate – Test some more! Sign up for GUDID access. Determine how you’ll upload data
  • 12. What’s UDI All About? What Items Need UDI and When?
  • 13. What’s UDI All About? UDI Acronyms Meaning DUNS D&B Number – needed for GUDID UDI Unique Device Identification GLN Global Location Number GS1 GTIN Global Trade Item Number GS1 GMDN Global Medical Device Nomenclature GUDID Global UDI Database DI Device Identifier PI Production Identifier AIDC Automatic Identification and Data Capture GS1 The GS1 Standards Organization HIBCC Health Industry Business Communications Council ICCBBA Bonus points if you know this one!
  • 14. What’s UDI All About? What is a UDI? The UDI is defined as consisting of 2 parts: The company is called “The Labeler “ in the Rule Device Identifier – DI This identifies the company and the model of the device Production Identifier – PI Production data such as Lot number, Expiration Date, Serial Number The information must be provided in plain text and in AIDC form. The Rule is flexible on what AIDC technology is used!
  • 15. What’s UDI All About? What is Device Identifier (DI)? DI = the static part of the UDI. Consists of: Company Prefix + Item Number These will depend on the Standards being used ?
  • 16. What’s UDI All About? What is Production Identifier (PI)? PI = the dynamic part of the UDI. Consists of one or more of: Lot number Serial number Expiration date Manufacturing date
  • 17. What’s UDI All About? Barcode Standards
  • 18. What’s UDI All About? Barcode Standards
  • 19. What’s UDI All About? Barcode Standards
  • 20. What’s UDI All About? Barcode Standards + EXP DATE +LOT/BATCH +SERIAL NUMBER
  • 21. What’s UDI All About? Barcode Standards
  • 22. What’s UDI All About? Barcode Standards Expiration Date Data Identifier Data Identifier Supplier LIC & Part Number Data Identifier Lot Number Issuing Agency Code (RH) Data Identifier Data Identifier Packaging Level (0 = unit of use) Manufacture Date
  • 23. What’s UDI All About? Barcode Standards Datamatrix Code QR Code Aztec Code Micro PDF Code
  • 24. What’s UDI All About? Barcode Standards GS1 HIBCC Making inroads in medical Well established standard GTIN is numeric only Can use existing cat. #s Huge international presence Mainly in North America Annual fee One time fee Standard in many logistics chains ? If I were a betting man…
  • 25. What’s UDI All About? RFID Standards FDA, GS1 & HIBCC all allow for RFID Note that HIBCC suggests 13.56Mhz
  • 26. What’s UDI All About? ICCBBA ISBT 128 International Council for Commonality in Blood Banking Automation
  • 27. Flexcon’s View AIDC in Modern Healthcare
  • 28. What is a medical device? The Product Code assigned to a device is based upon the medical device product classification designated under 21 CFR Parts 862-892. Three classes exist today. A very wide range of medical products such as: Traditional hospital based devices (beds, ventilator, monitors, infusion pumps) Implants (teeth, hips, etc…) Patient/home use devices (glucometers) Disposables, accessories (glucose test strips, catheters) In vitro diagnostic devices (IVDs) – both clinical lab and Point of Care (POC). Those used in alternative sites – e.g., homecare, dental Health Information Technology (HIT) Convenience kits, Combination products 28
  • 29. Today’s view without UDI  Product tracking efforts and recall difficult  Current systems allow product re-identification by every stakeholder in the supply chain today  Healthcare Supply Chain will be able to use the same Unique Device Identifier! Manufacturer Product # 305905 Distributor Product # MT305905 Hospital or Healthcare Provider Product # M-5905 Courtesy of Jackie Rae Elkin of Medtronic, Inc. Global Process Owner - Standard Product Identification 29
  • 30. Two FDA systems are UDI and SNI UDI: Unique Device Identification FINAL Rule!!! Medical devices Patient care, diagnostic or treatment devices Moving forward SNI: Standardized Numeric Identification Prescription drugs Pharmaceuticals Biologics Vaccines Stalled due to recent politics Guidance
  • 31. Timelines of Final Rule Implementation (compliance) timeframes are generally the same from Proposed Rule: Year 1: class III and devices licensed under PHS Act Year 2: class II/I implants and lifesupporting/sustaining Year 3: rest of class II Year 5: class I Note For Direct Marking! Compliance dates are extended by 2 years Except for FDASIA (year 2) devices – still at year 2. The start date is 9/24/13
  • 32. What Changed from Proposed Rule High Level? DIFFERENCES from the PROPOSED RULE: Combination Products and Kits topics ironed out Packaged Single Use Devices (SUDs) exempt with a common sense approach (the band-aid in the box issue) Direct Marking for direct patient reuse / sterilization equipment Direct part marking for organic implants not mandated is another common sense logical concession that was well received • • • • • • New Version or Model revised NDC/NHRIC Numbers UPC Exception for Class 1 more logical approach Definitions are clearer in the rule GUDID database has more quality attributes Issuing Agencies are now only private entities and not nonprofit, public, or government.
  • 33. What does a possible UDI look like? E.g., The new GTIN that is purchased and linked to the Enterprises’ production information enables the benefits of the UDI initiative
  • 34. Goals of the UDI Initiative Reduction of medical errors Identify compatibility issues Improve medical device reports (MDRs) Identify and reduce product counterfeiting More efficient purchasing, reimbursement, and supply chain management, thus lowering costs Enhance medical device asset utilization Enhance in post-market device surveillance Support recall of medical devices Enable chain of custody tracking Capture device information in Electronic Health Record
  • 35. UDI Transactions are Three Parts Reformat your data using an approved registration authority Encode the data in AIDC format Print your label Label your product Register your UDI in the FDA data base Ship the Product
  • 36. FDA’s UDI Database Database will be an open, public database, access shall be free of charge UDI Device Identifier will be primary key in the database with associated product data elements defined Manufacturers will be responsible for submitting and maintaining their own data in the database All data submissions will need to be in the HL7 Structured Product Labeling (SPL) format. Guidance Released 9/24/13
  • 37. History of the UDI Regulation 1999 IOM Report – To Err is Human 2004 FDA Pharmaceutical Barcode Rule 2005 and 2006 FDA/FDLI Meeting on UDI with IOM Famous Quote 2006 Public Meeting and Docket FDA-2006N-0292 2007 FDA Amendments Act of 2007 (Congress Passes Law) 2007-2009 – UDI Database Pilots 2008 GHTF Ad-Hoc Working Group on UDI 2009 UDI Workshop and Docket FDA-2008-N-0661 2011 GHTF UDI Guidance published 2012 July 10th - UDI Proposed Regulation Publishes 2012 FDASIA provisions added and Congressional Law to Publish 2012 November 7th – comment period closes for Proposed Rule 2012 November 19th – FDASIA amendment (Dec 19) - “Med Tax” 2013 June– UDI Final Rule sent to OMB 2013 UDI Conference in Baltimore YOU ARE HERE on 9/24/13 2013 Final Rule Published
  • 38. The Status as of 9/24/2013 Published Final Rule with comment period  http://www.fda.gov/MedicalDevices/Devi ceRegulationandGuidance/UniqueDeviceI dentification/ Courtesy FLEXcon 2013
  • 39. FLEXcon® MedFLEX™ A series of polyester products UL-recognized 2 mil silver matte, clear and white Topcoat is more universally printable High performance acrylic adhesives Printable via UV, Emulsion and UV Ink jet Liner is suitable for optical scanning IEC compliance pending Overlaminates Choice of 1 mil clear and clear matte polyester films
  • 42. GUDID Interestingly, not a database of UDI’s Management of UDI’s with manufacturer !
  • 43. GUDID
  • 44. GUDID
  • 45. GUDID – sending data Upload HL7 XML file Tools already exist to help Use the web tool Pay a 3rd party
  • 47. Printing Your UDIs TTO – print on flexible packaging Zebra printers for durable labels Laser marking solutions for direct part marking IDT Labelers – cases and pallets
  • 49. Printing Your UDIs ID Technology labels made from Flexcon Medflex materials
  • 50. Know your DUNs No and D&B Address Ensure you have your company prefix from your chosen Issuing Agency Get all the data together for labeling and for the GUDID Database Have your GMDN account and get the nomenclature for your products Develop labels and package marking for each layer of packaging QA Plan to validate labeling and barcodes Test – Validate – Test some more! Sign up for GUDID access. Determine how you’ll upload data
  • 51. Resources FDA’s UDI Site: http://idt.gs/fda-udi Draft DUDID Guide: http://idt.gs/dudid-guide GS1 Healthcare: http://idt.gs/GS1-Healthcare HIBCC UID & Standards: http://idt.gs/HIBCC-UDI Labeling News: http://www.labelingnews.com Contact me: dholliday@idtechnology.com