title: Islet isolation and GMP, ISO 9001:2000: what do we need--a 3-year experience.
abstract: Pancreatic islet cell isolation and transplantation has been performed for many years at several institutions. Although all institutions aim to produce high-quality islets, applied standards widely deviate from standards in the pharmaceutical industry. The legal situation within the European Union has changed requirements for setting up and running such a laboratory. The process is now clearly defined as a production of a pharmaceutical and therefore must be licensed by federal authorities. Analysis of workload for establishing an islet isolation program that fulfil GMP and ISO 9001 criteria including an estimation of costs and the impact of such a system on the isolation process. The definition of quality parameters and documentation is a central issue of all islet isolation laboratories. Therefore, GMP and ISO 9001:2000 do not add additional work per se. On the other hand, clear guidelines, a clear policy, working place descriptions, forms, checklists, and, particularly standard operating procedures, are instrumental for smooth functioning within the department. Collection of data such as errors, improvement measures, and preventive measures reduces subsequent costs. A clear definition of responsibilities minimizes organizational problems. Steering of inspection devices prevents bias errors and validating the processes clearly points out incorrect assumptions. Documentation helps to prove the correctness of the production at any time and is of use also for scientific evaluations. We strongly feel that GMP criteria are mandatory and together with an ISO 9001:2000 quality management system offers significant advantages for the process of islet isolation and a continuous improvement process.
authors.affiliation: Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria. paul.hengster@uibk.ac.at
authors.forename: P
authors.initials: P
authors.lastname: Hengster
authors.forename: M
authors.initials: M
authors.lastname: Hermann
authors.forename: D
authors.initials: D
authors.lastname: Pirkebner
authors.forename: A
authors.initials: A
authors.lastname: Draxl
authors.forename: R
authors.initials: R
authors.lastname: Margreiter
mesh_terms: D000047:Academies and Institutes / Q000592:standards; D001317:Austria; D006801:Humans; D007515:Islets of Langerhans / Q000166:cytology*; D011785:Quality Assurance, Health Care; D020858:Tissue and Organ Harvesting / Q000592:standards*; D009927:Tissue and Organ Procurement / Q000592:standards