TGA Guidance Uniform Recall Procedure 1712073680
TGA Guidance Uniform Recall Procedure 1712073680
TGA Guidance Uniform Recall Procedure 1712073680
It outlines the processes to respond efficiently and effectively to problems with therapeutic goods that
could pose a risk to public health and safety.
It also explains the roles and responsibilities of all stakeholders who are involved in therapeutic good
recalls.
Contact details
Contact the Australian Recall Coordinator
Ph: 1800 020 653 (free call in Australia)
Ph: 0412 205 568 (after hours – available 24/7 for genuine
emergencies, including public holidays)
Email: recalls@health.gov.au
Templates
To help you with your communications:
If the problem with your product relates to any of the following, refer to Procedures
for taking immediate action and follow all instructions.
• Immediate or significant health risks
• Product tampering
• Recalls of certain therapeutic goods:
o Radiopharmaceuticals
o Blood or blood components
o Biological or human tissues
• safety
• efficacy (medicines and biologicals)
• performance (medical devices)
• presentation
• quality (for recall purposes, does not include the grade of materials or workmanship).
These problems may be due to non-compliance with specified standards or legislative or
manufacturing requirements applicable to the therapeutic goods.
• Recall
• Product defect correction
• Hazard alert (implanted medical devices and biologicals)
• Product defect alert
For a description of the situations these actions best suit, see types of recall actions.
• the therapeutic goods meet all required specifications and standards, and
• there are no deficiencies in safety, quality, efficacy, performance, or presentation.
There are 4 types of non-recall action:
• Safety Alert
• Product notification
• Quarantine
• Product withdrawal
For a description of the situations these actions best suit, see types of non-recall actions.
• is undertaken by the sponsor or the person responsible for supplying the therapeutic goods
• follows this procedure and
• involves all those who have a role in the recall or who are impacted by it.
Sponsors or suppliers must follow the procedure to decide the most appropriate action (immediate,
recall or non-recall) in consultation with the TGA to mitigate an actual or potential public health risk
from a particular therapeutic good.
Alternatively, delegates of the Secretary of the Australian Government Department of Health and Aged
Care can exercise powers under the Therapeutic Goods Act 1989 (the Act) to impose a requirement to
perform a recall of therapeutic goods to protect public health.
Such risks include imminent risk of death or serious injury as well as potential disruptions to critical
lifesaving medicines, medical devices, or clinical services.
Product tampering
Tampering occurs when:
• The goods are interfered with in a way that affects, or could affect, their quality, safety or
efficacy and
• The interference has the potential to cause, or is done for the purpose of causing, injury, or
harm to any person.
The Act includes criminal penalty provisions applying to sponsors who fail to notify the Secretary of
actual or potential tampering. Further information can be found under Actual or potential tampering.
For biologicals, bloods and blood components, complete the Human blood and tissues recall report
form and send it to the TGA.
Following the TGA’s agreement of the recall action, provide the sponsor’s customer letter to all known
recipients of the affected products.
Gathering Information
Required Information
Collect the following so that you can explain the problem and track the distribution of your product.
• dosage form
• strength
• pack size.
For medical devices also include a unique identifier such as:
• date released
• quantity of the batch or lot released
• dates and quantity distributed to the Australian market
• where the therapeutic goods are in the distribution chain
• current undistributed stockholding
• quantity supplied to customers
• whether the goods have been exported from Australia and, if so, to which countries.
Customer/distribution list
You must provide us with your customer / distribution list using the template available on our website.
Extra information
We may seek additional information from you after our initial review. Examples include:
• a review of all associated batch manufacturing, packaging, testing, release and distribution
records for anomalies that may explain the suspected defect
• the examination and retesting of retained samples, if appropriate.
We will manage any information that is commercially sensitive or private in nature according to the
treatment of information provided to the TGA policy.
As the sponsor, you should receive this report (it may also be called a health risk assessment (HRA)
or health hazard evaluation (HHE), etc.) when the manufacturer notifies you of the problem or defect.
Make sure you are satisfied with the conclusions and recommendations.
If you do not have the manufacturer’s risk analysis report, for example, your recall or non-recall action
is in response to complaints and/or adverse events you have received from customers (e.g.
consumers or health care professionals):
Medical devices
Risk analysis is part of the risk management process described in ISO 14971 Medical devices –
application of risk management to medical devices.
The manufacturer of medical devices (including in vitro diagnostic (IVD) medical devices) is
responsible for implementing an appropriate QMS, and using it to identify any potential risks
associated with:
• an adverse event
• a medical device failure
• a complaint.
You need to provide us with the report which must include details of:
• investigate adverse events and product complaints. This includes process failure and
suspected bacterial contamination events and
Related guidance
• The Code of Good Manufacturing Practice (GMP) for human blood and blood components,
human tissues and human cellular therapy products.
• Appendix 11, Risk management in the Australian regulatory guidelines for biologicals.
Medicines
Medicine manufacturers are responsible for implementing an appropriate pharmaceutical quality
system (PQS) and using it to identify any potential risks associated with their products. The
manufacturer may also be the sponsor of the therapeutic goods.
If the sponsor is not also the manufacturer, they may conduct the risk analysis in conjunction with the
manufacturer.
1. type of recall
class of recall
level of recall
Need help?
Contact us if you need help.
Part of our role is to undertake an independent assessment of the risks and ensure that recall actions
are conducted when appropriate.
Do not implement your recall strategy until we have agreed with it.
The class, level or type of recall action may change following our assessment.
You may discuss the recall strategy with us while you develop it, or we may liaise with you when you
submit your strategy in Step 6.
• stopping the distribution, sale and use of the affected goods as soon as possible
• removing or correcting any goods that are a potential risk to health and safety
Your customer letter should be sent to all impacted customers (not including individual consumers in
the case of consumer-level actions) within 2 business days of agreement with the Australian Recall
Coordinator in Step 8.
Communication strategy
The required documents for consumer level and other significant or high-risk recall actions may
include:
Depending on the situation, target audience and their demographic(s), these may be required. If you
have not provided them, you may be asked to do so during our review of your proposed action.
Media release
It may be necessary to issue a media release for some Class I and Class II consumer level recall
actions.
This applies to organisations that already have a TGA client identification number (Client ID), as well
as new organisations submitting their first recall action.
Upon saving the web form, you will receive a new TGA reference number (in the format RC-20XX-RN-
01234-1, where ‘20XX’ is the year in which the notification was submitted).
DO:
• Upload your draft customer letter, risk documentation, distribution lists, communication strategy
documents and any other supporting documentation in the ‘Supporting Information’ tab.
• Click on the ‘Validate’ button and the ‘Submit’ button to complete your notification to the TGA
Recalls Section. We will not receive your notification until you have done this.
DO NOT:
• Use words such as, “refer to attached documents” in the TBS form.
o Fields must be populated with meaningful and descriptive information.
o We will follow up with sponsors who provide insufficient information in these fields.
If you have any queries about the TBS portal, or do not have access yet:
Analysing risk
We will conduct an independent and objective assessment to verify that the proposed action strategy
can mitigate the risks posed by the affected goods.
Timeframes to respond
Our timeframe is to respond and process a recall action within 7 business days. (The day of
submission counts as day 0).
We review all notifications upon receipt and triage them on a risk-based approach.
• provide advice or raise awareness on the upcoming recall action, to allow mitigation strategies
to be developed
• ask whether supply or ongoing patient care will be significantly affected by the proposed
action, or if it will result in a critical shortage of the therapeutic goods
• request urgent feedback on the proposed action e.g. remove products from supply, quarantine
those not yet in supply, adequacy of any proposed workarounds or mitigation strategies, etc.
These notices are released under s.61 of the Therapeutic Goods Act 1989. Sponsors will have the
opportunity to review the text of the Early Advice Notice, and the notice will include a statement saying
that the advice is being sent in consultation with the sponsor.
• the information is not a communication about an agreed recall action and is therefore subject
to change.
• it should remain confidential, should not be widely disseminated and only provided to those
persons who can directly assist with providing input or advice in response to the matters
raised in the Notice.
The requested response time to the Early Advice Notice will vary and be based on the risk and/or
urgency of the matter.
Earlier notification (i.e. one business day or immediately following agreement) will be considered on a
case by case basis for some high-risk circumstances, such as imminent life-threatening scenarios or
serious large-scale impacts on clinical services.
We will contact you when a notification earlier than 2 business days is considered necessary and
advise when it will occur.
We also share details of recalls with overseas regulatory agencies when appropriate.
In deciding if we need to publish an alert, we consider factors including, but not limited to whether the
recall action is a:
• hazard alert
• consumer level recall
• vaccine recall or
• any other recall action that may have wider implications for public health and safety.
Our alerts contain information on the recall action, including sufficient detail to define the product
uniquely. We give a clear explanation of the problem without causing unnecessary alarm and state the
appropriate actions that should be taken by consumers and health professionals.
After publication, we may also forward the link to the relevant professional colleges and other
consumer and public health organisations, as appropriate.
• Implement your communication and recall strategies once we have agreed to them.
For non-recall actions:
Make sure you observe relevant state, territory and Commonwealth legislation in
relation to unauthorised possession of stock (for example, medicines of addiction and
restricted substances).
In the case of a mandatory recall, we may require you to take specified steps for the
recovery of the therapeutic goods.
Customer follow-up
It is important that you follow-up with your customers to ensure they have received and followed the
instructions in your customer letter.
The level of follow up will depend on the risk and class of the recall.
Make 3 or more attempts to contact customers via various mediums (including but not limited to email,
mail and/or phone), if they do not respond to the initial customer letter.
We will review the root cause analysis in the final progress report (Step 10).
This analysis will assist us to assess the ongoing compliance with regulatory requirements under the
life-cycle approach described in the regulatory compliance framework.
These reports will be used to determine the effectiveness of the recall in Step 10, so you should
ensure that you have addressed all items completely before submitting them.
We will follow up with sponsors if required or when incomplete information has been submitted.
We may impose additional reporting requirements, as needed, for high risk or delayed actions.
Human blood and blood component recalls require only one report at 4 weeks. This single report
should use the blood closeout report template.
Submit your interim report at the agreed time, usually 6 weeks after implementation of the recall
action.
The Closeout report must include a comprehensive short summary of the root cause and CAPA
information, regardless of whether this information was provided earlier. The report must also provide
information which demonstrates that the recall action has been effective, carried out and completed in
line with the Agreement Letter.
The Closeout report may be submitted prior to the agreed time, if all affected therapeutic goods have
been returned or corrected and all requirements of the report have been fulfilled.
• we may request additional information, including full CAPA reports for review.
Effectiveness of the recall is not satisfactory:
• we will follow-up with you to determine additional action to ensure the recall action is effective.
Identification of a systemic or serious problem (at any stage of the recall process):
• Recall
• Product defect correction
• Hazard alert (implanted medical devices and biologicals)
• Product defect alert
Recall
A recall is one type of recall action.
A recall is conducted to remove therapeutic goods permanently from the market or from use when
there are deficiencies or potential deficiencies in safety, quality, efficacy, performance or presentation.
Recall includes:
Removal from supply or use of products with inherent design or manufacturing defects
Requests to check and return products found to be defective sent to your customers, such as:
• pharmacists
• hospitals
• pathology laboratories
• fractionators
• operating and research facilities
• biomedical engineers
• others.
Recall does not include:
• removal of time-expired products where those products were released prior to their expiry. NB:
product released after its expiry is considered a process failure in which case the URPTG
should be applied or
• removal of appropriate numbers of products for testing to determine whether there are
deficiencies relating to quality, safety, efficacy, performance or presentation.
In some instances, the product can continue to be used if there is robust mitigation in place until a
permanent correction has been implemented.
• the repair, modification, adjustment or re-labelling of therapeutic goods for reasons relating to
deficiencies in the quality, safety, efficacy, performance or presentation
• updates or changes to any accessories, operating instructions, patient information leaflets and
patient implant cards or software
The corrective action may take place at any agreed location, including:
• repair in the event of an incidental malfunction or failure as a result of normal wear and tear or
lack of good maintenance
• modification due to technical improvements (that does not relate to quality, safety, efficacy,
performance or presentation).
Classes of recalls
Follow this guide to determine the hazard classification (“class”) of the recall action.
There are three risk classes to convey the seriousness of the problem and degree of risk involved.
Class I examples
Medicines (with serious medical consequences)
• Wrong medicine (label and contents are different)
• Chemical contamination
• Microbial contamination of sterile injectable or ophthalmic medicine
• Mix-up of some medicines ('rogues') with more than one container involved
• Wrong active ingredient in a multi-component medicine.
Medical devices
• Hot/cold gel pack contains a toxic substance that could be ingested accidentally by a child
• Higher fracture rates for implantable cardiac leads that may result in Implantable Cardioverter
Defibrillators (ICDs) not providing effective therapy, resulting in serious injury or death
• Software defects resulting in linear accelerators delivering the wrong radiation dose or
delivering doses to the wrong location
• Hardware or software failures in ventilators resulting in shut down during its use
• A false result on an IVD test for a medicine with a narrow therapeutic range that could lead to
an overdose, causing permanent injury
• A false negative result on an IVD test for a serious or highly contagious disease.
Class II examples
Medicines
When there are medical consequences:
Medical devices
• Microbial contamination of a personal lubricant
• Higher than expected rate of revision surgeries due to mechanical failures to one of the
components in a total hip, knee or shoulder implant
• Infusion pumps giving visual or audible alarms due to software or hardware problems resulting
in delay in infusion
• Omission of precautionary information on procedures that could cause complications for the
patient, such as omission from the Instructions for Use for a catheter of a precaution for
certain procedures that could cause complications in its removal
• An IVD test kit that could identify the wrong strain of micro-organism and lead to inappropriate
treatment.
However, if not rectified, the situation may present a hazard in the future.
Medicines
• Faulty packaging, such as wrong or missing ARTG number or sponsor’s name and details.
Medical devices
• The outer packaging of a medical device indicates a different size to the one supplied in the
box, but it would be obvious to the clinician that the device was the incorrect size.
• An IVD reagent is causing calibration failures towards the end of its shelf life, but there is no
effect on patient results.
Disinfectants
• A disinfectant has been mislabelled with an expiry date that predates the actual expiry date.
We will review your notification and may change the class to better fit the nature of the hazard.
May occur at some point, or a low May result in minor temporary injury or
Rarely number of instances expected for a Minor impairment not requiring professional
high use product medical intervention
Severity
Levels of recalls
The action level (or depth) describes who will be notified of the recall action.
• Wholesale level
• Hospital level
• Retail level
• Consumer level
Wholesale level
Includes:
• medicine and medical device wholesalers, who are third parties holding goods to distribute to
retailers or other organisations
• State and Territory purchasing authorities.
Hospital level
Includes:
• wholesale level
• hospitals
• nursing homes, respite facilities and other healthcare institutions
• clinical investigators and the institutions in which clinical investigations are performed
• hospital pharmacies, blood banks, pathology laboratories, operating facilities, fractionators,
human tissue banks, other hospital departments
• ambulance services including the Royal Flying Doctor Service.
Retail level
Includes:
Consumer level
Includes:
If the product does not meet all specifications and therapeutic indications, then
conduct a recall.
• Safety alert
• Product notification
• Quarantine
• Product withdrawal
Safety alert
Safety alerts are issued to provide information on the safe use of therapeutic goods in certain
situations where, although meeting all specifications and therapeutic indications, its use could present
an unreasonable risk of harm if certain specified precautions are not followed.
A safety alert is generally used for reiterating specific precautions or instructions regarding use of the
goods.
We review the final signed safety alert (Step 7 of the procedure) and will:
Product notification
A product notification provides information about a therapeutic good in a situation that is unlikely to
involve significant adverse health consequences.
Quarantine
A quarantine action suspends further supply and distribution of the goods pending your investigation
of a problem. The outcome of the investigation will determine what further actions are required.
Quarantine of goods should be considered if a defect is identified in released goods which has the
potential to cause problems with the safety, efficacy (medicines / biologicals) or performance (medical
devices) of a therapeutic good.
Any given recall or non-recall action may occur after your quarantine notice is agreed. Distribution of
your quarantine notice needs to be commensurate with the depth of supply of the goods, to either the
wholesale, hospital or retail level. We review the final signed quarantine notice (Step 7 of the
procedure) and will:
If the quarantine can be lifted, we will review your second notice advising of this action (Step 7 of the
procedure) and will:
Product withdrawal
A product withdrawal is used to withdraw products for reasons that are not related to safety, quality,
efficacy, performance or presentation e.g. removing a previous model from the market when a new
model has been released.
• send this letter until we agree to the content: Step 7 of the recall procedure
• imply that the actions described in the letter proposed to be carried out by the recipient are at
the recipient’s discretion.
• use the words ‘voluntary’ or ‘voluntarily’ as this may cause confusion regarding the user’s
requirement to perform the required actions.
Headings
‘Urgent product defect correction’ or ‘Urgent medicine recall’, followed by the name of the deficient
goods
Mailed letters: Label the letter urgent and label the envelope with Urgent in bold red type in the top
left corner.
• Medicine Recall
• Medical Device Recall
• Biologicals Recall
• Product Defect Correction
• Product Defect Alert
We may request you to provide the letter to specific groups affected by the goods.
Ask the Australian Recall Coordinator if you need help with the best way to address the letter.
Medicine description
Biologicals description
manufacturer’s name
Describe clearly:
• the circumstances the user would be exposed to the maximum potential hazard and
associated risk that could result from the reasonably foreseeable use or misuse of the goods
• the health risk associated with the problem, including details of consequences for the patient
and health professional using the affected goods
• how to mitigate the risk temporarily and
• how this risk or problem will be mitigated or corrected permanently.
Do not:
• make any comments or provide any descriptions that downplay the level of risk or
• use any advertorial statements.
Action
State clearly what to do and the steps to take to deal with the problem:
• emphasise if it is necessary to isolate and quarantine the goods to prevent further use
• include advice in a hazard alert about the ongoing management of patients implanted with the
affected medical device or biological
• provide a review of previously generated patient results for in vitro diagnostic medical devices
• request the customer response form be returned immediately or by a particular date
• describe the procedure to follow when returning the goods (where applicable)
• inform customers that for medical devices, there will be on-site collection and/or replacement
or modification, if this is the case
• include specific instructions for packaging biologicals and radiopharmaceuticals before either
returning them to the sponsor or disposing of the materials, whichever is relevant
• instruct the customer to inform relevant staff
• request contact details of any organisation supplied with the goods, or instruct them to provide
these organisations with a copy of the sponsor’s customer letter (with a timeframe) and
• include instructions to display prominently the recall letter for their staff and customers for a
period of either 1 month (where applicable, such as when stock is in transit) or until such time
that, the goods are recalled or corrected permanently.
Alternative stock
Where applicable, include advice on:
Contact details
Explain who to contact to:
Optional information
You may also include additional information, such as:
• a photo or picture of the goods (where possible), especially for consumer level recall actions.
This assists in clearly identifying the affected goods
• when further supplies are likely to be available
• instructions about returning the goods
• guidance on clinical management of patients (if appropriate)
• advice about whether the goods will be discontinued (if appropriate)
The letter may change depending on our independent and objective assessment of
your proposed action.
You may use email, mail, facsimile, document delivery systems or appropriate technologies including
portals with workflow management and audit capabilities. Make sure you can:
confirm receipt as it reduces the need to follow up with customers to confirm they have received the
notice
Send us a final, signed copy of the sponsor’s customer letter in Step 8 of the recall procedure.
• the name, pack size, batch number(s) and presentation of the goods
• a place to record nil stock held or the quantity of full packs or units being returned
• a place to record the quantity of part-packs being returned, if this is applicable
• a place to record the name of the organisation, and the name, designation and signature of
the person acknowledging the recall and
• a place to record the date of completion of the form.
Ask customers to return the form promptly even if they do not have any remaining stock.
Provide a means for customers to return the form free of charge e.g. an email address or online form.
If you need to contact customers via telephone and/or physical site visits following distribution of the
customer letter and they confirm receipt of the letter, this can be considered a response even if a
completed response form is not returned to you.
In these instances, you should retain a clear record of the telephone conversation or site visit. This will
assist you with reconciling the recall action and reporting response rates to us. A completed response
form remains the preferred option and should be your first priority.
You can tailor notices for specific groups of consumers. For example, it may be appropriate for the
notices to be in other language(s) as well as English when the goods were sold to customers from
specific non-English speaking backgrounds.
Consider whether to publish notices in social media, taking into account the product under recall and
how it is distributed.
Product information
Include:
Communication strategy
Prepare a communication strategy for your recall action, including draft consumer recall notices, which
we will review and agree in consultation with you, or instruct in decisions relating to mandatory recalls.
Knowing your customers and how they access your products helps you target them more directly. You
must distribute your consumer recall notice more widely if you cannot identify your customers or how
they purchase and find information about your products.
Note: As the sponsor, you are responsible for paying for these consumer recall notices.
Where the agreed communication strategy includes publication of your notice in print media daily
newspapers, you should ensure the notice will be published:
• once, in the daily print media newspapers (of each state and territory where the goods were
possibly distributed) and
• sponsors
• manufacturers
• wholesalers and distributors
• exporters
• health professionals
• consumers
• TGA
• state and territory recall coordinators
• ACCC (for therapeutic goods that are also “consumer goods” – as defined by the Australian
Consumer Law).
As a sponsor of a therapeutic good, you have ongoing responsibilities to ensure you are prepared for
a recall and able to respond appropriately to complaints and problem reports.
A TGA delegate for the Secretary of the Department of Health and Aged Care can mandate a recall to
protect the public from an unsafe good in accordance with the Act if the manufacturer or sponsor does
not undertake the recall.
Civil and criminal penalties apply if you do not comply with a mandatory recall.
• Immediate actions: it is essential that you follow the instructions, this involves contacting the
Australian Recall Coordinator straight away
• step for noting our agreement to your recall action and communication strategy (Step 7)
• the people in your organisation who will be involved in a recall action
• how to access current contact details for:
• TGA
• businesses and organisations to contact
• hospitals and other healthcare facilities to contact
• bodies representing health professionals
• general retail outlets that may supply your products
• state and territory recall coordinators
• funding bodies
If you do not have a nominated recall contact person, ask your TGA Business Services administrator
to update your records.
o for your own entry, ‘Account settings’ will show ‘Additional information’ if you are
authorised to speak to us
All distribution records should be easy to follow and readily available to us if we ask.
We rely on you for certain details (such as batch size, distribution chains and quantities distributed)
that are important for developing a recall strategy.
Analysing risk
The sponsor (when also the manufacturer) is responsible for analysing the risks with medicines.
If the sponsor is not also the manufacturer, the sponsor may conduct the risk assessment in
conjunction with the manufacturer.
Every wholesaler should have a procedure describing how they will conduct a recall action if you
request them to do so. Wholesalers of scheduled medicines should follow the Australian Code of
Good Wholesaling Practice for Medicines in Schedules 2, 3, 4 and 8.
Sponsor-manufacturer agreement
The manufacturer and sponsor should have an agreement to ensure that both parties can meet their
responsibilities relating to any potential recall action.
Note: This is not necessary when the manufacturer is also the sponsor.
Medicine manufacturers
Medicine manufacturers are required to:
Keeping records
All manufacturers need to maintain records.
Manufacturers in Australia
Medical device manufacturers keep records for at least 5 years from the last date of manufacture, or
for the lifetime of the device, whichever is longer.
Medicine manufacturers retain complete records pertaining to the medicines. The timeframe for
keeping these records depends on the expiry date:
Biologicals’ manufacturers retain complete records pertaining to the biologicals for five years (see
section 32JA of the Therapeutic Goods Act 1989).
Analysing risk
Manufacturers are responsible for conducting risk analyses and investigating medicines, medical
devices, biologicals, human blood and blood components.
Medical device manufacturers require, as part of an effective QMS (usually in accordance with ISO
13485 Medical devices – Quality management systems – Requirements for regulatory purposes:
Wholesalers of medicines in schedules 2, 3, 4, and 8 should follow the Australian Code of Good
Wholesaling Practice for Medicines in Schedules 2, 3, 4 & 8.
• offshore pharmacies
• exporters supplied by the wholesaler
• clinical trials organisations
• retailers licensed to sell pharmacy-only medicines
• private hospitals
• paramedic organisations and
• organisations that may include the affected goods in a new combination of goods.
• include export customers in the communications strategy that you provide us in Step 6 of the
recall procedure and
• provide the overseas recipients with a written notice as soon as practicable.
As a health professional, you may delegate these tasks to a competent person, but you should remain
vigilant.
• a nursing home
• another pharmacy
• a doctor's surgery or
• a laboratory.
Contact any organisation for which you have acted as a supplier and:
Hazard alerts
Give individual patients advice in the context of their personal medical circumstances.
Advise patients about the Hazard Alert, the reasons for it, and the actions patients should take,
according to the sponsor’s customer letter and their individual circumstances (for example, if clinical
signs indicate a need for medical follow-up).
• contact all consumers who have already received the recalled therapeutic good (if
appropriate)
• advise patients about the recall action, the reasons for it, and the actions they should take,
according to the recall letter and their individual circumstances (for example, if clinical signs
indicate a need for medical follow-up) and
• replace the goods held by the patient (if necessary).
Once a therapeutic good is available in Australia, we continue to monitor it through product vigilance
activities.
In rare cases, a TGA delegate of the Secretary will mandate the sponsor to recall a therapeutic good.
For all recall actions, we send the TGA Recall Notice to all State and Territory recall
coordinators.
• independently and objectively assessing the risk posed by the affected therapeutic goods:
- this is a critical step in the recall procedure. It verifies, through independent assessment, the
potential or real risks to the public and verifies the effectiveness of the proposed recall action
to mitigate the potential or real risks to public health and safety
• agreeing to the recall action and communication strategy:
- this is critical for ensuring the messages and strategy are commensurate with the risk posed
by the affected goods
• sending the agreed recall letter to the sponsor
• notifying others:
o includes state and territory recall coordinators
o parties contacted are listed on our website and
• reviewing the recall action at the end of the process:
- sometimes this results in further investigations, such as an inspection of the manufacturer.
This is critical for the effectiveness of the recall.
We maintain a current list of state and territory recall coordinators.
We contact relevant state and territory recall coordinators at Step 7 of the recall procedure.
We liaise with the ACCC when necessary for safety-related recall actions for therapeutic goods that
are also “consumer goods” (See ACCC and recalling goods, below).
Providing information
We are responsible for communicating:
They keep contact details current for relevant organisations and individuals, including:
• purchasing authorities
• public and private hospitals and
• other professional groups.
State and territory recall coordinators need a written procedure for providing recall alerts to their
contact list.
Make sure you can use your alert system as a rapid alert system in the case of an
emergency.
• assist the sponsor to implement the communications and recall strategy agreed by us and
• follow their own procedure for contacting relevant organisations when a sponsor initiates a
recall.
We send the state and territory recall coordinators the TGA Recall Notice for all recall
actions.
One of their roles as a regulator is to identify and address the risk of serious injury and death from
safety hazards posed by “consumer goods”. Consumer goods are defined in the Australian Consumer
Law (ACL) as goods that are intended to be used, or are of a kind likely to be used, for personal,
domestic or household use or consumption.
To notify a recall action to the ACCC, go to Submit a recall on the ACCC website, then complete and
submit the online form.
Will the TGA or the ACCC be the lead regulator for my recall action?
In general, if the problem with a therapeutic good that is also a consumer good arises from non-
compliance with a safety standard or ban under Part 3-3 of the ACL or a safety information standard
under Part 3-4 of the ACL, the ACCC will be the lead regulator for the recall action. In all other cases,
the TGA remains the lead regulator for the problem, refer to the flowchart on the following page.
Examples
However, the battery compartment is not secure, leading to batteries falling out of the
device. The sponsor has received multiple complaints about this problem.
Before submitting the action to the TGA, the sponsor checks the ACCC’s Product Bans
and Mandatory Standards webpage and finds that their product does not comply with
the Mandatory Standard for products containing Button Batteries.
Instead of submitting a notification to the TGA, the sponsor must notify the ACCC that it
is recalling the product within 2 days of taking the action.
If the pregnancy testing kit was experiencing another problem but is compliant with the
relevant mandatory standards, the TGA would be the lead regulator for this recall action.
However, the sponsor is still required to notify the ACCC of this within 2 days of taking
action. This is because the kit is defined as a therapeutic good AND a consumer good.
In practice, suppliers should provide this notice to the ACCC when they receive the
agreement letter from the TGA.
Resources
Mandatory recalls
Sponsors of therapeutic goods are encouraged to decide of their own accord, or after
recommendation from us, that the recall of a particular product is necessary in order to mitigate an
actual or potential deficiency in relation to its safety, quality, performance or efficacy.
However, if necessary the Delegate of the Secretary of the Australian Department of Health and Aged
Care (the Secretary) can exercise powers under the Therapeutic Goods Act 1989 to mandate the
sponsor to recall therapeutic goods to protect public health.
These powers apply to the person to whom the goods are entered on, cancelled or suspended from
the ARTG and also to persons who are supplying goods not entered on the ARTG e.g. exempt goods
or illegally imported, supplied or manufactured goods.
• ACCC and recalling goods for statutory obligations under the ACL.
A TGA delegate of the Secretary can also impose requirements to recall:
• on the ARTG:
o does not comply with the essential principles
o has not been manufactured under the applicable conformity assessment procedures
o appears to be unacceptable in relation to its quality, safety, or performance
• exempt from requiring entry on the ARTG or is the subject of an approval or authority to
enable lawful supply while not on the ARTG:
o does not comply with the essential principles
o the manufacturer has not applied the applicable conformity assessment procedures
o if exempt under the 'emergency' exemption: is not fit to use for its intended purpose
• is supplied, but is not either on the ARTG or exempt from having to be entered on the ARTG,
and is not the subject of an approval or authority to enable lawful supply while not on the
ARTG
• has been cancelled or suspended from the ARTG.
The requirement to recall a kind of medical device may only relate to some medical devices of that
kind.
The exercise of recall powers under these provisions does not affect powers to suspend or cancel
entries of kinds of medical devices, under other Parts of the Act.
• Persons import, supply or export medical devices that do not meet the essential principles.
• Manufacturers of medical devices supplied in Australia did not apply appropriate conformity
assessment procedures.
There are no similar provisions when the manufacturer has not applied the appropriate conformity
assessment procedures to manufacture medical devices.
• A medicine or OTG, (whether registered, listed or exempt from having to be entered onto the
ARTG), or the subject of an approval or authority to be supplied while not on the ARTG either:
o does not comply with an applicable standard
o is not manufactured according to the manufacturing principles
• A medicine or OTG is illegally supplied (i.e. it is not registered or listed on the ARTG and it is
not exempt from having to be entered onto the ARTG, or the subject of an approval or
authority to be supplied while not on the ARTG)
• A medicine or OTG is on the ARTG but either:
o An unlicensed manufacturer carried out one or more manufacturing steps
o It appears that the quality, safety, efficacy or presentation of the medicine is
unacceptable
o A medicine or OTG has been cancelled or suspended from the ARTG.
The requirement to recall a medicine or OTG may relate to specified batches.
• A biological, whether included on the ARTG or exempt from having to be entered onto the
ARTG, or the subject of an approval or authority to be supplied while not on the ARTG either:
o does not comply with applicable standards.
o has not been manufactured according to the manufacturing principles (not applicable
to Class 1 biologicals).
• A biological exempt from having to be entered onto the ARTG under the “emergency”
exemption is not fit to be used for its intended purpose.
• A biological is illegally supplied (i.e. supplied and it is not included on the ARTG, is not exempt
from having to be entered onto the ARTG, and is not the subject of an approval or authority to
be supplied while not on the ARTG).
• A biological (other than a Class 1) supplied while on the ARTG but there is a breach of the
condition that:
o The biological be manufactured by the holder of an Australian licence.
o If manufactured overseas, the biological has been certified to have been made under
acceptable manufacturing procedures.
• take specified steps, in a specified manner and within such reasonable period as is specified
to recall the goods
• inform the public or a specified class of persons, in a specified manner and within such
reasonable period in relation to the problems and/or publish specified information
• inform the public or a specified class of persons, in the specified manner and within such
reasonable period as is specified, of specified information, or of information of a specified kind
in relation to the goods and/or the problems
• publish, in a specified manner and within such reasonable period as is specified, specified
information, or information of a specified kind, relating to the manufacture or distribution of
goods.
Notify the TGA delegate, in the specified manner and within such reasonable period as is specified, of
specified information, or of information of a specified kind, relating to the persons to whom the goods
have been supplied. To achieve this, a TGA delegate can require the sponsor to follow requirements
of this procedure or a different set of instructions.
A TGA delegate can also require the same person to inform the public (or a specified class of
persons) what is happening, or has happened, and why.
• be charged with a criminal offence and, if found guilty of that offence by a Court:
o imprisoned for up to 12 months (or 5 years, if failure to recall the therapeutic goods
results in harm or injury to another person)
o be subject to fines ranging from 1,000 to 4,000 penalty units.
• Have civil penalty proceedings brought against them in a Court, and, if the Court finds the
breaches made out, be ordered to pay various civil penalties.
Therapeutic goods are counterfeit if the label or presentation of the goods; any document or record
relating to the goods or their manufacture; or any advertisement for the goods; contains false
information relating to the:
It is an offence under section 42T of the Therapeutic Goods Act 1989, punishable by imprisonment of
up to 12 months or a fine of up to 1,000 penalty units, or both if
• they receive information or demands and know it relates (either expressly or by implication) to
actual or potential tampering with some or all of those therapeutic goods, or any other
therapeutic goods and
• fail to notify the TGA within 24 hours after receiving information or demand.
How to notify
Address your notification to the Australian Recall Coordinator via recalls@health.gov.au.
• take action to recall the goods that have been, or could possibly be, subject to tampering
• inform the public or other specified persons of the actual or potential tampering.
TGA may impose these requirements under Section 42V of the Therapeutic Goods Act 1989, whether
or not a notification has been made.
Reference/Publication #