CDRRHR Inspections
PH-Unique · FDA Philippines · Regional Field Offices · LTO compliance
Overview
CDRRHR conducts inspections of licensed establishments to verify ongoing compliance with LTO conditions, QMS requirements, and post-market obligations. Inspections may be routine, triggered by complaints, or follow-up after adverse events.
Types of Inspections
| Inspection Type | Trigger |
|---|---|
| Routine LTO inspection | Part of LTO issuance and renewal cycle |
| Market surveillance | Conducted by CDRRHR and Regional Field Offices as ongoing market monitoring |
| Complaint-triggered inspection | Initiated following a complaint or adverse event report |
| Post-FSCA inspection | Follow-up after a field safety corrective action |
| Import inspection | Inspection at port of entry coordinated with Bureau of Customs |
What Inspectors Assess
During an establishment inspection, CDRRHR evaluators will typically review:
- Validity of LTO and compliance with LTO conditions
- Storage conditions — temperature, humidity, segregation of approved and rejected stock
- Distribution records — traceability of devices from receipt to sale
- Complaint handling records — complaint log, investigation records, CAPA
- Adverse event reports — eReport submissions and case files
- Recall records — recall procedures, execution records
- CMDN/CMDR certificates — validity and correspondence with products being distributed
Regional Field Office Monitoring — PH-Unique
CDRRHR has Regional Field Offices throughout the Philippines that conduct localised market surveillance. This means:
- Compliance monitoring is decentralised — products distributed outside Metro Manila are subject to regional inspection
- A compliant establishment in Manila may still have products identified as non-compliant through regional field office activity
- Maintain distribution records and ensure your regional distributors / sub-distributors are informed of their compliance obligations
Responding to Inspection Findings
If CDRRHR identifies deficiencies during an inspection:
- A written Notice of Deficiency is issued
- The establishment must respond with a CAPA plan within the specified timeframe
- CDRRHR may conduct a follow-up inspection to verify CAPA implementation
- Failure to respond or repeated non-compliance may lead to:
- Suspension of LTO
- Revocation of LTO
- Recall of affected products
- Criminal prosecution under RA 9711
Preparing for Inspection
Best practices to maintain inspection-ready status:
- Keep LTO, CMDN/CMDR certificates, and ISO 13485 certificates filed and readily accessible
- Maintain an up-to-date distribution record for each registered product
- Ensure the complaint log is current and all complaints have documented investigation and CAPA
- Storage logs (temperature monitoring records, if applicable) must be maintained
- Train all staff on procedures for welcoming and cooperating with CDRRHR inspectors
Penalties for Non-Compliance — RA 9711
Violations identified during inspection may lead to administrative and criminal penalties under RA 9711, including:
- Fines up to ₱500,000 per violation
- Revocation of LTO
- Product seizure
- Imprisonment for responsible officers in cases of deliberate falsification or serious violations