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What is the
active ingredient in Fresh Protect?
Fresh Protect does not use drying alcohol. Fresh Protect employs the
use of Benzalkonium Chloride – an antiseptic. The active ingredient
is not naturally derived. However, it is found in of grapefruit seed
extract.
Does Fresh Protect Meet CDC Guidelines for Health-Care Settings?
YES...Fresh Protect meets and exceeds CDC guidelines for
hand hygiene hospital protocol.
What germs does
Fresh Protect kill?
Fresh Protect kills 99.99% of household,
community and hospital germs. Germs that are carried person-to-person, and germs that people pick up from inanimate
objects and hard surfaces and animals. Germs than can make people
very ill.
How natural is Fresh Protect?
Fresh Protect
spray and foam are All Natural and
the lotion / product is 96.9% Natural.
Fresh Protect bases it's Natural claims on the NPCIP
standards. www.npcip.org
(Natural Personal Care Ingredients Panel)
Is Fresh Protect really made without
alcohol?
Fresh Protect does not contain the alcohols that alcohol-based
sanitizers use.
Fresh Protect is not-flammable nor does it cause drunkeness.
Fresh Protect does not claim to be made
without any trace amounts of fatty alcohols. Technically, many
common chemicals are actually a form of alcohol... Such as
glycerin/glycerol (humectant), caprylyl glycol (preservative), phenoxyethanol (preservative) , cetyl / ceteryl / steryl alcohol
(emulsifiers).
Does Fresh Protect moisturize?
Fresh Protect Sanitizers moisturize the hands and skin with
every use. Fresh Protect incorporates the natural botanicals
Vitamin E, Aloe Vera, Oat Extract, Green Tea Extract and Glycerin to
effectively moisturize the skin.
Does Fresh Protect contain parabens?
Fresh Protect has no known or added parabens.
How often can I use Fresh Protect Sanitizer?
Fresh Protect can and should be used after and before each
patient, after each use of a bathroom,
and after handling objects. It does not replace hand washing.
How long does a container last?
How many applications are in an ounce of Fresh Protect Sanitizer?
Expected yield per ounce of Fresh Protect Sanitizer is here listed:
Lotion/Product: Over 50
pumps per ounce.
Spray: Over 200 pumps per
ounce.
Foam: Over 70 pumps per
ounce.
This in not necessarily indicative of
cost-effectiveness...
A person will tend to use 1-2 pumps of lotion or 4-6
pumps of spray or 1-2 pumps of foam to be adequately
protected.
Can I use
Fresh Protect with disposable or examination gloves?
Fresh Protect is compatible with disposable exam gloves.
Can I use Fresh Protect to replace hand washing?
Fresh Protect can compliment regular hand washing, but should not
replace it.
The Center for Disease Control (CDC) suggests that good hand hygiene
(i.e., hand washing) should be practiced frequently, several times a
day, especially after using the bathroom.
What is the proper hand washing technique?
Washing your hands periodically throughout the day can prevent
you from getting sick and spreading germs to others. However, proper
hand washing takes some know-how. Running your hands under the facet
for a few seconds does not constitute proper hand washing technique.
Begin by wetting your hands with clean warm water and applying a
liberal amount of soap. Next, wash your hands with the soap and
water for at least 20 seconds. When you finish washing, rinse well.
Dry your hands on a paper cloth or air dryer (if one is available).
Always use your paper cloth to turn off water after washing your
hands to reduce the risk of surface contaminants.
Is Fresh
Protect tested on animals?
No. Fresh Protect believes in humane practices and does not test on
animals.
Is Fresh Protect effective against gram-negative bacteria?
Yes, Fresh Protect effectively kills gram-negative bacteria at a
kill rate of 99.99%>
Is Fresh Protect in compliance
with the FDA TFM or OTC Products?
It is in compliance with the FDA
Final Tentative Monograph for OTC Hand Sanitizer preparations
(leave-on sanitizers not requiring a rinse).
What are the FDA Regulatory
issues relating to Leave-On Antiseptic Products?
One question that people have
relates to the choice of quat active ingredient, either
benzalkonium chloride or benzethonium
chloride, and recent issues relating to
them. With regard to benzalkonium chloride
or benzethonium chloride and the Agency,
note that both quats are listed in the Antiseptic monograph as
Category III for safety and efficacy. Category III for safety
and efficacy means FDA did not have sufficient efficacy and
safety information to list them as Category I for hand
antisepsis. However, this category allows them to be marketed
in products that fall within the monograph as long as the
formulations conform to the percentage ranges in the monograph (Benzethonium
= 0.1-0.2%; Benzalkonium = 0.1-0.13% - note this is hard to
track in the monograph but we have confirmed it with FDA).
Now, the real issue is that FDA does
not feel that the 1994 TFM includes hand sanitizers (e.g.
waterless or leave-on products). Though there are many
paragraphs within the monograph that suggest otherwise, this is
the stance of the Office of Enforcement. So, today, we can
market a quat wash-off product within the above ranges and
complying with the above regulations without concern. However,
since the hand sanitizer use pattern is not part of the
monograph in the eyes of Office of Enforcement, the product may
only be on the monograph with an NDA or if it qualifies for what
is called "grandfathering". A product may be grandfathered, if
records can be shown that it was in the market for a material
time and extent prior to December, 1975. Enforcement did the
research to prove that this was true for ethanol hand sanitizers
thus they are "grandfathered". The FDA enforcement staff shared
with us that they have been shown information to allow
grandfathering of IPA, IPA and Ethanol combinations, and
benzalkonium chloride. Benzalkonium
chloride "grandfathering" has been
confirmed, and FDA enforcement staff verbally stated to us that
thus they plan no further regulatory action against waterless
benzalkonium products that comply with the other items listed
above.
Why Benzalkonium
chloride based Hand Sanitizers?
Benzalkonium chloride based Hand
Sanitizers have distinct advantages over gelled alcohol hand
sanitizers. While both product forms are FDA Monograph for leave
on products, fast acting and allow for use without water or
towels, benzalkonium chloride based
products are non-flammable, less drying to skin, and will not
stain clothing. Published studies report that gelled alcohol gel
hand sanitizers actually make the skin dirtier, not cleaner due
to removal of protective natural skin oils and entrapment of
dead skin cells by the polymer thickeners used in the gelled
alcohol products. Benzalkonium chloride
is a quat active ingredient with a history of use in leave-on,
FDA Monograph anti-bacterial skin treatment products. Leave-on
Hand Sanitizers should not be used as a substitute for proper
hand washing and hygiene practices.
Why can't
'Fresh Protect Sanitizers' disclose to the public it's full
potential?
Current
FDA regulations in the USA do not allow claims about any type of anti-viral or
anti-fungal activity for hand sanitizers. In other words, if a hand
sanitizer was proven by independent lab testing to effectively kill molds, fungus or viruses, (H1N1,
Swine Flu, Norovirus, common flu, Herpes Simplex, MRSA, VRE, C.diff. and
many others), in one minute or less, it could not be sold in the USA with those claims. It could
only claim to kill bacteria / germs.
It cannot claim any persistence. In other words, if a hand sanitizer
was proven by independent lab testing to persistently kill germs
with 100% effectiveness for over 4 hours, it could not be sold in
the USA with those claims. It could only claim to kill 99.99% of
bacteria / germs. Therefore, we emphatically state that
Fresh Protect Sanitizers, sold for use in the USA, do NOT exhibit any of these
stated activities. No one should assume or state that Fresh Protect
Sanitizers have any biocidal activity other than the antibacterial claims
allowed by law.
The FDA published a Warning Letter about Fresh Protect
products... What is that all about?
The FDA published a warning letter to Omega Tech
Labs, LLC on October 21, 2008 (http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2008/ucm1048091.htm).
The FDA really doesn't give a fair chance to respond. Omega now
addresses, in part, the FDA warning letter to Omega.
The purpose of the FDA is to safeguard public health and provide to
consumers food... and drugs that are safe, unadulterated and
honestly presented. (edited from the FDA web sites)
Omega Tech Labs, LLC appreciates the
opportunity to respond to the issues raised in FDA's October 21,
2008 Warning Letter, and to clarify the nature of our Boise, Idaho
OTC manufacturing operations.
Omega is committed to complying with applicable laws and
regulations, and to ensuring high quality products for its intended
end-users. This letter responds to FDA's concerns and, where
appropriate, identifies areas where we intend to make voluntary
changes to address these concerns.
FDA states in the Warning Letter:
The Stop, Motion, and Promise Products are Unapproved
New Drugs and Misbranded
The FDA facility inspector reviewed each of these products and
labeling during the inspection. The inspector sent copies of
the labeling to the FDA regional director. We received a
complete and total acceptance of wording and packaging from FDA with
the intent of Omega to clarify some specific wording on the
packaging before the next printing of labels. It was a total
shock and surprise on their 'turn-around' regarding the Stop,
Motion, and Promise Products. How can they be unapproved new
drugs and misbranded when they themselves approved them. Omega
has removed these products entirely from the USA market.
FDA states in the Warning Letter:
(Fresh Protect) ...
The New Drug and Misbranding
Violations
FDA states in the Warning Letter:
As presently labeled and promoted, these products violate the
new drug and misbranding provisions under Sections 505 and 502,
respectively, of the Federal Food, Drug, and Cosmetic Act (the Act)
(21 U.S.C. §§ 355 and 352), as described below. In addition, the
inspection documented significant deviations from the Current Good
Manufacturing Practice (CGMP) Regulations for Finished
Pharmaceuticals (Title 21, Code of Federal Regulations (C.F.R.),
Parts 210 and 211), as described below. Such deviations cause the
Fresh Protect Products to be adulterated within the meaning of
Section 501 (a)(2)(B) of the Act. 21 U.S.C. § 351 (a)(2)(B).
Omega does not
intentionally introduce unapproved new drugs into interstate
commerce, nor does it manufacture drugs, (Omega manufactures
OTC) and does not need approved NDAs before dispensing its OTC
products. Our products are not misbranded. We are lawfully
engaged in the practice of manufacturing OTC products in compliance
with FDA's laws and rules. The FDA CFRs are very difficult to
read and interpret. We have consulted with several nationally
known firms that deal with interpretation of FDA CFRs, none of them
can agree on interpretation even simple CFR rules. When
addressing FDA offices in Seattle and Washington DC regarding
specific interpretations, neither had the same answer for the same
questions. The FDA field inspectors similarly, had conflicting
answers. We have complied with all labeling requests.
The Warning Letter also
refers to OTC drug information sheets, labeling and web site
information for Fresh Protect products, characterizing them as
all-inclusive labeling, and takes issue with the contents of the
information sheets, labeling and web site information. As a legal
matter, we believe that FDA lacks the authority to prescribe the
wording of information sheets, labeling and web site information for
OTC products as long as it is factual and honestly presented and
does not conflict with FDA TFMs that govern these type of products.
The requirement to exclude from the end-user adequate directions and
capabilities of these products do not apply to OTC drugs for
the same reason reasons that the NDA provisions are inapplicable.
Nonetheless, Omega understands FDA's concerns and has voluntary
reviewed the drug information sheets, labeling and web site
information referred to in the Warning Letter and made any and all
appropriate revisions.
We feel it is not it the publics best interests to not be fully
informed of the full capabilities of Fresh Protect OTC products.
With the
purpose of the FDA to safeguard public health and provide ...
drugs that are safe, unadulterated and honestly presented, we feel
the public is not being fully informed. The claims of just
what Fresh Protect sanitizers can do is being suppressed by the FDA.
Here is a direct quote from the Warning Letter:
(start quote)
The Fresh Protect Products are "drugs," as de fined by Section
201(g)(1) of the Act (21 U.S.C. § 3 21(g)(1)), because they are
intended to cure, mitigate, treat, or prevent disease, and to affect
the body's structures and functions. As described above, these
products are intended to prevent diseases caused by infection with
Staphylococcus aureus (MRSA), Vancomycin-resistant Enterococcus
faecalis (VRE), Clostridium difficille (C.Diff.), Norovirus, Herpes,
Influenza, Staph, Strep, and E. Coli, and P. Aeruginosa viruses.
They also are intended to cure, mitigate, or treat disease and/or
affect the body's structure or functions by rejuvenating skin cells
and reducing skin lesions.
Further, these products are "new drugs," as
defined by Section 201(p) of the Act (21 U.S.C. § 321(p)) because we
are not aware of sufficient evidence to show that they are generally
recognized as safe and effective (GRASE) by scientific experts in:
(1) preventing the diseases caused by infection with MRSA, VRE,
C.Diff., Norovirus, Herpes, and Influenza viruses, and the other
microorganisms listed in the product labeling; or (2) cell
rejuvenation, reducing skin lesions, and remaining on the skin and
being effective for up to four hours.
...
(end quote)
Omega has since removed all of the claims as
mentioned above. Interestingly, however, Omega did the testing
for the various claims listed above and, to the publics detriment,
Fresh Protect products cannot make the claims because of the FDA
interpretation of the CFR.
FDA
states in the Warning Letter:
The Fresh Protect Products Are Adulterated Due to CGMP Violations at
Your Manufacturing Facility
Fresh Protect Products are not
and never were 'adulterated'.
Although, we are guilty of some of the CGMP Violations, each alleged
violation really needs to taken into context. The FDA took
most out of context and built a mountain out of a mole-hill.
How sad, the very organization that is supposed to help the public
be safe and guide the private manufacturers to be better at what
they do, chooses to level nit-picky allegations at us.
We will now list a few of the allegations:
A. Failure to perform for each batch of drug
product appropriate laboratory determination of satisfactory
conformance to final specifications for the drug product, including
the identity and strength of each active ingredient, prior to
release, as required by 21 C.F.R. § 211.165(a).
Omega's Response: It could
have been better at the time of the inspection, but we were able to
determine conformance to final specifications. We now (2010) do it
to the satisfaction of the FDA.
C. Failure to have written procedures for
production and process controls designed to assure that drug
products have the identity, strength, quality, and purity that they
purport or are represented to possess, as required by 21 C.F.R. §
211.100(a).
Omega's Response: It could
have been better at the time of the inspection, but we were able to
determine conformance to final specifications. We now (2010) do it
to the satisfaction of the FDA.
D. Failure to have master production and control
records that include complete manufacturing and control
instructions, sampling and testing procedures, specifications,
special notations, and precautions to be followed to assure drug
product uniformity from batch to batch, as required by 21 C.F.R. §
211.186(b)(9).
Omega's Response: It could
have been better at the time of the inspection, but we were able to
determine conformance to final specifications. We now (2010) do it
to the satisfaction of the FDA.
F. Failure to thoroughly investigate
unexplained discrepancies or the failure of a batch or any of its
components to meet any of its specifications, whether or not the
batch has already been distributed, as required by 21 C.F.R. §
211.192.
Omega's Response: It could
have been better at the time of the inspection, but we were able to
determine conformance to final specifications. We now (2010) do it
to the satisfaction of the FDA.
The FDA cannot even understand, let
alone interpret their own CFRs, so when Omega applied it's
understanding of the CFRs to the development and labeling of it's
products, we did our level best. So rather than work with
us, the FDA, very aggressively, issued the warning letter. We
admit and, frankly, are thankful to the FDA for the help they have
provided. We had errors in wording and misunderstanding of
some CFRs and we are now a much better company today regarding
implementation of CGMPs. However, to get to this understanding
did not warrant an FDA Warning Letter.
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