Integration of Artificial Intelligence and Machine Learning in QMS

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Integration of AI & ML in Quality Management Systems

There is no doubt that we have entered the new industrial revolution, commonly referred to as Industry 4.0. Digitalization is transforming the way products are being manufactured, controlled, distributed and improved upon.

For years though, pharmaceutical companies were lagging behind due to the high cost of process shifting imposed by stringent GMP compliance requirements by US FDA and MHRA, lengthy software implementation timelines and high validation cost . Reasonably so, as caution is necessary before adopting any new technology in such a delicate field.

However, the pandemic has forced the entire Pharma industry to kick up a gear. Rapid increase in demand especially for biopharmaceutical products and medical devices over the past couple of years revealed inabilities of traditional setups to adapt to sudden changes in market requirements.

Today organizations are spending a good amount of money on process deviations. An average cost of deviation (start to end) will cost nearly USD 40000 to 200000 per deviation. There are certain steps in deviations that can be digitalized with the AI/ML technologies, resulting in reduced cost of deviations by 60%.

As a result, pharmaceutical industry has been propelled into Pharma 4.0, fueled by sophisticated technological solutions that significantly improve efficiency of an average manufacturing unit.

How Artificial Intelligence and Machine Learning can be Integrated into Quality Management

A typical pharmaceutical plant collects a remarkable amount of data as part of the quality assurance process. By having to document every part of the process to ensure quality tracking and error traceability, even a mid-sized manufacturing facility’s QMS software will collect enough data in one year to overwhelm an average server. Traditional means of storing data on local servers quickly become cumbersome, expensive and difficult to manage, as they require almost constant investments into equipment maintenance and capacity increases.

Storing all the information is only part of the problem, solvable by relying on cloud services. An even bigger issue lies in the inefficiency of such a practice. Mountains of data remain unanalyzed, unused and practically forgotten. The only purpose becomes compliance, missing out on valuable opportunities to spot mistakes as they happen and gather valuable insight through in-depth analysis.

The amount of stored data only continues to grow with every new device and process being introduced into the system. Unless indexed and stored in such a way to allow effective analysis, both in real time and retroactively, it is essentially wasted.

Modern technology aims to solve this problem and offer opportunity for continuous improvement. Big data, artificial intelligence (AI), machine learning (ML) and deep learning (DL) are tools that turn these mountains of unusable pieces of information into valuable pools of data, insights and predictions. Data is practically useless – knowledge is what is valuable. These tools do exactly that: turn data into knowledge.

The traditional means of identifying, reporting and fixing problems are highly inefficient compared to possibilities offered by AI. 21 CFR (part 11) states that every pharmaceutical manufacturer is obliged to establish procedures to implement corrective and preventive action in case of errors (the CAPA system). In other words, to identify the underlying cause of the detected issue, resolve it and prevent it from happening again, as well as to avoid such problems in the first place. The usual way of handling errors is to manually maintain the CAPA register, monitor and track the actions taken, all the while relying on the employees to remain vigilant in reviewing logs, ensuring consistency in following procedures and being as productive as possible to respect the requested deadlines.

With AI-based solutions, CAPA is automatically initiated as soon as an error is registered, therefore removing the need for manual labor and inconsistencies due to the human factor. The automated process issues a notice that CAPA was activated, appropriate corrective actions are automatically applied to the identified deviation, and previous preventive actions are checked for similar deviations to strengthen the effectiveness of the CAPA process.

Therefore, any issues with reliability, defect tracking software or promptness of response have been removed.

Benefits of Artificial Intelligence and Machine Learning in Quality Management

To briefly define these tools, artificial intelligence uses human-like processes for planning, analyzing and problem solving. Its subsets are machine learning and deep learning. Machine learning performs endless calculations of the collected data to suggest possible solutions to the imposed problem, using systems modeled to resemble a human brain. Deep learning uses algorithms to process vast amounts of data through many layers in order to transform it into usable chunks of information.

All of these processes can be done quickly, even on an extremely large amount of data. As a result, these technologies produce meaningful insights that can solve problems, predict likely scenarios, or serve to improve the manufacturing processes. And they do it promptly, practically and without prohibiting costs. Furthermore, there is no need for previous categorization or complicated data integration. On the contrary – AI performs better when data is unstructured, even when it is collected from different sources and in various formats.

This greatly simplifies the procedure of gathering data from different parts of the manufacturing process, from various devices and systems, even from separate departments, without having to create uniform reports or formatted data sheets. Raw data is being indexed, stored and then quickly analyzed whenever the need arises, thus significantly improving the data analytics in QMS.

How can Machine Learning be used in Quality Management Processes?

As an example, procedures for handling customer complaints are defined as part of the Good Manufacturing Practice for the pharmaceutical industry. Since these usually relate to substandard medicines or medical devices, they do need to be addresses immediately and through an effective course of action.

Implementation of machine learning through AI allows to create a unified, automatic process of registering and acting upon these events. Rather than relying on several departments operating independently on limited data, an automated solution provides a prompt reaction with real-time tracking of a complaint. The issue is resolved through effective corrections and if necessary, the complaint can be automatically escalated if it turns into an adverse situation.

Furthermore, based on the previous Out-of-trend (OOT) and Out-of-specification (OOS) results the software is able to predict the tentative values that can be raised for specific products before they get tested.

The decision making for repeated deviations can be digitalized with AI/ML.

Change control management can be simplified by minimizing communication with auto-definition of the impacts and task assignments.

Market complaints can be minimized by applying the ML on the existing complaint data, analyzing the past root causes and applying them before a batch is released to the market.

By choosing an AI-driven solution that meets all of the necessary regulatory requirements, companies can avoid costly mistakes as well as public relation disasters due to a slow response to a problem.

Are there any potential risks of using AI and Machine Learning in Quality Management Systems?

Obviously, a question of reliability and compliance of these systems must be posed, as these technologies offer possibilities for improving GxP on the spot. If we take into account how long it takes to digitally transform an average manufacturing setup, it is understandable that there would be concerns about implementing AI and ML in QMS without seriously disrupting existing processes.

Challenges with integrating Artificial Intelligence and Machine Learning into Quality Management

The organizations do not need to switch to an AI-based quality management system. Instead they can apply the AI/ML concepts on top of the existing QMS systems data. There are tested and proven practices that can ensure that the transition into the digitalized environment will be as seamless as possible, while reaping all the benefits that these sophisticated tools can offer.

Aside from lack of knowledge and capacity to handle such a switch on their own, most plants are faced with long and resource-consuming processes of new technology implementation. By choosing low code solutions, digitalization can be implemented quickly, efficiently and without the need for extensive changes in everyday procedures.

How can businesses ensure that they are getting the most out of AI and Machine Learning regarding Quality Management?

Plants should rely on SaaS (Software as a Service) providers that have experience and expertise in implementing AI into (bio)pharmaceutical setups. The supplier takes over the responsibility of implementing the technology and becomes a trusted partner that will guide the transition from beginning to end.

Future of Quality Management with the Integration of Artificial Intelligence and Machine Learning

Artificial intelligence is undoubtedly a valuable asset that will most likely remain on the forefront of digitalization, guiding the pharmaceutical industry into the 4.0 future. GMP standards implementation in compliance with US FDA, MHRA and other regulatory bodies, current data collection and processing makes pharmaceutical industry rigid, reactive instead of proactive, and slow. Introducing new technologies into the existing practices will also introduce the ability to predict possibilities and resolve issues before they occur, improve processes continually with verification following alongside of it, and enabling more agile adaptability to the market.

Even though Pharma is one of the most controlled industries in the world, mistakes still happen and recalls are necessary. By introducing AI into the industry we can expect for quality control to be improved and brought into real time, to remove the need for recalls and actions further down the line, as the products leave the production facility. The future of quality assurance lies in AI and it’s coming to Pharma, one digitalized plant at the time.

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Root Cause Analysis with example for “5” Why technique

Root Cause Analysis (RCA) is a method that is used to address a problem or non-conformance in the quality process to get to the “root cause” (actual cause of origin) of the non-conformity. RCA helps to correct or eliminate the cause and prevent the problem from recurring (preventive action). Root cause analyses is aimed at improving products or processes quality and must an in systematic ways to be effective. Different Methods of doing Root Cause Analysis: Root Cause Analysis Methodology   Fish bone technique The “5” Why’s technique. Barrier Analysis Change Analysis Casual Factor tree analysis Failure mode and effects analysis Pareto analysis Advantages: To identify non-conformity and the causes, so that permanent solution can be found. To develop a logical approach of problem-solving, using data that already exists in QMS (Quality Management System) To identify current and also future needs for organizational quality improvement. To establish a repeatable systematic step by step processes, in which one process can confirm the results of another with deep analysis. Challenges: Not having the ability to understand the problem and therefore not defining it correctly. Not considering all possible failure modes. Not able to identify all root causes. No proper defined solution for the non-conformity. The “5” Why technique causes mapping Non-conformity identified: Decrease in the viscosity of Vitamin D3 syrup. The “5” why technique can be expanded to 15 why or 150 why the deeper you go the more thorough analyzing takes place and reveals better solutions Contact us for more information about the AmpleLogic Quality Systems Offerings.   Schedule a Free Consultation Request a Demo First NameLast NameCompany NameEmailPhone NumberDesignationCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweWhere you heard about us?– Select –Google SearchLinkedInReferralWord of MouthLinkedIn AdsMediumRequirementGet in touch

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Why is embracing the Document Management System still intimidating?

DMS in a layperson perception A thorough-cum-simpler explanation of Document Management System will make us understand about the efficacy of this digital trend. With the name “Electronic Document Management System”, we get an overall idea that the system is supposedly managing the documentation process. Now, this process is the common one being done in every organization, we all know. Here the point comes is : How are these documentation things being processed or managed in various industries these days? Collecting all the needed data or information of a company and putting them down in a specific file or document is something that we know very well, which has been done manually for ages. But with trending technological inventions like IoT, AI, Cyber Security, etc., in the ongoing digital world, we must step up to a more effort-less mode of documentation. So, with this, we came up with eDMS.  Replacing manual documentation work to automated-cum-electronic documentation, Electronic Document Management System has brought a different level of changes in contemporary pharma as well as life sciences companies. A quick peek of digitalization using Electronic Document Management Software (eDMS) While DMS has given us chances to ease our pain with an effective modification in documentation tasks, FDA’s 21 CFR part 11 has confirmed that electronic documents along with the records and signatures can surely be considered as the legitimate ones. Hence, it has confirmed that there will be no difference between paper signature and e-signature, rather the later one will be more considerable. Let’s have a quick walk through the benefits we have gained with Electronic Document Management System in contemporary pharma companies. Easy creation, management, and storage of all the crucial data and information of the company is possible with DMS. On incorrect data feeding, mismatch of information, missing data, you will get a reminder or notification which is not possible in manual management. All the data is stored in a specific and common cloud, which is accessible to everyone from everywhere. A smooth documentation now ensures a streamline workflow and saves a lot of time and resources which can be used in other areas of growth. Complete replacement of paperworks into paperless documentation becomes easy with eDMS. Having thorough data on drugs, research, new compliances, regulations require error-free documentation and with Pharmaceutical Document Management Solution this task can be managed easily. Storage of all the digital documents under a common cloud is much safer than keeping manual data in the form of documents stored in some physical storage. Accessible cloud storage documentation allows you to access the data whenever and wherever required, whereas in manual management there is some chance of missing out on important data. An organized documentation not only takes care of the data storage but also ensures a smooth flow of additional departments like SOP Management, manufacturing, operation, quality planning, etc. Terrorizing reasons restricting full-fledged eDMS inculcation Despite a lot of benefits, there are many companies who are reconsidering their decisions of incorporating Document Management Systems into their business. Every innovation comes with certain pros and cons. When we have already understood several benefits of the automatic documentation process, let’s explore the risky or stressed side or probable challenges of this digital trend. Data being vulnerable: With documentation being staged on digital platforms, it is extremely necessary to keep an eye on the security side. When crucial data is stored in the cloud then there comes a major terror of data being vulnerable and being attacked by malicious cyber frauds. Hence, it is required to maintain utmost cybersecurity ensuring the documentation is safe in the cloud kept away from cyber thefts. Doubt on successful implementation: There are so many growing features of Electronic Document Management and Tracking Software for Lifesciences industries, but we need to explore all those specifications accurately. Adding on a digital trend to a business could sound fun, but the real game starts when you implement the software effectively. This can be done with active seminars, group discussions, and taking feedback from employees (who are using it) on document management solution. Fear of smooth integration: The DMS must come up with appropriate integration of all relevant departments, then only we can assure its potential usage. Hence integration of DMS with other in-house applications must be done properly to make the system work automatically and independently. Staying inconsistent in usage: To replace paperworks with digital paperless ones, giving employees detailed training on Pharmaceutical Document Management and Tracking Software is essential. Hence, keeping the usage of DMS consistent becomes a tough task if the users are not well-trained. So, the prior task is to train employees about the usage of the platform and bring consistency in keeping the system in work consistently. Realising the probable challenges as well as conquered benefits of Document Management Solution we can easily understand how to proceed with this amazing transformation from loads of paper-based documents to hassle-free paperless one-stop-data centres. AmpleLogic’s best DMS software is assisting several pharma as well as other businesses to successfully implement this amazing digital tweak to their work processes making lives easier. Talk to our team to enroll for a free demo on Electronic Document Management System. Schedule a Free Consultation Request a Demo First NameLast NameCompany NameEmailPhone NumberDesignationCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweWhere you heard about us?– Select –Google

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Benefits of Training Management System

Here’s what a Training Management System can, and should, do for you: Learning Management System makes it very easy for trainers to update existing training content or add new content in a short time Comply and Meet essential regulatory requirements and other best practices more easily Enhance managers and employees ability to achieve required results, not just complete the training Measure the reduction in operational expenses, travel time and on-site visits Reduce the time for needed for creating, updating, printing and shipping of learning course manuals and documentation Dramatically reduce the cost of software for managing and creating training courses Improve the administration of your learning programs Increase your ability to manage and deploy e-learning to your employees across any location Consolidates training information to improve efficiency, improved facilities coordination and cost utilization Improve personnel performance by enabling you to manage admiration and human resources more effectively Implement more and more effective skills and competency training management programs Reduce training costs Increase the number of training courses that you can deliver for less money Training Course materials on an effectively deployed Learning Management System (LMS) can be accessed by employees across geographies, without affecting the quality or consistency of training These training systems allow the creation, personalization, and download of detailed training reports outlining the progress of the learners, departmental groups, completion of work, time taken to complete the task, etc. which allows easy evaluation of their progress either as an individual or a group A modern Learning Management System, like AmpleLogic LMS, can support your organizations as it grows, and give you the flexibility to add the latest features and functionality to support your training and learning programs Are you ready to invest in a new Learning Management System or LMS? Contact us today to find out more or schedule a demo. Schedule a Free Consultation Request a Demo First NameLast NameCompany NameEmailPhone NumberDesignationCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweWhere you heard about us?– Select –Google SearchLinkedInReferralWord of MouthLinkedIn AdsMediumRequirementGet in touch

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