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AAMI TIR16 2017

$93.55

AAMI TIR16:2017 – Microbiological aspects of ethylene oxide sterilization

Published By Publication Date Number of Pages
AAMI 2017 33
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Addresses various microbiological aspects of the development and validation of an ethylene oxide sterilization process. Does not address the various factors that can have an effect on the bioburden of the product and on the sterilization process. Provides additional guidance to ANSI/AAMI/ISO 11135:2014 for medical device manufacturers, including those that use contract sterilization facilities or contract sterilization operations.

PDF Catalog

PDF Pages PDF Title
1 AAMI TIR16:2017; Microbiological aspects of ethylene oxide sterilization
3 Title page
4 AAMI Technical Information Report
Copyright information
5 Contents
6 Glossary of equivalent standards
7 Committee representation
10 Foreword
11 1 Scope
2 Terms and definitions
3 Process and equipment characterization
3.1 Sterilization equipment
3.2 Process characterization—Physical parameters
3.2.1 Introduction
12 3.2.2 EO concentration
3.2.3 Relative humidity
3.2.4 Temperature
13 3.2.5 EO exposure time
4 Process definition
4.1 Considerations for process definition
4.1.1 Ethylene oxide exposure parameters
4.1.2 Product packaging
4.1.3 Load configuration
4.1.4 Process development method
14 4.1.5 Sampling considerations for process development studies
4.1.6 Methods for microbial enumeration and fraction negative studies
4.1.6.1 Enumeration or fraction negative study approaches
15 Table 1—Site selection of BI sample
4.1.6.2 Establishing relationship between developmental chamber and production
16 4.1.6.3 Parameters
4.2 Methods for process definition
17 4.2.1 Methods for estimating cycle lethality
4.2.1.1 Direct enumeration
18 Figure 1—Example of a non-linear lethality curve
4.2.1.2 Fraction-negative method
4.2.2 Biological indicator/bioburden approach
19 Table 2Examples of BI/bioburden combinations for process definition
20 Figure 2—Example of the relationship between biological indicator and product bioburden using the biological indicator/bioburden method
4.2.3 Overkill methods
21 4.2.3.1 Half-cycle method
Figure 3 – Example of an overkill cycle
22 4.2.4 Other approaches—Absolute bioburden method of process definition
4.2.4.1 Bioburden isolates approach
4.2.4.2 Product sample approach
4.3 Sterilization process definition troubleshooting
23 4.3.1 Obtaining all positives
4.3.1.1 Methods to obtain all positives with a new process
4.3.1.2 Methods to obtain all positives in an existing cycle
4.3.2 Obtaining a linear slope in the lethality curve
4.3.3 Obtaining all negatives
24 4.4 Process challenge devices
4.4.1 Types of PCDs
4.4.1.1 Internal PCDs (IPCDs)
25 4.4.1.2 External PCDs (EPCDs)
4.4.2 Appropriateness of the PCD
26 4.4.3 Examples of PCDs
4.4.3.1 Examples of internal PCDs
4.4.3.2 Examples of external PCDs that have been used throughout the industry
4.4.3.3 PCDs for product families
5 Validation
5.1 Performance qualification
5.1.1 General considerations
27 5.2 Placement and handling of PCDs, test samples, and sensors
5.2.1 General
5.2.2 Sensor placement
5.2.3 Product and sample handling, shipping, and testing
28 5.3 Sterilization loads—general considerations
5.3.1 Packaging
5.3.2 Full and partial loads
29 5.3.3 Mixed loads
5.3.4 Reuse of loads
5.4 Simulation of anticipated process conditions
5.5 Release of validation loads
5.6 Release of small batches or lots
30 6 Maintaining process effectiveness
6.1 Assessment of change
6.2 Failure investigation
6.2.1 Sterilization process or equipment issues
6.2.1.1 Potential process differences
6.2.1.2 Potential equipment differences
6.2.1.3 Potential process utility differences
6.2.2 Product issues
6.2.2.1 Product design or materials
6.2.2.2 Product bioburden
31 6.2.3 Microbiological testing issues
6.2.3.1 Test laboratory
6.2.3.2 Biological Indicators (BIs)
32 Bibliography
AAMI TIR16 2017
$93.55