Regulatory Open Forum

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  • 1.  steam sterilization testing

    Posted 12-Feb-2021 14:03
    Hello all,

    I started learning the sterilization methods with the steam sterilization method and was wondering how to go about proving that my device can undergo multiple sterilization cycles without being affected.
    In an other word , I was wondering, after how many test cycles could I claim that my device can undergo multiple steam sterilization cycles without being affected.

    Thank you in advance for your response.

    Rgds,

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    Nadine Adia
    Quebec QC
    Canada
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  • 2.  RE: steam sterilization testing

    Posted 12-Feb-2021 17:00

    Device stability considerations after repeated sterilization cycles should be certain to evaluate device integrity with respect to key attributes such as the device's chemical, physical, performance, therapeutic, and toxicological attributes.  The goal is to show that repeated sterilization doesn't cause the subject device to be susceptible to degradation with respect to its critical attributes.  It is up to the sponsor to substantiate the number of repeated sterilization cycles that it claims can be used.

    A meaningful re-sterilization stability protocol should involve a) the establishment of specifications and acceptance criteria related to important device/packaging properties and characteristics, and b) testing procedures intended to evaluate the key properties before and after repeated sterilization.  It may be possible to achieve this, at least in part, via a paper-based analysis depending on device risk.  For example, AAMI TIR17 contains some neat tables showing material compatibilities with respect to various sterilization methods and may be a useful resource.  But the safest bet is to do actual re-sterilization studies followed by device stability testing.



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    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
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  • 3.  RE: steam sterilization testing

    Posted 15-Feb-2021 11:28
    Edited by Nadine Adia 15-Feb-2021 11:57
    Thank you so much Kevin for your feedback.
    However , please from your experience after how many test without changes on key attributes the device's chemical, physical, performance, therapeutic, and toxicological attributes could I claim that my device is able to support multiple sterilization cycles?
    or where could I find a validation procedure please?

    Thank you .

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    Nadine Adia
    Quebec QC
    Canada
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  • 4.  RE: steam sterilization testing

    Posted 15-Feb-2021 12:30
    Hi Nadine.  I think I understand your question, but if not, feel free to raise further questions.

    I know of no gold standard or canned procedure for determining how many successful test runs are needed to qualify/substantiate the claimed number of re-sterilization cycles.  But an important factor to note is that such testing is a form of design verification or validation testing.  Accordingly, the amount of testing (e.g., number of test samples, lots, test runs, etc.) should be determined by applying risk-based statistical sample-size considerations in the way that would typically be devised for any design verification or validation study.  For establishing device integrity after repeat sterilization, I would assure a relatively high degree of confidence and reliability.  I'm not a statistical expert, but would think that a 95/99 confidence/reliability level would be a minimum.  Perhaps others can chime in regarding that.

    ------------------------------
    Kevin Randall, ASQ CQA, RAC (Europe, U.S., Canada)
    Principal Consultant
    Ridgway, CO
    United States
    © Copyright 2021 by ComplianceAcuity, Inc. All rights reserved.
    ------------------------------



  • 5.  RE: steam sterilization testing

    Posted 17-Feb-2021 15:43
    Thank you so much Kevin for your response. It's more clear for me mow. we will also work base on AAMI TIR17.
    Much appreciated.
    Rgds,


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    Nadine Adia
    Quebec QC
    Canada
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