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Home Blog When and How to Repeat Your Ethylene Oxide Sterilization Validation
ISO 11135-1:2014 is the international standard for sterilization validation for Ethylene
Oxide (EO or EtO) sterilizers. The standard full validation is required for initial
qualification of your EO sterilization process. Full validation consists of the following:
1. Process Challenge Device (PCD) validation
2. Bioburden measurement
3. EO residual measurement (as per ISO 10993-7:2008/R2012)
4. Fractional Cycle (at least one)
5. 3x Half Cycle
6. 3x Full Cycle
In addition to the full validation, you might also validate partial loads and/or resterilization of product in the case of rework.
Ethylene oxide sterilization is typically outsourced to a contract sterilizer due to the
environmental and safety requirements of working with EO. Typically the contract
sterilizer will provide a standard validation protocol for full validation that is compliant
with ISO 11135-1. However, the ISO 11135-1 standard requires that manufacturers
perform annual process reviews to evaluate the need for re-validation of the
sterilization process. Assuming there have been no problems, and no changes to the
product or process, then re-validation is not required at the end of the first year.
However, most companies are expected to re-validate the process after two years.
So why do some companies perform re-validation after three years or more?
Longer Re-Validation Cycles
If there have been not changes to the sterilization process, the product or the
biological indicators, then the manufacturer can use this as a justification for waiting
until two years have elapsed before re-validating the ethylene oxide sterilization
process. In addition, there should be no evidence of sterilization failures or other
problems with the validated process. However, that alone is not necessarily enough
to justify extending the duration between validations beyond two years. Companies
that are able to justify intervals of three or more years have multiple products that are
using the same sterilization process.
In this case, the manufacturer may alternate annually between three, four or even
five different product families that are using the same sterilization process. In this
case, one of the product families is being re-validated each year or every two years,
but the interval between validations for any one product family is longer. If the
products are made of similar materials and using the same sterilization process, then
this approach is valid. If you only have one product, then you need to re-validate the
sterilization process once every two years to verify the process remains effective.
identify different locations in your load that are considered worst-case. These are
the locations that had PCDs that were not sterile in a fractional cycle.
Most companies do not have concerns about the cost of the actual sterilization runs
during re-validation, and biological indicators are typically less expensive than boxes
of product. The primary cost concern for re-validation is any product that must be
scrapped. Therefore, many companies will accumulate dunnage (i.e., empty
packaging or scrap product) over time in order to fill a sterilizer. This dunnage may
be used to ensure that every load is a full load, or it may be only used for revalidation.
Another alternative to using dunnage for re-validation is to validate a rework process.
Any product that is exposed to a fractional cycle or half-cycle can be resterilized in a
full cycle. In order to justify the commercial use of that product, a company needs to
validate that the product will not be damaged by exposure to two full cycles. One of
the key acceptance criteria for rework is the EO residual levels in the product.
However, the manufacturer also needs to determine if there has been any
deterioration of the product by a second exposure to EO that would affect
performance.
Other Considerations
Many companies do a poor job of reviewing the potential impact of changes to
product, packaging and biological indicators. Ideally, initial validation involves
different lots of product, packaging and biological indicators to assess lot-to-lot
variability. However, many times, the packaging and biological indicators consist of
only one lot during validation. Minor changes to the tolerances may reduce the
amount of ethylene oxide that is absorbed by the product or change the resistance o
the biological indicator to the sterilization process. Therefore, these minor
changes should trigger a re-validation.
Changes in suppliers with the same specification can also be difficult to evaluate. If a
component is made of a material that absorbs EO, then it may be recommended to
re-validate sterilization for any changes to suppliers of those components. Revalidation in these cases may consist of only a fractional cycle or only a full-cycle to
evaluate risks associated with the change.
Who Should Be Making Evaluations
The evaluation of need for re-validation should include input of three types: 1)
microbiological, 2) materials, and 3) performance. In order to make these
1.
Jayasheel HegdeApril 5, 2015
A very good article. It is very important to conduct a re-validation whenever a product
packaging is modified or changed. You have made it very clear in this article.
reply
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