NEWSLETTER – July 2012 Revision of NF EN ISO 11137-2 standard The standard NF EN ISO 11137-2 was revised again in 2012. A new version is being written to correct a mistake in interpreting the actions to take when a failure in a dose audit happens. This version should be released within a few months. ICARE laboratory would like to inform you about the details added to the new version of June 2012: To remember Little modifications Main / Equivalent products definition ( 4.3.2 and 4.3.3) : it was added in the two paragraphs that main or equivalent products to define the product family could be chosen «Either a) randomly or b) by a written operating procedure including the different products that are likely to be considered main or equivalent products ». No re-evaluation required for the sterilization dose of your medical device Enforceable date: 30 /06/ 2012 VDmax25 method and multiple production batches (NOTE 9.2.1.1) : it is stated that the method can be used only if the three average bioburden values, determined for the calculation of the verification dose, are less or equal to 1000. Bioburden test : for all the methods : the following note was added: « If no colony was observed on the bioburden determination, it is sometimes considered that the biological charge is below the detection limit. Using the detection limit value for the calculation of average bioburden may lead to overestimation This overestimation could affect the validity of the experimental verification dose.». This note should not be interpreted as a prohibition on using the detection limit as a bioburden value in the calculation of the average. It is not either required to use zero instead of the detection limit. ICARE interprets this note as a recommendation to limit the use of methods in which detection limits are not adapted, so as to justify a relevant use of detection limit as described in the case of the note. VDmax25 method ( 9.2.5 Part 4) : To carry out the dose verification test : an important part of the paragraph was deleted : « It should be taken into account the ability of the product to stand the microbial growth in order to choose the appropriate batch ». Sterilization dose audit ( 10.1) : it was added that « All the actions resulting from the sterilization dose audit must be applied to all the family products». Sterilization dose audit ( 10.2.3 and 10.3.3.1) : it is stated that for bioburden determination, the correction factor obtained from the most recent validation must be applied. It is not suggested that the dose should be recalculated. Sterilization dose audit, interpretation of results ( 10.3.5) : the interpretation concerning the number of positive controls obtained was modified : « if the presence of positive sterility controls can not be attributed to improper execution of sterility testing or incorrect distribution of VDmax25 or VDmax15 or to a case specifically related to the biologiccal load itself, the following steps should be apply : If 3 to 6 positive sterility controls are obtained, immediately increase the sterilization dose and reestablish as soon as possible the sterilization dose using another method. Continue using the increased sterilization dose until the sterilization dose is reestablished. If 7 or more sterility positive controls are obtained, interrupt the sterilization at the dose previously established. » •Failure of the sterilization audit dose ( 10.4) : a new paragraph was written to replace the par. 10.3.7.1.2. It is specified that a particular study should be performed and a corrective action taken. A risk assessment on the treated batches must also be undertaken at the sterilization dose that led to a failure. For further information, please do not hesitate contacting us: ICARE - Biopôle Clermont-Limagne F- 63360 Saint Beauzire Tél. : +33(0) 473 331 917 Fax: +33(0) 473 339 977
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