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AAMI TIR11137 4 2022 R2023

$149.13

AAMI/ISO TIR11137-4:2022 (R2023) – Sterilization Of Health Care Products -Radiation – Part 4: Guidance On Process Control

Published By Publication Date Number of Pages
AAMI 2022 67
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This technical information report provides additional guidance to that given in ISO 11137-3 on meeting the requirements specified in ISO 11137-1, ISO 11137-2 and ISO/TS 13004 for the establishment and control of a radiation sterilization process using gamma, electron beam, and X-irradiation.

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PDF Pages PDF Title
1 AAMI/ISO TIR11137-4:2022/(R)2023; Sterilization of health care products—Radiation—Part 4: Guidance on process control
3 Title page
4 Copyright information
5 AAMI Technical Information Report
ANSI Registration
6 Contents Page
8 Committee representation
12 Background of AAMI adoption of ISO/TS 11137-4:2020
13 Foreword
14 Introduction
15 1 Scope
2 Normative references
3 Terms, definitions, and symbols
18 4 Principles applied in validating and controlling an irradiation process
4.1 General
4.2 Use of the dose measurement at the monitoring location
4.2.1 General
4.2.2 Dmon as an indirect measurement of dose to product
19 4.2.3 Dmon as a process monitor
4.2.4 Dmin or Dmax as a direct measurement of dose to product
4.3 Monitoring of critical process parameters
20 Table 1—Process parameters critical to radiation sterilization
5 Establishing process target doses
5.1 Inputs and steps in establishing a process target dose
5.1.1 General
21 Figure 1—Inputs and steps in establishing a process target dose
5.1.2 Process validation inputs (installation, operational and performance qualification)
5.1.3 Additional inputs
22 5.1.4 Determine σprocess
5.1.5 Product dose specifications
5.1.6 Select coverage factor k
5.1.7 Setting process target doses
5.1.8 Analyse process output
5.1.9 Review
5.2 Performance qualification outputs
5.2.1 General
23 5.2.2 Experimental design for PQ
24 5.2.3 Processing categories
5.3 Components of σprocess
5.3.1 General
25 5.3.2 Components related to measurement uncertainty
5.3.2 Components related to measurement uncertainty
26 5.3.3 Components related to process variability
5.3.4 Combining components of uncertainty
27 5.3.5 Reducing σprocess
Table 2—Potential components of σprocess and actions to reduce them
30 5.4 Establishing process target doses
5.4.1 Coverage factors
5.4.2 Process factors
31 5.4.3 Choice of target processing parameters
5.4.4 Assessing process capability
32 6 Routine monitoring and control
6.1 General
6.2 Product handling
6.2.1 Receipt of product
6.2.2 Loading
6.2.3 Unloading
33 6.2.4 Storage
6.2.5 Shipment
6.3 Processing of product
6.3.1 General
6.3.2 Processing parameters
34 6.3.3 Location of dosimeters
6.3.4 Partially filled containers
6.3.5 Process interruptions
6.3.5.1 Interpreting dosimeters following a process interruption
6.3.5.2 Process interruptions which require the movement of irradiation containers
35 6.3.5.3 Process interruptions for products capable of supporting microbial growth
6.3.6 Transitions between densities
6.4 Special processing conditions
6.4.1 Off-carrier processing
6.4.2 Irradiation of product under modified environmental conditions
6.4.2.1 General
6.4.2.2 Dosimetric considerations for validating and processing in a modified environment
36 6.4.2.3 Process considerations when using refrigerants
6.4.2.4 Process interruptions when using modified environmental conditions
6.5 Process output interpretation
6.5.1 General
6.5.2 Using an acceptance range based on Dmonster and Dmonmax,acc
37 Figure 3—Acceptance range based on Dmonster and Dmonmax,acc
6.5.3 Using an acceptance range with alert and action levels
38 Figure 4—Process acceptance ranges with action and alert levels
6.5.4 Using an acceptance range based on process monitoring
39 Figure 5—Expected probability distribution functions for an example process where Dtarget is set to Dtargetlower
6.5.5 Investigation of a dose measurement outside of expectation
40 6.6 Collection and analysis of data
6.6.1 General
6.6.2 Dosimeter data trending
41 Figure 6—Monitoring dosimeter value histogram for an example process
6.6.3 Parametric data trending
42 6.6.4 Statistical process control
43 Figure 7—Process control chart for an example irradiator, trended over time
7 Release of product from the irradiation process
44 8 Maintaining process effectiveness
8.1 General
8.2 Assessment of changes made to the product
8.3 Assessment of changes made to the equipment
45 Annex A (informative) Examples of setting process target dose ranges and interpretation of process output
A.1 General
Table A.1—Example matrix
46 A.2 Example 1
A.2.1 Example description
A.2.2 Process specification
A.2.3 PQ dose measurements
Table A.2—Example 1 dose mapping data
Table A.3—Example 1 dose mapping ratios
Table A.4—Example 1 dose and ratio averages
47 A.2.4 Components of σprocess
A.2.5 Process factors
48 A.2.6 Process target dose range calculation
49 Figure A.1—Variation of minimum and maximum dose to product during operation at Dtarget = Dtargetlower (solid line) and Dtarget = Dtargetupper (dashed line) for both steady state and with transitions taken into consideration
A.2.7 Example of application of an acceptance range
50 Figure A.2—Variation of dose to the monitoring position during steady state operation at the chosen process target dose for an acceptance range between Dmonster and Dmonmax,acc
A.2.8 Additional considerations
A.3 Example 2
A.3.1 Example description
51 A.3.2 Process specification
A.3.3 PQ dose measurements
Table A.5—Example 2 dose mapping data
Table A.6—Example 2 dose mapping ratios
Table A.7—Example 2 dose and ratio averages
A.3.4 Components of σprocess
52 A.3.5 Process factors
A.3.6 Process target dose range calculation
53 Figure A.3—Variation of minimum and maximum dose to product during operation at Dtarget = Dtargetlower (solid line) and Dtarget = Dtargetupper (dashed line)
A.3.7 Example of application of an acceptance range
54 Figure A.4—Variation of dose to the monitoring position during operation at the chosen parameters for an acceptance range between Dmonster and Dmonmax,acc
A.3.8 Additional considerations
A.4 Example 3
A.4.1 Example description
55 A.4.2 Process specification
A.4.3 PQ dose measurements
Table A.8—Example 3 dose mapping data
Table A.9—Example 3 dose mapping ratios
Table A.10—Example 3 dose and ratio averages
A.4.4 Components of σprocess
56 A.4.5 Process factors
A.4.6 Process target dose range calculation
57 Figure A.5—Variation of doses to minimum and maximum in product and expected variation of monitoring dose during operation at Dtarget = Dtargetlower
A.4.7 Example of application of an acceptance range
58 Figure A.6—Variation of dose to the monitoring positions during operation at the chosen parameters for an acceptance range based on process monitoring
A.4.8 Additional considerations
A.5 Example 4
A.5.1 Example description
59 A.5.2 Process specification
A.5.3 PQ dose measurements
Table A.11—Example 4 dose mapping data averages
Table A.12—Example 4 dose mapping ratios averages
A.5.4 Components of σprocess
60 A.5.5 Process factors
A.5.6 Process target dose range calculation
61 Figure A.7—Variation of minimum and maximum dose to product during operation at Dtarget = Dtargetlower (solid line) and Dtarget = Dtargetupper (dashed line)
A.5.7 Example of application of an acceptance range
62 Figure A.8—Variation of dose to the monitoring position during operation at the chosen parameters for an acceptance range based on alert and action levels
A.5.8 Additional considerations
Table A.13—Example 4 rules for investigation
63 A.6 Example 5
A.6.1 Example description
A.6.2 Process specification
A.6.3 PQ dose measurements
Table A.14—Example 5 dose mapping data
Table A.15—Example 5 dose mapping ratios
Table A.16—Example 5 dose and ratio averages
64 A.6.4 Components of σprocess
A.6.5 Process factors
A.6.6 Process target dose range calculation
65 Figure A.9—Variation of minimum and maximum dose to product during operation at Dtarget = Dtargetlower (solid line) and Dtarget = Dtargetupper (dashed line)
A.6.7 Example of application of an acceptance range
66 Figure A.10—Variation of dose to the monitoring position during operation at the chosen parameters for an acceptance range based on action and alert levels
A.6.8 Additional considerations
67 Bibliography
AAMI TIR11137 4 2022 R2023
$149.13