SOLID SAMPLE EXTRACTIONS: Extraction of the devices is performed using non-pyrogenic water. The extraction process involves flushing and/or washing the devices with an appropriate amount of extract liquid that completely immerses or flushes the device. USP Chapter 161 Extraction Parameters are followed for fluid pathway extractions. Immersion extractions are performed by washing the devices at 37-40°C for 40-60 minutes with intermittent swirling on an orbital shaker.
TEST PROCEDURE: A BET test involves testing the liquid sample or the sample extract with Limulus Amebocyte Lysate (LAL). BET is an aqueous extract of the blood cells of horseshoe crabs which forms a clot or change in color, depending on the technique, in the presence of bacterial endotoxin. The test sample is compared to a standard series of Control Standard Endotoxin (CSE) dilutions. The endpoint or reaction times of these dilutions are used to calculate the amount of endotoxin present in the sample. All tests are performed in at least duplicate. A positive control of the sample and negative control using non-pyrogenic water are also performed. An initial validation on 3 lots must be performed to validate this method of testing for a given product.
SCORE: The endotoxin limit for devices used intrathecally (cerebrospinal fluid contact) is 2.15 EU/device (Endotoxin Units/device). The limit for other medical devices is 20.0 EU/device. For drugs and liquids, refer to the BET Guideline published by US FDA (December 1987).
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SAMPLE REQUIREMENTS: USP bacterial endotoxins testing requires 3% of the production lot with a minimum of 3 and maximum of 10 devices to be pooled and tested. The FDA guideline allows the testing of 2 devices for lot sizes under 3.
SOLID DEVICES: 3% of the production lot (minimum of 3 and maximum of 10 devices)
LIQUID SAMPLES: 1 ml
POWDER SAMPLES: Enough to reconstitute to a minimum of 1 ml
Devices may be sterile or non-sterile, depending on the validated test method. Sterile products are recommended for lot release testing.
Liquid or powder materials should be shipped in sterile containers that are free of detectable endotoxin. Containers for liquids should be leak-proof and sealed with Parafilm®. To minimize endotoxin adsorption, avoid using polypropylene plastics. Polystyrene plastics are recommended. If samples are non-sterile, consider shipping the sample on ice with overnight delivery.
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