The purpose of a radiation validation is to determine the appropriate sterilization dose for a product. Usually the sterilization dose must represent a sterility assurance level (SAL) of 10-6, which is a one in one million chance of a non-sterile product. The most common validation methods are (in order), VDmax (short for Verification Dose Maximum) and Method 1. Both of these methods are available in either a single batch validation format or a full, 3-batch validation. These radiation validations consist of three main phases:
- Bioburden test: This test determines the quantity of viable microorganisms on/in the product. This test is performed prior to any sterilization but after all other manufacturing steps, including packaging. Critical to this test is the performance of a recovery efficiency test to determine the effectiveness of the bioburden extraction method at removing microorganisms from the product.
- Application of verification dose: The bioburden results are taken to a table from the standard to determine the proper verification dose. The verification dose is then applied to a number of products. The dose is expected to sterilize all of the products except for one.
- Sterility test: The irradiated products undergo a test of sterility. The allowable number of non-sterile products from the test of sterility is 1 (for VDmax) or 2 (for Method 1). Critical to this test is the performance of a Bacteriostasis/Fungistasis test to demonstrate the lack of inhibition in the sterility test system.
If the number of non-sterile samples in the test of sterility meets the acceptance criteria, the radiation sterilization dose is validated. Additional testing should be performed on a quarterly basis (called a quarterly dose audit) to demonstrate that the sterilization dose continues to be appropriate for the product. The quarterly dose audits follow the same flow as described above but only involve samples from a single batch and include use of the verification dose determined in the validation rather than setting a new one.
Requirements of radiation validations and quarterly dose audits are provided in the AAMI/ISO standard 11137-2:2006 (currently under revision).
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Radiation Sterilization Validations
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