Sterilization of health care products Biological indicators Part 3: Biological indicators for moist heat sterilization processes (ISO :2006)

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SVENSK STANDARD SS-EN ISO 11138-3:2009 Fastställd/Approved: 2009-05-18 Publicerad/Published: 2009-07-02 Utgåva/Edition: 2 Språk/Language: engelska/english ICS: 11.080; 11.080.01; 11.080.10 Sterilisering av medicintekniska produkter Biologiska indikatorer Del 3: Biologiska indikatorer för steriliseringsprocesser med fuktig värme (ISO 11138-3:2006) Sterilization of health care products Biological indicators Part 3: Biological indicators for moist heat sterilization processes (ISO 11138-3:2006) SWEDISH STANDARDS INSTITUTE

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EUROPEAN STANDARD NORME EUROPÉENNE EUROPÄISCHE NORM EN ISO 11138-3 May 2009 ICS 11.080.01 Supersedes EN ISO 11138-3:2006 English Version Sterilization of health care products - Biological indicators - Part 3: Biological indicators for moist heat sterilization processes (ISO 11138-3:2006) Stérilisation des produits de santé - Indicateurs biologiques - Partie 3: Indicateurs biologiques pour la stérilisation à la chaleur humide (ISO 11138-3:2006) Sterilisation von Produkten für die Gesundheitsfürsorge - Biologische Indikatoren - Teil 3: Biologische Indikatoren für Sterilisationsverfahren mit feuchter Hitze (ISO 11138-3:2006) This European Standard was approved by CEN on 19 April 2009. CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national standards may be obtained on application to the CEN Management Centre or to any CEN member. This European Standard exists in three official versions (English, French, German). A version in any other language made by translation under the responsibility of a CEN member into its own language and notified to the CEN Management Centre has the same status as the official versions. CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and United Kingdom. EUROPEAN COMMITTEE FOR STANDARDIZATION COMITÉ EUROPÉEN DE NORMALISATION EUROPÄISCHES KOMITEE FÜR NORMUNG Management Centre: Avenue Marnix 17, B-1000 Brussels 2009 CEN All rights of exploitation in any form and by any means reserved worldwide for CEN national Members. Ref. No. EN ISO 11138-3:2009: E

SS-EN ISO 11138-3:2009 (E) Provläsningsexemplar / Preview EN ISO 11138-3:2009 (E) Foreword The text of ISO 11138-3:2006 has been prepared by Technical Committee ISO/TC 198 Sterilization of health care products of the International Organization for Standardization (ISO) and has been taken over as EN ISO 11138-3:2009 by Technical Committee CEN/TC 102 Sterilizers for medical purposes the secretariat of which is held by DIN. This European Standard shall be given the status of a national standard, either by publication of an identical text or by endorsement, at the latest by November 2009, and conflicting national standards shall be withdrawn at the latest by March 2010. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent rights. This document supersedes EN ISO 11138-3:2006. This document has been prepared under a mandate given to CEN by the European Commission and the European Free Trade Association, and supports essential requirements of EC Directive. For relationship with EC Directive, see informative Annex ZA, which is an integral part of this document. According to the CEN/CENELEC Internal Regulations, the national standards organizations of the following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland and the United Kingdom. Endorsement notice The text of ISO 11138-3:2006 has been approved by CEN as a EN ISO 11138-3:2009 without any modification. ii i 3

ISO 11138-3:2006(E) Provläsningsexemplar / Preview SS-EN ISO 11138-3:2009 (E) Introduction ISO 11138-1 specifies production, labelling, test methods and performance requirements for the manufacture of biological indicators including inoculated carriers and suspensions intended for use in validation and monitoring of sterilization processes. This part of ISO 11138 gives specific requirements for those biological indicators intended for use in moist heat sterilization processes. The intent of providing requirements in the ISO 11138 series of International Standards is to provide general requirements and requirements for test methods. This series of International Standards represents the current state-of-the-art according to the experts representing manufacturers, users and regulatory authorities involved in developing the standard. The intent is not to promote the use of biological indicators where such use is not advised, but to provide common requirements for the production of those biological indicators known to be in use today. Standards exist providing requirements for the validation and control of moist heat sterilization (see ISO 17665). NOTE indicators. Some countries or regions may have published standards covering requirements for sterilization or biological Advice on selection, use and interpretation of results when using biological indicators can be found in ISO 14161. iv ISO 2006 All rights reserved iv

SS-EN ISO 11138-3:2009 (E) Sterilization of health care products Biological indicators Part 3: Biological indicators for moist heat sterilization processes 1 Scope This part of ISO 11138 provides specific requirements for test organisms, suspensions, inoculated carriers, biological indicators and test methods intended for use in assessing the performance of sterilization processes employing moist heat as the sterilizing agent. Moist heat as the sterilizing agent is defined in this part of ISO 11138 as dry saturated steam. While air-steam mixtures may be used in moist heat sterilization processes, the methods and performance requirements of this part of ISO 11138 might not be applicable for biological indicators used in such processes. NOTE 1 Requirements for validation and control of moist heat sterilization processes are provided by ISO 17665. NOTE 2 National or regional regulations may provide requirements for work place safety. 2 Normative references The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. ISO 11138-1:2006, Sterilization of health care products Biological indicators Part 1: General requirements ISO 18472, Sterilization of health care products Biolgical and chemical indicators Test equipment 3 Terms and definitions For the purposes of this document, the terms and definitions given in ISO 11138-1 apply. 4 General requirements The requirements of ISO 11138-1 apply. ISO 2006 All rights reserved 1

SS-EN ISO 11138-3:2009 (E) ISO 11138-3:2006(E) Provläsningsexemplar / Preview 5 Test organism 5.1 The test organisms shall be spores of Geobacillus stearothermophilus or other strains of microorganism of demonstrated equivalent performance as required by this part of ISO 11138. NOTE 1 Bacillus stearothermophilus has been reclassified as Geobacillus stearothermophilus. NOTE 2 Geobacillus stearothermophilus ATCC 7953 (NCTC 10007, DSM 22 and CIP 52.81), ATCC 12980 (equivalent to NRRL B-4419), have been found to be suitable. 5.2 If a test organism other than Geobacillus stearothermophilus or Bacillus subtilis ATCC 35021 (5230) is used, the suitability of the resistance of that test organism shall be determined. NOTE For processes at less than 121 C, microorganisms such as Bacillus subtilis ATCC 35021 (5230) could be used, particularly in sterilization of heat-sensitive liquids. 6 Suspension The requirements of ISO 11138-1 apply. 7 Carrier and primary packaging 7.1 The suitability of the carrier and primary packaging materials for biological indicators for use in moist heat sterilization processes shall be demonstrated in accordance with the requirements of ISO 11138-1:2006, 5.2 and Annex B. 7.2 The exposure conditions for establishing compliance shall be: a) minimum exposure temperature: W 5 C above the manufacturer s stated maximum temperature; b) sterilizing agent: dry saturated steam; if the biological indicator is intended for use in a moist heat process not using dry saturated steam, e.g. an air/steam mixture, the appropriate air steam mixture should be used and noted as an exception to this part of ISO 11138; c) maximum exposure temperature: as stated by the manufacturer; if not stated by the manufacturer, a temperature of 140 C shall be used; d) exposure time: W 30 min. NOTE These conditions have been selected to represent a realistic challenge to the carrier while remaining within the practical limits of a moist heat sterilization process. 8 Inoculated carriers and biological indicators The requirements of ISO 11138-1 apply. 9 Population and resistance 9.1 The manufacturer shall state the resistance characteristics in accordance with ISO 11138-1:2006, 6.4. 9.2 The viable count shall be stated with increments u 0,1 10 n per unit, (e.g. per ml of suspension, per inoculated carrier or per biological indicator). 9.3 For inoculated carriers and biological indicators, the viable count shall be W 1,0 10 5. 2 ISO 2006 All rights reserved

SS-EN ISO 11138-3:2009 (E) ISO 11138-3:2006(E) 9.4 The resistance shall be expressed as the D value in minutes at 121 C. The D value of each batch/lot of biological indicators or inoculated carriers shall be stated in minutes to one decimal place at 121 C. 9.5 Suspensions, inoculated carriers or biological indicators containing Geobacillus stearothermophilus spores shall have a D 121 value of W 1,5 min when tested according to the conditions given in Annex A. Other microorganisms shall have D values supporting the application. The z value of the test organisms in the suspension, on the inoculated carrier or in the biological indicator shall be determined at not less than three temperatures, in the range of 110 C to 130 C. These data shall be used to calculate the z value, which shall be W 6 C (see Annex B). 9.6 The resistance of a biological indicator may also be indicated by the term F BIO value (see 11138-1:2006, 3.7). The resistance characteristics specified in this part of ISO 11138 and any other part of ISO 11138 apply to the specific test conditions stated in the standards. 9.7 D values are determined according to methods given in Annexes C and D of ISO 11138-1:2006. 9.8 Determination of D value and survival-kill response characteristics requires the use of a resistometer applying the resistometer process parameters (see Annex A). 9.9 The survival-kill window can be calculated using the formulae in ISO 11138-1:2006, Annex E. NOTE This information may be of value to the user when comparing different batches from the same manufacturer. EXAMPLE Using the formulae in ISO 11138-1:2006, Annex E with the minimum population and minimum D value requirements specified in this part of ISO 11138, the survival-kill response characteristics are: at 121 C: survival time W 4,5 min and kill time u 13,5 min. ISO 2006 All rights reserved 3