1. To monitor and validate the cooling point of sterilization unit

       [mode 1]  apply the thermocouple, chemical indicator, EO-gas test tube to check, monitor

                       and validate the cooling point of sterilized water, liquid, and products at the

                       steam, autoclave, dry heat, EO-gas and radiation sterilization unit  

       [mode 2]  apply the self contained biological indicator, spores strip to check, monitor and

                       validate the cooling point of sterilized water, liquid, and products at the steam,

                       autoclave, dry heat, EO-gas and radiation sterilization unit  

       [mode 3]  apply the process chemical indicator to check, monitor and validate the cooling

                       point of sterilized water, liquid, and products at the autoclave, steam sterilizer

                        

 

   2. To monitor and validate sterilization effect of sterilized water, liquid

        and products at the cooling point sterilization unit

         1. to check, monitor and validate the sterilization temperature, concentration

           and dosage of cooling point up to expected sterilization temperature, dosage

           and concentration or not  

           apply the thermocouple, chemical indicator, EO-gas test tube to check, monitor and

           validate the cooling point of sterilization temperature, dosage and concentration up to

           expected sterilization temperature, dosage and concentration or not  

   2. to check, monitor and validate the sterilization rate of sterilization effect

           being acted on the cooling point of sterilized water, liquid and products

 

            a. can be applied the self contained biological indicator, or spores strip biological  

         indicator to monitor and validate the sterilization rate of cooling point

            b. can also be applied the sterilization temperature, dosage, concentration and times

         being acted on the cooling point of sterilized water, liquid and products  

       3. to check, monitor and validate the sterilization times after the cooling point

           of sterilized water, liquid and products being functioned up to the expected

           sterilization temperature, dosage and concentration

 

            a. can be applied process chemical indicator to monitor and validate the sterilization  

               times after the cooling point of autoclave being functioned up to expected

               sterilization temperature, dosage, concentration

            b. can also be applied the thermocouple, chemical indocator, EO-gas test tube to check

               when the cooling point of sterilization temperature, dosage, concentration are

               functioned up to expected sterilization temperature, dosage, concentration to monitor

               and validate the correct sterilization times  

 

 

 

. After sterilization, the correct sterilization unit operation of aseptic

    treatment, monitoring and validation to monitor, validate and confirm

       the sterilization effect of the sterilization validation indicator

       1. After sterilization, the sterilization validation indicator are shown that the

         following different sterilization effect

         a. The monitoring and validation of thermocouple, temperature chemical indicator, EO-

            gas test tube, radiation dosage chemical indicator

            only to monitor and validate the sterilization temperature, dosage, concentration up to  

            expected sterilization temperature, dosage, concentration or not, can not monitor and

            validate the sterilization rate, and the bacteria residues up to aseptic free or not  

         b. The monitoring and validation of spores strip and self contained biological indicator

            only to monitor and validate the lethal rate of sterilization effect after sterilization, but

            can not monitor and validate the clear bacterial residues of sterilized water, liquid and  

            products up to aseptic free or not

            1) 105 CFU/ml biological indicator to monitor and validate 5D(99.999%) lethal rate

            2) 106 CFU/ml biological indicator to monitor and validate 6D(99.9999%) lethal rate  

         c. The monitoring and validation of process chemical indicator

            only applied to autoclave (steam) sterilization application which can be monitored and

            validated the sterilization effect of sterilization temperature and times up to 121 o C, 30

       minutes, or 131 o C, 30 minutes, to do 8D (99.999999%) sterilization rate, but can not

            monitor and validate the clear bacterial residues of sterilized water, liquid and products  

            up to aseptic free or not  

         d. The monitoring and validation of radiation dosage chemical indicator:

             can be directly monitored and validated the sterilization dosage and times being acted

             on the cooling point of sterilized water, liquid and products for expected sterilization

             rate of sterilization effect application  

 

 

      2. After sterilization, the aseptic monitoring and validation of the unit operation

          of biological indicator  

self contained biological indicator 

 

spores strip of biological indicator  
 

 

 

. After sterilization, the correct sterilization unit operation of aseptic

    treatment, monitoring and validation to monitor, validate and confirm

       the bacterial residues of sterilized water, liquid and products low than

   10-6 CFU/ml, up to aseptic free or not

 

       After sterilization, The aseptic monitoring and validation of bacterial residues

       of sterilized water, liquid and products low than10-6 CFU/ml, up to aseptic

       free are not determined by the single aseptic monitoring and validation unit

       operation of biological indicator, which are determined by the pre-sterilization  

       factor of the bacterial contaminations of pre-sterilization water, liquid, products

       to be purified up to low than100 CFU/ml, and the process sterilization factor

       to be proceeded the 8 D (99.999999%) sterilization rate or not  

      the conventional aseptic monitoring and validation of biological indicator are

      only applied to monitor, validate and confirm the process sterilization factor up

      to 5 D (99.999%) , and hard to confirm the bacterial residues of post- sterilized

      water, liquid and products low than10-6 CFU/ml, up to aseptic free

      The aseptic monitoring and validation of bacterial residues of post-sterilized

      water, liquid and products are low than10-6 CFU/ml up to aseptic free or not

      which can be performed the following way  

      [mode 1] to establish aseptic monitoring and validation unit operation to monitor and

                    validate the lethal rate of cooling point biological indicator higher than the lethal

                    rate from the pre-sterilization bacterial contaminations down to the post-

                    sterilization bacterial residues low than10-6 CFU/ml 

      [mode 2] to establish aseptic monitoring and validation unit operation to monitor and

                    validate the cooling point process sterilization rate higher than the lethal rate

                    from the pre-sterilization bacterial contaminations down to the post-sterilization

                    bacterial residues low than10-6 CFU/ml

      [mode 3] can be monitored and validated by the LAL endotoxin test and IPT pyrogen test  

                   a) LAL endotoxin test: to monitor and validate the endotoxin content low than

                                                   0.2 EU/ml or not, if low than0.2 EU/ml, the residues

                                                    of gram-negative bacteria will be low than10-6 CFU/ml

 

                   b) IPT pyrogen test: to monitor and validate the pyrogen content low than0.2  

EU/ml or not, if low than0.2 EU/ml, the residues of gram-

                                                positive bacteria, gram-negative bacteria, virus, fungi will be

                                                low than10-6 CFU/ml, up to aseptic free  

 

  [The analysis of biological indicator are applied to monitor and validate

    the bacterial residues low than10-6 CFU/ml, up to aseptic free]

  1. The standard sterilization application of US FDA. AAMI, Europe ESH, EP, to

      sterilize the bacterial residues of post-sterilization water, liquid and products

      up to low than10-6 CFU/ml, up to aseptic free

 

  Bacterial contaminations

  of pre-sterilized water, liquid

  and products are low than

 

   100 CFU/ml

 

   Process sterilization rate

  the cooling point are sterilized at

  expected sterilization tenperature,

  dosage, concentration and times

      8 D (99.999999%)

  Bacterial residues

  of post-sterilized water, liquid

  and products are low than

 

    10-6 CFU/ml

 

       [point] The bacterial contaminations of pre-sterilization water, liquid and products are easy

                  to be purified up to bacteria free, the bacteria count are reduced down to low than

          1 CFU/ml (10 0 CFU/ml), why are only setted up low than100 CFU/ml,

 

 

 2. The conventional sterilization process operation of aseptic treatment, monitoring

     and validation of autoclave, steam, dry heat, EO-gas and radiation sterilization

     are applied at hospitals, medical device, pharmaceutical, biological products  

 

aseptic treatment, monitoring

validation of pre-sterilization

 

 

sterilization process treatment

 monitoring and validation

 

 

aseptic treatment, monitoring

validation of post-sterilization

 

 conventional

 aseptic treatment:

1. high dosage of ClO2, NaClO,

   formalin to disinfect bacterial

  contaminations down to low

  than 100 CFU/ml

2. 0.2 micron filter to purify the

  bacteria contaminations down

  to low than 100 CFU/ml

conventional

sterilization process treatment

1. apply the conventional

   sterilization  mode to

   sterilization treatment

121 o C, 30 minutes

2. apply the pasteurization mode to

  sterilization treatment

 

 

 

 

 

 conventional aseptic

 monitoring and validation:

 

1. apply culture media to check

   the contaminations of bacteria

   count and pyrogenic bacteria

2. the test data as the reference of

   aseptic process treatment

 

 

 

 

 

 conventional sterilization

 monitoring and validation:

 

1. apply the biological indicator as

   the indication of sterilized water,

   liquid, products up to aseptic free 

   or not

2. apply the chemical indicator as

  the indication of sterilized water,

  liquid, products up to aseptic free 

  or not

3. not to monitor and validate the

  sterilization effect of cooling 

  point

 

 conventional aseptic

 monitoring and validation:

 

1. needed 24~72 hours to test the

  sterilized biological indicator

  up to aseptic free or not

2. The 105CFU/ml biological

  indicator only to monitor and

  validate the 5D sterilization rate

3. hard to monitor and validate the

  residues of sterilized products

  up to aseptic free or not

 

  conventional

 application treatment

 

1. apply high dosage of ClO2,

   NaClO,formalin to disinfect

  bacterial contaminations down

  to low than 100 CFU/ml

2. apply 0.2 micron filter to purify

  bacterial contaminations down

  to low than 100 CFU/ml

3. the bacteria test data as the

   reference of aseptic treatment

  conventional

 application treatment

 

1. apply the biological indicator as

    the indication of sterilized water,

    liquid, products up to aseptic 

    free or not

2. apply the chemical indicator as

    the indication of sterilized water,

    liquid, products up to aseptic 

    free or not

3. extend the sterilization time to

    increase the sterilization rate up 

    to 8D to ensure the sterilization

    completely up to aseptic free

 

  conventional

 application treatment

 

1. after the sterilized biologica   

   indicator being validated, the

   sterilized water, liquid and

   products are already used

2. the biological indicator test data 

  as the reference of aseptic

   monitoring and validation

3. apply LAL endotoxin test, or

   animal pyrogen test as the

   aseptic free test

 

 The analysis of application:

 

1. not discussed toxic problems,

  high dosage of ClO2, NaClO,

   formalin are easy to disinfect

  bacterial contaminations down

  to low than 100 CFU/ml

2. 0.2 micron aseptic filter are

  easy to purify bacterial

  contaminations down to low

  than 100 CFU/ml

 

above method are easy to control the bacteria contaminations low than100 CFU/ml without test

 

 

 The analysis of application:

 

1. 105 CFU/ml biological indicator

   are only monitored and validated

   the sterilization rate up to 5D, not 

   8D

2. more sterilization times will be

  increased more sterilization rate

  for more effect to sterilize  the

  sterilized water, liquid, products

  up to aseptic free

 

more sterilization times are easy to increase the sterilization rate up to 8D or more without test

 

 The analysis of application:

 

1. hard to monitor and validate the

   bacterial residues up to low than

   10-6 CFU/ml or not

2. apply LAL endotoxin test, or

   animal pyrogen test as the

   aseptic free test

 

 

 

 

the end aseptic monitoring and validation are still needed to apply LAL endotoxin test, or animal pyrogen test as aseptic free test

 

 3. The correct sterilization process operation of aseptic treatment, monitoring and

     validation of autoclave, steam, dry heat, EO-gas and radiation sterilization are

     applied at hospitals, medical device, pharmaceutical, biological products  

 

aseptic treatment, monitoring

validation of pre-sterilization

 

 

 sterilization process treatment

 monitoring and validation

 

 

aseptic treatment, monitoring

validation of post-sterilization

 

 

correct application treatment

 

1. The bacterial contaminations of

   pre-sterilization water, liquid,

  products are easy to purify up

  to low than1~100(10o~2)

   CFU/ml

 

  a. ClO2, NaClO, formalin +

    0.2 micron filter

  b. UV sterilizer +0.2 micron

      filter

 

 

 correct application treatment

 

1. apply 106 CFU/ml biological

  indicator as the sterilized water,

  liquid, products being sterilized up

  to aseptic free or not

2. to monitor and validate the cooling

  point of sterilization effect

3. apply process chemical indicator as

  the 8D sterilization rate indicator of

  autoclave sterilization

 

 

correct application treatment

 

1. apply 15~30 minutes of LAL

  endotoxin test as the gram-

  negative bacteria residues low

  than10-6 CFU/ml indicator

2. apply IPT pyrogen test as the

  gram-negative bacteria, gram-

  positive, virus residues low than

  10-6 CFU/ml indicator

3. apply instant process chemical

  indicator as the 8D sterilization

  rate indicator of autoclave

  sterilization treatment

4. apply 106~8 CFU/ml biological

   indicator as the 6D~8D

  sterilization rate indicator

 

 

 The analysis of application:

 

1. the pre-sterilization bacterial

  contaminations are purified the

more clear low than1~100

(10 0~2)CFU/ml, the sterilization

  effect are more easy to sterilize

  the sterilized water, liquid and

  products up to aseptic free

 

 

 The analysis of application:

 

1. the more high sterilization rate of

   sterilization effect over 6~8 D are

   more easy to sterilize the sterilized

  water, liquid and products up to

  aseptic free

 

 

 

 The analysis of application:

 

1. instant aseptic free test of sterilized water, liwuid and products will be new direction

  point and application of

  sterilization process operation

  of aseptic treatment, monitoring

  and validation

 

 

 4. The reason why the autoclave, steam, dry heat, EO-gas, radiation sterilization

     application of hospitals, pharmaceutical, medical device and biological products

     are needed to apply biological indicator as the sterilization effect of monitoring

     and validation ? 

     why the sterilization effect of steam, dry heat, EO-gas, radiation sterilization

     effect are needed to apply the 10 6 CFU/ml biological indicator to substitute the

     10 5 CFU/ml biological indicator as sterilization monitoring and validation ?

 

    

 

 [point] 1. the biological indicator can be validated the sterilization bacterial residues low

                than 10 -6 CFU/ml up to aseptic free

             2.the 10 6 CFU/ml biological indicator can be validated the effective sterilization

                effect up to 6D (99.9999%) sterilization rate

             3.the bacterial contaminations of pre-sterilized water are easy to be sterilized and

                purified up to low than 10 0 CFU/ml, but hard to be sterilized and purified up

                to low than 10 -1 CFU/ml

 

 

 

 

[description] 1. the conventional culture media are hard to be monitored and validated

                         the bacterial contaminations residues low than 10 –3 ~10 –6 CFU/ml

                     2. the conventional culture media are hard to be monitored and validated

                         the 6~8D sterilization rate of sterilization effect at the low bacterial

                         contaminated water, liquid and products being sterilized

                     3. the conventional culture media are hard to be monitored and validated

                         the sterilized water, liquid and products which can be sterilized at 6~8D

                         sterilization rate and the sterilized bacterial residues can be sterilized

                        low than 10 –6 CFU/ml up to aseptic free or not

 

 

 

       1)  The comparison of 10 6 CFU/ml biological indicator and 10 5 CFU/ml biological

        indicator are applied at the sterilization monitoring and validation

 

 

  10 6 CFU/ml biological indicator

 

 

  10 5 CFU/ml biological indicator

 

 

 10 6 CFU/ml biological indicator are applied at the

 sterilization monitoring and validation

 

1. the bacterial contaminations of pre-sterilized

   water, liquid, products are needed to be purified   

   and sterilized up to low than1 CFU/ml (10 0

   CFU/ml), the sterilization bacterial residues of

   post-sterilized water, liquid, products are easy to

   be monitored and validated low than10 -6 CFU/ml

2. the bacterial contaminations of pre-sterilized

   water, liquid, products are easy to be purified and

   sterilized up to low than 1 CFU/ml (10 0 CFU/ml)

3. the conventional bacterial culture media are easy

   to be monitored and validated the bacterial count

   low than 1 CFU/ml (10 0 CFU/ml)

 

 

 10 5 CFU/ml biological indicator are applied at the

 sterilization monitoring and validation

 

1. the bacterial contaminations of pre-sterilized

   water, liquid, products are needed to be purified   

   and sterilized up to low than0.1 CFU/ml (10 -1

   CFU/ml), the sterilization bacterial residues of

   post-sterilized water, liquid, products are able to

   be monitored and validated low than10 -6 CFU/ml

2. the bacterial contaminations of pre-sterilized

   water, liquid, products are hard to be purified and

   sterilized up to low than 0.1 CFU/ml (10 -1 CFU/ml)

3. the conventional bacterial culture media are hard

   to be monitored and validated the bacterial count

   low than 0.1 CFU/ml (10 -1 CFU/ml)

 

      2) The sterilization application mode of 10 6 CFU/ml biological indicator and 10 5 CFU/ml

          biological indicator are compared to the standard sterilization application mode

 

 

 Sterilization application mode

 

 Pre-sterilized

 Bacterial count

 

 

 Sterilization rate

 

 Post-sterilized

 Bacterial residues

 

 Standard sterilization

 application mode

 

 

 100 CFU/ml

 

 8 D (99.999999%)

 

 10-6 CFU/ml

 

 10 5 CFU/ml biological indicator

 

 

  0.1 CFU/ml

 

 

 5 D (99.999%)

 

 

 10-6 CFU/ml

 

 

 10 6 CFU/ml biological indicator

 

 

  1 CFU/ml

 

 

  6 D (99.9999%)

 

 

 10-6 CFU/ml

 

 

 

    5. why the LAL endotoxin test, pyrogen test, sterilization process chemical

    indicator can be substituted the biological indicator to be acted as the

    test indicator of sterilization monitoring and validation ?

 

      1) the description of LAL endotoxin test are acted as the rapid sterilization monitoring,

          validation and aseptic free indicator

 

LAL endotoxin test:  apply to be tested, monitored and validated the endotoxin contents

                  of gram-negative bacteria higher than0.2 EU/ml, if the endotoxin

                  contents of sterilized water, liquid, products are monitored low than

                  0.2 EU/ml, it can be validated the gram-negative bacteria residues

                  low than10 - 6 CFU/ml, which can be verified the post-sterilized

                  water, liquid, products up to aseptic free or not

 

 

      2) the description of pyrogen test are acted as the rapid sterilization monitoring, validation

          and aseptic free indicator

 

 

pyrogen test:  apply to be tested, monitored and validated the pyrogen contents of gram-

            positive bacteria, gram-negative bacteria, fungi and virus higher than0.2

            EU/ml, if the pyrigen contents of sterilized water, liquid, products are

            monitored low than0.2 EU/ml, it can be validated the pyrogenic residues

            of sterilization and aseptic treatment of gram-positive bacteria, gram-

            negative bacteria, fungi and virus low than10 - 6 CFU/ml, which can be

            verified the post-sterilized water, liquid, products up to aseptic free or not

 

 

      3) sterilization process chemical indicator can be substituted the biological indicator to be

          acted as rapid sterilization monitoring and validation indicator

 

 

Process chemical indicator: can be applied to test, monitor and validat the cooling point of

                      sterilization effect up to the expected sterilization temperature,

                      dosage, concentration and times to do 8D (99.999999%)

                      sterilization rate or not, If we can be pre-treated the bacterial

                      contaminations of pre-sterilized water, liquid, products low

                      than100 CFU/ml, it can be verified the sterilization bacterial

                      residues low than10 - 6 CFU/ml up to aseptic free rapidly

 

 

 

      4)  the sterilization application mode of LAL endotoxin test, pyrogen test and sterilization

            process chemical indicator are applied to acted as the rapid sterilization monitoring,

            validation and aseptic free indicator

 

 

standard sterilization

application mode

 

 the bacteria count

 of pre-sterilization

  low than

 100 CFU/ml

 

  

 sterilization effect

 of sterilization rate

 8 D (99.999999%)

 

 

 the bacteria residues

 of post-sterilization

  low than10-6 CFU/ml

 up to aseptic free

 

LAL Endotoxin test

 

 

 

 

 

 

 directly to check the endotoxin

 content low than 0.2 EU/ml

 and the pyrogenic residues of

 gram-negative bacteria low

 than10-6 CFU/ml or not

 

Pyrogen test

 

 

 

 

 directly to check the pyrogen

 content low than 0.2 EU/ml

 and the pyrogenic residues of

 gram-negative/gram-positive

 bacteria, fungi and virus

 low than10-6 CFU/ml or not

 

 

sterilization process chemical indicator

 

 

 

 the bacteria count of

 pre-sterilization are

 suggested to be

 purified up to low

 than 100 CFU/ml

 

directly to check the cooling point of sterilization temperature, dosage, concentration and sterilization times

to do 8D (99.999999%)

sterilization rate or not

 

 

 After sterilization, the bacteria

 residues of sterilized water,

 liquid, products can be rapidly

 monitored and validated up to

 low than10-6 CFU/ml or not

 by process chemical indicator

 

Biological indicator

 

 

 

 

 the bacteria count of

 pre-sterilization are

 normally suggested

 to be purified up to

 low than 100 CFU/ml

 

directly to check the lethal rate of cooling point of sterilized biological indicator

 

10 5 CFU/ml for 5D

10 6 CFU/ml for 6D

 

 

 After sterilization, according to

 the bacterial growth rate of

 sterilized biological indicator to

 monitor and validate the

 sterilization rate up to 8D and

 sterilized bacterial residues up

 to low than 10-6 CFU/ml or not

 

 

 

 

   

 

Bright Glory enterprise,Co.Ltd/

SanDa membrane & Nano,Co.Ltd

5F-3, No.162, Sec. 4, Chunghsiao E. Road, Taipei, Taiwan          

Tel: 886-02-2731-8306        Fax: 886-02-2731-8221   

web site: www.bge.com.tw  web site: http://3w.bge.com.tw     Email: hong@bge.com.tw