Performance Qualification(pq)-ppq in eo sterilization

Physical Performance Qualification (PPQ)
• It shall be demonstrated that all specified acceptance criteria are reproducible throughout the entire process.
How many runs should the PPQ process perform?
• To demonstrate process reproducibility, at least 3 runs are required;
• If 3 half-cycles were run during the MPQ process, then at least 1 additional run with full exposure time shall be performed.

Reference Standards:

  • ISO 11135:2014 (Medical device EO sterilization validation)
  • FDA Guidance (2007): Sterility Assurance for Terminal Sterilized Products
  • EU GMP Annex 1 (2022): Sterilization process validation requirements.

How is Reproducibility Demonstrated?

No.Process StepItemMethod
1PreconditioningTemperature and humidity of the sterilized load are within the specified range at the end of preconditioningMeasure inside the load
2LoadingThe time interval between the end of preconditioning and the start of sterilization should be within the specified rangeVerify recorded time data
3eo SterilizationEthylene oxide (EO) is introduced into the sterilizer in gaseous formMeasure gas injection temperature
4eo SterilizationPressure increase due to EO gas injection is within the specified rangeMeasure pressure during gas injection
5eo SterilizationEO gas concentration inside the sterilizer is within the specified rangeWeigh the gas canister before/after injection and calculate the differenceor directly measure gas concentration inside the chamber
6eo SterilizationProduct temperature inside the load is within the specified range during the exposure phaseMeasure product temperature
7AerationProduct temperature inside the load is within the specified range during the aeration phaseMeasure product temperature

When evaluating the execution of PPQ testing, the following aspects should be noted:
• Does the number of temperature and humidity probes meet requirements?
• Are the (temperature and humidity) probes placed inside the loaded packages and positioned at the worst-case locations (most difficult-to-sterilize positions)?
• Is the temperature of the product load within the specified range?

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