EN ISO 11137-1:2006
(Main)Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices (ISO 11137-1:2006)
Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices (ISO 11137-1:2006)
ISO 11137-1:2006 specifies requirements for the development, validation and routine control of a radiation sterilization process for medical devices. Although the scope of ISO 11137-1:2006 is limited to medical devices, it specifies requirements and provides guidance that may be applicable to other products and equipment.
ISO 11137-1:2006 covers radiation processes employing irradiators using the radionuclide 60Co or 137Cs, a beam from an electron generator or a beam from an X-ray generator.
ISO 11137-1:2006 does not:
specify requirements for development, validation and routine control of a process for inactivating the causative agents of spongiform encephalopathies such as scrapie, bovine spongiform encephalopathy and Creutzfeldt-Jakob disease;
detail specified requirements for designating a medical device as sterile;
specify a quality management system for the control of all stages of production of medical devices;
specify requirements for occupational safety associated with the design and operation of irradiation facilities;
specify requirements for the sterilization of used or reprocessed devices.
Sterilisation von Produkten für die Gesundheitsfürsorge - Strahlen - Teil 1: Anforderungen an die Entwicklung, Validierung und Lenkung der Anwendung eines Sterilisationsverfahrens für Medizinprodukte (ISO 11137-1:2006)
1.1 Dieser Teil von ISO 11137 legt Anforderungen für die Entwicklung, Validierung und Lenkung der Anwenduung eines Strahlensterilisationsverfahrens für Medizinprodukte fest.
ANMERKUNG Obgleich der Anwendungsbereich von diesem Teil von ISO 11137 auf Medizinprodukte begrenzt ist, legt er Anforderungen fest und liefert Anleitungen, die für andere Produkte und Ausrüstungen gelten können.
Durch diesen Teil von ISO 11137 erfasste Strahlensterilisationsverfahren wenden Bestrahlungsanlagen an,
a) die die Radionuklide 60Co und 137Cs verwenden,
b) in denen beschleunigte Elektronen erzeugt werden
oder
c) in denen durch beschleunigte Elektronen X-Rays (Röntgenstrahlen) genutzt werden.
1.2 Dieser Teil von ISO 11137 legt keine Anforderungen an die Entwicklung, Validierung und Lenkung der Anwendung eines Verfahrens zur Inaktivierung der Verursacher spongiformer Enzephalopathien wie Scrapie, bovine spongiforme Enzephalopathie und Creutzfeldt-Jakob-Krankheit fest. In bestimmten Ländern sind spezifische Empfehlungen für die Behandlung möglicherweise mit diesen Erregern kontaminierter Materialien erarbeitet worden.
ANMERKUNG Siehe zum Beispiel ISO 22442 1, ISO 22442 2 und ISO 22442 3.
1.2.1 Dieser Teil von ISO 11137 legt keine in den Einzelheiten festgelegte Anforderung zur Kennzeichnung eines Medizinprodukts als steril fest.
ANMERKUNG Zu beachten sind nationale oder regionale Anforderungen für die Kennzeichnung von Medizinprodukten als „steril“. Siehe zum Beispiel EN 556 1 oder ANSI/AAMI ST67.
1.2.2 Dieser Teil von ISO 11137 legt kein Qualitätsmanagementsystem für die Lenkung der Anwendung aller Stufen der Herstellung von Medizinprodukten fest.
ANMERKUNG Es ist keine Anforderung von diesem Teil von ISO 11137, dass bei der Herstellung ein vollständiges Qualitätsmanagementsystem vorhanden ist, aber die als Minimum erforderlichen Elemente eines Qualitätsmanagement-systems zur Lenkung der Anwendung des Sterilisationsverfahrens werden an geeigneten Stellen im Text als normativ
Stérilisation des produits de santé - Irradiation - Partie 1: Exigences relatives à la mise au point, à la validation et au contrôle de routine d'un procédé de stérilisation pour les dispositifs médicaux (ISO 11137-1:2006)
L'ISO 11137-1:2006 spécifie les exigences relatives à la mise au point, à la validation et au contrôle de routine d'un procédé de stérilisation par irradiation pour les dispositifs médicaux. Bien que le domaine d'application de la présente partie de l'ISO 11137 se limite aux dispositifs médicaux, elle spécifie les exigences et fournit des directives qui peuvent être applicables à d'autres produits et équipements.
L'ISO 11137-1:2006 couvre les procédés d'irradiation utilisant des irradiateurs, qui utilisent les radionucléides 60Co ou 137Cs, un faisceau à partir d'un générateur d'électrons ou un faisceau à partir d'un générateur de rayons X.
L'ISO 11137-1:2006
ne spécifie pas les exigences pour la mise au point, la validation et le contrôle de routine d'un procédé pour l'inactivation des agents responsables des encéphalopathies spongiformes telles que la tremblante du mouton (scrapie en anglais), l'encéphalopathie spongiforme bovine et la maladie de Creutzfeldt-Jakob. Des recommandations spécifiques ont été formulées dans certains pays pour le traitement des matériaux potentiellement contaminés par ces agents,
ne détaille pas les exigences spécifiées pour désigner un dispositif médical stérile,
ne spécifie pas de système de management de la qualité pour le contrôle de toutes les étapes de production des dispositifs médicaux,
n'exige ni l'utilisation d'indicateurs biologiques pour la validation ou la surveillance de la stérilisation par radiation, ni qu'un essai de stérilité défini dans la pharmacopée soit réalisé pour la libération du produit.
ne spécifie pas d'exigences relatives à la sécurité du travail associée à la conception et au fonctionnement des installations d'irradiation.
ne spécifie pas d'exigences relatives à la stérilisation de dispositifs usagés ou retraités.
Sterilizacija izdelkov za zdravstveno nego - Sevanje - 1. del: Zahteve za razvoj, validacijo in rutinsko kontrolo sterilizacijskih postopkov za medicinske pripomočke (ISO 11137-1:2006)
1.1 Ta del standarda ISO 11137 določa zahteve za razvoj, validacijo in rutinsko kontrolo sterilizacijskega postopka s sevanjem za medicinske pripomočke.
OPOMBA: Čeprav je področje uporabe tega dela standarda ISO 11137 omejeno na medicinske pripomočke, ta standard določa zahteve in navaja smernice, ki so lahko uporabne tudi za druge proizvode in opremo.
Ta del standarda ISO 11137 zajema postopke sevanja z iradiatorji z uporabo:
a) radionuklidov 60Co ali 137Cs,
b) žarka iz generatorja elektronov ali
c) žarka iz generatorja rentgenskega sevanja.
1.2 Ta del standarda ISO 11137 ne določa zahtev za razvoj, validacijo in rutinsko kontrolo postopka za inaktivacijo povzročiteljev spongiformne encefalopatije, kot so praskavec, bovina spongiformna encefalopatija in Creutzfeldt-Jakobova bolezen. V posameznih državah so bila izdelana posebna priporočila za obdelavo materialov, potencialno okuženih s temi povzročitelji.
OPOMBA: Glej na primer ISO 22442-1, ISO 22442-2 in ISO 22442-3.
1.2.1 Ta del standarda ISO 11137 ne določa zahtev za označevanje medicinskega pripomočka kot sterilnega.
OPOMBA: Izpostavljene so regionalne in nacionalne zahteve za označevanje medicinskih pripomočkov kot "sterilnih". Glej na primer EN 556-1 ali ANSI/AAMI ST67.
1.2.2 Ta del standarda ISO 11137 ne določa sistema vodenja kakovosti za nadzor vseh faz proizvodnje medicinskih pripomočkov.
OPOMBA: Ta del standarda ISO 11137 ne zahteva, da je treba imeti popoln sistem vodenja kakovosti v fazi proizvodnje, toda elementi sistema vodenja kakovosti, ki so potrebni za izpolnjevanje minimalnih zahtev za nadzor sterilizacijskega postopka, so normativno navedeni na ustreznih mestih v besedilu (glej zlasti točko 4). Izpostavljeni so standardi za sisteme vodenja kakovosti (glej ISO 13485), ki nadzirajo vse faze proizvodnje medicinskih pripomočkov, vključno s sterilizacijskim postopkom. Regionalni in nacionalni predpisi za oskrbo z medicinskimi pripomočki lahko zahtevajo izvajanje celovitega sistema vodenja kakovosti in presojo tega sistema s strani tretje osebe.
1.2.3 Ta del standarda ISO 11137 ne zahteva, da se biološki kazalniki uporabljajo za validacijo ali spremljanje sterilizacije s sevanjem, niti ne zahteva, da se preskus farmakopeje za sterilnost izvaja ob začetku prodaje proizvodov.
1.2.4 Ta del standarda ISO 11137 ne določa zahtev za varnost pri delu, povezanih z načrtovanjem in upravljanjem sredstev za obsevanje.
OPOMBA: Izpostavljen je tudi obstoj, v nekaterih državah, uredb o varnostnih zahtevah za varnost pri delu v zvezi s sevanjem.
1.2.5 Ta del standarda ISO 11137 ne določa zahtev za sterilizacijo uporabljenih ali predelanih pripomočkov.
General Information
- Status
- Withdrawn
- Publication Date
- 14-Apr-2006
- Withdrawal Date
- 13-Apr-2025
- Technical Committee
- CEN/TC 204 - Sterilization of medical devices
- Drafting Committee
- CEN/TC 204 - Sterilization of medical devices
- Current Stage
- 9960 - Withdrawal effective - Withdrawal
- Start Date
- 10-Jun-2015
- Completion Date
- 14-Apr-2025
Relations
- Effective Date
- 22-Dec-2008
- Effective Date
- 22-Dec-2008
- Effective Date
- 22-Dec-2008
- Effective Date
- 24-Jun-2015
- Effective Date
- 08-Jun-2022
Frequently Asked Questions
EN ISO 11137-1:2006 is a standard published by the European Committee for Standardization (CEN). Its full title is "Sterilization of health care products - Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices (ISO 11137-1:2006)". This standard covers: ISO 11137-1:2006 specifies requirements for the development, validation and routine control of a radiation sterilization process for medical devices. Although the scope of ISO 11137-1:2006 is limited to medical devices, it specifies requirements and provides guidance that may be applicable to other products and equipment. ISO 11137-1:2006 covers radiation processes employing irradiators using the radionuclide 60Co or 137Cs, a beam from an electron generator or a beam from an X-ray generator. ISO 11137-1:2006 does not: specify requirements for development, validation and routine control of a process for inactivating the causative agents of spongiform encephalopathies such as scrapie, bovine spongiform encephalopathy and Creutzfeldt-Jakob disease; detail specified requirements for designating a medical device as sterile; specify a quality management system for the control of all stages of production of medical devices; specify requirements for occupational safety associated with the design and operation of irradiation facilities; specify requirements for the sterilization of used or reprocessed devices.
ISO 11137-1:2006 specifies requirements for the development, validation and routine control of a radiation sterilization process for medical devices. Although the scope of ISO 11137-1:2006 is limited to medical devices, it specifies requirements and provides guidance that may be applicable to other products and equipment. ISO 11137-1:2006 covers radiation processes employing irradiators using the radionuclide 60Co or 137Cs, a beam from an electron generator or a beam from an X-ray generator. ISO 11137-1:2006 does not: specify requirements for development, validation and routine control of a process for inactivating the causative agents of spongiform encephalopathies such as scrapie, bovine spongiform encephalopathy and Creutzfeldt-Jakob disease; detail specified requirements for designating a medical device as sterile; specify a quality management system for the control of all stages of production of medical devices; specify requirements for occupational safety associated with the design and operation of irradiation facilities; specify requirements for the sterilization of used or reprocessed devices.
EN ISO 11137-1:2006 is classified under the following ICS (International Classification for Standards) categories: 11.080.01 - Sterilization and disinfection in general. The ICS classification helps identify the subject area and facilitates finding related standards.
EN ISO 11137-1:2006 has the following relationships with other standards: It is inter standard links to EN 552:1994/A2:2000, EN 552:1994/A1:1999, EN 552:1994, EN ISO 11137-1:2015, EN ISO 11137-1:2006/A1:2013. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.
EN ISO 11137-1:2006 is associated with the following European legislation: EU Directives/Regulations: 90/385/EEC, 93/42/EEC, 98/79/EC; Standardization Mandates: M/BC/CEN/89/9. When a standard is cited in the Official Journal of the European Union, products manufactured in conformity with it benefit from a presumption of conformity with the essential requirements of the corresponding EU directive or regulation.
EN ISO 11137-1:2006 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.
Standards Content (Sample)
SLOVENSKI STANDARD
01-julij-2006
1DGRPHãþD
SIST EN 552:2000
SIST EN 552:2000/A1:2000
SIST EN 552:2000/A2:2001
6WHULOL]DFLMDL]GHONRY]D]GUDYVWYHQRQHJR6HYDQMHGHO=DKWHYH]DUD]YRM
YDOLGDFLMRLQUXWLQVNRNRQWURORVWHULOL]DFLMVNLKSRVWRSNRY]DPHGLFLQVNH
SULSRPRþNH,62
Sterilization of health care products - Radiation - Part 1: Requirements for development,
validation and routine control of a sterilization process for medical devices (ISO 11137-
1:2006)
Sterilisation von Produkten für die Gesundheitsfürsorge - Strahlen - Teil 1:
Anforderungen an die Entwicklung, Validierung und Lenkung der Anwendung eines
Sterilisationsverfahrens für Medizinprodukte (ISO 11137-1:2006)
Stérilisation des produits de santé - Irradiation - Partie 1: Exigences relatives a la mise
au point, a la validation et au contrôle de routine d'un procédé de stérilisation pour les
dispositifs médicaux (ISO 11137-1:2006)
Ta slovenski standard je istoveten z: EN ISO 11137-1:2006
ICS:
11.080.01 Sterilizacija in dezinfekcija na Sterilization and disinfection
splošno in general
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.
EUROPEAN STANDARD
EN ISO 11137-1
NORME EUROPÉENNE
EUROPÄISCHE NORM
April 2006
ICS 11.080.01 Supersedes EN 552:1994
English Version
Sterilization of health care products - Radiation - Part 1:
Requirements for development, validation and routine control of
a sterilization process for medical devices (ISO 11137-1:2006)
Stérilisation des produits de santé - Irradiation - Partie 1: Sterilisation von Produkten für die Gesundheitsfürsorge -
Exigences relatives à la mise au point, à la validation et au Strahlen - Teil 1: Anforderungen an die Entwicklung,
contrôle de routine d'un procédé de stérilisation pour les Validierung und Lenkung der Anwendung eines
dispositifs médicaux (ISO 11137-1:2006) Sterilisationsverfahrens für Medizinprodukte (ISO 11137-
1:2006)
This European Standard was approved by CEN on 13 April 2006.
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 Central Secretariat 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 Central Secretariat has the same status as the official
versions.
CEN members are the national standards bodies of Austria, Belgium, 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: rue de Stassart, 36 B-1050 Brussels
© 2006 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 11137-1:2006: E
worldwide for CEN national Members.
Foreword
This document (EN ISO 11137-1:2006) has been prepared by Technical Committee ISO/TC 198
"Sterilization of health care products" in collaboration with Technical Committee CEN/TC 204
"Sterilization of medical devices", the secretariat of which is held by BSI.
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 October 2006, and conflicting national standards
shall be withdrawn at the latest by April 2009.
This document supersedes EN 552:1994.
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 EU Directive(s).
For relationship with EU Directive(s), 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, 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.
Endorsement notice
The text of ISO 11137-1:2006 has been approved by CEN as EN ISO 11137-1:2006 without any
modifications.
ANNEX ZA
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directives 90/385/EEC concerning active
implantable medical devices, 93/42/EEC concerning medical devices
and 98/79/EEC concerning in vitro diagnostic medical devices
This European Standard has been prepared under a mandate given to CEN by the European
Commission and the European Free Trade Association to provide one means of conforming to
Essential Requirements of the New Approach Directive, EU Directives 90/385/EEC concerning
active implantable medical devices, 93/42/EEC concerning medical devices and 98/79/EEC
concerning in vitro diagnostic medical devices.
Once this standard is cited in the Official Journal of the European Communities under that Directive
and has been implemented as a national standard in at least one Member State, compliance with
the normative clauses of this standard given in Table ZA.1 confers, within the limits of the scope of
this standard, a presumption of conformity with the corresponding Essential Requirements of that
Directive and associated EFTA regulations.
Table ZA.1 — Correspondence between this European Standard and EU Directives
90/385/EEC concerning active implantable medical devices, 93/42/EEC concerning medical
devices and 98/79/EEC concerning in vitro diagnostic medical devices
Clause(s)/Sub-clause(s) Essential Essential Essential Qualifying
of this European Requirements Requirements Requirements remarks/Notes
Standard (ERs) of Directive (ERs) of (ERs) of Directive
90/385/EEC Directive 98/79/EEC
93/42/EEC
In part
4, 5, 6, 7, 8, 9, 10, 11, 12 7 8.3 B.2.3
In part
4, 5, 6, 7, 8, 9, 10, 11, 12 8.4 B.2.4
WARNING: Other requirements and other EU Directives may be applicable to the product(s) falling
within the scope of this standard.
INTERNATIONAL ISO
STANDARD 11137-1
First edition
2006-04-15
Sterilization of health care products —
Radiation —
Part 1:
Requirements for development, validation
and routine control of a sterilization
process for medical devices
Stérilisation des produits de santé — Irradiation —
Partie 1: Exigences relatives à la mise au point, à la validation et au
contrôle de routine d'un procédé de stérilisation pour les dispositifs
médicaux
Reference number
ISO 11137-1:2006(E)
©
ISO 2006
ISO 11137-1:2006(E)
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ii © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
Contents Page
Foreword. iv
Introduction . v
1 Scope . 1
2 Normative references . 2
3 Terms and definitions. 2
4 Quality management system elements .8
4.1 Documentation. 8
4.2 Management responsibility . 9
4.3 Product realization. 9
4.4 Measurement, analysis and improvement — Control of nonconforming product . 9
5 Sterilizing agent characterization . 9
5.1 Sterilizing agent . 9
5.2 Microbicidal effectiveness . 9
5.3 Material effects. 9
5.4 Environmental considerations . 10
6 Process and equipment characterization . 10
6.1 Process . 10
6.2 Equipment . 10
7 Product definition . 11
8 Process definition. 12
8.1 Establishing the maximum acceptable dose . 12
8.2 Establishing the sterilization dose. 12
8.3 Specifying the maximum acceptable dose and the sterilization dose. 13
8.4 Transference of maximum acceptable, verification or sterilization dose between radiation
sources . 13
9 Validation. 14
9.1 Installation qualification. 14
9.2 Operational qualification. 14
9.3 Performance qualification. 15
9.4 Review and approval of validation. 15
10 Routine monitoring and control . 16
11 Product release from sterilization. 17
12 Maintaining process effectiveness . 17
12.1 Demonstration of continued effectiveness. 17
12.2 Recalibration . 20
12.3 Maintenance of equipment . 20
12.4 Requalification of equipment . 20
12.5 Assessment of change. 20
Annex A (informative) Guidance. 21
Bibliography . 36
ISO 11137-1:2006(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies
(ISO member bodies). The work of preparing International Standards is normally carried out through ISO
technical committees. Each member body interested in a subject for which a technical committee has been
established has the right to be represented on that committee. International organizations, governmental and
non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the
International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.
International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.
The main task of technical committees is to prepare International Standards. Draft International Standards
adopted by the technical committees are circulated to the member bodies for voting. Publication as an
International Standard requires approval by at least 75 % of the member bodies casting a vote.
Attention is drawn to the possibility that some of the elements of this document may be the subject of patent
rights. ISO shall not be held responsible for identifying any or all such patent rights.
ISO 11137-1 was prepared by Technical Committee ISO/TC 198, Sterilization of health care product.
This first edition, together with ISO 11137-2 and ISO 11137-3, cancels and replaces ISO 11137:1995.
ISO 11137 consists of the following parts, under the general title Sterilization of health care products —
Radiation:
⎯ Part 1: Requirements for development, validation and routine control of a sterilization process for medical
devices
⎯ Part 2: Establishing the sterilization dose
⎯ Part 3: Guidance on dosimetric aspects
iv © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
Introduction
A sterile medical device is one that is free of viable microorganisms. International Standards, which specify
requirements for validation and routine control of sterilization processes, require, when it is necessary to
supply a sterile medical device, that adventitious microbiological contamination of a medical device prior to
sterilization be minimized. Even so, medical devices produced under standard manufacturing conditions in
accordance with the requirements for quality management systems (see, for example, ISO 13485) may, prior
to sterilization, have microorganisms on them, albeit in low numbers. Such medical devices are non-sterile.
The purpose of sterilization is to inactivate the microbiological contaminants and thereby transform the non-
sterile medical devices into sterile ones.
The kinetics of inactivation of a pure culture of microorganisms by physical and/or chemical agents used to
sterilize medical devices can generally best be described by an exponential relationship between the numbers
of microorganisms surviving and the extent of treatment with the sterilizing agent; inevitably this means that
there is always a finite probability that a microorganism may survive regardless of the extent of treatment
applied. For a given treatment, the probability of survival is determined by the number and resistance of
microorganisms and by the environment in which the organisms exist during treatment. It follows that the
sterility of any one medical device in a population subjected to sterilization processing cannot be guaranteed
and the sterility of a processed population is defined in terms of the probability of there being a viable
microorganism present on a medical device.
This part of ISO 11137 describes requirements that, if met, will provide a radiation sterilization process
intended to sterilize medical devices, that has appropriate microbicidal activity. Furthermore, compliance with
the requirements ensures that this activity is both reliable and reproducible so that predictions can be made,
with reasonable confidence, that there is a low level of probability of there being a viable microorganism
present on product after sterilization. Specification of this probability is a matter for regulatory authorities and
may vary from country to country (see, for example, EN 556-1 and ANSI/AAMI ST67).
Generic requirements of the quality management system for design and development, production, installation
and servicing are given in ISO 9001 and particular requirements for quality management systems for medical
device production are given in ISO 13485. The standards for quality management systems recognise that, for
certain processes used in manufacturing, the effectiveness of the process cannot be fully verified by
subsequent inspection and testing of the product. Sterilization is an example of such a process. For this
reason, sterilization processes are validated for use, the performance of the sterilization process is monitored
routinely and the equipment is maintained.
Exposure to a properly validated, accurately controlled sterilization process is not the only factor associated
with the provision of reliable assurance that the products are sterile and, in this regard, suitable for its intended
use. Attention is therefore given to a number of considerations including:
a) the microbiological status of incoming raw materials and/or components;
b) the validation and routine control of any cleaning and disinfection procedures used on the product;
c) the control of the environment in which the product is manufactured, assembled and packaged;
d) the control of equipment and processes;
e) the control of personnel and their hygiene;
f) the manner and materials in which the product is packaged;
g) the conditions under which product is stored.
ISO 11137-1:2006(E)
This part of ISO 11137 describes the requirements for ensuring that the activities associated with the process
of radiation sterilization are performed properly. These activities are described in documented work
programmes designed to demonstrate that the radiation process will consistently yield sterile products on
treatment with doses falling within the predetermined limits.
The requirements are the normative parts of this part of ISO 11137 with which compliance is claimed. The
guidance given in the informative annexes is not normative and is not provided as a checklist for auditors. The
guidance provides explanations and methods that are regarded as being a suitable means for complying with
the requirements. Methods other than those given in the guidance may be used, if they are effective in
achieving compliance with the requirements of this part of ISO 11137.
The development, validation and routine control of a sterilization process comprise a number of discrete but
interrelated activities; e.g. calibration, maintenance, product definition, process definition, installation
qualification, operational qualification and performance qualification. While the activities required by this part
of ISO 11137 have been grouped together and are presented in a particular order, this part of ISO 11137 does
not require that the activities be performed in the order that they are presented. The activities required are not
necessarily sequential, as the programme of development and validation may be iterative. It is possible that
performing these different activities will involve a number of separate individuals and/or organizations, each of
whom undertake one or more of these activities. This part of ISO 11137 does not specify the particular
individuals or organizations to carry out the activities.
vi © ISO 2006 – All rights reserved
INTERNATIONAL STANDARD ISO 11137-1:2006(E)
Sterilization of health care products — Radiation —
Part 1:
Requirements for development, validation and routine control
of a sterilization process for medical devices
1 Scope
1.1 This part of ISO 11137 specifies requirements for the development, validation and routine control of a
radiation sterilization process for medical devices.
NOTE Although the scope of this part of ISO 11137 is limited to medical devices, it specifies requirements and
provides guidance that may be applicable to other products and equipment.
This part of ISO 11137 covers radiation processes employing irradiators using,
60 137
a) the radionuclide Co or Cs,
b) a beam from an electron generator
or
c) a beam from an X-ray generator.
1.2 This part of ISO 11137 does not specify requirements for development, validation and routine control of
a process for inactivating the causative agents of spongiform encephalopathies such as scrapie, bovine
spongiform encephalopathy and Creutzfeld-Jakob disease. Specific recommendations have been produced in
particular countries for the processing of materials potentially contaminated with these agents.
NOTE See, for example, ISO 22442-1, ISO 22442-2 and ISO 22442-3.
1.2.1 This part of ISO 11137 does not detail specified requirements for designating a medical device as
sterile.
NOTE Attention is drawn to regional and national requirements for designating medical devices as “sterile.” See, for
example, EN 556-1 or ANSI/AAMI ST67.
1.2.2 This part of ISO 11137 does not specify a quality management system for the control of all stages of
production of medical devices.
NOTE It is not a requirement of this part of ISO 11137 to have a complete quality management system during
manufacture, but the elements of a quality management system that are the minimum necessary to control the sterilization
process are normatively referenced at appropriate places in the text (see, in particular, Clause 4). Attention is drawn to the
standards for quality management systems (see ISO 13485) that control all stages of production of medical devices,
including the sterilization process. Regional and national regulations for the provision of medical devices might require
implementation of a complete quality management system and the assessment of that system by a third party.
1.2.3 This part of ISO 11137 does not require that biological indicators be used for validation or monitoring
of radiation sterilization, nor does it require that a pharmacopoeial test for sterility be carried out for product
release.
ISO 11137-1:2006(E)
1.2.4 This part of ISO 11137 does not specify requirements for occupational safety associated with the
design and operation of irradiation facilities.
NOTE Attention is also drawn to the existence, in some countries, of regulations laying down safety requirements for
occupational safety related to radiation.
1.2.5 This part of ISO 11137 does not specify requirements for the sterilization of used or reprocessed
devices.
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 10012-1, Quality assurance requirements for measuring equipment — Part 1: Metrological confirmation
system for measuring equipment
ISO 11137-2:2006, Sterilization of health care products — Radiation — Part 2: Establishing the sterilization
dose
ISO 11737-1, Sterilization of medical devices — Microbiological methods — Part 1: Determination of a
population of microorganisms on products
ISO 11737-2, Sterilization of medical devices — Microbiological methods — Part 2: Tests of sterility performed
in the validation of a sterilization process
ISO 13485:2003, Medical devices — Quality management systems — Requirements for regulatory purposes
3 Terms and definitions
For the purposes of this document, the following terms and definitions apply.
3.1
absorbed dose
dose
quantity of ionizing radiation energy imparted per unit mass of a specified material
NOTE 1 The unit of absorbed dose is the gray (Gy) where 1 Gy is equivalent to the absorption of 1 J/kg.
NOTE 2 For the purposes of this part of ISO 11137, the term dose is used to mean “absorbed dose”.
3.2
bioburden
population of viable microorganisms on or in the product and/or sterile barrier system
[ISO/TS 11139:2006]
3.3
biological indicator
test system containing viable microorganisms providing a defined resistance to a specified sterilization
process
[ISO/TS 11139:2006]
2 © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
3.4
calibration
set of operations that establish, under specified conditions, the relationship between values of a quantity
indicated by a measuring instrument or measuring system, or values represented by a material measure or a
reference material, and the corresponding values realized by standards
[VIM:1993, definition 6.11]
3.5
change control
assessment and determination of the appropriateness of a proposed alteration to product or procedure
[ISO/TS 11139:2006]
3.6
correction
action to eliminate a detected nonconformity
NOTE A correction can be made in conjunction with corrective action (3.7).
[ISO 9000:2005]
3.7
corrective action
action to eliminate the cause of a detected nonconformity or other undesirable situation
NOTE 1 There can be more than one cause for a nonconformity.
NOTE 2 Corrective action is taken to prevent recurrence whereas “preventive action” (3.24) is taken to prevent
occurrence.
NOTE 3 There is a distinction between correction and corrective action.
[ISO 9000:2005]
3.8
D value
D value
time or radiation dose required to achieve inactivation of 90 % of a population of the test microorganism under
stated conditions
NOTE For the purpose of the ISO 11137 series, the D value refers to the radiation dose necessary to achieve the
90 % reduction.
[ISO/TS 11139:2006]
3.9
development
act of elaborating a specification
[ISO/TS 11139:2006]
3.10
dose mapping
measurement of dose distribution and variability in material irradiated under defined conditions
ISO 11137-1:2006(E)
3.11
dosimeter
device having a reproducible, measurable response to radiation, which can be used to measure the absorbed
dose in a given system
[ISO/TS 11139:2006]
3.12
dosimetry
measurement of absorbed dose by the use of dosimeters
3.13
establish
determine by theoretical evaluation and confirm by experimentation
[ISO/TS 11139:2006]
3.14
fault
one or more of the process parameters lying outside of its/their specified tolerance(s)
[ISO/TS 11139:2006]
3.15
health care product(s)
medical device(s), including in vitro diagnostic medical device(s), or medicinal product(s), including
biopharmaceutical(s)
[ISO/TS 11139:2006]
3.16
installation qualification
IQ
process of obtaining and documenting evidence that equipment has been provided and installed in
accordance with its specification
[ISO/TS 11139:2006]
3.17
irradiation container
holder in which product is transported through the irradiator
NOTE The holder can be a carrier, cart, tray, product carton, pallet or other container.
3.18
irradiator operator
company or body responsible for irradiation of product
3.19
maximum acceptable dose
dose given in the process specification as the highest dose that can be applied to a defined product without
compromising safety, quality or performance
4 © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
3.20
medical device
instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software,
material or other similar or related article, intended by the manufacturer to be used, alone or in combination,
for human beings for one or more of the specific purpose(s) of:
⎯ diagnosis, prevention, monitoring, treatment or alleviation of disease;
⎯ diagnosis, monitoring, treatment, alleviation of or compensation for an injury;
⎯ investigation, replacement, modification, or support of the anatomy or of a physiological process;
⎯ supporting or sustaining life;
⎯ control of conception;
⎯ disinfection of medical devices;
⎯ providing information for medical purposes by means of in vitro examination of specimens derived
from the human body;
and which does not achieve its primary intended action in or on the human body by pharmacological,
immunological or metabolic means, but which may be assisted in its function by such means
[ISO 13485:2003]
NOTE This definition from ISO 13485:2003 has been developed by the Global Harmonization Task Force
(GHTF 2002).
3.21
microorganism
entity of microscopic size, encompassing bacteria, fungi, protozoa and viruses
NOTE A specific standard might not require demonstration of the effectiveness of the sterilization process in
inactivating all types of microorganisms, identified in the definition above, for validation and/or routine control of the
sterilization process.
[ISO/TS 11139:2006]
3.22
operational qualification
OQ
process of obtaining and documenting evidence that installed equipment operates within predetermined limits
when used in accordance with its operational procedures
[ISO/TS 11139:2006]
3.23
performance qualification
PQ
process of obtaining and documenting evidence that the equipment, as installed and operated in accordance
with operational procedures, consistently performs in accordance with predetermined criteria and thereby
yields product meeting its specification
[ISO/TS 11139:2006]
ISO 11137-1:2006(E)
3.24
preventive action
action to eliminate the cause of a potential nonconformity or other undesirable potential situation
NOTE 1 There can be more than one cause for a potential nonconformity.
NOTE 2 Preventive action is taken to prevent occurrence whereas “corrective action” (3.7) is taken to prevent
recurrence.
[ISO 9000:2005]
3.25
primary manufacturer
body responsible for the design and manufacture of a medical device, together with the safety and
performance of that medical device when placed on the market
3.26
process interruption
intentional or unintentional stoppage of the irradiation process
3.27
process parameter
specified value for a process variable
NOTE The specification for a sterilization process includes the process parameters and their tolerances.
[ISO/TS 11139:2006]
3.28
process variable
condition within a sterilization process, changes in which alter microbicidal effectiveness
EXAMPLES Time, temperature, pressure, concentration, humidity, wavelength.
3.29
processing category
group of different product that can be sterilized together
NOTE Processing categories can be based on, for instance, composition, density or dose requirements.
3.30
product
result of a process
[ISO 9000:2005]
NOTE For the purposes of sterilization standards, product is tangible and can be raw material(s), intermediate(s),
sub-assembly(ies) or health care product(s).
3.31
product family
group of different product that can be given the same sterilization dose
3.32
requalification
repetition of part of validation for the purpose of confirming the continued acceptability of a specified process
[ISO/TS 11139:2006]
6 © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
3.33
services
supplies from an external source, needed for the function of equipment
EXAMPLES Electricity, water, compressed air, drainage.
3.34
specification
approved document stipulating requirements
3.35
specify
stipulate in detail within an approved document
[ISO/TS 11139:2006]
3.36
sterile
free from viable microorganisms
[ISO/TS 11139:2006]
3.37
sterility
state of being free from viable microorganisms
NOTE In practice, no such absolute statement regarding the absence of microorganisms can be proven
(see sterilization) 3.39.
[ISO/TS 11139:2006]
3.38
sterility assurance level
SAL
probability of a single viable microorganism occurring on an item after sterilization
–6 –3
NOTE The term SAL takes a quantitative value, generally 10 or 10 . When applying this quantitative value to
–6 –3
assurance of sterility, an SAL of 10 has a lower value but provides greater assurance of sterility than an SAL of 10 .
[ISO/TS 11139:2006]
3.39
sterilization
validated process used to render product free from viable microorganisms
NOTE In a sterilization process, the nature of microbial inactivation is exponential and thus the survival of a
microorganism on an individual item can be expressed in terms of probability. While this probability can be reduced to a
very low number it can never be reduced to zero [see “sterility assurance level” (3.38)].
[ISO/TS 11139:2006]
3.40
sterilization dose
minimum dose to achieve the specified requirements for sterility
3.41
sterilization process
series of actions or operations needed to achieve the specified requirements for sterility
ISO 11137-1:2006(E)
NOTE This series of actions includes pretreatment of product (if necessary), exposure under defined conditions to
the sterilizing agent and any necessary post treatment. The sterilization process does not include any cleaning,
disinfection or packaging operations that precede sterilization.
[ISO/TS 11139:2006]
3.42
sterilizing agent
physical or chemical entity, or combination of entities having sufficient microbicidal activity to achieve sterility
under defined conditions
[ISO/TS 11139:2006]
3.43
test for sterility
technical operation defined in an official pharmacopoeia performed on product following exposure to a
sterilization process
[ISO/TS 11139:2006]
3.44
test of sterility
technical operation performed as part of development, validation or requalification to determine the presence
or absence of viable microorganisms on product or portions thereof
[ISO/TS 11139:2006]
3.45
transit dose
dose absorbed during travel of product or source to or from the non-irradiation to the irradiation position
3.46
uncertainty of measurement
parameter, associated with the result of a measurement, that characterizes the dispersion of values that could
reasonably be attributed to the measurand
[VIM 1993]
3.47
validation
documented procedure for obtaining, recording and interpreting the results required to establish that a process
will consistently yield product complying with predetermined specifications
[ISO/TS 11139:2006]
4 Quality management system elements
4.1 Documentation
4.1.1 Procedures for development, validation, routine control and product release from sterilization shall be
specified.
4.1.2 Documents and records required by this part of ISO 11137 shall be reviewed and approved by
designated personnel (see 4.2.1). Documents and records shall be controlled in accordance with the
applicable clauses of ISO 13485.
8 © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
4.2 Management responsibility
4.2.1 The responsibility and authority for implementing and meeting the requirements described in this part
of ISO 11137 shall be specified. Responsibility shall be assigned to competent personnel in accordance with
the applicable clauses of ISO 13485.
4.2.2 If the requirements of this part of ISO 11137 are undertaken by organizations with separate quality
management systems, the responsibilities and authority of each party shall be specified.
4.3 Product realization
4.3.1 Procedures for purchasing shall be specified. These procedures shall comply with the applicable
clauses of ISO 13485.
4.3.2 Procedures for identification and traceability of product shall be specified. These procedures shall
comply with the applicable clauses of ISO 13485.
4.3.3 A system complying with the applicable clauses of ISO 13485 or ISO 10012-1 shall be specified for
the calibration of all equipment, including instrumentation for test purposes, used in meeting the requirements
of this part of ISO 11137.
4.3.4 Dosimetry used in the development, validation and routine control of the sterilization process shall
have measurement traceability to national or International Standards and shall have a known level of
uncertainty.
4.4 Measurement, analysis and improvement — Control of nonconforming product
Procedures for control of product designated as nonconforming and for correction, corrective action and
preventive action shall be specified. These procedures shall comply with the applicable clauses of ISO 13485.
5 Sterilizing agent characterization
5.1 Sterilizing agent
5.1.1 The type of radiation to be used in sterilization processing shall be specified.
5.1.2 For electrons or X-rays, the energy level of the electron beam shall be specified. If the energy level for
electrons exceeds 10 MeV or the energy level for electrons used to generate X-rays exceeds 5 MeV, the
potential for induced radioactivity in product shall be assessed. The outcome of the assessment and the
rationale for decisions reached shall be documented.
5.2 Microbicidal effectiveness
The inactivation of microorganisms by radiation and the use of radiation in sterilization processes have been
comprehensively documented in the literature. This literature provides knowledge of the manner in which the
process variables affect microbial inactivation. Reference to these general studies on microbial inactivation is
not required by this part of ISO 11137.
5.3 Material effects
The effects of radiation on a wide variety of materials used to manufacture medical devices have been
comprehensively documented and the resultant documentation is of value to those designing and developing
medical devices that are to be sterilized by radiation. This part of ISO 11137 does not require the performance
of studies on material effects, but does require performance of studies of the effects of radiation on product
(see 8.1).
ISO 11137-1:2006(E)
5.4 Environmental considerations
The potential effect on the environment of the operation of the radiation sterilization process shall be assessed
and measures to protect the environment shall be identified. This assessment, including potential impact (if
any) shall be documented and measures for control (if identified), shall be specified and implemented.
6 Process and equipment characterization
6.1 Process
Process variables shall be identified and means of monitoring and controlling them shall be specified.
6.2 Equipment
6.2.1 The irradiator and its method of operation shall be specified. The specification of the irradiator shall be
revised as necessary (see 12.5.1) and retained for the life of the irradiator (see 4.1.2).
6.2.2 Software used to control and/or monitor the process shall be prepared in accordance with a quality
management system that provides documented evidence that the software meets its design intention.
6.2.3 For gamma irradiators, the specification shall at least describe:
a) the irradiator and its characteristics;
b) the type of radionuclide and its activity and the geometry of the gamma source;
c) the premises, including the location of the irradiator;
d) the means provided for the segregation of non-irradiated product from irradiated product (see 10.3 and
10.4);
e) the construction and operation of any associated conveyor system;
f) the conveyor path(s) and the range of conveyor speed;
g) the dimensions, materials and nature of construction of the irradiation container(s);
h) the manner of operating and maintaining the irradiator and any associated conveyor system;
i) the means of indicating the position of the gamma source;
j) the means of automatically returning the gamma source to the storage position and automatically ceasing
conveyor movement if the process control timer or the conveyor system fails;
k) the means of returning the gamma source to the storage position and automatically ceasing conveyor
movement or identifying affected product if the gamma source is not at its intended position.
6.2.4 For electron beam irradiators the specification shall at least describe:
a) the irradiator and its characteristics;
b) the characteristics of the beam (electron energy and, if applicable, average beam current, scan width and
scan uniformity);
c) the premises including the location of the irradiator;
10 © ISO 2006 – All rights reserved
ISO 11137-1:2006(E)
d) the means provided for the segregation of non-irradiated product from irradiated product (see 10.3 and
10.4);
e) the construction and operation of any associated conveyor system;
f) the conveyor path(s) and the range of the conveyor speed;
g) the dimensions, materials and nature of construction of the irradiation container(s);
h) the manner of operating and maintaining the irradiator and any associated conveyor system;
i) the means of indicating that the beam and the conveyor are operating;
j) the means of ceasing irradiation if any failure of the conveyor occurs which affects the dose;
k) the means of ceasing conveyor movement or identifying affected product if any fault in the beam occurs.
6.2.5 For X-ray irradiators, the specification shall at least describe:
a) the irradiator and its characteristics;
b) the characteristi
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