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170   Assurance of sterility for sensitive combination products and materials


          regulators ask for statistical evidence. Regulations commonly state that the
          sampling plans must be statistically valid. In the simplest sense, ‘statistically
          valid’ means a conclusion is an accurate representation of the truth. In a
          stricter and statistically testable sense, ‘statistically valid’ means the sample
          sizes can be traced to a predefined statistical objective. This statistical objec-
          tive is often that the worst-case performance exceeds the minimum value
          that has been deemed to be acceptable, after accounting for any statistical
          uncertainty.
             This section is aimed at the non-statistician. The level of detail is
          intended to support the concepts and conclusions without overwhelm-
          ing the reader. It explains statistics as applied to sterility assurance but
          does not provide detailed derivations of the statistical concepts or the
          calculations.
             The central statistical concept in this section regards uncertainty. The
          concept will be introduced using a point estimate and a two-sided confi-
          dence interval associated with that point estimate. Intuitive examples are
          provided to help the reader understand the concepts. The concept of two-
          sided confidence intervals will be simplified into a single-sided confidence
          bound. As this chapter is focused on the risk associated with a non-sterile
          unit, only the upper boundary of the risk is of interest. This is called the
          upper confidence bound (UCB) of the risk, specifically the UCB of the
          PNSU*.
             After these concepts are developed, point estimates and confidence
          bounds will be applied to several representative processes that are required
          to obtain and maintain sterility (see Section 7.3).

          7.2.1  Point estimates

          The simplest statistical analysis provides the best estimate of the answer.
          Averages of groups and proportions are examples of this kind of statistical
          estimate. The value that is calculated is called a point estimate. The point
          estimate accurately represents the result. If the inference space of the analysis
          is limited to the data that was used in the calculation, the analysis can stop
          here. Most often the data that is available is a portion of some larger popula-
          tion, that is, the data is a sample. The intended use of the analysis defines the
          larger population. Sterilization studies are used to make a statement about
          the effectiveness of a process that includes manufacturing and sterilization.
          The data is a sample because the conclusion will be generalized and applied
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