Page 208 - Assurance of Sterility for Sensitive Combination Products and Materials
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Risk to the patient—Quantifying assurance of sterility   187




















                                     Yes
                                                                    Yes
                           No
                                                           No









              (A)                              (B)
              Fig. 7.6  A schematic flowchart of Method 1 per ISO 11137-2.



              7.3.4.1  Section A
              Section A shown in Fig. 7.6 highlights the steps that are used to establish
              the level of bioburden in the product. The ideal statistical situation is com-
              plete homogeneity of lots and samples within a lot. Using these simpli-
              fied assumptions, statistics will be used to obtain approximate confidence
              boundaries for the level of bioburden. This is the first part of the parametric
              statistical analysis required to obtain the overall point estimate and confi-
              dence bound for this example.
                 It is important to note that in this scenario the bioburden value of 3.5
              and the associated Poisson distribution of bioburden values have been se-
              lected to illustrate statistical calculations of the relation between bioburden
              variability and quantitative analysis of PNSU*. Real-world bioburden vari-
              ability can be significantly greater as seen by the standard’s accommodation
              of batches with bioburden average being twice that of the overall average
              of three batches as shown in Part A above. Conclusions remain instructive.
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