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Risk to the patient—Quantifying assurance of sterility   189


              and 50% of the time a bioburden level of 4 or higher will be used, to iden-
              tify the radiation dose for the verification run when the true level is 3.5.

              7.3.4.2  Section B
              The analysis in Section A established that a sampling error might result
              in misidentifying the average bioburden a modest fraction of the time
              for bioburden estimates below the average value and 50% of the time for
              bioburden estimates above the average. Section B will provide illustrative
              statistical analysis for the underestimate of bioburden.
                 For Method 1, the verification testing is intended to demonstrate the
                                                   −2
              selected level of radiation will result in a 10  PNSU*. This demonstration
              supports the identification of a radiation dose designed to achieve a selected
                                    −6
              PNSU*, most often a 10  PNSU*. The next step of the analysis related
              to the ISO 11137-2 components shown in Section B (Fig. 7.6) will use
              operational characteristic curves (OCC or OC curves) to determine if the
              verification tests prescribed in the standard would detect the error in the
              estimate of the bioburden level.
                 OC curves graphically illustrate the ability of a sampling plan to dis-
              criminate between acceptable and unacceptable results. The OC curve in
              Fig. 7.7 will be used to introduce the concepts of acceptance sampling and
              OC curves. It is not the OC curve for the plan described by the standard.
              The curve shown in Fig. 7.7 describes the performance of a sampling plan
              where 299 samples (n = 299) are tested and none are allowed to fail (c = 0).
              The x-axis of the curve is the fraction defective in the batch. The y-axis is
              the probability of passing the sampling plan given the fraction defective on






















              Fig. 7.7  A general OC curve.
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