Page 234 - Assurance of Sterility for Sensitive Combination Products and Materials
P. 234

sterilised containers and aseptic
                                                                  processing. Consider a terminal
                                                                    microbial reduction process
                                                              Use sterile filtration, pre-
                                                         Yes
                                                                  containers and aseptic
                                                               Use sterile filtration,
                                                                pre-sterilised
                                                         No
                                                                    processing
                  Can the product be sterilised by Moist heat at 121°C for 15 min?  Yes  Use autoclaving at  121°C for 15 min  Yes  Use moist heat  with F o  ³ 8 min  Yes Can a reduced terminal heat treatment be applied providing a terminal reduction of a possible bioburden?  Developing new products  Decision tree for sterilization choices fo
                           Can the product be sterilised by moist heat with F o  ³ 8 minutes achieving SAL of £ 10 –6 ?  No  Can the formulation be filtered through a microbial retentive filter?  No Can a reduced terminal heat treatment be applied providing a terminal reduction of a possible bioburden?
                       No                                 Yes  Use pre-sterilised individual  components, aseptic compounding and filling. Consider a terminal microbial  reduction process tion of the medicinal product, active substance, excipient and primary container, April 2016, European Medicines Agency.












                                                          No  Use pre-sterilised  individual components and aseptic compounding  and filling  Fig. 8.1
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