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Aseptic processing   41


              former actively seeks to destroy all viable microorganisms from the product
              while the latter attempts to prevent product contamination by carefully
              controlling the conditions and actions designed prior to sealing, comple-
              tion, and final packaging.
                 Another strategy is to combine aseptic processing and sterilization. Here
              aseptic processing principles and methods are used to reduce the bioburden
              or level of microbiological contamination in the product to very low levels
              and a final sterilization treatment is employed to increase the level of steril-
              ity assurance. This is sometimes referred to as post-aseptic lethal treatment.
                 This chapter will primarily focus on aseptic processing of the drug
              product part of the combination product. The chapter will not present all
              aspects or requirements for aseptic processing but will discuss some of the
              points to consider for manufacturing sterile combination products using
              aseptic processing.
                 Where all parts of the combination product can be terminally sterilized,
              it is required that they be. However, not all components or products can
              withstand terminal sterilization. Components may lose functionality and
              product may lose potency or purity because of exposure to heat, radiation,
              or other methods of sterilization. When one or more of the components or
              products of a combination product cannot be terminally sterilized, aseptic
              processing is typically used for that part or the entire combination product.
              There are three options for manufacturing a sterile combination product
              using aseptic processing:
              1.  Manufacture and assemble all components—drug, device, and packag-
                 ing aseptically.
              2.  Manufacture and assemble some of the components aseptically and then
                 assemble with sterilized components.
              3.  Manufacture and assemble all components aseptically and subject prod-
                 uct to post-aseptic lethal or decontamination treatment.



              4.3  Aseptic processing
              Aseptic processing is a set of process steps, conditions, and actions taken to
              render product and components sterile and prevent microbiological con-
              tamination of that product and those components prior to final assembly
              and sealing. The Parenteral Drug Association (PDA) Technical Report 22,
              Process Simulations for Aseptically Filled Products, defines aseptic pro-
              cessing as the handling of sterile materials in a controlled environment
              in which the air supply, facility, materials, equipment, and personnel are
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