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AAMI TIR16775 2014

$162.84

AAMI/ISO TIR16775:2014 – Packaging for terminally sterilized medical devices – Guidance on the application of ISO 11607-1 and ISO 11607-2

Published By Publication Date Number of Pages
AAMI 2014 128
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This technical report contains guidance on the application of ISO 11607-1:2006, Packaging for terminally sterilized medical devices – Part 1: Requirements for materials, sterile barrier systems and packaging systems and ISO 11607-2:2006, Packaging for terminally sterilized medical device – Part 2: Validation requirements for forming, sealing, and assembly processes. Possible options for compliance with the requirements of Parts 1 and 2 will be addressed as special concerns that may require attention due to regional or local conditions, practices or regulations.

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PDF Pages PDF Title
1 ANSI/AAMI/ISO TIR16775:2014, Packaging for terminally sterilized medical devices — Guidance on the application of ISO 11607-1 and ISO 11607-2
3 Title page
4 Copyright information
5 AAMI Technical Information Report
ANSI Technical Report
7 Contents
9 Glossary of equivalent standards
10 Committee representation
12 Background of AAMI adoption of ISO/TS 16775:2014
13 Foreword
14 Introduction
15 1 Scope
2 Terms and definitions
16 3 Guidance for health care facilities
3.1 Test methods
3.2 Guidance for conformance to ISO 11607-1
3.2.1 General guidance for materials, preformed sterile barrier systems and sterile barrier systems
17 3.2.2 Design and development guidance for packaging systems (ISO 11607-1:2006, 6.1 and 6.2)
3.2.2.1 Selection criteria
18 3.2.2.2 Selection considerations
3.2.2.3 Assembly considerations
19 3.2.2.4 Labelling considerations
3.2.2.5 Regulatory considerations
3.2.2.6 Common choices for sterile barrier systems
3.2.2.6.1 General
3.2.2.6.2 Sealable pouches and reels (preformed sterile barrier systems)
20 3.2.2.6.3 Sterilization wrap
21 3.2.2.6.4 Reusable containers
22 3.2.2.7 Protective packaging
3.2.3 Packaging system performance testing (ISO 11607-1:2006, 5.3, 5.4, 5.5, 6.3)
23 3.2.4 Sterile barrier system stability evaluation (shelf life) (ISO 11607-1:2006, 6.4)
3.2.5 Documentation
24 3.3 Guidance on conformance to ISO 11607-2, Validation requirements for forming, sealing and assembly processes
3.3.1 General
3.3.2 Method of validation
3.3.2.1 General
3.3.2.2 Drafting of validation plan
25 3.3.2.3 Implementation of validation
3.3.2.4 Validation approval
3.3.2.5 Process control and routine monitoring
26 3.3.2.6 Process/packaging changes and revalidation
3.3.2.7 Validation of the sealing process (pouch, reel or bag forming and sealing) of preformed sterile barrier systems
3.3.2.7.1 Installation Qualification
27 3.3.2.7.2 Operational Qualification
28 3.3.2.7.3 Performance Qualification
3.3.2.7.4 Self-sealing or taped pouches
29 3.3.2.8 Validation of the wrapping process (folding and closing of sterilization wraps)
3.3.2.8.1 Installation Qualification
3.3.2.8.2 Operational Qualification
3.3.2.8.3 Performance Qualification
30 3.3.2.9 Validation of the container process (filling and closing of re-usable containers)
3.3.2.9.1 Installation Qualification
3.3.2.9.2 Operational Qualification
31 3.3.2.9.3 Performance Qualification
32 3.4 Quality system
4 Guidance for industry
4.1 General guidance
4.1.1 Quality systems
4.1.2 Test methods
33 4.1.3 Sampling
4.2 Design inputs
4.3 Selection and evaluation of materials
4.3.1 Guidance on sterilization requirements (ISO 11607-1:2006, 5.1.6 e) and 5.3)
4.3.2 Guidance on safety requirements (ISO 11607-1:2006, 5.1.5 and 5.1.6)
4.3.3 Guidance on barrier requirements (ISO 11607-1:2006, 5.1.4 and 5.1.6)
4.3.4 Guidance on visibility and appearance requirements
4.3.5 Guidance on physical property requirements (ISO 11607-1:2006, 5.1.6 c), 5.1.7 e), and 6.3.2)
34 4.3.6 Guidance on heat sealability requirements [ISO 11607-1:2006, 5.1.6 d) and 5.1.8 c)]
4.3.7 Guidance on processing requirements (ISO 11607-1:2006, 5.1.2 to 5.1.9)
4.3.8 Guidance on printing requirements (ISO 11607-1:2006, 5.4)
4.3.9 Guidance on cleanliness and particulate requirements [ISO 11607-1:2006, 5.1.7d)]
4.3.10 Device-packaging system interaction
4.4 Sterile barrier system and protective packaging design (packaging system development)
4.4.1 Key elements in the design
35 4.4.2 Steps in packaging system design
4.4.2.1 Design the sterile barrier system
4.4.2.2 Design the protective packaging
4.4.2.3 Prototype the packaging system
4.4.2.4 Labelling considerations for the packaging system design
36 4.5 Packaging process feasibility evaluation
4.5.1 Sterile barrier system manufacturing process
4.5.2 Equipment Installation Qualification guidance
4.5.3 Prototype or trial runs
4.6 Sterile barrier system design feasibility evaluation
4.6.1 General considerations
37 4.6.2 Sterile barrier system test method
4.6.3 Worst-case feasibility condition
4.6.4 Pass/fail status of packaging system
38 4.7 Validation of sterile barrier system manufacturing process
4.7.1 Development of written process validation protocol
4.7.2 Performance of validation activities detailed in protocol
4.7.2.1 Installation Qualification (if not satisfied from previous IQ work) (ISO 11607-2:2006, 5.2)
39 4.7.2.2 Operation Qualification (ISO 11607-2:2006, 5.3)
4.7.2.3 Performance Qualification (ISO 11607-2:2006, 5.4)
4.7.3 Assessment of validation results
4.7.4 Approval of process validation
4.7.5 Establishment of documented ongoing process control and monitoring
4.8 Packaging system design validation
4.8.1 General
40 4.8.2 Validation protocol
4.8.3 Performing testing
4.8.4 Documenting validation results
41 4.9 Revalidation
42 Annex A: Selection, evaluation and testing of packaging materials and sterile barrier systems — Guidance for industry and health care facilities
A.1 General
A.2 Compatibility with the sterilization process
A.3 Safety considerations
43 A.4 Barrier guidance
A.5 Visibility and appearance of the medical device
A.6 Material physical property
45 A.7 Sterile barrier system integrity
A.8 Seal strength and burst strength
46 A.9 Material processing guidance
A.10 Printing guidance
47 A.11 Cleanliness and particulates
A.12 Accelerated aging and environmental challenging
49 Annex B: Sterilization considerations — Guidance for industry and health care facilities
B.1 Overview
B.2 Ethylene oxide
50 B.3 Gamma irradiation
51 B.4 Electron beam sterilization (E-Beam)
B.5 X-ray sterilization
52 B.6 Moist heat (steam) sterilization
B.7 Sterilization using moist heat and non-porous packaging
53 B.8 Dry heat
B.9 Peroxide sterilization
54 B.10 Ozone
B.11 Chlorine dioxide (ClO2 or CD)
56 Annex C: Examples of wrapping methods — Guidance for health care facilities
C.1 General
C.2 Envelope method
Figure C.1 — Envelope method steps 1 to 3
57 Figure C.2 — Envelope method steps 4 to 6
Figure C.3 — Envelope method simultaneous double wrapping
58 Figure C.4 — Envelope method sequential double wrapping
59 C.3 Parallel packaging/square fold method wrapping
Figure C.5 — Packaging/square fold method steps 1 to 3
Figure C.6 — Parallel wrapping steps 4 to 7
60 Figure C.7 — Parallel wrapping steps 8 and 9
Figure C.8 — Square fold method simultaneous double wrapping
61 Figure C.9 — Square fold method sequential double wrapping
62 C.4 Pasteur or roll method
Figure C.10 — Pasteur or roll method
63 Annex D: Validation plan documents — Guidance for health care facilities
D.1 General
Table D.1 — Number of process validations
64 D.2 Validation plan checklist: Heat Sealing Process Preformed Sterile Barrier Systems (PSBS: Pouches, Reels, etc.)
68 D.3 Validation plan checklist: wrapping process
72 D.4 Validation plan checklist: container process
76 D.5 Handling and distribution checklist: handling, distribution and storage
79 Annex E: Installation qualification documentation — Guidance for health care facilities
E.1 Checklist installation qualification (IQ): heat sealing process
82 E.2 Checklist Installation Qualification (IQ): Wrapping Process
83 E.3 Checklist installation qualification (IQ): container process
84 Annex F: Operational qualification documentation — Guidance for health care facilities
F.1 Checklist operational qualification (OQ): heat sealing process
86 F.2 Checklist operational qualification (OQ): wrapping process
88 F.3 Checklist operational qualification (OQ): container process
90 Annex G: Performance qualification documentation — Guidance for health care facilities
G.1 Checklist performance qualification (PQ), sealing process
92 G.2 Checklist performance qualification (PQ), wrapping process
94 G.3 Checklist performance qualification (PQ), container process
96 Annex H: Addressing worst-case requirements — Guidance for industry and health care facilities
H.1 Overview
H.2 Worst-case configuration — Medical devices
H.3 Worst-case — Sterile barrier system
97 H.4 Worst-case configuration — Sterile barrier system manufacturing process
98 Annex I: Generating a final packaging system validation protocol — Guidance for industry
I.1 Plan objectives and background on protocol development
I.2 Understanding the packaging system design configuration
I.3 Grouping packaging systems for validation
99 I.4 Determining sample size for final packaging system validation
I.5 Defining acceptance criteria
I.6 Sterile barrier system preparation for testing
I.7 Define the shipping environment
100 I.8 Defining shelf life
101 Annex J: Design inputs — Medical device attributes — Guidance for industry
J.1 Introduction
J.2 Product attributes
102 J.3 Medical device protection guidance
J.4 Storage, distribution, and handling guidance
103 J.5 Manufacturing guidance
J.6 Sterilization process guidance
J.7 Marketing guidance
104 J.8 Budget guidance
J.9 Customer guidance
J.10 Regulatory guidance
105 Annex K: Risk analysis tools — Guidance for industry and health care facilities
K.1 Applications
K.2 Risk analysis tools
107 Annex L: Considerations for sampling plans — Guidance for health care facilities
109 Annex M: Stability testing (ISO 11607-1:2006, 6.4) — Guidance for industry
110 Annex N: Use of the Internet — Guidance for industry and health care facilities
111 Annex O: Test method validation — Guidance for industry
112 Annex P: Use of contract packagers — Guidance for industry and health care facilities
P.1 General
P.2 Functions performed by contract packagers
P.3 Responsibilities
113 Annex Q: Guidance on establishing process parameters — Guidance for industry
Q.1 General
Q.2 EXAMPLE Forming and lidding a tray
Q.2.1 FMEA (Failure modes and effects analysis)
Table Q.1 — FMEA Example
114 Q.2.2 Design of Experiment (DOE)
115 Q.2.3 Heat seal curve analysis (Process range assessment)
Figure Q.1 — Heat seal curve for optimum process parameters
Q.2.4 Visual scoring method for heat seals
117 Q.2.5 Combining heat seal curve analysis and visual scoring
Figure Q.2 — Seal strength and visual seal quality vs. temperature
Q.2.6 Determination of process capability
118 Table Q.2 — CpK value example
119 Annex R: Investigation failure — Guidance for industry and health care facilities
R.1 Evaluating failure
R.2 Determining the source of the defect
120 R.3 Chemical vs. mechanical causes
R.4 Other tools
121 R.5 Problem solving approach
122 Annex S: Packaging manufacturing process and packaging system design feasibility evaluation — Guidance for industry
S.1 Feasibility evaluation for initial and full-scale packaging manufacturing process
S.1.1 Projected volume
S.1.2 Equipment/staff availability
S.1.3 Capital guidance
S.1.4 Total packaging system cost
S.2 Packaging system design feasibility evaluation
123 S.2.1 Packaging system design feasibility evaluation
S.2.2 Packaging system design feasibility plan
S.2.3 Worst-case feasibility condition
124 S.2.4 Pass/fail status of packaging system
125 Bibliography
AAMI TIR16775 2014
$162.84