YY/T 1623-2018Test method of effectiveness of sterilization processes for reusable medical devices (English PDF)
可重复使用医疗器械灭菌过程有效性的试验方法
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Issued by
NMPA
Level / Type
Industry · Recommended
Issue date
September 21, 2018
Implementation date
September 26, 2019
Scope
YY/T 1623-2018 is the English-translated version of 可重复使用医疗器械灭菌过程有效性的试验方法.
YY/T 1623-2018 is the Chinese pharmaceutical industry standard that gives the test methods for determining whether the sterilization process applied to a reusable medical device is effective.
It sets out the test soils and the challenge devices, the placing of the indicators in the load, the running of the cycle and the assessment of the result, for a process whose effectiveness has already been established, so that it can be confirmed in use rather than validated from scratch. Issued on 21 September 2018, it has applied since 26 September 2019.
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Document preview — YY/T 1623-2018
National Standard of the People's Republic of China
Issued by: National Medical Products Administration of the People's Republic of China
Contents
- Foreword3
- Introduction4
- 1 Scope5
- 2 Normative references5
- 3 Terms and definitions5
- 4 Overview7
- 5 Test devices7
- 6 Reagents7
- 7 Procedures9
Foreword
This standard was drafted in accordance with the rules given in GB/T 1.1-2009.
1 Scope
This standard specifies test methods of determining the effectiveness of sterilization process for reusable medical devices.
This standard applies to tests that have established the effectiveness of the sterilization process, it does not apply to the validation of the sterilization process.
2 Normative references
The following documents are essential to the application of this document. For the dated documents, only the versions with the dates indicated are applicable to this document; for the undated documents, only the latest version (including all the amendments) are applicable to this standard.
GB/T 6682 Water for analytical laboratory use - Specification and test methods
GB 18281.2 Sterilization of health care products-Biological indicators - Part
3 Biological indicators for moist heat sterilization processes
GB 18281.4 Sterilization of health care products - Biological indicators - Part
4 Biological indicators for dry heat sterilization processes
The Pharmacopoeia of the People's Republic of China (2015 version), volume IV
4.3 After the sample has been processed through a complete sterilization process, it shall use a specific elution technique to recover all residual bacterial spores from the device.
4.4 Use a minimum 5 devices to perform a process test cycle, or otherwise use one device to perform at least 5 consecutive process test cycles. If they are all qualified, this sterilization process is valid.
4.5 The person conducting this standard testing shall have an educational background in microbiology or related professional knowledge.
4.6 The sterility inspection and microbial limit inspection shall comply with the corresponding requirements of the Pharmacopoeia of the People's Republic of China (2015 version), volume IV.
3.1 Bioburden
The total number of microorganisms on or in a product and/or its package.
5 Test devices
It shall include at least the following devices.
a) Sterile cotton-swabs;
b) Pressure steam sterilizer;
c) (48 ± 2) °C constant-temperature water-bath;
d) (35 ± 2) °C and (55 ± 2) °C bacteria incubator;
e) A disposable or reusable sterile membrane filter which has a 0.45 µm pore size;
f) Other devices or equipment as specified by the manufacturer of the sterilant, medical device or sterilizer.
6 Reagents
6.5 Neutralizer
For the use of neutralizer, see the Pharmacopoeia of the People's Republic of China (2015 version), volume IV, for the microbiological limit inspection of 1105 non-sterile product. the description of the neutralizer in the microbiological counting method.
7 Procedures
7.1 Select the devices which require evaluation.
7.2 Read the cleaning instructions for the devices which require evaluation, ensure that all required accessories are complete and available. Follow the manufacturer's instructions to wash and dry the devices.
7.3 Infect the device, the infected part shall include the part of device which is most difficult to sterilize. The number of infected parts shall be determined based on the complexity of the device. The rationale for identifying and proving the parts of the device which are most difficult to sterilize shall be documented.
7.4 For procedures for contamination, elution, control testing, neutralization, growth promotion (sensitivity testing) and process testing cycles, the laboratory shall perform validation and develop standard operating practices.
7.5 Determination of the recovery control
7.5.1 Contamination of surface parts
7.5.1.1 Micropipette method
Use a micropipette to directly drop an inoculum which contains more than or equal to 107 CFU onto the surface part to contaminate it. If the manufacturer specifies the drying requirements of the device prior to the aseptic process, dry the bacterial solution. Soak the instrument in the eluent or rinse it immediately or use a cotton-swab to wipe the infected parts, transfer it into a sterile test tube or other sterile container. Shake to mix it thoroughly. Perform gradient dilution, pipette 1 mL of the dilution of appropriate gradient into the culture dish, pour the molten agar medium which has been cooled to not exceeding 45 °C into a plate to which the sample solution had been added, 15 mL ~ 20 mL per plate. After the agar sets, it is cultured at a suitable temperature. Perform colony counts after 48 hours of culture, repeat counting every day until reaching to 7 d.
Through selecting appropriate culture dish for counting, determine the average number of microorganisms per dilution grade, then use the dilution factor to calculate the total number of microorganisms on the contaminated device. Obtain the average of all replicated test data.
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This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 23 pages — is available in the English PDF.
Referenced standards
Normative references
GB 18281.2
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