Aseptic processing of health care products - Part 1: General requirements (ISO 13408-1:2008, including Amd 1:2013)

ISO 13408-1:2008 specifies the general requirements for, and offers guidance on, processes, programmes and procedures for development, validation and routine control of the manufacturing process for aseptically-processed health care products.
ISO 13408-1:2008 includes requirements and guidance relative to the overall topic of aseptic processing. Specific requirements and guidance on various specialized processes and methods related to filtration, lyophilization, clean-in place (CIP) technologies, sterilization in place (SIP) and isolator systems are given in other parts of ISO 13408.

Aseptische Herstellung von Produkten für die Gesundheitsfürsorge - Teil 1: Allgemeine Anforderungen (ISO 13408-1:2008)

1.1 Der vorliegende Teil von ISO 13408 legt die allgemeinen Anforderungen an Verfahren, Programme und Verfahrensweisen zur Entwicklung, Validierung und Routinekontrolle des Herstellungsverfahrens für aseptisch hergestellte Produkte für die Gesundheitsfürsorge fest und stellt einen Leitfaden dafür zur Verfügung. 1.2 Der vorliegende Teil von ISO 13408 umfasst Anforderungen und einen Leitfaden in Bezug auf das Gesamtthema der aseptischen Herstellung. Besondere Anforderungen und ein Leitfaden für verschiedene spezielle Prozesse und Verfahren in Bezug auf Filtration, Lyophilisierung, Technologien der Reinigung vor Ort (en: cleaning in place, CIP), Sterilisation vor Ort (en: sterilization in place, SIP) und Isolatorsysteme sind in anderen Teilen von ISO 13408 angeführt. ANMERKUNG Der vorliegende Teil von ISO 13408 ersetzt keine nationalen behördlichen Anforderungen, wie z. B. Gute Herstellungspraktiken (GMP) und/oder Anforderungen von Arzneibüchern, die insbesondere nationale oder regionale Zuständigkeiten betreffen.

Traitement aseptique des produits de santé - Partie 1: Exigences générales (ISO 13408-1:2008, y compris Amd 1:2013)

L'ISO 13408-1:2008 spécifie des exigences générales et propose des directives en matière de méthodes, de programmes et de modes opératoires pour le développement, la validation et le contrôle de produits de santé soumis à un traitement aseptique.
L'ISO 13408-1:2008 comprend des exigences et des directives relatives au domaine général du traitement aseptique. Des exigences et des directives spécifiques sur les divers procédés et méthodes spécialisés de filtration, de lyophilisation, de nettoyage in situ, de stérilisation in situ et de systèmes isolateurs sont indiquées dans les différentes parties de l'ISO 13408.

Aseptična proizvodnja izdelkov za zdravstveno nego - 1. del: Splošne zahteve (ISO 13408-1:2008, vključno z Amd 1:2013)

Standard ISO 13408-1:2008 določa splošne zahteve in ponuja smernice za postopke, programe in postopke za razvoj, validacijo in rutinsko kontrolo proizvodnega procesa za aseptično proizvodnjo izdelkov za zdravstveno nego.
Standard ISO 13408-1:2008 zajema zahteve in smernice v povezavi z aseptično proizvodnjo na splošno. Posebne zahteve in smernice glede različnih specializiranih postopkov in metod, povezanih s filtracijo, liofilizacijo, tehnologijami CIP (čiščenje v zaprtih sistemih), sistemi za sterilizacijo (SIP) in izolatorskimi sistemi, so določene v drugih delih standarda ISO 13408.

General Information

Status
Published
Publication Date
04-Aug-2015
Technical Committee
Current Stage
6060 - National Implementation/Publication (Adopted Project)
Start Date
07-Jul-2015
Due Date
11-Sep-2015
Completion Date
05-Aug-2015

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Aseptic processing of health care products - Part 1: General requirements (ISO 13408-

1:2008, including Amd 1:2013)

Aseptische Herstellung von Produkten für die Gesundheitsfürsorge - Teil 1: Allgemeine

Anforderungen (ISO 13408-1:2008)

Traitement aseptique des produits de santé - Partie 1: Exigences générales (ISO 13408-

1:2008, y compris Amd 1:2013)
Ta slovenski standard je istoveten z: EN ISO 13408-1:2015
ICS:
11.080.01 Sterilizacija in dezinfekcija na Sterilization and disinfection
splošno in general
SIST EN ISO 13408-1:2015 en

2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

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SIST EN ISO 13408-1:2015
---------------------- Page: 2 ----------------------
SIST EN ISO 13408-1:2015
EUROPEAN STANDARD
EN ISO 13408-1
NORME EUROPÉENNE
EUROPÄISCHE NORM
June 2015
ICS 11.080.01 Supersedes EN ISO 13408-1:2011
English Version
Aseptic processing of health care products - Part 1: General
requirements (ISO 13408-1:2008, including Amd 1:2013)

Traitement aseptique des produits de santé - Partie 1: Aseptische Herstellung von Produkten für die

Exigences générales (ISO 13408-1:2008, y compris Amd Gesundheitsfürsorge - Teil 1: Allgemeine Anforderungen

1:2013) (ISO 13408-1:2008, einschließlich Amd 1:2013)
This European Standard was approved by CEN on 20 May 2015.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this European

Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references concerning such national

standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN member.

This European Standard exists in three official versions (English, French, German). A version in any other language made by translation

under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management Centre has the same

status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,

Finland, Former Yugoslav Republic of Macedonia, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania,

Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and United

Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION
EUROPÄISCHES KOMITEE FÜR NORMUNG
CEN-CENELEC Management Centre: Avenue Marnix 17, B-1000 Brussels

© 2015 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 13408-1:2015 E

worldwide for CEN national Members.
---------------------- Page: 3 ----------------------
SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Contents Page

Foreword ............................................................................................................................................................. 2

Annex ZA (informative) Relationship between this European Standard and the Essential

Requirements of EU Directive 90/385/EEC on active implantable medical devices ...................... 4

Annex ZB (informative) Relationship between this European Standard and the Essential

Requirements of EU Directive 93/42/EEC on medical devices ......................................................... 5

Annex ZC (informative) Relationship between this European Standard and the Essential

Requirements of EU Directive 98/79/EC on in vitro diagnostic medical devices .......................... 6

---------------------- Page: 4 ----------------------
SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Foreword

The text of ISO 13408-1:2008, including Amd 1:2013 has been prepared by Technical Committee

ISO/TC 198 “Sterilization of health care products” of the International Organization for Standardization

(ISO) and has been taken over as EN ISO 13408-1:2015 by Technical Committee CEN/TC 204

“Sterilization of medical devices” the secretariat of which is held by BSI.

This European Standard shall be given the status of a national standard, either by publication of an

identical text or by endorsement, at the latest by December 2015, and conflicting national standards shall

be withdrawn at the latest by December 2015.

Attention is drawn to the possibility that some of the elements of this document may be the subject of

patent rights. CEN [and/or CENELEC] shall not be held responsible for identifying any or all such patent

rights.
This document supersedes EN ISO 13408-1:2011.

This document has been prepared under a mandate given to CEN by the European Commission and the

European Free Trade Association, and supports essential requirements of EU Directives.

For relationship with EU Directives, see informative Annexes ZA, ZB and ZC, which are integral parts of

this document.

The following referenced documents are indispensable for the application of this document. For undated

references, the edition of the referenced document (including any amendments) listed below applies. For

dated references, only the edition cited applies. However, for any use of this standard within the meaning of

Annex ZA, ZB or ZC, the user should always check that any referenced document has not been

superseded and that its relevant contents can still be considered the generally acknowledged state-of-art.

When an IEC or ISO standard is referred to in the ISO standard text, this should be understood as a

normative reference to the corresponding EN standard, if available, and otherwise to the dated version of

the ISO or IEC standard as listed below.

NOTE The way in which these referenced documents are cited in normative requirements determines the extent

(in whole or in part) to which they apply.
Table — Correlation between normative references and dated EN and ISO standards
Normative references Equivalent dated standard
as listed in Clause 2 of the ISO
EN ISO
standard
ISO 9001 EN ISO 9001:2008 ISO 9001:2008
ISO 11135 EN ISO 11135:2014 ISO 11135:2014
ISO 11137-1 EN ISO 11137-1:2006 + A1:2013 ISO 11137-1:2006 + A1:2013
ISO 11137-2 EN ISO 11137-2:2013 ISO 11137-2:2013
ISO 13408-2 EN ISO 13408-2:2011 ISO 13408-2:2011
ISO 13408-3 EN ISO 13408-3:2011 ISO 13408-3:2011
ISO 13408-4 EN ISO 13408-4:2011 ISO 13408-4:2011
ISO 13408-5 EN ISO 13408-5:2011 ISO 13408-5:2011
ISO 13408-6 EN ISO 13408-6:2011 + A1:2013 ISO 13408-6:2011 + A1:2013
---------------------- Page: 5 ----------------------
SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Normative references Equivalent dated standard
as listed in Clause 2 of the ISO
EN ISO
standard
ISO 13485 EN ISO 13485:2012 ISO 13485:2003
ISO 14160 EN ISO 14160:2011 ISO 14160:2011
ISO 14644-1 EN ISO 14644-1:1999 ISO 14644-1:1999
ISO 14644-2 EN ISO 14644-2:2000 ISO 14644-2:2000
ISO 14644-3 EN ISO 14644-3:2005 ISO 14644-3:2005
ISO 14644-4 EN ISO 14644-4:2001 ISO 14644-4:2001
ISO 14644-5 EN ISO 14644-5:2004 ISO 14644-5:2004
ISO 14644-7 EN ISO 14644-7:2004 ISO 14644-7:2004
ISO 14698-1 EN ISO 14698-1:2003 ISO 14698-1:2003
ISO 14698-2 EN ISO 14698-2:2003 + A1:2006 ISO 14698-2:2003 + A1:2006
ISO 14937 EN ISO 14937:2009 ISO 14937:2009
ISO 14971 EN ISO 14971:2012 ISO 14971:2007
ISO 17665-1 EN ISO 17665-1:2006 ISO 17665-1:2006
ISO 20857 EN ISO 20857:2013 ISO 20857:2013

Regarding the reference to ICH Q9: Guidance for Industry — Quality Risk Management, this should be

considered to be the edition published in 2006.

According to the CEN-CENELEC Internal Regulations, the national standards organizations of the following

countries are bound to implement this European Standard: Austria, Belgium, Bulgaria, Croatia, Cyprus,

Czech Republic, Denmark, Estonia, Finland, Former Yugoslav Republic of Macedonia, France, Germany,

Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,

Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the United

Kingdom.
Endorsement notice

The text of ISO 13408-1:2008, including Amd 1:2013 has been approved by CEN as EN ISO 13408-1:2015

without any modification.
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SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Annex ZA
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 90/385/EEC on active implantable
medical devices

This European Standard has been prepared under a mandate given to CEN/CENELEC by the European

Commission and the European Free Trade Association to provide a means of conforming to Essential

Requirements of the New Approach Directive 90/385/EEC on active implantable medical devices.

Once this standard is cited in the Official Journal of the European Union under that Directive and has been

implemented as a national standard in at least one Member State, compliance with the normative clauses

of this standard given in Table ZA.1 confers, within the limits of the scope of this standard, a presumption of

conformity with the corresponding Essential Requirements of that Directive and associated EFTA

regulations.

NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk

management process needs to be in compliance with 90/385/EEC, as amended by 2007/47/EC. This means that risks

have to be reduced ‘as far as possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’,

according to the wording of the corresponding essential requirement.

NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential

requirements 1, 4, 5, 8, 9 and 10 of the Directive.

NOTE 3 This Annex ZA is based on normative references according to the table of references in the European

foreword, replacing the references in the core text.

NOTE 4 When an Essential Requirement does not appear in Table ZA.1, it means that it is not addressed by this

European Standard.

Table ZA.1 — Correspondence between this European Standard and Directive 90/385/EEC

Clauses of this EN Essential Requirements Qualifying remarks/Notes
(ERs) of Directive
90/385/EEC
4,5,6,7,8,9,10,11 7 Only attainment of sterility by aseptic processing
is considered by this standard.
This relevant Essential Requirement is only
partly addressed in this European Standard.
Design and packaging for maintenance of
sterility during transportation and storage are not
covered. Aspects of manufacture other than
those related to sterilization are not covered.

WARNING — Other requirements and other EU Directives may be applicable to the product(s) falling

within the scope of this Standard.
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SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Annex ZB
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 93/42/EEC on medical devices

This European Standard has been prepared under a mandate given to CEN/CENELC by the European

Commission and the European Free Trade Association to provide a means of conforming to Essential

Requirements of the New Approach Directive 93/42/EEC on medical devices.

Once this standard is cited in the Official Journal of the European Union under that Directive and has been

implemented as a national standard in at least one Member State, compliance with the normative clauses

of this standard given in Table ZB.1 confers, within the limits of the scope of this standard, a presumption of

conformity with the corresponding Essential Requirements of that Directive and associated EFTA

regulations.

NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk

management process needs to be in compliance with 93/42/EEC, as amended by 2007/47/EC. This means that risks

have to be reduced ‘as far as possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’,

according to the wording of the corresponding essential requirement.

NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential

requirements 1, 2, 5, 6, 7, 8, 9, 11 and 12 of the Directive.

NOTE 3 This Annex ZA is based on normative references according to the table of references in the European

foreword, replacing the references in the core text.

NOTE 4 When an Essential Requirement does not appear in Table ZA.1, it means that it is not addressed by this

European Standard.

Table ZB.1 — Correspondence between this European Standard and Directive 93/42/EEC

Clauses of this EN Essential Requirements Qualifying remarks/Notes
(ERs) of Directive 93/42/EEC
4,5,6,7,8,9,10,11 8.3 Only attainment of sterility by aseptic processing
is considered by this standard.
This relevant Essential Requirement is only partly
addressed in this European Standard. Design
and packaging for maintenance of sterility during
transportation and storage are not covered.
Aspects of manufacture other than those related
to sterilization are not covered.
4,5,6,7,8,9,10,11 8.4 This relevant Essential Requirement is only partly
addressed in this European Standard. Aspects of
manufacture other than those related to
sterilization are not covered.

WARNING — Other requirements and other EU Directives may be applicable to the product(s) falling

within the scope of this Standard.
---------------------- Page: 8 ----------------------
SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
Annex ZC
(informative)
Relationship between this European Standard and the Essential
Requirements of EU Directive 98/79/EC on in vitro diagnostic
medical devices

This European Standard has been prepared under a mandate given to CEN/CENELEC by the European

Commission and the European Free Trade Association to provide a means of conforming to Essential

Requirements of the New Approach Directive 98/79/EC on in vitro diagnostic medical devices.

Once this standard is cited in the Official Journal of the European Union under that Directive and has been

implemented as a national standard in at least one Member State, compliance with the normative clauses

of this standard given in Table ZC.1 confers, within the limits of the scope of this standard, a presumption

of conformity with the corresponding Essential Requirements of that Directive and associated EFTA

regulations.

NOTE 1 Where a reference from a clause of this standard to the risk management process is made, the risk

management process needs to be in compliance with 98/79/EC. This means that risks have to be reduced ‘as far as

possible’, ‘to a minimum’, ‘to the lowest possible level’, ‘minimized’ or ‘removed’, according to the wording of the

corresponding essential requirement.

NOTE 2 The manufacturer’s policy for determining acceptable risk must be in compliance with essential

requirements Part A: 1, 2 and 5; Part B: 1.2, 2, 3, 5, 6, and 7 of the Directive.

NOTE 3 This Annex ZA is based on normative references according to the table of references in the European

foreword, replacing the references in the core text.

NOTE 4 When an Essential Requirement does not appear in Table ZA.1, it means that it is not addressed by this

European Standard.

Table ZC.1 — Correspondence between this European Standard and Directive 98/79/EC

Clauses of this EN Essential Requirements (ERs) of Qualifying remarks/Notes
Directive 98/79/EC
4,5,6,7,8,9,10,11 B.2.3 Only attainment of sterility by
aseptic processing is considered
by this standard.
This relevant Essential
Requirement is only partly
addressed in this European
Standard. Design and packaging
for maintenance of sterility during
transportation and storage are not
covered. Aspects of manufacture
other than those related to
sterilization are not covered.
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SIST EN ISO 13408-1:2015
EN ISO 13408-1:2015 (E)
4,5,6,7,8,9,10,11 B.2.4 This relevant Essential requirement
is addressed in this International
Standard only with regard to:
- sterilization, not covering other
special microbiological state
- devices for which aseptic
processing is appropriate

WARNING — Other requirements and other EU Directives may be applicable to the product(s) falling

within the scope of this Standard.
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SIST EN ISO 13408-1:2015
INTERNATIONAL ISO
STANDARD 13408-1
Second edition
2008-06-15
Aseptic processing of health care
products —
Part 1:
General requirements
Traitement aseptique des produits de santé —
Partie 1: Exigences générales
Reference number
ISO 13408-1:2008(E)
ISO 2008
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SIST EN ISO 13408-1:2015
ISO 13408-1:2008(E)
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ii © ISO 2008 – All rights reserved
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SIST EN ISO 13408-1:2015
ISO 13408-1:2008(E)
Contents Page

Foreword............................................................................................................................................................. v

Introduction ....................................................................................................................................................... vi

1 Scope ..................................................................................................................................................... 1

2 Normative references ........................................................................................................................... 1

3 Terms and definitions........................................................................................................................... 2

4 Quality system elements...................................................................................................................... 7

4.1 General................................................................................................................................................... 7

4.2 Assignment of responsibilities ........................................................................................................... 7

4.3 Calibration ............................................................................................................................................. 7

5 Aseptic process definition................................................................................................................... 8

5.1 General................................................................................................................................................... 8

5.2 Risk management ................................................................................................................................. 8

6 Manufacturing environment .............................................................................................................. 10

6.1 General................................................................................................................................................. 10

6.2 Manufacturing environment design.................................................................................................. 11

6.3 Layout .................................................................................................................................................. 12

6.4 Material and personnel flow .............................................................................................................. 14

6.5 HVAC system ...................................................................................................................................... 15

6.6 Cleanroom qualification..................................................................................................................... 17

6.7 Utility services and ancillary equipment .......................................................................................... 17

6.8 Environmental and personnel monitoring programmes ................................................................ 17

7 Equipment ........................................................................................................................................... 21

7.1 Qualification ........................................................................................................................................ 21

7.2 Maintenance of equipment ................................................................................................................ 23

8 Personnel............................................................................................................................................. 23

8.1 General................................................................................................................................................. 23

8.2 Training for APA qualification ........................................................................................................... 24

8.3 Gowning procedures.......................................................................................................................... 25

8.4 General employee health ................................................................................................................... 26

9 Manufacture of the product ............................................................................................................... 27

9.1 Attainment and maintenance of sterility .......................................................................................... 27

9.2 Duration of the manufacturing process ...........................................................................................27

9.3 Aseptic manufacturing procedures .................................................................................................. 28

9.4 Cleaning and disinfection of facilities .............................................................................................. 28

9.5 Cleaning, disinfection and sterilization of equipment .................................................................... 30

10 Process simulation............................................................................................................................. 31

10.1 General................................................................................................................................................. 31

10.2 Media selection and growth support ................................................................................................ 32

10.3 Simulation procedures....................................................................................................................... 32

10.4 Incubation and inspection of media filled units .............................................................................. 33

10.5 Initial performance qualification ....................................................................................................... 33

10.6 Periodic performance requalification ............................................................................................... 34

10.7 Repeat of initial performance qualification...................................................................................... 35

10.8 Documentation of process simulations ........................................................................................... 35

10.9 Disposition of filled product .............................................................................................................. 36

11 Test for sterility................................................................................................................................... 37

© ISO 2008 – All rights reserved iii
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SIST EN ISO 13408-1:2015
ISO 13408-1:2008(E)

11.1 General ................................................................................................................................................. 37

11.2 Investigation of positive units from tests for sterility ..................................................................... 37

Annex A (informative) Example of a flow chart ............................................................................................. 38

Annex B (informative) Typical elements of an aseptic process definition ................................................. 39

Annex C (informative) Examples of specific risks ........................................................................................ 40

Annex D (informative) Comparison of classification of cleanrooms .......................................................... 41

Annex E (informative) Specification for water used in the process............................................................ 42

Annex F (informative) Aseptic processing area ............................................................................................ 44

Bibliography ..................................................................................................................................................... 45

iv © ISO 2008 – All rights reserved
---------------------- Page: 14 ----------------------
SIST EN ISO 13408-1:2015
ISO 13408-1:2008(E)
Foreword

ISO (the International Organization for Standardization) is a worldwide federation of national standards bodies

(ISO member bodies). The work of preparing International Standards is normally carried out through ISO

technical committees. Each member body interested in a subject for which a technical committee has been

established has the right to be represented on that committee. International organizations, governmental and

non-governmental, in liaison with ISO, also take part in the work. ISO collaborates closely with the

International Electrotechnical Commission (IEC) on all matters of electrotechnical standardization.

International Standards are drafted in accordance with the rules given in the ISO/IEC Directives, Part 2.

The main task of technical committees is to prepare International Standards. Draft International Standards

adopted by the technical committees are circulated to the member bodies for voting. Publication as an

International Standard requires approval by at least 75 % of the member bodies casting a vote.

Attention is drawn to the possibility that some of the elements of this document may be the subject of patent

rights. ISO shall not be held responsible for identifying any or all such patent rights.

ISO 13408-1 was prepared by Technical Committee ISO/TC 198, Sterilization of health care products.

This second edition cancels and replaces the first edition (ISO 13408-1:1998), which has been technically

revised. Any normative and informative clauses on subjects which have meanwhile been addressed in Part 2 to

Part 6 of ISO 13408 have been removed from this part.

ISO 13408 consists of the following parts, under the general title Aseptic processing of health care products:

⎯ Part 1: General requirements
⎯ Part 2: Filtration
⎯ Part 3: Lyophilization
⎯ Part 4: Clean-in-place technologies
⎯ Part 5: Sterilization in place
⎯ Part 6: Isolator systems
© ISO 2008 – All rights reserved v
---------------------- Page: 15 ----------------------
SIST EN ISO 13408-1:2015
ISO 13408-1:2008(E)
Introduction

Health care products that are labelled “sterile” are prepared using appropriate and validated methods under

stringent control as part of a quality management system. For pharmaceuticals and medical devices there

might be various requirements including compliance with ISO standards, GMP regulations and

pharmacopoeial requirements.

Wherever possible, healthcare products intended to be sterile should be sterilized in their final sealed

container (terminal sterilization). ISO/TC 198 has prepared standards for terminal sterilization of health care

products by irradiation (series ISO 11137
...

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