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DISPOSABLES

Reducing Microbial Contamination


Risk in Biotherapeutic Manufacturing
Validation of Sterile Connections

Christopher J. Mach and Donna Riedman

T
he risk of contamination conditions, to confirm the effective
(especially microbiological) is control of sterility during connection.
always an area for special Core validation data of this type can
attention in biopharmaceutical help make the introduction of
processes. No matter the process stage, enhanced technologies easier, faster,
whether upstream of a bioreactor or in and safer.
the final filling of a sterile product,
effective contamination control Disposable Connectors
continues to be a critical requirement, and Fittings
so any opportunities for improvement Almost every biopharmaceutical
www.pall.com
may justify further investigation. Even process involves making sterile
with established validated processes, connections between fluid pathways.
demands for higher purity and Such connections may be part of
increased sterility assurance may relatively simple systems, such as a
require manufacturers to reassess their sampling point for quality control
procedures and technologies. New assays or a link from a sterile fluid
processes present an even greater container to a filling lines.
opportunity to introduce innovative, Traditionally, reusable fittings have
enhanced technologies that can been used, particularly those made of
improve contamination control to stainless steel, but the recent trend has www.pall.com
satisfy regulatory requirements not only been toward single-use disposable
today but in the foreseeable future. connectors. In some cases, connectors assurance and reduced cross-
Introducing a new technology into may be integral to more complex, contamination (1). Before embarking
a process may, however, bring concern single-use systems, often involving on any qualification and validation
over possibly time-consuming, flexible bags, pre- and sterilizing or program for disposable connection
demanding process qualification and virus-removal capsule filters, devices, it is important to recognize
validation studies and ultimate chromatography purification capsules, the major features of such devices and
regulatory approval. We address these tangential-flow filtration modules, how they may or may not be suitable
issues by using as an example new bioreactors, and so on. for a specific process.
technologies that can reduce According to the Bioplan Major Features of Disposable
contamination risk when making Associates’ 2006 survey of Connectors: It is not our purpose here
aseptic connections. Here, validation biopharmaceutical manufacturing, to review in detail the range of single-
data on a single-use aseptic connector two primary reasons stated by use connection products currently
is presented based on an extreme biopharmaceutical manufacturers for available. It is, however, important to
interpretation of worst-case using disposable systems were sterility recognize their features that can
20 BioProcess International September 2008
provide benefits in contamination Table 1:  Summary of qualification test methods for single-use connectors per BPSA component
quality test guide
control and would influence the
content of a validation program. Test Type General Description Reference Source
These connectors typically incorporate Bacterial challenge and Identifies bacteria’s ability to breach a seal Connector
soiling test manufacturer
the practical benefits of quick-connect
Biological reactivity in vitro Evaluates response of mammalian cell ISO, USP, or EN
fittings, such as speed and ease of use. cultures to extracts of polymeric materials
However, a unique feature (and one of Biological reactivity in vivo Evaluates biological reactivity of animals USP or ISO
the most important) to some recent to polymeric material or interaction of
developments is elimination of the medical devices with blood
need for connection under Grade A Particulate matter Evaluates presence of particulates in or on USP or ANSI/AAMI
a sample
(Class 100, ISO 5) laminar-flow
Physicochemical tests Measures the physical and chemical USP
conditions. The validation approach properties of plastics and their extracts
described here is specific to these Water flow rate and Measures flow through connector at ISO
types of aseptic or sterile connectors pressure drop tests differential pressure
and focuses exclusively on controlling Sterilization process Confirmation of connector manufacturer’s Connector
sterility of the fluid pathway. compatibility specified performance claims after manufacturer
sterilization process

Aseptic/Sterile Connectors
Figure 1:  Simplified schematic for bacterial soiling test on disposable connectors
and Connections
Much discussion has occurred about "
'MBOHFTBOECBSSJFSTUSJQTDPBUFEXJUI
the semantic distinction between the ÿ(TUFBSPUIFSNPQIJMVTTQPSFT
terms aseptic and sterile in regards to
connectors and connections. Aseptic
is defined as “(a), free of pathogenic $MBNQ.BMFDPOOFDUPS'FNBMFDPOOFDUPS
microorganisms, as in aseptic 4VQQMZCBHXJUI $PMMFDUJPOCBH
TUFSJMF54#
surgical instruments,” and “(b) using
5VCJOHIFBUTFBMFEBGUFS
methods to protect against infection TUFSJMFCSPUIUSBOTGFS
by pathogenic microorganisms: as in
aseptic surgical techniques.” Sterile
is defined as “free from live bacteria
5SBOTGFSPGTUFSJMFDVMUVSFCSPUI
or other microorganisms, as in a #
sterile operating area; sterile
instruments” (2). availability of validation data to validation program can now draw
Although the dictionary definition demonstrate the security of this upon several sources.
of aseptic leaves open the possible alternative technology. Taking these Bio-Process Systems Alliance
presence of nonpathogenic concepts and features into account, we (BPSA) Guides: Established in 2006 by
microorganisms (hence nonsterility), must consider how this new the Society of the Plastics Industry to
in practice the term is often applied technology can be validated to meet the challenges of emerging
interchangeably with sterile to describe demonstrate that it will consistently single-use bioprocesses, the BPSA has
the process of connecting two sterile maintain a sterile fluid pathway. issued a guide on qualification test
components in a controlled (not methods for connectors (3). This
necessarily sterile) environment, such Validation Approach guide provides a good starting point
that sterility of their interconnected At first sight, the validation approach for a validation program, because it
pathways is maintained. In this sense, may seem daunting to potential users describes not only the types of tests
the two terms are used synonymously. of disposable connectors, especially in that may be appropriate but also the
As a means of distinguishing them, companies currently using traditional, sources of reference tests (e.g, ISO,
we can think of aseptic as describing manual aseptic connection methods ASTM, USP). Table 1 summarizes
the process of making a connection for validated, sterile processes — as the qualification tests for connectors
that can be validated as being sterile. well as people who are unfamiliar referenced in the BPSA guide.
So aseptic refers to the connection with new technologies. The reality is Core Validation Data from
process, whereas sterile refers to the that biopharmaceutical companies, Connector Manufacturers: A
validated connection result. suppliers, and organizations have substantial amount of data is now
The ability of disposable addressed this task in recent years available from connector
connection devices to make sterile with considerable vigor and speed, manufacturers to demonstrate the
connections in less-controlled resulting in publication of industry efficacy and safety of their products.
environments places a strong guides, recommended test methods, Summarized in supplier validation
dependence on the sterile barrier and generically applicable validation guides, these methods and results can
within the connector and on the data. The basic framework of a form a significant part of the
22 BioProcess International September 2008
Table 2:  Serratia marcescens aerosol challenge test on Kleenpak connectors guide (4). Figure 1 shows simplified
S. marcescens schematics of the test systems.
Total Average in Recovered from S. marcescens in TSB After the connection was complete,
Aerosolized Settle Dishes Binding Control Transferred through
Assay (cfu/ft3) (CFU/mL/dish) (CFU/set) Connector (CFU) sterility of the fluid pathway was then
1 3.9 × 104 3.4 × 102 2.0 × 102 0 assessed by flowing sterile bacterial
2 9.8 × 104 7.8 × 102 2.1 × 102 0 culture broth (e.g., trypticase soy
3 7.2 × 104 7.5 × 102 1.1 × 102 0 broth, TSB) through the connector,
4 5.3 × 104 5.3 × 102 1.1 × 102 0 incubating that broth for seven days
and checking for turbidity, then
filtering it through a sterile 0.2-µm
validation support users submit to based on qualification tests described
analytical membrane filter disc. The
regulatory authorities. in the BPSA component quality test
disc was plated onto agar, incubated
Process-Specific Validation Data: guide, as shown in Table 1 (3).
for an additional seven days, and
To help confirm the suitability of a Functional Liquid Bacterial
finally examined for sterility or
connector in a given process, vendor- Challenge Soiling Test: Representing
recovered bacterial colonies.
supplied data may be supplemented by perhaps the most extreme
A total of 29 tests were performed,
additional validation tests, often interpretation of worst-case conditions,
and in all cases sterility of the fluid
performed in conjunction with the this test involves immersing the
pathway was confirmed. Negative
connector manufacturer. In many presterilized components of a
controls with noninoculated,
processes, however, only a limited connector into a liquid bacterial spore
presterilized connectors also gave
number of tests may be required: e.g., suspension to coat all externally
sterile results in all tests. Positive
when simple aqueous fluids are exposed surfaces of each connector
controls (in which the protective
involved or connectors form part of a with >106 G. stearothermophilus spores.
barrier strips were removed before
presterilized disposable system with its Because aseptic/sterile type connectors
inoculation and connection) showed
own validation support. In such cases, are designed to operate under dry
broth turbidity and confluent bacterial
a supplier’s process qualification data conditions, these severely contaminated
colonies on the analysis membrane
can form the major part of the connectors are then allowed to dry
filter discs in all tests and confirmed
validation package. before subsequent connection and
validity of the bacterial challenge and
A speedy and successful validation sterility testing of the connected fluid
recovery procedure.
is achievable by pathway. Use of desiccation-resistant
Functional Bacterial Aerosol
• following recommendations issued bacterial spores ensures high bioburden
Challenge Test: A second test
by connector manufacturers and viability during connections made after
complemented the liquid bacterial
organizations such as the BPSA drying. Full details of the procedure
challenge soiling test in providing an
• using appropriate reference tests can be found in a published validation
aerosol challenge. We chose Serratia
• working closely with connector
manufacturers and their core Figure 2:  Simplified schematic for bacterial aerosol challenge test on disposable connectors
validation data. "#
*TPMBUPS *TPMBUPS
Typical Validation Data
The following examples provide "FSPTPMJ[FE "FSPTPMJ[FE
CBDUFSJB CBDUFSJB
insight into two of the most
demanding tests of sterility assurance
for a connector. The product tested 6OBTTFNCMFE "TTFNCMFE
$POOFDUPS $POOFDUPS
was a Pall Kleenpak connector, a two-
component connector that incorporates
54#TFUUMF 54#TFUUMF
protective barrier peel-away strips. It is EJTIFT 
 EJTIFT 

sterilizable by gamma irradiation or )VNJEJmFS UISPVHIPVU UISPVHIPVU


DPOUBJOJOH JTPMBUPS JTPMBUPS
autoclave. After sterilization, the 4FSSBUJB
barrier strips protect the sterile fluid NBSDFTDFOT
pathway before and during connection.
And an irreversible locking mechanism
prevents reopening.
Two functional bacterial challenge
tests were performed on these
connectors: a liquid challenge soiling 4UFSJMF54#
test using Geobacillus stearothermophilus "JS "JS
and an aerosol challenge test using TPVSDF TPVSDF
Serratia marcescens. These tests were $PMMFDUJPO $PMMFDUFE
54#
24 BioProcess International September 2008
c
levels by >100× and microbial aerosol recognition of the special nature of
levels by >10,000×. In all tests, these technologies and to encourage
sterility of TSB transferred through their use wherever applicable.
the completed connections was Manufacturers of enhanced aseptic
The significance of maintained. The negative controls processing technologies, which include
these data can be (sterile media transferred and filled single-use aseptic/sterile connectors,
demonstrated by with no aerosol bacterial challenge) can assist by providing comprehensive
also gave sterile results in all tests. validation data on the functionality
comparing the And as expected, the positive controls and safety of their products. The data
results with (with protective barrier peel-away presented here constitute an example of
environmental strips removed before bacterial aerosol core validation studies which, together
microbial limits in challenge and connection) gave with other published data, can help to
bacterial counts (nonsterility) in the make the introduction of such new
GMP guidelines.
transferred TSB. technologies into processes easier,
The practical significance of these faster, and safer.
aerosol challenge data for
pharmaceutical manufacturing References
marcescens for this test (rather than the environments can be demonstrated by 1 Langer, E. Fifth Annual Report and
Survey on Biopharmaceutical Manufacturing.
smaller Brevundimonas diminuta comparing these results with
Bioplan Associates Inc.: Rockville, MD, 2006.
commonly used in filter challenges) to environmental microbial limits in
2 The American Heritage Dictionary of the
maximize sedimentation onto the GMP guidelines. The levels presented English Language, Fourth Edition. Houghton
connectors during use and provide a in Table 2 are more than 106× higher Mifflin Company: Boston, MA, 2006.
worst-case bacterial challenge than the maximum permitted microbial 3 BPSA Guidelines and Standards
environment. limits for Grade A/Class 100/ISO 5 Committee. Part One: Bio-Process Systems
This study simulated a sterile media environments, according to EU Annexe Alliance Component Quality Test Matrices.
BioProcess Int. 5(4) 2007: 52–67;
fill similar to those performed in 1 and US aseptic processing guidelines
www.bpsalliance.org/bpsamatrices.pdf.
process-specific validation studies (5, 6). As noted above, the levels are also
4 Publication USTR 2232a: Validation
conducted by users. In this core more than 104× higher than Grade Guide for Pall Kleenpak Connector. Pall Life
validation study, however, worst-case D/Class 100,000/ISO 8, the Sciences: East Hills, NY, 2005.
environmental conditions for microbial environment in which these connectors 5 EU Guide to Good Manufacturing
levels were introduced to assess the are designed to function. So we Practice, Annex: Manufacture of Sterile Medicinal
safety margin and sterility assurance concluded from the bacterial aerosol Products. European Commission: Brussels,
Belgium, 14 February 2008; http://ec.europa.
attainable when the product is used in challenge functional test that sterile
eu/enterprise/pharmaceuticals/eudralex/vol-4/
a highly contaminated uncontrolled fluid pathways can be maintained pdfs-en/2008_02_12_gmp_annex1.pdf.
environment: outside a Grade A/Class during connections, even under worst- 6 CDER/CBER/ORA. Guidance for
100/IS0 5 environment or even a case environmental conditions. Industry: Sterile Drug Products Produced By
Grade C/Class 10,000/IS0 7 or Grade Aseptic Processing — Current Good Manufacturing
D/Class 100,000/ISO 8 environment. Easy, Fast, and Safe Practice. US Food and Drug Administration:
Rockville, MD, September 2004; www.fda.
Figure 2 provides simplified Reducing the risk of bacterial
gov/cder/Guidance/5882fnl.htm
schematics of the test systems. contamination and achieving high
7 R. Friedman. Presentation on Sterility
After exposure of unassembled sterility assurance levels are major Assurance Issues. PDA Spring Conference,
sterilized connectors (binding driving forces behind the application March 2002, Orlando, FL.
controls) to aerosolized bacteria, the of disposable connectors. In 2002, 8 Stoedter W. Aseptic Processing: How
connectors were joined, and sterile Richard Friedman of the US FDA’s Good Science and Good Manufacturing
TSB was passed through them into a Center for Drug Evaluation and Practices Can Prevent Contamination. PDA

Digest25.htm. c
Letter 38(8) 2002: www.teknopakonline.com/
collection vessel. The liquid was then Research (CDER) presented data
incubated and assayed for bacterial showing a substantial increase in
content, as described above. Suitable product recalls associated with lack of
Corresponding author Christopher J.
positive controls were included, with sterility assurance over a three-year
Mach is global product manager, and
their peel-away strips removed before period (7, 8). At the same time, the Donna Riedman is a project leader in the
the aerosol challenge, as well as FDA also recognized that “enhanced scientific laboratory services department of
negative controls with no aerosol technologies” such as isolators and Pall Life Sciences, 2200 Northern Boulevard,
challenge. Table 2 summarizes the form–fill–seal machines could East Hills, NY 11548; 1-516-801-9546, fax 1-
results obtained. contribute significantly toward 516-484-5228; chris_mach@pall.com.
Aerosolized bacteria conditions improving sterility assurance. Indeed,
represent a severely uncontrolled revisions or appendices were
environment exceeding Grade D/ specifically added to subsequent FDA
Class 100,000/ISO 8 particulate and EU GMP guidelines in
26 BioProcess International September 2008

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