Document ID: chunk:federal_register_of_legislation:F2018L01280:body:0:p2
Version: federal_register_of_legislation:F2018L01280
Segment Type: other
Provision Reference: 
Character Range: 2755–6041

sets, intravenous catheters, extracorporeal oxygenator tubing, dialysis tubing, intramuscular drug delivery catheters, transfusion and infusion assemblies, and epidural catheters;
             * liquid medical devices such as dialysate; and
             * implantable medical devices such as heart valves, vascular grafts, and cerebral spinal fluid shunt systems;
         (c)    devices in direct or indirect contact with a person's intraocular environment. These include but are not limited to:
             * intraocular fluids such as ophthalmic viscosurgical devices including viscoelastic surgical aids;
             * implantable intraocular solid devices such as intraocular lenses, implantable miniature telescope, and iris reconstruction lenses;
             * glaucoma devices such as aqueous shunts and intraocular pressure lowering implants;
             * capsular tension ring devices; and
             * accessories of irrigation/aspiration sleeves and tubing used in the intraocular environment; or
         (d)    any other devices labelled sterile and non-pyrogenic.
    6 Bacterial endotoxin content

     (1)  For medical devices other than those mentioned in subsection (2), the endotoxin limits for the final product must be:
         (a)    not more than 20 Endotoxin Units per device; or
         (b)    not more than 2.15 Endotoxin Units per device, if the device is in contact with a person's cerebrospinal fluid.
     (2) For medical devices in direct or indirect contact with a person's intraocular environment, the endotoxin limits must unless a higher number of Endotoxin Units is justified be:
         (a)    not more than 0.2 Endotoxin Units per device for the anterior segment solid  device; and
         (b)    not more than 0.2 Endotoxin Units per Millilitre for the ophthalmic   viscosurgical device.

     (3) Where multiple components are assembled into the final product, the cumulative endotoxin content of each individual component must not exceed the overall threshold limit for the final product, as set out in subsections (1) or (2), except where this is justified for a medical device that is included in subsection (2).
    7                    Bacterial endotoxin testing

        (1)    The medical device must be tested using Bacterial Endotoxin Test methodology of a default standard, or if applicable, an alternative method that is validated.
        (2)    If an alternative method is used, the manufacturer of the medical device must provide a scientifically sound justification for doing so, and validation evidence for the suitability of the use of that alternative test method in relation to the device.

        (3)   Testing must be conducted on every batch, except if this is not practical.

        (4)   If testing every batch is not practical, the manufacturer of the medical device must:

          (a)      establish an appropriate sampling plan and test for incoming raw materials,  in-process materials and representative products to ensure that the manufacturing process is capable of producing every batch of the final product meeting the endotoxin limits, and provide validation evidence for that sampling plan and test; and

          (b)      provide a scientifically sound justification that addresses the risks