CETA SERIES: CAG-002-2006 SAN DIEGO, CA APRIL 17, 2012 PHARMAGARD COMPOUNDING ISOLATORS Provide Class 5 environment for exposure to a critical site Uni-directional Vertical Laminar Airflow Minimize potential for cross-contamination Ensure safety for drug, patient and pharmacy PHARMAGARD PRESSURIZATION Work zone is maintained under positive pressure relative to the ante-chamber Contamination can not enter work area from the ante-chamber Pharmacist can rest assured they will not contaminate their compounded materials PHARMAGARD PRESSURIZATION Work zone is always more positive than interchange to assure ISO Class 5 cleanliness level ISOLATORS USP referenced CETA as on source of test procedures CETA Compounding Isolator Testing Guide (CAG-002-2006) Applies to all sterile drug compounding Isolators CAI and CACI Purpose ensure Isolator is designed appropriately for the task Test methods are repeatable and accurately reproducible Detail guidance for specific field test documentation setting appropriate acceptance values TESTING Filter Integrity Air Velocity Pressure Differentials Leak Test Glove & Sleeve Leak Test Routine Monitoring Cleaning / Decontamination Particle Counts Time Factors (transfer purge times) The rate the background environment requirements based on the design of the transfer device WHAT NUAIRE PROVIDES Designed test ports that enable particle and other testing Purge times for the pass through and main chambers Specific acceptance information for velocity, ACHP, pressure, etc. CETA CAG-002-2006 EIGHT MANDATORY FIELD TESTS Manufacturer Certifier 2.01 Airflow Test Mandatory Mandatory 2.02 Chamber Pressure Test Mandatory Mandatory 2.03 Site Installation Assessment Test Design Qualifications Mandatory 2.04 Gauntlet Breach Air Velocity Test Design Qualifications Optional 2.05 HEPA Filter Integrity Test Mandatory Mandatory 2.06 Particle Containment/Enclosure Leak Test Mandatory Mandatory Design Qualifications Optional Mandatory Mandatory Design Qualification Mandatory Mandatory Mandatory 2.11 Volatile HD Containment Test Design Qualifications Optional 2.12 Hazardous Particle Containment Test Design Qualification Optional 2.13 Pass-through Particle Purge Time Design Qualification Optional Procedure 2.07 Recovery Time Determination 2.08 Airflow Smoke Pattern Test 2.09 Preparation Ingress & Egress Test 2.10 Particle Count Test NUAIRE COMPOUNDING ISOLATOR TEST RESULTS Test Results are published in the Technical Bulletins NU-PR797 – GTB0150 NU-NR797 – GTB0151 NU-NTE797 – GTB0152 UL Listed CAG RECOMMENDS POSTING TEST RESULTS These two Test Results need to be posted to aid the Compounding Isolator Users 2.07 Recovery Time Determination Test 2.09 Preparation Ingress / Egress Test Design for volatile hazardous drugs, toxic, flammable or explosive materials End user / facility develops own SOP’s for purging and recovery ISOLATOR PRODUCT LABELS OTHER POSTINGS Information to be completed by testing Technician: Date tested Reference report number Due for retest date (month and year) Tested by: 1. Name printed 2. Signature OTHER POSTINGS If cabinet does not have manufacturer’s listed information noted above: 1. Pass / Fail status of the material ingress / egress test 2. Recovery time of the main chamber 3. Indication that the operator has to wait at least the recovery time before initiating operations after material transfer 4. Ventilation appropriate for use with volatile / non-volatile hazardous drugs OTHER POSTINGS Information to be pre-printed on label: Company Name Address Phone GENERAL AIRFLOW BOARD (GAF) NU-PR797 / NR797 / NTE797 – ES Series Standard Series 10 ^ GAF CONTROL BOARD MULTIPLE BLOWER CONTROLS AC on older Series NR / NTE / PR EC Impeller Output: Std. on All Isolators (S-10^) NR / NTE / PR AC Impeller used in NR for exhausting GAF MAIN CONTROL BOARD LAYOUT AC Blower POT. Board AC Input Connection EBM #2 VDC T.P.’s EMB T.P.’S VDC EMB - ECM Connector & POT EBM-ECM Connector and POT 2nd Impeller AC Blower Output GAF AC/DC MOTOR / IMPELLER AIRFLOW ADJUSTMENTS AC Motor Airflow adjusted via the POT located under heat sink DC ECM Impellers utilize another set of potentiometers, on GAF Board, Std. all Isolators (S-10^) GAF BOARD EBM-ECM LAYOUT GAF BOARD AC OR DC JUMPER WIRE Cut Jumper Wire for AC Motor PHARMAGARD BARRIER ISOLATOR NU-PR797 PharmaGard Compounding Aseptic Isolator Positive Pressure Re-circulating NU-NR797 PharmaGard Compounding Containment Aseptic Isolator Negative Pressure Re-circulation NU-NTE797 PharmaGard Compounding Containment Aseptic Isolator Negative Pressure Total Exhaust NU-PR797 HEPA filtered vertical unidirectional laminar airflow over both main and transfer chambers 90% re-circulation / 10% exhaust Main chamber is maintained under positive pressure relative to transfer chamber NU-PR797 AIRFLOW PHARMAGARD “NU-PR” CONTROL BOX 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) A. Recommended Instruments: TSI 8355 Thermoanemometer B. Procedure: Supply filter efflux is measured on a grid, in a horizontal plane 6 inches (152mm) below the supply filter diffuser. No reading should be taken closer than 6 inches (152mm) from the inside perimeter C. Test Data – Inches (mm) 400 6 (152) 11.81 (300) 17.62 (448) 23.43 (595) 29.25 (743) 600 6 (152) 11.91 (303) 17.82 (453) 23.73 (663) 29.64 (753) 6 (152) 10 (254) 14 (356) 35.55 (903) 41.46 (1053) 47.37 (1203) 53.25 (1353) 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) Number of Readings Average Velocity ft/min. (m/s) D. Acceptance Criteria: 1. Average downflow velocity > 35 fpm (.18 m/s) 2. Individual readings must be within +20 percent or +16 fpm of the average downflow velocity, whichever is greater to fpm ( to m/s). E. Meets Acceptance Criteria: Yes No 2.02 ISOLATOR PRESSURE (CAG-002) A. Instrument: Minihelic gauges on isolator B. Procedure: Review minihelic gauges and confirm that workzone pressure is greater than 0.15” w.g. B 1: Fully open outer pass-through door - Document any change to pressure. Confirm that the pressure does not change from positive to negative or from negative to positive. Close outer pass-through door - Document any change to the pressure. B 2: Using Compounding Isolator glove fully open inner door - Document any change to the pressure. Confirm that the main chamber pressure does not change from positive to negative or from negative to positive. Close inner door - Determine if pressure level returns to original levels. 2.02 ISOLATOR PRESSURE (CAG-002) B 3a: Record pressure level of Compounding Aseptic Isolator main chamber with outer & inner pass-through doors closed & Isolator gloves / gaunlets extended into Isolator. Insert hands into gloves and pull back from Isolator to simulate operator hand removal. An example of a reasonable pull back time is no greater than 3 seconds from fully extended to fully extracted (gloves at a point even with the view panel). Determine the change in pressure and verify that the pressure does not change from positive to negative. B 3b: Record pressure level of Compounding Aseptic Containment Isolator main chamber with outer and inner pass-through doors closed and Isolator gloves / gauntlets extended outside the Isolator. Insert hands into gloves and push into main chamber to simulate operator hand insertion. Determine the change in pressure and verify that the pressure does not change from negative to positive. 2.02 ISOLATOR PRESSURE (CAG-002) C. Acceptance Criteria: Isolator Pressure Requirements Actual Workzone: >0.15” (3.81mm) w.g.______ Interchange >0.10” (2.54mm) w.g.______ Difference between >0.05” (1.27mm) w.g.______ Workzone and Interchange The pressure shall not change from positive to negative during any manipulations. D. Meets Acceptance Criteria: Yes___ No___ 2.03 FIELD TEST METHOD Site Installation Assessment Placement and general conditions or interfaces to building systems Review that remote exhaust airflow or pressure alarm set-points are working 2.05 SUPPLY HEPA FILTER, HOUSING AND FRAME LEAK TEST A. Instruments: Aerosol Photometer ATI 2H or equivalent PAO Aerosol Generator ATI TDA – 4B or equivalent B. Procedure: 1. Open front hinged window exposing workzone interior. Remove supply HEPA diffusers. PAO aerosol is introduced upstream of the supply HEPA filters by placing supply tube under work surface. The HEPA filters and periphery are scanned by passing the photometer probe across the filter, using slightly overlapping strokes. Scanning shall be done at the transverse rate of not more than 2 in. /sec. (51mm/sec). 2.05 SUPPLY HEPA FILTER, HOUSING AND FRAME LEAK TEST C. Acceptance Criteria: 1. When scanning, a leakage from any point shall not exceed 0.01% of the upstream concentration. D. Meets Acceptance Criteria: Yes___ No___ SUPPLY HEPA FILTER INTEGRITY TESTING (REF: CETA CAG-002, 2.05) Purpose: This test determines the integrity of all HEPA filters, filter housings, and filter mounting frames to the IESTRP-CC034. The Isolator shall be set at operational airflows for this test. Instrument: Aerosol Photometer ATI 2H or equivalent PAO Aerosol Generator ATI TDA – 4B or equivalent SUPPLY HEPA FILTER INTEGRITY TESTING (REF: CETA CAG-002, 2.05) Procedure: 1. 2. 3. 4. Open front hinged window exposing workzone interior. Remove supply HEPA diffusers. Turn on Isolator blower Polyalphaolefin (PAO) aerosol is introduced upstream of the HEPA filter by placing supply tube in the rear center of the workzone over the intake slots. 5. Sample the upstream challenge using the port provided to verify the challenge requirement of 10 to 90 micrograms per liter is supplied and set the photometer to 100%. 6. The HEPA filter and periphery are scanned by passing the photometer probe across the filter, using slightly overlapping strokes. Scanning shall be done at the transverse rate of not more than 2 in./sec. (51 mm/sec). SUPPLY HEPA FILTER INTEGRITY TESTING (REF: CETA CAG-002, 2.05) Acceptance Criteria: When scanning, a leakage from any point shall not exceed 0.01% of the upstream concentration. (Reference GTB0150) PHARMAGARD 2.06 ENCLOSURE INTEGRITY TEST A. Instrument: Met One Laser Particle Counter B. Procedure: Verify the background count in the testing area is at least 100,00 ppcf. If the count is too low elevate the background levels using an aerosol generator. The enclosure integrity test is performed using a particle counter to measure particle counts within the Isolator workzone and transfer chamber in specific locations, i.e. window seal, glove port, sleeves and gloves. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. 2.06 ENCLOSURE INTEGRITY TEST B. Procedure Continued: Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Scan all areas as described below in 1-minute intervals. • 1-inch (51mm) from entire perimeter of hinged window gasket area • 1-inch (51mm) from perimeter of glove ports, sleeves and gloves • 1-inch (51mm) from internal interchange door perimeter seal Note: If during the scanning process, the 1-minute interval ends, restart the 1-minute interval and record both values as necessary. 2.08 AIRFLOW SMOKE PATTERNS CAG-002 A. Instrument: Smoke Source B. Procedure: 1. A smoke source shall be passed from one end of the cabinet to the other, along the centerline of the work surface, at a height of 4 in. (102mm) above the top of the glove ports. 2. Pass the smoke along the work area beginning 1 in. (2.5cm) from all main chamber walls and view screens at a height of 4 in. (102mm) above the top of the glove ports. 3. Pass smoke over gloves, gauntlets, IV bars, interior lights, or other extruding features that may be installed within the main chamber. 2.08 AIRFLOW SMOKE PATTERNS CAG-002 C. Acceptance Criteria: 1. The smoke inside the cabinet shall show smooth downward flow with no dead spots or reflux. D. Meets Acceptance Criteria: Yes No 2.09 PRODUCT INGRESS & EGRESS TEST Purpose: This test is performed to assure the Isolator workzone can maintain and ISO 14644-1 Class 5 at 0.5 micron environment during material transfers with not wait or purge time during the transfer process when used outside an ISO Class 7 clean room as mentioned in the USP 797 requirements. Instrument: Met On Laser Particle Counter Model A2408 Aerosol generator or smoke tubes Transfer tray or other compounding materials 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 1. Verify the background count in the testing room is at least 100,000 ppcf (ppcf) (3,532,000 particles per cubic meter (ppcm)). 2. If the count is too low, elevate the background 3. Place the particle counter isokinetic probe in the Compounding Isolator workzone 8 inches above the worksurface, and 2 inches outside the normally used path. Probe placement should be so that the operator’s arms will not pass directly over the probe when removing material from the pass-through. 4. Verify the particle counts meet ISO Class 5 levels before beginning the test cycle. 5. Set the particle counter for a 1-minute count with no more than a one second hold time. 6. Open the outside pass-through door. 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 7. Place a transfer tray into the pass-through and close the outer door (no wait or purge time required). 8. Open the interior pass-through door and move the transfer tray from the pass-through to the work area. 9. Close the inside pass-through door. 10. Document the particle counts during the transfer process and for a period of 1-minute after the transfer. Acceptance Criteria: No particle count reading during the 1-minute interval should exceed 100 ppcf. 2.09 PRODUCT INGRESS & EGRESS TEST 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator workzone. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 5 test points in 1-minute intervals on a grid; in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint and each corner measured 6-inches (152mm) from the inside perimeter. 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE B. Procedure Continued: 2. Position particle counter in the center of the worktray. Manipulate gloves around the particle counter as to disturb the air for 60 seconds while the particle counter is reading. C. Test Data: 1. Particle counts for each test point. Left Rear Left Front 2. Center Center Right Rear Right Front D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator interchange. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 1 test point for 1-minute on a grid in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint. 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER C. Test Data: 1. Particle counts for: Center D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No NU-NTE797 HEPA filtered vertical unidirectional laminar airflow over both main and transfer chambers 100% exhaust Main chamber is maintained under less negative pressure relative to transfer chamber PHARMAGARD “NU-NTE” AIRFLOW PHARMAGARD “NTE797” EXHAUST PACKAGE NU-NTE797 Isolator with motorized caster base and waste disposal 89.5 – 99.5 (glove ports 43”– 53”) Exhaust Air Flow Alarm is standard Negative Pressure monitor is standard Optional Manual Gas-Tight Damper: NU-940-010 10” Diameter Flex Duct to fit 10” diameter collar on the isolator: NU-940-004 Exhaust Requirements: 4’ NTE 425 CFM @ 2.0” w.g. static 6’ NTE 550 CFM @ 2.0” w.g. static PHARMAGARD “NU-NTE” CONTROL BOX 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) A. Recommended Instruments: TSI 8355 Thermoanemometer B. Procedure: Supply filter efflux is measured on a grid, in a horizontal plane 6 inches (152mm) below the supply filter diffuser. No reading should be taken closer than 6 inches (152mm) from the inside perimeter. Downflow velocities are taken with the hinged window closed. C. Test Data – Inches (mm) 400 6 (152) 11.81 (300) 17.62 (448) 23.43 (595) 29.25 (743) 600 6 (152) 11.91 (303) 17.82 (453) 23.73 (663) 29.64 (753) 6 (152) 10 (254) 14 (356) 35.55 (903) 41.46 (1053) 47.37 (1203) 53.25 (1353) 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) Number of Readings Average Velocity ft/min. (m/s) D. Acceptance Criteria: 1. Average downflow velocity 35 to 45 fpm (.18 to .23 m/s) 2. Individual readings must be within +20 percent or +16 fpm of the average downflow velocity, whichever is greater to fpm ( to m/s). E. Meets Acceptance Criteria: Yes No 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) A. Instrument: Minihelic gauges on isolator B. Procedure: Adjust main chamber pressure • Start the exhaust system • Start the blower • Adjust exhaust system so main chamber pressure is -.25” w.g. The pressure in the interchange chamber should be maintained at .05”w.g. lower than the pressure in the main workzone chamber. This pressure differential can be adjusted by changing the position of the slide baffle beneath the interchange worktray. If a greater differential pressure is needed, then loosen the fasteners and slide the baffle beneath the worktray. If a smaller differential pressure is needed then slide the baffle out from the worktray. Be sure to tighten the fasteners before returning to operation of the unit. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) B. Procedure: Continued B 1: Fully open outer pass-through door - Document any change to pressure. Confirm that the pressure does not change from positive to negative or from negative to positive. Close outer pass-through door - Document any change to the pressure. B 2: Using Compounding Isolator glove fully open inner door - Document any change to the pressure. Confirm that the main chamber pressure does not change from positive to negative or from negative to positive. Close inner door - Determine if pressure level returns to original levels. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) B. Procedure: Continued B 3a: Record pressure level of Compounding Aseptic Isolator main chamber with outer & inner pass-through doors closed & Isolator gloves / gaunlets extended into Isolator. Insert hands into gloves and pull back from Isolator to simulate operator hand removal. An example of a reasonable pull back time is no greater than 3 seconds from fully extended to fully extracted (gloves at a point even with the view panel). Determine the change in pressure and verify that the pressure does not change from positive to negative. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) B. Procedure: Continued B 3b: Record pressure level of Compounding Aseptic Containment Isolator main chamber with outer and inner pass-through doors closed and Isolator gloves / gauntlets extended outside the Isolator. Insert hands into gloves and push into main chamber to simulate operator hand insertion. Determine the change in pressure and verify that the pressure does not change from negative to positive. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) C. Acceptance Criteria: Isolator Pressure Requirements Actual Workzone -.25” w.g. +0.05 w.g.______ Interchange at Least -.05 w.g. lower than workzone pressure______ Difference between >0.05” w.g.______ Workzone and Interchange The pressure shall not change from positive to negative during any manipulations. D. Meets Acceptance Criteria: Yes___ No___ 2.03 FIELD TEST METHOD Site Installation Assessment Placement and general conditions or interfaces to building systems Review that remote exhaust airflow or pressure alarm set-points are working Review the transfer door interlock systems for function (if installed) Review the exhaust canopy or hard connection performance and use 2.05 HEPA FILTER, HOUSING AND FRAME LEAK TEST A. Instruments: Aerosol Photometer ATI 2H or equivalent PAO Aerosol Generator ATI TDA – 4B or equivalent B. Procedure: 1. Open front hinged window exposing workzone interior. Remove supply HEPA diffusers. PAO aerosol is introduced upstream of the supply HEPA filter by placing supply tube through the prefilter area. The supply HEPA filter and periphery is scanned by passing the photometer probe across the filter, using slightly overlapping strokes. Scanning shall be done at the traverse rate of not more than 2 in./sec. (51 mm/sec). The exhaust HEPA filter is checked using the gross leak method. PAO aerosol is introduced in the rear center of the workzone over the grill. 2.05 HEPA FILTER, HOUSING AND FRAME LEAK TEST B. Procedure Continued: 1. The upstream challenge port is located on the left side of the exhaust filter housing. Sample downstream at a location that will produce a well mixed aerosol and insert the photometer sampling probe with rigid extension tubing through hole in exhaust duct. C. Acceptance Criteria: 1. When scanning, a leakage from any point shall not exceed 0.01% of the upstream concentration. 2. When gross leak, sustained aerosol penetration shall not exceed 0.005% of the upstream concentration. D. Meets Acceptance Criteria: Yes No NU-NTE797 2.06 ENCLOSURE INTEGRITY TEST A. Instrument: Met One Laser Particle Counter B. Procedure: Verify the background count in the testing area is at least 100,00 ppcf. If the count is too low elevate the background levels using an aerosol generator. The enclosure integrity test is performed using a particle counter to measure particle counts within the Isolator workzone and transfer chamber in specific locations, i.e. window seal, glove port, sleeves and gloves. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. 2.06 ENCLOSURE INTEGRITY TEST B. Procedure Continued: Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Scan all areas as described below in 1-minute intervals. • 2-inches from entire perimeter of hinged window gasket area • 2-inches from perimeter of glove ports, sleeves and gloves • 2-inches from internal interchange door perimeter seal Note: If during the scanning process, the 1-minute interval ends, restart the 1-minute interval and record both values as necessary. 2.06 ENCLOSURE INTEGRITY TEST C. Test Data: Particle counts for each of the areas as noted in Section B. 1. 2. 3. D. Acceptance Criteria: No particle count reading during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No 2.08 AIRFLOW SMOKE PATTERNS (APPLICABLE: YES NO ) A. Instrument: Smoke Source B. Procedure: 1. A smoke source shall be passed from one end of the cabinet to the other, along the centerline of the work surface, at a height of 4 in. (102mm) above the top of the glove ports. 2. Pass the smoke along the work area beginning 1 in. (2.5cm) from all main chamber walls and view screens at a height of 4 in. (102mm) above the top of the glove ports. 3. Pass smoke over gloves, gauntlets, IV bars, interior lights, or other extruding features that may be installed within the main chamber. 4. For Compounding Aseptic Containment Isolators pay particular attention to all penetrations, pass-through door, trash disposal tubes and gloves where turbulence may occur or may indicate significant penetration of the Compounding Isolator. 2.08 AIRFLOW SMOKE PATTERNS (APPLICABLE: YES NO ) C. Acceptance Criteria: 1. The smoke inside the cabinet shall show smooth downward flow with not dead spots or reflux. D. Meets Acceptance Criteria: Yes No 2.09 PRODUCT INGRESS & EGRESS TEST Purpose: This test is performed to assure the Isolator workzone can maintain and ISO 14644-1 Class 5 at 0.5 micron environment during material transfers with not wait or purge time during the transfer process when used outside an ISO Class 7 clean room as mentioned in the USP 797 requirements. Instrument: Met On Laser Particle Counter Model A2408 Aerosol generator or smoke tubes Transfer tray or other compounding materials 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 1. Verify the background count in the testing room is at least 100,000 ppcf (ppcf) (3,532,000 particles per cubic meter (ppcm)). 2. If the count is too low, elevate the background 3. Place the particle counter isokinetic probe in the Compounding Isolator workzone 8 inches above the worksurface, and 2 inches outside the normally used path. Probe placement should be so that the operator’s arms will not pass directly over the probe when removing material from the pass-through. 4. Verify the particle counts meet ISO Class 5 levels before beginning the test cycle. 5. Set the particle counter for a 1-minute count with no more than a one second hold time. 6. Open the outside pass-through door. 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 7. Place a transfer tray into the pass-through and close the outer door (no wait or purge time required). 8. Open the interior pass-through door and move the transfer tray from the pass-through to the work area. 9. Close the inside pass-through door. 10. Document the particle counts during the transfer process and for a period of 1-minute after the transfer. Acceptance Criteria: No particle count reading during the 1-minute interval should exceed 100 ppcf. 2.09 PRODUCT INGRESS & EGRESS TEST Test Data: Room background count: >100,000 ppcf Particle Counts (ppcf) Test 1 Test 2 Test 3 Start Open/Close Exterior Door Open Interior Door Transfer Tray Close Interior Door Post Wait Period 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.09 PRODUCT INGRESS & EGRESS TEST Conclusion: All 1-minute interval particle counts were well below the 100 ppcf level meeting and exceeding ISO Class 5 at 0.5 micron. The results indicate that the Isolator can be used outside an ISO Class 7 clean room with no wait or purge time required during the material transfer process. 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator workzone. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 5 test points in 1-minute intervals on a grid in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint and each corner measured 6-inches (152mm) from the inside perimeter. 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE B. Procedure Continued: 2. Position particle counter in the center of the worktray. Manipulate gloves around the particle counter as to disturb the air for 60 seconds while the particle counter is reading. C. Test Data: 1. Particle counts for each test point. Left Rear Left Front 2. Center Center Right Rear Right Front D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator interchange. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 1 test point for 1-minute on a grid in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint. 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER C. Test Data: 1. Particle counts for: Center D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No NU-NR797 HEPA filtered vertical unidirectional laminar airflow over both main and transfer chambers 80% re-circulation / 20% exhaust Main chamber is maintained under less negative pressure relative to transfer chamber PHARMAGARD “NU-NR” AIRFLOW PHARMAGARD “NU-NR” EXHAUST PACKAGE NU-NR797 Isolator with motorized castored base and waste disposal: Height 86.75 – 96.75” w/ Thimble Thimble Exhaust Transition: NU-916-797 Optional Negative Pressure Monitor: Option – 797E80 6” Diameter Flex Duct to fit 6” diameter collar on the transition: NU-940-002 Exhaust Requirements 4’ NR : 65 CFM @ 0.1” wg static 6’ NR : 75 CFM @ 0.1” wg static PHARMAGARD “NU-NR” CONTROL BOX 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) A. Recommended Instruments: TSI 8355 Thermoanemometer B. Procedure: Supply filter efflux is measured on a grid, in a horizontal plane 6 inches (152mm) below the supply filter diffuser with the hinged window closed. No reading should be taken closer than 6 inches (152mm) from the inside perimeter. C. Test Data – Inches (mm) 400 6 (152) 11.81 (300) 17.62 (448) 23.43 (595) 29.25 (743) 600 6 (152) 11.91 (303) 17.82 (453) 23.73 (663) 29.64 (753) 6 (152) 10 (254) 14 (356) 35.55 (903) 41.46 (1053) 47.37 (1203) 53.25 (1353) 2.01 DOWNFLOW VELOCITY PROFILE (APPLICABLE ON ALL UNITS) Number of Readings Average Velocity ft/min. (m/s) D. Acceptance Criteria: 1. Average downflow velocity 35 to 45 fpm (.18 to .23 m/s) 2. Individual readings must be within +20 percent or +16 fpm of the average downflow velocity, whichever is greater to fpm ( to m/s). E. Meets Acceptance Criteria: Yes No 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) A. Instrument: Minihelic gauges on isolator B. Procedure: Adjust exhaust volume via independent motor speed regulator to achieve -0.1” w.g. on the workzone minihelic gauge. B 1: • Fully open outer pass-through door. Document any change to the pressure. • Confirm that the pressure does not change from positive to negative or from negative to positive. • Close outer pass-through door. Document any change to the pressure. B 2: • Using Compounding Isolator glove full open inner door. Document any change to the pressure. • Confirm that the main chamber pressure does not change from postive to negative or from negative to positive. • Close inner door. Determine if pressure level returns to original levels. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) B. Procedure: Continued B 3a: • Insert hands into gloves and pull back from Isolator to simulate operator hand removal. An example of a reasonable pull back time is no greater than 3 seconds from fully extended to fully extracted (gloves at a point even with the view panel) • Determine the change in pressure and verify that the pressure does not change from positive to negative. B 3b: • Insert hands into gloves and push into main chamber to simulate operator hand insertion. • Determine the change in pressure and verify that the pressure does not change from negative to positive. 2.02 ISOLATOR PRESSURE (APPLICABLE ON ALL UNITS) C. Acceptance Criteria: Isolator Pressure Requirements Actual Workzone –0.1” w.g. +/- 0.02” w.g. _________ Interchange < -0.15” w.g. _________ Difference between > -0.05” w.g. _________ Workzone and Interchange The pressure shall not change from positive to negative during any manipulations. D. Meets Acceptance Criteria: Yes_____ No_____ 2.03 FIELD TEST METHOD Site Installation Assessment Placement and general conditions or interfaces to building systems Review that remote exhaust airflow or pressure alarm set-points are working Review the transfer door interlock systems for function (if installed) Review the exhaust canopy or hard connection performance and use 2.05 HEPA FILTER, HOUSING AND FRAME LEAK TEST A. Instruments: Aerosol Photometer ATI 2H or equivalent PAO Aerosol Generator ATI TDA – 4B or equivalent B. Procedure: 1. Open front hinged window exposing workzone interior. Remove supply HEPA diffusers. Exhaust filter is accessed on top of the Isolator. PAO aerosol is introduced upstream of the HEPA filters by placing supply tube under worksurface. The HEPA filters and periphery are scanned by passing the photometer probe across the filter, using slightly overlapping strokes. Scanning shall be done at the traverse rate of not more than 2 in./sec. (51 mm/sec). 2.05 HEPA FILTER, HOUSING AND FRAME LEAK TEST C. Acceptance Criteria: 1. When scanning, a leakage from any point shall not exceed 0.01% of the upstream concentration. D. Meets Acceptance Criteria: Yes No NU-NR797 2.06 ENCLOSURE INTEGRITY TEST A. Instrument: Met One Laser Particle Counter B. Procedure: Verify the background count in the testing area is at least 100,00 ppcf. If the count is too low elevate the background levels using an aerosol generator. The enclosure integrity test is performed using a particle counter to measure particle counts within the Isolator workzone and transfer chamber in specific locations, i.e. window seal, glove port, sleeves and gloves. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. 2.06 ENCLOSURE INTEGRITY TEST B. Procedure Continued: Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Scan all areas as described below in 1-minute intervals. • 2-inches from entire perimeter of hinged window gasket area • 2-inches from perimeter of glove ports, sleeves and gloves • 2-inches from internal interchange door perimeter seal Note: If during the scanning process, the 1-minute interval ends, restart the 1-minute interval and record both values as necessary. 2.06 ENCLOSURE INTEGRITY TEST C. Test Data: Particle counts for each of the areas as noted in Section B. 1. 2. 3. D. Acceptance Criteria: No particle count reading during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No 2.08 AIRFLOW SMOKE PATTERNS CAG-002 A. Instrument: Smoke Source B. Procedure: 1. A smoke source shall be passed from one end of the cabinet to the other, along the centerline of the work surface, at a height of 4 in. (102mm) above the top of the glove ports. 2. Pass the smoke along the work area beginning 1 in. (2.5cm) from all main chamber walls and view screens at a height of 4 in. (102mm) above the top of the glove ports. 3. Pass smoke over gloves, gauntlets, IV bars, interior lights, or other extruding features that may be installed within the main chamber. 4. For Compounding Aseptic Containment Isolators pay particular attention to all penetrations, pass-through door, trash disposal tubes and gloves where turbulence may occur or may indicate significant penetration of the Compounding Isolator. 2.08 AIRFLOW SMOKE PATTERNS CAG-002 C. Acceptance Criteria: 1. The smoke inside the cabinet shall show smooth downward flow with no dead spots or reflux. D. Meets Acceptance Criteria: Yes No 2.09 PRODUCT INGRESS & EGRESS TEST Purpose: This test is performed to assure the Isolator workzone can maintain and ISO 14644-1 Class 5 at 0.5 micron environment during material transfers with not wait or purge time during the transfer process when used outside an ISO Class 7 clean room as mentioned in the USP 797 requirements. Instrument: Met On Laser Particle Counter Model A2408 Aerosol generator or smoke tubes Transfer tray or other compounding materials 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 1. Verify the background count in the testing room is at least 100,000 ppcf (ppcf) (3,532,000 particles per cubic meter (ppcm)). 2. If the count is too low, elevate the background 3. Place the particle counter isokinetic probe in the Compounding Isolator workzone 8 inches above the worksurface, and 2 inches outside the normally used path. Probe placement should be so that the operator’s arms will not pass directly over the probe when removing material from the pass-through. 4. Verify the particle counts meet ISO Class 5 levels before beginning the test cycle. 5. Set the particle counter for a 1-minute count with no more than a one second hold time. 6. Open the outside pass-through door. 2.09 PRODUCT INGRESS & EGRESS TEST Procedure: 7. Place a transfer tray into the pass-through and close the outer door (no wait or purge time required). 8. Open the interior pass-through door and move the transfer tray from the pass-through to the work area. 9. Close the inside pass-through door. 10. Document the particle counts during the transfer process and for a period of 1-minute after the transfer. Acceptance Criteria: No particle count reading during the 1-minute interval should exceed 100 ppcf. 2.09 PRODUCT INGRESS & EGRESS TEST Test Data: Room background count: >100,000 ppcf Particle Counts (ppcf) Test 1 Test 2 Test 3 Start Open/Close Exterior Door Open Interior Door Transfer Tray Close Interior Door Post Wait Period 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.09 PRODUCT INGRESS & EGRESS TEST Conclusion: All 1-minute interval particle counts were well below the 100 ppcf level meeting and exceeding ISO Class 5 at 0.5 micron. The results indicate that the Isolator can be used outside an ISO Class 7 clean room with no wait or purge time required during the material transfer process. 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator workzone. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 5 test points in 1-minute intervals on a grid; in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint and each corner measured 6-inches (152mm) from the inside perimeter. 2.10 CLEANLINESS CLASSIFICATION TEST - WORKZONE B. Procedure Continued: 2. Position particle counter in the center of the worktray. Manipulate gloves around the particle counter as to disturb the air for 60 seconds while the particle counter is reading. C. Test Data: 1. Particle counts for each test point. Left Rear Left Front 2. Center Center Right Rear Right Front D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER A. Instrument: Met One Laser Particle Counter B. Procedure: 1. The Isolator cleanliness classification test is performed using a particle counter to measure particle counts within the Isolator interchange. The particle count process would be to connect the input tubing to the test port provided on the Isolator both inside with several feet of tubing / sampling cone and outside. Turn on Isolator and let warm up for several minutes. Turn on particle counter and flush out sample tubing line to remove latent particles. Set the particle counter to measure 0.5 micron or larger at 1 CFM sampling rate. Take 1 test point for 1-minute on a grid in a horizontal plane as measured by the centerpoint of the glove ports. The grid location is designated as the workzone centerpoint. 2.10 CLEANLINESS CLASSIFICATION TEST – INTERCHANGE CHAMBER C. Test Data: 1. Particle counts for: Center D. Acceptance Criteria: No particle count during the 1-minute interval should exceed 100 parts per cubic foot. E. Meets Acceptance Criteria: Yes No