using barrier isolators photo courtesy of nuaire for ... · inner isolator environment from the...

5
EARLIER THIS YEAR,TWO DOCUMENTS WERE PUBLISHED THAT DRAMATICALLY affect every compounding facility throughout the United States. In January, the United States Pharmacopeia published USP Chapter <797>, Pharmaceutical Compounding—Sterile Preparations, which details regu- lations for almost every aspect of operations that compound sterile preparations. In September, the National Institute for Occupational Safety and Health (NIOSH) published an Alert for Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings. Both of these documents contain excellent guid- ing principles, but they do not contain the specifics that would be neces- sary for pharmacists, technicians, and administrators who do not have extensive experience in such matters to fully comply with them. The bar- rier isolator is mentioned in both documents as a viable engineering con- trol for the compounding of sterile preparations. In order to provide pharmacy professionals with the knowledge they need to comply with these new regulations, this article will discuss barrier isolators in more depth than Chapter <797> or the NIOSH Alert. While barrier isolators have been used for some time in the United Kingdom, they have only recently begun to see more widespread use here in the United States. Currently, there are no formal industry standards or federal regulations concerning isolators. The guidelines that do exist were written for the pharmaceutical manufacturing and microelectronics industries, and do not translate to the pharmaceutical compounding industry very well. In an effort to give some guidance to the compound- ing industry, the Controlled Environment Testing Association (CETA) recently posted a document (CETA Applications Guide for the Use of Barrier Isolators in Compounding Sterile Preparations in Healthcare Facilities) that is available on their website. Although the document offers guidance for complying with USP Chapter <797>, it does not dis- cuss measures for handling the hazardous drugs that would fall under the scope of the NIOSH Alert. Barrier isolators differ from traditional Laminar Air-Flow Workbenches (LAFWs) or Biological Safety Cabinets (BSCs) in many ways. The most obvious difference is that the work area in a barrier isolator is physically sepa- rated from the surround- ing environment; com- pounders perform their tasks via gloves that are integrated into a clear view screen. In some cases, barrier isolators offer tangible advantages over traditional methods. In other cases, the advantages are outweighed by the disadvantages. A com- mon concern expressed by those considering isolators is the potential impact on productivity. There is no doubt that working in an isolator is cumbersome compared to working in a LAFW. Low-output facilities will probably find the inconvenience minimal, but high-volume users should include the potential impact on productivity in their decision-making process. I do believe that the forced discipline of working through the gloves of an isolator, along with the process of inserting and removing product via the pass-through, will have a very positive effect on aseptic technique. It is important to consider such issues before using barrier iso- lators; they should not be thought of as an “easy way out” or a cheap alternative to a Cleanroom. Material Transfer When planning your environmental controls, the first thing you should decide is how you are going to move the materials in and the product out of the isolator. Traditionally, there have been two types of aseptic process- ing isolators: open and closed. Closed isolators employ connections with auxiliary equipment for material transfer. These sealed transfer devices have several classifications based upon their design, degree of containment, adaptability to sterilization, and general protective features. They are typ- ically used in a manufacturing setting. Open isolators have openings to the surrounding environment that are carefully engineered to segregate the inner isolator environment from the surrounding room via overpressure. Most isolators used for sterile compounding are closer in design to open isolators in that they bring product in and out through pass- throughs instead of through sealed, sterile aseptic transfer devices. The purpose of a pass-through chamber is to isolate the inside of the isolator from the room to maintain the integrity of the isolator interior. The pass- through chamber design allows the higher air pressure in the isolator interior to cascade through the pass-through chamber and then out to the surrounding room. Product is placed into the pass-through chamber from the room through the outer door, which is then sealed. With prod- uct in the pass-through, the pass-through space is now “contaminated” 4 Using Barrier Isolators for Sterile Compounding In some cases, barrier isolators offer tangible advantages over traditional methods. By James T.Wagner The PharmaGard 797 is a positive pressure barrier isolator. Photo courtesy of NuAire

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TRANSCRIPT

EARL

IER

THIS

YEA

R,TW

O D

OC

UM

ENTS

WER

E PU

BLIS

HED

TH

AT D

RAM

ATIC

ALL

Yaf

fect

eve

ry c

ompo

undi

ng f

acil

ity

thro

ugho

ut t

he U

nite

d St

ates

. In

Janu

ary,

the

Uni

ted

Stat

es P

harm

acop

eia

publ

ishe

d U

SP C

hapt

er <

797>

,P

harm

aceu

tica

l Com

poun

ding

—St

erile

Pre

para

tion

s, w

hich

det

ails

reg

u-la

tion

s fo

r al

mos

t ev

ery

aspe

ct o

f op

erat

ions

tha

t co

mpo

und

ster

ile

prep

arat

ions

. In

Sep

tem

ber,

the

Nat

iona

l In

stit

ute

for

Occ

upat

iona

lSa

fety

an

d H

ealt

h (N

IOSH

) pu

blis

hed

an

Ale

rt

for

Pre

ven

tin

gO

ccup

atio

nal E

xpos

ures

to

Ant

ineo

plas

tic

and

Oth

er H

azar

dous

Dru

gsin

Hea

lth

Car

e Se

ttin

gs. B

oth

of t

hese

doc

umen

ts c

onta

in e

xcel

lent

gui

d-in

g pr

inci

ples

, but

the

y do

not

con

tain

the

spe

cifi

cs t

hat

wou

ld b

e ne

ces-

sary

for

pha

rmac

ists

, te

chni

cian

s, a

nd a

dmin

istr

ator

s w

ho d

o no

t ha

veex

tens

ive

expe

rien

ce in

suc

h m

atte

rs t

o fu

lly c

ompl

y w

ith

them

. The

bar

-ri

er is

olat

or is

men

tion

ed in

bot

h do

cum

ents

as

a vi

able

eng

inee

ring

con

-tr

ol f

or t

he c

ompo

undi

ng o

f st

eril

e pr

epar

atio

ns.

In o

rder

to

prov

ide

phar

mac

y pr

ofes

sion

als

wit

h th

e kn

owle

dge

they

nee

d to

com

ply

wit

hth

ese

new

reg

ulat

ions

, th

is a

rtic

le w

ill d

iscu

ss b

arri

er i

sola

tors

in

mor

ede

pth

than

Cha

pter

<79

7> o

r th

e N

IOSH

Ale

rt.

Whi

le b

arri

er i

sola

tors

hav

e be

en u

sed

for

som

e ti

me

in t

he U

nite

dK

ingd

om, t

hey

have

onl

y re

cent

ly b

egun

to

see

mor

e w

ides

prea

d us

e he

rein

the

Uni

ted

Stat

es. C

urre

ntly

, the

re a

re n

o fo

rmal

indu

stry

sta

ndar

ds o

rfe

dera

l reg

ulat

ions

con

cern

ing

isol

ator

s. T

he g

uide

lines

tha

t do

exi

st w

ere

wri

tten

for

the

pha

rmac

euti

cal

man

ufac

turi

ng a

nd m

icro

elec

tron

ics

indu

stri

es,

and

do n

ot t

rans

late

to

the

phar

mac

euti

cal

com

poun

ding

indu

stry

ver

y w

ell.

In a

n ef

fort

to

give

som

e gu

idan

ce t

o th

e co

mpo

und-

ing

indu

stry

, th

e C

ontr

olle

d E

nvir

onm

ent

Tes

ting

Ass

ocia

tion

(C

ET

A)

rece

ntly

pos

ted

a do

cum

ent

(CE

TA

App

lica

tion

s G

uide

for

the

Use

of

Bar

rier

Iso

lato

rs i

n C

om

po

un

din

g St

eril

e P

rep

arat

ion

s in

Hea

lth

care

Fac

ilit

ies)

that

is

avai

labl

e on

the

ir w

ebsi

te.

Alt

houg

h th

e do

cum

ent

offe

rs g

uida

nce

for

com

plyi

ng w

ith

USP

Cha

pter

<79

7>, i

t do

es n

ot d

is-

cuss

mea

sure

s fo

r ha

ndlin

g th

e ha

zard

ous

drug

s th

at w

ould

fal

l und

er t

hesc

ope

of t

he N

IOSH

Ale

rt.

Bar

rier

iso

lato

rs d

iffe

rfr

om t

radi

tion

al L

amin

arA

ir-F

low

W

orkb

ench

es(L

AFW

s)

or

Bio

logi

cal

Safe

ty C

abin

ets

(BSC

s) i

nm

any

way

s.

The

m

ost

obvi

ous

diff

eren

ce i

s th

atth

e w

ork

area

in

a ba

rrie

ris

olat

or is

phy

sica

lly s

epa-

rate

d fr

om t

he s

urro

und-

ing

envi

ronm

ent;

co

m-

poun

ders

pe

rfor

m

thei

rta

sks

via

glov

es th

at a

re in

tegr

ated

into

a c

lear

vie

w s

cree

n. In

som

e ca

ses,

barr

ier

isol

ator

s of

fer

tang

ible

adv

anta

ges

over

tra

diti

onal

met

hods

. In

othe

r ca

ses,

the

adv

anta

ges

are

outw

eigh

ed b

y th

e di

sadv

anta

ges.

A c

om-

mon

con

cern

exp

ress

ed b

y th

ose

cons

ider

ing

isol

ator

s is

the

pot

enti

alim

pact

on

prod

ucti

vity

. The

re is

no

doub

t th

at w

orki

ng in

an

isol

ator

iscu

mbe

rsom

e co

mpa

red

to w

orki

ng in

a L

AFW

. Low

-out

put

faci

litie

s w

illpr

obab

ly f

ind

the

inco

nven

ienc

e m

inim

al, b

ut h

igh-

volu

me

user

s sh

ould

incl

ude

the

pote

ntia

l im

pact

on

prod

ucti

vity

in

thei

r de

cisi

on-m

akin

gpr

oces

s. I

do

beli

eve

that

the

for

ced

disc

ipli

ne o

f w

orki

ng t

hrou

gh t

he

glov

es o

f an

iso

lato

r, al

ong

wit

h th

e pr

oces

s of

ins

erti

ng a

nd r

emov

ing

prod

uct

via

the

pass

-thr

ough

, w

ill h

ave

a ve

ry p

osit

ive

effe

ct o

n as

epti

cte

chni

que.

It

is im

port

ant

to c

onsi

der

such

issu

es b

efor

e us

ing

barr

ier

iso-

lato

rs;

they

sho

uld

not

be t

houg

ht o

f as

an

“eas

y w

ay o

ut”

or a

che

apal

tern

ativ

e to

a C

lean

room

.

Mat

eria

l Tra

nsf

erW

hen

plan

ning

you

r en

viro

nmen

tal c

ontr

ols,

the

fir

st t

hing

you

sho

uld

deci

de is

how

you

are

goi

ng t

o m

ove

the

mat

eria

ls in

and

the

pro

duct

out

of th

e is

olat

or. T

radi

tion

ally

, the

re h

ave

been

two

type

s of

ase

ptic

pro

cess

-in

g is

olat

ors:

ope

nan

d cl

osed

. Clo

sed

isol

ator

s em

ploy

con

nect

ions

wit

hau

xilia

ry e

quip

men

t fo

r m

ater

ial

tran

sfer

. T

hese

sea

led

tran

sfer

dev

ices

have

sev

eral

cla

ssifi

catio

ns b

ased

upo

n th

eir

desi

gn, d

egre

e of

con

tain

men

t,ad

apta

bilit

y to

ste

riliz

atio

n, a

nd g

ener

al p

rote

ctiv

e fe

atur

es. T

hey

are

typ-

ical

ly u

sed

in a

man

ufac

turi

ng s

etti

ng. O

pen

isol

ator

s ha

ve o

peni

ngs

to th

esu

rrou

ndin

g en

viro

nmen

t th

at a

re c

aref

ully

eng

inee

red

to s

egre

gate

the

inne

r is

olat

or e

nvir

onm

ent

from

the

sur

roun

ding

roo

m v

ia o

verp

ress

ure.

M

ost

isol

ator

s us

ed f

or s

teri

le c

ompo

undi

ng a

re c

lose

r in

des

ign

toop

en i

sola

tors

in

that

the

y br

ing

prod

uct

in a

nd o

ut t

hrou

gh p

ass-

thro

ughs

ins

tead

of

thro

ugh

seal

ed,

ster

ile a

sept

ic t

rans

fer

devi

ces.

The

purp

ose

of a

pas

s-th

roug

h ch

ambe

r is

to

isol

ate

the

insi

de o

f th

e is

olat

orfr

om t

he r

oom

to

mai

ntai

n th

e in

tegr

ity

of t

he is

olat

or in

teri

or. T

he p

ass-

thro

ugh

cham

ber

desi

gn a

llow

s th

e hi

gher

air

pre

ssur

e in

the

iso

lato

rin

teri

or t

o ca

scad

e th

roug

h th

e pa

ss-t

hrou

gh c

ham

ber

and

then

out

to

the

surr

ound

ing

room

. Pro

duct

is p

lace

d in

to t

he p

ass-

thro

ugh

cham

ber

from

the

roo

m t

hrou

gh t

he o

uter

doo

r, w

hich

is t

hen

seal

ed. W

ith

prod

-uc

t in

the

pas

s-th

roug

h, t

he p

ass-

thro

ugh

spac

e is

now

“co

ntam

inat

ed”

4

Usi

ng

Bar

rier

Iso

lato

rs

for S

teri

le C

om

po

un

din

g

In s

om

e ca

ses,

bar

rier

iso

lato

rs o

ffer

tan

gib

le a

dva

nta

ges

over

tra

dit

ion

al m

eth

od

s.

By

Jam

es T

.Wag

ner

The

Phar

maG

ard

797

is a

pos

itiv

e pr

essu

re b

arri

er is

olat

or.

Photo courtesy of NuAire

5

by

the

amb

ien

t ro

om

air

an

dby

the

out

side

of

the

pack

ages

that

h

ave

bee

n

intr

od

uce

d.

Wip

ing

dow

n th

e pa

ckag

es a

ndpu

rgin

g th

e pa

ss-t

hrou

gh p

rior

to o

pen

ing

the

inte

rio

r d

oo

rw

ill h

elp

redu

ce t

he p

arti

cula

telo

ad t

hat

is t

rans

ferr

ed in

to t

heis

olat

or. I

sola

tor

man

ufac

ture

rssh

ould

pro

vide

doc

umen

tati

onre

gard

ing

the

pro

ced

ure

s an

dp

urg

e ti

mes

nee

ded

fo

r sa

fem

ater

ial t

rans

fer.

Pass

-thr

ough

s ca

n ut

ilize

uni

dire

ctio

nal a

ir, t

urbu

lent

air,

or

stag

nant

airf

low

. Bec

ause

the

pas

s-th

roug

h ca

n im

pact

ove

rall

prod

uct

cont

amin

a-ti

on, p

harm

acis

ts s

houl

d co

nsid

er th

e qu

alit

y of

roo

m a

ir w

here

the

isol

a-to

r is

loca

ted,

how

the

mat

eria

ls w

ill b

e w

iped

dow

n in

the

pas

s-th

roug

h,an

d ho

w e

ffec

tive

the

pur

ge c

ycle

will

be.

Uni

dire

ctio

nal

pass

-thr

ough

desi

gns

offe

r th

e sh

orte

st p

urge

tim

es, a

ffor

ded

by th

e si

ngle

pas

s of

HE

PAfi

lter

ed a

ir. L

onge

r pu

rge

tim

es a

re r

equi

red

for

the

turb

ulen

t fl

ow p

ass-

thro

ughs

bec

ause

con

tam

inan

ts a

re r

emov

ed th

roug

h di

luti

on r

athe

r th

anw

ashe

d aw

ay in

a f

low

of

filt

ered

air.

Sta

gnan

t ai

r pa

ss-t

hrou

ghs

offe

r no

purg

ing

of c

onta

min

atio

n pr

ior

to t

rans

ferr

ing

prod

ucts

to

the

isol

ator

.

Iso

lato

r A

irfl

ow

The

trad

itio

nal t

urbu

lent

flow

isol

ator

is b

asic

ally

a s

eale

d, v

enti

late

d bo

xw

ith

a vi

ew s

cree

n th

at p

rovi

des

acce

ss t

o th

e in

side

thr

ough

glo

ves.

Bot

hin

let

and

reci

rcul

ated

air

are

HE

PA f

ilte

red,

dil

utin

g in

teri

or a

ir w

ith

clea

n, p

arti

cula

te-f

ree

air.

The

am

ount

of

dilu

tion

tha

t ta

kes

plac

e is

dic

-ta

ted

by t

he q

uant

ity

of a

ir t

hat

is r

ecir

cula

ted.

Thi

s is

usu

ally

exp

ress

edas

Air

Cha

nges

per

Hou

r (A

CH

). T

urbu

lent

flo

w i

sola

tors

hav

e be

ende

sign

ed w

ith

as f

ew a

s 40

AC

H t

o w

ell o

ver

150

AC

H.

In a

ddit

ion

to c

onsi

deri

ng h

ow t

o pr

even

t co

ntam

inat

ion

of t

he is

ola-

tor

from

the

outs

ide,

a fu

ndam

enta

l dec

isio

n ne

eds

to b

e m

ade

abou

t how

the

cont

amin

atio

n in

side

the

isol

ator

will

be

man

aged

. An

isol

ator

nee

ds

to b

e op

en f

rom

tim

e to

tim

e fo

r m

aint

enan

ce a

nd c

lean

ing.

At

that

tim

e,th

e ai

r in

side

the

isol

ator

is a

s di

rty

as t

he s

urro

undi

ng e

nvir

onm

ent.

The

isol

ator

mus

t be

abl

e to

elim

inat

e th

is c

onta

min

atio

n. A

ddit

iona

lly, p

ar-

ticu

late

bui

ld-u

p an

d cr

oss-

cont

amin

atio

n th

at w

ill o

ccur

dur

ing

com

-po

undi

ng n

eeds

to

be c

ontr

olle

d. R

elia

nce

on d

iluti

on c

ontr

ol t

o m

anag

eth

ese

task

s is

som

ewha

t ris

ky b

ut th

e ch

ance

s fo

r su

cces

s ca

n be

impr

oved

wit

h hi

gher

air

exc

hang

e ra

tes.

Inc

reas

ing

the

amou

nt o

f H

EPA

-filt

ered

reci

rcul

ated

air

incr

ease

s th

e am

ount

of

part

icle

-lad

en a

ir t

hat

is r

emov

edby

the

air

ret

urn.

Eve

ntua

lly,

the

part

icul

ate

burd

en c

an b

e re

duce

d to

acce

ptab

le le

vels

. How

long

it s

tays

tha

t w

ay is

dep

ende

nt o

n ho

w lo

ng it

is u

ntil

mor

e pr

oduc

ts a

re b

roug

ht i

nto

the

isol

ator

and

how

wel

l th

epr

oduc

t is

cle

aned

pri

or t

o en

try.

B

ecau

se o

f a

turb

ulen

t fl

ow i

sola

tor’

s un

pred

icta

ble

part

icle

rem

oval

char

acte

rist

ics,

the

phar

mac

euti

cal m

anuf

actu

ring

indu

stry

req

uire

s a

val-

idat

ed d

econ

tam

inat

ion

proc

edur

e, t

ypic

ally

Vap

or P

hase

Hyd

roge

nPe

roxi

de (V

HP)

or

som

e ot

her

gase

ous

proc

ess,

to b

e in

pla

ce w

hen

usin

gis

olat

ors

for

ster

ile p

rodu

ctio

n. W

hile

ste

rile

com

poun

ding

isol

ator

s ty

p-ic

ally

do

not

empl

oy t

his

type

of

syst

em, s

ome

valid

ated

met

hod

for

dis-

infe

ctio

n m

ust

be in

pla

ce.

The

USF

DA

has

sho

wn

som

e su

ppor

t for

the

turb

ulen

t-fl

ow-c

ontr

olle

dis

olat

or d

esig

n co

ncep

t; h

owev

er, c

once

rns

have

bee

n ra

ised

abo

ut a

spec

tsof

the

des

ign.

In

thei

r re

cent

ly r

elea

sed

indu

stry

gui

de (

Gu

idan

ce f

or

...c

aref

ul p

lan

nin

g a

nd

str

ict

adh

eren

ce

to d

eco

nta

min

atio

n d

isci

plin

e

is a

mu

st w

hen

usi

ng

an

iso

lato

r

in s

teri

le c

om

po

un

din

g.

Turb

ule

nt

airf

low

Iso

lato

r

Un

idir

ecti

on

al Is

ola

tor

DIL

UTI

ON

CO

NTR

OL

RETU

RN

HEP

A

HEP

A

RETU

RN

FLO

W C

ON

TRO

LRE

TURN

RETU

RN

Turb

ule

nt

airf

low

Iso

lato

r

DIL

UTI

ON

CO

NTR

OL

RETU

RN

HEP

A

RETU

RN

Wit

h un

idir

ecti

onal

air

flow

,the

spe

ed o

f con

tam

inat

ion

rem

oval

is v

ery

high

.C

onta

min

atio

n re

mov

al ta

kes

long

er to

ach

ieve

wit

h tu

rbul

ent a

irflo

w.

Lam

inar

Flo

w G

love

box/

Isol

ator

Photo courtesy of Germfree Laboratories

(Con

tinue

s on

pag

e 6)

Ind

ust

ry—

Ster

ile

Dru

gP

rod

uct

s P

rod

uce

d b

yA

sep

tic

Pro

cess

ing—

Cur

rent

Goo

d M

anuf

ac-

turi

ng

Pra

ctic

e),

they

stat

e: “

Turb

ulen

t flo

w c

anbe

ac

cept

able

w

ithi

ncl

osed

iso

lato

rs,

whi

ch a

reno

rmal

ly c

ompa

ct i

n si

zean

d do

not

hou

se p

roce

ssin

glin

es.

Oth

er a

sept

ic p

roce

ss-

ing

isol

ator

s em

ploy

uni

di-

rect

iona

l air

flow

tha

t sw

eeps

ove

r an

d

away

fr

om

ex

-p

ose

d

ster

ile

mat

eria

ls,

avoi

ding

any

tur

bule

nce

orst

agna

nt a

irfl

ow in

the

are

a of

exp

osed

ste

riliz

ed m

ater

ials

, pro

duct

, and

cont

aine

r cl

osur

es.

In m

ost

soun

d de

sign

s, a

ir s

how

ers

over

the

cri

tica

lar

ea o

nce

an

d t

hen

is

syst

emat

ical

ly e

xh

aust

ed f

rom

th

e en

clo

sure

.”Is

olat

ors

used

for

com

poun

ding

ste

rile

pro

duct

s do

not

bri

ng m

ater

ials

in a

nd

ou

t th

rou

gh s

eale

d s

teri

le t

ran

sfer

dev

ices

, an

d a

re t

her

efo

recl

oser

to

an “

open

” de

sign

. A

s su

ch,

care

ful

plan

ning

and

str

ict

adhe

r-

ence

to

deco

ntam

inat

ion

disc

iplin

e is

a m

ust

whe

n us

ing

an i

sola

tor

inst

erile

com

poun

ding

.R

ecen

t in

tere

st i

n is

olat

ors,

spa

rked

by

USP

Cha

pter

<79

7>,

has

led

to t

he i

nnov

ativ

e m

arri

age

of u

nidi

rect

iona

l ai

rflo

w,

whi

ch h

as b

een

used

in

BSC

s, w

ith

barr

ier

tech

nolo

gy.

Uni

dire

ctio

nal

airf

low

pro

vide

spr

otec

tion

to

the

wor

k ar

ea w

ith

flow

ins

tead

of

dilu

tion

. Pa

rtic

ulat

e-la

den

air

is s

wep

t fr

om t

he w

ork

area

wit

h a

was

h of

HE

PA-f

ilter

ed a

ir.Fi

lter

ed a

ir w

ashe

s ov

er t

he w

ork

area

int

o th

e fr

ont

and

rear

gri

lles

.Pa

rtic

les

that

are

gen

erat

ed b

y th

e w

ork

are

imm

edia

tely

was

hed

into

the

retu

rns

and

out

of t

he w

ork

zone

. Ase

ptic

tec

hniq

ue is

fur

ther

aid

edb

y u

sin

g th

e fl

ow

of

HE

PA-f

ilte

red

air

to

iso

late

th

e w

ork

fro

m t

he

glov

ed h

and

and

to p

reve

nt c

ross

-con

tam

inat

ion

from

wit

hin

the

cham

-

6

The

bu

ffer

roo

m a

nd

th

e p

rim

ary

eng

inee

rin

g c

on

tro

l wo

rk to

get

her

to fa

cilit

ate

go

od

wo

rk p

ract

ice.

Photo courtesy of The Baker Company

The

Che

moS

HIE

LD is

a g

as-t

ight

neg

ativ

epr

essu

re c

onta

inm

ent g

love

box.

ISO

LATO

RS(C

ontin

ued

from

pag

e 5)

Fo

r m

ore

info

rmat

ion,

circ

le #

40 o

n th

e R

ead

er S

ervi

ce C

ard

ber.

The

pha

rmac

ist

can

rely

on

this

uni

dire

ctio

nal a

irfl

ow t

o as

sure

tha

tth

ere

is a

n ar

ea w

ashe

d w

ith

HE

PA-f

ilte

red,

par

ticl

e-fr

ee a

ir t

hat

wil

lre

liabl

y yi

eld

cont

amin

atio

n-fr

ee w

ork.

The

use

of

unid

irec

tion

al a

irfl

ow m

akes

it p

ossi

ble

to u

se t

he s

ame

iso-

lato

r to

com

poun

d di

ffer

ent p

rodu

cts.

Inte

rnal

cro

ss-c

onta

min

atio

n ca

n be

prev

ente

d by

em

ploy

ing

soun

d as

epti

c te

chni

que

wit

h an

und

erst

andi

ng o

f“w

orki

ng u

pstr

eam

.” P

arti

cles

gen

erat

ed b

y th

e co

mpo

undi

ng p

roce

ss a

ndth

e op

erat

or w

ill b

e ca

rrie

d to

the

ret

urns

and

rem

oved

fro

m t

he is

olat

or.

No

sour

ce o

f co

ntam

inat

ion

shou

ld e

ver

be p

lace

d be

twee

n th

e H

EPA

fil-

ter

and

the

prod

uct.

With

an

unde

rsta

ndin

g of

uni

dire

ctio

nal a

irflo

w, p

rod-

ucts

can

be

plac

ed in

an

isol

ator

to

take

adv

anta

ge o

f th

e ai

rflo

w. T

his

isth

e ba

sic

conc

ept

behi

nd w

orki

ng u

pstr

eam

.

Pre

ssu

riza

tio

nIs

olat

ors

used

for

ste

rile

com

poun

ding

are

typ

ical

lyun

der

posi

tive

pre

ssur

e re

lati

ve t

o th

e ro

om u

nles

s th

eyar

e us

ed f

or h

azar

dous

dru

gs.

In t

he e

vent

of

a le

ak i

nth

e sh

ell o

f th

e un

it, a

ir w

ill f

low

out

of

the

isol

ator

, pre

-ve

ntin

g ro

om a

ir f

rom

ent

erin

g it

. Dev

ices

use

d fo

r co

n-ta

inm

ent o

f haz

ards

are

typi

cally

und

er n

egat

ive

pres

sure

rela

tive

to

the

room

. If

the

unit

leak

s, r

oom

air

will

flo

w

7

Qua

draM

ed A

dIs

this

a P

ick-

Up?

The

Mic

roSp

here

is a

thre

e-,f

our-

glov

e,or

cus

tom

des

ign

mic

roen

viro

nmen

t.

Photos courtesy of IsoTech Design

(Con

tinue

s on

pag

e 8)

Fo

r m

ore

info

rmat

ion,

circ

le #

19 o

n th

e R

ead

er S

ervi

ce C

ard

ISO

LATO

RS(C

ontin

ued

from

pag

e 7)

into

it, p

reve

ntin

g w

hat

is in

side

fro

m le

akin

g ou

t.

Isol

ator

s us

ually

ope

rate

som

ewhe

re b

etw

een

0.05

˝ to

1.0

˝w

ater

col

umn

(w.c

.).

Uni

dire

ctio

nal

unit

s w

ill

be n

ear

the

low

er e

nd o

f th

e ra

nge

whi

le d

iluti

on c

ontr

ol u

nits

usu

ally

oper

ate

clos

er t

o th

e up

per

end.

Air

flow

in

a un

idir

ecti

onal

isol

ator

is

the

prim

ary

sepa

rato

r be

twee

n th

e pr

oduc

t an

dth

e ou

tsid

e at

mos

pher

e, t

here

fore

low

er p

ress

ure

is a

ccep

t-ab

le.

In a

tur

bule

nt f

low

uni

t, t

he p

ress

ure

diff

eren

tial

betw

een

the

isol

ator

and

the

roo

m is

the

onl

y m

eans

of

sep-

arat

ion

shou

ld a

pen

etra

tion

in

the

shel

l oc

cur.

The

refo

re,

thes

e un

its

tend

to

use

a hi

gher

pre

ssur

e di

ffer

enti

al.

Is a

bar

rier

iso

lato

r an

alt

ern

ativ

e to

a b

uff

er r

oo

m?

Muc

h ha

s be

en m

ade

of t

he U

SP C

hapt

er <

797>

sta

tem

ent,

“It

is p

re-

ferr

ed, b

ut n

ot n

eces

sary

, to

loca

te b

arri

er is

olat

ors

wit

hin

such

a b

uffe

rai

r qu

alit

y ar

ea.”

Thi

s lo

opho

le w

as le

ft in

the

doc

umen

t to

allo

w s

ome

flex

ibil

ity,

but

not

to

prom

ote

the

isol

ator

as

an a

lter

nati

ve t

o a

wel

lth

ough

t-ou

t fa

cilit

y. H

and

was

hing

, pr

oduc

t fl

ow,

and

faci

lity

clea

ning

mus

t st

ill b

e co

nsid

ered

if y

ou a

re u

sing

an

isol

ator

. The

buf

fer

room

and

the

prim

ary

engi

neer

ing

cont

rol

wor

k to

geth

er t

o fa

cilit

ate

good

wor

kpr

acti

ce. A

n is

olat

or m

ay a

llow

som

e co

nces

sion

s in

buf

fer

room

des

ign,

but

is n

ot a

n al

tern

ativ

e to

a b

uffe

r ro

om. T

he F

DA

is v

ery

clea

r on

thi

ssu

bjec

t in

the

ir g

uide

for

ase

ptic

pro

cess

ing

(Ste

rile

Dru

g P

rod

uct

sP

rodu

ced

by A

sept

ic P

roce

ssin

g—C

urre

nt G

ood

Man

ufac

turi

ng P

ract

ice)

:“A

Cla

ss 1

00,0

00 (

ISO

8)

back

grou

nd is

com

mon

ly u

sed

base

d on

con

-si

dera

tion

of i

sola

tor

desi

gn a

nd m

anuf

actu

ring

sit

uati

ons.

An

asep

tic

pro-

cess

ing

isol

ator

sho

uld

not

be lo

cate

d in

an

uncl

assi

fied

roo

m.”

Sum

mar

yB

arri

er is

olat

ors

can

be a

via

ble

opti

on a

s th

e pr

imar

y en

gine

erin

g co

ntro

lfo

r co

mpo

undi

ng s

teri

le p

rodu

cts.

Whi

le t

hey

shou

ld n

ot b

e us

ed in

stea

dof

a b

uffe

r ro

om, t

hey

may

allo

w s

ome

conc

essi

ons

in b

uffe

r ro

om d

esig

n.M

any

diff

eren

t is

olat

or d

esig

ns a

re n

ow a

vaila

ble.

Whe

n sh

oppi

ng f

or a

nis

olat

or, t

he m

ost c

riti

cal d

ecis

ion

is w

heth

er to

use

turb

ulen

t flo

w o

r un

i-di

rect

iona

l ai

rflo

w.

Com

poun

ding

of

ster

ile p

rodu

cts

is m

ost

com

mon

lyas

soci

ated

wit

h un

idir

ecti

onal

air

flow

. T

he c

riti

cal

natu

re o

f st

erile

com

poun

ding

req

uire

s a

com

mit

men

t to

qual

ity

that

mus

t be

em

brac

ed b

y th

e en

tire

com

poun

ding

sta

ff.

Con

tam

inat

ion

is a

n un

seen

ene

my

that

can

be

cont

rolle

d w

ith

prop

erfa

cilit

ies

and

tech

niqu

e. T

he n

ew e

nvir

onm

enta

l re

quir

emen

ts c

alle

d fo

rby

USP

Cha

pter

<79

7> p

rom

ise

to h

ave

a po

siti

ve e

ffec

t on

ove

rall

qual

-it

y. In

nova

tive

eng

inee

ring

con

trol

s ar

e be

ing

deve

lope

d to

mak

e th

e tr

an-

siti

on t

o m

ore

stri

ngen

t fa

cilit

y re

quir

emen

ts e

asie

r.

Jam

es T

. W

agne

r, p

rinc

ipal

of

Con

trol

led

Env

iron

men

t C

onsu

ltin

g, i

nB

ethl

ehem

, Pen

nsyl

vani

a pr

ovid

es e

xper

tise

in c

riti

cal e

nvir

onm

ents

, wit

hov

er 2

5 ye

ars

expe

rien

ce e

valu

atin

g fa

cilit

ies

used

for

ase

ptic

pro

cess

ing

as w

ell

as l

abor

ator

ies

and

man

ufac

turi

ng f

acili

ties

han

dlin

g ha

zard

ous

subs

tanc

es.

He

has

serv

ed o

n m

any

indu

stry

sta

ndar

ds w

riti

ng c

omm

it-

tees

, am

ong

them

, the

NSF

std

. 49

for

Cla

ss I

I B

iolo

gica

l Saf

ety

Cab

inet

,an

d th

e In

stit

ute

of E

nvir

onm

enta

l Sc

ienc

es a

nd T

echn

olog

y fo

r va

riou

sC

lean

room

sta

ndar

ds.

8

Ad

dit

ion

al S

ou

rces

for

Ster

ile C

om

po

un

din

g In

form

atio

n:

Co

ntr

olle

d E

nvir

on

men

t C

on

sult

ing

. . .

. . .

. . .

. . .

jimw

agn

er@

fast

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CET

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pp

licat

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e .

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r In

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stry

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apte

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Wh

ere

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The

Bak

er C

om

pan

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. . .

. . .

. . .

. . .

. . .

. . .

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.cir

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Co

nta

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ech

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Gro

up

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. . .

.cir

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read

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Ger

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ee L

abo

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. . .

. . .

. . .

. . .

. . .

. . .

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circ

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Tech

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. . .

. . .

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. . .

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.cir

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Iso

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.cir

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The

Che

moS

HIE

LD c

onne

cts

to th

e ex

haus

t sys

tem

for v

enti

ng to

the

outd

oors

.

Photo courtesy of The Baker Company

The

crit

ical

nat

ure

of s

teri

le c

omp

oun

din

g

req

uire

s a

com

mit

men

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