The AAMI TIR34 / ST108 is a water quality standard for medical device sterilization for the purpose of reprocessing equipment for future use. Water quality is an important consideration in all stages of medical device reprocessing. Ensuring adequate water quality in device reprocessing requires collaboration between the personnel who reprocess medical devices and the personnel who establish and maintain the water treatment system. Because the needs of these two groups are distinct, this technical information report (TIR) contains:
Microbial content in water can increase without properly closely monitoring to prevent microbial overgrowth. Gram-negative bacteria and nontuberculous mycobacteria can grow in any type of water, including tap, softened, deionized (DI), reverse osmosis (RO) treated, and distilled water. The rate of growth and the microbial levels attained are a function of the amount of organic contaminants in the water. The importance of monitoring water quality, per AAMI TIR34 ST108 for sterilization, to prevent problems with microbial overgrowth cannot be overemphasized.
The TIR34 / ST108 for sterilization defines two levels of water quality suitable for medical device reprocessing, and it describes the water treatment processes that can be used to obtain the correct water quality. To provide optimal water for medical device reprocessing, reprocessing personnel, and water maintenance personnel should collaborate with administrative personnel to implement adequate procedures as outline in the Standard.
This standard addresses how to determine the water quality needs for reprocessing various categories of medical devices at various stages of reprocessing and how to assess, generate, monitor, and maintain water meeting those requirements.
This TIR covers the quality of the water used to clean, rinse, disinfect, and sterilize medical devices. It defines water types on the basis of hardness, pH, microorganism levels, endotoxin levels, and other characteristics. The following specific topics are covered:
This TIR also provides definitions of terms and a bibliography. The annexes contain technical details pertaining to water treatment and monitoring for the benefit of water maintenance personnel.
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