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Part of PharmaCongress – Düsseldorf/Neuss, 31 May–1
June 2022
#sharing challenges
and solutions in practice
Aseptic Sterile Filtration using Single
Use and Isolator Technologies
Nicola Rutigliani – Senior Project Manager
– Merck Biopharma (Bari Site) –
AGENDA
1. Project: facility and equipment pre-requisites, qualification and implementation of SUS;
2. Risk identification when using SUT and mitigation strategy;
3. Single Use Integrity test at the point of use (method development & qualification);
The facility is located in Bari industrial area
(Modugno), close to the airport, the main
transport routes (airport, highways, harbors,
railroads)
Merck Bari Plant
…and the most beautiful places in the world
according to Lonely Planet travel guide !
Global site for Biotech Drug Product & Finished Product manufacturing for all Biotech products
supporting clinical / launch and commercial
Scope
Franchises
Technologies
Biotech DP, FP manufacturing
Liquid & solid aseptic filling (vial, cart., syr.)
under isolator, device assembly, packaging, QC
and MSAT;
N&I, Oncology/immuno-oncology, Fertility,
Endocrinology, Biosimilars
Merck Bari Plant Capabilities
Investments
Around 160 million € have been
invested in Bari Site moving all the
manufacturing lines from sterile
cleanrooms to isolator technology to
pursue Merck purpose.
Merck purpose: To create, improve and prolong lives
as one for Patient
Merck Bari line isolator
Merck Bari line isolator
Stopper vessel
loading station
CIP/SIP Cabinet
Filling Unit
Depirogenation
tunnel
Vials washing
machine
Merck Bari line isolator
Filling
Unit
Surge bag
Process: pooling, filtration, filling
With Lynx® CDR Sterile Connectors, you can
connect, disconnect and reconnect your single-use
and hybrid systems both wet and under pressure
while remaining sterile.
Process: pooling, filtration, filling
Filtration assembly with a redundant Sterile filtration
Product WFI
Vented bags
for filter
veting
Rapid
Transfer Port
for Isolator
connection
Lynx S2S
aseptic
connector
Completely
closed
system for
waste liquid
collection
Peristaltic
pumps
silicon
tubings
Nitrogen
Sterile Product
Filtered
gassing inlet
PUPSIT COMPLIANT DESIGN!
RTP isolator
connection
Filtration assembly with a redundant Sterile filtration
New Annex 1 requirements when using SUS
Annex 1 draft: Manufacture of sterile products
Facility pre-requirements
Focus on
SUS
integrity
Personnel pre-requisites
Simple SUS design & Operators training are key!
Annex 1 draft: Manufacture of sterile products
Pre-Covid19 picture
New Annex 1 requirements when using SUS Focus on
SUS
integrity
Premises & equipment pre-requisites
1. Nitrogen connection at 6bar close to the line for SUS device & filter integrity tests;
2. Rapid Transfer Port for SUS connection close to the filling pumps;
3. Filling line predisposition to SUS connection (peristaltic pumps);
4. Hybrid configuration Stainless Steel & SUS are super critical and must be properly managed:
SITUATION:
The gassing station installed between vials filling station and
stoppering station receive nitrogen from Syntegon cabinet (SS);
The cabinet is sterilized only when rotary pumps are installed
and for this reason it was not possible to sterilize the nitrogen
Line when using peristaltic filling pumps.
A sterile filter has been added between gassing station &
nitrogen line as shown.
ISSUE: observed during Media Fill Run
A limited overpressure remained in the nitrogen* stainless steel line and during the Aseptic Process
Simulation the filters popped up creating a potential critical issue for the isolator aseptic core (No
contamination observed during Media Fill and on ad hoc sampling of the gas line).
* substituted with oxygen during Media Fill.
SUS Supplier selection & qualification
Tool: Questionnaire with score for each request
• Biological Safety Tests availability;
• Mechanical Properties of the film (on film samples);
• Gas Transmission Property (on film samples);
• Physical-chemical tests results;
• Sterility Test Gamma irradiation & validation package;
• Quality Assurance Lot Release Criteria;
• Container Closure Integrity ->LEAK TEST execution before shipment & minimum leak validated;
• pH measurement - Temperature measurement methods (specify probe characteristics);
• Productive capacity (How many production sites?);
• Need for audits on production sites;
• Lead time - Standard Product;
• Lead time - Customized Product;
• Post-sale: lead time for urgent intervention (for equipment);
• Post-sale: lead time for non urgent intervention (for equipment)
• Extractable studies availability (documentation provided)
• Shipping validation studies (documentation provided)
• Allergens declaration, Toxicological studies (documentation provided)
BioPhorum and BPSA have created new templates (Single-Use User Requirement (SUUR) Template) aligned with industry standards (i.e. ASTM E3051) which will simplify the single-use design process
https://bpsalliance.org/suur-resources/#1533310770609-fafcc4fb-dc7b
SUS Supplier selection & qualification
Vendor Qualification:
• Risk Assessment of the material and the vendor;
• Supplier questionnaire;
• Supplier Audit;
• Validation packages review (ex Sterilization process);
Material Qualification (3 batches):
• Check of Certificate of Quality & Integrity;
• Sterility indicator check;
• Sterility conformity during Media Fill;
• Visual check (outer/inner package & label variable data);
• Assembly integrity test*;
• E&L & subvisible particles studies during GMP batches;
Routine Incoming control:
• Check of Certificate of Quality & Integrity;
• Visual check (outer packaging + label variable data);
Before production control:
• Visual check (label variable data);
• Sterility indicator check;
• Assembly integrity test*;
As robust as possible
limited
*Assembly integrity test performed on the filtration set only;.
AGENDA
1. Project: facility and equipment pre-requisites, qualification and implementation of SUS;
2. Risk identification when using SUT and mitigation strategy;
3. Single Use Integrity test at the point of use (method development & qualification);
Risk identification when using SUT and mitigation strategy
Annex 1 draft: Manufacture of sterile products
Integrity is a Critical Quality Attribute of a SUS!
Risk identification when using SUT and mitigation strategy
Product spill & potential
risk for Operator safety
BUSINESS & SAFETY RISK
Product contamination
QUALITY RISK
ASTM Guideline:
WK64337 New Guide for Integrity Assurance and Testing of Single-Use Systems (astm.org)
New Annex 1 requirements when using SUS
Focus on
SUS
integrity
Integrity test approach SS vs SUS
STAINLESS STEEL PIPING (Cabinet) SINGLE USE SYSTEM
Leak Test /
CIP (cold/hot WFI) /
Product Filters installation Assembling at supplier
Leak Test Leak Test at supplier (optional)
SIP Gamma sterilization
Leak Test Leak Test at Site
Keep in overpressure /
Risk identification when using SUT and mitigation strategy
How leaks in Single Use Systems are handled by Suppliers
Manufacturing
(Manufacturer)
Leak test
(Manufacturer)
Packaging
(Manufacturer)
Gamma
(Manufacturer)
Shipment
(Manufacturer)
Installation
(Customer)
Manufacturer integrity test
Customer point of use integrity test
Different suppliers have different approaches and capabilities on integrity assurance (KEY):
• Leak testing just during SUS Manufacturing Process Validation + annual check;
• Leak testing on samples taken from the Bacth Manufactured;
• Leak testing on 100% SUS manufactured;
Maximum Allowable Leakage Limit (MALL)
12,65 µm identified as leak check to guarantee
sterility – aerosol contamination
Microbial results after 60 minutes
of aerosol challenge
The “Design, control, and monitoring of single-use systems for integrity assurance” Guideline, written by
Bio-Process System Alliance (BPSA) in 2017, describes two different microbial trials to identify the MALL –
SUS liquid immersion vs SUS aerosol challenge.
BPSA white paper Design,
Control, and Monitoring of
Single-use Systems for
Integrity Assurance, July
2017
AGENDA
1. Project: facility and equipment pre-requisites, qualification and implementation of SUS;
2. Risk identification when using SUT and mitigation strategy;
3. Single Use Integrity test at the point of use (method development & qualification);
STEP 1: to identify the right SUSIT Method
Decay test methodology
The leak size is measured
using the pressure decay on
the pressurized container
PROs:
 Sensitivity above 10µm
 Easy to implement/ manage/
calibrate;
 Cheap system;
CONs:
 sensitivity is dependent on
the SUS volume and test
pressure -> low on large
volumes and low pressure;
 Sensitivity is temperature
fluctuation dependent;
Flow measurement
methodology
The leak size is measured using
the flow loss & quantified by a
flow sensor
PROs:
 Easy to implement;
 Sensitivity is independent from
device volume;
CONs:
 Sensitivy to fluctuation in gas
supply pressure and ambient
pressure;
 Less suitable for very small leak;
 Sensitivity is temperature
fluctuation dependent;
Helium test methodology
The leak size is measured with the
Helium quantification in the
chamber using a mass
spectrometer.
PROs:
 Sensitivity above 2µm;
 Sensitivity is independent from
device volume, temperature &
pressure fluctuation;
CONs:
 Equipment costs;
 Challenging implementation/
management/calibration;
 Natural film permeability to
Helium could generate faulse
passed test;
KEY: All the above-mentioned tests are Pre-use and not post use Integrity Test –> indeed Drug Product could clog
leaks causing faulse passed test!
Palltronic
Flowstar
LGR
STEP 2: To develop the Method making tests
STEP 2: To develop the Method making tests
Good separation observed after 150s
600
500
400
300
200
100
0
60
50
40
30
20
10
0
time (s)
decay
(mbar)
Scatterplot of decay vs time
Project: test time analysis.MPJ; Worksheet: pressure decay; 6/15/2018 1:08:19 PM; by N. Batt
Negative samples (No leak)
1800
1700
1600
1500
1400
1300
1200
18
16
14
12
10
8
6
4
2
0
time
decay
after
1200+s
0
12
(um)
size
Leak
Scatterplot of decay after 1200+s vs time
Test pressure (mbar) = 2000
Project: 12um testing-12July2018.MPJ; Worksheet: 2000mbar, 1800s data, 1200s+; 7/13/2018 2:18:37 PM; by N. Batt
Good separation observed after 1800s
12µm
leak
25µm
leak
12µm leak - decay test development trials:
 Test pressure: 2 bar
 Decay test duration: 1800 sec (30m)
 Stabilization time 1200 sec (20m) - to reduce the
adiabatic heating effect
 Test Time: 600 sec (10m)
25 µm leak - decay test development trials:
 Test pressure: 1 bar
 Decay test duration: 250 sec (≈5 m)
 Stabilization time 100 seconds;
 Test Time: 150 seconds
Risk for SUS integrity
Delta
5mbar
Delta 15mbar
Potential lack of test reliability
FINAL DECAY TEST METHOD RECIPE:
 Calibrated orifice to simulate leak defect;
 Test pressure chosen of 1 bar
 Process pressure max during filling;
 Maximize test sensitivity while maintaining all
components within recommended pressure range;
 Test time chosen is 150 seconds:
 Repeat tests conducted out to 10 minutes test time,
data analyzed every 30 seconds to show separation.
Minimal improvement seen after 150 seconds
STEP 3: To identify the most sensitive method recipe
600
500
400
300
200
100
0
60
50
40
30
20
10
0
time (s)
decay
(mbar)
Scatterplot of decay vs time
Project: test time analysis.MPJ; Worksheet: pressure decay; 6/15/2018 1:08:19 PM; by N. Batt
Good separation observed
after 150s
Negative samples (No leak)
How to Validate from a GMP prospective the Decay Test:
 To prepare a Validation Protocol with a clear acceptance criteria:
 Test specification set at overall mean of non defective assemblies + 4σ (σ standard deviation);
 Clear separation between non defective and defective data population;
N.B. Mean +/- 4σ = 99,9968% of values represented by the population.
 To prepare a Validation Protocol with a clear operative Procedure:
 2 assemblies for 3 different supplier batches tested by 3 operators in 3 different days (W & W/O leak defect);
 To prepare the test execution with an effective training;
Pressure loss
ΔP
T1
T3
T2
T4
Assembly
1
T1
T3
T2
Confidence: µi+4σ
Assembly
2
T4
T5 T6 T5
T6
Specification: µL- 4σ
STEP 4: To validate the test method developed
Not Conforme
Assemblies
Conforme
Assemblies
Pre-Covid19 picture
25 um defect tests
Mean 13.189 mbar
Standard Deviation 0.638 mbar
Mean–4 standard deviation 10.637 mbar
Results Observed:
Intact device tests
Mean 2.497 mbar
Standard Deviation 0.718 mbar
Mean+4 standard deviation 5.369 mbar
STEP 4: To validate the test method developed
Limit identified for routine testing: 5.369 mbar
Merck Successful teams
make Merck successful
stories!
Thank you!
Pre-Covid19 picture

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06_Rutigliani_Aseptic_Sterile_Filtration_using_Single_Use_and_Isolator_Technologies.pdf

  • 1. Part of PharmaCongress – Düsseldorf/Neuss, 31 May–1 June 2022 #sharing challenges and solutions in practice Aseptic Sterile Filtration using Single Use and Isolator Technologies Nicola Rutigliani – Senior Project Manager – Merck Biopharma (Bari Site) –
  • 2. AGENDA 1. Project: facility and equipment pre-requisites, qualification and implementation of SUS; 2. Risk identification when using SUT and mitigation strategy; 3. Single Use Integrity test at the point of use (method development & qualification);
  • 3. The facility is located in Bari industrial area (Modugno), close to the airport, the main transport routes (airport, highways, harbors, railroads) Merck Bari Plant …and the most beautiful places in the world according to Lonely Planet travel guide !
  • 4. Global site for Biotech Drug Product & Finished Product manufacturing for all Biotech products supporting clinical / launch and commercial Scope Franchises Technologies Biotech DP, FP manufacturing Liquid & solid aseptic filling (vial, cart., syr.) under isolator, device assembly, packaging, QC and MSAT; N&I, Oncology/immuno-oncology, Fertility, Endocrinology, Biosimilars Merck Bari Plant Capabilities Investments Around 160 million € have been invested in Bari Site moving all the manufacturing lines from sterile cleanrooms to isolator technology to pursue Merck purpose. Merck purpose: To create, improve and prolong lives as one for Patient
  • 5. Merck Bari line isolator
  • 6. Merck Bari line isolator Stopper vessel loading station CIP/SIP Cabinet Filling Unit Depirogenation tunnel Vials washing machine
  • 7. Merck Bari line isolator Filling Unit
  • 8. Surge bag Process: pooling, filtration, filling
  • 9. With Lynx® CDR Sterile Connectors, you can connect, disconnect and reconnect your single-use and hybrid systems both wet and under pressure while remaining sterile. Process: pooling, filtration, filling
  • 10. Filtration assembly with a redundant Sterile filtration Product WFI Vented bags for filter veting Rapid Transfer Port for Isolator connection Lynx S2S aseptic connector Completely closed system for waste liquid collection Peristaltic pumps silicon tubings Nitrogen Sterile Product Filtered gassing inlet PUPSIT COMPLIANT DESIGN!
  • 11. RTP isolator connection Filtration assembly with a redundant Sterile filtration
  • 12. New Annex 1 requirements when using SUS Annex 1 draft: Manufacture of sterile products Facility pre-requirements Focus on SUS integrity
  • 13. Personnel pre-requisites Simple SUS design & Operators training are key! Annex 1 draft: Manufacture of sterile products Pre-Covid19 picture New Annex 1 requirements when using SUS Focus on SUS integrity
  • 14. Premises & equipment pre-requisites 1. Nitrogen connection at 6bar close to the line for SUS device & filter integrity tests; 2. Rapid Transfer Port for SUS connection close to the filling pumps; 3. Filling line predisposition to SUS connection (peristaltic pumps); 4. Hybrid configuration Stainless Steel & SUS are super critical and must be properly managed: SITUATION: The gassing station installed between vials filling station and stoppering station receive nitrogen from Syntegon cabinet (SS); The cabinet is sterilized only when rotary pumps are installed and for this reason it was not possible to sterilize the nitrogen Line when using peristaltic filling pumps. A sterile filter has been added between gassing station & nitrogen line as shown. ISSUE: observed during Media Fill Run A limited overpressure remained in the nitrogen* stainless steel line and during the Aseptic Process Simulation the filters popped up creating a potential critical issue for the isolator aseptic core (No contamination observed during Media Fill and on ad hoc sampling of the gas line). * substituted with oxygen during Media Fill.
  • 15. SUS Supplier selection & qualification Tool: Questionnaire with score for each request • Biological Safety Tests availability; • Mechanical Properties of the film (on film samples); • Gas Transmission Property (on film samples); • Physical-chemical tests results; • Sterility Test Gamma irradiation & validation package; • Quality Assurance Lot Release Criteria; • Container Closure Integrity ->LEAK TEST execution before shipment & minimum leak validated; • pH measurement - Temperature measurement methods (specify probe characteristics); • Productive capacity (How many production sites?); • Need for audits on production sites; • Lead time - Standard Product; • Lead time - Customized Product; • Post-sale: lead time for urgent intervention (for equipment); • Post-sale: lead time for non urgent intervention (for equipment) • Extractable studies availability (documentation provided) • Shipping validation studies (documentation provided) • Allergens declaration, Toxicological studies (documentation provided) BioPhorum and BPSA have created new templates (Single-Use User Requirement (SUUR) Template) aligned with industry standards (i.e. ASTM E3051) which will simplify the single-use design process https://bpsalliance.org/suur-resources/#1533310770609-fafcc4fb-dc7b
  • 16. SUS Supplier selection & qualification Vendor Qualification: • Risk Assessment of the material and the vendor; • Supplier questionnaire; • Supplier Audit; • Validation packages review (ex Sterilization process); Material Qualification (3 batches): • Check of Certificate of Quality & Integrity; • Sterility indicator check; • Sterility conformity during Media Fill; • Visual check (outer/inner package & label variable data); • Assembly integrity test*; • E&L & subvisible particles studies during GMP batches; Routine Incoming control: • Check of Certificate of Quality & Integrity; • Visual check (outer packaging + label variable data); Before production control: • Visual check (label variable data); • Sterility indicator check; • Assembly integrity test*; As robust as possible limited *Assembly integrity test performed on the filtration set only;.
  • 17. AGENDA 1. Project: facility and equipment pre-requisites, qualification and implementation of SUS; 2. Risk identification when using SUT and mitigation strategy; 3. Single Use Integrity test at the point of use (method development & qualification);
  • 18. Risk identification when using SUT and mitigation strategy Annex 1 draft: Manufacture of sterile products
  • 19. Integrity is a Critical Quality Attribute of a SUS! Risk identification when using SUT and mitigation strategy Product spill & potential risk for Operator safety BUSINESS & SAFETY RISK Product contamination QUALITY RISK ASTM Guideline: WK64337 New Guide for Integrity Assurance and Testing of Single-Use Systems (astm.org)
  • 20. New Annex 1 requirements when using SUS Focus on SUS integrity Integrity test approach SS vs SUS STAINLESS STEEL PIPING (Cabinet) SINGLE USE SYSTEM Leak Test / CIP (cold/hot WFI) / Product Filters installation Assembling at supplier Leak Test Leak Test at supplier (optional) SIP Gamma sterilization Leak Test Leak Test at Site Keep in overpressure / Risk identification when using SUT and mitigation strategy
  • 21. How leaks in Single Use Systems are handled by Suppliers Manufacturing (Manufacturer) Leak test (Manufacturer) Packaging (Manufacturer) Gamma (Manufacturer) Shipment (Manufacturer) Installation (Customer) Manufacturer integrity test Customer point of use integrity test Different suppliers have different approaches and capabilities on integrity assurance (KEY): • Leak testing just during SUS Manufacturing Process Validation + annual check; • Leak testing on samples taken from the Bacth Manufactured; • Leak testing on 100% SUS manufactured;
  • 22. Maximum Allowable Leakage Limit (MALL) 12,65 µm identified as leak check to guarantee sterility – aerosol contamination Microbial results after 60 minutes of aerosol challenge The “Design, control, and monitoring of single-use systems for integrity assurance” Guideline, written by Bio-Process System Alliance (BPSA) in 2017, describes two different microbial trials to identify the MALL – SUS liquid immersion vs SUS aerosol challenge. BPSA white paper Design, Control, and Monitoring of Single-use Systems for Integrity Assurance, July 2017
  • 23. AGENDA 1. Project: facility and equipment pre-requisites, qualification and implementation of SUS; 2. Risk identification when using SUT and mitigation strategy; 3. Single Use Integrity test at the point of use (method development & qualification);
  • 24. STEP 1: to identify the right SUSIT Method Decay test methodology The leak size is measured using the pressure decay on the pressurized container PROs:  Sensitivity above 10µm  Easy to implement/ manage/ calibrate;  Cheap system; CONs:  sensitivity is dependent on the SUS volume and test pressure -> low on large volumes and low pressure;  Sensitivity is temperature fluctuation dependent; Flow measurement methodology The leak size is measured using the flow loss & quantified by a flow sensor PROs:  Easy to implement;  Sensitivity is independent from device volume; CONs:  Sensitivy to fluctuation in gas supply pressure and ambient pressure;  Less suitable for very small leak;  Sensitivity is temperature fluctuation dependent; Helium test methodology The leak size is measured with the Helium quantification in the chamber using a mass spectrometer. PROs:  Sensitivity above 2µm;  Sensitivity is independent from device volume, temperature & pressure fluctuation; CONs:  Equipment costs;  Challenging implementation/ management/calibration;  Natural film permeability to Helium could generate faulse passed test; KEY: All the above-mentioned tests are Pre-use and not post use Integrity Test –> indeed Drug Product could clog leaks causing faulse passed test! Palltronic Flowstar LGR
  • 25. STEP 2: To develop the Method making tests
  • 26. STEP 2: To develop the Method making tests Good separation observed after 150s 600 500 400 300 200 100 0 60 50 40 30 20 10 0 time (s) decay (mbar) Scatterplot of decay vs time Project: test time analysis.MPJ; Worksheet: pressure decay; 6/15/2018 1:08:19 PM; by N. Batt Negative samples (No leak) 1800 1700 1600 1500 1400 1300 1200 18 16 14 12 10 8 6 4 2 0 time decay after 1200+s 0 12 (um) size Leak Scatterplot of decay after 1200+s vs time Test pressure (mbar) = 2000 Project: 12um testing-12July2018.MPJ; Worksheet: 2000mbar, 1800s data, 1200s+; 7/13/2018 2:18:37 PM; by N. Batt Good separation observed after 1800s 12µm leak 25µm leak 12µm leak - decay test development trials:  Test pressure: 2 bar  Decay test duration: 1800 sec (30m)  Stabilization time 1200 sec (20m) - to reduce the adiabatic heating effect  Test Time: 600 sec (10m) 25 µm leak - decay test development trials:  Test pressure: 1 bar  Decay test duration: 250 sec (≈5 m)  Stabilization time 100 seconds;  Test Time: 150 seconds Risk for SUS integrity Delta 5mbar Delta 15mbar Potential lack of test reliability
  • 27. FINAL DECAY TEST METHOD RECIPE:  Calibrated orifice to simulate leak defect;  Test pressure chosen of 1 bar  Process pressure max during filling;  Maximize test sensitivity while maintaining all components within recommended pressure range;  Test time chosen is 150 seconds:  Repeat tests conducted out to 10 minutes test time, data analyzed every 30 seconds to show separation. Minimal improvement seen after 150 seconds STEP 3: To identify the most sensitive method recipe 600 500 400 300 200 100 0 60 50 40 30 20 10 0 time (s) decay (mbar) Scatterplot of decay vs time Project: test time analysis.MPJ; Worksheet: pressure decay; 6/15/2018 1:08:19 PM; by N. Batt Good separation observed after 150s Negative samples (No leak)
  • 28. How to Validate from a GMP prospective the Decay Test:  To prepare a Validation Protocol with a clear acceptance criteria:  Test specification set at overall mean of non defective assemblies + 4σ (σ standard deviation);  Clear separation between non defective and defective data population; N.B. Mean +/- 4σ = 99,9968% of values represented by the population.  To prepare a Validation Protocol with a clear operative Procedure:  2 assemblies for 3 different supplier batches tested by 3 operators in 3 different days (W & W/O leak defect);  To prepare the test execution with an effective training; Pressure loss ΔP T1 T3 T2 T4 Assembly 1 T1 T3 T2 Confidence: µi+4σ Assembly 2 T4 T5 T6 T5 T6 Specification: µL- 4σ STEP 4: To validate the test method developed Not Conforme Assemblies Conforme Assemblies Pre-Covid19 picture
  • 29. 25 um defect tests Mean 13.189 mbar Standard Deviation 0.638 mbar Mean–4 standard deviation 10.637 mbar Results Observed: Intact device tests Mean 2.497 mbar Standard Deviation 0.718 mbar Mean+4 standard deviation 5.369 mbar STEP 4: To validate the test method developed Limit identified for routine testing: 5.369 mbar
  • 30. Merck Successful teams make Merck successful stories! Thank you! Pre-Covid19 picture