General Information

Abstract

1.1  This document specifies the requirements for a test method to be utilized to establish or confirm a reduced incubation time (RIT) that is shorter than the 7-day reference incubation time specified in 7.3.2 of ISO 11138-1:2017 for biological indicators used to monitor moist heat sterilization processes or ethylene oxide (EO) sterilization processes.
NOTE: For biological indicators used for EO sterilization, the stated RIT is applicable to 100 % EO processes or processes that use EO blends, regardless of the product load.
1.2  This document is applicable to manufacturers of biological indicators (BIs) and to end users of BIs who intend to, if required by their quality system, establish, validate or confirm a RIT.
1.3  This document does not apply to biological indicators used to monitor dry heat, low temperature steam formaldehyde (LTSF) or vaporized hydrogen peroxide (VH2O2) sterilization processes.
NOTE      The method described in this document to establish a RIT for biological indicators used to monitor moist heat or EO sterilization processes has been used extensively for many years. However, there is limited experience in use of this method to establish a RIT for biological indicators used to monitor dry heat, low temperature steam formaldehyde or vaporized hydrogen peroxide sterilization processes. This document, therefore, does not include these sterilization processes.

Status
Published
Publication Date
27-Jul-2021
Withdrawal Date
30-Jan-2022
Current Stage
6060 - Definitive text made available (DAV) - Publishing
Start Date
28-Jul-2021
Due Date
12-Jul-2023
Completion Date
28-Jul-2021

Buy Documents

Standard

EN ISO 11138-8:2021

English language (15 pages)
Preview
Preview
e-Library read for
1 day

Overview

EN ISO 11138-8:2021 - "Sterilization of health care products - Biological indicators - Part 8" specifies a standardized method to establish, validate or confirm a reduced incubation time (RIT) for biological indicators (BIs). The RIT is an incubation period shorter than the 7‑day reference incubation time defined in ISO 11138-1:2017. This part applies to BIs used to monitor moist heat and ethylene oxide (EO) sterilization processes and is intended for BI manufacturers and end users who need to shorten the time-to-result as part of their quality systems.

Key topics and requirements

  • Scope: Validates RIT for moist heat and EO processes only; explicitly excludes dry heat, low‑temperature steam formaldehyde (LTSF) and vaporized hydrogen peroxide (VH2O2).
  • Reference incubation: RIT must be shorter than the 7‑day reference incubation time specified in ISO 11138‑1:2017.
  • Applicability for EO: RIT established per this standard applies to 100% EO processes and EO blend processes, independent of product load.
  • Test exposure design: Exposure must produce a fractional response using either:
    • a resistometer meeting ISO 18472 requirements, or
    • a sterilizer with fully specified, controlled and repeatable parameters.
  • Sample types: Method applies to BI designs whose primary components include a spore carrier plus a recovery medium (e.g., spore strips with kit recovery medium or self-contained BIs).
  • End‑user reuse: End users need not repeat manufacturer RIT validation provided they use the BI with the same sterilant and incubation temperature used in the validation.
  • Quality control: Manufacturers may perform ongoing lot‑to‑lot assessment of RIT using statistically valid sampling plans per their quality systems.

Practical applications

  • Rapid verification of sterilization cycles where faster BI results are needed for product release or clinical workflows (e.g., hospitals, dental clinics, outpatient facilities).
  • Enabling manufacturers to provide BIs with validated shorter incubation times for improved operational efficiency.
  • Supporting quality assurance teams and sterilization technicians in implementing validated RITs within regulatory and accreditation frameworks.
  • Useful for laboratories performing BI performance testing and for organizations needing documented, standardized RIT validation methods.

Who should use this standard

  • BI manufacturers developing and validating reduced incubation BI products.
  • End users (healthcare facilities, sterilization departments) that require validated RITs for process monitoring and product release.
  • Regulatory and QA personnel responsible for sterilization validation, acceptance criteria, and documentation.

Related standards

  • ISO 11138-1:2017 - General requirements for biological indicators.
  • Other parts of ISO 11138 series (Parts 2–7) - specific indicator types and guidance.
  • ISO 18472 - Test equipment (resistometer) requirements referenced for exposure control.

Keywords: EN ISO 11138-8:2021, reduced incubation time, RIT, biological indicators, sterilization validation, moist heat, ethylene oxide, BI manufacturers, ISO 11138.

Relations

Effective Date
09-Feb-2026
Effective Date
12-Feb-2026

Buy Documents

Standard

EN ISO 11138-8:2021

English language (15 pages)
Preview
Preview
e-Library read for
1 day

Get Certified

Connect with accredited certification bodies for this standard

BSI Group

BSI (British Standards Institution) is the business standards company that helps organizations make excellence a habit.

UKAS United Kingdom Verified

TÜV Rheinland

TÜV Rheinland is a leading international provider of technical services.

DAKKS Germany Verified

TÜV SÜD

TÜV SÜD is a trusted partner of choice for safety, security and sustainability solutions.

DAKKS Germany Verified

Sponsored listings

Frequently Asked Questions

EN ISO 11138-8:2021 is a standard published by the European Committee for Standardization (CEN). Its full title is "Sterilization of health care products - Biological indicators - Part 8: Method for validation of a reduced incubation time for a biological indicator (ISO 11138-8:2021)". This standard covers: 1.1  This document specifies the requirements for a test method to be utilized to establish or confirm a reduced incubation time (RIT) that is shorter than the 7-day reference incubation time specified in 7.3.2 of ISO 11138-1:2017 for biological indicators used to monitor moist heat sterilization processes or ethylene oxide (EO) sterilization processes. NOTE: For biological indicators used for EO sterilization, the stated RIT is applicable to 100 % EO processes or processes that use EO blends, regardless of the product load. 1.2  This document is applicable to manufacturers of biological indicators (BIs) and to end users of BIs who intend to, if required by their quality system, establish, validate or confirm a RIT. 1.3  This document does not apply to biological indicators used to monitor dry heat, low temperature steam formaldehyde (LTSF) or vaporized hydrogen peroxide (VH2O2) sterilization processes. NOTE      The method described in this document to establish a RIT for biological indicators used to monitor moist heat or EO sterilization processes has been used extensively for many years. However, there is limited experience in use of this method to establish a RIT for biological indicators used to monitor dry heat, low temperature steam formaldehyde or vaporized hydrogen peroxide sterilization processes. This document, therefore, does not include these sterilization processes.

1.1  This document specifies the requirements for a test method to be utilized to establish or confirm a reduced incubation time (RIT) that is shorter than the 7-day reference incubation time specified in 7.3.2 of ISO 11138-1:2017 for biological indicators used to monitor moist heat sterilization processes or ethylene oxide (EO) sterilization processes. NOTE: For biological indicators used for EO sterilization, the stated RIT is applicable to 100 % EO processes or processes that use EO blends, regardless of the product load. 1.2  This document is applicable to manufacturers of biological indicators (BIs) and to end users of BIs who intend to, if required by their quality system, establish, validate or confirm a RIT. 1.3  This document does not apply to biological indicators used to monitor dry heat, low temperature steam formaldehyde (LTSF) or vaporized hydrogen peroxide (VH2O2) sterilization processes. NOTE      The method described in this document to establish a RIT for biological indicators used to monitor moist heat or EO sterilization processes has been used extensively for many years. However, there is limited experience in use of this method to establish a RIT for biological indicators used to monitor dry heat, low temperature steam formaldehyde or vaporized hydrogen peroxide sterilization processes. This document, therefore, does not include these sterilization processes.

EN ISO 11138-8:2021 is classified under the following ICS (International Classification for Standards) categories: 11.080.01 - Sterilization and disinfection in general. The ICS classification helps identify the subject area and facilitates finding related standards.

EN ISO 11138-8:2021 has the following relationships with other standards: It is inter standard links to ISO 18472:2018, ISO 11138-8:2021. Understanding these relationships helps ensure you are using the most current and applicable version of the standard.

EN ISO 11138-8:2021 is available in PDF format for immediate download after purchase. The document can be added to your cart and obtained through the secure checkout process. Digital delivery ensures instant access to the complete standard document.

Standards Content (Sample)


SLOVENSKI STANDARD
01-oktober-2021
Sterilizacija izdelkov za zdravstveno oskrbo - Biološki indikatorji - 8. del: Metoda
za validacijo skrajšanega časa inkubacije biološkega indikatorja (ISO 11138-
8:2021)
Sterilization of health care products - Biological indicators - Part 8: Method for validation
of a reduced incubation time for a biological indicator (ISO 11138-8:2021)
Sterilisation von Produkten für die Gesundheitsfürsorge - Biologische Indikatoren - Teil 8:
Methode zur Validierung einer reduzierten Inkubationszeit eines biologischen Indikators
(ISO 11138-8:2021)
Stérilisation des produits de santé - Indicateurs biologiques - Partie 8: Méthode pour la
validation d'un temps d'incubation réduit pour un indicateur biologique (ISO 11138-
8:2021)
Ta slovenski standard je istoveten z: EN ISO 11138-8:2021
ICS:
11.080.01 Sterilizacija in dezinfekcija na Sterilization and disinfection
splošno in general
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

EN ISO 11138-8
EUROPEAN STANDARD
NORME EUROPÉENNE
July 2021
EUROPÄISCHE NORM
ICS 11.080.01
English Version
Sterilization of health care products - Biological indicators
- Part 8: Method for validation of a reduced incubation
time for a biological indicator (ISO 11138-8:2021)
Stérilisation des produits de santé - Indicateurs Sterilisation von Produkten für die
biologiques - Partie 8: Méthode pour la validation d'un Gesundheitsfürsorge - Biologische Indikatoren - Teil 8:
temps d'incubation réduit pour un indicateur Methode zur Validierung einer reduzierten
biologique (ISO 11138-8:2021) Inkubationszeit eines biologischen Indikators (ISO
11138-8:2021)
This European Standard was approved by CEN on 24 June 2021.

CEN members are bound to comply with the CEN/CENELEC Internal Regulations which stipulate the conditions for giving this
European Standard the status of a national standard without any alteration. Up-to-date lists and bibliographical references
concerning such national standards may be obtained on application to the CEN-CENELEC Management Centre or to any CEN
member.
This European Standard exists in three official versions (English, French, German). A version in any other language made by
translation under the responsibility of a CEN member into its own language and notified to the CEN-CENELEC Management
Centre has the same status as the official versions.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2021 CEN All rights of exploitation in any form and by any means reserved Ref. No. EN ISO 11138-8:2021 E
worldwide for CEN national Members.

Contents Page
European foreword . 3

European foreword
This document (EN ISO 11138-8:2021) has been prepared by Technical Committee ISO/TC 198
"Sterilization of health care products" in collaboration with Technical Committee CEN/TC 102
“Sterilizers and associated equipment for processing of medical devices” the secretariat of which is held
by DIN.
This European Standard shall be given the status of a national standard, either by publication of an
identical text or by endorsement, at the latest by January 2022, and conflicting national standards shall
be withdrawn at the latest by January 2022.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
Any feedback and questions on this document should be directed to the users’ national standards
body/national committee. A complete listing of these bodies can be found on the CEN websites.
EN ISO 11138 consists of the following parts, under the general title Sterilization of health care products
— Biological indicators:
─ Part 1: General requirements
─ Part 2: Biological indicators for ethylene oxide sterilization processes
─ Part 3: Biological indicators for moist heat sterilization processes
─ Part 4: Biological indicators for dry heat sterilization processes
─ Part 5: Biological indicators for low-temperature steam and formaldehyde sterilization processes
─ Part 6: Biological indicators for hydrogen peroxide sterilization processes
─ Part 7: Guidance for the selection, use and interpretation of results
─ Part 8: Method for validation of a reduced incubation time for a biological indicator
According to the CEN-CENELEC Internal Regulations, the national standards organizations of the
following countries are bound to implement this European Standard: Austria, Belgium, Bulgaria,
Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland,
Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Republic of
North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey and the
United Kingdom.
Endorsement notice
The text of ISO 11138-8:2021 has been approved by CEN as EN ISO 11138-8:2021 without any
modification.
INTERNATIONAL ISO
STANDARD 11138-8
First edition
2021-07
Sterilization of health care products —
Biological indicators —
Part 8:
Method for validation of a reduced
incubation time for a biological
indicator
Stérilisation des produits de santé — Indicateurs biologiques —
Partie 8: Méthode pour la validation d'un temps d'incubation réduit
pour un indicateur biologique
Reference number
ISO 11138-8:2021(E)
©
ISO 2021
ISO 11138-8:2021(E)
© ISO 2021
All rights reserved. Unless otherwise specified, or required in the context of its implementation, no part of this publication may
be reproduced or utilized otherwise in any form or by any means, electronic or mechanical, including photocopying, or posting
on the internet or an intranet, without prior written permission. Permission can be requested from either ISO at the address
below or ISO’s member body in the country of the requester.
ISO copyright office
CP 401 • Ch. de Blandonnet 8
CH-1214 Vernier, Geneva
Phone: +41 22 749 01 11
Email: copyright@iso.org
Website: www.iso.org
Published in Switzerland
ii © ISO 2021 – All rights reserved

ISO 11138-8:2021(E)
Contents Page
Foreword .iv
Introduction .v
1 Scope . 1
2 Normative references . 1
3 Terms and definitions . 1
4 General . 2
5 Selection and preparation of samples . 3
6 Exposure and culturing . 3
7 Determination of reduced incubation time . 4
Bibliography . 7
ISO 11138-8:2021(E)
Foreword
ISO (the International Organization for Standardization) is a worldwide federation of national standards
bodies (ISO member bodies). The work of preparing International Standards is normally carried out
through ISO technical committees. Each member body interested in a subject for which a technical
committee has been established has the right to be represented on that committee. International
organizations, governmental and non-governmental, in liaison with ISO, also take part in the work.
ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of
electrotechnical standardization.
The procedures used to develop this document and those intended for its further maintenance are
described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the
different types of ISO documents should be noted. This document was drafted in accordance with the
editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/ directives).
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of
any patent rights identified during the development of the document will be in the Introduction and/or
on the ISO list of patent declarations received (see www .iso .org/ patents).
Any trade name used in this document is information given for the convenience of users and does not
constitute an endorsement.
For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and
expressions related to conformity assessment, as well as information about ISO's adherence to the
World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www .iso .org/
iso/ foreword .html.
This document was prepared by Technical Committee ISO/TC 198, Sterilization of health care products.
A list of all parts in the ISO 11138 series can be found on the ISO website.
Any feedback or questions on this document should be directed to the user’s national standards body. A
complete listing of these bodies can be found at www .iso .org/ members .html.
iv © ISO 2021 – All rights reserved

ISO 11138-8:2021(E)
Introduction
A biological indicator incubation time is the minimum period of cultivation required before making a
final determination that a biological indicator is negative (shows no growth). The reference incubation
time for biological indicators for established sterilization processes such as moist heat and ethylene
oxide is 7 d (see ISO 11138-1:2017). In some instances where biological indicator results are needed as
part of the product release process, a 7-day incubation time might not be practical. This is especially
the case where biological indicators are used to monitor sterilization processes in hospitals or other
health care facilities such as dental or general practitioner offices.
The purpose of a reduced incubation time procedure is to demonstrate recovery of the surviving test
organisms within the specified reduced incubation time period. The reduced incubation time is a
function of the test method and conditions used to establish the incubation time and is independent of
the process parameters for the sterilization method used to deliver the lethality.
Biological indicators with an incubation time of less than 7 d (a Reduced Incubation Time, or RIT)
have been in use since the 1970s. The methodology to determine the RIT was originally created by the
biological indicator manufacturers. Later, the United States Food and Drug Administration published
guidance for manufacturers seeking regulatory clearance to market biological indicators to health
care facilities in the United States (see Reference [1]). This guidance contained a protocol for validating
an incubation time that was less than 7 d. This document was specific to regulations for commercial
practices in a single country and did not address requirements for RIT methodology outside of that
application. The purpose of this document is to describe an internationally agreed approach to the
validation of the reduced incubation time of a biological indicator.
...