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ISO 11135 · ISO 11137 · ISO 17665 · Sterilisation of health care products

ISO 11135, 11137 and 17665 validation support for sterile devices you can defend at any audit.

Ethylene oxide, radiation and moist heat each have their own ISO standard for developing, validating and routinely controlling a sterilisation process. Your validation team, your contract steriliser and accredited laboratories produce the data; Sterling's expert and experienced consultants build the procedures, protocols, records and quality system links around that data, so the whole story holds together in front of an auditor. We help our clients put it into practice and prove it.

  • Fixed scope, one proposal: consulting, Effivity software, Sterling Academy access and internal auditor training, as applicable to your standard, in one proposal
  • A team of expert and experienced medical device quality consultants, supporting device manufacturers across sectors and countries since 2003
  • The Sterling Promise: 100% on-time completion, 100% success, 8,100+ client engagements. Sterling does not validate, test or certify; your team, your steriliser and the laboratories generate the evidence, and your auditors decide

8,100+ client engagements in 60+ countries.

Why device manufacturers choose Sterling
  • Allianz
  • Emirates Flight Catering
  • Etihad Rail
  • Haier
  • Whirlpool
  • Emerson
  • Olam
  • Piramal Pharma Solutions

What it is

What are ISO 11135, ISO 11137 and ISO 17665?

They are three process standards from ISO technical committee 198, one for each of the most common ways of sterilising medical devices. ISO 11135 covers ethylene oxide gas, in industrial plants and in health care facilities. The ISO 11137 series covers radiation, whether gamma, electron beam or X-ray. ISO 17665 covers moist heat, which in practice means steam. Each sets requirements for developing the process, validating it and controlling it every time it runs.

Sterility cannot be confirmed by testing every finished unit, because a test destroys what it tests and cannot prove the absence of every organism. The standards therefore ask for something else: a process whose lethality has been established, shown to deliver that lethality to the product in its packaging, and then proven, cycle by cycle, to stay inside the parameters that were validated.

Current editions. ISO 11135:2014, with Amendment 1:2018 on single batch release, is still the published edition; its third edition reached the final ballot stage on 16 September 2026, so a new edition is close but not yet dated. ISO 11137-1:2025 (April 2025) replaced the 2006 edition and its amendments, alongside ISO 11137-2:2013 on establishing the dose, ISO 11137-3:2017 on dosimetry and ISO/TS 11137-4:2020 on process control. ISO 17665:2024 (March 2024) brought the former Part 1 and the two technical specifications into a single document. Any transition expectations come from your notified body or regulator, not from ISO.

Who it is for

Who needs sterilisation validation to these standards?

Anyone who places a device on the market as sterile, or sterilises it for someone who does, needs a validated process and the file that proves it. The standard that applies follows the method: one product family may sit under ISO 11137 while another is steamed under ISO 17665. Manufacturers usually reach us from one of four directions:

  • A customer or distributor wants the validation file. Hospital groups, OEM customers and distributors ask for validation reports, dose audit results or revalidation schedules before they list a sterile product.
  • A tender makes sterile supply a condition. Public procurement for sterile consumables often asks for proof of a validated process and a certified device QMS; both need to be ready before the bid date.
  • A regulator or notified body raised a finding. ISO 13485 carries specific requirements for sterile devices and validated processes, and gaps in validation, requalification or supplier control of the steriliser are frequent audit observations.
  • A group company or new site starts sterile production. A plant taking over a product, switching steriliser or moving from ethylene oxide to radiation needs the process validated again, and group quality wants one consistent approach.

The benefit sought is confidence in every released batch. That comes from the process and the discipline around it, not from a document produced once.

Requirements

What do ISO 11135, ISO 11137 and ISO 17665 require?

The three standards share a title: requirements for the development, validation and routine control of a sterilisation process for medical devices. They follow the same broad life cycle, and the list below describes it by requirement area in plain language, not by clause number. Method-specific detail, such as dose setting under ISO 11137-2, differs and is checked against the edition that applies to you.

  • Quality management system elements: documented procedures, assigned responsibilities, competent people, calibrated equipment and control of any work done by a contract steriliser or laboratory.
  • Sterilising agent characterisation: what the agent is, how it kills microorganisms and what it does to the materials it touches.
  • Process and equipment characterisation: the sterilisation process and the equipment that delivers it, defined and qualified.
  • Product definition: the device, its packaging, its bioburden and how it is loaded, grouped into families where that can be justified.
  • Process definition: the parameters and tolerances that deliver the required sterility assurance without damaging the product.
  • Validation: installation, operational and performance qualification, reviewed and approved in a validation report.
  • Routine monitoring and control: evidence from each cycle, or each dose, that the process ran inside its validated limits.
  • Product release: a documented decision, based on that evidence, before any batch leaves as sterile.
  • Maintaining process effectiveness: change control, requalification and, for radiation, periodic dose audits.

What does a defensible sterilisation file contain?

A validation master plan, qualification protocols and signed reports, the product family and load rationale, bioburden data, the dose or cycle specification, dosimetry or biological indicator results, batch records with parameter printouts, release records, the contract and quality agreement with the steriliser, and the change and requalification log. We structure these so each links to the device file and the CAPA process, and they sit in Effivity rather than in a laboratory's e-mail.

Validation route

How is a sterilisation process validated?

The route is validation, not certification. Your organisation, with its steriliser and test laboratories, develops and qualifies the process and owns the resulting data. Sterling supports the documentation and the quality system around it. The file is then examined by whoever audits your devices: the ISO 13485 certification body, a notified body or a regulator.

  1. 01
    Confirm the method, products and responsibilities.Which families use which method, who sterilises, which laboratories test, and what each market's regulator expects to see.
  2. 02
    Gap analysis: compare existing files with the current editions.Validation reports, procedures, agreements and routine records are reviewed; what is sound is kept, and missing or outdated elements are listed with owners and dates.
  3. 03
    Write the plan, the protocols and the procedures.A validation master plan, protocol templates, release and change procedures, and a quality agreement with the steriliser, approved before any qualification run.
  4. 04
    Run the qualification and close the reports.Your team, the steriliser and the laboratories execute the studies; deviations are investigated and the reports approved by the people accountable for release.
  5. 05
    Operate, monitor and present the evidence.Routine release runs on the validated parameters, internal audit covers sterilisation, and the file is ready for the certification body, notified body or regulator.

Check the route before you sign. Ask each laboratory whether its accreditation covers the specific tests it will perform, confirm the steriliser's own quality system and audit rights in writing, and verify the certification body's accreditation for medical device QMS directly with the accreditation body. Nobody can sell you a validated process without running one. The certification buyer's checklist

Cost

What drives the cost of sterilisation validation support?

The largest costs of validation usually sit outside a consulting fee: steriliser time, product sacrificed in studies, dosimetry and microbiology testing. Our proposal covers the documentation and quality system work and shows those external costs as separate lines, so you see the full programme.

Cost componentWhat affects it
Consulting and documentationNumber of methods and product families, the state of existing validation files, and whether we guide your team (Design™) or manage the work with it (Drive™)
Steriliser and laboratory workQualification runs, dose setting or cycle development, bioburden and sterility testing, dosimetry and residue testing, contracted directly by you
Internal resourcesProduct for studies, engineering and quality time, packaging and load configuration work
Software and learningIncluded in a Sterling engagement: Effivity for the file and Sterling Academy access for your people, confirmed in the proposal
Continued supportRequalification, dose audits, change assessments and edition reviews under Sustain™

What moves the price

  • How many sterilisation methods and sites are involved
  • Product families, packaging variants and load patterns
  • Whether validation exists and only needs updating to a new edition
  • In-house sterilisation versus a contract steriliser
  • The number of markets whose regulators will read the file

What a Sterling proposal always shows

  • Deliverables, assumptions and exclusions in writing
  • Laboratory, steriliser and certification-body costs identified as separate items
  • Effivity, training and Academy access itemised at no additional cost
  • Milestones linked to approved deliverables
  • One all-inclusive proposal for the agreed scope

Timeline

How long does sterilisation validation take?

Timing is set by the studies more than by the paperwork: laboratory queues, steriliser slots and incubation periods all have their own clock. As an estimate, documenting and integrating a validation programme into the device QMS takes roughly three to nine months, shorter when only an edition update is needed and longer when new product families or a new method are involved.

PhaseWhat determines the pace
Scope and gap analysisAccess to existing validation reports, steriliser records and laboratory data
Plan, protocols and proceduresApproval cycles, agreement with the steriliser and the number of product families
Qualification studiesSteriliser and laboratory availability, test durations and any repeat runs after deviations
Routine operation and audit readinessEnough released batches to show control, then internal audit and review before the external audit

Share any launch, tender or audit date at the start. We will show which studies sit on the critical path and which decisions must be made in the first weeks.

Your engagement

What your sterilisation validation engagement includes

Sterling does not validate, test or certify: the qualification data belongs to your organisation, your steriliser and the laboratories, and the audit decision to your certification body, notified body or regulator. Our work is everything around the data that makes it usable and auditable.

  • Scope, gap analysis and plan

    Methods, product families and responsibilities agreed, with a dated plan and named owners.

  • Validation master plan and protocols

    Protocol and report templates per method, written to the current edition with your engineers.

  • Effivity ISO & GRC software

    The sterilisation file, changes and CAPA run in Effivity, included with the engagement at no additional cost.

  • Training for everyone

    Internal auditor training for your audit team, as applicable to your standard, and preferential Sterling Academy access, including complimentary awareness training for your people as part of the engagement.

  • Supplier and steriliser controls

    Quality agreements, audit checklists and requalification triggers for contract sterilisers and laboratories.

  • QMS integration and audit readiness

    Links to the device file, release and CAPA, an internal audit of sterilisation and support through the external audit.

The work follows Sterling OS™. Design™ and Drive™ are alternative support levels, not steps: in Design™ we guide and your team writes, in Drive™ we manage the documentation with your team. Automate™ is Effivity from the first workshop. Once the file is accepted, Sustain™ keeps requalification, dose audits and edition changes on schedule.

Validation data and release decisions remain with your organisation; audit decisions remain with the certification body, notified body or regulator.

How Sterling implements ISO and GRC standards

Effivity · ISO and GRC software, included in every engagement

How Effivity helps you fulfil, automate and simplify the requirements of ISO 11135, ISO 11137 and ISO 17665.

Effivity is the ISO and GRC automation platform built by the Sterling group and used in 50+ countries. In a sterilisation engagement your consultant configures it inside your device QMS so that protocols, reports, batch release, steriliser agreements, requalification dates and the CAPA linked to any deviation are held together and traceable. Sterling consulting clients receive their Effivity subscription included with the engagement, at no additional cost.

Effivity QMS: Context of the Organisation dashboard with issues, interested parties and scope
Effivity QMS · Context of the Organisation dashboard
Context

Context, scope and interested parties

Which product families are sterile, by which method and at which steriliser, recorded as part of the QMS scope and kept current when products change.

Leadership

Quality policy, roles and objectives

Named release authority, validation responsibilities and objectives such as on-time requalification, owned and reported from the system.

Planning

Risks and opportunities

Sterility and material-compatibility risks tied to the risk management file, with actions and review dates.

Support

Competence, awareness and documented information

Controlled protocols, reports and procedures with approvals and versions; competence records for operators and release staff, linked to Sterling Academy.

Operation

Customer requirements, design, suppliers and delivery

Steriliser and laboratory evaluation, quality agreements, batch records and release decisions captured as each load is processed.

Performance evaluation

Monitoring, internal audit and management review

Audits of sterilisation, requalification and dose audit schedules, and trends that feed management review.

Improvement

Nonconformity, complaints and corrective action

Failed cycles, out-of-limit parameters and sterility complaints investigated to root cause and closed with evidence.

Across the system

Your own processes, forms and reports

Release checklists, change assessment forms and revalidation triggers configured to your methods without code.

What this means at the audit

An auditor examining sterilisation asks for the validation report, the most recent requalification or dose audit, a sample of batch release records and the agreement with the steriliser. In Effivity each is a linked record with dates and approvers, so the answer takes minutes. Under Sustain™ the same workspace flags requalification and edition changes before they become findings.

In your engagement

  • Subscription included with the engagement, at no additional cost
  • Configured by your Sterling consultant within the agreed scope
  • Existing validation reports and records migrated, not retyped
  • Admin and user training for your quality and production teams
  • Modules for EMS, OHSMS, ISMS, FSMS and more when you integrate other standards

Sterling Academy · medical device e-learning

Train the people who load, release and audit sterile product.

Sterling Academy provides video-based e-learning with practice checkpoints, a final exam and a numbered Certificate of Completion for every learner, verifiable online. Sterling consulting clients receive preferential Sterling Academy course access and special pricing through their consultant, including complimentary awareness training for their people as part of the engagement.

  • Awareness of the device QMS for production, warehouse and quality staff
  • Internal auditor training, as applicable to your standard, as part of the engagement
  • Training records ready for the auditor's competence questions
  • New starters trained before they release a batch

Why Sterling

Why choose Sterling for sterilisation validation support?

Sterile products often cross borders twice, sterilised in one country and sold in several more. Sterling keeps one approach to documentation across those sites and sterilisers, while respecting what each regulator expects to see in the file.

Device QMS work in 60+ countries since 2003

Medical device and life sciences clients supported across regions, from offices in 21 countries, with one engagement team accountable for the programme.

All-inclusive proposal

Documentation, Effivity, training and Academy access in one proposal; steriliser, laboratory and audit costs shown separately.

Clear about roles

We say clearly what your team, your steriliser, the laboratory and the auditor each own, so nothing falls between them.

Expert and experienced consultants

Consultants who know ISO 13485 process validation and how auditors read a validation file, and who build it right the first time.

The Sterling Promise

What our sterilisation validation support guarantee means

100%on-time completion · success · 8,100+ client engagements

We stay with you until the agreed ISO 11135, ISO 11137 or ISO 17665 documentation outcome is achieved, through the studies, the reports and any audit findings on the sterilisation file.

The engagement defines the standards, scope, outcome and responsibilities. Your organisation, its steriliser and laboratories generate the validation data and make release decisions. The certification body, notified body or regulator reaches its own audit decision. Our commitment covers the agreed support, not the result of any individual test.

FAQs

Frequently asked questions about ISO 11135, ISO 11137 and ISO 17665

Can you get certified to ISO 11135, ISO 11137 or ISO 17665?

Not in the way you certify a management system. You validate the process to the standard and keep the evidence; your ISO 13485 certification body, notified body or regulator then examines that evidence during their audits.

Which sterilisation standard applies to my device?

The one that matches the method used: ISO 11135 for ethylene oxide, the ISO 11137 series for gamma, electron beam or X-ray, and ISO 17665 for moist heat. The choice of method itself depends on the materials, the design and the packaging, and is a decision for your engineers.

Does outsourcing to a contract steriliser transfer responsibility?

No. The steriliser runs the process and holds its own records, but the manufacturer remains accountable for the device being sterile. That is why the quality agreement, the audit of the steriliser and the review of every batch record matter.

Do we need to revalidate because of ISO 17665:2024 or ISO 11137-1:2025?

Not automatically. Start with a documented gap review of your validation against the new edition, then decide, with your notified body or regulator where relevant, whether any study must be repeated or only the documentation updated.

When will the new edition of ISO 11135 be published?

ISO has not published a date. On 16 September 2026 the revised standard entered its final approval ballot, so publication is expected once that vote closes; plan a gap review of your ethylene oxide files for when it appears.

Keep exploring

More on ISO 11135 · ISO 11137 · ISO 17665 and related standards

More in Healthcare, medical devices & life sciences

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