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As 2567-2002 Laminar Flow Cytotoxic Drug Safety Cabinets
As 2567-2002 Laminar Flow Cytotoxic Drug Safety Cabinets
AS 2567
cabinets
Australian Standard™
Australian Standard™
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Originated as AS 2567—1982.
Second edition 1994.
Third edition 2002.
COPYRIGHT
© Standards Australia International
All rights are reserved. No part of this work may be reproduced or copied in any form or by any
means, electronic or mechanical, including photocopying, without the written permission of the
publisher.
Published by Standards Australia International Ltd
GPO Box 5420, Sydney, NSW 2001, Australia
ISBN 0 7337 4826 0
AS 2567—2002 2
PREFACE
This Standard was prepared by the Joint Australia/New Zealand Standards Committee
ME-060, Controlled Environment to supersede AS 2567—1994, Laminar flow cytotoxic
drug safety cabinets.
After consultation with stakeholders in both countries, Standards Australia and Standards
New Zealand decided to develop this Standard as an Australian Standard rather than an
Australian/New Zealand Standard.
The objective of this document is to satisfy the need for a Standard for laminar flow safety
cabinets that offer both personnel and product protection in the preparation, manipulation
and dispensing of cytotoxic drugs. At the same time this Standard provides a design which
permits safe internal maintenance of the cabinet.
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This edition is an update, reflecting current technology and policies, with editorial
amendments to refer to other current Standards and authorities. The inclusion of a carbon
filter has been restored to a mandatory requirement because of recent evidence concerning
cytotoxic drug residues (see Foreword). The Committee is expecting further data that may
lead to a specification for the activated carbon. An appendix has been added to provide
guidance on ergonomic considerations.
During the preparation of this edition, consideration was given to using performance
requirements, rather than design or construction requirements, in order to encourage
innovation in product design and development. However, while a specification based only
on performance would, in principle, be preferable, Committee ME-060 lacked evidence that
stable, consistent and safe operation of a laminar flow cytotoxic drug safety cabinet could
be assured on this basis. Therefore, the simplest available specifications to achieve the
desired criteria have been chosen. Future revisions of this Standard will take account of
developments in technology and new information on cabinet performance throughout its
life, with a view to replacing design and construction requirements by performance
requirements wherever possible.
The term ‘informative’ has been used in this Standard to define the application of the
appendix to which it applies. An ‘informative’ appendix is only for information and
guidance.
The Committee is considering the adoption of EN 12469, Biotechnology—Performance
criteria for microbiology safety cabinets together with BS 5726, Microbiological safety
cabinets, Part 2: Recommendations for information to be exchanged between purchaser;
vendor and installer and recommendations for installations, and Part 4: Recommendations
for selection, use and maintenance as a future revision of this Standard, AS 2252.1 and
AS 2252.2. It may be noted that EN Standard also includes Class III cabinets.
EN 12469 contains two alternative barrier containment methods to the DOP method of
AS 1807.22. The Potassium-iodide particle method of EN 12469 is in preparation for
publication as an Australian/New Zealand Standard by Committee ME-060.
If the Potassium-iodide particle method is published, the Committee proposes to withdraw
AS 1807.22 in due course.
3 AS 2567—2002
CONTENTS
Page
FOREWORD ..............................................................................................................................4
1 SCOPE ........................................................................................................................5
2 REFERENCED DOCUMENTS ..................................................................................5
3 GENERAL REQUIREMENTS ...................................................................................6
4 CONSTRUCTION REQUIREMENTS........................................................................7
5 PERFORMANCE REQUIREMENTS.......................................................................14
6 MARKING ................................................................................................................16
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FOREWORD
The widespread use of cytotoxic drugs creates special problems in their preparation,
manipulation and dispensing. Many have been demonstrated to be mutagens and some to be
carcinogens in cell DNA and chromosomal studies, animal models and from experience
with treated patients. A causal relationship has also been demonstrated between
occupational exposure of unprotected pregnant females to cytotoxic drugs and an increased
incidence of spontaneous abortions and of foetal malformations. Other effects of exposure
to these compounds may not manifest themselves for many years.
The safety requirements were recognized as follows:
(a) Protection of all personnel and the environment from any aerosol, particles or vapours
which may be liberated in the preparation, manipulation, and dispensing of cytotoxic
drugs.
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(b) Protection of drug products so that they are prepared or dispensed in an environment
essentially free from particulate (including biological) matter.
(c) Protection of maintenance and testing personnel from exposure to the residue of drug
products which may contaminate cabinet filters, mechanical components and other
surfaces.
This Standard, together with its companion document, AS 2639, Laminar flow cytotoxic
drug safety cabinets—Installation and use, specifies means of providing protection in all
three of the areas listed above. Installations which provide a lesser degree of environmental
and containment control than that specified in AS 2639 may not provide an adequate level
of protection for personnel and drug products.
In particular, the air barrier at the cabinet work opening is vulnerable to disruption by air
movements produced by personnel near the cabinet, room ventilation systems and the
opening and closing of doors. Such air movements can cause temporary failure of the
cabinet to contain aerosols of drug products. These items are discussed further in AS 2639.
Additionally, operation of the cabinet in a room which does not provide Class 350 air
cleanliness may result in premature blockage of the exhaust filter and a reduced level of
personnel and product protection.
Class I and Class II biological safety cabinets are unsuitable for handling cytotoxic drugs.
In addition, experimental evidence published* demonstrated that when cytotoxic drugs were
dispensed in Class II biological safety cabinets, the exhaust HEPA filters alone did not
totally arrest all cytotoxic drug residues released as aerosols within the work zone. At least
several drugs in regular clinical use have low vapour pressures, enabling any residue on the
face of the exhaust HEPA filter to sublime into the vapour phase, to pass through the HEPA
filter, and subsequently to settle as solid drug films on surfaces surrounding the cabinet.
Use of a cytotoxic drug safety cabinet fitted with an activated carbon filter fitted
downstream of the exhaust HEPA filter, and operated in a cleanroom with a dedicated
exhaust extraction system close to the cabinet exhaust, (as described in AS 2639) is the
most effective method to counter this problem.
* CONNOR, T.H., ANDERSON, R.W., SESSINK, P.J., BROADFIELD, L. and POWER, L.A. Surface
contamination with antineoplastic agents in six cancer treatment centres in Canada and the United States.
Am. J. Health Syst. Pharm., Jul 15 1999, 56(14) p.1427-32.
5 AS 2567—2002
STANDARDS AUSTRALIA
Australian Standard
Laminar flow cytotoxic drug safety cabinets
1 SCOPE
This Standard specifies requirements for open-fronted laminar flow cytotoxic drug safety
cabinets which are intended to provide protection for personnel, the environment, and
cytotoxic drug products. These cabinets may also find wider application for handling other
hazardous drugs and materials (see AS 2639). They are primarily designed to contain
aerosols, and are not intended to provide complete protection against particles which may
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2 REFERENCED DOCUMENTS
The following documents are referred to in this Standard:
AS
1319 Safety signs for the occupational environment
1324 Air filters for use in general ventilation and airconditioning
1324.2 Part 2: Methods of test
1807 Cleanrooms, workstations, safety cabinets and pharmaceutical isolators—
Methods of test
1807.1 Method 1: Determination of air velocity and uniformity of air velocity in
clean workstations, laminar flow safety cabinets and
pharmaceutical isolators
1807.2 Method 2: Determination of performance of clean workstations, laminar
flow safety cabinets and pharmaceutical isolators under loaded
filter conditions
1807.5 Method 5 Determination of work zone integrity
1807.6 Method 6: Determination of integrity of terminally-mounted HEPA filter
installations
1807.15 Method 15: Determination of illuminance
1807.18 Method 18: Determination of vibration in workstations, safety cabinets and
pharmaceutical isolators
1807.22 Method 22: Determination of air barrier containment of laminar flow safety
cabinets
1939 Degrees of protection provided by enclosures for electrical equipment (IP
Code)
2639 Laminar flow cytotoxic drug safety cabinets—Installation and use
2659 Guide to the use of sound measuring equipment
2659.1 Part 1: Portable sound level meters
4260 High efficiency particulate air (HEPA) filters—Classification, construction
and performance