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. 2021 Sep 3:2020.11.SPINE201433. doi: 10.3171/2020.11.SPINE201433

TABLE 2.

Testing and methodology requirements for final product release

Test Test Method Specification
Safety
 
 
 Bacterial (aerobic, anaerobic) & fungal testing
Sterility testing (outsourced to analytical lab) per 21 CFR 610.12
Sterile
 Gram stain
Gram stain
Negative
 Bacterial endotoxin
LAL method by Endosafe PTS
<0.2 EU/kg of recipient’s body weight
 Mycoplasma
RT-PCR
Negative
 
Culture based per 21 CFR 610.30
Negative
Purity/identity
 
 
 Cell count & viability
Cell count & viability assay: using SYTO24 and SYTOX Green
VCC ≥ 100–150 × 106 cells, viability ≥80%
 Purity
FACS
CD271+ cells ≥90%
 Microscopic exam of cultures Inverted bright-field microscopy Bipolar spindle-shaped SCs

FACS = fluorescence-activated cell sorting; LAL = limulus amebocyte lysate; PTS = portable testing system.