ANSI/AAMI ST108 Water Quality Standard

ANSI/AAMI ST108 Water Quality Standard Compliance  Support

The ANSI/AAMI ST108 water quality standard sets evidence-based requirements for water used in medical device reprocessing. Replacing TIR34, it provides clear guidance on testing, monitoring, and documentation to ensure safe, consistent, and compliant sterilization practices. A-Tech Consulting helps hospitals, surgical centers, and SPDs achieve and maintain ST108 compliance with confidence.

A-Tech serves hospitals, surgical centers, and SPDs across California and the Pacific Northwest.

Request an ST108 ConsultationTalk to an Expert

Why Water Quality Matters in Medical Device Reprocessing

Prevents deposits and corrosion that damage instruments and washers/sterilizers.

Reduces risk of healthcare-associated infections (HAIs) due to residual contaminants 

Supports accreditation survey success (TJC, CMS, AAAHC) with proper documentation

Limits downtime, extends equipment life, and lowers long-term costs. 

Key Requirements Under the ANSI/AAMI ST108 Standard 

Water Classifications

Utility water – For flushing/cleaning; meet baseline chemical & physical parameters 
Critical Water – Highly purified for final rinses to avoid residues and microbial growth
Steam – Clean, dry, non-contaminating steam for sterilizers to protect instruments

What Needs to Be Tested

• pH, condutivity, hardness/alkalinity
• Microbial counts and as applicable endotoxins
•Total Organic Carbon (TOC)
•Target ions/metals (e.g., chloride, iron, copper) based on system risk 

Who Needs to Comply

♦ Hospitals & Health Systems
♦ Outpatient & Specialty Surgical Clinics
♦ Sterile Processing Departments (SPDs)
♦ Ambulatory Surgery Centers (ASCs)
♦ Dental & Oral Surgery Centers

How A-Tech Supports ST108 Compliance

Our team provides ST108 compliance support throughout California and the Pacific Northwest, with rapid response and ongoing monitoring services.

1

Water Quality Assessments

Evaluate your facility’s current water systems to identify risks and determine compliance with ST108 standards.

2

Water Sampling and Testing

Collect and analyze Utility, Critical, and Steam water samples through accredited labs to verify quality parameters.

3

System Audits and Gap Analysis

Inspect treatment equipment, distribution loops, and processes to uncover deficiencies and provide corrective action plans.

4

Documentation and Reporting

Deliver clear, survey-ready reports, logs, and compliance records tailored for TJC, CMS, and other accrediting bodies.

5

Ongoing Monitoring and Support

Provide routine testing schedules, trend analysis, and expert guidance to maintain compliance and avoid surprises during inspections.

Ready for ST108? Let’s Partner.

Whether you’re preparing for your first ST108 review or need help maintaining compliance, A-Tech is ready to support your team with expert guidance and technical solutions.  We proudly support facilities across California and the Pacific Northwest with ST108 water quality testing, audits, and compliance solutions.

Contact Us Today