Regenerative Medicine · Provider Reference

Stem Cell Sterility Testing, Explained

A sterility pass is a real result about a real endpoint — but it's not the endpoint most people assume it is.

What the Test Actually Does

Sterility testing checks a product sample for viable microorganisms — bacteria and fungi — by incubating it in growth media and watching for growth over a defined observation window, commonly up to 14 days under compendial methods. If nothing grows, the result is reported as "no growth" for that sample.

That's a genuinely useful result. Microbial contamination in an injectable cellular product is a serious safety issue, and a documented, independently run sterility test is one of the ways a manufacturer demonstrates it isn't shipping contaminated material.

What It Doesn't Tell You

A "no growth, Day 14" result is a statement about microorganisms. It is not a statement about:

  • Cell count — sterility testing doesn't count cells at all.
  • Viability — a sterile sample can still have low viable cell content; sterility and viability are unrelated assays.
  • Cell identity — sterility testing doesn't confirm the sample contains the cell type the label claims.

The confusion isn't usually intentional — a professionally formatted document with third-party lab letterhead simply reads as authoritative. But a provider reviewing supplier documentation should confirm that each claim — sterility, viability, identity, count — is backed by its own labeled result, rather than assuming one passing test covers the others.

Sterility as One Line Among Several

ATOM lots are released with sterility results from an independent third-party laboratory, reported on the Certificate of Analysis alongside — not in place of — viable cell count and viability. Each result is labeled for what it actually tests.

View a Sample COA

This page is educational reference material for licensed healthcare providers and does not constitute medical, legal, or regulatory advice. HCT/P products are not FDA-approved.