AAMI ST108 Compliance Services
Protect Patients, Instruments, and Your Facility
Water is one of the most important, and often overlooked, components of sterile processing. ANSI/AAMI ST108 establishes the industry standard for water quality used in the cleaning, rinsing, disinfection, and sterilization of reusable medical devices.
At IWC Innovations, we help hospitals, ambulatory surgery centers, and sterile processing departments develop, implement, and maintain comprehensive ST108 water management programs designed for long-term compliance.
What Is AAMI ST108?
ANSI/AAMI ST108:2023 is the national consensus standard for water used in medical device processing. It replaced AAMI TIR34 and establishes requirements for:
- Water quality selection
- Water treatment system design
- Routine testing and monitoring
- Steam quality
- Documentation and quality improvement
- Water management responsibilities across multiple departments
The standard defines three categories of water used throughout sterile processing:
- Utility Water – Used for washing, flushing, and intermediate rinsing.
- Critical Water – Highly treated water used for final rinses and steam generation.
- Steam – Steam used during sterilization that must meet specific purity requirements.
Evaluate Your ST108 Readiness
Our ST108 Assessment evaluates your water systems, treatment equipment, and processes to identify compliance gaps and opportunities for improvement. You’ll receive clear, actionable recommendations to help protect medical devices, improve water quality, and confidently prepare for ST108 compliance.
Our ST108 Compliance Services
Compliance Assessment
- Review current water system, monitoring practices, documentation, and testing records.
- We provide a gap analysis, risk score, and a compliance roadmap to ensure full compliance with ST108.
Water Quality Testing Program
- Testing support for utility water, critical water, and steam condensate.
- We provide sampling, ST108 Water Management Plan, trending reports, corrective action support, survey readiness documentation, and annual account review.
Who We Serve
Our ST108 services are designed for:
- Hospitals
- Ambulatory Surgery Centers (ASCs)
- Outpatient Surgery Centers
- Sterile Processing Departments (SPD)
- Healthcare Systems
- Specialty Surgical Facilities
Why Choose IWC Innovations?
Healthcare organizations across the country trust IWC Innovations because we build sustainable compliance programs.
Our team combines expertise in:
- Water treatment engineering
- Healthcare water management
- Sterile processing
- Regulatory compliance
- Legionella risk management
- Ongoing service and support
Our goal is to help facilities move beyond simply passing inspections and build water management programs that improve safety and operational performance.
FAQ's About ST108
While ST108 itself is an industry consensus standard rather than a federal law, accrediting organizations and healthcare surveyors increasingly reference AAMI standards as recognized best practices during inspections and accreditation activities
Testing frequency depends on the type of water and system being monitored. ST108 establishes routine monitoring requirements for both water generation systems and points of use.
Not every facility requires the same treatment technology. The appropriate solution depends on your incoming water quality, equipment, and processing needs. A comprehensive assessment determines the most effective treatment approach.
Yes. We help facilities establish documentation, monitoring programs, testing schedules, and reporting practices that support accreditation readiness.
EXCELLENT Based on 6 reviews Posted on andrew harrisTrustindex verifies that the original source of the review is Google. Excellent service and would reccomend to any company!Posted on Candy HerseyTrustindex verifies that the original source of the review is Google. Amazing! Very knowledgeable ! Excellent instructions. Excellent and efficient service!Posted on David CrossTrustindex verifies that the original source of the review is Google. Great !Posted on Frank BryanTrustindex verifies that the original source of the review is Google. The collection of water samples was thorough and time efficient. The technician was friendly and as professional as anyone could want. IWC Innovations is welcome at this USACOE site anytime.Posted on Emma WilsonTrustindex verifies that the original source of the review is Google. I am highly impressed with the professionalism of the IWC team.
ABOUT IWC INNOVATIONS
Based in Indianapolis and founded in 2016, IWC Innovations delivers value-driven water treatment solutions focused on safety, compliance, and performance. We offer Legionella testing, remediation, and pathogen monitoring, plus ASHRAE 188 and CMS-compliant water management plans. Our services cover filtration, secondary disinfection, and tailored treatment for cooling towers, closed loops, and boilers. We also provide high-purity water services—including pretreatment, diagnostics, repairs, and ST108 support—for healthcare, industrial, and commercial clients. IWC is dedicated to keeping water systems safe, efficient, and compliant.