MGH

The Benchmark

An independent rubric for Medical Grade Honey.

Eight criteria. One score out of 100. Use it to evaluate any honey-based medical product on the market — Manuka, peroxide-active or polyphenol-rich. Built from regulatory practice (MDR, FDA 510(k), TGA), monofloral standards (MPI for Manuka, equivalent process controls for non-Manuka), and the wound-care evidence base.

At a glance

The eight criteria.

#CriterionWeight
01Verified botanical identity15
02Quantified activity with stability data15
03Validated sterilisation15
04Documented bioburden specification10
05Regulatory route on file15
06Quality system10
07Claims discipline10
08Independent clinical evidence10
Total100 / 100

The detail

Pass · Partial · Fail by criterion.

01

Weight 15

Verified botanical identity

Documented monofloral or controlled-floral source — DNA, pollen, marker chemistry or greenhouse process — so the activity driver is known.

Pass
Marker-validated source (e.g. MPI 4-chemical + DNA for Manuka; defensin-1 / process control for Revamil-type honeys; pollen-verified monofloral for polyphenol-rich honeys)
Partial
Floral source declared, partial markers only
Fail
‘Blend’ or no botanical evidence

02

Weight 15

Quantified activity with stability data

A declared, batch-tested activity marker appropriate to the honey — MGO (mg/kg) for Leptospermum; NPA / phenol-equivalent or H₂O₂ release for peroxide-active honeys; total phenolic content for polyphenol-driven honeys — with a documented stability curve over shelf life.

Pass
Activity quantified to a route-appropriate threshold + 24-month stability data
Partial
Activity declared, no stability curve
Fail
Only generic ‘antibacterial’ claim, no measured activity

03

Weight 15

Validated sterilisation

Gamma or e-beam at a dose validated against pre-sterilisation bioburden — heat-pasteurised honey is not medical grade.

Pass
ISO 11137 gamma at 25 kGy, validated, post-sterilisation MGO retained
Partial
Gamma applied, no dose validation file
Fail
Pasteurised, microfiltered or untreated

04

Weight 10

Documented bioburden specification

Pre-sterilisation bioburden limit appropriate to route of administration.

Pass
Specified, route-appropriate, audited
Partial
Internal target only
Fail
Not declared

05

Weight 15

Regulatory route on file

A live regulatory pathway for the intended use — not a food licence repurposed.

Pass
CE / MDR Class IIb or III, FDA 510(k), TGA Class III
Partial
Cosmetic or food licence with medical claims
Fail
No regulatory file — sold as supplement

06

Weight 10

Quality system

Manufacture under a recognised medical-device QMS.

Pass
ISO 13485 + ISO 10993 biocompatibility dossier
Partial
GMP food only
Fail
Beekeeping HACCP only

07

Weight 10

Claims discipline

On-pack claims map to debridement, moist healing, malodour and pH; antimicrobial language confined to off-pack literature.

Pass
Claims file references EWMA / WUWHS guidance
Partial
Conservative claims, weak evidence pack
Fail
‘Cures infection’ / ‘kills MRSA’ on pack

08

Weight 10

Independent clinical evidence

Peer-reviewed studies — ideally RCTs or systematic reviews — covering the indication on the label.

Pass
≥ 1 RCT + Cochrane / systematic review citation
Partial
Case series or in-vitro only
Fail
No independent evidence

Scoring

How to use the rubric.

Scoring scheme

  • Pass — full criterion weight
  • Partial — half weight
  • Fail — zero

Sum across all eight criteria for a 0–100 score. We classify ≥ 80 Reference Grade, 60–79 Compliant, 40–59 Marginal, < 40 Not Medical Grade.

Interpretation

The Benchmark is intentionally strict on regulatory and sterilisation criteria — that is where most products fail despite high . A 900+ MGO honey pasteurised under a food licence still scores below an MGO 400 dressing manufactured under with and a CE file.

Independently maintained. Updated as the regulatory and evidence base evolves.

Cite this rubric

MedicalGradeHoney.com (2026). The Medical Grade Honey Benchmark — an 8-criteria scorecard. medicalgradehoney.com/benchmark