Comments on the Japanese study of the radiation resistance of the bioburden of medical devices

The findings obtained in an extensive study of the radiation resistance of microbes forming the bioburden of a number of medical devices has been carried out by Takehisa et al. and reported in this number of this Journal. The following paper reviews the expected behaviour of the reported populations under the conditions specified in ISO Standard 11137 Method 1, which is widely used in the determination of the radiation sterilization dose required for sterilization of medical devices. The populations reported for “dry” devices contain a higher proportion of more radiation resistant microbes than that found in the standard distribution of resistance (SDR) that is used for setting the sterilization dose in Method 1. A possible alternative dose setting method for more resistant microbial populations is introduced and discussed.     

The radiation resistance of the bioburden from medical devices

An extensive study of the radiation resistance of microbial species constituting the bioburden of a number of different medical devices obtained from Japanese medical device manufacturers has been carried out. A standard protocol for determining radiation resistance was used and validated at the fourteen centres involved in the study. Individual microbial isolates from the bioburden obtained from seven different devices manufactured in these centres were studied. A total of 3742 unselected isolates were obtained, of which 197 failed to survive long enough for subsequent radiation resistance studies. The remainder were subjected to an initial screen test to identify those organisms that were sensitive to the lethal effects of radiation with a D₁₀ of < 1.5kGy. The 465 isolates that survived the screen doses were then tested for survival in an incremental series of radiation doses using methods similar to those of Whitby (1979) and Yan and Tallentire(1995). The isolates from “dry” devices were more resistant than those obtained from the one water filled (“wet”) device studied. The overall distribution of radiation resistance among the isolates was considered to be similar to that forming the “Standard Distribution of Resistance” (SDR) included in the ISO International Standard 11137 “Sterilization of Health Care Products — Requirements for validation and routine control — Radiation sterilization”.     

Radiation sterilization and identification of gizzard slices

An orthogonal test of 4 factors of radiation dose, storage temperature, storage time, and sanitation of cutting places was carried out to optimize the conditions for disinfection of gizzard slices. In the optimized condition, both the sanitary quality and the shelf-life of gizzard slices were improved. To identify irradiated gizzard slices, the sensory change, and the levels of water-soluble nitrogen, amino acid, total volatile basic nitrogen, peroxide value, vitamin C consumption and KMnO₄ consumption were determinated. No significant change was observed except for the color which was light brown on the surface of irradiated slices.     

Study on commercial radiation sterilization of PVC infusion sets

This report presents the results of a series of investigation on commercial radiation sterilization of disposable PVC infusion sets products from about fifty factories, which is based on the model of sterilization probability. According to sterilization probability, the results from the chemical and physical characteristics changes and radiation biological effects testing for its pyrogens, toxin and hemolysis reaction, the sterilization dose could be appropriately chosen.     

Advancements in internationally accepted standards for radiation processing

Three subcommittees of the American Society for Testing and Materials (ASTM) are developing standards on various aspects of radiation processing. Subcommittee E10.01 “Dosimetry for Radiation Processing” has published 9 standards on how to select and calibrate dosimeters, where to put them, how many to use, and how to use individual types of dosimeter systems. The group is also developing standards on how to use gamma, electron beam, and x-ray facilities for radiation processing, and a standard on how to treat dose uncertainties. Efforts are underway to promote inclusion of these standards into procedures now being developed by government agencies and by international groups such as the United Nations' International Consultative Group on Food Irradiation (ICGFI) in order to harmonize regulations and help avoid trade barriers.

Subcommittee F10.10 “Food Processing and Packaging” has completed standards on good irradiation practices for meat and poultry and for fresh fruits, and is developing similar standards for the irradiation of seafood and spices. These food-related standards are based on practices previously published by ICGFI.

Subcommittee E10.07 on “Radiation Dosimetry for Radiation Effects on Materials and Devices” principally develops standards for determining doses for radiation hardness testing of electronics. Some, including their standards on the Fricke and TLD dosimetry systems are equally useful in other radiation processing applications.     

Automated technological radiation installation for sterilization of medical goods

Last years most of the developed countries are using radiation method based on electron accelerators for sterilization of medical goods as mostly safe and ecologically pure from all known methods. The report describes in details the automated installation for sterilization of single-use syringes working in the city of Izhevsk, Russia. The syringes are irradiated from two sides inside the packs containing 250 units each. The packs are automatically turned on the inclined part of the conveyor under influence of their own weight. The syringes are posed vertically along the beam fall. The ration of maximal absorbed dose to minimal is 1.4. The productive rate of installation is no less 100 000 syringes per hour. The installation is based on the linear pulse electron accelerator ILU-6. It is the single cavity machine with electron energy up to 2.5 MeV and average beam power up to 20 kW. The pulse nature of the current and automatic control system permit to vary the absorbed dose in great range. The electron energy, beam current, pulse repetition rate, beam position in the extracted window and transportation of the treated products are computer controlled.     

Effect of gamma radiation on microbial population of natural casings

The high microbial load of fresh and dry natural casings increases the risk of meat product contamination with pathogenic microorganisms, agents of foodborn diseases.

The aim of this work is to evaluate the killing effect of gamma radiation of the resident microbial population of pork and beef casings, to improve their hygiene and safety.

Portions of fresh pork (small intestines and colon) and dry beef casings were irradiated in a Cobalt 60 source with with absorbed doses of 1,2,5 and 10 kGy.

The D₁₀ values of total aerobic microorganisms in the pork casings were 1.65 kGy for colon and 1.54 kGy for small intestine. The D₁₀ value found in beef dry casings (small intestine) was 10.17 kGy. Radurization with 5 kGy was able to reduce, at least, 6 logs the coliform bacteria in pork casings. The killing effect over faecal Streptococci was 4 logs for pork fresh casings and 2 logs for beef dry casings. Gamma radiation with 5 kGy proved to be a convenient method to reduce substantially the microbial population of pork fresh casings. Otherwise, the microbial population of beef dry casings still resisted to 10 kGy.     

Biomedical applications of radiation technology in Mexico

Mexican Health Institutions continuously require suitable medical grade prosthetic materials for reconstructive and plastic surgery. In particular, the requirements of polydimethylsiloxane, PDMS, for soft tissue replacements are rapidly growing. In addition to molecular weight, the properties of PDMS in biomedicine strongly depend on its purity, formulation and processing. High energy radiation has been used for both the synthesis of highly pure PDMS, free of catalyst and chemicals, and for sterilization of biomedical products. Here, are discussed the gamma radiation polymerization of different siloxane precursors to obtain PDMS with specific functionality and molecular structure as well as the radiation sterilization of amniotic membranes used as wound dressing.     

Experiences using IAEA Code of practice for radiation sterilization of tissue allografts: Validation and routine control

Problems of tissue allografts in using International Standard (ISO) 11137 for validation of radiation sterilization dose (RSD) are limited and low numbers of uniform samples per production batch, those are products obtained from one donor. Allograft is a graft transplanted between two different individuals of the same species. The minimum number of uniform samples needed for verification dose (VD) experiment at the selected sterility assurance level (SAL) per production batch according to the IAEA Code is 20, i.e., 10 for bio-burden determination and the remaining 10 for sterilization test. Three methods of the IAEA Code have been used for validation of RSD, i.e., method A1 that is a modification of method 1 of ISO 11137:1995, method B (ISO 13409:1996), and method C (AAMI TIR 27:2001). This paper describes VD experiments using uniform products obtained from one cadaver donor, i.e., cancellous bones, demineralized bone powders and amnion grafts from one life donor. Results of the verification dose experiments show that RSD is 15.4 kGy for cancellous and demineralized bone grafts and 19.2 kGy for amnion grafts according to method A1 and 25 kGy according to methods B and C.     

Development of standards for reliable surface analyses by ISO technical committee 201 on surface chemical analysis

The need for reliable surface analyses together with quality‐management requirements for analytical laboratories led the International Organization for Standardization (ISO) to form its Technical Committee (TC) 201 on Surface Chemical Analysis in 1991. This article describes the organization of TC 201, the strategies that have been found useful for identifying and assessing possible projects for new international standards, and the 57 international standards and other documents prepared to date by TC 201. Standards have now been developed for Auger‐electron spectroscopy, glow‐discharge spectroscopy, various types of scanning probe microscopy, secondary‐ion mass spectrometry, sputter‐depth profiling, total‐reflection X‐ray fluorescence spectroscopy, X‐ray photoelectron spectroscopy, and X‐ray reflectometry. In addition, standards have been developed with definitions of terms used in surface chemical analysis; the handling, preparation of specimens for surface analysis; information and data‐transfer formats; and methods for determining the lateral resolution of beam‐based methods of surface analysis. Copyright © 2014 John Wiley & Sons, Ltd.     

Status of radiation processing dosimetry

Several milestones have marked the field of radiation processing dosimetry since IMRP 7. Among them are the IAEA symposium on High Dose Dosimetry for Radiation Processing and the international Workshops on Dosimetry for Radiation Processing organized by the ASTM.

Several standards have been or are being published by the ASTM in this field, both on dosimetry procedures and on the proper use of specific dosimeter systems. Several individuals are involved in this international cooperation which contribute significantly to the broader understanding of the role of dosimetry in radiation processing.

The importance of dosimetry is emphasized in the standards on radiation sterilization which are currently drafted by the European standards organization CEN and by the international standards organization ISO. In both standards, dosimetry plays key roles in characterization of the facility, in qualification of the process and in routine process control.

As a function of the work on the standards, several issues are now receiving major attention. These include traceability and uncertainty limits of the dose measurements, calibration procedures, environmental influence and combination of influence factors such as dose rate and temperature.

The increased attention to these factors have increased the demands on existing dosimeter systems, and rather than new dosimeters, the latest years have seen improvements on established dosimeters.     

Gamma radiation effects on an amine antioxidant added in an ethylene-propylene copolymer

The aim of this work was to compare the gamma radiation induced effects on samples of an ethylene-propylene copolymer antioxidant free with samples loaded with an antioxidant characterised by the presence of an -NH functional group. The employed techniques were Electron Spin Resonance spectroscopy (ESR) and High Performance Liquid Chromatography (HPLC). Stable radicals R---NO° due to the interaction of free radicals produced in the irradiated polymer with the antioxidant have been observed by ESR at room temperature. The time evolution of the ESR signals following the irradiation was examined at different doses. The amount of antioxidant not involved in the oxidation reactions has been determined using HPLC.     

Effect of radiation on structure and properties of material made from oxpericardium

In order to reduce calcification of artificial cardiac bio-valve-OX-pericardium valve and prolong its life, it is very important to develop a new method for treatment of OX-pericardium valve. As a new processing method OX-pericardium valves were treated by glutaraldehyde (GA) then sterilized by γ-ray with ⁶⁰Co-source. The effects of radiation on the structure and properties of pericardium valve material were studies in terms of stress at one dimensional stretch i. e. strain response, tensile intensity, stress relaxation curve and variation of contraction temperature. The results show that the OX-pericardium valve treated with 0.1% glutaraldehyde (GA) and irradiated with 25 kGy γ-rays is not only sterile but also the mechanical property of which is similar to that of the fresh OX-pericardium and the presetting energy similar to that of OX-pericardium valve treated with 0.625% glutaraldehyde. These improve OX-pericardium valves so as to prevent them from calcification.     

Improved UHMWPE through the control of sterilization dose and atmosphere

In this study, the effects of sterilization dose and atmosphere on UHMWPE wear properties and crosslinking were examined. The relationship between crosslinking and adhesive / abrasive wear mechanisms of acetabular cups was investigated.

The use of a vacuum sterilization atmosphere resulted in improvements in the wear resistance of UHMWPE for the adhesive/abrasive wear mechanisms for the doses examined in this study. The two measures of crosslinking, swelling ratio and gel fraction, values can be used to predict hip simulator wear rates over the sterilization dose range of 0 to 50 kGy for the vacuum atmosphere samples. Of the two measures, the swelling ratio is a more sensitive measure of the extent of crosslinking, particularly for highly crosslinked materials and therefore a more sensitive predictor of adhesive/abrasive wear rates.     

Adhesive properties of hot-melt adhesives modified by radiation

Heat shrinkable tubes and tapes made of irradiated polyethylene have been produced for several years. The memory effect of such products is widely used in many industrial applications. Hot-melt adhesive is often applied to provide better sealing properties of heat shrinkable products.

Radiation grafting of hot-melt adhesives based on PP and copolymers like EVA was investigated. Several monomers were selected for radiation grafting process. Comparison of structural and mechanical properties with nonirradiated material was carried out.     

Optimization of radiation treatment of ginger (Zingiber officinale) rhizomes using response surface methodology

The effects of pre-irradiation storage time (7–21 days), radiation dose (0–75 Gy) and post-irradiation storage time (2–20 weeks) on sprouting, wrinkling and weight loss of ginger was investigated using a central composite rotatable design. Predictive models developed for all three responses were highly significant. Weight loss and wrinkling decreased as pre-irradiation storage time increased. Dose and post-irradiation storage time had significant interactive effects on weight loss and sprouting. Processing conditions for achieving minimal sprouting resulted in maximum weight loss and wrinkling.     

The effect of ionizing radiation on microbiological decontamination of medical herbs and biologically active compounds

Several thousand tons of medical herbs are produced annually by pharmaceutical industry in Poland. This product should be of highest quality and microbial purity. Recently, chemical methods of decontamination are recognized as less safe, thus irradiation technique was chosen to replace them in use. In the Institute of Nuclear Chemistry and Technology the national program on the application of irradiation to the decontamination of medical herbs is in progress now. The purpose of the program is to elaborate, on the basis of research work, the facility standards and technological instructions indispensable for the practice of radiation technology.     

Consumer attitudes to radiation and irradiated potatoes at “radiation fair” in Osaka, Japan

“Radiation Fair” has been held in summer vacation season in August for more than 10 years in Osaka, the largest city of western Japan, for the purpose of public education and information transfer of radiation and radiation-related technology. We distributed questionnaires to the visitors for recent 3 years to inquire their status toward radiation and irradiated products including irradiated potatoes as well as impression toward the displays. According to the survey results, more than 60% of the kids visitors were satisfied with this exhibition as informative, more than half of the older visitors (16 years old and upward) indicated that they recognized the word of “radiation” when they were at elementary school and the most significant sources of this information were school lessons and the mass media. Consumer's image toward radiation seems to shift to more “positive” when correct knowledge about radiation is given. More than half of consumers did not know “irradiated potatoes” but the percentage indicating that irradiated potatoes was definitely hazardous was less than 10%.     

The effect of UV light on the thermooxidative stability of linear low density polyethylene films crosslinked by ionizing radiation

The effect of ultraviolet (UV) light on the thermooxidative stability of Linear Low Density Polyethylene(LLDPE) films was studied. LLDPE was stabilized with phenolic type antioxidant known as Irganox 1010, hindered amine light stabilizer known as Chimmasorb 944 and phenolic type gamma stabilizer. The influence of these additives on the thermooxidative stability of gamma and UV irradiated LLDPE were investigated by isothermal Differential Scanning Calorimeter (DSC). The oxidation induction time (OIT) experiments indicate that antirad free LLDPE films which contains antioxidant and UV stabilizer are more sensitive to gamma and UV radiation. On the other hand, films which contain antirad and irradiated to different doses of γ-radiation demonstrated improved thermooxidative stability.