Computer and field evaluations in support of the VDmax approach for selected sterilization doses greater than 25 kGy

Originally, the VD_max approach was developed to substantiate a selected sterilization dose of 25 kGy. Thereafter, computer and field evaluations demonstrated the value of the approach for substantiation of selected sterilization doses less than 25 kGy. Verification of the use of the approach for substantiation of sterilization doses in excess of 25 kGy is now needed.The results of the computer evaluations conducted on the VD_max approach with 35 challenge microbial populations at sterilization doses of 30 and 35 kGy generally gave outcomes consistent with those observed previously, namely, safe and unambiguous. Outcomes perceived as unsafe have been shown to be a peculiarity of the manner of assembling challenge microbial populations. Field evaluations involving substantiation of four selected sterilization doses greater than 25 kGy and associated sterilization dose auditing gave acceptable outcomes. The present findings further affirm the value and reliability of the VD_max approach.     

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.     

New applications of the VDmax approach to substantiation of preselected sterilization doses

The VD_max approach for substantiation of 25 kGy has been in use for more than 10 years. VD_max methods are included in ISO 11137-2:2006 and AAMI TIR33:2005. ISO Technical Specification, 13004, is under development that will include sterilization doses from 15 to 35 kGy.For substantiation of a sterilization dose for very low bioburden products, less than or equal to 0.3, values of VD_max have now been derived and tabulated for a sterilization dose of 12.5 kGy.Products have been encountered that have both low bioburden and a relatively low maximum dose. In several situations, existing tabulated VD_max values could not be effectively used; in one such situation, the average bioburden was too high to substantiate a 15 kGy sterilization dose and the use of a 17.5 kGy sterilization dose was not practicable due to the likelihood of exceeding the product's maximum acceptable dose. For this product, values of VD_max were derived and tabulated for substantiation of a 16.1 kGy sterilization dose.Values of VD_max have been derived and tabulated for the substantiation of sterilization doses linked to a sterility assurance level (SAL) of 10^?3. To offer a potential alternative to aseptic processing, the notion of using an “aseptic processing equivalent dose”, 10^?4 SAL, has been investigated along with the use of alternate model populations for calculation of VD_max values.     

Radiation effect studies on anticancer drugs, cyclophosphamide and doxorubicin for radiation sterilization

Two anticancer drugs, cyclophosphamide (CPH) and doxorubicin hydrochloride (DOXO), in powder form were exposed to a range of doses of ⁶⁰Co gamma and electron beam radiation to study the effects of ionizing radiation. Pharmacopoeia tests, discolouration, degradation products, effect of irradiation temperature and dose rate were investigated. CPH undergoes less than 2% degradation at 30 kGy. Chromatographic studies revealed formation of several trace level degradation products, discolouration and free radicals in the irradiated CPH. N,N-bis (2-chloroethyl) group in the molecule is particularly sensitive to radiation degradation. Irradiation to 5 kGy at low temperature (77 K) did not result in significant changes. DOXO was observed to be quite radiation resistant and did not undergo significant changes in its physico-chemical properties and degradation product profile. It can be radiation sterilized at normal sterilization dose of 25 kGy.     

Effect of γ-radiation on ointment cold cream

In this paper, Co-60γ ray was used to irradiate the ointment cold cream at room temperature (25°C). We also used FTIR, GC and thin film chromatogram to analyse various irradiated samples. It was found that the ointment cold cream can be irradiated at dose of 5–35 kGy and at dose rate from 0.2 to 0.6 kGy/h at room temperature (25°C) without evident decomposition. At dose of 5–15 kGy, the number of bacteria can be reduced to hygienic standard value. The radiation sterilization is a safe method for killing the bacteria in the ointment cold cream.     

Dosimetric properties of commercial grade plexiglas as a possible routine dosimeter for radiation processing

Dyed and undyed polymethylmethacrylate (PMMA) are commercially available for high dose dosimetry in radiation processing applications. In order to investigate the properties of the locally available clear perspex as a subsitute routine dosimeter, we have looked into the optical and dosimetric properties of clear perspex sheets with a thickness of 2 mm.

The selected wavelength used for read out was 314 nm. Absorption spectra obtained showed a sharp cutoff at 260 nm wavelength. Post-irradiation studies at different doses indicate that the optical density decrease with storage time. No significant dose rate dependence in the range of 1.1 to 11 kGy/hr has been observed. The temperature response of the said clear perspex in the range of 0–30°C during irradiation has also been determined.

Comparison of the optical density versus dose for the local clear perspex against that of red perspex from Harwell, at an absorbed dose of 25 kGy, as obtained in our gamma irradiator, IR-136, showed a difference of 3%. The reproducibility of the local clear PMMA has been observed to be also less than 3% in an absorbed dose range of 5 to 50 kGy.     

ISO radiation sterilization standards

This presentation provides an overview of the current status of the ISO radiation sterilization standards. The ISO standards are voluntary standards which detail both the validation and routine control of the sterilization process. ISO 11137 was approved in 1994 and published in 1995. When reviewing the standard you will note that less than 20% of the standard is devoted to requirements and the remainder is guidance on how to comply with the requirements.

Future standards developments in radiation sterilization are being focused on providing additional guidance. The guidance that is currently provided in informative annexes of ISO 11137 includes: device/packaging materials, dose setting methods, and dosimeters and dose measurement, currently, there are four Technical Reports being developed to provide additional guidance:

1. 1. AAMI Draft TIR, “Radiation Sterilization Material Qualification”

2. 2. ISO TR 13409-1996, “Sterilization of health care products — Radiation sterilization — Substantiation of 25 kGy as a sterilization dose for small or infrequent production batches”

3. 3. ISO Draft TR, “Sterilization of health care products — Radiation sterilization Selection of a sterilization dose for a single production batch” li]4. ISO Draft TR, “Sterilization of health care products — Radiation sterilization-Product Families, Plans for Sampling and Frequency of Dose Audits.”

     

Thermal and spectroscopic analysis of florfenicol irradiated in the solid-state

The study has been undertaken to check the effect of ionising radiation on the physical and chemical properties of florfenicol, an antibiotic of a wide range of antibacterial activity. The solid-state samples were subjected to an electron beam generated by accelerator corresponding to the doses of 25, 100 and 400 kGy, and the effect of the exposure was analysed by the methods not requiring changes in the state (with no preliminary treatment), such as SEM, DSC, FTIR, XRD, EPR and HPLC. Florfenicol irradiated with a dose of 25 kGy has not changed the form or colour, however, a small increase in intensity of some absorption bands in the FTIR spectrum and of some peaks in the XRD pattern, a decrease in the melting point by 0.6°C, the appearance of free radicals and a loss in the FF content within the error of the method (0.91%) have been observed. After irradiation with greater doses (100 and 400 kGy) the changes have intensified, yellow discolouration appeared and the loss of FF content has increased to 6.39%. As follows from the results, the compound studied in solid-state undergoes radiolysis after e-beam irradiation in the doses ≥25 kGy, but lower doses (15–20 kGy) can be applied for its decontamination or sterilization with no adverse effect on its physico-chemical properties.     

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.     

Absorbed dose distributions in a tissue-equivalent absorber for bremsstrahlung produced at the beamlines of the European Synchrotron Radiation Facility

The absorbed-dose distributions for bremsstrahlung, incident on a tissue-equivalent phantom, were measured with LiF : Mg,Ti thermoluminescent dosimeters at two insertion device beamlines of the European Synchrotron Radiation Facility (ESRF). The measurements were carried out for two different electron beam energies of 4 and 6 GeV. The corresponding bremsstrahlung spectra and power were measured using a high-resolution lead glass total absorption calorimeter. The results are compared with similar measurements carried out at other facilities. The normalized bremsstrahlung absorbed dose in a cross-sectional area of 100 mm², at a depth of 150 mm of the phantom, was measured as 6.1 and 3.6 kGy h⁻¹ W⁻¹ for the corresponding bremsstrahlung spectra of 4  and 6 GeV.     

Effect of gamma‐irradiation sterilization on the physical and mechanical properties of a hybrid wound dressing

A wound dressing should ideally provide an optimal healing environment which enables rapid healing. It should maintain a moist environment at the wound surface, allow gas exchange, act as a barrier to microorganisms, remove excess exudates and afford mechanical protection to the wound. A new bioresorbable hybrid wound dressing which combines a poly(DL‐lactic‐co‐glycolic acid) porous top layer with a spongy collagen sublayer was developed and studied. The top layer contained the antibiotic drug gentamicin for controlled release to the wound site. It is of very high importance to use an appropriate sterilization process for this special new wound dressing, which will not have a deleterious effect on its function. Our investigation therefore focused on the effects of gamma‐irradiation sterilization (10, 25, 35 and 50 kGy) on the structure properties of this wound dressing. The physical and mechanical properties were of the wound dressings were affected by the gamma irradiation because of a combination of chain scission and crosslinking of the collagen layer mainly. The weight loss and water vapor transmission rate were increased, while the water uptake was decreased with the increase in the irradiation dose. The changes were small when doses of 10 or 25 kGy were applied at room temperature. The gamma‐irradiation resulted in stronger but more brittle wound dressings. These trends were smaller when the sterilization process was carried out in liquid nitrogen. Our research shows that gamma‐sterilization process is feasible for our new concept of hybrid wound dressings and optimal conditions can be chosen. Copyright © 2016 John Wiley & Sons, Ltd.     

Electron beam irradiated polyamide-6,6 films—II: mechanical and dynamic mechanical properties and water absorption behavior

Electron beam irradiation of poly(iminohexamethylene-iminoadipoyl) (Polyamide-6,6) films was carried out over a range of irradiation doses (20–500 kGy) in air. The mechanical properties were studied and the optimum radiation dose was 200 kGy, where the ultimate tensile stress (UTS), 10% modulus, elongation at break (EB) and toughness showed significant improvement over the unirradiated film. At a dose of 200 kGy, the UTS was improved by 19%, the 10% modulus by 9% and the EB by 200% over the control. The dynamic mechanical properties of the films were studied in the temperature region 303–473 K to observe the changes in the glass transition temperature (T_g) and loss tangent (tan δ) with radiation dose. The storage modulus of the film receiving a radiation dose of 200 kGy was higher than the unirradiated film. The water uptake characteristics of the Polyamide-6,6 films were investigated. The water uptake was less for the films that received a radiation dose of 200 and 500 kGy than the unirradiated film. The role of crystallinity, crosslinking and chain scission in affecting the tensile, dynamic mechanical and water absorption properties was discussed.     

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.     

Sensory, physicochemical and microbiological quality of irradiated minimally processed cauliflower

Minimally processed cauliflower samples were irradiated, stored at 5 °C for 2 weeks and analyzed for sensory, physicochemical and microbiological qualities at 0th, 7th and 14th days. The data showed highest mean values of 7.93 and 7.57 for appearance and flavor, respectively, for 1.0 kGy treated samples. The D₁₀ values of contaminating microorganisms on cauliflower were 0.20 (Escherischia coli) and 0.24 kGy (Salmonella paratyphae A.) and the resulting 5D₁₀ value was 1.2 kGy. The study revealed that a dose of 1.5 kGy is enough for retention of quality and reduction of microbial load to 5D₁₀ values in cauliflower during 2 weeks storage at refrigerated temperature.     

The use of ESR spectroscopy for the investigation of dosimetric properties of egg shells

Electron spin resonance (ESR) spectroscopy was used to investigate the dosimetric properties of chicken egg shells. The ESR spectra of the irradiated egg shell were found to have an asymmetric absorption characterized by a major resonance at g=2.0019 and a minor resonance at g_||=1.9980. The study was carried out on g=2.0019 signal because of the accuracy of measurements and the possibility of using it as ESR dosimeter. The activation energy (E), frequency factor (k₀) and mean-life (τ) were calculated to be 1.50±0.10 eV, 2×10¹³ s⁻¹ and (4.4±0.4)×10⁴ year respectively. Dose–response was investigated between dose ranges of 1 Gy and 10 kGy for ⁶⁰Co γ-rays. Dose–response was found to be appropriate for dosimetry in the range 3 Gy to 10 kGy. The lower limit of observable doses for egg shell sample was about 3 Gy. The other ESR dosimetric parameters of egg shell samples, fading characteristic, light effect, dose-rate dependence and energy dependence, have also been studied in detail. Apart from its non-tissue equivalence, egg shell has very good dosimetric properties with insignificant fading, light independence, linearity in dose–response (3 Gy–10 kGy), dose-rate independence and independence from energy above 500 keV. It suggests that egg shell may be used as a retrospective γ radiation dosimetry after nuclear accidents or other short accidental radiation events.     

Dose response and post-irradiation characteristics of the Sunna 535-nm photo-fluorescent film dosimeter

Results of characterization studies on one of the first versions of the Sunna photo-fluorescent dosimeter™ have previously been reported, and the performance of the red fluorescence component described. This present paper describes dose response and post-irradiation characteristics of the green fluorescence component from the same dosimeter film (Sunna Model γ), which is manufactured using the injection molding technique. This production method may supply batch sizes on the order of 1 million dosimeter film elements while maintaining a signal precision (1σ) on the order of ±1% without the need to correct for variability of film thickness. The dosimeter is a 1 cm×3 cm polymeric film of 0.5-mm thickness that emits green fluorescence at intensities increasing almost linearly with dose. The data presented include dose response, post-irradiation growth, heat treatment, dosimeter aging, dose rate dependence, energy dependence, dose fractionation, variation of response within a batch, and the stability of the fluorimeter response. The results indicate that, as a routine dosimeter, the green signal provides a broad range of response at food irradiation (0.3–5 kGy), medical sterilization (5–40 kGy), and polymer cross-linking (40–250 kGy) dose levels.     

Thermoluminescence of contaminating minerals for the detection of radiation treatment of dried fruits

Several types of dry fruits (pistachio nut, dried apricot, almond and raisins) have been investigated for detection of their radiation treatment by gamma rays or electron beam using thermoluminescence (TL) measurements. These samples were irradiated to 1.0–3.0 kGy (gamma rays) or 0.75–3.9 kGy (10 MeV electron beam). Thermoluminescence glow curves for the contaminating minerals separated from the dry fruits were recorded between the temperature range of 50°C and 500°C. In all the cases, the intensity of TL signal for the irradiated dry fruits was 1–3 orders of magnitudes higher than the TL intensity of the corresponding unirradiated control samples allowing clear distinction between the irradiated and unirradiated samples. These results were normalized by re-irradiating the mineral grains with a gamma-ray dose of 1.0 kGy, and a second glow curve was recorded. The ratio of intensity of the first glow curve (TL₁) to that after the normalization dose (TL₂), i.e. (TL₁/TL₂) was determined and compared with the recommended threshold values. These parameters, together with comparison of the shape of the first glow curve, gave unequivocal results about the radiation treatment of the dry fruit samples.     

Effect of gamma irradiation on the thiamine, riboflavin and vitamin B6 content in two varieties of Brazilian beans

The effect of ⁶⁰Co gamma rays on the content of several B-vitamins in two varieties of Brazilian beans has been studied. Carioca (Phaseolus vulgaris L. var. Carioca) and Macaçar beans (Vigna unguiculata L. Walp, var. Macaçar) were irradiated at doses of 0, 0.5, 1.0, 2.5, 5.0 and 10 kGy, and subsequently stored at ambient temperature for 6 months. The content of vitamin B₁, B₂ and B₆ was analysed by HPLC. In addition, the optimum cooking time was established for each dose and bean variety. A taste panel evaluated sensory properties. Only slight changes were measured for thiamine and riboflavin, whereas a dose-dependent decrease was noted for pyridoxine, which, however, was significant only at the highest doses of 5 and 10 kGy. Cooking time was considerably reduced with increasing radiation dose, but accompanied by a loss of the sensory quality. However, at the disinfestation dose up to 1 kGy, acceptable ratings were obtained for the sensory evaluation. In conclusion, for insect disinfestation of Brazilian beans radiation processing is a promising technology.     

Effects of gamma irradiation on chemical composition and ruminal protein degradation of canola meal

Gamma irradiation of canola meal (at doses of 25, 50 and 75 kGy) could alter its ruminal protein degradation characteristics by cross-linking of the polypeptide chains. This processing resulted in decrease (linear effect, P<0.001) of ruminal protein degradation and increase (linear effect, P<0.001) of intestinal protein digestibility. The results showed that gamma irradiation at doses higher than 25 kGy can be used as a cross-linking agent to improve protein properties of supplements in ruminant nutrition.