Survey of chemical residues and biological evaluation of photochemically pre-vulcanized surgical gloves

Abstract  

Latex allergies arise from the presence of latex proteins as well as noxious rubber additives (mainly accelerators and activators used in conventional sulfur-accelerated vulcanization processes) in medical devices (e.g., medical gloves, catheters) made from natural rubber latex. As a new approach the ultraviolet (UV) light-initiated pre-vulcanization of natural rubber latex makes efficient cross-linking feasible without using any toxic, mutagenic, or irritating chemicals. The cross-linking in the latex particles is accomplished via the thiol-ene addition reaction in the presence of a polyfunctional thiol and a photoinitiator. The new process is carried out in a falling film photoreactor on a pilot scale which provides a continuous irradiation of the latex emulsion. The UV technique is suitable for an easy up-scaling and represents the entrance into large-volume industrial production. The surgical gloves are then made by a conventional coagulant dipping process comprising good physical properties and high ageing stabilities. The aim of this study was to evaluate the biological properties and skin compatibility of UV-pre-cured gloves in skin sensitization, skin irritation studies, and cytotoxic tests. In addition the biologically available chemical residues in the gloves were characterized by UV–visible spectroscopy, elementary analyses, and high-performance liquid chromatography coupled with mass spectroscopy. The results of the studies revealed that UV-cross-linked surgical gloves exhibit good skin compatibility together with low cytotoxicity and residual chemical levels in the range of 60 and 120 μg/g_glove.