EP0675740A1 - Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene - Google Patents

Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene

Info

Publication number
EP0675740A1
EP0675740A1 EP94930191A EP94930191A EP0675740A1 EP 0675740 A1 EP0675740 A1 EP 0675740A1 EP 94930191 A EP94930191 A EP 94930191A EP 94930191 A EP94930191 A EP 94930191A EP 0675740 A1 EP0675740 A1 EP 0675740A1
Authority
EP
European Patent Office
Prior art keywords
polymeric material
temperature
chamber
inert gas
dry
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
EP94930191A
Other languages
German (de)
English (en)
Inventor
Sylwester Gogolewski
Stephan M. Perren
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
AO Technology AG
Original Assignee
AO FORSCHUNGSINST
AO-FORSCHUNGSINSTITUT DAVOS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by AO FORSCHUNGSINST, AO-FORSCHUNGSINSTITUT DAVOS filed Critical AO FORSCHUNGSINST
Publication of EP0675740A1 publication Critical patent/EP0675740A1/fr
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/04—Heat
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/04—Heat
    • A61L2/06—Hot gas

Definitions

  • This invention relates to a method of sterilization of polymeric materials devices using a heat treatment under dry, oxygen-free inert gas or under vacuum.
  • polymeric materials devices are produced from bioresorbable or biodegradable polymers.
  • Radiation sterilization requires doses in the range of 1.5 to 2.5 Mrad; it is claimed, however, that doses up to 6 Mrad may be necessary to destroy certain micro-organisms.
  • this sterilization method is "clean" and effective, it cannot be used with a number of polymers due to their molecular instability upon exposure to radiation. This is especially true with resorbable polymers, although some reports suggest that experimental resorbable internal fixation implants may maintain sufficient mechanical properties, even when degraded during gamma/beta sterilization, especially when they are used in areas of restricted load. However, these suggestions are not well documented and require verification.
  • ETO ethylene oxide
  • Ethylene oxide sterilization is carried out at temperatures in the range of 21° to 66°C and at a relative humidity of 30 to 60%. Effective gas concentrations are in the range of 400 to 1600 mg/L. ETO is used in its pure form or as 12/88% and/or 20/80% mixtures with carbon dioxide or freon respectively.
  • the drawbacks of ETO sterilization are related to the possibility of by-products formation in the sterilized material (ethylene diol and ethylene chlorohydrin) and to possible chemical reactions between the gas residues present in the sterilized material and tissue proteins. These drawbacks cause an increasing concern about the use of ETO which may eventually be prohibited for sterilization of medical devices.
  • US Patent No. 3 815 315 GLICK discloses e.g. such an ETO sterilization method.
  • the killing of bacterias in this known method is the result of the chemical reaction between the ETO gas and proteins.
  • the purpose of adding of inert gas during ETO sterilization - such as carbon dioxide or freon - is only to reduce the ETO concentration and in consequence enhance the removal of the toxic gas residues from the sterilized products. Therefore the method described by GLICK is not performed under inert gas but an active gas which is ETO.
  • GLICK uses anhydrous ETO in order to reduce the high amount of moisture present in the sterilization chamber in ordinary ETO sterilization technique, this amount is still very high, usually in the range of 1 to 5 to 15% relative humidity.
  • the GLICK method is carried out usually at low temperatures at which neither the bacteria nor the spores on the devices would be killed without the action of the toxic ETO.
  • the present invention is intended to avoid the drawbacks of both high-energy radiation sterilization and ethylene oxide sterilization used for polymeric medical/devices and especially bioresorbable medical materials/devices.
  • the heat-treatment technique of the invention allows for the release of stresses accumulated in the devices, e.g. during the production process, e.g. injection-moulding.
  • the polymeric devices in the sterilization chamber preferably are evacuated repeatedly under high vacuum, and after each evacuation period the chamber is flushed with dry/oxygen-free inert gas and then evacuated again.
  • oxygen-free means the exclusion of any form of oxygen either in the diatomic form or in any dissociated or associated form. e.g. ozone or ethylene oxide.
  • the heat-treatment of devices is finally carried out at the predetermined temperature for predetermined time under an inert gas atmosphere or under vacuum.
  • the dry-heat-treated materials/devices are then tested for sterility and possible changes in physical/mechanical properties. It has to be kept in mind that if there is a thermo-oxidative degradation during sterilization the molecular weight of a polymer may decrease. This in consequence might result in a drastic drop in mechanical properties and the loss of device functionality. In addition, there is the potential for increase in material crystallinity and the loss of the chain orientation which is introduced into devices during hot- and/or cold-drawing process. These may affect degradation and maintenance of mechanical properties of a device in vivo which are essential for an adequate performance of the device. In addition, if the temperature used for sterilization is too high, the device may undergo plastic deformation and hence, loose functionally which would exclude its use. On the other hand, if the temperature applied is too low and time used for sterilization too short the bacterial life will be not destroyed which would lead to the device-associated infection.
  • the method according to the invention can be used for sterilization of any polymeric material/device but it is particularly suitable for sterilization of resorbable polymers, providing that the melting temperature of a polymeric material/device to be sterilized is higher than 100°C and preferably higher than 150°C.
  • the additional advantage of the method according to the invention is related to the release of stress concentration in the polymeric medical devices which were produced by melt-processing, e.g. injection-moulding, compression-moulding, extrusion, or by solvent-processing, e.g. solution-casting.
  • melt-processing e.g. injection-moulding, compression-moulding, extrusion
  • solvent-processing e.g. solution-casting
  • the technique described in the present invention can be used with almost any synthetic and many natural polymers such as polya ide ⁇ , polyolefines, polyesters, polyethers, polyurethanes, polyether ketones, cellulosics, etc., it is especially suitable for sterilization of resorbable materials/devices from polymers such as polyhydroxyacids, polyorthoester ⁇ , polycarbonates, polyanhydrides, polyesteramides, etc.
  • the crystallinity and the melting temperature of the materials and devices heat-treated according may be increased up to 60% of the initial values as measured by standard methods, e.g. differential scanning colorimetry, density measurements, X-ray measurements, etc.
  • Crystallinity and melting temperature may alternatively be decreased by means of the release of stresses in the material or by decrease of the chain orientation (T m ) , or partial melting in the amorphous and crystalline domains which is not accompanied by recrystallization which leads to the formation of crystals of higher thermodynamic stability.
  • Fig. 1 is a schematic representation of a sterilization chamber which can be used for performing the method according to the invention.
  • Fig. 1 represents a typical sterilization chamber which can be used with the method of the invention.
  • Polymeric devices 1 to be sterilized are placed in a vacuum chamber 2.
  • the valve 3 is closed and the valve 4 opened allowing for evacuation of the system at temperatures in the range of 0° to 300°C under a vacuum in the range of 10 -1 to 10 -10 bar or better.
  • the valve 4 is closed and then the valve 3 is opened allowing for the flow of an inert gas into the chamber which replaces the gas in the chamber.
  • the valve 3 is closed and the chamber evacuated again. This procedure is repeated several times.
  • the temperature of the chamber 2 is increased to the predetermined treatment/sterilization temperature and the contents of the chamber 2 maintained at this temperature for the predetermined time necessary for killing the bacterial life on the surface and in the bulk of the polymeric device 1.
  • the duration of the dry-heat treatment of the polymeric materials/devices may be prolonged over the optimal period necessary for sterilization. This will increase the safety margin of the sterilized material/device. Typical time periods for the heat treatment are 15 minutes to 50 hours, and more typically between 1 and 5 hours.
  • Resorbable pins for fixation of osteochondral defects were produced from poly(L-lactide) by injection-moulding and packed in pouches.
  • the pins were placed in the sterilization/vacuum chamber of the apparatus according to Fig. 1 at room temperature and evacuated to a pressure of 10 -2 bar for 1 hour. Next the vacuum was reduced by filling the chamber with dry, oxygen-free argon and evacuated again under the same conditions.
  • Resorbable pins were produced from poly(L/D-lactide) and poly(L/DL-lactide) by injection-moulding and packed in pouches.
  • the pins were placed in the sterilization/vacuum chamber of the apparatus according to Fig. 1 at room temperature and evacuated under vacuum of 10 -2 bar for 1 hour.
  • the vacuum was reduced by filling the chamber with dry, oxygen-free argon and evacuated again under the same conditions. This procedure was repeated 3 times.
  • the third evacuation run was carried out at 70"C to enhance the gas mixing/evacuation process.
  • the chamber was evacuated to 2 x 10 -2 bar, the valves were closed and the temperature in the chamber was increased to 135°C.
  • the pins were maintained at this temperature for a period of time from 30 minutes to 50 hours and cooled down to room temperature.
  • Example III Resorbable pins made from poly(L-lactide) were dry heat treated under vacuum for 2 hours. They showed an increase in molecular weight from 250.000 to 310.000, improving the mechanical properties of the pins.
  • Resorbable pins produced from poly(L/DL-lactide) 70/30% were dry heat treated in an oxygen-free atmosphere for 5 hours; there was no change in molecular weight over the exposure period.
  • Resorbable pins produced from poly(L/DL-lactide) 50/50% with a molecular weight of 300.000 were dry heat treated in an oxygen-free atmosphere for 10 hours; there was a gradual decrease of molecular weight to 290.000 not affecting the mechanical functionality of the pins.

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)
  • Treatments Of Macromolecular Shaped Articles (AREA)

Abstract

Ce procédé de stérilisation de dispositifs médicaux en matériaux polymères consiste à soumettre ces derniers à un traitement thermique effectué dans une chambre, en une atmosphère sensiblement dépourvue d'humidité et d'oxygène, ce qui permet d'éviter une détérioration hydrolytique ou thermo-oxydante prononcée.
EP94930191A 1993-10-26 1994-10-19 Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene Ceased EP0675740A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US178723 1988-04-06
US17872393A 1993-10-26 1993-10-26
PCT/EP1994/003437 WO1995011706A1 (fr) 1993-10-26 1994-10-19 Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene

Publications (1)

Publication Number Publication Date
EP0675740A1 true EP0675740A1 (fr) 1995-10-11

Family

ID=22653686

Family Applications (1)

Application Number Title Priority Date Filing Date
EP94930191A Ceased EP0675740A1 (fr) 1993-10-26 1994-10-19 Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene

Country Status (4)

Country Link
EP (1) EP0675740A1 (fr)
JP (1) JPH08511979A (fr)
CA (1) CA2150551A1 (fr)
WO (1) WO1995011706A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102006022880B4 (de) 2006-05-15 2010-09-30 Kettenbach Gmbh & Co. Kg Mehrstufiges Verfahren zur Sterilisation von aushärtbaren, medizinischen Mehrkomponenten-Abformmaterialien

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1164856A (fr) * 1956-01-18 1958-10-15 Hoechst Ag Procédé de stérilisation de polyoléfines
US4259293A (en) * 1979-11-28 1981-03-31 American Dental Association Health Foundation Fluorochemical vapor autoclave
JPS57206447A (en) * 1981-06-12 1982-12-17 Terumo Corp Plastic container receiving liquid drug pasturized with high pressure steam and production thereof

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO9511706A1 *

Also Published As

Publication number Publication date
WO1995011706A1 (fr) 1995-05-04
JPH08511979A (ja) 1996-12-17
CA2150551A1 (fr) 1995-05-04

Similar Documents

Publication Publication Date Title
CA2162927C (fr) Implant medical polymerique non oxydant
Gogolewski et al. Effect of thermal treatment on sterility, molecular and mechanical properties of various polylactides: 2. Poly (l/d-lactide) and poly (l/dl-lactide)
US6184265B1 (en) Low temperature pressure stabilization of implant component
JP5024694B2 (ja) 放射線滅菌可能な医用材料及びその用途
US5123925A (en) Gamma irradiation of collagen/mineral mixtures
Gogolewski et al. The effect of thermal treatment on sterility, molecular and mechanical properties of various polylactides: I. Poly (L-lactide)
JPS63115561A (ja) ポリビニルアルコ−ルゲルのγ線滅菌法
Gogolewski et al. Bone regeneration in segmental defects with resorbable polymeric membranes: IV. Does the polymer chemical composition affect the healing process?
Gogolewski et al. Sterility, mechanical properties, and molecular stability of polylactide internal‐fixation devices treated with low‐temperature plasmas
CH667586A5 (de) Verfahren zum modifizieren einer chirurgischen vorrichtung, die dazu bestimmt ist, im koerper eine stuetz-, halterungs- oder verstaerkungsfunktion auszuueben.
EP0050215A1 (fr) Modification de l'acide polyglycolique pour obtenir des propriétés physiques "in vivo" variables
Kinoshita et al. Study on the efficacy of biodegradable polyf (l-lactide) mesh for supporting transplanted particulate cancellous bone and marrow: experiment involving subcutaneous implantation in dogs
WO1995011706A1 (fr) Procede de sterilisation de dispositifs en materiaux polymeres par traitement thermique dans une atmosphere a faible teneur en humidite et contenant un gaz inerte sec sensiblement depourvu d'oxygene
Younes et al. Biodegradable PELA block copolymers: in vitro degradation and tissue reaction
EP1171169B1 (fr) Cycle special pour la sterilisation avec l'oxyde d'ethylene
JP4448260B2 (ja) 骨組織再生誘導膜
Pietrzak Effects of ethylene oxide sterilization on 82: 18 PLLA/PGA copolymer craniofacial fixation plates
JPH0368365A (ja) 殺菌された物質
JP2001070434A (ja) プロテーゼ部品および製造方法
JP3639964B2 (ja) 歯周組織再生のための生体吸収性補綴材料
Koyama et al. Guided bone regeneration with novel bioabsorbable membranes

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 19950513

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): CH DE ES FR GB IT LI

RAP1 Party data changed (applicant data changed or rights of an application transferred)

Owner name: SYNTHES AG CHUR

17Q First examination report despatched

Effective date: 19980605

GRAG Despatch of communication of intention to grant

Free format text: ORIGINAL CODE: EPIDOS AGRA

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION HAS BEEN REFUSED

18R Application refused

Effective date: 19990916