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Chimene D, Queener KMK, Ko BS, McShane M, Daniele M. Insertable Biosensors: Combining Implanted Sensing Materials with Wearable Monitors. Annu Rev Biomed Eng 2024; 26:197-221. [PMID: 38346276 DOI: 10.1146/annurev-bioeng-110222-101045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2024]
Abstract
Insertable biosensor systems are medical diagnostic devices with two primary components: an implantable biosensor within the body and a wearable monitor that can remotely interrogate the biosensor from outside the body. Because the biosensor does not require a physical connection to the electronic monitor, insertable biosensor systems promise improved patient comfort, reduced inflammation and infection risk, and extended operational lifetimes relative to established percutaneous biosensor systems. However, the lack of physical connection also presents technical challenges that have necessitated new innovations in developing sensing chemistries, transduction methods, and communication modalities. In this review, we discuss the key developments that have made insertables a promising option for longitudinal biometric monitoring and highlight the essential needs and existing development challenges to realizing the next generation of insertables for extended-use diagnostic and prognostic devices.
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Affiliation(s)
- David Chimene
- Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA;
| | - Kirstie M K Queener
- Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, Raleigh, North Carolina, USA
| | - Brian S Ko
- Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA;
| | - Mike McShane
- Department of Biomedical Engineering, Texas A&M University, College Station, Texas, USA;
- Department of Materials Science and Engineering, Texas A&M University, College Station, Texas, USA
| | - Michael Daniele
- Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, Raleigh, North Carolina, USA
- Department of Electrical and Computer Engineering, North Carolina State University, Raleigh, North Carolina, USA;
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2
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Rowan NJ. Digital technologies to unlock safe and sustainable opportunities for medical device and healthcare sectors with a focus on the combined use of digital twin and extended reality applications: A review. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 926:171672. [PMID: 38485014 DOI: 10.1016/j.scitotenv.2024.171672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 03/09/2024] [Accepted: 03/10/2024] [Indexed: 03/26/2024]
Abstract
Medical devices have increased in complexity where there is a pressing need to consider design thinking and specialist training for manufacturers, healthcare and sterilization providers, and regulators. Appropriately addressing this consideration will positively inform end-to-end supply chain and logistics, production, processing, sterilization, safety, regulation, education, sustainability and circularity. There are significant opportunities to innovate and to develop appropriate digital tools to help unlock efficiencies in these important areas. This constitutes the first paper to create an awareness of and to define different digital technologies for informing and enabling medical device production from a holistic end-to-end life cycle perspective. It describes the added-value of using digital innovations to meet emerging opportunities for many disposable and reusable medical devices. It addresses the value of accessing and using integrated multi-actor HUBs that combine academia, industry, healthcare, regulators and society to help meet these opportunities. Such as cost-effective access to specialist pilot facilities and expertise that converges digital innovation, material science, biocompatibility, sterility assurance, business model and sustainability. It highlights the marked gap in academic R&D activities (PRISMA review of best publications conducted between January 2010 and January 2024) and the actual list of U.S. FDA's approved and marketed artificial intelligence/machine learning (AI/ML), and augmented reality/virtual reality (AR/VR) enabled-medical devices for different healthcare applications. Bespoke examples of benefits underlying future use of digital tools includes potential implementation of machine learning for supporting and enabling parametric release of sterilized products through efficient monitoring of critical process data (complying with ISO 11135:2014) that would benefit stakeholders. This paper also focuses on the transformative potential of combining digital twin with extended reality innovations to inform efficiencies in medical device design thinking, supply chain and training to inform patient safety, circularity and sustainability.
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Affiliation(s)
- Neil J Rowan
- Centre for Sustainable Disinfection and Sterilization, Technological University of the Shannon, Midlands Campus, Ireland; CURAM SFI Research Centre for Medical Devices, University of Galway, Ireland.
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3
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A Comparative Study of Cancer Cells Susceptibility to Silver Nanoparticles Produced by Electron Beam. Pharmaceutics 2023; 15:pharmaceutics15030962. [PMID: 36986823 PMCID: PMC10056419 DOI: 10.3390/pharmaceutics15030962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 03/10/2023] [Accepted: 03/13/2023] [Indexed: 03/19/2023] Open
Abstract
Introduction: Silver nanoparticles (AgNPs) have a wide range of bioactivity, which is highly dependent on particle size, shape, stabilizer, and production method. Here, we present the results of studies of AgNPs cytotoxic properties obtained by irradiation treatment of silver nitrate solution and various stabilizers by accelerating electron beam in a liquid medium. Methods: The results of studies of morphological characteristics of silver nanoparticles were obtained by transmission electron microscopy, UV-vis spectroscopy, and dynamic light scattering measurements. MTT test, alamar blue test, flow cytometry, and fluorescence microscopy were used to study the anti-cancer properties. As biological objects for standard tests, adhesive and suspension cell cultures of normal and tumor origin, including prostate cancer, ovarian cancer, breast cancer, colon cancer, neuroblastoma, and leukemia, were studied. Results: The results showed that the silver nanoparticles obtained by irradiation with polyvinylpyrrolidone and collagen hydrolysate are stable in solutions. Samples with different stabilizers were characterized by a wide average size distribution from 2 to 50 nm and low zeta potential from −7.3 to +12.4 mV. All AgNPs formulations showed a dose-dependent cytotoxic effect on tumor cells. It has been established that the particles obtained with the combination of polyvinylpyrrolidone/collagen hydrolysate have a relatively more pronounced cytotoxic effect in comparison to samples stabilized with only collagen or only polyvinylpyrrolidone. The minimum inhibitory concentrations for nanoparticles were less than 1 μg/mL for various types of tumor cells. It was found that neuroblastoma (SH-SY5Y) is the most susceptible, and ovarian cancer (SKOV-3) is the most resistant to the action of silver nanoparticles. The activity of the AgNPs formulation prepared with a mixture of PVP and PH studied in this work was higher that activity of other AgNPs formulations reported in the literature by about 50 times. Conclusions: The results indicate that the AgNPs formulations synthesized with an electron beam and stabilized with polyvinylpyrrolidone and protein hydrolysate deserve deep study for their further use in selective cancer treatment without harming healthy cells in the patient organism.
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Chernonosova VS, Kuzmin IE, Shundrina IK, Korobeynikov MV, Golyshev VM, Chelobanov BP, Laktionov PP. Effect of Sterilization Methods on Electrospun Scaffolds Produced from Blend of Polyurethane with Gelatin. J Funct Biomater 2023; 14:jfb14020070. [PMID: 36826869 PMCID: PMC9959520 DOI: 10.3390/jfb14020070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 01/24/2023] [Accepted: 01/26/2023] [Indexed: 01/31/2023] Open
Abstract
Fibrous polyurethane-based scaffolds have proven to be promising materials for the tissue engineering of implanted medical devices. Sterilization of such materials and medical devices is an absolutely essential step toward their medical application. In the presented work, we studied the effects of two sterilization methods (ethylene oxide treatment and electron beam irradiation) on the fibrous scaffolds produced from a polyurethane-gelatin blend. Scaffold structure and properties were studied by scanning electron microscopy (SEM), atomic force microscopy (AFM), infrared spectroscopy (FTIR), a stress-loading test, and a cell viability test with human fibroblasts. Treatment of fibrous polyurethane-based materials with ethylene oxide caused significant changes in their structure (formation of glued-like structures, increase in fiber diameter, and decrease in pore size) and mechanical properties (20% growth of the tensile strength, 30% decline of the maximal elongation). All sterilization procedures did not induce any cytotoxic effects or impede the biocompatibility of scaffolds. The obtained data determined electron beam irradiation to be a recommended sterilization method for electrospun medical devices made from polyurethane-gelatin blends.
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Affiliation(s)
- Vera S. Chernonosova
- Institute of Chemical Biology and Fundamental Medicine, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
- Correspondence: (V.S.C.); (P.P.L.); Tel.: +7-(383)-363-51-44 (V.S.C. & P.P.L.)
| | - Ilya E. Kuzmin
- Institute of Chemical Biology and Fundamental Medicine, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
| | - Inna K. Shundrina
- Vorozhtsov Novosibirsk Institute of Organic Chemistry, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
| | - Mikhail V. Korobeynikov
- Budker Institute of Nuclear Physics, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
| | - Victor M. Golyshev
- Institute of Chemical Biology and Fundamental Medicine, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
| | - Boris P. Chelobanov
- Institute of Chemical Biology and Fundamental Medicine, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
| | - Pavel P. Laktionov
- Institute of Chemical Biology and Fundamental Medicine, Siberian Branch, Russian Academy of Sciences, 630090 Novosibirsk, Russia
- Correspondence: (V.S.C.); (P.P.L.); Tel.: +7-(383)-363-51-44 (V.S.C. & P.P.L.)
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Clarizia G, Bernardo P. Polyether Block Amide as Host Matrix for Nanocomposite Membranes Applied to Different Sensitive Fields. MEMBRANES 2022; 12:1096. [PMID: 36363651 PMCID: PMC9693152 DOI: 10.3390/membranes12111096] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 10/26/2022] [Accepted: 10/27/2022] [Indexed: 05/31/2023]
Abstract
The cornerstones of sustainable development require the treatment of wastes or contaminated streams allowing the separation and recycling of useful substances by a more rational use of energy sources. Separation technologies play a prominent role, especially when conducted by inherently environmentally friendly systems such as membrane operations. However, high-performance materials are more and more needed to improve the separative performance of polymeric materials nanocomposites are ideally suited to develop advanced membranes by combining organic polymers with suitable fillers having superior properties. In this area, polyether block amide copolymers (Pebax) are increasingly adopted as host matrices due to their distinctive properties in terms of being lightweight and easy to process, having good resistance to most chemicals, flexibility and high strength. In this light, the present review seeks to provide a comprehensive examination of the progress in the development of Pebax-based nanocomposite films for their application in several sensitive fields, that are challenging and at the same time attractive, including olefin/paraffin separation, pervaporation, water treatment, flexible films for electronics, electromagnetic shielding, antimicrobial surfaces, wound dressing and self-venting packaging. It covers a wide range of materials used as fillers and analyzes the properties of the derived nanocomposites and their performance. The general principles from the choice of the material to the approaches for the heterogeneous phase compatibilization as well as for the performance improvement were also surveyed. From a detailed analysis of the current studies, the most effective strategies to overcome some intrinsic limitations of these nanocomposites are highlighted, providing guidelines for the correlated research.
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Affiliation(s)
| | - Paola Bernardo
- Institute on Membrane Technology (ITM-CNR), via P. Bucci 17/C, 87036 Rende, CS, Italy
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Abstract
In conventional classification, soft robots feature mechanical compliance as the main distinguishing factor from traditional robots made of rigid materials. Recent advances in functional soft materials have facilitated the emergence of a new class of soft robots capable of tether-free actuation in response to external stimuli such as heat, light, solvent, or electric or magnetic field. Among the various types of stimuli-responsive materials, magnetic soft materials have shown remarkable progress in their design and fabrication, leading to the development of magnetic soft robots with unique advantages and potential for many important applications. However, the field of magnetic soft robots is still in its infancy and requires further advancements in terms of design principles, fabrication methods, control mechanisms, and sensing modalities. Successful future development of magnetic soft robots would require a comprehensive understanding of the fundamental principle of magnetic actuation, as well as the physical properties and behavior of magnetic soft materials. In this review, we discuss recent progress in the design and fabrication, modeling and simulation, and actuation and control of magnetic soft materials and robots. We then give a set of design guidelines for optimal actuation performance of magnetic soft materials. Lastly, we summarize potential biomedical applications of magnetic soft robots and provide our perspectives on next-generation magnetic soft robots.
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Affiliation(s)
- Yoonho Kim
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| | - Xuanhe Zhao
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
- Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
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Ng HM, Bee ST, Sin LT, Ratnam CT. Optimization study on properties of poly (lactic acid) (PLA) composites filled with Scomberomorus guttatus-derived hydroxyapatite and montmorillonite (MMT) under electron beam irradiation. Polym Bull (Berl) 2021. [DOI: 10.1007/s00289-021-03892-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Chung Y, Park D, Kim H, Kim Y, Kang S. The impact of gamma-irradiation from radioactive liquid wastewater on polymeric structures of nanofiltration (NF) membranes. JOURNAL OF HAZARDOUS MATERIALS 2021; 403:123578. [PMID: 33264849 DOI: 10.1016/j.jhazmat.2020.123578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 07/02/2020] [Accepted: 07/23/2020] [Indexed: 06/12/2023]
Abstract
In this study, the impacts of gamma-irradiation from the low- and intermediate-level liquid radioactive wastewaters (LILW) to polyamide (PA) structures of nanofiltration (NF) membranes were investigated. As the gamma-irradiation increased to 300 kGy in the aqueous solution at 5 bar, both the salt rejection and the water permeability of NF membranes were decreased from 95.6 ± 0.1%-74.6 ± 0.5%, and from 33.7 ± 0.3 LMH to 21.4 ± 0.5 LMH, respectively. The surface free energy and Young's modulus of the membrane indicated the decrease in hydrophilicity and the increase in fragility of PA structure after gamma-irradiation. X-ray photoelectron spectroscopy and the streaming potential analysis exhibited that the gamma-irradiation resulted the increase in the cross-linked portion of the amide bonding from 28% to 45% due to the gamma-induced new bonding between unbound carboxylic groups and amine groups. Nuclear magnetic resonance analysis confirmed that the poly(p-phenylene) in polyamide structure were changed to poly(cyclohexane) and poly(cyclohexene) by hydrogen radical disproportionation generated from the gamma-irradiated water, and it is responsible to the increase of the cross-linked PA structures. The decrease in salt rejection and water permeability is attributed to the aging of PA structures by gamma-irradiation, thus, should be carefully monitored during the treatment of LILW using NF membrane processes.
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Affiliation(s)
- Youngkun Chung
- Dept. of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Republic of Korea
| | - Daeseon Park
- Dept. of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Republic of Korea
| | - Hyojeon Kim
- Dept. of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Republic of Korea
| | - Yuri Kim
- EB-TECH Co., Ltd., 170-9 Techno 2-ro, Yuseong-gu, Daejeon 34028, Republic of Korea
| | - Seoktae Kang
- Dept. of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Republic of Korea.
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Neelmani, Suematsu H, Sarathi R. Understanding the surface condition of gamma irradiated epoxy alumina nanocomposites adopting wavelets and fractal technique. NANO EXPRESS 2020. [DOI: 10.1088/2632-959x/abbbc9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract
The influence of alumina nanofiller and gamma irradiation on the surface potential variation of epoxy-alumina nanocomposites was investigated. The surface potential decay rate of nanocomposites has increased and the trap depth decreased with alumina nanoparticles addition to the matrix as well as upon exposure to gamma irradiation, Surface roughness was estimated using the wavelets and fractal technique. Daubechies wavelet of order 4 (db4) wavelet was chosen as the most suitable mother wavelet for surface roughness measurement. Multi resolution signal decomposition (MRSD) analysis of surface profile has revealed that with increasing wt% of alumina nanofiller in the nanocomposites, reduction in surface roughness of nanocomposites was observed. Upon gamma irradiation, the surface roughness factor at each level of MRSD has increased marginally. Fractal dimension and lacunarity were calculated for unaged and gamma ray irradiated samples and it exhibits inverse correlation.
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10
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Mishra P, Gautam R, Vinu R, Sarathi R. Understanding the water droplet initiated discharges on gamma irradiated silicone rubber insulation. POLYM ENG SCI 2018. [DOI: 10.1002/pen.24887] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Palash Mishra
- Department of Electrical Engineering; Indian Institute of Technology Madras; Chennai 600 036 India
| | - Ribhu Gautam
- Department of Chemical Engineering; Indian Institute of Technology Madras; Chennai 600 036 India
| | - Ravikrishnan Vinu
- Department of Chemical Engineering; Indian Institute of Technology Madras; Chennai 600 036 India
| | - Ramanujam Sarathi
- Department of Electrical Engineering; Indian Institute of Technology Madras; Chennai 600 036 India
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11
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Ortega A, Meléndez-Ortiz HI, García-Uriostegui L, Ávila-Soria G. Drug delivery system based on poly(ether-block-amide) and acrylic acid for controlled release of vancomycin. J Appl Polym Sci 2018. [DOI: 10.1002/app.45745] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Alejandra Ortega
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Circuito Exterior s/n, Ciudad Universitaria; Ciudad de México 04510 México
| | - H. Iván Meléndez-Ortiz
- CONACyT-Centro de Investigaciones en Química Aplicada, Blvd. Enrique Reyna Hermosillo #140; Saltillo Coahuila 25294 México
| | | | - Griselda Ávila-Soria
- Laboratory of Ecological Evolutionary Developmental Biology, Reef System Unit, Institute of Marine Sciences and Limnology (ICML) of the National Autonomous University of Mexico (UNAM); Puerto Morelos, Quintana Roo, C.P 77580 México
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Manas D, Mizera A, Manas M, Ovsik M, Hylova L, Sehnalek S, Stoklasek P. Mechanical Properties Changes of Irradiated Thermoplastic Elastomer. Polymers (Basel) 2018; 10:polym10010087. [PMID: 30966122 PMCID: PMC6414865 DOI: 10.3390/polym10010087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2017] [Revised: 01/12/2018] [Accepted: 01/15/2018] [Indexed: 11/16/2022] Open
Abstract
Some polymers need a cross-linking agent for the controlled cross-linking process of polymers with a tendency to degradation during the radiation cross-linking process. While, on the other hand, other polymers do not need a cross-linking agent—predominantly there are cross-linking polymers. The Thermo-Plastic Elastomer (TPE) that was used belongs to this group of predominantly cross-linking polymers; however, this agent is added because of faster reaction times and smaller irradiation doses. Microindentation–tensile and tensile impact tests were carried out on a thermoplastic sample—with, and without, a cross-linking agent. Small changes were measured between these materials at low radiation doses, (up to 66 kGy); nevertheless, at higher doses, the influence of the cross-linking agent on the mechanical properties is significant.
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Affiliation(s)
- David Manas
- CEBIA-Tech, Faculty of Applied Informatics, Tomas Bata University in Zlin, Nad Stranemi 4511, 760 05 Zlín, Czech Republic.
- Faculty of Technology, Tomas Bata University in Zlin, Vavreckova 275, 760 01 Zlín, Czech Republic.
| | - Ales Mizera
- CEBIA-Tech, Faculty of Applied Informatics, Tomas Bata University in Zlin, Nad Stranemi 4511, 760 05 Zlín, Czech Republic.
| | - Miroslav Manas
- CEBIA-Tech, Faculty of Applied Informatics, Tomas Bata University in Zlin, Nad Stranemi 4511, 760 05 Zlín, Czech Republic.
| | - Martin Ovsik
- Faculty of Technology, Tomas Bata University in Zlin, Vavreckova 275, 760 01 Zlín, Czech Republic.
| | - Lenka Hylova
- Faculty of Technology, Tomas Bata University in Zlin, Vavreckova 275, 760 01 Zlín, Czech Republic.
| | - Stanislav Sehnalek
- CEBIA-Tech, Faculty of Applied Informatics, Tomas Bata University in Zlin, Nad Stranemi 4511, 760 05 Zlín, Czech Republic.
| | - Pavel Stoklasek
- CEBIA-Tech, Faculty of Applied Informatics, Tomas Bata University in Zlin, Nad Stranemi 4511, 760 05 Zlín, Czech Republic.
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Drug-eluting silicone hydrogel for therapeutic contact lenses: Impact of sterilization methods on the system performance. Colloids Surf B Biointerfaces 2018; 161:537-546. [DOI: 10.1016/j.colsurfb.2017.11.021] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 10/17/2017] [Accepted: 11/07/2017] [Indexed: 01/03/2023]
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14
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Galante R, Pinto TJA, Colaço R, Serro AP. Sterilization of hydrogels for biomedical applications: A review. J Biomed Mater Res B Appl Biomater 2017; 106:2472-2492. [PMID: 29247599 DOI: 10.1002/jbm.b.34048] [Citation(s) in RCA: 84] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Revised: 11/04/2017] [Accepted: 11/12/2017] [Indexed: 12/19/2022]
Abstract
Despite the beneficial properties and outstanding potential of hydrogels for biomedical applications, several unmet challenges must be overcome, especially regarding to their known sensitivity to conventional sterilization methods. It is crucial for any biomaterial to withstand an efficient sterilization to obtain approval from regulatory organizations and to safely proceed to clinical trials. Sterility assurance minimizes the incidence of medical device-related infections, which still constitute a major concern in health care. In this review, we provide a detailed and comprehensive description of the published work from the past decade regarding the effects of sterilization on different types of hydrogels for biomedical applications. Advances in hydrogel production methods with simultaneous sterilization are also reported. Terminal sterilization methods can induce negative or positive effects on several material properties (e.g., aspect, size, color, chemical structure, mechanical integrity, and biocompatibility). Due to the complexity of factors involved (e.g., material properties, drug stability, sterilization conditions, and parameters), it is important to note the virtual impossibility of predicting the outcome of sterilization methods to determine a set of universal rules. Each system requires case-by-case testing to select the most suitable, effective method that allows for the main properties to remain unaltered. The impact of sterilization methods on the intrinsic properties of these systems is understudied, and further research is needed. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2472-2492, 2018.
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Affiliation(s)
- Raquel Galante
- Departamento de Farmácia, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, Butantã, São Paulo, Brazil.,Centro de Química Estrutural, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal
| | - Terezinha J A Pinto
- Departamento de Farmácia, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, Butantã, São Paulo, Brazil
| | - Rogério Colaço
- Centro de Química Estrutural, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.,Departamento de Engenharia Mecânica and IDMEC, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal
| | - Ana Paula Serro
- Centro de Química Estrutural, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.,Centro de Investigação Interdisciplinar Egas Moniz, Instituto Superior de Ciências da Saúde Egas Moniz, Quinta da Granja, Monte de Caparica, Caparica, Portugal
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15
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Scognamiglio F, Blanchy M, Borgogna M, Travan A, Donati I, Bosmans J, Foulc M, Bouvy N, Paoletti S, Marsich E. Effects of supercritical carbon dioxide sterilization on polysaccharidic membranes for surgical applications. Carbohydr Polym 2017; 173:482-488. [DOI: 10.1016/j.carbpol.2017.06.030] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 04/21/2017] [Accepted: 06/07/2017] [Indexed: 01/01/2023]
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16
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Murray KA, Collins MN, O'Sullivan RP, Ren G, Devine DM, Murphy A, Sadło J, O'Sullivan C, McEvoy B, Vrain O, O'Neill C, Insley G. Influence of gamma and electron beam sterilization on the stability of a premixed injectable calcium phosphate cement for trauma indications. J Mech Behav Biomed Mater 2017; 77:116-124. [PMID: 28898722 DOI: 10.1016/j.jmbbm.2017.09.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 08/31/2017] [Accepted: 09/03/2017] [Indexed: 11/29/2022]
Abstract
Premixed calcium phosphate cements (CPC's) are becoming the material of choice for injectable cements as a result of their effective delivery to the target implantation site. For orthopaedic use, it is of vital importance that the attributes of these CPC's are not compromised by irradiation sterilization. Therefore, the aim of this study is to determine the influence of irradiation sterilization on a range of premixed CPC's, with an emphasis on improving product shelf life through the use of optimal packaging configurations and annealing steps. Electron spin resonance (ESR) confirmed the presence of free radicals in the inorganic phase of the CPC paste following irradiation. The inclusion of a 24-h annealing step was the only successful method in reducing the degree of free radical formation. Based on the results of injectability force testing, it was revealed that an annealing step greater than 24-h significantly altered the viscosity, however; at 24-h the key attributes of the CPC paste were minimally effected. Overall, it was established that vacuum packing the CPC paste, placing the contents into a foil pouch, gamma irradiating at the minimal dose required and using an annealing step of ≤ 24-h, has the potential to extend the shelf life of the cement.
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Affiliation(s)
- Kieran A Murray
- CelgenTek Limited (part of the Zimmer Biomet group), Unit 4D, Western Business Park, Shannon, Co. Clare, Ireland.
| | - Maurice N Collins
- Stokes Laboratories, Bernal Institute, University of Limerick, Ireland.
| | | | - Guang Ren
- Stokes Laboratories, Bernal Institute, University of Limerick, Ireland.
| | - Declan M Devine
- Materials Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland.
| | - Alan Murphy
- Materials Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland.
| | - Jarosław Sadło
- Institute of Nuclear Chemistry and Technology, Dorodna 16, 03-195 Warsaw, Poland.
| | - Carol O'Sullivan
- CelgenTek Limited (part of the Zimmer Biomet group), Unit 4D, Western Business Park, Shannon, Co. Clare, Ireland.
| | - Brian McEvoy
- STERIS Applied Sterilization Technologies, IDA Business & Technology Park, Tullamore, Co. Offaly, Ireland.
| | - Olivier Vrain
- STERIS Applied Sterilization Technologies, IDA Business & Technology Park, Tullamore, Co. Offaly, Ireland.
| | - Cathriona O'Neill
- Bemis Healthcare Packaging, Kilbeggan Road, Clara, Co. Offaly, Ireland.
| | - Gerard Insley
- CelgenTek Limited (part of the Zimmer Biomet group), Unit 4D, Western Business Park, Shannon, Co. Clare, Ireland.
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17
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Effect of poly(styrene-co-maleic anhydride) on physical properties and crystalline behavior of nylon-6/PEBA blends. JOURNAL OF POLYMER RESEARCH 2017. [DOI: 10.1007/s10965-017-1201-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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18
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Wang H, Xu L, Li R, Hu J, Wang M, Wu G. Improving the creep resistance and tensile property of UHMWPE sheet by radiation cross-linking and annealing. Radiat Phys Chem Oxf Engl 1993 2016. [DOI: 10.1016/j.radphyschem.2016.03.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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19
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Effect of Electron Beam Treatment in Air on Surface Properties of Ultra-High-Molecular-Weight Polyethylene. J Med Biol Eng 2016. [DOI: 10.1007/s40846-016-0135-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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20
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Tan HL, Tan LS, Wong YY, Muniyandy S, Hashim K, Pushpamalar J. Dual crosslinked carboxymethyl sago pulp/pectin hydrogel beads as potential carrier for colon-targeted drug delivery. J Appl Polym Sci 2016. [DOI: 10.1002/app.43416] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Hui Li Tan
- School of Science; Monash University Malaysia, Jalan Lagoon Selatan; Petaling Jaya Selangor Darul Ehsan Malaysia
| | - Li Shan Tan
- School of Science; Monash University Malaysia, Jalan Lagoon Selatan; Petaling Jaya Selangor Darul Ehsan Malaysia
| | - Yeon Yin Wong
- School of Science; Monash University Malaysia, Jalan Lagoon Selatan; Petaling Jaya Selangor Darul Ehsan Malaysia
| | - Saravanan Muniyandy
- School of Pharmacy; Monash University Malaysia, Jalan Lagoon Selatan; Petaling Jaya Selangor Darul Ehsan Malaysia
| | - Kamaruddin Hashim
- Malaysian Nuclear Agency; Radiation Modification of Polymer Group, Radiation Processing Technology Division; Selangor Darul Ehsan 43000 Malaysia
| | - Janarthanan Pushpamalar
- School of Science; Monash University Malaysia, Jalan Lagoon Selatan; Petaling Jaya Selangor Darul Ehsan Malaysia
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21
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Improved Sterilization of Sensitive Biomaterials with Supercritical Carbon Dioxide at Low Temperature. PLoS One 2015; 10:e0129205. [PMID: 26067982 PMCID: PMC4466598 DOI: 10.1371/journal.pone.0129205] [Citation(s) in RCA: 78] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2015] [Accepted: 05/06/2015] [Indexed: 11/19/2022] Open
Abstract
The development of bio-resorbable implant materials is rapidly going on. Sterilization of those materials is inevitable to assure the hygienic requirements for critical medical devices according to the medical device directive (MDD, 93/42/EG). Biopolymer-containing biomaterials are often highly sensitive towards classical sterilization procedures like steam, ethylene oxide treatment or gamma irradiation. Supercritical CO2 (scCO2) treatment is a promising strategy for the terminal sterilization of sensitive biomaterials at low temperature. In combination with low amounts of additives scCO2 treatment effectively inactivates microorganisms including bacterial spores. We established a scCO2 sterilization procedure under addition of 0.25% water, 0.15% hydrogen peroxide and 0.5% acetic anhydride. The procedure was successfully tested for the inactivation of a wide panel of microorganisms including endospores of different bacterial species, vegetative cells of gram positive and negative bacteria including mycobacteria, fungi including yeast, and bacteriophages. For robust testing of the sterilization effect with regard to later application of implant materials sterilization all microorganisms were embedded in alginate/agarose cylinders that were used as Process Challenge Devices (PCD). These PCD served as surrogate models for bioresorbable 3D scaffolds. Furthermore, the impact of scCO2 sterilization on mechanical properties of polysaccharide-based hydrogels and collagen-based scaffolds was analyzed. The procedure was shown to be less compromising on mechanical and rheological properties compared to established low-temperature sterilization methods like gamma irradiation and ethylene oxide exposure as well as conventional steam sterilization. Cytocompatibility of alginate gels and scaffolds from mineralized collagen was compared after sterilization with ethylene oxide, gamma irradiation, steam sterilization and scCO2 treatment. Human mesenchymal stem cell viability and proliferation were not compromised by scCO2 treatment of these materials and scaffolds. We conclude that scCO2 sterilization under addition of water, hydrogen peroxide and acetic anhydride is a very effective, gentle, non-cytotoxic and thus a promising alternative sterilization method especially for biomaterials.
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22
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Effects of electron beam irradiation on the property behaviour of poly(ether-block-amide) blended with various stabilisers. Radiat Phys Chem Oxf Engl 1993 2015. [DOI: 10.1016/j.radphyschem.2015.01.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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23
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Gupta SK, Singh P, Kumar R, Kumar S. Gamma Radiation Induced Modifications on Physicochemical Properties of Makrofol (KG and N) Polycarbonate. ADVANCES IN POLYMER TECHNOLOGY 2015. [DOI: 10.1002/adv.21510] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Sanjeev Kumar Gupta
- University School of Basic and Applied Sciences, Guru Gobind Singh Indraprastha University; New Delhi 110 078 India
| | - Paramjit Singh
- University School of Basic and Applied Sciences, Guru Gobind Singh Indraprastha University; New Delhi 110 078 India
| | - Rajesh Kumar
- University School of Basic and Applied Sciences, Guru Gobind Singh Indraprastha University; New Delhi 110 078 India
| | - Satyendra Kumar
- Department of AS and HU; ABES Engineering College; Ghaziabad 201 009 India
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24
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Murray KA, Kennedy JE, McEvoy B, Vrain O, Ryan D, Cowman R, Higginbotham CL. Effects of temperature, packaging and electron beam irradiation processing conditions on the property behaviour of Poly (ether-block-amide) blends. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2014; 39:380-94. [PMID: 24863239 DOI: 10.1016/j.msec.2014.03.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Revised: 02/06/2014] [Accepted: 03/07/2014] [Indexed: 10/25/2022]
Abstract
The radiation stability of Poly (ether-block-amide) (PEBA) blended with a multifunctional phenolic antioxidant and a hindered amide light stabiliser was examined under various temperatures, packaging and electron beam processing conditions. FTIR revealed that there were slight alterations to the PEBA before irradiation; however, these became more pronounced following irradiation. The effect of varying the temperature, packaging and processing conditions on the resultant PEBA properties was apparent. For example, rheology demonstrated that the structural properties could be enhanced by manipulating the aforementioned criteria. Mechanical testing exhibited less radiation resistance when the PEBA samples were vacuum packed and exposed to irradiation. MFI and AFM confirmed that the melting strength and surface topography could be reduced/increased depending on the conditions employed. From this study it was concluded that virgin PEBA submerged in dry ice with non-vacuum packaging during the irradiation process, provided excellent radiation resistance (20.9% improvement) in contrast to the traditional method.
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Affiliation(s)
- Kieran A Murray
- Materials Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland.
| | - James E Kennedy
- Materials Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland.
| | - Brian McEvoy
- Synergy Health, IDA Business & Technology Park, Sragh, Tullamore, Co. Offaly, Ireland.
| | - Olivier Vrain
- Synergy Health, IDA Business & Technology Park, Sragh, Tullamore, Co. Offaly, Ireland.
| | - Damien Ryan
- Synergy Health, IDA Business & Technology Park, Sragh, Tullamore, Co. Offaly, Ireland.
| | - Richard Cowman
- Synergy Health, IDA Business & Technology Park, Sragh, Tullamore, Co. Offaly, Ireland.
| | - Clement L Higginbotham
- Materials Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland.
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25
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The influence of electron beam irradiation on the mechanical and thermal properties of Poly (ether-block-amide) blends. Radiat Phys Chem Oxf Engl 1993 2014. [DOI: 10.1016/j.radphyschem.2013.04.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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26
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The influence of electron beam irradiation conducted in air on the thermal, chemical, structural and surface properties of medical grade polyurethane. Eur Polym J 2013. [DOI: 10.1016/j.eurpolymj.2013.03.034] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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