Low temperature vaporized hydrogen peroxide sterilization of 3D printed devices.

IF 3.2 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 3D printing in medicine Pub Date : 2024-02-28 DOI:10.1186/s41205-024-00206-1
Randal Eveland, Kathleen Antloga, Ashley Meyer, Lori Tuscano
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Abstract

Background: Low temperature vaporized hydrogen peroxide sterilization (VH2O2) is used in hospitals today to sterilize reusable medical devices. VH2O2 sterilized 3D printed materials were evaluated for sterilization, biocompatibility and material compatibility.

Materials & methods: Test articles were printed at Formlabs with BioMed Clear™ and BioMed Amber™, and at Stratasys with MED610™, MED615™ and MED620™. Sterilization, biocompatibility and material compatibility studies with 3D printed materials were conducted after VH2O2 sterilization in V-PRO™ Sterilizers. The overkill method was used to evaluate sterilization in a ½ cycle. Biocompatibility testing evaluated the processed materials as limited contact (< 24-hours) surface or externally communicating devices. Material compatibility after VH2O2 sterilization (material strength and dimensionality) was evaluated via ASTM methods and dimensional analysis.

Results: 3D printed devices, within a specific design window, were sterile after VH2O2 ½ cycles. After multiple cycle exposure, the materials were not cytotoxic, not sensitizing, not an irritant, not a systemic toxin, not pyrogenic and were hemo-compatible. Material compatibility via ASTM testing and dimensionality evaluations did not indicate any significant changes to the 3D printed materials after VH2O2 sterilization.

Conclusion: Low temperature vaporized hydrogen peroxide sterilization is demonstrated as a suitable method to sterilize 3D printed devices. The results are a subset of the data used in a regulatory submission with the US FDA to support claims for sterilization of 3D printed devices with specified materials, printers, and device design 1.

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对 3D 打印设备进行低温汽化过氧化氢消毒。
背景:低温汽化过氧化氢灭菌(VH2O2)是目前医院用于可重复使用医疗器械灭菌的方法。对经过 VH2O2 消毒的 3D 打印材料进行了消毒、生物相容性和材料兼容性评估:测试物品在 Formlabs 使用 BioMed Clear™ 和 BioMed Amber™ 打印,在 Stratasys 使用 MED610™、MED615™ 和 MED620™ 打印。在 V-PRO™ 灭菌器中进行 VH2O2 灭菌后,对 3D 打印材料进行了灭菌、生物相容性和材料兼容性研究。过量杀菌法用于评估 1/2 周期的灭菌效果。生物相容性测试将处理过的材料评估为有限接触(结果:在特定的设计窗口内,3D 打印设备在 VH2O2 ½ 周期后是无菌的。多次循环接触后,材料无细胞毒性、无致敏性、无刺激性、无全身毒素、无热原,并且与血液兼容。通过 ASTM 测试和尺寸评估进行的材料兼容性测试表明,3D 打印材料在经过 VH2O2 消毒后没有发生任何明显变化:结论:低温汽化过氧化氢灭菌被证明是对 3D 打印设备进行灭菌的一种合适方法。这些结果是向美国食品及药物管理局(FDA)提交的监管文件中使用的数据的子集,以支持使用指定材料、打印机和设备设计 1 对 3D 打印设备进行消毒的声明。
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