Medical apparatus and method for sterilizing medical apparatus

a medical kit and sterilisation technology, applied in the field of sterilising medical kits or utensils, can solve the problems of difficult to predict specifically what types of medical devices and/or medicaments to use, difficult situation, and not being able to fill pre-filled syringes, so as to prevent any bacterial contamination and facilitate sterilization

Inactive Publication Date: 2020-08-06
BEE SIGHT LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0023]Through the use of the process of the present invention, it is possible to assemble an apparatus, comprising a pre-filled syringe, which can be conveniently sterilized in a sterilization step regardless of the material from which the pre-filled syringe is formed or the contents of the pre-filled syringe. There is further provided a measure preventing any bacterial contamination and ensuring delivery of sensitive medical materials in highly sterile conditions. This level of sterilisation is a growing requirement in the modern world of medicine dealing with highly specific drugs and difficult to eradicate bacterial conditions.

Problems solved by technology

In some situations, it may be difficult to predict specifically what types of medical device(s) and / or medicaments will be required at the outset of a medical procedure.
While those skilled in the art will be familiar with methods for sterilising pre-filled syringes, the situation becomes more challenging when the pre-filled syringe is provided as part of a medical kit.
While the sterilisation of certain components conventionally employed in medical kits may not be problematic owing to their ability to withstand harsh sterilisation conditions, the same may not be true for pre-filled syringes either as a result of the material from which the syringe body or various parts of the syringe are formed, or because of the sensitivity of the product contained within the syringe.
In many cases, products formed of woven or textile materials (e.g., gauzes, bandages) cannot be sterilised using such techniques without those products being damaged.
For example, cellulose based materials are not compatible with NO2 sterilization and require protecting separately.
However, there are also products and devices for which many of these sterilisation approaches will be inappropriate.
While this sterilisation approach is capable of being used in connection with products and devices that are heat, moisture and irradiation-sensitive, problems may arise when pre-filled syringes are sterilised with ethylene oxide.
The principal concern regarding the use of ethylene oxide sterilisation with pre-filled syringes relates to the ingress of the ethylene oxide into the pre-filled syringe which can contaminate the product within the syringe and lead to unacceptable levels of residual contaminants in that product, especially in the case of products intended for neo-natal and pediatric populations.
The concerns regarding the ingress of ethylene oxide into the syringe are especially acute for pre-filled syringes constructed from plastic materials, such as polypropylene, owing to possible leaching of ethylene oxide through the syringe body and contamination of the contents.
Once inside, the gas is difficult to dissipate quickly.
The interaction of ethylene oxide gas and iodine-containing solutions is that it can result in the formation of additional toxic residues.
Accordingly, for those engaged in providing medical kits and for those who have invested in the costly devices needed to employ ethylene oxide sterilisation, it is not possible (or not possible without serious risks) to sterilise kits comprising pre-filled syringes in a single sterilisation operation.
Packaging the kit in this way is labor intensive and also risks damage to the externally provided pre-filled syringe during storage and transport of the kit.
However, those skilled in the art will recognize that the approach disclosed in WO2005 / 073091 does not fully address the problem of the ingress and retention of potentially toxic residual sterilizing gas (or contaminants thereof) as such material could remain present within the container and indeed would be trapped therein upon removal of the gas permeable portion of that container.
Further, one skilled in the art will also recognize that the construction of the container will be challenging, resulting in either an increase in the complexity of the manufacture of the container, or (if sourced from a third party supplier) an increase in the cost of each sterilization cycle.

Method used

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  • Medical apparatus and method for sterilizing medical apparatus
  • Medical apparatus and method for sterilizing medical apparatus
  • Medical apparatus and method for sterilizing medical apparatus

Examples

Experimental program
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example 1

[0097]A syringe having a polypropylene body was filled with 20 ml sterile 0.9% saline solution compliant with the US Pharmacoepia. The syringe was then packaged in a protective container (glass vial) together with an ethylene oxide (ETO) detector strip (which is red at the start and turns green on exposure to ETO). The vial was then stoppered tightly with a rubber stopper and a ring pull over holder. There existed a tight fit of the stopper without defects so that the ETO sterilant will not ingress.

[0098]As a supplementary barrier, an optional aluminum foil was applied over the stopper of the vial and also over the crevice at the boundary of the cap and the vial. The foil was tightly wrapped around the protective container and was additionally provided with adhesive to ensure an intimate and durable connection with the protective container.

[0099]A kit comprising the protective container was then assembled and packaged in a surgical wrap material comprising two layers of SMS bonded t...

example 2

[0112]The following are examples of steps to prepare kits for an end user.

Embodiment AEmbodiment BEmbodiment CEmbodiment DSyringe (“syr”)Syringe exposed toSyringe exposed toSyringe exposed toexposed toETO as SecondaryETO as TertiaryETO as TertiaryPrimary(Final) Sterilization(Final) Sterilization(Final) SterilizationSterilization cycleStepStepSteponlyNS PP Syr + NS TipNS PP Syr + NS TipNS PP Syr + NS TipPrefilled flushCap + Sterile 0.9%Cap + Sterile 0.9%Cap + Sterile 0.9%syringe from marketSod Chloride USPSod Chloride USPSod Chloride USPFill Fill Fill (May be, forinto PP Syr viainto PP Syr viainto PP Syr viaexample, sterilizedpump-->push salinepump-->push saline intopump-->push salinevia irradiation,into syr; Pullsyr; Pull force-->pullinto syr; Pullsteam, autoclave orforce-->pull plungerplunger up to suckforce-->pull plungerdry / moist heat orup to suck saline in;saline inup to suck saline inother means)Overwrap syrPlace Syr in containerOverwrap syr w / dustw / dust cover or in(metal or gl...

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Abstract

According to embodiments, there is provided a medical apparatus including one or more sterile pre-filled syringe, one or more first protective container including the one or more sterile pre-filled syringe, wherein the first protective container may be completely or partially filled with an inert or non-inert gas, wherein the one or more first protective container is impermeable to moisture and / or sterilizing agents, and a second protective container including one or more medical components and the one or more first protective container, wherein the second protective container may be, but is not necessarily, completely or partially filled with an inert or non-inert gas. In some aspects, a package mostly impermeable to bacteria including the first and second protective containers is also completely or partially filled with an inert or non-inert gas.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]The present application relies on the disclosures of and claims priority to and the benefit of the filing dates of U.S. Provisional Application No. 62 / 454,651, filed Feb. 3, 2017, and U.S. patent application Ser. No. 15 / 888,020, filed Feb. 3, 2018. The disclosures of those applications are hereby incorporated by reference herein in their entireties.BACKGROUND OF THE INVENTIONField of the Invention[0002]The present invention discloses a method for sterilising medical kits or apparatus, including pre-filled syringes, and also the contents of novel, sterilized medical kits comprising, in part, pre-filled syringes.Description of Related Art[0003]In medical interventions or procedures, one or more medical devices, pharmaceutical products and / or other apparatus are typically used. Depending on the medical procedure being performed, different products and devices will be employed. In some situations, it may be difficult to predict specifically w...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61M5/00B65B55/10B65B55/08B65B55/06A61M25/00A61L2/20A61L2/08A61B17/3215A61B17/06A61L2/07
CPCB65B55/10A61B17/06114A61B17/3215A61M5/002A61L2/208A61L2202/182A61L2202/181A61L2202/23A61L2/081A61B50/30A61L2/08B65B55/12A61L2/206A61M25/002B65B55/04A61M2205/0205B65B55/06B65B55/08A61L2/07A61L2/202A61M5/001
Inventor PATEL, TIMIRPATEL, HARISH
Owner BEE SIGHT LTD
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