Sterilisation Q&A
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Is it possible to sterilise disposable medical devices containing a primary battery (a lithium or silver oxide cell, for example) using ethylene oxide? Are there any experiences or design requirements that must be considered?Answered August 4th, 2009 by Expert:Ethylene oxide sterilisation is not recommended for medical devices that contain any form of stored energy (i.e., electrical, chemical, pressurised gas) because this energy may be a potential source of ignition.
In extreme cases, however, where no other method is available to sterilise medical devices that contain batteries, EtO has been used. In my view, to achieve the absolute minimum safety requirements for such procedures, make sure that the following steps have been taken:
1. A full review of design of device has been performed by senior Safety Management executives, including a review of subcomponent circuit diagrams to assess energy storage and discharge characteristics
2. Several layers of safety have been designed into the device to prevent accidental discharge when it is in the sterilisation chamber
3. The sterilisation cycle has been designed to be significantly below the flammability curve for ethylene oxide
4. Effective change control procedures have been put in place for the product design and sterilisation cycles to prevent change unless authorised by the relevant safety specialists.
Medical devices containing batteries should not be sterilised by EtO methods unless these criteria have been met and all rationale and decisions have been properly recorded.


