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20    Assurance of sterility for sensitive combination products and materials










                         Biotech                    Info Tech
                      Pharmaceuticals               Hardware
                        Diganostics    Genomics      Software
                       Research/info  Bioinformatics  Communications
                          Tools        Proteomics
                         Industrial
                                       Biosensors
                           Bioelctronics  Biochips  Nanodevices
                            Microfluidics       Nanosensors
                            Nanobiotech        Nanoelectronics
                           Drug delivery
                                       Nano tech
                                        Electrical
                                       Structural
                                       Biomedical
                                   Energy & environment


          Fig. 2.8  The ascendance of combination products by convergence of technology plat-
          forms [18].

          new biomaterials for medical devices, novel routes of administration to bet-
          ter target drugs, through to wholly tissue engineered solutions.
             Combination products with electrical components have been around
          for some time, often, as in the case of photodynamic therapy, the drug is
          provided separately from the electronic device that generates the light that
          is used to activate it, the two being cross-labeled for use in specific indica-
          tions. Some newer technologies, however, have integrated electronics and
          methods to sterilize such products can be challenging. Steam, EtO, chem-
          icals with moisture, and irradiation methods can all adversely affect elec-
          tronics. The use of low-temperature dry-heat processes (below 160°C) for
          sterilization has been used for some medical implants and can be suitable for
          some electronic materials that are heat resistant as long as the new process
          is adequately qualified and validated. The same goes for novel polymers that
          would otherwise perish under some of the harsher sterilization conditions.
          For instance, silicone prostheses are sterilized by dry heat as they undergo
          radiation-induced cross-linking or retain high levels of ethylene oxide if
          treated using EtO. Bioabsorbable polymers will degrade by design and pro-
          cesses used to sterilize these materials can accelerate the degradation process
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