Detection of high PBDD/Fs levels and dioxin-like activity in toys using a combination of GC-HRMS, rat-based and human-based DR CALUX® reporter gene assays

Brominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs) are increasingly reported at significant levels in various matrices, including consumer goods that are manufactured from plastics containing certain brominated flame retardants. PBDD/Fs are known ligands for the aryl hydrocarbon receptor (AhR) but are not yet considered in the hazard assessment of dioxin mixtures. The aim of the present study was to determine if PBDD/Fs levels present in plastic constituents of toys could pose a threat to children's health. PBDD/Fs, unlike their chlorinated counterparts (PCDD/Fs), have not been officially assigned toxic equivalence factors (TEFs) by the WHO therefore, we determined their relative potency towards AhR activation in both human and rodent cell-based DR CALUX® bioassays. This allowed us to compare GC-HRMS PBDD/F congener levels, converted to total Toxic Equivalents (TEQ) by using the PCDD/F TEFs, to CALUX Bioanalytical Equivalents (BEQ) levels present in contaminated plastic constituents from children's toys. Finally, an estimate was made of the daily ingestion of TEQs from PBDD/Fs-contaminated plastic toys by child mouthing habits. It is observed that the daily ingestion of PBDD/Fs from contaminated plastic toys may significantly contribute to the total dioxin daily intake of young children.

A Comparison of Protein Stability in Prefillable Syringes Made of Glass and Plastic

The development of protein therapeutics requires stabilization of these labile molecules during shipment and storage. Biologics, particularly monoclonal antibodies, are frequently packaged at high concentration in prefillable syringes traditionally made of glass. However, some biologics are unstable in glass due to sensitivity to silicone oil, tungsten, glue, or metal ions. Syringes made from the plastic cyclic olefin polymer, Daikyo Crystal Zenith® (CZ), with a Flurotec-laminated piston, have none of these issues. This study compared the stability of several proteins including biotherapeutics when stored up to 14 months at 5 °C and 25 °C in prefillable siliconized syringes made of glass or silicone oil-free CZ syringes, and when subjected to mild agitation by end-over-end rotation at room temperature. At each time point, proteins were analyzed by several techniques including turbidity, size exclusion high-performance liquid chromatography, reversed phase high-performance liquid chromatography, ion-exchange chromatography, electrophoresis, and light scattering to monitor changes in aggregation and degradation. The results show that proteins have comparable stability when stored in glass syringes or in syringes made of CZ sterilized by E-beam or autoclave. In addition, proteins stressed by agitation were generally more stable and aggregated less in syringes made of CZ than in ones made of glass.LAY ABSTRACT: Biotherapeutic protein drugs such as monoclonal antibodies are frequently packaged at high concentration in prefillable syringes, which allows the drug to be directly administered by the patient or caregiver. Protein drugs, or biologics, can be unstable, and may aggregate, particularly when shaken. These aggregates can be immunogenic, stimulating the body's immune system to produce antibodies that can reduce the drug's efficacy. Although prefillable syringes are traditionally made of glass, some biologics are unstable in glass syringes due to the presence of substances used in their manufacture, including silicone oil, which is necessary for lubricity. Syringes made from the plastic cyclic olefin polymer, Daikyo Crystal Zenith® (CZ), have none of these issues. This study compared the stability of several biotherapeutic proteins when stored up to 14 months at 5 °C and 25 °C in prefillable siliconized syringes made of glass or silicone oil-free CZ syringes, and when mildly agitated at room temperature. Proteins were analyzed by several techniques to detect changes in aggregation and degradation. The results show that biotherapeutic proteins have similar stability whether stored in syringes made of glass or CZ. In addition, proteins subjected to agitation were generally more stable and aggregated less in CZ syringes than in glass syringes.

Acute water quality criteria for polycyclic aromatic hydrocarbons, pesticides, plastic additives, and 4-Nonylphenol in seawater

Probabilistic environmental quality criteria for Naphthalene (Nap), Phenanthrene (Phe), Fluoranthene (Flu), Pyrene (Pyr), Triclosan (TCS), Tributyltin (TBT), Chlorpyrifos (CPY), Diuron (DUR), γ-Hexaclorocyclohexane (γ-HCH), Bisphenol A (BPA) and 4-Nonylphenol (4-NP) were derived from acute toxicity data using saltwater species representative of marine ecosystems, including algae, mollusks, crustaceans, echinoderms and chordates. Preferably, data concerns sublethal endpoints and early life stages from bioassays conducted in our laboratory, but the data set was completed with a broad literature survey. The Water Quality Criteria (WQC) obtained for TBT (7.1·10^-3 μg L^-1) and CPY (6.6· 10^-3 μg L^-1) were orders of magnitude lower than those obtained for PAHs (ranging from 3.75 to 45.2 μg L^-1), BPA (27.7 μg L^-1), TCS (8.66 μg L^-1) and 4-NP (1.52 μg L^-1). Critical values for DUR and HCH were 0.1 and 0.057 μg L^-1 respectively. Within this context, non-selective toxicants could be quantitatively defined as those showing a maximum variability in toxicity thresholds (TT) of 3 orders of magnitude across the whole range of marine diversity, and a cumulative distribution of the TT fitting to a single log-logistic curve, while for selective toxicants variability was consistently found to span 5 orders of magnitude and the TT distribution showed a bimodal pattern. For the latter, protective WQC must be derived taking into account the SSD of the sensitive taxa only.

The practical application of scintillation dosimetry in small-field photon-beam radiotherapy

Plastic scintillation detectors are a new instrument of stereotactic photon-beam dosimetry. The clinical application of the plastic scintillation detector Exradin W1 at the Siemens Artiste and Elekta Synergy accelerators is a matter of current interest. In order to reduce the measurement uncertainty, precautions have to be taken with regard to the geometrical arrangement of the scintillator, the light-guide fiber and the photodiode in the radiation field. To determine the "Cerenkov light ratio" CLR with a type A uncertainty below 1%, the Cerenkov calibration procedure for small-field measurements based on the two-channel spectral method was used. Output factors were correctly measured with the W1 for field sizes down to 0.5×0.5cm² with a type A uncertainty of 1.8%. Measurements of small field dose profiles and percentage depth dose curves were carried out with the W1 using automated water phantom profile scans, and a type A uncertainty for dose maxima of 1.4% was achieved. The agreement with a synthetic diamond detector (microDiamond, PTW Freiburg) and a plane parallel ionization chamber (Roos chamber, PTW Freiburg) in relative dose measurements was excellent. In oversight of all results, the suitability of the plastic scintillation detector Exradin W1 for clinical dosimetry under stereotactic conditions, in particular the tried and tested procedures for CLR determination, output factor measurement and automated dose profile scans in water phantoms, have been confirmed.

Simulated Leaching (Migration) Study for a Model Container-Closure System Applicable to Parenteral and Ophthalmic Drug Products

A simulating leaching (migration) study was performed on a model container-closure system relevant to parenteral and ophthalmic drug products. This container-closure system consisted of a linear low-density polyethylene bottle (primary container), a polypropylene cap and an elastomeric cap liner (closure), an adhesive label (labeling), and a foil overpouch (secondary container). The bottles were filled with simulating solvents (aqueous salt/acid mixture at pH 2.5, aqueous buffer at pH 9.5, and 1/1 v/v isopropanol/water), a label was affixed to the filled and capped bottles, the filled bottles were placed into the foil overpouch, and the filled and pouched units were stored either upright or inverted for up to 6 months at 40 °C. After storage, the leaching solutions were tested for leached substances using multiple complementary analytical techniques to address volatile, semi-volatile, and non-volatile organic and inorganic extractables as potential leachables.The leaching data generated supported several conclusions, including that (1) the extractables (leachables) profile revealed by a simulating leaching study can qualitatively be correlated with compositional information for materials of construction, (2) the chemical nature of both the extracting medium and the individual extractables (leachables) can markedly affect the resulting profile, and (3) while direct contact between a drug product and a system's material of construction may exacerbate the leaching of substances from that material by the drug product, direct contact is not a prerequisite for migration and leaching to occur.LAY ABSTRACT: The migration of container-related extractables from a model pharmaceutical container-closure system and into simulated drug product solutions was studied, focusing on circumstances relevant to parenteral and ophthalmic drug products. The model system was constructed specifically to address the migration of extractables from labels applied to the outside of the primary container. The study demonstrated that (1) the extractables that do migrate can be correlated to the composition of the materials used to construct the container-closure systems, (2) the extent of migration is affected by the chemical nature of the simulating solutions and the extractables themselves, and (3) even though labels may not be in direct contact with a contained solution, label-related extractables can accumulate as leachables in those solutions.

The discharge of certain amounts of industrial microplastic from a production plant into the River Danube is permitted by the Austrian legislation

Numerous studies have quantified the amount of plastic litter in aquatic ecosystems and tried to assess its impacts and threats. This reflects a rising awareness of plastic as an environmental problem. As a next logical step, identifying and regulating the sources must be in the focus of scientific efforts. We report on a spillage of industrial microplastic (IMP) from a production plant situated at an Austrian Danube tributary. This is the first identified point source of IMP litter in freshwater systems. However, due to generous thresholds established by the Austrian government substantial amounts of IMP are legally introduced into running waters.

Baseline for beached marine debris on Sand Island, Midway Atoll

Baseline measurements were made of the amount and weight of beached marine debris on Sand Island, Midway Atoll, June 2008-July 2010. On 23 surveys, 32,696 total debris objects (identifiable items and pieces) were collected; total weight was 740.4 kg. Seventy-two percent of the total was pieces; 91% of the pieces were made of plastic materials. Pieces were composed primarily of polyethylene and polypropylene. Identifiable items were 28% of the total; 88% of the identifiable items were in the fishing/aquaculture/shipping-related and beverage/household products-related categories. Identifiable items were lowest during April-August, while pieces were at their lowest during June-August. Sites facing the North Pacific Gyre received the most debris and proportionately more pieces. More debris tended to be found on Sand Island when the Subtropical Convergence Zone was closer to the Atoll. This information can be used for potential mitigation and to understand the impacts of large-scale events such as the 2011 Japanese tsunami.

Comparison of quantitative analysis techniques for the determination of heat seal lacquer layers on aluminum blister foils

For decades a gravimetric method has been common standard for the determination of heat seal lacquers on aluminum blister foils. With the availability of appropriate techniques such as interferometric, infrared reflection absorption spectroscopic (IRRAS), beta backscatter, impedance spectroscopic and eddy current techniques respectively, more efficient determinations can be foreseen which are subject of the present communication. The different methods were compared to each other regarding parameters required for validation of analytical procedures according to the ICH guidelines Q2 (R1) such as linearity, precision, accuracy, robustness and quantitation limits. The interferometric, IRRAS and beta backscatter techniques were well suitable for the measurements. Using these techniques novel procedures applicable for routine quality control of pharmaceutical packaging materials are suggested.

[Influence of sterilization treatments on continuous carbon-fiber reinforced polyolefin composite]

OBJECTIVE

To evaluate the influence of sterilization treatment on continuous carbon-fiber reinforced polyolefin composite (CFRP) so as to provide experimental reference for selection of sterilization method for CFRP.

METHODS

Seventy bars of CFRP were divided into 7 equal groups to undergo sterilization by autoclave, 2% glutaraldehyde soaking, 75% alcohol soaking, ethylene oxide sterilization, and Co-60 gamma ray irradiation of the dosages 11 kGy, 25 kGy, and 18 kGy respectively, and another 10 bars were used as blank controls. Then the bars underwent three-point bending test and longitudinal compression test so as to measure the biomechanical changes after sterilization treatment, including the maximum load, ultimate strength, and elastic modulus.

RESULTS

Three-point bending test showed that the levels of maximum load of the all experimental groups were lower than that of the control group, however, only those of the 3 Co-60 irradiation groups were significantly lower than that of the control group and that Co-60 radiation lowered the level of maximum load dose-dependently; and that the levels of ultimate strength of all the all experimental groups were lower than that of the control group, however, only those of the 3 Co-60 groups were significantly lower than that of the control group and that the higher the dosage of Co-60 radiation the lower the level of ultimate strength, however, not dose-dependently. The elastic modulus of the Co-60 25 KGy group was significantly higher than that of the control group, and there was no significant difference in the level of ultimate strength among the other groups. Longitudinal compression test showed that the levels of maximum load and ultimate strength of the 3 Co-60 irradiation groups, autoclave group, and circular ethylene groups were significantly lower than that of the control group, and there was no significant difference in elastic modulus among different groups.

CONCLUSION

During sterilized package of CFRP products produced in quantity autoclave sterilization and Co-60 gamma ray irradiation sterilization should be avoided. Ethylene oxide is proposed as the best sterilization method. If gamma ray irradiation is to be used further technology improvement is necessary.

Early Failure of Bioabsorbable Anterior Cervical Fusion Plates

STUDY DESIGN

Case report with forensic failure analysis.

OBJECTIVE

To determine the failure modes of 3 explanted 70:30 PLDLA Mystique (Medtronic Sofamor Danek, Memphis, TN) graft containment plates retrieved from revision surgery for early device failure.

SUMMARY OF BACKGROUND DATA

To reduce the problems of stress-shielding and radiopacity associated with metallic systems, bioabsorbable polymers have been used in anterior cervical discectomy and fusion procedures. Degradation of mechanical properties in vivo is a major concern when using bioabsorbable systems. Three of 6 patients who underwent anterior cervical discectomy with instrumented fusion, using Mystique graft containment systems experienced early failure requiring revision to alternate hardware.

METHODS

Devices were retrieved after failure and analyzed by light microscopy and environmental scanning electron microscopy. Simulations were performed with an unused plating system to induce damage for comparison with the retrieved devices. A detailed case review was performed to identify possible sources of extraordinary loading or damage.

RESULTS

One plating system failed at 6 weeks postimplantation due to fatigue fracture of the screws. Crack initiation sites were identified at the interface of the thread root and mold line of the screw. Another plating system failed at 16 weeks postimplantation due to the coalescence of radial microcracking between holes in the plate, leading to catastrophic failure of the plate. The final plating system failed during the implantation surgery, when the screw fractured in torsion.

CONCLUSIONS

Stress concentrations at the screw head-shaft interface and thread-shaft interface reduce the fatigue performance of bioabsorbable screws. Hydrolysis of the polymer may also play a role in the reduction of resistance to crack initiation and propagation.

An extractables/leachables strategy facilitated by collaboration between drug product vendors and plastic material/system suppliers

Leaching of plastic materials, packaging, or containment systems by finished drug products and/or their related solutions can happen when contact occurs between such materials, systems, and products. While the drug product vendor has the regulatory/legal responsibility to demonstrate that such leaching does not affect the safety, efficacy, and/or compliance of the finished drug product, the plastic's supplier can facilitate that demonstration by providing the drug product vendor with appropriate and relevant information. Although it is a reasonable expectation that suppliers would possess and share such facilitating information, it is not reasonable for vendors to expect suppliers to (1) reveal confidential information without appropriate safeguards and (2) possess information specific to the vendor's finished drug product. Any potential conflict between the vendor's desire for information and the supplier's willingness to either generate or supply such information can be mitigated if the roles and responsibilities of these two stakeholders are established up front. The vendor of the finished drug product is responsible for supplying regulators with a full and complete leachables assessment for its finished drug product. To facilitate (but not take the place of) the vendor's leachables assessment, suppliers of the materials, components, or systems can provide the vendor with a full and complete extractables assessment for their material/system. The vendor and supplier share the responsibility for reconciling or correlating the extractables and leachables data. While this document establishes the components of a full and complete extractables assessment, specifying the detailed process by which a full and complete extractables assessment is performed is beyond its scope.

BSE regulatory compliance for plastic components

Companies that use animal-derived materials in the manufacture of their products must follow strict documentation requirements. These are described here together with an alternative approach that eliminates this need.

Plastic containers and the whole-blood clotting test: glass remains the best option

This is the first study to identify normal whole-blood clotting times in various plastic containers and to identify the effect of the addition of various concentrations of Pseudechis australis (Mulga snake) venom on the clotting time in glass and plastic. Polycarbonate was identified as a potential alternative to glass as a testing container owing to a whole-blood clotting time within acceptable limits for a bedside test (mean 29.5 min) and equivalent performance to glass in the presence of P. australis venom. Other plastic containers (such as polypropylene and polyethylene) were found to be unsuitable owing to very prolonged clotting times (>60 min) or impaired performance in the presence of venom. Overall, owing to the variation between the performance of different plastics and the difficulty in differentiating between them, plastic containers cannot be recommended as an alternative to glass when performing the whole-blood clotting test for envenomed patients.

Clinical evaluation of the polypropylene-polyester knit used as a cranioplasty material

The paper presents clinical evaluation of the polypropylene-polyester knit used as a cranioplasty material.

MATERIAL

Between year 1980 and 2002 275 cranioplastic procedures using the polypropylene-polyester plates Codubix were carried out in the Department of Neurosurgery of the Medical University of Łódź. There were 146 patients who primarily sustained head injuries and 129 non-traumatic patients with craniectomies carried out for various other reasons. In the majority of cases, i.e. in 158 patients, cranioplasty was performed later than 6 months after the primary surgery. The largest implant measured 430 cm2.

RESULTS

Excellent and good outcome was achieved in 92% of the patients whereas the rate of local infection was 8%.

CONCLUSIONS

Codubix knitted polypropylene-polyester implant proved to be useful and a safe cranioplastic material.

Analysis by liquid chromatography and infrared spectrometry of di(2-ethylhexyl)phthalate released by multilayer infusion tubing

Di(2-ethylhexyl)phthalate (DEHP), a plasticiser present in infusion equipment, is known to be harmful to human health. Various studies have shown that DEHP is released into drug solutions from polyvinyl chloride (PVC) infusion lines. New multi-layer tubing has therefore been marketed to overcome this problem. We assessed the inertness of this tubing when placed in contact with a solution of CELLTOP. Chromatographic assay of DEHP showed no significant difference in DEHP levels in the solution when placed in contact with PVC and with multi-layer tubing. Analysis by infrared spectrometry showed that DEHP was initially present in the polyethylene layer of the multi-layer tubing even before contact with the drug solution. Contact with the solution results in release of DEHP from the container into the contents. The substance responsible for this release is in fact an excipient of CELLTOP, polysorbate. This release of DEHP further proves to depend on parameters such as temperature, time of contact between solution and tubing, and the concentration of polysorbate in the infused drug solution.

Determination of the thickness of plastic sheets used in blister packaging by near infrared spectroscopy: development and validation of the method

A near infrared (NIR) quantitative analysis method was developed for determining the thickness of PVC-based plastic sheets used as pharmaceutical packs. Samples that can be analyzed are transparent films made of polyvinyl chloride (PVC), PVC coated with polyvinylidene dichloride (PVDC) or PVC coated with Thermoelast (TE) and PVDC. The method, based on a partial least squares (PLS) algorithm, is used together with a previously developed NIR identification method to acquire simultaneously qualitative and quantitative information about the samples. Validation of the quantitative method was conducted according to the very recent European Agency for the Evaluation of Medicinal Products (EMEA) guidance on the use of NIR spectroscopy. Suggestions were made for a better statistical evaluation of the calibration model prior to validation. Validation consisted of the study of specificity, accuracy (mean recovery from the reference values was 99.56%), precision (repeatability and intermediate precision were <0.6%), linearity, quantification limit (41 microm), and robustness of the method. This demonstration of the applicability of NIR spectroscopy as a validated quality control tool for pharmaceutical packaging films will hopefully facilitate the acceptance of NIR spectroscopy in pharmaceutical laboratories.

[Current questions of sanitary supervision and control of safety of using polymer materials destined for contact with food products]

New directive and normative documents on state sanitary supervision of a safety of use of plastic of "alimentary" destination are analysed in article.

[Chemical substances used in plastics intended for manufacture of food packaging in light of European Union legislation]

In the EU countries the use of the chemical substances for plastics intended to come into contact with foodstuffs is regulated by Directive 89/109/EEC and the several specific Directives. Positive lists of the chemical substances for plastics intended to manufacturing of food packaging are placed in Directive 90/128/EEC on plastics materials. This 90/128/EEC Directive so-called "Monomer Directive" has been amended five times by Directives 92/39/EEC, 93/9/EEC, 95/3/EC, 96/11/EC and 99/91/EC. Directive 90/128/EEC so-called "Monomer Directive" provides: list of monomers and other starting substances that can be used in the manufacture of plastics materials and articles, placed in two Sections (A and B), and list of additives initiated from Directive 95/3/EC. Other additives will be added to this list on the basis of their positive national regulatory status in the EU countries and limits of migration (global, specific). According to the EU legislation all the substances before placing on the positive lists are the evaluated and authorized by the scientific bodies (SCF and/or JECFA). The EU legislation on the plastics materials and articles intended to come into contact with foodstuffs will be implemented into Polish law. However all the regulations relating to the chemical substances and limits of migration (global and specific) are already accepted by the National Institute of Hygiene.

[Material selection and structural design of simulated space module for field]

OBJECTIVE

To select the suitable material for the structure of simulated space cabin to meet the special requirements which the unitary metallic material cannot do.

METHOD

The structural material was selected through comparison between the mechanical properties of fiber reinforced plastics (FRP) and a few conventional metallic materials. The content and arrangement of the fibers in the composite material were suitably designed according to load condition and structural shape of the cabin.

RESULT

High strength and high stiffness, light weight, anti-fatigue and shock proof were achieved for the whole module structure. It meets the medical and hygienic standard for hazardous gases.

CONCLUSION

The structural design of fiber glass reinforced plastics composite module was proved to be successful. It reduced the weight of the module body, and increased the strength and toughness of the whole module.

Establishment of a reference collection of additives and an analytical handbook of reference data to support enforcement of EU regulations on food contact plastics

A collection has been made of additives that are required as analytical standards for enforcement of European Union legislation on food contact plastics. The 100 additives have been characterized by mass spectrometry, infra-red spectroscopy and proton nuclear magnetic resonance spectroscopy to provide reference spectra. Gas chromatographic retention times have been recorded to facilitate identification by retention index. This information has been further supplemented by physico-chemical data. Finally, chromatographic methods have been used to indicate the presence of any impurities in the commercial chemicals. Samples of the reference substances are available on request and the collection of spectra and other information will be made available in printed format and on-line through the Internet. This paper gives an overview of the work done to establish the reference collection and the spectral atlas, which together will assist enforcement laboratories in the characterization of plastics and the selection of analytical methods for additives that may migrate.

Clinical evaluations of dorsiflexion assist controlled by spring ankle-foot orthosis for hemiplegic patients

To examine the usefulness of Dorsiflexion Assist Controlled by Spring Ankle-Foot Orthoses (DACS-AFO), 5 hemiplegic patients in Brunnstrom's recovery stage IV were prescribed the DACS-AFO, after which their gait with the DACS-AFO was clinically evaluated. Clinical observation did not reveal that their gait with the DACS-AFO was better than that with an AFO which the patients usually used, except when one patient walked on a slope. No significant difference in 10 m walking time was found between when the DACS-AFO and shoehorn type AFO were used. Subjective evaluations by the patients indicated that the DACS-AFO was as good as a shoehorn type AFO in walking on flat and sloped surfaces, though its weight, noise, and appearance caused by the cylinder of the DACS-AFO were regarded as poor. In spite of the excellent biomechanical characteristics of the DACS-AFO, the patients did not adopt it. The subjects in this study had already walked well with their own shoehorn type AFO, and their selection may have been biased toward poor results. However, we did not conclude that the DACS-AFO is superior to the shoehorn type AFO for hemiplegic patients in the stage IV.

Bulge ductility of several occlusal contact measuring paper-based and plastic-based sheets

Articulating paper/film is a sheet strip that is coated with ink- or dye-containing wax and is used for marking occlusal contacts and monitoring the results. New types of occlusal film systems have been developed recently, which are capable of being computer-interfaced to identify the occlusal contact points and digitize the occlusal force. The mechanical ductility and thickness of these occlusal sheets constitute some of their important properties. The objective of this study was to evaluate seven different occlusal sheets and compare their bulge ductility and thickness. A custom-designed photo-sensing bulge tester was used. Three paper-based sheets (BAP, BET and SFA), two plastic-based sheets (ACF and AOS), and advanced systems (TSS and FDP) were tested. The specimen size was 20 mm square. Fifteen samples were tested for each material. The sheet film thickness with coated layers was as follows: BAP, 62 microns; BET, 46 microns; SFA, 133 microns; ACF, 23 microns; AOS, 14 microns; TSS, 134 microns; and FDP, 82 microns. Ductility (standard deviation) was as follows: BAP, 2.10 (0.0060)%; BET, 2.14 (0.008)%; SFA, 5.19 (0.57)%; ACF, 8.68 (0.05)%; AOS, 16.26 (0.41)%; TSS, 16.26 (0.41)%; and FDP, 6.37 (0.09)%. One-way ANOVA analysis indicated that (1) there in no statistical difference between BAP and BET (p > 0.001), (2) there is a statistical difference (p < 0.001) among all the rest of the tested occlusal sheets, and (3) bulge ductility appears to be linearly related to film thickness, its correlation depending upon types of base materials.

Stiffness control in posterior-type plastic ankle-foot orthoses: effect of ankle trimline. Part 1: A device for measuring ankle moment

A device was developed to measure the dorsi- and plantar flexion moment of plastic ankle-foot orthoses when deflected. It is operated by manually controlling a lever which is used to apply a nearly static force. Various orthoses can be classified according to the characteristics of the correcting force measured by this device. Simplicity and high reproducibility are the major advantages. However, to obtain measurements approximating the characteristics of orthoses under wearing conditions its use is restricted to orthoses made of low-viscosity materials.

Stiffness control in posterior-type plastic ankle-foot orthoses: effect of ankle trimline. Part 2: Orthosis characteristics and orthosis/patient matching

The hingeless plastic ankle-foot orthosis (AFO) changes stiffness largely depending on how much plastic is trimmed around the ankle. To support proper selection of the orthosis and final adjustment of the orthotic stiffness, the correlation between the posterior upright width and the resistance to dorsi- and plantar flexion movements was measured in 30 posterior-type plastic AFOs. The posterior upright width was varied by regularly trimming around the ankle in nine stages. The resistance to dorsi- and plantar flexion movements was measured by bending the plastic AFOs 15 degrees with the measuring device described in Part 1. All the plastic AFOs decreased in their resistance to both movements in proportion to the reduction of the posterior upright width. The maximum resistance to plantar flexion movement was about 28 Nm, which was strong enough to assist dorsiflexion in patients with severe spasticity. On the other hand, the maximum resistance to dorsiflexion movement measured was about 10 Nm, which was insufficient to stabilise the ankle in patients who lacked in plantar flexion strength. These findings suggested that this type of plastic AFO should be prescribed for patients who predominantly require dorsiflexion assist, and that the orthotic stiffness could be finally adjusted by trimming to exactly meet individual requirements.

Plastics processing: statistics, current practices, and evaluation

The health care industry uses a huge quantity of plastic materials each year. Much of the machinery currently used, or supplied, for plastics processing is unsuitable for use in a clean environment. In this article, the author outlines the reasons for the current situation and urges companies to re-examine their plastic-processing methods, whether performed in-house or subcontracted out. Some of the factors that should be considered when evaluating plastics-processing equipment are outlined to assist companies in remaining competitive and complying with impending EC regulations on clean room standards for manufacturing areas.

UV curing adhesives for medical device assembly

UV cured medical-grade aerobic adhesives yield the same structural bond strength as thermal, sonic, or solvent welding. Solvents are recognized as having a potential for negative health and environmental effects. Substrate limitations have historically restricted medical device design when using sonic or thermal welding techniques. UV curing aerobic adhesives clearly represent a significant advance for an industry in which product reliability and user safety are a requisite.

Engineered TPEs: new materials of choice for health care?

Engineered thermoplastic elastomers (ETPEs) are a relatively young, fast-growing generation of products and have an important strategic influence on both the rubber and plastics market. Much has been written about the increasing usage of plastics in the design and manufacture of medical devices, and today we may add ETPEs to this list, with significant benefits possible for the plastics industry manufacturing elastomeric parts using plastics processing technology.

Plastics: will their success story continue?

Plastics provide many advantages that set them apart as materials for use in medical applications. However, despite these advantages, an appreciation of the environmental concerns associated with their production and disposal is vital. This article provides an overview of the position of polymers in the medical industry and the various responses that have been taken to environmental issues.

Development and testing of thermoplastic structural components for modular prostheses

The wider use of thermoplastic structural components in modular artificial limbs would enable their general properties of low density, corrosion resistance and mouldability and more specific properties of certain thermoplastics such as shock absorption, fatigue and wear resistance to be used to the advantage of patients and manufacturers. They provide an alternative to metal and carbon fibre reinforced resin systems. Emphasis has been placed on the development of rotationally moulded Nylon 11 shank sections, using Philadelphia recommended load levels as the design criteria for structural integrity. Laboratory testing underlined the importance of fatigue testing of thermoplastic components since structural deterioration due to creep--a time dependent mechanical property of thermoplastics--can be ascertained in fatigue testing but would not be evident on the shorter timescale of the static test. Experimental below-knee prostheses incorporating suitably designed plastic shanks and alignment devices can withstand high static loads and exhibit long fatigue lifetimes in excess of 2 million cycles. The shank design offered an opportunity for testing under service conditions the validity of the Philadelphia Static Load level (2.5 kN) since shank failure loads are around this figure. Patient trials of experimental prostheses based on various combinations of plastic shanks and alignment devices and conducted over 33 months indicate that the Static Load Level along with fatigue testing is a satisfactory test criterion for general service use of thermoplastic prosthetic components.

[Modified acetylcellulose etrols for molded frames of corrective eyeglasses]

The mode and cyclic pattern of tensions capable to disturb continuity of plastic frames and to change their shapes in long-term use are defined. The relations for their amplitudes are derived and limit values found. The process of filling a mould is studied as well as macrostructures and internal defects that develop in a casting. Creepage of the plastic frame is investigated when relaxation loading is applied. To assure prolonged strength and stability of the shape some criteria for optimizing the compositions of AC-etrols are proposed. Replacement of the AC and plasticization with low-molecular plasticizers are shown to affect the chosen criteria for which appropriate levels are ascertained. The optimum modifications of the AC-etrols used for mould frames are specified.

Quantitative film autoradiography for tritium: methodological considerations

The details of quantitative film autoradiography for tritium using tritium plastic standards were examined with respect to 3 issues: tritium tissue equivalent (TE) calibration; correction of autoabsorption differences for gray and white matter; and the use of carbon-14 standard sources as a method for quantifying tritium tissue images. Both 3H-tissue and 3H-plastic sources produced linear log-log relationships of 3H-concentration (nCi/mg source weight) vs source optical density (OD) over a reproducible OD range (0.080-0.800). The curves for both 3H-tissue and 3H-plastic were parallel; uncalibrated 3H-plastic standards exhibited a 4-fold higher autoabsorption over 3H-tissue sources for OD values in the linear range. Using chloroform extraction of brains from rats treated with either [14C]deoxyglucose ([14C]DG) or [3H]deoxyglucose ([3H]DG), we found neither isotope loss nor redistribution after defatting (30% reduction of tissue dry weight). After chloroform extraction, the OD values from both gray and white matter structures containing carbon-14 were unaltered. Gray matter OD values increased by 28.7 +/- 5.6% (mean +/- S.D.) in structures containing tritium; white matter structures containing tritium exhibited a 115.9 +/- 29.3% increase in OD after chloroform extraction. The increase in OD after chloroform extraction was a fixed percent for any given tritium OD value from unextracted tissue when the value was within the linear range of 0.080-0.800 OD units. The magnitude of the higher white matter autoabsorption for tritium was confirmed using tritium impregnated cow brain pastes of variable gray/white mixtures. Chloroform extraction of tissue from [3H]DG treated rats was therefore a suitable procedure for direct correction of regionally heterogeneous autoabsorption of tritium. Finally, the rates of image generation for tritium and carbon-14 sources were compared. The rate of increase of OD with increasing exposure time was found to be equal for 3H-tissue and 3H-plastic images; sources of carbon-14 in plastic, however, exhibited more accelerated rates of image generation when compared to tritium sources (i.e. 3H- and 14C-images did not covary with exposure time). The effect of non-covariance on tritium TE calibrated standards was the overestimation of OD values for 14C-plastic standards with increasing times of exposure (comparison of 4 week images to 1 week images showed errors of 35-40%). Use of carbon-14 sources to quantify tritium-generated images therefore required recalibration of 14C-plastic for all exposure times of interest.

Fluid-sorption phenomena in sterilized polyethylene acetabular prostheses

The weight changes due to fluid-sorption were measured in 62 radiation-sterilized acetabular sockets and 10 unsterilized discs. The materials included two types of ultra-high molecular weight (UHMW) polyethylene (RCH 1000; Hi-Fax 1900) and a carbon-fibre-reinforced polyethylene (CFPE). The fluid absorption curve was consistently biphasic. In the first 30 d soak-period (Phase 1), the initial rate of fluid absorption averaged 153 micrograms/d for conventional UHMW polyethylene and 278 micrograms/d for carbon-fibre-reinforced polyethylene. In Phase 2, beyond 30 d and up to 400 d, fluid absorption reduced to linear rates of 27 micrograms/d for UHMW polyethylene and 43 micrograms/d for CFPE. The latter soak-weight-gain values corresponded to only 0.00016%/d and 0.00034%/d respectively. There was little difference in absorption rates between sterilized and unsterilized samples. However soak rates were generally higher in water compared to serum.

Retinal image quality during oblique gaze through spectacle lenses: plastic vs. glass

The optical performance of standard plastic and glass spectacle lenses was compared at increasing angles of oblique gaze up to 40 degrees on either side of the optic axis of the lenses. For this purpose, the border enhancement method was used, a method which is suitable for monitoring small order changes in the retinal image. It was found that the enhancement band width increases with obliquity of gaze in all cases, signifying a deterioration in the retinal image. A glass lens will exaggerate this deterioration to some extent, whereas a plastic lens will exaggerate it to the greatest extent. It is shown that the relatively poorer performance of plastic is due to a relatively larger amount of narrow-angle scattering than is produced by glass.

How stiff should semi-rigid fixation of the human tibia be? A clue to the answer

Test results on carbon-fibre-reinforced plastic plates are presented, all of which had been used as semi-rigid fixation in a series of fractures of the middle third of the human tibia. Symptoms of pain experienced by the patients were found to be related to the stiffness of the plates and it is suggested that a stiffness of 2.0 newton-metres per degree is most suitable for this type of fixation of the tibia.

An interdisciplinary methodology for the comparative evaluation of splinting materials (orthotics, thermoplastics, clinical research)

The methodology developed includes both the use of laboratory evaluation and clinical assessment in an area where there are no standard requirements, no specifications, nor any continuity of data available on the various thermoplastic splinting materials now on the market. A series of laboratory tests and clinical trials were devised such that these could be interpreted with regard to clinical considerations, cost analyses and serviceability factors relating to the materials. Laboratory testing covered possible effects on the chemical and mechanical properties of material likely to be caused by various environmental, sterilization and working factors. The complementary clinical evaluation to highlight the behaviour of materials during the fabrication and wearing of splints consisted of specific information generated with the assistance of experienced occupational therapists, occupational therapy students and patients. Biocompatibility studies were also carried out. The data to be published will provide needed information to physicians, occupational therapists, physical therapists, orthotists, prosthetists, and administrators with regard to their making informed decisions on the selection, purchase and use of thermoplastic materials.

Color stability and aging of plastic veneering materials

The color stability and aging characteristics of commercial plastic veneering materials were studied in vitro by an accelerated aging method. Values of luminous reflectance, dominant wavelength, and excitation purity at baseline were similar to values reported for composite restorative materials. The veneering materials were more opaque than composites. After aging for 900 h, small changes in color were observed instrumentally, but were difficult to detect visually. Weight loss of some the veneering materials after aging was greater than that anticipated from solubility in water alone.