Breaking down why medical-grade silicone is at the heart of healthcare innovation.
By Jay Rutherford, Lubrizol
Part one of this series focuses on medical-grade silicone’s use in life-critical devices, including how it balances moisture and its importance in wound care and implants. Part two will focus on how to collaborate with suppliers, navigate material choices and leverage innovations like pigments and multilayer designs for complex devices.
Precise, high-quality silicone is increasingly essential for devices like catheters, surgical tools, prosthetics and long-term implants.
Biocompatible and breathable, medical-grade silicone is ideal for sealing, bonding and creating barriers of elastomeric components. Indeed, it can be a versatile, effective tool in a medical designer’s tool kit. But medical-grade silicone must meet the strictest purity standards to be trusted for life-critical devices.
Let’s explore some of the standards that high-quality silicone should meet, how its properties can provide advantages in some critical applications, and how medical device engineers can apply the material to meet today’s demands.
Getting to know silicone
The raw materials for silicone medical devices are produced by a number of suppliers. NuSil, Dupont, Wacker and Elkem are just a few examples of leading raw material providers, many of which have FDA master files and/or ISO 10993 testing to support their use in medical device applications.
From these raw materials, a huge variety of medical devices can be produced, many of which make use of silicone film and sheeting. Medical-grade sheeting from Lubrizol is manufactured per ISO 13485 (QMS requirements) in ISO Class 7 cleanrooms. The resulting material can be cut and shaped to fit just about any need. Precision cutting is handled by die cutting and laser cutting. There are also multilayer options having (typically) two or three silicone layers that add another dimension of versatility.
Device developers also have plenty of options when it comes to thicknesses and configurations. With calendering, you get thicknesses from 0.005 to 0.125 in., while extrusion and knife coating can create ultrathin films as slim as 0.0005 in. The material is available in durometers from 1 to 80 Shore A, meaning it can be as soft as chewing gum or as firm as the sole of a dress shoe, depending on the requirement. It can also be reinforced with mesh for extra strength or foamed for extra softness. Add to that a choice of matte or glossy finishes, as well as a variety of colors, and engineers have a highly customizable material to deploy depending on their specific needs.
Silicone also has unique functional properties that make it a go-to material for improving patient outcomes, especially in challenging applications.
Silicone films particularly shine in wound care because they are both gas-permeable and liquid-proof, which protects against bacteria while allowing breathability. Silicone gel sheets used for scar healing, for example, are often worn for a week or more and keep the skin hydrated while allowing water vapor to escape to prevent problems like overly soft skin. And because it is chemically inert, medical-grade silicone won’t cause irritation or allergies.
Silicone is frequently used as a primary wound dressing placed in direct contact with wounds. The perforated silicone film dressing stays in place for extended periods of time, so secondary wound dressings — used to absorb wound exudate — can be changed without disturbing the delicate healing skin. (Mepitel One manufactured by Mölnlycke Health Care, and Cuticell Contact manufactured by Essity are two examples of this type of product.) Plus, the transparency of the film means you can inspect the wound without removing the dressing, a huge benefit for undisturbed healing and cutting down on the number of changes.
How silicone is overcoming design challenges in critical applications
Reinforced sheeting takes silicone to the next level with embedded materials like polyester or nylon mesh. Depending on the application, meshes of varying thickness and aperture size (open area percentage) can be incorporated. Reinforced sheeting is ideal for devices and components that need to stay flexible but not stretch too far or tear.
A common use of reinforced sheeting is at suture locations. Without reinforcement, sutures will cut through silicone, causing it to tear. Proper reinforcement makes suture sites stronger than the sutures themselves. Tissue expanders used in breast reconstruction or skin repair, for example, use suture tabs made from reinforced sheeting to ensure they remain in place.
Devices that are implanted in the brain such as cerebral shunts and electrodes can also rely on reinforced sheeting to handle physical stresses while being safe for nearby tissues. The silicone encapsulation prevents tissue from growing into the mesh and minimizes trauma to the surrounding tissue if the device moves or must be removed.
The bottom line is that silicone is a trusted material for OEMs because it’s tough when needed but soft enough for delicate uses.
And its versatility gets even better when you bring vulcanized and unvulcanized silicone together. In part two, we’ll explore how this duo works in harmony to create innovative, practical solutions for device assembly. We’ll also dive deeper into how customizations like pigments, radiopaque additives and medical-grade inks are helping meet other safety and functionality needs for devices that rely on high-quality silicones.
Jay Rutherford is a new product development engineer at Lubrizol’s specialty silicone manufacturing plant in Montana. He has over 12 years of experience in R&D and is responsible for developing quality manufacturing of silicone medical devices and components.
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The opinions expressed in this blog post are the author’s only and do not necessarily reflect those of Medical Design & Outsourcing or its employees.