Published April 2, 2024

Aseptic Presentation: The Importance of Ease of Use When Designing Sterile Barrier Packaging

A person in a white lab coat and blue gloves is holding a sealed package with a blue medical instrument partially removed.

Packaging for medical devices is not just for holding product. It performs many other critical functions such as protecting from damage during shipping, storage, and handling, while allowing for sterilization, maintaining sterility, providing product identification, label readability, and ensuring correct usage during aseptic presentation.

According to the Sterile Barrier Association, the packaging around medical devices that allows those devices to be sterilized, provides a microbial barrier, and maintains sterility effectively up to the point of use is known as a Sterile Barrier System (SBS). Packaging designs should incorporate all aspects of usability while preventing microbial contamination.

EN ISO 11607-1 defines aseptic presentation as the introduction and transfer of a sterile product using conditions and procedures that exclude microbial contamination and specifically peel-open characteristics of the SBS shall be continuous and homogeneous, without delamination or tearing of the material that can affect aseptic opening and presentation. This must be designed into the system.

A gloved hand holds a clear slide above a blue liquid-filled test tube inside a protective sleeve against a dark background.
A gloved hand in a white lab coat holds a blue device, inserting it into a transparent container against a black background.

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Improvements in Medical Packaging

For over 35 years, UFP MedTech has been at the forefront of sterile packaging technologies that address the continually evolving requirements of performance, safety, weight, and size. Our solutions range from moldable and durable film-based packaging to catheter and guidewire packaging to mounting cards with integrated clips to securely hold large and heavy devices. The following illustrates the development, evolution, and use cases of our three most popular materials for sterile barrier medical packaging.

FlexShield® Sterile Packaging: A Safer and Higher Performing Alternative

UFP MedTech’s FlexShield was developed to address multiple material issues with PVC which was commonly used for orthopedic packaging of delicate products.  PVC contains plasticizers which are not stable, leach out over time, and transfer to the medical device (e.g., implant). In addition, PVC can particulate from abrasion, and become punctured from sharp devices. Lastly, implant manufacturers were looking to improve aesthetics and ease of use.

In 2001, UFP introduced FlexShield medical packaging, made from thermoplastic polyurethane (TPU) which at the time was commonly used in the footwear industry. This material is made from a USP Class VI resin, is FDA approved, and compatible with EtO, gamma, and electron beam sterilization processes. Additionally, TPU is abrasion and puncture resistant and can be molded into custom shapes. FlexShield pouches and tubs can also incorporate ease of use features such as grips and instructions, while ensuring aseptic presentation. Today, UFP MedTech uses FlexShield in all of our pouches, tip protectors, tubs, and bags.

Turquoise FlexShield pouch with labeled features: Loader for instruments, Grip for control, Split for easy opening, RF Welded for sealing.
Text reads:

Examples of ease of use features such as embossed instructions, perforations, and grips

Five turquoise silicone tools arranged on a light background, including a curved tool, straight tool, and a small hook.
Six turquoise-colored tools arranged horizontally, including a long stick, a thin wire, and several small caps or ends.
Various surgical metal components arranged on a light blue background, each in individual clear packaging.
A gloved hand holds a transparent blue container with three stacked compartments, revealing small green objects inside.

FlexShield pouches, tip protectors, tubs, and bags

Catheter & Guidewire Dispensers: Inventing an Industry Standard

In 1987, Ray Byrnes was in the Tyvek business. His customer Bard had complained that the opening and handling of coiled guidewires in the ER was a two-person job to make sure sterility wasn’t compromised. To address this issue, he developed the industry’s first dispenser coil and Contech Medical was born. He even built custom machinery to produce them. In 2005, Contech Ireland split from Contech Medical to form Advant Medical. Today, both companies are part of the UFP MedTech family and together they are the largest producer of catheter and guidewire dispenser coils globally.

A woman in a blue lab coat and hairnet holds a thin, clear test tube while examining it in a laboratory setting.
Three circular plastic tubing coils, two larger and one smaller, arranged on a white background. Each coil is secured with white clips. Catheter & Guidewire Dispenser Coils

Catheter and guidewire dispenser coils are typically made from polypropylene (PP) tubing and held in place with injection molded clips. Each coil is a custom length and diameter based on the size and length of the catheter or guidewire. Once loaded, the coil is packaged and sterilized. For over 35 years, this design is still the gold standard in ease of use, aseptic presentation, and sterility.

EZ-Card® HDPE Packaging: The Next Generation in Backer Cards

Medical device on a white background, featuring a catheter with a clear connector and a circular frame for stability.
Gray spray gun with clear tubing, secured on a white backing, featuring a connector and a spool on the right.

EZ-Card, also known as backer cards, mounting cards, HDPE cards, die cut inserts, or insert cards, are designed to safely and securely hold medical instruments and devices utilizing retainment features such as our proprietary EZ-Clip injection molded clips as well as die cut tabs, slots, folds, and straps. EZ-Card is an excellent and cost-effective alternative to bulky rigid trays and other medical packaging options. They are used to position and secure medical instruments and devices within a sterile barrier package to ensure sterility throughout the supply chain. Due to their thin, flat, flexible design, mounting cards pair easily with Poly/Tyvek pouches to provide a double barrier packaging system. Additionally, EZ-Card can reduce the overall size of the SBS, is light weight, and can ship and store flat.

Various Retainment Options Are Available

White packaging insert with labeled sections for

UFP MedTech recently introduced EZ-Clips which utilize injection molded clips instead of die cut retainment tabs to secure large or heavy devices. A variety of clip sizes are available and are faster to assemble than traditional cards where the tabs must be “popped” up individually prior to loading. Devices are held more securely and therefore aseptic presentation is improved as well as ease of removal from the card.

Syringe with a blue plunger and measurement markings, placed beside a clear tubing and a connector on a white background.
Syringe labeled

No matter the sterile barrier system you use for your device, ease of use and fail-safe aseptic presentation is crucial to minimizing the chance of contamination due to a packaging design not optimized to the device’s specific geometry and intended use in the operating room.

To learn more about UFP MedTech’s sterile packaging systems, contact our team to get started.

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