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Understanding Sterilisation by irradiation: Which Medical Devices Are Suitable?

Writer: Patricia Vest
Patricia Vest
Oct 8
2 min read

Irradiation (Gamma, E-beam, and X-ray) is one of the most reliable and widely used terminal sterilisation methods in the medical device industry. Governed internationally by ISO 11137, it delivers rapid terminal sterilisation with high penetration, no toxic residues, and no need for quarantine periods post-exposure.

However, irradiation is not universally suitable for every material.

Choosing radiation depends heavily on polymer radiation stability, physical state, and chemical structure.


Here is a breakdown of the primary categories of medical devices routinely sterilised by irradiation:


1. Single-Use Commodity & Fluid-Path Devices

High-volume single-use consumables dominate radiation processing because their standard materials tolerate radiation well and packaging can remain hermetically sealed:

  • Syringes, needles, and IV administration sets (typically formulated with radiation-stabilised polypropylene, polycarbonate, or radiation-tolerant PVC).

  • Blood collection tubes, transfer sets, and dialysers.

  • Catheters, cannulas, and tubing assemblies that do not incorporate radiation-sensitive active drug coatings or electronics.


2. Surgical Tools & Procedure Kits

  • Surgical drapes, gowns, and non-woven PPE.

  • Sutures and ligatures (e.g., silk, nylon, polyglycolic acid; though dose mapping is critical to avoid tensile strength loss).

  • Scalpel blades, stainless steel surgical instruments, and procedure trays. Metals are completely radiation-stable, making metal/plastic hybrid kits viable provided the plastic polymer does not embrittle.

Close look of procedure kit on a table
Example of procedure kit

3. Orthopaedic Implants & Tissue Forms

  • Cross-linked UHMWPE (Ultra-High-Molecular-Weight Polyethylene): Gamma and electron beam irradiation are not just used for sterilisation here—controlled irradiation is specifically utilised to introduce intentional cross-linking, significantly reducing wear rates in hip and knee joint articulations.

  • Allografts, bone grafts, and biological tissues: Processed under carefully validated bioburden-based dose-setting methods (such as Method 1, Method 2, or VDmax according to ISO 11137-2) to achieve a 10*6 Sterility Assurance Level (SAL) while preserving biomechanical tissue integrity.

Simulation of a knee orthopaedic implant in a human body
Example of orthopaedic implant

4. Wound Care & Ophthalmic Consumables

  • Absorbent gauze, dressings, and bandages.

  • Hydrogels and collagen-based dressings: Selected hydrogels are cross-linked and terminal-sterilised simultaneously using electron beam or gamma irradiation.

  • Contact lens care cases and disposable fluid containers.

multi use bottle and single use units of ophthalmic consumables
Ophthalmic consumables

What Cannot Be Easily sterilised by irradiation?

When assessing a device for radiation suitability, watch out for:

  • Unstabilised Polypropylene (PP) and Polyoxymethylene (POM / Delrin): Risk of severe free-radical backbone cleavage, leading to discoloration, odor, and post-sterilisation embrittlement over shelf-life.

  • Fluoropolymers (PTFE / Teflon): Highly radiation-sensitive; undergoes rapid chain scission even at low kGy doses.

  • Active electronics & battery-powered devices: Ionising radiation induces lattice defects in semiconductors, damaging sensors and microchips.

  • Certain complex combination products & biologics: Proteins and enzymes may denature, and sensitive active pharmaceutical ingredients (APIs) can degrade.

Key Regulatory Takeaway:

When qualifying a device for radiation sterilisation under ISO 11137-1, establishing the Maximum Acceptable Dose is just as critical as validating the Minimum Sterilising Dose. Rigorous accelerated and real-time aging must verify that polymer tensile properties, seal integrity, and functional performance remain intact across the entire approved shelf life.


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