journal article·2025-11-04Open access

Quantitative Suspension Test for the Evaluation of a Cold Sterilization System Based on Reducing Free Radicals Compared to Autoclave Sterilization Cycles

Christian Cirillo, Daniele Botticelli, Stefano Benedicenti

Journal of Functional Biomaterials· Volume 16· Issue 11

Abstract

Sterilization of medical devices is a critical process to ensure patient safety. However, traditional steam autoclaves may be unsuitable for heat-sensitive materials. In this study, we evaluated an innovative cold sterilization system based on the controlled generation of free radicals with reducing properties. The system has already been validated and marketed following the completion of numerous microbiological tests in compliance with UNI EN standards (13727, 13624, 17126, 14476, 14348). A quantitative suspension test was conducted under controlled conditions, comparing the microbial reduction achieved with the cold system to that obtained with a standard autoclave cycle. The system demonstrated bactericidal efficacy exceeding 6 log10, comparable to that of the autoclave cycle. The results suggest that the free radical system represents a safe, rapid, and effective alternative for the sterilization of heat-sensitive materials, with potential applications in both healthcare and industrial settings.
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Research context

OpenAlex topics: Medical Device Sterilization and Disinfection · Infection Control in Healthcare · Clostridium difficile and Clostridium perfringens research

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Eurolab S.r.l., Viale Mare Ionio, 4, 89040 Marina di Caulonia, RC, Italy

ARDEC Academy, 47838 Riccione, RN, Italy

Department of Surgical Sciences and Integrated Diagnostics, University of Genova, 20991 Genova, GE, Italy

Funding

ICM SRL C/DA TORRE, SNC Portigliola (RC) Italia

References (26)

Show source-provided references
1. Disinfection and Sterilization in Health Care Facilities: An Overview10.1016/j.ajic.2015.10.038 ↗
2. Antiseptics and Disinfectants: Activity, Action, and Resistance10.1128/CMR.12.1.147 ↗
3. Plasma Sterilization: A Review of Parameters, Mechanisms, and Limitations10.1023/A:1013196629791 ↗
4. Evaluation of Ethylene Oxide Sterilization for Medical Devices
5. Peracetic acid and its application to medical instrument sterilization10.1111/j.1525-1594.1993.tb00423.x ↗
6. The use of peracetic acid for the reprocessing of flexible endoscopes and rigid cystoscopes and laparo-scopes10.1016/0195-6701(95)90281-3 ↗
7. The bactericidal, fungicidal and sporicidal properties of hydrogen peroxide and peracetic acid10.1111/j.1365-2672.1983.tb02637.x ↗
8. Hypochlorous Acid Stress in Escherichia coli: Resistance, DNA Damage, and Comparison with Hydrogen Peroxide Stress10.1128/jb.178.21.6145-6150.1996 ↗
9. Block, S.S. (2001). Disinfection, Sterilization, and Preservation, Lippincott Williams & Wilkins. [5th ed.].
10. Cold atmospheric pressure plasma and decontamination. Can it contribute to preventing hospital-acquired infections?10.1016/j.jhin.2014.06.015 ↗
11. Applied Plasma Medicine10.1002/ppap.200700154 ↗
12. Bacterial Target Sites for Biocide Action10.1046/j.1365-2672.92.5s1.3.x ↗
13. Evaluation of a Cold Sterilization System for Dental Instruments
14. Resistance of Bacterial Biofilms to Disinfectants: A Review10.1080/08927014.2011.626899 ↗
15. (2015). Disinfettanti Chimici ed Antisettici—Prova Quantitativa in Sospensione per la Valutazione Dell’attività Battericida in Area Medica—Metodo di Prova e Requisiti (Fase 2, Stadio 1) (Standard No. UNI EN 13727:2015).
16. (2019). Valutazione Dell’attività Sporicida dei Disinfettanti Chimici in Ambito Medico (Standard No. UNI EN 17126:2019).
17. (2019). Prova Quantitativa in Sospensione per Attività Virucida in Area Medica (Standard No. UNI EN 14476:2019).
18. (2022). Prova Quantitativa in Sospensione per Attività Fungicida e Levuricida in Campo Medico (Standard No. UNI EN 13624:2022).
19. (2005). Valutazione Dell’attività Micobattericida dei Disinfettanti Chimici (Standard No. UNI EN 14348:2005).
20. (2015). Sistemi di Gestione per la Qualità—Requisiti (Standard No. UNI EN ISO 9001:2015).
21. (2021). Dispositivi Medici—Sistemi di Gestione per la Qualità—Requisiti per Scopi Regolamentari (Standard No. UNI EN ISO 13485:2021).
22. Regolamento (UE) 2017/745 del Parlamento Europeo e del Consiglio, del 5 aprile 2017, relativo ai dispositivi medici
23. Stability and reactivity of free radicals: A physicochemical perspective with biological implications10.3109/03630269.2011.570187 ↗
24. Decontamination of Chemical and Biological Warfare (CBW) Agents Using an Atmospheric Pressure Plasma Jet10.1063/1.873480 ↗
25. Evaluation of a Peracetic Acid-Based Cold Sterilization System for Endoscopes
26. Effective control of dental chair unit waterline biofilm and marked reduction of bacterial contamination of output water using two perox-ide-based disinfectants10.1053/jhin.2002.1282 ↗