E-beam and X-ray Symposium June 12-13, 2015 Benoit Mullier IBA Industrial E-beam and X-ray solutions Comparison with other technologies Sterilization Definitions Validated process used to render product free from viable microorganisms. Note : In a sterilization process, the nature of microbial inactivation is exponential and thus the survival of a microorganism on an individual item can be expressed in terms of probability. While this probability can be reduced to a very low number it can never be reduced to zero ISO 11137 Standard Protect, Enhance, and Save Lives -2- Single Use Medical devices Protect, Enhance, and Save Lives -3- Single-Use Medical devices Market growth : 5% Single-use medical devices growth is 5.6% per year Growth • Wound/injuries (top-selling) 4.7 % • Nonwoven 4.4 % • Diagnostic & lab 7.1 % The Freedonia Group Protect, Enhance, and Save Lives -4- Sterilization Methods Thermal Chemical Radiation g b Steam - Autoclave Protect, Enhance, and Save Lives X Ethylene Oxyde -5- • Gamma • E-beam • X-ray Sterilization Methods Market Shares Electron Beam 10% X-ray <1% E-beam/X-ray grows 2x faster than global sterilization market Oxyde d’Ethylene 49% Gamma 40% Single-use medical devices – Sterilized volumes Protect, Enhance, and Save Lives -6- Sterilization Methods Which method ? Device resitance to treatment constraints Temperature Humidity Radiations Investment costs Treatment cost /m³ Volume Operational costs (electricity, manpower) Logistics / Packaging (In-Line / In-house / Outsourced ) Protect, Enhance, and Save Lives -7- Global Trends Single-use medical devices Increased regulatory pressure on sterilization processes based on chemical and radio-active sources accelerate adoption of Electron beam and X-ray sterilization processes Protect, Enhance, and Save Lives -8- Irradiation Sterilization Products exposed to a controlled quantity of ionizing energy. Dose [kGy] Damage to DNA of living cells Cells cannot reproduce. Modification at the peripheral electrons; no interaction with the nucleus. No product activation Protect, Enhance, and Save Lives -9- Irradiation : Penetration Better Penetration Bigger Packaging Better Quality Protect, Enhance, and Save Lives - 10 - Irradiation : Methods Comparison Same technologies from a radiation point of view E-beam X-ray Gamma Gamma Rays E-Beam E-Beam accelerator accelerator III III Cobalt 60 Electron –> X-Ray Converter E-Beam Key Differences Source: electricity vs Cobalt-60 Directional vs Isotropic Protect, Enhance, Save Lives On/off vsand continuous irradiation X-rays - 11 - GAMMA Cobalt 60 Benefits Drawbacks Protect, Enhance, and Save Lives - 12 - Penetration Treatment quality Radioactive source Continuous Poor flexibility IBA Solutions 1 E-beam eXelis Rhodotron Duo 10 MeV E-beam 5 or 7 MeV X-ray Boxes Pallets 10 MeV E-beam + 5 or 7 MeV X-ray Boxes Protect, Enhance, and Save Lives - 13 - E-BEAM 1 Treatment Parameters E-Beam accelerator 2 3 E-Beam Energy 1 Penetration Current 2 Treated volumes Scan 3 Product width Speed 4 Treatment time 4 Protect, Enhance, and Save Lives - 14 - E-BEAM Penetration 10 E-beam Limit : Regulation Protect, Enhance, and Save Lives - 15 - E-BEAM Penetration 8.3 cm 3.7 cm Single side Protect, Enhance, and Save Lives Double side - 16 - E-beam Throughput Energy Power range TT100 TT200 TT300 TT1000 10 MeV 10 MeV 5, 7, 10 MeV 5 or 7 MeV Up to 40kW 35 to 100 kW 35 to 420 kW 100 to 560kW 68.000 m³/y 168.000 m³/y 700.000 m³/y N/A 2.3 Mci 5.8 Mci 24.3 Mci Max throughput • 10 MeV E-beam Protect, Enhance, and Save Lives - 17 - E-BEAM Benefits Drawbacks Protect, Enhance, and Save Lives - 18 - Efficiency Electricity based On/Off Flexible Penetration Quality if non-homogeneous Investment E-BEAM Treatment center Loading Rhodotron Irradiation Flipping Second pass Unloading Protect, Enhance, and Save Lives - 19 - IBA Solutions E-beam 2 X-ray - eXelis Rhodotron Duo 10 MeV E-beam 5 or 7 MeV X-ray Boxes Pallets 10 MeV E-beam + 5 or 7 MeV X-ray Boxes Protect, Enhance, and Save Lives - 20 - X-RAY X-ray X-ray Accélérateur E-beam Max : - 7 MeV Medical - 5 MeV Food Efficience : ~ 10 % Electron –> X-Ray Converter X-rays Protect, Enhance, and Save Lives - 21 - Dose Uniformity Ratio (DUR) Ideal DUR = 1 (Dmax = Dmin) Better DUR means: -> less overdose -> less impact on products -> possible to treat products previously only sterilizable with EO Data source: Synergy Däniken (Swizerland) X-ray processing site Protect, Enhance, and Save Lives - 22 - Throughput Throughput is proportional to accelerator power (40 – 700 kW) Typical throughput range Up to 20 m³ / h For Medical Devices (0.15 g/cc) Data source: Synergy Däniken (Swizerland) X-ray processing site Throughput for a large size solution (560kW) Protect, Enhance, and Save Lives - 23 - X-ray Throughput Energy Power range TT100 TT200 TT300 TT1000 10 MeV 10 MeV 5, 7, 10 MeV 5 or 7 MeV Up to 40kW 35 to 100 kW 35 to 420 kW 100 to 560kW 68.000 m³/y 168.000 m³/y 700.000 m³/y N/A 2.3 MCi 5.8 MCi 24.3 MCi 8.000 m³/y 22.000 m³/y 93.000 m³/y 124.000 m³/y 280 kCi 770 kCi 3.2 MCi 4.3 MCi Max throughput • 10 MeV E-beam • 7 MeV X-ray 0.15 gr/cc, 8000 hours/year, 25kGy Protect, Enhance, and Save Lives - 24 - Rhodotron – Power Modularity Up to 200kW Up to 420kW Up to 700kW Power Supplies Protect, Enhance, and Save Lives - 25 - X-RAY eXelis configuration Benefits Drawbacks Protect, Enhance, and Save Lives - 26 - Penetration Treatment Quality Flexible Electrically powered On/Off Consumption Investment A Typical dedicated X-ray Center http://www.iba-sterilization.com Protect, Enhance, and Save Lives - 27 - Our Vision: X-ray is THE alternative to Gamma We believe the future of Gamma Sterilization is uncertain: Supply issues Increasing transport restrictions Global environment considerations increasing We believe that X-ray Sterilization is the alternative to Gamma because: Equivalent or better Quality Electrically powered, electricity is the energy of the future increasingly produced through renewable energy sources No product or packaging changes required when switching from Gamma to X-ray sterilization Protect, Enhance, and Save Lives - 28 - IBA Solutions E-beam X-ray - eXelis 10 MeV E-beam 5 or 7 MeV X-ray Boxes Pallets Protect, Enhance, and Save Lives - 29 - 3 Rhodotron Duo 10 MeV E-beam + 5 or 7 MeV X-ray Boxes Rhodotron DUO Service center : Dilemma Typical product split E-beam Compatible 10 MeV E-beam Out-sourced / Refused Too thick – Too dense Protect, Enhance, and Save Lives - 30 - Rhodotron DUO Service center : Dilemma Typical product split 10 MeV E-beam 7 MeV X-ray E-beam compatible Too thick – Too dense Protect, Enhance, and Save Lives Rhodotron DUO - 31 - Rhodotron DUO We believe Electron beam is the most cost efficient technology for many Disposable Medical Devices For other Medical Devices, X-ray Sterilization is the best alternative to Gamma : Rhodotron DUO = The best of the 2 worlds Protect, Enhance, and Save Lives - 32 - Rhodotron product range TT100 TT200 TT300 TT1000 10 MeV 10 MeV 5, 7, 10 MeV 5 or 7 MeV Power range Up to 40kW 35 to 100 kW 35 to 420 kW 100 to 560kW Diameter * Height 1.6 * 1.7 m 3 * 2.4 m 3 * 2.4 m 3 * 3.4 m 68.000 m³/y 168.000 m³/y 700.000 m³/y N/A 2.3 MCi or 5.8 MCi or 24.3 MCi or 8.000 m³/y 22.000 m³/y 93.000 m³/y 124.000 m³/y 280 kCi 770 kCi 3.2 MCi 4.3 MCi Energy Max throughput • 10 MeV E-beam • 7 MeV X-ray 0.15 gr/cc, 8000 hours/year, 25kGy Protect, Enhance, and Save Lives - 33 - Protect, Enhance, and Save Lives - 34 - Protect, Enhance, and Save Lives - 35 - Is X-ray efficient? Money talks! Energy efficiency comparison Cost of energy for sterilizing 1 m³ For 64.000 m³ / y throughput pallet configuration For 124.000 m³ / y throughput pallet configuration 12,0 10,0 1,7 8,0 8,5 1,8 9,1 Cost HIGH 6,0 4,0 Cost LOW 0,6 4,1 2,0 0,0 Energy costs (€) Energy costs (€) 12,0 10,0 1,8 9,1 8,0 1,4 6,0 6,5 Cost LOW 4,0 2,0 Cost HIGH 0,4 2,4 0,0 E-beam X-ray pallet Gamma pallet E-beam X-ray pallet Gamma pallet Assumptions Electricity range : 0.08 – 0.1 €/kWh Co-60 range: 2.5 – 3 CAD/Ci X-ray & Gamma pallet configuration, 25 kGy 2.8 MCi = 38 kW E-beam = 300 kW X-ray = 64.000 m³/y 5.5 MCi = 80 kW E-beam = 560 kW X-ray = 124.000 m³/y Protect, Enhance, and Save Lives Includes E-beam and X-ray maintenance costs Excludes Gamma surrounding costs (transport, waste mgmt, …) - 36 - Source acquisition costs X-ray vs Gamma Investment Model Gamma X-ray Crossover point Accelerator Irradiator 0 200 400 Power (kW) / Activity (Mci) Protect, Enhance, and Save Lives - 37 - 600 800 Conclusion 2 technologies of the future E-beam X-ray to face 2 well-established but risky technologies , Gamma Based on 3 solutions Protect, Enhance, and Save Lives - 38 - EtO THANK YOU Great Team !