PREFILLED SYRINGES
            Under the Guidance of
            Abdul Mohd. Bari
            Associate professor


            BY
            SRIKANTH BANDI,
            H.T.NO    :11H61S0303,
            DEPARTMENT :PHARMACEUTICS,
            SCHOOL OF PHARMACY,
6/14/2012   ANURAGSCHOOL OF PHARMACY
                   GROUP OF INSTITUTIONS   1
CONTENTS:
            What are prefilled syringes?
            Pupose of prefills
            Types of PFS systems
            Materials used for the preparation of PFS
            Filling process in PFS
            Sterilization of prefilled syringes
            Steps to use prefilled syringes
            Advantages & Disadvantages
            Factors Responsible for Growth of Prefilled Syringes
            Marketed Products
6/14/2012            SCHOOL OF PHARMACY                     2
            conclusion
What are prefilled
syringes?

              A prefilled syringe is a single-dose packet of parental
                 drug to which a needle has been fixed by the
                 manufacturer.
                Prefillable syringes have become an increasingly
                 important option in the packaging and delivery of
                 injectable drug products.




 6/14/2012              SCHOOL OF PHARMACY                       3
PuRpose of prefills

             The prefilled syringe provides two major purposes to
             the administration of a drug.
              The first is primary packaging. The purpose of the
                primary package is to assure that there is no adverse
                effect on the identity, strength, quality, purity or
                potency of the drug over its shelf life.
              Second, a prefillable syringe is a delivery system
                designed to administer the appropriate amount of the
                medicament to the patient.

 6/14/2012              SCHOOL OF PHARMACY                      4
Types of PSF systems

             There are two major types of prefillable syringe
             systems available:

                  Glass-based systems
                  Plastic-based systems




 6/14/2012              SCHOOL OF PHARMACY                      5
Glass-based systems

              Traditionally,   a prefillable syringe barrel has been
                 made from glass tubing.
                These glass tubes are transformed by heat into the
                 barrel that is used to hold the drug product.
                Syringe manufacturers typically form and process
                 the glass and purchase the complementing
                 elastomeric components (e.g., plungers, tip caps,
                 needle shields) that complete the primary package
                 from an elastomeric closure manufacturer.

 6/14/2012               SCHOOL OF PHARMACY                     6
The benefits of glass systems include:

             Health care practitioners’ long history of
              familiarity with the product
             The majority of prefilled syringes in the marketplace,
              are glass with elastomeric components
             There are multiple proven suppliers


6/14/2012              SCHOOL OF PHARMACY                        7
Drawbacks:
             Breakage
             Dimensional variation
             Potential surface reactivity
             Particulate contamination
             Adhesive or other potential leachables
             Inconsistent application of silicone oil (added for
              functionality)

6/14/2012              SCHOOL OF PHARMACY                           8
Glass prefilled syringes
are of two types
             Oil siliconised syringes:
                  In this type of prefilled syringe system there is
             direct contact of rubber to glass surface leads overtime
             to higher break out forces and leads to chances of
             contamination.

             Baked on silicone syringes:
                   In this baked on silicone syringes provide
             consistent coating of the glass barrel Wales.
             Break out forces stay low during storage
 6/14/2012               SCHOOL OF PHARMACY                     9
6/14/2012   SCHOOL OF PHARMACY   10
pH shift in glass syringes
             The shift in pH occurs because of use of type I glass
              used in prefilled syringes manufacturing is a
              borosilicate glass.
             Around the beginning of cooling phase at 580 c,
               sodium oxide is forms and remains in glass.
             During storage, sodium ions are released into the
               water for injection and increase the concentration of
               hydroxide ions, thus increasing alkalinity.
6/14/2012
             This causes change in pH in syringes.
                       SCHOOL OF PHARMACY                       11
pH shift in glass syringes:




6/14/2012           SCHOOL OF PHARMACY   12
PLASTIC-BASED SYSTEMS
             Plastic-based syringe systems are gaining
             acceptance because of their benefits compared
             to glass systems.
             The Japanese market, which is well known for its high
             quality, has transitioned over 50% of its syringes to
             plastic because of its superior performance.
             The most widely used prefillable plastic syringe
             systems are manufactured from cyclopoly olefin
             (COP) resin.

 6/14/2012           SCHOOL OF PHARMACY                     13
Benefits of plastic-based systems include:
              Break resistance
              Design flexibility
              Decreased surface reactivity
              Less absorption/adsorption of the drug
              Compatible with high or low pH


6/14/2012            SCHOOL OF PHARMACY                  14
Plastics materials used for prefilled
            syringes are mainly of two types.

               Cyclo olefin polymer (cop)
               Cyclo olefin co polymer (coc)




6/14/2012               SCHOOL OF PHARMACY          15
Cyclo olefin polymer (cop) major properties:
              Low water absorbency
              High transparency
              Low specific gravity
              High heat resistance
              Low impurities


6/14/2012              SCHOOL OF PHARMACY             16
Cyclo olefin co polymer (coc) major properties:
              clear amorphous copolymers based on cyclic and
              linear olefins.
              These materials form a family of engineering resins
              that exhibit a unique combination of properties,
              including high transparency, low density, excellent
              moisture barrier capabilities, and resistance to
              aqueous and polar organic media.
              Topas® COC is being used for pre-filled syringes,
              needleless injectors and other drug delivery systems.
6/14/2012             SCHOOL OF PHARMACY                     17
Materials used for the preparation
of PFS:

             components                composition
             Barrel                    Glass/plastic
             Piston                    Elastomer
             Tip cap                   Elastomer
             Plunger                   Plastic
             Lubricant                 Silicone oil
             Needle                    Stainless steel
             Needle                    Elastomer
             Needle shield cover       Plastic
 6/14/2012
             Finger grip extender
                  SCHOOL OF PHARMACY
                                       Plastic           18
6/14/2012   SCHOOL OF PHARMACY   19
Filling process in
PREFILLED SYRINGES:
             Newer technique developed by HCM's (Hyaluron Contract
              manufacturing) patented method of syringe filling involves
              vacuum filling coupled with online vacuum stoppering, Known
              as bubble-free filling.
             It eliminates the air bubble inside the syringe, (known as "head
              space"), that results from traditionally filling methods.
             Furthermore, totally removing the gas bubble improves the
              stability of oxygen sensitive compounds.
             In bubble-free filling, a vacuum (or, more accurately,
              differential pressure) is used to place the stopper.


6/14/2012                SCHOOL OF PHARMACY                            20
Sterilization of prefilled
syringes
               Sterilization of prefilled syringe is mainly done by autoclaving
                or by ionizing radiation.
               Autoclave is not suitable of glass prefilled syringes and normal
                plastics, as there occurs a pH shift in glass syringes during
                autoclave sterilization process.
               Mainly used method of sterilization is ionizing radiations.
               Gamma sterilization has proved to be an efficient means of
                sterilizing prefilled syringes.
               Ionizing radiation has the advantage of sterilization the syringe
                plungers while they remain in their packaging.


  6/14/2012                SCHOOL OF PHARMACY                             21
Steps to use prefilled
syringes
             Step 1: Verify the label on prefilled syringe as it may be serious if
             wrongly injected.

             Step 2: Take out the syringe cap and needle cap without touching
             the needle tip to prevent the contamination of the syringe.

             Step 3: Insert the needle. Manually inserting a needle into skin can
             be the most challenging element of self injection.

             Step 4: Once injection is completed, the patient must dispose the
             used syringe.

 6/14/2012                SCHOOL OF PHARMACY                                22
Advantages &
Disadvantages
             The first prefilled syringes were made of polypropylene.
             The advantages of prefilled syringes are :
             Patient related:
              Ease of convenience & use for health care
                 professionals and patients compared to a traditional
                 vial packaging system
                Reduced risk of dosage error and contamination
                Greater efficiency
                Improved sterility assurance
 6/14/2012      Enhanced product differentiation
                         SCHOOL OF PHARMACY                     23
Market related:
                    Reduced therapy and injection
                    costs
                    Increased market preference
                    20% API savings vs. vial filling




6/14/2012   SCHOOL OF PHARMACY                   24
A
                                 D
                                 V
                                 A
                                 N
                                 T
                                 A
                                 G
                                 E
                                 S
6/14/2012   SCHOOL OF PHARMACY       25
Disadvantages:
              These are complex medical devices
              Needle stick injuries
              Additional protection required




6/14/2012           SCHOOL OF PHARMACY            26
Factors Responsible for
Growth of Prefilled
Syringes
             •   Ease of administration,
             •   more convenient for healthcare professionals and patients,
             •   easier for home use,
             •   easier in emerging situations,
             •   reduction of medication errors,
             •   better dose accuracy,
             •   increase assurance of sterility,
             •   Better use of controlled drugs such as narcotics,
             •   lower injection cost by less preparation,
             •   easy storage and disposal,
 6/14/2012   •   product differentiation.
                           SCHOOL OF PHARMACY                           27
Marketed products:
                1)KINFERON®
                 (recombinant interferon product)
                 Strengths:3,5,6MIU/ml
                 Indications: Acute & chronic
                 hepatitis(type-B&C)leukemia,
                 Malignant melanoma,
                 Renal cell carcinoma,
                 Ovary carinoma etc.,
                 Route: IM,SC,intralesional.
 6/14/2012   SCHOOL OF PHARMACY                28
2) AVONEX® :
            (Interferon beta-1a)
            Strenght:30mcg
            Category:anti viral
            Route: IM



6/14/2012            SCHOOL OF PHARMACY   29
List of drug that are used
 via prefilled syringes

             Ardeparin                         Hospiral lidocaine 1%w/v
             Choriogonadotropin ɑ              Lidocaine Hcl 2%
             Dalteparin                        Nadroparin
             Enoxaparin sodium                 Reviparin
             Diclofenac sodium                 Sodium hyaluronate 1%w/v
             vasopressin                       Tinozaparin
             erythromycin                      amiodarone

 6/14/2012                SCHOOL OF PHARMACY                              30
Market growth:




6/14/2012   SCHOOL OF PHARMACY   31
E
Q
U
I                                 Fully
P                                 Automatic
M                                 Pre-Filled
E                                 Syringe
N                                 Filling
T                                 mechine
s:                                Model:
 6/14/2012   SCHOOL OF PHARMACY   PFT-A-05
                                         32
E
Q
U
I
P
M
E
N
T
s:
 6/14/2012   SCHOOL OF PHARMACY   33
Conclusion:
             As there are many advantages of prefilled
             syringes like convenience, affordability,
             accuracy, sterility, safety, marketing advantages,
             manufacturing advantages, and marketing
             advantages,prefilled syringes will eventually
             replace the conventional type.



 6/14/2012             SCHOOL OF PHARMACY                 34
Bibliography:
             www.pharmatechnologyindex.com
             www.visongain.com
             www.jpionline.org
             www.biopharminternational.com
             www.avonex.com
             www.ondrugdelivery.com
             www.bd.com
             www.ec21.com
             www.harikrushnatechnopride.tradeindia.com
             www.pharmtech.com
 6/14/2012
             www.baxterbiopharmasolutions.com
                      SCHOOL OF PHARMACY                 35
6/14/2012   SCHOOL OF PHARMACY   36

A ppt on prefilled syringes

  • 1.
    PREFILLED SYRINGES Under the Guidance of Abdul Mohd. Bari Associate professor BY SRIKANTH BANDI, H.T.NO :11H61S0303, DEPARTMENT :PHARMACEUTICS, SCHOOL OF PHARMACY, 6/14/2012 ANURAGSCHOOL OF PHARMACY GROUP OF INSTITUTIONS 1
  • 2.
    CONTENTS: What are prefilled syringes? Pupose of prefills Types of PFS systems Materials used for the preparation of PFS Filling process in PFS Sterilization of prefilled syringes Steps to use prefilled syringes Advantages & Disadvantages Factors Responsible for Growth of Prefilled Syringes Marketed Products 6/14/2012 SCHOOL OF PHARMACY 2 conclusion
  • 3.
    What are prefilled syringes?  A prefilled syringe is a single-dose packet of parental drug to which a needle has been fixed by the manufacturer.  Prefillable syringes have become an increasingly important option in the packaging and delivery of injectable drug products. 6/14/2012 SCHOOL OF PHARMACY 3
  • 4.
    PuRpose of prefills The prefilled syringe provides two major purposes to the administration of a drug.  The first is primary packaging. The purpose of the primary package is to assure that there is no adverse effect on the identity, strength, quality, purity or potency of the drug over its shelf life.  Second, a prefillable syringe is a delivery system designed to administer the appropriate amount of the medicament to the patient. 6/14/2012 SCHOOL OF PHARMACY 4
  • 5.
    Types of PSFsystems There are two major types of prefillable syringe systems available:  Glass-based systems  Plastic-based systems 6/14/2012 SCHOOL OF PHARMACY 5
  • 6.
    Glass-based systems  Traditionally, a prefillable syringe barrel has been made from glass tubing.  These glass tubes are transformed by heat into the barrel that is used to hold the drug product.  Syringe manufacturers typically form and process the glass and purchase the complementing elastomeric components (e.g., plungers, tip caps, needle shields) that complete the primary package from an elastomeric closure manufacturer. 6/14/2012 SCHOOL OF PHARMACY 6
  • 7.
    The benefits ofglass systems include:  Health care practitioners’ long history of familiarity with the product  The majority of prefilled syringes in the marketplace, are glass with elastomeric components  There are multiple proven suppliers 6/14/2012 SCHOOL OF PHARMACY 7
  • 8.
    Drawbacks:  Breakage  Dimensional variation  Potential surface reactivity  Particulate contamination  Adhesive or other potential leachables  Inconsistent application of silicone oil (added for functionality) 6/14/2012 SCHOOL OF PHARMACY 8
  • 9.
    Glass prefilled syringes areof two types Oil siliconised syringes: In this type of prefilled syringe system there is direct contact of rubber to glass surface leads overtime to higher break out forces and leads to chances of contamination. Baked on silicone syringes: In this baked on silicone syringes provide consistent coating of the glass barrel Wales. Break out forces stay low during storage 6/14/2012 SCHOOL OF PHARMACY 9
  • 10.
    6/14/2012 SCHOOL OF PHARMACY 10
  • 11.
    pH shift inglass syringes  The shift in pH occurs because of use of type I glass used in prefilled syringes manufacturing is a borosilicate glass.  Around the beginning of cooling phase at 580 c, sodium oxide is forms and remains in glass.  During storage, sodium ions are released into the water for injection and increase the concentration of hydroxide ions, thus increasing alkalinity. 6/14/2012  This causes change in pH in syringes. SCHOOL OF PHARMACY 11
  • 12.
    pH shift inglass syringes: 6/14/2012 SCHOOL OF PHARMACY 12
  • 13.
    PLASTIC-BASED SYSTEMS Plastic-based syringe systems are gaining acceptance because of their benefits compared to glass systems. The Japanese market, which is well known for its high quality, has transitioned over 50% of its syringes to plastic because of its superior performance. The most widely used prefillable plastic syringe systems are manufactured from cyclopoly olefin (COP) resin. 6/14/2012 SCHOOL OF PHARMACY 13
  • 14.
    Benefits of plastic-basedsystems include: Break resistance Design flexibility Decreased surface reactivity Less absorption/adsorption of the drug Compatible with high or low pH 6/14/2012 SCHOOL OF PHARMACY 14
  • 15.
    Plastics materials usedfor prefilled syringes are mainly of two types. Cyclo olefin polymer (cop) Cyclo olefin co polymer (coc) 6/14/2012 SCHOOL OF PHARMACY 15
  • 16.
    Cyclo olefin polymer(cop) major properties: Low water absorbency High transparency Low specific gravity High heat resistance Low impurities 6/14/2012 SCHOOL OF PHARMACY 16
  • 17.
    Cyclo olefin copolymer (coc) major properties: clear amorphous copolymers based on cyclic and linear olefins. These materials form a family of engineering resins that exhibit a unique combination of properties, including high transparency, low density, excellent moisture barrier capabilities, and resistance to aqueous and polar organic media. Topas® COC is being used for pre-filled syringes, needleless injectors and other drug delivery systems. 6/14/2012 SCHOOL OF PHARMACY 17
  • 18.
    Materials used forthe preparation of PFS: components composition Barrel Glass/plastic Piston Elastomer Tip cap Elastomer Plunger Plastic Lubricant Silicone oil Needle Stainless steel Needle Elastomer Needle shield cover Plastic 6/14/2012 Finger grip extender SCHOOL OF PHARMACY Plastic 18
  • 19.
    6/14/2012 SCHOOL OF PHARMACY 19
  • 20.
    Filling process in PREFILLEDSYRINGES:  Newer technique developed by HCM's (Hyaluron Contract manufacturing) patented method of syringe filling involves vacuum filling coupled with online vacuum stoppering, Known as bubble-free filling.  It eliminates the air bubble inside the syringe, (known as "head space"), that results from traditionally filling methods.  Furthermore, totally removing the gas bubble improves the stability of oxygen sensitive compounds.  In bubble-free filling, a vacuum (or, more accurately, differential pressure) is used to place the stopper. 6/14/2012 SCHOOL OF PHARMACY 20
  • 21.
    Sterilization of prefilled syringes  Sterilization of prefilled syringe is mainly done by autoclaving or by ionizing radiation.  Autoclave is not suitable of glass prefilled syringes and normal plastics, as there occurs a pH shift in glass syringes during autoclave sterilization process.  Mainly used method of sterilization is ionizing radiations.  Gamma sterilization has proved to be an efficient means of sterilizing prefilled syringes.  Ionizing radiation has the advantage of sterilization the syringe plungers while they remain in their packaging. 6/14/2012 SCHOOL OF PHARMACY 21
  • 22.
    Steps to useprefilled syringes Step 1: Verify the label on prefilled syringe as it may be serious if wrongly injected. Step 2: Take out the syringe cap and needle cap without touching the needle tip to prevent the contamination of the syringe. Step 3: Insert the needle. Manually inserting a needle into skin can be the most challenging element of self injection. Step 4: Once injection is completed, the patient must dispose the used syringe. 6/14/2012 SCHOOL OF PHARMACY 22
  • 23.
    Advantages & Disadvantages The first prefilled syringes were made of polypropylene. The advantages of prefilled syringes are : Patient related:  Ease of convenience & use for health care professionals and patients compared to a traditional vial packaging system  Reduced risk of dosage error and contamination  Greater efficiency  Improved sterility assurance 6/14/2012  Enhanced product differentiation SCHOOL OF PHARMACY 23
  • 24.
    Market related: Reduced therapy and injection costs Increased market preference 20% API savings vs. vial filling 6/14/2012 SCHOOL OF PHARMACY 24
  • 25.
    A D V A N T A G E S 6/14/2012 SCHOOL OF PHARMACY 25
  • 26.
    Disadvantages: These are complex medical devices Needle stick injuries Additional protection required 6/14/2012 SCHOOL OF PHARMACY 26
  • 27.
    Factors Responsible for Growthof Prefilled Syringes • Ease of administration, • more convenient for healthcare professionals and patients, • easier for home use, • easier in emerging situations, • reduction of medication errors, • better dose accuracy, • increase assurance of sterility, • Better use of controlled drugs such as narcotics, • lower injection cost by less preparation, • easy storage and disposal, 6/14/2012 • product differentiation. SCHOOL OF PHARMACY 27
  • 28.
    Marketed products: 1)KINFERON® (recombinant interferon product) Strengths:3,5,6MIU/ml Indications: Acute & chronic hepatitis(type-B&C)leukemia, Malignant melanoma, Renal cell carcinoma, Ovary carinoma etc., Route: IM,SC,intralesional. 6/14/2012 SCHOOL OF PHARMACY 28
  • 29.
    2) AVONEX® : (Interferon beta-1a) Strenght:30mcg Category:anti viral Route: IM 6/14/2012 SCHOOL OF PHARMACY 29
  • 30.
    List of drugthat are used via prefilled syringes Ardeparin Hospiral lidocaine 1%w/v Choriogonadotropin ɑ Lidocaine Hcl 2% Dalteparin Nadroparin Enoxaparin sodium Reviparin Diclofenac sodium Sodium hyaluronate 1%w/v vasopressin Tinozaparin erythromycin amiodarone 6/14/2012 SCHOOL OF PHARMACY 30
  • 31.
    Market growth: 6/14/2012 SCHOOL OF PHARMACY 31
  • 32.
    E Q U I Fully P Automatic M Pre-Filled E Syringe N Filling T mechine s: Model: 6/14/2012 SCHOOL OF PHARMACY PFT-A-05 32
  • 33.
    E Q U I P M E N T s: 6/14/2012 SCHOOL OF PHARMACY 33
  • 34.
    Conclusion: As there are many advantages of prefilled syringes like convenience, affordability, accuracy, sterility, safety, marketing advantages, manufacturing advantages, and marketing advantages,prefilled syringes will eventually replace the conventional type. 6/14/2012 SCHOOL OF PHARMACY 34
  • 35.
    Bibliography: www.pharmatechnologyindex.com www.visongain.com www.jpionline.org www.biopharminternational.com www.avonex.com www.ondrugdelivery.com www.bd.com www.ec21.com www.harikrushnatechnopride.tradeindia.com www.pharmtech.com 6/14/2012 www.baxterbiopharmasolutions.com SCHOOL OF PHARMACY 35
  • 36.
    6/14/2012 SCHOOL OF PHARMACY 36