Impact of Ethylene Oxide Sterilization on PEDOT:PSS Electrophysiology Electrodes

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The study investigated whether ethylene oxide (EtO) sterilization alters the functional properties of electrochemically deposited PEDOT:PSS electrodes used as conductive interfaces for intraoperative electrophysiological monitoring and stimulation. Using assessments including impedance spectroscopy, cyclic voltammetry, and charge-injection capacity measurements, the authors found that EtO exposure caused only minimal surface topography changes and produced no detectable differences in electrical or electrochemical performance compared with untreated controls, with negligible degradation in accelerated long-term stability testing. The key limitation is that the work evaluates PEDOT:PSS electrode performance after EtO exposure using laboratory electrochemical and stability assays rather than broader clinical or in vivo performance outcomes. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:PSS) is widely used to fabricate conductive organic coatings for electrodes in electrophysiology. As these devices move toward clinical translation, establishing sterilization methods that preserve their functional properties is essential. Ethylene oxide (EtO) is routinely used for sterilizing heat- and moisture-sensitive medical devices due to its high penetration efficiency and low thermal load. However, the absence of systematic studies evaluating its impact on PEDOT:PSS raises concerns about the compatibility of EtO sterilization with organic electrophysiology interfaces. Here, we report the first comprehensive evaluation of EtO sterilization on PEDOT:PSS electrodes electrochemically deposited onto cortical interfaces designed for intraoperative monitoring and stimulation. EtO exposure induced only minimal changes in surface topography, with no detectable alteration of the electrical or electrochemical performance of the electrodes. Impedance spectroscopy, cyclic voltammetry, and charge-injection capacity measurements all revealed that EtO-treated electrodes retained properties comparable to untreated controls. Moreover, EtO-sterilized PEDOT:PSS coatings demonstrated robust long-term stability under accelerated lifetime testing, exhibiting negligible degradation over extended operation. These findings demonstrate that EtO sterilization is fully compatible with PEDOT:PSS-based bioelectronic interfaces and constitutes a viable pathway toward their safe and effective integration into clinical electrophysiology. This work represents an important step toward translating organic conducting polymer technologies into real-world biomedical applications.
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Abstract Poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:PSS) is widely used to fabricate conductive organic coatings for electrodes in electrophysiology. As these devices move toward clinical translation, establishing sterilization methods that preserve their functional properties is essential. Ethylene oxide (EtO) is routinely used for sterilizing heat- and moisture-sensitive medical devices due to its high penetration efficiency and low thermal load. However, the absence of systematic studies evaluating its impact on PEDOT:PSS raises concerns about the compatibility of EtO sterilization with organic electrophysiology interfaces. Here, we report the first comprehensive evaluation of EtO sterilization on PEDOT:PSS electrodes electrochemically deposited onto cortical interfaces designed for intraoperative monitoring and stimulation. EtO exposure induced only minimal changes in surface topography, with no detectable alteration of the electrical or electrochemical performance of the electrodes. Impedance spectroscopy, cyclic voltammetry, and charge-injection capacity measurements all revealed that EtO-treated electrodes retained properties comparable to untreated controls. Moreover, EtO-sterilized PEDOT:PSS coatings demonstrated robust long-term stability under accelerated lifetime testing, exhibiting negligible degradation over extended operation. These findings demonstrate that EtO sterilization is fully compatible with PEDOT:PSS-based bioelectronic interfaces and constitutes a viable pathway toward their safe and effective integration into clinical electrophysiology. This work represents an important step toward translating organic conducting polymer technologies into real-world biomedical applications. Competing Interest Statement The authors have declared no competing interest.

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