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PACKAGING

Bag-on-Valve – Optimal Solution
for Pharma Products

With the total separation of
product and propellant, a bag with
superior barrier properties, and
complete oxygen protection, Bag-
on-Valve is the optimal solution
for pharmaceutical and health
products. Many products can be
made in a sterile presentation.
Sterility is guaranteed – even when
the can has been opened and used
frequently over a long period of
time.
   With tax-based healthcare services
burdened by increasingly higher costs
for pharmaceuticals and the ever-
more stringent regulation governing
the introduction of a new drug on
the market, there is a growing trend
moving from prescription (Rx) to non-
prescription, over-the-counter (OTC)
products. It has turned out that the
Bag-on-Valve (BoV) may in several
cases be a suitable technology for
products to make this switch, as
marketers are looking for modern,
innovative packaging that can attract
consumers.
   Products      for     which      the
pharmacological claims are not              products using the BoV technology for       the bag. When the spray button is
the primary function can often be           administration.                             pressed, the product is squeezed out
classified and registered as medical           Originating in the cosmetics industry,   of the bag by the compressed air/
devices utilising the BoV technology.       BoV technology has entered into the         nitrogen, which creates the dispensing
The physical or mechanical function         pharma industry where it is expanding,      as a spray, cream or gel (see graphic
of a medical device spray product           and now covers saline/seawater nasal        for details).
is suitable for this modern aerosol         sprays, wound cleansing/irrigation             As such, BoV is an ideal barrier
system. Being classified as a medical       sprays, eyewash sprays, dermal drug         pack for liquids, gels, creams and
device, rather than pharmaceutical, a       delivery products, disinfectant sprays      lotions, keeping high product integrity
product can reach the market much           and veterinary products, among              and protection against oxygen. Hence,
faster, and in the EU, an application       others.                                     for many formulations the amount
for registration can be made once                                                       of preservatives needed is very low
instead of the more complicated and         Convenient and Environmentally-             and may in some cases be excluded
costly drug application using the           friendly                                    altogether. For sterile products it is
centralised, decentralised or mutual-       The Bag-on-Valve consists of a              possible to arrange aseptic filling or
recognition procedures. Registering         rolled-up multi-layered flexible pouch      use gamma irradiation to achieve
an OTC-product as a medical device          attached to an aerosol valve. In            sterility. The propellants eliminate the
can provide a more cost-effective way       the production of a BoV product,            need for pumping out the content,
of entering the European market.            compressed air or nitrogen is charged       which often is a great advantage
   There is therefore an increased          into the can, and an aerosol valve with     compared to, for example, pump
interest in giving old products new,        the bag attached is crimped onto the        sprays or trigger sprays. Instead the
more convenient applications as             container. The formulation is forced        content can be sprayed, smoothly and
well as finding niches for totally new      through the aerosol valve stem to fill      evenly, giving the user perfect control

120 INTERNATIONAL PHARMACEUTICAL INDUSTRY                                                            Summer 2012 Volume 4 Issue 3
PACKAGING
over the administration of the product.                      Bag-on-Valve Technology
Another major convenience connected                          1. The Valve
with BoV is the fact that it is possible                     Bag-on-Valve systems are available with both female and male valves.
to spray from any angle without                              2. The Bag
losing pace or force in the spray. The                       FDA-approved laminated bag (three or four layers depending
                                                             on product requirements). Available in a large range of sizes.
degree of emptying is very high, up to
                                                             3. The Product
nearly 100 per cent for water-based                          Suitable for liquid as well as viscous products, such as gels, creams
solutions.                                                   and ointments, in a number of application areas.Optimised for
                                                             oxygen-sensitive and sterile products.
   If desired, a Bag-on-Valve aerosol
can produce a smooth and even                                4. The Propellant
                                                             Because of the separation between product and propellant,
layer of a film-forming product or a                         Bag-on-Valve can be used with compressed air or nitrogen.
protective barrier cream to the skin –                       5. The Actuator
without any need for additional hand-                        A large range of standard actuators depending on product demands.
spreading, thus resulting in advantages                      6. The Can
in hygiene and patient integrity. This                       Standard aerosol can, aluminium or tinplate. All sorts of shaped
                                                             cans can be used. No limitation in marketing solutions.
means that the product can be applied
                                                             The Cap – Can be used with many kinds of standard overcaps.
without actually touching the skin,
avoiding the spread of contamination
from the hands, ideal for sensitive
product applications. For healthcare
professionals and patients alike it is
less encumbering having someone to
spray rather than rub the content onto
the skin. Since a Bag-on-Valve aerosol
functions equally well at all angles it
is easy to use – even in emergency          STEP 1.          STEP 2.             STEP 3.                STEP 4.                 STEP 5.
situations.                                 Placing of       Gassing (air/       Pressure               Product filling         Actuator
                                            valve and bag    nitrogen)           control                in the bag              and cap
                                            inside the can   followed by                                followed by             placement
A Wide Range of Applications                                 crimping of                                weight control
                                                             the valve
BoV can be used to upgrade the                               onto the can
packaging of a product, increase the
marketing opportunities, and/or to add
new convenience to the formulation,
for instance turning an emollient
cream into an emollient spray. For an
innovative pharmaceutical company
it may be interesting how they can
challenge established brands simply
by using an alternative spraying
technology. With its many dispensing
possibilities, Bag-on-Valve is suitable
for direct dispensing even in such
sensitive areas as eyes or ears – even
in children.
   One of the most common
formulations used in BoV medical
devices is different saline solutions.
They are used in several different
applications, such as nasal sprays,
wound cleansers, ear-cleansing sprays
and also eyewashes. Market leading
nasal spray brands like Simply Saline
(US) and Stérimar (EU), both from
Church & Dwight Co. Inc. are well-
known examples. Nasal sprays in BoV
are widely used based on saline or
natural seawater solutions.
   Wound care on the other hand is
rather “virgin soil” when it comes to
BoV, even if wound cleanser with saline

122 INTERNATIONAL PHARMACEUTICAL INDUSTRY
PACKAGING
solutions for hospital and community
care have been on the market for more                                                   Fact box:
than 10 years in the EU and the US.                                                     Advantages of Bag-on-Valve (BoV)
There is a lot of product development                                                   The Bag-on-Valve system offers
currently in process in this segment.                                                   major advantages for a range of
One example of an innovative approach                                                   aerosol products where safe and
using BoV is the new product Granulox                                                   contact-free dispensing is required.
(SastoMed, Germany) for treatment of                                                    Bag-on-Valve gives new marketing
chronic wounds. The Granulox product                                                    opportunities through improved
uses haemoglobin in order to improve                                                    consumer conveniences, product
oxygen supply to chronic wounds.                                                        protection, and controlled discharge
The haemoglobin-based formulation                                                       of the product.
sprayed onto the wound area is able
to penetrate the exudate and thereby                                                    Safety and environmental benefits
increase the level of oxygen in the                                                     • No need for flammable propellants
                                                                                          
wound. The wound situation improves                                                     • Hygienic and sterilisable
and wound healing is accelerated.                                                       • Used with eco-friendly
                                                                                          
Wounds stagnant due to hypoxia can                                                        air or nitrogen
also be activated.                                                                      • Less need for preservatives
   Several    companies       are    also
recognising the benefits of BoV for the                                                 Consumer benefits
application of silicon-based products.                                                  • Up to 100% product emptying
An example of this is the growing                                                       • Longer shelf-life with
                                                                                          
market for medical adhesive remover                                                       less preservatives
sprays where sophisticated silicone                                                     • Even and controlled spraying
                                                                                          
formulations are sprayed to gently and                                                    pattern for optimal result
painlessly remove adhesive products                                                     • No pumping motion needed
such as stoma pouches and wound                                                         • Can be used at all angles
dressings. Conventional adhesive                                                        • Reduced spray noise
dressing removal is often difficult                                                     • Less-chilling product discharge
for the healthcare professional and
unpleasant for the patient.                                                             Production and distribution benefits
   Another upcoming area currently                                                      • Longer shelf-life for oxygen-
                                                                                          
catching interest is throat spray, with     product and propellant, Bag-on-Valve          sensitive products
the aim of soothing and preventing          offers a more constant pressure and         • Effective filling process
sore throat symptoms during colds and       flow rate until the last drop.              • Suitable for both liquid
                                                                                          
allergies. Maybe we will see a similar         Let’s not forget disinfection products     and viscous products
range of throat spray products on           used in critical environments like          • Can be used with standard
                                                                                          
the market as is already available for      pharmaceutical industry cleanrooms.           actuators and aerosol cans.
nasal application. In the ENT segment       Double-bagged sterile disinfection
there are also BoV-products on the          sprays     for    this    purpose    with
market that help to prevent build-up of     isopropanol alcohol or ethanol are now      the ISO 13485:2003 standard.
earwax.                                     available using the BoV packaging.             Some CMOs in the EU, such as
   Occupational safety is another area      The greatest convenience of this is that    Aurena Laboratories, offer medical
where BoV products are increasing           they are easily sprayed on machinery        device products, developed in-house,
their market shares. A BoV first aid        and surfaces in the critical areas.         for companies to sell and distribute
eyewash, such as is available on the                                                    under their own brands. In these
EU market, is a good complement to          Integrity of Brands                         cases the final products are already
the water pipe or gravity-fed eyewashes     BoV products for the pharmaceutical         registered and CE-marked according
that are usually found at industrial        market are often manufactured by            to the European Medical Device
workplaces. Benefits include a lesser       contract manufacturing organisations        Directive. The brand name and artwork
amount of liquid that lasts longer,         (CMOs). For sterile products, some          design of the new private label will be
portability and the ability to be either    CMOs of BoV can offer aseptic               added to the technical file (dossier) of
personal or available in a wall station.    production. A more common method            the registered product and become
   In products such as first aid            to realise sterile products is the use of   a part of the registered product. The
eyewashes, the effective flushing time      gamma irradiation of the final product.     procedures will be different depending
has to be as long as possible. This         The manufacturers may be focusing on        on the classification of the product.
can be achieved with very fine spray        GMP production for products classified         Depending on the type of contractual
actuators and a controlled discharge        as drugs or on production of medical        arrangement between the CMO and
flow rate. Thanks to the separation of      device classified products based on         the brand owner it can be either the

124 INTERNATIONAL PHARMACEUTICAL INDUSTRY                                                            Summer 2012 Volume 4 Issue 3
PACKAGING

CMO or the brand owner that is stated     Leading suppliers of filling machines
as the legal manufacturer. This can       are Pamasol (Switzerland) and MBC
                                                                                       Magnus
ensure total integrity of the brand, as   Aerosol (USA).                               Hedman
the production source is not disclosed       For transportation, the BoV products      Mr Magnus
on the packaging.                         are classified as aerosols (UN 1950).         Hedman is the
    With BoV the cost per ml can often    For the pharmaceutical market the cans       Co-founder,
be decreased, particularly regarding      are most often made of aluminium,            Partner,
nasal sprays with a filling volume of      even if tinplate BoV systems are also        Marketing
50ml and upwards, compared to pump        available. The cans are also light to        Director, Business Development
sprays that normally contain a lesser     carry and normally fit into the recycle       Manager of Aurena Laboratories AB.
filling volume. Available standard BoV     programmes established in most               He is a seasoned entrepreneur and
packaging covers a broad range from       countries.                                   business development specialist
30 to 500ml.                                 The cans also offer interesting           who has been involved in the medical
    The components for BoV are made       marketing opportunities, since they          device and pharma industry for over 20
by other suppliers, of which Aptar        represent quite a large display area         years. International Sales  Marketing
Group, Lindal Group and Coster are        in the store and can be designed in a        Manager for Swedish respiratory
among the leading companies.              highly attractive way, giving the brand      care company Aiolos Medical, 1990
    Special aerosol filling machines       name a high degree of exposure.              to 2000. He co-founded Aurena
                                                                                       Laboratories in the year 2000 and has
are needed to fill BoV products.
                                                                                       developed a range of medical devices
                                                                                       in the Bag-on-Valve packaging for
                                                                                       the Pharma industry. He has led the
                                                                                       dedicated work to develop Aurena
                                                                                       into a leading international company
                                                                                       of medical device aerosols.
                                                                                       Email: magnus@aurena.se




www.ipimedia.com                                                                    INTERNATIONAL PHARMACEUTICAL INDUSTRY   127

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Bag-On-Valve

  • 1. PACKAGING Bag-on-Valve – Optimal Solution for Pharma Products With the total separation of product and propellant, a bag with superior barrier properties, and complete oxygen protection, Bag- on-Valve is the optimal solution for pharmaceutical and health products. Many products can be made in a sterile presentation. Sterility is guaranteed – even when the can has been opened and used frequently over a long period of time. With tax-based healthcare services burdened by increasingly higher costs for pharmaceuticals and the ever- more stringent regulation governing the introduction of a new drug on the market, there is a growing trend moving from prescription (Rx) to non- prescription, over-the-counter (OTC) products. It has turned out that the Bag-on-Valve (BoV) may in several cases be a suitable technology for products to make this switch, as marketers are looking for modern, innovative packaging that can attract consumers. Products for which the pharmacological claims are not products using the BoV technology for the bag. When the spray button is the primary function can often be administration. pressed, the product is squeezed out classified and registered as medical Originating in the cosmetics industry, of the bag by the compressed air/ devices utilising the BoV technology. BoV technology has entered into the nitrogen, which creates the dispensing The physical or mechanical function pharma industry where it is expanding, as a spray, cream or gel (see graphic of a medical device spray product and now covers saline/seawater nasal for details). is suitable for this modern aerosol sprays, wound cleansing/irrigation As such, BoV is an ideal barrier system. Being classified as a medical sprays, eyewash sprays, dermal drug pack for liquids, gels, creams and device, rather than pharmaceutical, a delivery products, disinfectant sprays lotions, keeping high product integrity product can reach the market much and veterinary products, among and protection against oxygen. Hence, faster, and in the EU, an application others. for many formulations the amount for registration can be made once of preservatives needed is very low instead of the more complicated and Convenient and Environmentally- and may in some cases be excluded costly drug application using the friendly altogether. For sterile products it is centralised, decentralised or mutual- The Bag-on-Valve consists of a possible to arrange aseptic filling or recognition procedures. Registering rolled-up multi-layered flexible pouch use gamma irradiation to achieve an OTC-product as a medical device attached to an aerosol valve. In sterility. The propellants eliminate the can provide a more cost-effective way the production of a BoV product, need for pumping out the content, of entering the European market. compressed air or nitrogen is charged which often is a great advantage There is therefore an increased into the can, and an aerosol valve with compared to, for example, pump interest in giving old products new, the bag attached is crimped onto the sprays or trigger sprays. Instead the more convenient applications as container. The formulation is forced content can be sprayed, smoothly and well as finding niches for totally new through the aerosol valve stem to fill evenly, giving the user perfect control 120 INTERNATIONAL PHARMACEUTICAL INDUSTRY Summer 2012 Volume 4 Issue 3
  • 2. PACKAGING over the administration of the product. Bag-on-Valve Technology Another major convenience connected 1. The Valve with BoV is the fact that it is possible Bag-on-Valve systems are available with both female and male valves. to spray from any angle without 2. The Bag losing pace or force in the spray. The FDA-approved laminated bag (three or four layers depending on product requirements). Available in a large range of sizes. degree of emptying is very high, up to 3. The Product nearly 100 per cent for water-based Suitable for liquid as well as viscous products, such as gels, creams solutions. and ointments, in a number of application areas.Optimised for oxygen-sensitive and sterile products. If desired, a Bag-on-Valve aerosol can produce a smooth and even 4. The Propellant Because of the separation between product and propellant, layer of a film-forming product or a Bag-on-Valve can be used with compressed air or nitrogen. protective barrier cream to the skin – 5. The Actuator without any need for additional hand- A large range of standard actuators depending on product demands. spreading, thus resulting in advantages 6. The Can in hygiene and patient integrity. This Standard aerosol can, aluminium or tinplate. All sorts of shaped cans can be used. No limitation in marketing solutions. means that the product can be applied The Cap – Can be used with many kinds of standard overcaps. without actually touching the skin, avoiding the spread of contamination from the hands, ideal for sensitive product applications. For healthcare professionals and patients alike it is less encumbering having someone to spray rather than rub the content onto the skin. Since a Bag-on-Valve aerosol functions equally well at all angles it is easy to use – even in emergency STEP 1. STEP 2. STEP 3. STEP 4. STEP 5. situations. Placing of Gassing (air/ Pressure Product filling Actuator valve and bag nitrogen) control in the bag and cap inside the can followed by followed by placement A Wide Range of Applications crimping of weight control the valve BoV can be used to upgrade the onto the can packaging of a product, increase the marketing opportunities, and/or to add new convenience to the formulation, for instance turning an emollient cream into an emollient spray. For an innovative pharmaceutical company it may be interesting how they can challenge established brands simply by using an alternative spraying technology. With its many dispensing possibilities, Bag-on-Valve is suitable for direct dispensing even in such sensitive areas as eyes or ears – even in children. One of the most common formulations used in BoV medical devices is different saline solutions. They are used in several different applications, such as nasal sprays, wound cleansers, ear-cleansing sprays and also eyewashes. Market leading nasal spray brands like Simply Saline (US) and Stérimar (EU), both from Church & Dwight Co. Inc. are well- known examples. Nasal sprays in BoV are widely used based on saline or natural seawater solutions. Wound care on the other hand is rather “virgin soil” when it comes to BoV, even if wound cleanser with saline 122 INTERNATIONAL PHARMACEUTICAL INDUSTRY
  • 3. PACKAGING solutions for hospital and community care have been on the market for more Fact box: than 10 years in the EU and the US. Advantages of Bag-on-Valve (BoV) There is a lot of product development The Bag-on-Valve system offers currently in process in this segment. major advantages for a range of One example of an innovative approach aerosol products where safe and using BoV is the new product Granulox contact-free dispensing is required. (SastoMed, Germany) for treatment of Bag-on-Valve gives new marketing chronic wounds. The Granulox product opportunities through improved uses haemoglobin in order to improve consumer conveniences, product oxygen supply to chronic wounds. protection, and controlled discharge The haemoglobin-based formulation of the product. sprayed onto the wound area is able to penetrate the exudate and thereby Safety and environmental benefits increase the level of oxygen in the • No need for flammable propellants wound. The wound situation improves • Hygienic and sterilisable and wound healing is accelerated. • Used with eco-friendly Wounds stagnant due to hypoxia can air or nitrogen also be activated. • Less need for preservatives Several companies are also recognising the benefits of BoV for the Consumer benefits application of silicon-based products. • Up to 100% product emptying An example of this is the growing • Longer shelf-life with market for medical adhesive remover less preservatives sprays where sophisticated silicone • Even and controlled spraying formulations are sprayed to gently and pattern for optimal result painlessly remove adhesive products • No pumping motion needed such as stoma pouches and wound • Can be used at all angles dressings. Conventional adhesive • Reduced spray noise dressing removal is often difficult • Less-chilling product discharge for the healthcare professional and unpleasant for the patient. Production and distribution benefits Another upcoming area currently • Longer shelf-life for oxygen- catching interest is throat spray, with product and propellant, Bag-on-Valve sensitive products the aim of soothing and preventing offers a more constant pressure and • Effective filling process sore throat symptoms during colds and flow rate until the last drop. • Suitable for both liquid allergies. Maybe we will see a similar Let’s not forget disinfection products and viscous products range of throat spray products on used in critical environments like • Can be used with standard the market as is already available for pharmaceutical industry cleanrooms. actuators and aerosol cans. nasal application. In the ENT segment Double-bagged sterile disinfection there are also BoV-products on the sprays for this purpose with market that help to prevent build-up of isopropanol alcohol or ethanol are now the ISO 13485:2003 standard. earwax. available using the BoV packaging. Some CMOs in the EU, such as Occupational safety is another area The greatest convenience of this is that Aurena Laboratories, offer medical where BoV products are increasing they are easily sprayed on machinery device products, developed in-house, their market shares. A BoV first aid and surfaces in the critical areas. for companies to sell and distribute eyewash, such as is available on the under their own brands. In these EU market, is a good complement to Integrity of Brands cases the final products are already the water pipe or gravity-fed eyewashes BoV products for the pharmaceutical registered and CE-marked according that are usually found at industrial market are often manufactured by to the European Medical Device workplaces. Benefits include a lesser contract manufacturing organisations Directive. The brand name and artwork amount of liquid that lasts longer, (CMOs). For sterile products, some design of the new private label will be portability and the ability to be either CMOs of BoV can offer aseptic added to the technical file (dossier) of personal or available in a wall station. production. A more common method the registered product and become In products such as first aid to realise sterile products is the use of a part of the registered product. The eyewashes, the effective flushing time gamma irradiation of the final product. procedures will be different depending has to be as long as possible. This The manufacturers may be focusing on on the classification of the product. can be achieved with very fine spray GMP production for products classified Depending on the type of contractual actuators and a controlled discharge as drugs or on production of medical arrangement between the CMO and flow rate. Thanks to the separation of device classified products based on the brand owner it can be either the 124 INTERNATIONAL PHARMACEUTICAL INDUSTRY Summer 2012 Volume 4 Issue 3
  • 4. PACKAGING CMO or the brand owner that is stated Leading suppliers of filling machines as the legal manufacturer. This can are Pamasol (Switzerland) and MBC Magnus ensure total integrity of the brand, as Aerosol (USA). Hedman the production source is not disclosed For transportation, the BoV products Mr Magnus on the packaging. are classified as aerosols (UN 1950). Hedman is the With BoV the cost per ml can often For the pharmaceutical market the cans Co-founder, be decreased, particularly regarding are most often made of aluminium, Partner, nasal sprays with a filling volume of even if tinplate BoV systems are also Marketing 50ml and upwards, compared to pump available. The cans are also light to Director, Business Development sprays that normally contain a lesser carry and normally fit into the recycle Manager of Aurena Laboratories AB. filling volume. Available standard BoV programmes established in most He is a seasoned entrepreneur and packaging covers a broad range from countries. business development specialist 30 to 500ml. The cans also offer interesting who has been involved in the medical The components for BoV are made marketing opportunities, since they device and pharma industry for over 20 by other suppliers, of which Aptar represent quite a large display area years. International Sales Marketing Group, Lindal Group and Coster are in the store and can be designed in a Manager for Swedish respiratory among the leading companies. highly attractive way, giving the brand care company Aiolos Medical, 1990 Special aerosol filling machines name a high degree of exposure. to 2000. He co-founded Aurena Laboratories in the year 2000 and has are needed to fill BoV products. developed a range of medical devices in the Bag-on-Valve packaging for the Pharma industry. He has led the dedicated work to develop Aurena into a leading international company of medical device aerosols. Email: magnus@aurena.se www.ipimedia.com INTERNATIONAL PHARMACEUTICAL INDUSTRY 127