The cytotoxicity of latex urinary catheters has been earlier documente
d. During the manufacturing process tens of chemicals are added to the
natural rubber base. Several of the accelerators and other chemicals
used have carcinogenic and acute toxic effects. Some of the accelerato
rs are zinc compounds. In the present study, the cytotoxicity and zinc
concentration of 68 latex catheter extracts were analysed. The silico
nized latex catheters were the most toxic, and a correlation was seen
between the IC50 values and the zinc concentration. The good manufactu
ring practice (GMP) has to some extent resolved the cytotoxicity probl
em of latex urinary catheters. There is, however, still a need to refo
rmulate the manufacturing process and to find new catheter materials t
o meet the new EN standards concerning the biological safety of urinar
y catheters.