Milk Bank Turns to Induction Sealing to Prevent Leaks, Improve Throughput

Leaks during pasteurization were resulting in unacceptable loss rates for donor human milk until Mothers’ Milk Bank of Florida found an induction sealing solution that lets operators take advantage of higher capacity, full-submersion pasteurization.

Operators at Mother’s Milk Bank induction seal 100-mL rigid bottles prior to pasteurization.
Operators at Mother’s Milk Bank induction seal 100-mL rigid bottles prior to pasteurization.

Some of the most fragile infants depend on Mothers’ Milk Bank of Florida and its mission to provide safe, pasteurized donor human milk (DHM). The donated milk is distributed by prescription to babies that are preterm or are medically vulnerable, when the amount of milk from the infant’s mother is not quite enough to meet her baby’s nutritional needs. Breastmilk is vital for infants that are born premature or with certain medical conditions who need that milk to dramatically improve their chances to survive, grow, and thrive. Since human milk is species-specific, its bioavailability is nearly 100%, making it far more valuable and nutritional than formula.

Ensuring the safety of the milk supply entails careful donor qualification—similar to blood or human tissue banks—and precise labeling for tracking and tracing every unit of donated milk back to the original donor.

Each donation of milk is diligently tracked from receiving, to processing, to delivery at neonatal intensive care units. Processing includes nutritional analysis, bottling, and pasteurization. Each batch of milk is tested after pasteurization to certify there is no bacteria in the milk. Once the sealed containers are pasteurized, they are place in frozen storage until being shipped to hospitals to help newborns in need.

In general, neonatal milk is pasteurized in-bottle, “like Vlasic pickles,” jokes Kandis Natoli, PhD, the Executive Director at MMB, and an IBCLC (International Board-Certified Lactation Consultant) and Registered Nurse. Bottles are heated to 62.5°C for 30 minutes in pasteurizers. For years, MMB had used a labor-intensive pasteurization method that involved hand-tightening a cap. The insecure seal with this manual closing method didn’t allow for higher-capacity full-submersion pasteurization, so smaller pasteurization runs were all that were available.

“It used to be that we hand-poured all the bottles. And the type of bottle that we were using, we couldn’t submerge it in a pasteurizer,” Natoli says. “And as they were putting the caps on, one of my employees bruised her hand. I didn’t know you could bruise the palm of your hand.

“So, we made some big changes,” she continues. “As a first step, we invested in a different kind of pasteurizer and a different kind of bottle—a bottle that could be sealed [thus submerged completely for pasteurization]. But the sealer we were using at first just wasn’t sealing consistently.”

In fact, thanks to these bad seal in a full-submersion pasteurizer, the rate of loss was alarming. In a good run, as few as one in 10 bottles were lost, and sometimes as many as four in 10 were lost.

“That milk is irreplaceable. I can’t easily get more milk,” Natoli says. “In a given year, Florida might have 200,000, maybe 250,000 births. And out of all those births, only one in 500 of those mothers will become a donor because a lot of women just don’t have that kind of surplus milk. They make just enough for their own baby. In fact, you hear a lot more about women who feel they don’t have enough milk. It’s not a commodity that we can waste; we have to be good stewards.”

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