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CASE STUDY
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COMPARISON STUDY OF ENVIRONMENTAL HYDROGEN PEROXIDE LEVELS OF STERRAD SYSTEMS AND STERIS V-PRO PAGE 4
TIPS FOR SUCCESS MANUAL CLEANING VERIFICATION
PAGE 7
BETTER OUTCOMES AUTOMATED ENDOSCOPE REPROCESSING PAGE 8
BETTER OUTCOMES AUTOMATED LOW-TEMPERATURE TERMINAL STERILIZATION PAGE 2
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Your Partner in Sterility Assurance ASP backs every product we sell with comprehensive support from Clinical Education Consultants, inservice training, and a full-service warranty.
The STERRAD NX ® System with ALLClear ® Tech platform to help maximize your clinical, finan Trusted Sterility from the leader in low-temperature sterilization
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STERRAD®
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Part of an A
Lasting Economic Value
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STERRAD®
1 2 Assessment 3 Fastest
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of operating costs due to energy and water use during terminal sterilization with STERRAD Systems compared to a steam sterilizer. Irvine, CA ®
®
BI/PCD currently marketed for STERRAD Systems. 15 or 30 minute result dependent on the software version on the STERRAD VELOCITY Reader. 1
times are approximate. ALLClear® Technology may increase processing time by approximately 5 minutes.
Important information: Prior to use, refer to the complete instructions for use supplied with thedevice(s) for proper use, indications, contrai Capitalized product names are trademarks of ASP Global Manufacturing, GmbH ALLClear® is a registered trademark of ASP Global Manufacturing, GmbH.
BETTER OUTCOMES WITH AUTOMATED PERATURE TERMINAL STERILIZATION
hnology delivers sterility assurance through an upgradeable ncial and operational outcomes.
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single-channel 4
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A: Advanced Sterilization Products; 2016. Research funded by ASP.
15 minutes to result for SW version 1139260410 or greater; 30
indications, warnings and precautions.
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Case Study
Comparison Study of Environmental Hydrogen Peroxide Levels of STERRAD® Systems and STERIS V-PRO® Low Temperature Sterilizers Reveals Striking Differences
Introduction
Likelihood of Exposure: A Technological Perspective
T
he increased use of temperature-sensitive medical devices has given rise to higher usage of lowtemperature sterilization methods. STERRAD® Systems and V-PRO® sterilizers offer shorter sterilization cycles and use hydrogen peroxide (H2O2), a sterilant with a Consequently, these sterilizers have become widely used for temperature- and moisture-sensitive instrument reprocessing. There are safety standards in place to ensure that environmental concentrations of the hydrogen peroxide remain at safe levels. The OSHA Permissible Exposure Limit (OSHA PEL) for hydrogen peroxide is currently 1 ppm,1,2 which is equal to the American Conference of Governmental Industrial Hygienists (ACGIH®) Threshold Limit Value (TLV). While this concentration limit is a timeweighted average, the ACGIH® also has a short-term peak exposure, which states that at no time should the exposure exceed 5 ppm.3 These limits are very low, and intended to ensure worker safety in a compliant workplace.
Manufacturers design their systems to ensure environmental hydrogen peroxide exposures are kept to a minimum. Advanced Sterilization Products claims that use of a gas plasma phase in the STERRAD® System sterilizer process dissociates unreacted hydrogen peroxide into oxygen and water, eliminating the need for aeration. Alternately, the STERIS V-PRO® sterilizers pass hydrogen peroxide through a catalytic converter where it is reduced to water and oxygen.4
At no time should short term exposure exceed 5 ppm.3
In line with environmental standards regulating exposure of hydrogen peroxide, a comparison study5 was conducted to determine the differences in hydrogen peroxide emissions for both STERRAD® Systems and STERIS V-PRO® sterilizers.
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4 | ASP | DIGITAL SUPPLEMENT
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What’s included with the purchase ® of STERRAD NX System with ® ALLClear Technology • Consumables Starter Kit:
- Cassettes, Biological Indicators, Chemical Indicators, Collection Boxes, Tape, Pouches, and Paper Rolls - Two APTIMAX® Instrument Trays and Mats
• First Year Full Service Contract:**
- One Planned Maintenance; including parts, labor & travel - Unlimited Corrective Maintenance; including parts, labor & travel - Unlimited ASP Technical Service Representative (TSR) support
• Installation and Validation of STERRAD® System and Cycles • De-installation, removal, and transport of replaced unit*** • Unlimited access to STERRAD® Sterility Guide • Best in-class Clinical In-Service • Best in-class Clinical Support from ASP Clinical Education Consultant • Online Continuing Education (CE) Credit
Items included are listed above “Next available opening” support. Monday – Friday from 7 am – 7 pm. Does not represent an uptime guarantee. *** Only for purchases with trade-in promotions; not available to all purchases *
**
Capitalized product names and ALLClear® are trademarks of ASP Global Manufacturing, GmbH. Important information: Prior to use, refer to the instructions for use supplied with this device for indications, contraindications, warnings and precautions.
www.asp.com
Advanced Sterilization Products 33 Technology Drive, Irvine, CA 92618 ©ASP 2021. All rights reserved.
What’s included with the purchase ® of STERRAD 100NX System with ® ALLClear Technology • Consumables Starter Kit: - Cassettes, Biological Indicators, Chemical Indicators, Collection Boxes, Tape, Pouches, and Paper Rolls - Two APTIMAX® Instrument Trays and Mats
• First Year Full Service Contract:**
- 2 Planned Maintenance including parts, labor & travel - Unlimited Corrective Maintenance including parts, labor & travel - Unlimited ASP Technical Service Representative (TSR) support
• Installation and Validation of STERRAD® System and Cycles • De-installation, removal, and transport of replaced unit*** ®
• Unlimited access to STERRAD Sterility Guide • Best in-class Clinical In-Service • Best in-class Clinical Support from ASP Clinical Education Consultant • Online Continuing Education (CE) Credit
Items included are listed above “Next available opening” support. Monday – Friday from 7 am – 7 pm. Does not represent an uptime guarantee. *** Only for purchases with trade-in promotions; not available to all purchases *
**
Capitalized product names and ALLClear® are trademarks of ASP Global Manufacturing, GmbH. Important information: Prior to use, refer to the instructions for use supplied with this device for indications, contraindications, warnings and precautions.
www.asp.com
Advanced Sterilization Products 33 Technology Drive, Irvine, CA 92618 ©ASP 2021. All rights reserved.
Tips for Success Quality Improvement ProcessManual Cleaning Verification
Customers often ask how they can implement cleaning verification as part of their Quality Control Process for reprocessing Flexible and Semi Rigid Endoscopes. Sterile processing professionals are expected to verify that they are able to clean, disinfect, and sterilize instruments using automatic cleaning equipment and manual cleaning processes according to the manufacturer’s instructions for use (IFU).
What the Standards Recommend On Cleaning Verification AAMI ST 91 12.4.2 Cleaning verification Cleaning verification of flexible and semi-rigid endoscopes should include: Visual inspection combined with other verification methods that allows the assessment of both external surfaces and internal housing and channels. ( ANSI/AAMI ST91:2015 Flexible and semi-rigid endoscope processing in health care facilities, p 39) AORN “Guideline for processing flexible endoscopes” include the following Manual cleaning of flexible endoscopes should be verified with cleaning verification tests when new endoscopes are purchased and at established intervals ( eg, after each use, daily). (2016 AORN Guideline for processing flexible endoscopes, XIII.f., p734).
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Visual Inspection Visual Inspection should be conducted to detect the presence of any residual soil. Inspection using magnification and additional illumination might identify residues more readily than the unaided eye. For internal channels of device, a video boroscope of an appropriate dimension (length and diameter) may be used to visually inspect the internal channels of some medical devices. 2015 AAMI ST 91 p39) Although it is not a guarantee that decontamination from manual cleaning is complete, visual inspection can be considered a safety stop or “time out” to ensure the endoscope is visually clean before proceeding to the next step of high level disinfection. ( 2016 SGNA Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes, p18).
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Your Partner in Infection Prevention
The ASP AEROFLEX™ Automatic Endoscope R enhances compliance 3 to help maximize your
Meet the
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1
2
3
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Important information: Prior to use, refer to the complete instructions for use supplied with thedevice(s) for proper use, indications, contrain Capitalized product names are trademarks of ASP Global Manufacturing, GmbH
Reprocessor (AER) accelerates workflow 4 and clinical, financial and operational outcomes.
e Demands of Your Schedule the
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ated record keeping can reduce the opportunity man error compared with manual record keeping
ndications, warnings and precautions.
33 Technology Drive, Irvine, CA 92618 ©ASP 2020. All rights reserved. AP-2001082-1
