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The autoclave is a steam sterilizer, it uses moist heat in the form of saturated steam under pressure to reach a temperature above the boiling point, up to 135-137°C, to destroy microorganisms such as bacteria, viruses, fungi and spores.
Steam sterilization is non-toxic, inexpensive, rapidly microbicidal, sporicidal, and rapidly heats and penetrates tissue
With variable size, shape and functionality, the autoclave can sterilize liquids, solids, cavities, surgical materials and laboratory instruments of different shapes and sizes, it is suitable for different scientific and industrial applications.
Autoclave
◉ The basic principle of autoclave sterilization is to expose each object to direct contact with steam at the required temperature and pressure for the specified time. Thus, there are four steam sterilization parameters: steam, pressure, temperature, and time.
◉ Autoclaves operate mainly by gravity or by vacuum-induced or pre-vacuum (pre vac) sterilization methods. Although some types of autoclaves combine both methods to sterilize :
❶ Gravity autoclaving, also known as gravity displacement autoclaving, involves pumping steam into the autoclave chamber. This displaces ambient air and forces it out of the exhaust valves so that the remaining steam can sterilize the contents.
Gravity autoclaves are suitable for sterilizing non-porous items: most metals, especially stainless steel surgical instruments and laboratory utensils, Pyrex® or borosilicate type I glassware, biohazardous waste, unwrapped items .
Gravity displacement autoclave
❷ Vacuum autoclaving, also known as pre-vacuum sterilization. The vacuum function in these autoclaves allows for deeper sterilization of contents when air cannot be easily removed from the sterilization medium, as it completely evacuates ambient air inside, allowing high temperature steam to penetrate and sterilize areas that would normally be occupied by ambient air.
Vacuum autoclaves are suitable for sterilizing items with hard-to-reach or porous areas (wrapped surgical kits).
Vacuum autoclaving
The oldest and most recognized agent for the inactivation of microorganisms is heat. Moist heat destroys microorganisms through the irreversible coagulation and denaturation of enzymes and structural proteins.
Autoclave compatible | Autoclave Incompatible |
---|---|
Polypropylene, Glassware (Pyrex® or type I borosilicate), Stainless steel, pipette tips, Waste, Media solutions (Fill up to 2/3 of the container and loosen the caps), tissue culture flasks, Litter and pet food. | Chlorine, Hypochlorite, Bleach, Acids, bases and organic solvents, Chlorides, Sulphates, Sea water, polystyrene, Polyethylene, Polyurethane. |
When choosing an autoclave, it is possible to choose between three different types.
Class B autoclaves are the most advanced steam sterilizers. In this type of autoclave, steam is generated, rapidly in seconds, in a separate steam generator which is then sent into the autoclave. Post-sterilization vacuum drying ensures complete drying of all loads after the sterilization process is complete.
Class B autoclaves are certified autoclaves (NF EN13060) used in hospitals, dental offices, laboratories, tattoo studios etc. They also meet all sanitary and epidemiological requirements.
The class N autoclave is the lowest class device. Only instruments with a solid structure can be sterilized in such a device. It is not possible to sterilize hollow or porous cartridges or to sterilize items in wrappers.
It has an air and steam vent valve, it does not guarantee 100% air removal nor does it have an effective drying option.
The class S autoclave is an intermediate class between N and B. Class S allows the sterilization of single-wrapped, multi-layered and more massive instruments, which cannot be sterilized in class N autoclaves.
Autoclaves of this class have a vacuum pump, which allows the air to be completely removed from the chamber before starting the sterilization process (less efficient than class B autoclaves).
Cleaning | Failure to properly clean the instrument leads to increased bioburden, protein burden, and salt concentration. These will reduce the effectiveness of sterilization. Failure to properly clean the instrument leads to increased bioburden, protein burden and salt concentration. These will reduce the effectiveness of sterilization. |
Salt | Residual salt decreases the effectiveness of sterilization |
Restricted Flow | The sterilant must come into contact with microorganisms. Device designs (objects to be sterilized) that prevent or inhibit this contact (eg, sharp bends) will reduce the effectiveness of sterilization. |
Protein | Residual proteins decrease the effectiveness of sterilization. However, cleaning seems to quickly remove the protein load. |
Microbial load | |
Cluttered autoclave | The autoclave should not be cluttered. Leave enough space for steam circulation. |
Difference in cleanliness | Waste and clean items should be autoclaved separately |
Position | Objects placed inside the chamber should not touch the sides or top of the chamber |
Choose the appropriate cycle type | Incorrect cycle selection can damage the autoclave, cause liquid to overflow or break bottles. |
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