EtO
Micro-Dose Sterilization Benefits
Traditional
Ethylene Oxide ( EtO) Gas Chamber Sterilization
Over 20,000 healthcare facilities worldwide use ethylene oxide sterilizers
to process sensitive instruments which cannot be adequately sterilized
by other methods. EtO, a potent, anti-microbial agent, can kill all
known viruses, bacteria and fungi, annihilating even the most sterilization-resistant
types of microorganisms, bacterial spores and remains the number
one sterilization method by a wide margin, with over 70% of total
sterilization being accomplished by this means. Tough on microbes,
ethylene oxide still treats most medical materials gently, even with
repeated use.
In
order to benefit from economies of scale, EtO
has t raditionally been
delivered by flooding a large chamber with a combination of
EtO and other gases used as dilutants (usually
CFCs or carbon dioxide ) . This
method, called "chamber sterilization" has been relied
on for many decades by large institutions, but hospitals have
been steering away from it because of the numerous drawbacks
inherent to the use of excessive amounts of sterilant being released
in a large space:
-
Air contamination produced by CFCs and/or large amounts of EtO
residuals.
- Flammability and
storage issues that call for special handling and storage.
- Operator exposure
risk and, as a consequence, high operator training costs.
- Need for a large
infrastructure, logistics and installation.
Because of hese
problems healthcare institutions have sought alternative
sterilization methods.
Micro-Dose EtO Sterilization: All of EtO's Advantages, none of its
Drawbacks.
In
order to fill this void, in the
late 50's Andersen Products developed the micro-dose sterilization
method whereby a specially designed bag is used in order to
eliminate the need to flood a chamber with EtO. This has the
effect of minimizing the use of gas and tremendously reducing
the economic and environmental costs associated with the traditional
process. This system has been used extensively worldwide among
various user groups such as hospitals, veterinarian practices,
dental practices and medical device manufacturers.
The
advantages of this approach quickly became evident and as a result
the Andersen system became a sterilization standard since the
mid 50's:
- Dramatic reduction of emissions and the resulting
operator exposure associated with them by over 80%.
- Important savings in acquisition
and operating costs, bringing them down to a fraction of those of a chamber sterilization
system, or most existing systems.
- Elimination in operator
training and re-training
costs, since they are included as a free life-long sterilizer feature.
- Great simplification of the sterilization
process and installation, which results in further savings.
- No CFC's are necessary
- The
ability to seal items in all-plastic packaging permits indefinite
sterility maintenance.>
Application:
Due to its
handling ease, affordability and tremendous versatility,
micro-dose gas-diffusion technology has emerged as an all-purpose,
widely accepted sterilization method especilly suited for expensive
medical equipment (endoscopes, electronics, fiber-optics, prosthesis,
etc.), disposable items, delicate items (paper, plastics, rubber)
that heat would damage, and all sorts of medical devices. For
a more complete list of the items that can be sterilized using
gas-diffusion sterilization, see the alphabetical product
list.
Traditional EtO
Chamber Sterilization vs. EtO Micro-Dose Sterilization Comparison
Table
|
Andersen System:
EtO micro-dose sterilization |
Traditional EtO
chamber sterilization |
Temperature |
50
degrees C |
50-60
degrees C |
Cycle time |
3.5 h.
+ |
16 h.
+ |
Sterilant |
EtO Gas |
EtO Gas
+ dilutant gas |
Sterilization range |
Most materials excluding liquids, food or drugs: plastic,
paper, electronics, etc. |
Most materials excluding liquids, food or drugs: plastic,
paper, electronics, etc. |
Typical practice type |
Clinical, hospital, dental, veterinarian, medical device
manufacturing |
Hospital,
medical device manufacturing |
Operator skill level |
Average.
Free training included with machine. Over-exposure is not
an issue. |
High.
Operator exposure issues make handling cumbersome. |
Environmental impact |
Minimal.
Emissions are reduced by 99% when scrubbed. |
EtO emissions |
System Price range |
$3,999-$50,000 |
$30,000-$150,000 |
Pros |
-Affordable
- Full cycle in as little as 3.5 hours including aeration.
- No
CFCs
-Low temperature
-The relaibility of EtO
-Sterilizes most anything but foods, drugs or liquids.
-Can sterilize and package in one step
-Relatively fast
-In larger models sterilizer
can be loaded while in operation without wait.
-Minimal gas use_
|
-Large loads
-Effective
-Low temperature
-EtO is one of the most reliable sterilants available.
-Sterilizes most anything but foods, drugs or liquids.
|
Cons |
- Relatively small loads
- Requires special safety handling
- Not suited for liquids, drugs nor foods.
|
-Long cycles
-Toxic byproduct
-Costly operation, installation and operator training.
-Long aeration
-Gas use
-Requires
special safety handling
|
Summary |
EtO-Micro Dose has all the advantages of traditional EtO sterilization
and none of its drawbacks.
|
Cost-effective
sterilization for large loads, but emissions and exposure
issues limit its usability. |
|