3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Product Profile 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Product Profile Sterilization Cycles 3M™ Steri-Vac™ Sterilizer/Aerator GS Series ethylene oxide (EO) sterilizer/aerators are designed to be used with 3M™ Steri-Gas™ EO Gas Cartridges to provide a safe and effective low temperature sterilization process for healthcare applications. The 3M™ Steri-Vac™ Sterilizer/Aerator GS Series has two sterilization cycles, identified as 38°C and 55°C. The critical sterilization process set points (temperature, humidity level, sterilant concentration, exposure time) for the 38°C and 55°C cycles have been validated per “U.S. FDA Guidance on Premarket Notification [510(k)] Submissions for Sterilizers Intended for Use in Health Care Facilities.” The Steri-Vac GS Series sterilizer, Models GS5 and GS8 can automatically aerate the processed load in the sterilization chamber after EO gas sterilization. The GS Series sterilizer is a self-contained system which requires only power, compressed air and exhaust vent lines for operation. No floor drains or bulk tanks of ethylene oxide are used. In addition, no external steam or water connections are required, as each GS Series sterilizer has a self-contained internal distilled water tank filled by the Operator. The GS Series sterilizer requires minimal floor space and can be installed free-standing, on a rack, or in-wall. Both the GS5 and GS8 sterilizers are available in a single door or double-door configuration, facilitating pass-through processing for controlled environments. Mounting frames and finishing fascia panels are also available. The GS5 and GS8 provide 136 L (4.8 cubic feet) and 224 L (7.9 cubic feet) of usable chamber space, respectively. The key set points for each cycle are provided in Table 1 on the following page. The cycle profile of a typical 3M™ Steri-Vac™ Sterilizer/Aerator GS Series is provided in Figure 1. A description of the GS Series sterilization process stages is provided in Figure 2. Single or dual channel rigid and flexible scopes can be sterilized with non-lumened medical instruments in any of the GS sterilizer cycles provided the cycle parameters match the instrument’s sterilization instructions. The load per cycle should not exceed 20 lumens. 2 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Figure 1. GS Series Cycle Profile Air Admission 10 Atmospheric Pressure 1 9 Pressure Chamber Preheating Aeration 2 Chamber Test 3 Air Removal 6 EO Exposure 5 EO Injection EO Removal 7 8 Flushing Conditioning 4 Time Table 2. Time Estimates for 38°C and 55°C Cycles Table 1. Preprogrammed Cycle Set Points 38°C Cycle 55°C Cycle Cycle Temperature 38°C ± 3ºC 55°C ± 3°C Relative Humidity 40–80% 40–80% EO Exposure Time Aeration Temperature 38°C Cycle 55°C Cycle Preheat 1 (min.) 20 20 Air Removal 1 (min.) 10 10 Chamber Test (min.) 8 8 Conditioning 1 (min.) 65 65 EO Injection (min.) 1.5 1.5 EO Exposure (min.) 270 60 EO Removal 2 (min.) 12-50 12-50 5 Pulses 1 (min.) 55 55 Locked Aeration (min.) 90 90 1.5 1.5 8:50 • 9:30 5:15 • 6:00 4.5 hours ± 5.4 minutes 1 hour ± 1.2 minutes 38°C ± 3°C 55°C± 3°C Sterilization Cycles An EO sterilization cycle is defined as a treatment in a sealed, temperature-controlled chamber and comprising nine stages: preheat, air removal, chamber test, conditioning, EO injection, EO exposure, EO removal, flushing, and air admission. Figure 1 is a graph of a pressure profile of the cycle stages of a GS Series EO sterilization cycle. Table 2 contains the time estimates for each stage of each cycle type. The nine stages of the sterilization cycle for the 3M™ Steri-Vac™ Sterilizer/Aerator GS Series are briefly explained in Figure 2 on the following page. Flushing 2 Air Admission (min.) Estimated Total Cycle Time (hh:mm) 1. A ctual time for the stage will vary based upon ambient conditions and composition of the load. 2. EO removal rates will be longer if an Abator is connected and will be shorter if an Abator is not connected. 3. Flushing includes 5 vacuum + pressure pulses and locked aeration. 3 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Figure 2. GS Series Sterilization Process Stages Heating step, without humidification, to bring the chamber walls up to the target cycle temperature. The product load 1 inPreheat. the chamber will heat up during the Preheat stage (Figure 3), but the temperature of the load at the end of the stage will depend on a number of factors, including: load weight and density; material and packaging; the starting temperature of the chamber and the load; the temperature set point; and the preheat time. 2 Air Removal Vacuum pump removes air from the chamber to prepare for the Chamber Test and Conditioning stages. 3 Chamber Test A test of the integrity of the sterilization chamber by holding the chamber in vacuum and measuring an increase in pressure that could indicate a chamber leak. 7 EO Removal 6 EO Exposure Single vacuum pump down of the chamber to remove ethylene oxide (EO) from the head space of the chamber and product packaging. The sterilization hold phase, where the product load is exposed to EO. 8 9 Flushing Aeration A series of vacuum/air wash pulses, to further remove EO from the chamber and the load. Warm air continually moved through the chamber and over the load, to remove residual EO from the product. Figure 3. Preheat Stage 4 4 Conditioning Controlled low temperature steam injections to bring the chamber and load to the desired humidity level. Conditioning can also be used to continue to bring the product load to the target process temperature. 5 EO Injection Final check of temperature, % relative humidity, and pressure level followed by puncture of the 3M™ Steri-Gas™ EO Gas Cartridge, releasing the ethylene oxide gas into the vaporizer, and then the chamber. 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Figure 4. GS Series Sterilizer with Ethernet Connectivity Ethernet Connectivity Capability The 3M™ Steri-Vac™ Sterilizer/Aerator GS Series ethylene oxide (EO) sterilizers have an Ethernet connectivity option (Figure 4). The Ethernet connection provides several options for users and Service. 1. T he Ethernet connection allows for interfacing with third party instrument tracking systems to access final cycle data and reports in a read-only accessible folder. 2. C onnecting the GS Series sterilizer to the Ethernet provides Service with a means to access diagnostic information on the GS Series sterilizer from a desktop computer located on-site within the clinic network. Service can access cycle information, reports (e.g. calibration, site setup) and diagnostic information directly on the sterilizer. 3. The Ethernet connection provides an efficient means to access, download, and install software updates for the sterilizer provided by 3M. The Ethernet connection is not required for normal operation of the system and its use is optional. Access Levels The 3M™ Steri-Vac™ Sterilizer/Aerator GS Series ethylene oxide (EO) sterilizers have multiple access levels to the sterilizer functions that requires a Personal Identification Number (PIN). Access levels include Service, Supervisor, and Operator. Partitioning access to the sterilizer functions into three levels reduces the risk of hazards introduced by the user. Figure 5. USB Drive Ports 5 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Cycle Reports and Data The user can select from three different cycle report formats (Graph, Table, or Detailed) depending on preference and record keeping requirements. The 3M™ Steri-Vac™ Sterilizer/Aerator GS Series sterilizer allows users to export cycle reports to a USB drive (Figure 5). The GS Series sterilizer can export up to 100 of the most recent cycle reports. In addition, the sterilizer automatically retains the last 100 condensed cycle reports in a read-only folder accessible via an Ethernet connection for use by third party instrument tracking systems. Compliance Cleared by the U.S. FDA as medical devices for healthcare settings - allowing the user to meet the requirements of ANSI/AAMI ST41: Ethylene Oxide sterilization in healthcare facilities: Safety and effectiveness. • Meets applicable device safety, electrical and EMC standards, including (but not limited) to UL. • Meets requirements for the European Union Medical Device Directive CE marking. • Has independent Monitors and Control Sensors to meet EN1422. • Complies with RoHS Directive 2011/65/EU and WEEE environmental and disposal Directive 2012/19/EU. • 3M™ Steri-Gas™ EO Gas Cartridges are EPA registered (7182-1). • Complies with U.S. Occupational exposure to ethylene oxide, final standard (29 CFR 1910.1047). 6 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Figure 6. Ethylene Oxide Sterilization Set-up Process 3M Steri-Gas EO Gas Cartridges ™ ™ 3M™ Steri-Vac™ Sterilizer/Aerator GS Series ethylene oxide (EO) sterilizers are designed to be used with 3M™ Steri-Gas™ EO Gas Cartridges. Steri-Gas EO Gas Cartridges are single dose containers of 100% ethylene oxide. Each cartridge has a unique 2D barcode that is read by the barcode scanner on the GS Series sterilizer. Scanning the cartridge enables the sterilizer to verify the Table 3. 3M Steri-Gas EO lot code to ensure that the Gas Cartridge Specifications cartridge is the correct Steri-Gas EO Sterilizer/Aerator Nominal cartridge for the GS Series Cartridge Model Fill Weight sterilizer, is unused, and 4-100 GS5 100 grams is within its shelf life. 8-170 The available 3M Steri-Gas EO Gas Cartridges and their respective nominal weights of EO are listed in Table 3. The calculated empty chamber EO gas concentrations for each GS Series sterilizer are provided in Table 4. GS8 170 grams Project Planning: site, facility, equipment, services Budgeting: facility, capital equipment, installation costs, validations Hardware Purchase: sterilizer, abator & accessories; monitoring & other consumable products Table 4. EO Gas Concentrations for GS Series sterilizer Air Emissions Permitting Calculated Empty Chamber EO Concentration (mg/liter) Steri-Gas EO Cartridge Model GS5 4-100 735 N/A 8-170 N/A 759 Model GS8 Additional Permitting: site modification and construction related permit signoff Physical Installation of Equipment Start-up and Operational Training 3M™ Steri-Gas™ EO Gas Cartridges 4-100 Setting up Ethylene Oxide (EO) Sterilization To establish ethylene oxide (EO) sterilization capability with the 3M™ Steri-Vac™ Sterilizer/Aerator GS Series, a number of actions are required. Figure 6 presents a high-level overview of this process. 3M will provide a site planning & installation guide and pricing information, as applicable, for equipment or services in the blue boxes, enabling the customer’s facility to manage tasks in this overview process. The orange boxes are the responsibility of the user’s facility, sometimes completed with assistance from external consulting organizations. 7 IQ, Calibration, OQ (as applicable) 3M™ Steri-Vac™ Sterilizer/Aerator GS Series For Health Care Facilities Product Support For general product information or to find your local U.S. 3M representative: 3M offers equipment services to support installation and on-going maintenance of 3M™ Steri-Vac™ Sterilizer/Aerator GS Series products and accessory equipment. The following documents provide additional information related to accessory equipment, planning, installation, qualification, calibration and compliance: 3M Health Care Customer Helpline 1 800 228 3957 Outside of the U.S. contact your local 3M office. Global office locations are available on our website: visit www.3M.com and select the specific country for access to your local 3M contacts. • 3 M™ Steri-Vac™ Sterilizer/Aerator Site Planning and Installation Guide Contact Information • 3 M™ EO Abator Model 50 System (brochure) Product Technical Information • 3M EO Abator Site Planning and Installation Guide 1-800-441-1922, option 2 ™ • 3M™ Steri-Gas™ EO Gas Cartridge Product Profile • SDS 3M™ Steri-Gas™ Cartridge 4-100 • SDS 3M™ Steri-Gas™ Cartridge 8-170 3M Sterilization Tech Line (U.S. only) Equipment Services Support (U.S.) 3M Health Care Service Center Suite 200, Building 502 3350 Granada Ave N Oakdale, MN 55128 1 800 292 6298 • 3 M™ Steri-Vac™ Equipment Services (brochure) To obtain these documents, visit go.3M.com/lowtemp or contact your local 3M representative. 3 3M Health Care Infection Prevention Division 3M Center, Building 275-4E-01 St. Paul, MN 55144-1000 USA 1-800 228 3957 www.3M.com/infectionprevention Please recycle. Printed in USA. © 3M 2015. All rights reserved. Issued 7/15. 10686HB 70-2011-5684-4 3M, Steri-Gas and Steri-Vac are trademarks of 3M Company.