Lecture on the STERRAD 100NX Sterilization System with All Clear Technology

Overview

• STERRAD 100NX System: General-purpose low-temperature sterilizer.
• Technology: Uses hydrogen peroxide vapor and low-temperature plasma for sterilization.
• Benefits: Rapid sterilization without toxic residue, suitable for heat and moisture-sensitive instruments.

Pre-cycle Diagnostics and Load Conditioning

• Pre-cycle Diagnostics: Automatically run before each cycle to detect and correct issues.
• Load Conditioning: Takes about 5 minutes; attempts to correct load issues before starting the cycle.
• Notifications: Displays if issues cannot be corrected.

Available Sterilization Cycles

• Standard Cycle (47 min): For general metal/nonmetal instruments, hinged devices, and single-channel stainless steel lumens.
  • Example instruments: Arthroscopy, laparoscopic instruments, cameras, light cords.
• Flex Cycle (42 min): For single-channel flexible endoscopes with specific dimensions.
  • Max two flexible endoscopes per load.
• Duo Cycle (60 min): For medical devices and flexible endoscopes with accessories.
  • Max two flexible endoscopes per load.
• Express Cycle (24 min): For general medical devices requiring surface sterilization.
  • Example instruments: da Vinci 3d endoscopes.
  • Note: Always check the medical device manufacturer’s instructions.

Cassette Handling and Insertion

• Cassette Requirement: Display notification for new cassette when needed.
• Handling Precautions: Use chemical-resistant gloves.
• Insertion Steps:
  1. Take a new cassette, check expiration and moisture.
  2. Insert correctly following arrow direction.
  3. RFID label controls usage and prevents cassettes from being used post-shelf life.
  4. Disposal: Used cassettes moved to disposal box automatically.

Load Preparation and Reprocessing

• Device Preparation: Clean, rinse, and dry devices thoroughly.
• Tray Recommendations: Use STERRAD instrument accessories and Optimax trays.
  • Avoid materials like linen or foam pads.
  • Use polypropylene sterilization wrap and Tyvek pouches.
• Indicators: Use STERRAD chemical indicators for verification.

Loading the Sterilizer

• Guidelines:
  • Ensure proper diffusion of H₂O₂.
  • Arrange items to avoid blocking UV lamp.
  • Maintain space between load and electrode.
• Cycle Initiation: Select cycle and press start; system provides loading instructions.
  • All Clear Technology: Detects and corrects problems before starting sterilization.

Cycle Completion and Cancellation

• Completion: Indicated by green screen, beep sound, screen status “process complete.”
• Verification: Confirm chemical indicator color change, cycle printout parameters.
• Cancellation: Touch cancel button; ensure rewrapping and reprocess.

Biological Indicator (BI) Processing

• Routine Monitoring: Recommended for every cycle.
• CycleSure 24 BI:
  1. Ensure room temperature and purple growth medium.
  2. Label and place in Tyvek pouch.
  3. Place in sterilizer and run desired cycle.
  4. Post-cycle, check for color change.
• Velocity BI System:
  1. Prepare BI as per instructions.
  2. Scan barcode and place BI in sterilizer.
  3. Follow post-cycle procedures as per instructions.

General Maintenance and Utilities

• Power Switch: Located on the left side; system auto-sleeps when not in use.
• Printer Paper Replacement:
  • Located on front panel; follow steps to replace.
• Lens Cleaning:
  • Clean every three months or when debris is present.
  • Use isopropyl alcohol and chemical-resistant gloves.
• Peroxide Clearance: Required for Duo cycles; follow notification prompts.
• Planned Maintenance: Based on time/cycle count; contact ASP help desk.
• Cycle History: Stores last 200 cycles; must download history when memory is full.

Conclusion

• User Guide: Refer to the user guide for complete equipment information, warnings, and instructions.