1. Presented by: Healthmark Industries
Low Temperature Sterilization “Do you have Gas or are you just Vaping?”
Presented by:
Healthmark Industries
Presented by Fred Alston, CSPDT
Director of Clinical Sales and Services, Eastern Region
December 2, 2017

2. Low Temperature Sterilization
Hydrogen Peroxide
(VHP)

3. Low Temperature Sterilization
Hydrogen Peroxide (VHP)
STERIS introduced the V-PRO™1Sterilizer in 2007
Other companies also offer VHP sterilizers.
Uses V H2O2 in 4 phases within 2 half cycles.
Much Safer than EtO
Process by-products are Oxygen and Water.
Much quicker process than EtO
Only utility needed was electrical power ( V 3Ø)
H2O2 is a surface sterilant and does not penetrate as effectively as EtO.
Kills by Oxidation

4. Low Temperature Sterilization
Hydrogen Peroxide (Vaporized)
Shorter Cycle times (roughly 1 hour)
No Aeration needed.
Biological used for testing is Geobacillus stearothermophilus
Sterilant is 59% hydrogen peroxide.
Self-contained cartridge. 15 cycles per cartridge.

5. Low Temperature Sterilization
Steris Vpro H2O2 (VHP) Cycle Phase

6. Low Temperature Sterilization
H2O2 (VHP) Pro’s and Con’s
PRO’s
Non-Toxic
Low Temp
Shorter complete process
CON’s
Not a great penetrant for lumens and cannulas
Not compatible with traditional packaging materials
Not as sensitive to moisture but additional drying could be necessary.
Layout 1 Image + text

7. Low Temperature Sterilization
Hydrogen Peroxide and Ozone (VH2O2 + O3)

8. Low Temperature Sterilization
Hydrogen Peroxide and Ozone
TSO3 in Qubec, Canada received FDA clearance in for the STERIZONE® VP4 Sterilizer
So unique, FDA created a new category for this Dual Sterilant Sterilizer.
Utilizes Vaporized H2O2 and Ozone (O3) the process.
Process by-products are Oxygen and Water.
Much quicker process than EtO
Only utility needed is electrical power (208 or-240V 1Ø)
Does need Medical grade Oxygen (to create the Ozone)
Kills by Oxidation

9. Low Temperature Sterilization
Hydrogen Peroxide and Ozone
Shorter Cycle times. (Dynamic Exposure based on load size. Runs about 45 min to 70 min)
No Aeration needed.
Biological used for testing is Geobacillus stearothermophilus
Sterilant is 50% hydrogen peroxide.
Self-contained package cycles per bottle. Bottle has a 24 month shelf life.

10. Low Temperature Sterilization
H2O2 + O3 Cycle Phase

11. Low Temperature Sterilization
H2O2 + O3 Pro’s and Con’s
PRO’s
Non-Toxic
Low Temp
Shorter complete process
Medical Grade O2 flush (x2) in the vent phase
Much better lumen and cannula penetration (not quite as good as EtO
Does not require Extra Drying before processing. (in fact not recommended)
CON’s
Not a perfect penetrant for lumens and cannulas
Not compatible with traditional packaging materials
Layout 1 Image + text

12. Low Temperature Sterilization
Comparisons

13. Low Temperature Sterilization
VH2O2 Product Comparison

14. Low Temperature Sterilization
VH2O2 Product Comparison
STERIZONE® VP4 Sterilizer
V-PRO® MaX
STERRAD® 100NX
STERRAD® 100NX DUO
Cycles / System 1 3 4
Cycle Parameters
Variable based on load configuration and TORR pressure
Fixed cycles
Fixed cycle
Cycle Time\min
46-60 minutes based on load configuration
35 for flexible
55 for lumens
28 non lumen
42 for Flexible
47 for Standard
24 for Express
60 for DUO
60 for flexible
H2O2 Concentration
50%
59%
90%
Standard & Flex
Number of Pulses 2
Chamber Size
125L
136L
82.3L
Maximum Load
75 lb
+ 25lb 3 tier loading rack
24 lb
21.4 lb
13.2 lb

15. Low Temperature Sterilization
Summary
EtO still the most effective “All around” low temperature sterilant
New technologies and processes are always on the come.
H2O2 currently offers the best alternative to EtO.
As new technology is introduced, Use your Critical Thinking Skills to determine the best process and procedures for your applications. IFU’s may not immediately reflect the use of the new technology but AAMI does address new Technology in Section 12, New Product Evaluation.

16. Low Temperature Sterilization
Summary
Our field is evolving and the only constant going forward will be change.
Don’t be afraid of the change. Embrace, Understand, Employ, Improve.
Ask the WHY.

17. Low Temperature Sterilization
Why are we here?
We are professionals.
We are dedicated.
We are the experts in what we do.
We help insure patient safety.
We help insure quality patient outcomes.
We take pride in what we do.
We need to be recognized.
WE ARE THE HEART
OF THE HOSPITAL
Layout 2 image + text

18. PATIENT The circle of life Pre-Cleaning at point of use
Proper Biohazard transport
Patient Use
PATIENT
Cleaning per device IFU and Cleaning Verification
Proper Transport-Storage
Visual Inspection-Enhansed Optical Inspection
DOCUMENTATION
HLD or Sterilization

19. Thank You!
Questions?
On behalf of Healthmark, I would like to thank you all for the opportunity to be here today.
THANK YOU!