Автоклавы: Как они работают, типы и правильные методы стерилизации

1. How Autoclave Machines Work

The process of sterilizing materials in autoclaves depends on the interaction between pressure and temperature.

1. Phase 1 – Air Removal

• In gravity displacement (Class N) sterilization, steam drives air out through the drain vent.

• The vacuum pump in pre-vacuum Class B autoclaves eliminates 99.9% of air before steam injection begins.

2. Phase 2 – Sterilization

• During the standard sterilization cycle, the autoclave maintains 121°C and 15 psi pressure for a period between 15 and 30 minutes.

• Fast sterilization cycles run at 134°C under 30 psi pressure for durations between 3 and 10 minutes.

3. Phase 3 – Drying

• Post-vacuum phase removes residual moisture

• Typical drying time: 20-45 minutes at 80-90°C

Key Formula: The sterilization effectiveness (D-value) is calculated using: [ D{121} = \frac{\text{Exposure Time}}{\log{10}(N_0/N)} ] (N_0) stands for the initial number of microbes and (N) represents the number of microbes that survived.

2. Autoclave Components & Specifications

Совместимость материалов:

• Autoclavable: Stainless steel, borosilicate glass, polypropylene

• Non-autoclavable: PVC, polystyrene, low-density polyethylene

3. Autoclave Validation & Testing

1. Физический мониторинг

• Chart recorders: Verify time-temperature-pressure curves

• Data loggers: Track 3D chamber heat distribution

2. Химические индикаторы

• Class 1: Process indicators (tape color change)

• Class 4: Multi-variable integrators

3. Биологические индикаторы

• Use Geobacillus stearothermophilus spores (10⁶ population)

• Incubation: 56-60°C for 24-48 hours

Acceptance Criteria:

• No growth in test vials

• Temperature uniformity ≤±1°C across chamber

4. Step-by-Step Operating Procedure

1. Загрузка:

• Arrange items with 2.5cm spacing between objects

• Position pouches printed-side up

2. Выбор цикла:

• Liquids: Slow exhaust gravity cycle

• Wrapped instruments: Pre-vacuum cycle

3. Разгрузка:

• Wait until internal pressure reaches 0 psi

• Use thermal gloves for hot items

4. Документация:

• Record cycle number, parameters, operator ID

5. Maintenance Schedule

Descaling Protocol:

1. Fill chamber with 5% acetic acid solution

2. Run 30-minute cycle at 100°C

3. Rinse 3× with deionized water

Заключение

Autoclave machines that undergo proper operation and maintenance deliver dependable sterilization which is indispensable for controlling infections and ensuring research results remain valid. Consistent steam sterilization results can be obtained when users follow validated cycles along with regular biological monitoring and manufacturer instructions. Technological advancements such as cloud monitoring systems and automated validation tools will improve autoclave performance tracking in future years.

Вопросы и ответы

Q1: Can autoclaves sterilize liquids? Specialized liquid cycles with slow exhaust protect against boiling over during autoclave sterilization. Always fill containers ≤75% capacity.

Q2: How often should autoclave validation be performed? The ISO 17665 standard mandates quarterly validation of medical devices. Laboratories need to perform autoclave validation every year or following significant repairs.

Q3: Why does my autoclave take so long to reach temperature? Common causes include insufficient steam generation (check boiler capacity) or air leaks (test door gasket integrity).

Q4: What water quality is required for autoclaves? Prevent mineral buildup in autoclaves by using ASTM Type II water with conductivity levels below 5 µS/cm. Distilled or RO water is acceptable.

Q5: How long do autoclave cycles typically last? Autoclave standard cycles last between 20 to 90 minutes based on load type. Unwrapped items achieve sterilization within 3 minutes through fast flash cycles.