On This Page On This Page Are You Using the Right Sterilization Cycle? This in-depth guide will ensure that you select the appropriate cycle configuration for your intended application every time. Access Your Copy Steam Sterilization Cycles, Part 3: Steam-Air-Mix Cycle Written by: Arthur Trapotsis MS Biochemical Engineering, MBA, Consultant When using steam autoclaves, it’s critical to identify, understand, and create the proper sterilization cycle for ALL of your load requirements. So, as part of our series discussing Steam Sterilization Cycles, this third article is designed to explore the Steam-Air-Mix Cycle, a more advanced steam sterilization cycle for unique applications. Steam-Air-Mix Cycle Certain types of sterilization loads may require steam sterilization cycles that stray from the standard Gravity, Liquids, or Vacuum types. Take, for example, sterilizing a liquid-filled syringe using one of the three standard cycles. Immediately a problem is presented here: As the syringe heats up, the liquid inside of the syringe expands, exerting pressure on the stopper that is supposed to hold the liquid inside. This is especially critical when the container is topped-off with liquid (no air inside). If air resides in the container alongside the liquid, that will increase in pressure as well. If the stopper is not able to resist those pressures, the stopper will be forced out of position and may even eject from the syringe body. Now, not only will the syringe be unusable, but whatever was inside of the syringe will have made a mess of the rest of the load and your autoclave chamber. The obvious solution is to increase the autoclave chamber pressure in order to balance out the internal and external pressure of the syringe (or other sealed container). If the pressure outside of the syringe is equal to the pressure inside, then the stopper should not move. But how is this accomplished? One way to increase autoclave chamber pressure is to simply inject more steam. Unfortunately, as the steam pressure rises, so does the temperature. When the temperature rises, the contents of the container will heat even more, causing the internal pressure to continue to rise as well. A Steam-Air Mix Cycle solves this issue by injecting compressed air into the autoclave chamber during the sterilization phase in order to artificially raise the pressure. Steam continues to be injected into the chamber as needed in order to maintain the cycle’s temperature setting. After the sterilization phase is complete, it is necessary to maintain an elevated chamber pressure during the exhaust phase in order to keep the syringe intact. However, as the temperature falls, the internal pressure of the container will begin to fall as well, potentially causing the reverse-effect where the external pressure from the chamber compromises the container. To solve this, the chamber pressure is slowly reduced as the temperature falls. To get an overview of steam sterilization, check out our video here: The Steam-Air Mix Cycle option requires you to have a compressed air supply, and it is recommended for applications where a liquid is being sterilized in a sealed container that may be affected by pressure imbalances. As always, we at CSS hope this article—and our entire Steam Sterilization Cycles series—helps answer some of your most pressing questions. However, we encourage you contact us at any time with any additional questions or inquiries you may have—our team of experts is always here to help. 17 Questions to Ask Before Buying Your Next Autoclave With so many models, sizes, options and components to choose from, how can you ever really know exactly what you need to make the most out of your investment? These questions will help you to make informed decisions by outlining what is most important to consider and know about owning an autoclave. First Name* Last Name* Company/Organization* Email* Job Title*Select OneArchitectGeneral ContractorLab ManagerFacilities ManagerService TechnicianScientistSterile Processing TechnicianDistributorOtherDescribe "Other"* Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweState*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAre You Looking to Purchase an Autoclave?*Select OneYes, ImmediatelyYes, within 6 monthsYes, later than 6 monthsNo, just researchingAre you in a medical/healthcare (patient use) or life science (laboratory) setting?*Select OneMedical/HealthcareLife ScienceWhat type of healthcare facility do you work in?*Select OneHospitalAmbulatory Surgery CenterOther Yes, I'd like to receive occasional tips on sterilization best practices. Email (Optional)This field is for validation purposes and should be left unchanged. Δ Tweet Like Share
Steam Sterilization Cycles, Part 3: Steam-Air-Mix Cycle Written by: Arthur Trapotsis MS Biochemical Engineering, MBA, Consultant When using steam autoclaves, it’s critical to identify, understand, and create the proper sterilization cycle for ALL of your load requirements. So, as part of our series discussing Steam Sterilization Cycles, this third article is designed to explore the Steam-Air-Mix Cycle, a more advanced steam sterilization cycle for unique applications. Steam-Air-Mix Cycle Certain types of sterilization loads may require steam sterilization cycles that stray from the standard Gravity, Liquids, or Vacuum types. Take, for example, sterilizing a liquid-filled syringe using one of the three standard cycles. Immediately a problem is presented here: As the syringe heats up, the liquid inside of the syringe expands, exerting pressure on the stopper that is supposed to hold the liquid inside. This is especially critical when the container is topped-off with liquid (no air inside). If air resides in the container alongside the liquid, that will increase in pressure as well. If the stopper is not able to resist those pressures, the stopper will be forced out of position and may even eject from the syringe body. Now, not only will the syringe be unusable, but whatever was inside of the syringe will have made a mess of the rest of the load and your autoclave chamber. The obvious solution is to increase the autoclave chamber pressure in order to balance out the internal and external pressure of the syringe (or other sealed container). If the pressure outside of the syringe is equal to the pressure inside, then the stopper should not move. But how is this accomplished? One way to increase autoclave chamber pressure is to simply inject more steam. Unfortunately, as the steam pressure rises, so does the temperature. When the temperature rises, the contents of the container will heat even more, causing the internal pressure to continue to rise as well. A Steam-Air Mix Cycle solves this issue by injecting compressed air into the autoclave chamber during the sterilization phase in order to artificially raise the pressure. Steam continues to be injected into the chamber as needed in order to maintain the cycle’s temperature setting. After the sterilization phase is complete, it is necessary to maintain an elevated chamber pressure during the exhaust phase in order to keep the syringe intact. However, as the temperature falls, the internal pressure of the container will begin to fall as well, potentially causing the reverse-effect where the external pressure from the chamber compromises the container. To solve this, the chamber pressure is slowly reduced as the temperature falls. To get an overview of steam sterilization, check out our video here: The Steam-Air Mix Cycle option requires you to have a compressed air supply, and it is recommended for applications where a liquid is being sterilized in a sealed container that may be affected by pressure imbalances. As always, we at CSS hope this article—and our entire Steam Sterilization Cycles series—helps answer some of your most pressing questions. However, we encourage you contact us at any time with any additional questions or inquiries you may have—our team of experts is always here to help. 17 Questions to Ask Before Buying Your Next Autoclave With so many models, sizes, options and components to choose from, how can you ever really know exactly what you need to make the most out of your investment? These questions will help you to make informed decisions by outlining what is most important to consider and know about owning an autoclave. First Name* Last Name* Company/Organization* Email* Job Title*Select OneArchitectGeneral ContractorLab ManagerFacilities ManagerService TechnicianScientistSterile Processing TechnicianDistributorOtherDescribe "Other"* Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweState*Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAre You Looking to Purchase an Autoclave?*Select OneYes, ImmediatelyYes, within 6 monthsYes, later than 6 monthsNo, just researchingAre you in a medical/healthcare (patient use) or life science (laboratory) setting?*Select OneMedical/HealthcareLife ScienceWhat type of healthcare facility do you work in?*Select OneHospitalAmbulatory Surgery CenterOther Yes, I'd like to receive occasional tips on sterilization best practices. Email (Optional)This field is for validation purposes and should be left unchanged. Δ Tweet Like Share
7.10.24 Top 10 Surgery Center Architecture Firms → Building a new ambulatory surgery center (ASC) from the ground up is no simple task. From choosing the right location and setting budgets to drawing up building plans and managing construction, there are many moving pieces to keep track of. As a more specialized project, there are certain parameters that must be met to ensure […]
6.28.24 What Are Biological Indicators (Spore Tests)? → What Is a Biological Indicator & How Does It Work? A biological indicator is a test system that’s embedded within a process challenge device (PCD) and used to verify the efficacy of certain sterilization processes — such as those that rely on sterilizing agents like steam and vaporized hydrogen peroxide. Biological indicators are also commonly […]
5.2.24 The Top 8 Hospital Sterilization Cycles for CSSDs & SPDs → Central sterile supply departments (CSSDs) and sterile processing departments (SPDs) play an integral role in hospitals and ambulatory surgery centers (ASCs), ensuring surgical instruments, medical devices, and other essential equipment are sterilized and ready for use. From cleaning and decontamination to storage and distribution, CSSDs and SPDs maintain rigorous processes to maintain the highest standards […]