Affiliation:
1. University of California, Los Angeles
2. Southern California Orthopedic Institute
Abstract
Steam sterilization is the basis of modern surgical instrument sterilization. It is a highly effective, safe, cost-effective heat transfer method that is closely monitored and regulated. The autoclave time is typically 1 hour for sterilization and requires direct steam contact with surgical tray contents. A porous barrier, typically blue polypropylene wrap or filter, is required around or on the walls of the sterilized tray to allow steam to enter and escape. This barrier can require up to 2 hours of cooling without touching after autoclave sterilization to prevent moisture condensation and bacterial wicking. The porous barrier is fragile and can tear or develop holes which can lead to OR challenges. It is also moisture sensitive and may be an underappreciated source of surgical site infections. Porous barrier technologies create inherent inefficiencies in sterile processing and OR turnover. Electronic container technology may possibly forego the porous barrier limitations and inefficiencies by capturing a sterile vacuum seal in the autoclave. A verifiable vacuum sealed container may eliminate limited handling while cooling and may increase sterile department efficiency and reduce operating room turnover. If the technology is reliable and consistent, it may offer a safer and more durable, transportable, monitorable, sustainable sterile processing alternative than current porous barrier technologies.
Publisher
Charter Services New York d/b/a Journal of Orthopaedic Experience and Innovation
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