AUTOCLAVE
OPERATING
INSTRUCTION AND
MAINTENANCE
Prepared and Presented by: Mr. Say Sinith
Date: 15 June 2016
Bacteriolog
y Section
Content
 Introduction
 Materials and Equipment
 Procedure
 Materials Preparation
 Operation of Machine
 Caution
 Quality Control and Maintenance
 Daily Verify
 Weekly Verify
 Spore Ampoules Test Result
 Autoclave Maintenance Log Sheet
2
Introduction
3
 Autoclave is a pressure chamber used elevated
temperature and pressure to perform sterilization. (121-
134°C)
 It used to sterilize surgical equipment, laboratory
instruments, pharmaceutical items, and other materials.
It can sterilize solids, liquids, and instruments of
various shapes and sizes.
 Many autoclaves are used to sterilize equipment and
supplies by subjecting them to high pressure saturated
steam at 121°C for 15–20mn depending on the size of
the load and contents.
 The autoclave was invented by Charles Chamberland in
1879, from Steam digester created by Denis Papin in
Materials and Equipment
 Autoclave Machine
 Autoclave Indicator (Steam Indicator)
 Bacillus QC or Spore Ampoules
 Heat Block Incubator 60oC
4
 Only autoclavable materials (check with the manufacturer
instruction manual, MSDS files, or safety officer)
 Liquids in an autoclavable bottle ≥ 2 times the volume to be
autoclaved (E.g. 1L of media in 2L flask)
 Caps must be slightly loose
 Waste must put in biohazard bags
 Sharps containers
 Placed in an autoclave tray or chamber
 Stick steam indicator and put Spore ampoules
 Warning: Use of non-autoclavable trays or chamber and
containers may result in injury to the user and damage to the
equipment.
Procedure: Materials
Preparation5
Procedure: Operation of
Machine
 Switch power breaker “ON”, Power switch to “ON”
 Swing door close clockwise as tight you can open it
when complete.
 Loading appropriate amount of content in the tray or
chamber.
 Set Sterilizing temperature with appropriate timer.
 Press the mode switch which you like to sterile
(Unwrapped, Wrapped, and Solutions)
 Set the dry timer for
 After you press the mode switch the sterilizer will
automatically progress through cycle if the pressure of
steam generator has reached the setting pressure.
6
Procedure: Operation of
Machine7
 When cycle is complete, completion pilot lamp displays
and buzzer sounds, the power be to “OFF” position
automatically.
 Wait the pressure of jacket and chamber to become zero
then press mode switch again to “OFF” position.
 Swing door open anticlockwise and allow it to cool
 Observe Steam indicator for proper changing to dark
color.
 Remove all autoclave contents and transfer into “After
autoclaved” bin with black bag.
 Send the Spore Ampoules back to Bacteriology section.
 Incubate the Spore Ampoules at 55-60oC in heat block
Procedure: Operation of
Machine8
Load content waste
into autoclave
chamber and close
the door tightly
Switch on electric power
supply
Observed “Water” “Heat”
and “Door” to close
properly
“ Power” button turn
Green and “Complete”
button
Set “Time” as required, “Ster.
Timer” and “Dry Timer”
Select for normal waste, for
mental, and for glassware and
liquid
After complete observed interior
pressure and exterior chamber till it
point “0”
Stand behind the
door way and
open gently for
safety
Urgent
Stop
Process
Caution
 Do not overload, Avoid contact of load components with the wall of the
chamber.
 Closed the door properly
 Check digital display corresponds to the time set properly.
 Once the cycle started ensure autoclave is functioning properly (alarm).
 Only open autoclave door until the chamber pressure gauge is point at (0)
pressure.
 When open the door:
 Turn the handle slowly and standing behind the door.
 Never rush open the door (liquids boil over or bottles break).
 Remove all trays from the autoclave properly with heat resistant gloves.
 If there is any spills or leaks or experience any problems with the autoclave
 Report to responsible person immediately to take proper actions.
 Clean up any mess you have caused.
9
Quality Control and
Maintenance
 Daily Verify:
 Assess Steam indicator or Chemical indicator to
assess steam sterilization. Ensure that it changes to
a proper color indicated.
 Inspect if there is any problem encountered and
complete the maintenance log sheet.
 Maintenance log sheet
10
Autoclave Maintenance Log
Sheet11
 Daily Verify:
Quality Control and
Maintenance12
 Weekly Verify:
 Assess efficacy of steam sterilization by take
isolated colonies of Bacillus species/ Spore
Ampoule from Bacteriology section every Tuesday
to integrate with autoclave process.
 Inspect and verify the cleaning before and after duty
week
 Assess the softener and salt solution tank
 Clean and Flush steam generator
Autoclave Maintenance Log
Sheet13
 Weekly Verify:
Spore Ampoules Test Results
 Weekly Verify:
 Record negative (no growth) results after 48h
incubation.
 No color change in the purple media indicates
proper sterilization.
 Any positive (turbidity and/or color change from
purple to yellow) result should be reported
immediately to a supervisor.
 Corrective action is considered
 Returned the autoclaved back to hazard bin
14
Passe
d
Failed
Quality Control and
Maintenance15
Drainage
valve
References
 Medsource TC series Floor Type Steam
Sterilizer User’s manual
 N2-SOPBAC-007-00: Autoclave
 N2-FC-BAC-090-00: Autoclave waste
16

Autoclave instruction and maintenance

  • 1.
    AUTOCLAVE OPERATING INSTRUCTION AND MAINTENANCE Prepared andPresented by: Mr. Say Sinith Date: 15 June 2016 Bacteriolog y Section
  • 2.
    Content  Introduction  Materialsand Equipment  Procedure  Materials Preparation  Operation of Machine  Caution  Quality Control and Maintenance  Daily Verify  Weekly Verify  Spore Ampoules Test Result  Autoclave Maintenance Log Sheet 2
  • 3.
    Introduction 3  Autoclave isa pressure chamber used elevated temperature and pressure to perform sterilization. (121- 134°C)  It used to sterilize surgical equipment, laboratory instruments, pharmaceutical items, and other materials. It can sterilize solids, liquids, and instruments of various shapes and sizes.  Many autoclaves are used to sterilize equipment and supplies by subjecting them to high pressure saturated steam at 121°C for 15–20mn depending on the size of the load and contents.  The autoclave was invented by Charles Chamberland in 1879, from Steam digester created by Denis Papin in
  • 4.
    Materials and Equipment Autoclave Machine  Autoclave Indicator (Steam Indicator)  Bacillus QC or Spore Ampoules  Heat Block Incubator 60oC 4
  • 5.
     Only autoclavablematerials (check with the manufacturer instruction manual, MSDS files, or safety officer)  Liquids in an autoclavable bottle ≥ 2 times the volume to be autoclaved (E.g. 1L of media in 2L flask)  Caps must be slightly loose  Waste must put in biohazard bags  Sharps containers  Placed in an autoclave tray or chamber  Stick steam indicator and put Spore ampoules  Warning: Use of non-autoclavable trays or chamber and containers may result in injury to the user and damage to the equipment. Procedure: Materials Preparation5
  • 6.
    Procedure: Operation of Machine Switch power breaker “ON”, Power switch to “ON”  Swing door close clockwise as tight you can open it when complete.  Loading appropriate amount of content in the tray or chamber.  Set Sterilizing temperature with appropriate timer.  Press the mode switch which you like to sterile (Unwrapped, Wrapped, and Solutions)  Set the dry timer for  After you press the mode switch the sterilizer will automatically progress through cycle if the pressure of steam generator has reached the setting pressure. 6
  • 7.
    Procedure: Operation of Machine7 When cycle is complete, completion pilot lamp displays and buzzer sounds, the power be to “OFF” position automatically.  Wait the pressure of jacket and chamber to become zero then press mode switch again to “OFF” position.  Swing door open anticlockwise and allow it to cool  Observe Steam indicator for proper changing to dark color.  Remove all autoclave contents and transfer into “After autoclaved” bin with black bag.  Send the Spore Ampoules back to Bacteriology section.  Incubate the Spore Ampoules at 55-60oC in heat block
  • 8.
    Procedure: Operation of Machine8 Loadcontent waste into autoclave chamber and close the door tightly Switch on electric power supply Observed “Water” “Heat” and “Door” to close properly “ Power” button turn Green and “Complete” button Set “Time” as required, “Ster. Timer” and “Dry Timer” Select for normal waste, for mental, and for glassware and liquid After complete observed interior pressure and exterior chamber till it point “0” Stand behind the door way and open gently for safety Urgent Stop Process
  • 9.
    Caution  Do notoverload, Avoid contact of load components with the wall of the chamber.  Closed the door properly  Check digital display corresponds to the time set properly.  Once the cycle started ensure autoclave is functioning properly (alarm).  Only open autoclave door until the chamber pressure gauge is point at (0) pressure.  When open the door:  Turn the handle slowly and standing behind the door.  Never rush open the door (liquids boil over or bottles break).  Remove all trays from the autoclave properly with heat resistant gloves.  If there is any spills or leaks or experience any problems with the autoclave  Report to responsible person immediately to take proper actions.  Clean up any mess you have caused. 9
  • 10.
    Quality Control and Maintenance Daily Verify:  Assess Steam indicator or Chemical indicator to assess steam sterilization. Ensure that it changes to a proper color indicated.  Inspect if there is any problem encountered and complete the maintenance log sheet.  Maintenance log sheet 10
  • 11.
  • 12.
    Quality Control and Maintenance12 Weekly Verify:  Assess efficacy of steam sterilization by take isolated colonies of Bacillus species/ Spore Ampoule from Bacteriology section every Tuesday to integrate with autoclave process.  Inspect and verify the cleaning before and after duty week  Assess the softener and salt solution tank  Clean and Flush steam generator
  • 13.
  • 14.
    Spore Ampoules TestResults  Weekly Verify:  Record negative (no growth) results after 48h incubation.  No color change in the purple media indicates proper sterilization.  Any positive (turbidity and/or color change from purple to yellow) result should be reported immediately to a supervisor.  Corrective action is considered  Returned the autoclaved back to hazard bin 14 Passe d Failed
  • 15.
  • 16.
    References  Medsource TCseries Floor Type Steam Sterilizer User’s manual  N2-SOPBAC-007-00: Autoclave  N2-FC-BAC-090-00: Autoclave waste 16

Editor's Notes

  • #6 To ensure proper sterilization of both bio hazard waste and sharps containers, 1 liter of water should be added to the bags or sharps containers. This water will vaporize during the autoclave cycle to allow better penetration of steam and more efficient sterilization. Autoclave bio hazard bags must be tied off and applied with additional steam indicator to ensure it is proper sterilization.
  • #7 the sterilizer will start to feeding water into steam generator, after water level in steam generator reach high level, heaters of steam generator begin to working to setting pressure for standby situation (it will take long time to build up the pressure for initially).
  • #10 Do not overload sterilizer, Avoid contact of load components with the wall of the chamber to allow steam penetrate between packs (Effectiveness may decreases and the time required for complete sterilization may increases).