quality in s sterilization€¦ · stericlin, surgeine health care india (pvt.) ltd., microgen, sps...
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Quality in
Sterilization
M E D I C A L P A C K A G I N G
TM
MEDICAL PACKAGING
s
SPSmedicalSterilization Monitoring • Packaging • Testing Services
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We are one of the leading importers and
distributors of sterility & infection control range of products.
Meeting regulatory medical standards, these are procured from
reputed and well established manufacturers based around the
world. Presently, we are associated with companies like VP
Stericlin, Surgeine Health Care India (Pvt.) Ltd., Microgen, SPS
Medical & Shanghai Jianzhong Medical Packaging Co. Ltd.
The range we deal in include flat Sterilization reels, wrapping paper,
indicator tapes, chemical integrator, absorbent tray liner, bowie &
dick test pack, gusseted reel, surgical gowns & drapes and
Disinfectants.
Established in the year 1994, at New Delhi, More than a decade of
industry experience and keen interest in the upcoming products in
the medical industry assists our procurement team to source the
right range of products as specific demands of medical fraternity
based in India. Further the penetration of our marketing and sales
arm allow better product visibility to manufacturers of sterility,
infection & anesthesia range of products in the domestic markets.
Today, our consistent efforts towards successfully meeting the
needs of demand and supply has helped us to achieve revenue of
approximately USD 1.3 million/annum. Further our direct
distributorship status with manufacturers also assure our domestic
clients of sourcing genuine range of medical products at competitive
prices.
“Manocha Surgicals,”
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PACKAGING - A Life or Death Matter
From a very early age, we are all taught a healthy respect
for bacteria! We know how sturdy, tough and resilient
bacteria are: we also know that the only sure way to
counteract them is by "STERILISATION".
A fairly simple concept in principle, but the secret of
effective sterilisation is to ensure that a medical device
once sterilized maintains that sterility up to the point of
use. In the context of healthcare procedures, effective
sterilisation requires a packaging material.
If sterility is to be maintained, the packaging material used
needs to be a proven bacterial barrier. Instruments,
devices, dressings, etc. all need to be sterile at the point
of use. To achieve this in today's healthcare environment
requires effective packaging.
Very few of us give much thought to the packaging of an
operating procedure pack or a singleuse syringe. We
generally take it for granted that whatever is removed
from a pack which has been subjected to a sterilisation
cycle is actually sterile when used. What is it that gives us
this level of confidence? In short - it can only be the
packaging and its integrity!
Without the development of medical packaging
materials, the range of devices, packs and kits which
accompany the development of increasingly
specialised operating techniques would not be
possible. It is a point of debate as to whether or not
current standards of healthcare practice would be
feasible without the availability of a sophisticated range
of specially developed packaging materials. Continuing
technical development of packaging materials will lead
to further improvements within the medical device
industry and the hospital.
Inadequate packaging will lead to a loss of product
sterility which in turn can have a devastating effect on
the rate of hospital post-operative infection.
Having established the fact that packaging performs
the essential function of protection, we need to
consider the long-held view that the level of
protection is considerably enhanced by using a
minimum of two layers - in other words by double
packaging/wrapping.
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Sterilization Reels
The Usage
The sterilization reels offered by us are constructed from
medical sterilization paper and multilayer barrier films. These
also come printed with double sterilization indicators for
providing information on ethylene oxide & steam vapor
processes.
1. Choose the proper size pouches as per the size of the
equipment's to be sterilized. And then put the clean &
dry equipment into the pouches. While packing the
equipment, please note; leave 3-4 cm of space more
than the equipment's height, to ensure the seal
successfully and avoid the bursting of the pouches.
2. Put the film side of the pouches against the heat bar of
the heat seal machine.
Sterilization ReelsSTEAM, EO
3. Put the closed pouches into the steam clave or ETO sterilizer according to the rule to let the pouches paper side
against paper side and than do the sterilization as per the normal methods.
4 To identify the situation of indicators colour change : sterilization proceeded, it will turn black from initial blue
based on steam sterilization method and will turn brown from initial pink based on the ETO sterilization method.
5. The valid period will be six months on the steam sterilization method basis and will be 24 month on the ETO
sterilization method.
6. Do not use if the pack is damaged.
Code no. Size (in inches) Size (in cm) Shipping Unit
41055 2 1/6 55 x 200 m 8 rolls/Ctn
41075 3 75 x 200 m 7 rolls/Ctn
41100 4 100 x 200 m 4 rolls/Ctn
41150 6 150 x 200 m 3 rolls/Ctn
41200 7 4/5 200 x 200 m 2 rolls/Ctn
41250 9 4/5 250 x 200 m 2 rolls/Ctn
41300 11 4/5 300 x 200 m 1 rolls/Ctn
41350 13 4/5 350 x 200 m 1 rolls/Ctn
41400 15 3/4 400 x 200 m 1 rolls/Ctn
Heat-Sealing Flat Reel
TM
MEDICAL PACKAGING
Code no. Size (in inches) Size (in cm) Shipping Unit
42100 4 (100 +50) x 100 m 8 rolls/Ctn
42150 6 (150 +50) x 100 m 7 rolls/Ctn
42200 7 4/5 (200 +55) x 100 m 4 rolls/Ctn
42250 9 4/5 (250 +60) x 100 m 3 rolls/Ctn
42300 11 4/5 (300 +65) x 100 m 2 rolls/Ctn
42350 13 4/5 (350 +70) x 100 m 1 rolls/Ctn
42400 15 3/4 (400 +75) x 100 m 1 rolls/Ctn
Heat-Sealing Gusseted Reel
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Summary of important rules
Sterilisation methods and appropriate packing
• Use/sterilise sterilsation packaging only once.
• Re-pack after interrupted sterilisation process or after expiry (DIN 58953, clause 7.9)
• Packages that are still moist 30 minutes after sterilsation have to be regarded as not sterile and
therefore must be separated and re-packed!! (DIN 58953, clause 7.7)
• Packages containing residual moisture should never be touched, or only with disinfected hands.
• Humidity and water drops must be avoided during storage.
• Storage conditions : ordinary room climate with 15-25°C, 40-60°C RH, short time and non
condensing max. 70% RH.
• Avoid : contact with disinfectants. Take care when disinfecting sterile storerooms and cupboards.
Sterilisation Steam Formaldehyde E.T.O - gas H O - plasma hot air2 2
packaging
see-through1) 2)EN 868 - 5 yes yes yes no no
1) 2)Wrapping paper yes only partly yes no no
3)EN 868 - 2 recommended PaperbagEN 868-4
®TYVED +
4) 5) 5) 2)PETP /PE no very good very good yes no
PA- film no no no no yes
PETP/PE : polyster / polyethylene
® .TYVEK : spun bonded polyethylene fibres, high resistance to tearing, excellent barrier quality, lowest absorption of sterilsation gases
PA: polyamide (nylon), air impervious, only for dry heat.
1) The H O - low temperature plasma sterilsation method is incompatible with the cellulose of the paper, therefore no paper, 2 2
based packaging.
2) All paper packages are not sufficently heat resistant and therefore inflammable.
3) Paper-Film-Pouches maintain lower residual Formaldehyde that pure paper packages.
4) TYVEK° as well as PE-films are not resistant to the temperatures during steam sterilsation!
5) TYVEK° absorbs in comparison to paper 100 times less formaldehyde or E.T.O - gas = lower residues, shorter degassing times.
Packs according to EN 868 & DIN 58953 are suitable for the common methods of sterilsation in hospitals :
Steam, EO-gas and Formaldehyde. Due to the characteristics of the materials used the packages differ in their
suitability for the different sterilisation methods. The recently introduced low temperature plasma sterilisation
requires totally different packaging due to its effect on organic materials. The following schedule shows clearly
the suitability of the sterilisation packaging for different sterilisation methods.
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See-through-pouches®
and see-through-reels flat Tyvek
with PLASMA - and EO-Indicator - ISO 11607, CE
M E D I C A L P A C K A G I N G
Article No. Size in cm Pack (pcs.)
3FKFB250105 7.5 X 20 1000
3FKFB250110 10 X 27 500
3FKFB250115 15 X 30 500
3FKFB250120 20 X 40 500
3FKFB250125 25 X 48 500
®See-through-pouches - Tyvek
The material strength is the most important thing when it comes
to the use of medical packaging: The stronger or thicker the
material the stronger the resistance is and as a result the ®
application safety - for yourself and your patients. Stericlin uses
solely the strongest medical quality 1073 B with special water 2resistant coating and a strength of 75 g/m . The result speaks for
itself: effective barrier quality and a extremly high puncture and
tear resistance.®
Tyvek is suitable for the H O -plasma-low-temperature 2 2
sterilization, ETO-gas, Formaldehyde and ?-ray-sterilization. ®
Tyvek is not suitable for steam-sterilization!
Pouches and reels are printed with indicators for plasma and EO.
The indicators do not change their colours after the process
under normal conditions. Another characteristic feature: the film peels easy and clean without linting.
For see-through pouches commonly available continuous sealing devices are most suitable. Small tolerances in
temperature for each sealing device have to be fixed before use from case to case. The sealing temperature should
be in the range of 120° - 130°C.
Attention: higher temperatures could damage your sealing machine!®Tyvek is a registered trademark of DuPont.
Article No. Size in cm Pack (reels)
3FKFS250204 7.5 2
3FKFS250206 10 2
3FKFS250210 15 1
3FKFS250212 20 1
3FKFS250214 25 1
3FKFS250216 30 1
3FKFS250218 38 1
®See-through-reels - Tyvek - length : 100m
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Indicator Tapes
Features:
Indicator and fixing indicator tapes offered by us can be used in
a variety of ways by cssd´s. Coming with indicator-ink that
shows by changing color if the sterile good has undergone
sterilization process, these indicator tapes can be used with
packaging systems like crepe wrapping paper as well as with
non-woven materials.
• Approximately 5 cm long pieces of tape are enough for
fixing packaging around sterile good
• Blue colored strong adhesive tape provides high tack, and is
especially suitable for non- wovens
• Beige-colored tape is for crepe wrapping paper
Indicator - and Fixing Tapes
For STEAM, EO and Dry-Heat Sterilisation
M E D I C A L P A C K A G I N G
Note:
• Storage instructions are printed on the cardboard box.
• Tapes with & without indicator have shelf life of 2 year after date of manufacturing
• Tapes designed for single use only
• Use only non-toxic and sterilization-proofed pencils for writing on tapes
• Do not stick pieces of tape to metal surfaces e.g. sterilization containers (residues of the adhesive could be left).
These contaminations are not easy to remove.
Order No. Article No. Description Pack (reels)
1084 4FZBH421001 STEAM 48
1083 4FZBH421003 STEAM, strong adhesive, blue for non-woven 48
1086 4FZBH421002 EO 48
890102 4FZBH421005 Dry heat 48
Indicator tapes 19 mm X 50 m
Order No. Article No. Description Pack (reels)
1093 4FZBH421004 STEAM 36
Indicator tapes 25 mm X 50 m
Order No. Article No. Description Pack (reels)
1096 4FZBH422001 19 mm X 50 m 48
1096-03 4FZBH422004 19 mm X 50 m, strong adhesive, blue for non-woven 48
1097 4FZBH422002 25 mm X 50 m 36
890311 4FZBH422005 50 mm X 50 m 20
Fixing tapes without indicator 19 mm X 50 m
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Bowie and dick test pack offered by us are single use test packs that
allow users to successfully perform daily Bowie & Dick test in an
effective & simple way. The advantages of single use test pack is that
it is absolute safe in handling & reproducible in results.
• Single test pack complies to requirements of ISO 11140-4
• Independently tested & certified by third party
• Inserted test sheet change color from blue to pink during
proper sterilization
• Color change is not reversible, which ensure that
documentation done is absolutely safe
• Indicator is free of heavy metals
• Place the test pack in sterilizer
• Run Bowie & Dick test program of sterilizer
• Replace the test pack
• Check the result
Features:
Usage:
Bowie & Dick Single use Test Pack -certified to ISO 11140-4
Note:
• Instructions for use are printed onto the test pack both in
English & German language
• Space for fill in sterilizer no. & name that allow traceability of
the test pack
• Information concerning date of production, shelf life, lot no. &
recommended storage conditions given on back side of each
single test pack®• SteriCLIN single test pack’s shelf live is 4 years from time point
of production
Easy handling - reliable - free of Heavy Metals
The Bowie & Dick-test sheet
Unprocessed Processed (Pass)
M E D I C A L P A C K A G I N G
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Sterilization wraps are tear proof and resistant non-woven material made of polypropylene which is suitable for heavy duty applications. Four layer material is made of two layers of spunbond which ensure extraordinary flexibility and drapeability and two meltblown layers form an efficient barrier against bacteria. Two sides with different tones enables to easily identify tears/damage to sterilized packs.
Surface : Smooth surface pattern allows adhesive tape to stick better, providing a strong seal.
Strength : Stronger material provides more resistance to punctures and tears, keeping packaged contents sterile.
Anti-Static : Coating prevents workers from repeated static "shocks" while wrapping. This is also a safety precaution against oxygen-rich OR environments.
Drapeability : Allows for wrapped items to be tightly packed, reducing the chance or external contaminants to penetrate through gaps.
Permeability : Allows steam, ethylene oxide and plasma sterilization compatible.
Low Linting : To reduce the risk of operating theatre contamination.
Packing : Packed in international standard cartons and labelled with all information regarding colour, size & type. To prevent from dust particulate and for easy identifications.
Sterilization wraps conforms to ISO 11607:2006 (Packaging for terminally sterilized medical devices) and provide CE mark product for quality assurance.
Features :
Note :
SURGEINE®
Sterilization Wraps
Regular Wraps
Sizes (In cm) Pcs./Box
45 x 45 1000
50 x 50 1000
60 x 60 1000
75 X 75 250
90 x 90 250
100 x 100 250
120 x 120 250
135 x 135 150
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The STEAMPlus Sterilization Integrator is an "advanced
technology" medical device that provides a simple, accurate
method of assuring that proper conditions for sterilization
have been met during a sterilizer cycle. Certified for use
with all Steam processes (gravity, dynamic air removal
and flash), the STEAMPlus Class 5 Integrator has
documented performance equivalent to a biological
indicator.
The STEAMPlus Sterilization Integrator is engineered to
integrate the three (3) critical variables of sterilization: time,
temperature, and saturated steam. This information is
displayed in a precise, easy-to-read format. When the dark
bar enters the blue SAFE area, sterilization criteria has been
met. If the dark bar does not rcach the blue SAFE area,
proper conditions for sterilization havc not been achieved
and the processed items should not be released.
Some common causes of sterilization failure are:
• overloading the chamber
• air pockets within the sterilizer
• packs wrapped too tightly
• malfunction of the timing mechanism - error in the temperature setting
• load configuration
• poor steam quality
The base of the STEAMPlus Integrator is made of aluminum
foil, 3 mils in thickness. A cavity embossed in the foil holds
the temperature and steam-sensitive chemical which is
designed to melt when subjected to a steam environment.
The foil also acts as a moisture barrier against steam during
the sterilization cycle.
As moisture penetrates the polymeric cover film, it lowers
the melting point of the chemical. When melting occurs, the
liquid chemical is soaked up by the paper wick and, as time
elapses, moves along the scale. The rate of melt produced
is a function of both the moisture-vapor transmission rate of
Description
Technical Design
the cover film and the melting point depression of the
chemical. The combination of these two factors provides
a rate of melt at various temperatures which parallels the
thermal death time of Geobacillus stearothermophilus
spores.
How to Use the STEAMPluS™ Steam
Sterilization Integrator
Special Note:
I. Place a STEAM Plus Integrator within every package,
tray or rigid container system to be sterilized.
2. Process the load according to the sterilizer
manufacturer's instructions.
3. Retrieve the STEAMPlus Integrator at time of use,
observe the STEAM Plus Integrator for proper
movement into the blue SAFE area.
If the dark bar has not entered into the blue SAFE area,
DO NOT release the package. Proper sterilization has
NOT been achieved and the items in the package should
be reprocessed. Prior to reprocessing, be sure to check
the sterilizer for proper use and function.
SPSmedicalSterilization Monitoring • Packaging • Testing Services
STEAM Plus™ Class 5Steam Sterilization Integrator
UNPROCESSED
PASS
FAIL
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www.vp-group.de
The reprocessing of modern hollow instruments needs reliability of
the highest level for all reprocessing steps. The monitoring of steam
sterilisation should combine parametric control and the use of a
specific process challenge device (PCD) with a chemical indicator. It
monitors air removal and steam penetration within critical
instruments. The BMS signals that sterilisation parameters have
been met through the simulation of the critical sterile goods.
Stericlin’s BMS simulates modern hollow instruments perfectly in
terms of material and mass. The long and narrow channel of the
PCD makes high demands on air removal and complete steam
penetration. The BMS is designed to monitor steam sterilisation
processes with a fractionated vacuum.
If the colour change of the chemical indicator is uniform, and if the
measured parameters are within tolerances, the batch may be
released - with the knowledge that the hightest process safety has
been achieved. The stericlin® BMS fulfils the requirements of the
performance testing according to EN 867-5 5.3 - 5.3.3.2.
BMS Batch Monitoring System
Article-No. Description Pack (pcs.)
3FSKS630104 Starter Kit (1 PCD, 2 capsules, 250 indicatorstrips)
1
3FSKS630102 Indicatorstrip
(incl. 1 capsule) Size: 76,5 x 5,5 mm
250
BMS Batch Monitoring System
From safety experts for safety experts
6-30 E
11/2009
Rev. 0
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Manocha Surgicals
21, Central Market, Shop No. 6,
(Lower Ground) Ashok Vihar,
Phase - 1, New Delhi - 110 052. INDIA
Phone : +91-11-27134154
Fax : +91-11-27130274
Mob.: +91-9811363905
Email : [email protected]
Web : www.manochasurgicals.com
s