Steris System 1E Liquid Chemical Sterilant Processing System Operating instructions

Type
Operating instructions
VERIFY
®
Spore Test Strip for S40® Instructions
Italian
Intended Use
The Verify® Spore Test Strip for S40® is intended to provide users with a means to assess spore kill by S40 sterilant use dilution in the SYSTEM 1E Liquid Chemical Sterilant Processing
System. A “no growth” result from the Verify Spore Test Strip for S40 after 24 hours of incubation indicates that the liquid chemical sterilization process achieved the conditions necessary
to kill at least 1 x 105 viable spores (5 logs) on the test strip. It does not confirm the expected full performance of the SYSTEM 1E Liquid Chemical Sterilization Cycle.
Twenty (20) spore strips contained within individual glassine envelopes are provided along with twenty (20) media vials containing a modified tryptic soy broth with phenol red pH indicator,
one transfer clip, a certificate card, and instructions for use.
Performance Characteristics
The Verify Spore Test Strip for S40 is an optional accessory that provides users with a means to test the sporicidal activity of S40 sterilant use dilution in the SYSTEM 1E Liquid Chemical
Sterilant Processing System. The Verify S40 Spore Test Strip provides a microbial challenge of at least 1 x 105 viable Geobacillus stearothermophilus spores that remain on each strip
through the cycle. A “no growth” outcome following 24 hours of incubation indicates that the liquid chemical sterilization process achieved the conditions necessary to kill at least 1 x 105
viable spores (5 logs) on the test strip; it does not confirm the expected full performance of the SYSTEM 1E Liquid Chemical Sterilization Cycle.
The Verify Spore Test Strip for S40 is validated for a 24-hour incubation period for Geobacillus stearothermophilus, and it contains sufficient growth medium for incubation up to seven
days, if desired.
INSTRUCTIONS FOR USE: (Refer to diagrams)
1. Load the SYSTEM 1E Processor as directed in its Operator Manual.
2. Aseptically open one glassine envelope by peeling two sides apart at the arrow. Peel apart far enough to expose the end of the spore strip (2).
Caution: The Packaging Of This Product Contains Natural Rubber Latex Which May Cause Allergic Reactions.
3. Using the provided transfer clip, grasp the spore strip and remove it from the glassine envelope (3).
4. Place transfer clip and spore strip in processing tray channel (4a), accessory rack or in processing container (4b).
Note: The Verify Chemical Indicator for SYSTEM 1E Processor should be used with each spore strip tested. Refer to the Verify Chemical Indicator for SYSTEM 1E Processor instructions.
5. Run the SYSTEM 1E Liquid Chemical Sterilization Cycle per the Operator Manual.
6. After cycle is complete (5), put on fresh gloves (6). If using processing container, remove lid.
7. Retrieve Verify Chemical Indicator for SYSTEM 1E Processor, and interpret results according to the instructions for use (7). If color change is Pass, proceed to next step. If color
change is Fail, STOP; assume conditions for liquid chemical sterilization were not achieved. Discontinue the Verify Spore Test Strip for S40 test, dispose of spore strip and refer to
Verify Chemical Indicator for SYSTEM 1E Processor directions.
8. If the Verify Chemical Indicator for SYSTEM 1E Processor color change is Pass, proceed. Select a media vial from the Verify Spore Test Strip for S40 package.
Note: Media should not be yellow prior to use. Only use tubes with clear, red media. Holding vial in one hand, at an angle, grasp vial cap with little finger of the other hand. Unscrew cap
from vial (8a,8b).
9. Aseptically remove the transfer clip with the processed spore strip from the SYSTEM 1E Processor, taking care not to touch spore strip or allow it to touch a non-sterile surface (9).
10. Insert spore strip into previously opened vial (10a). Screw vial into cap (10b). Make sure spore strip is fully immersed.
11. Mark this vial “Test” and place in incubator (11). Incubate at 55-60°C (131-140°F) for at least 24 hours. Sufficient media is provided for incubation up to 7 days.
11.1. If the Test culture demonstrates turbidity or a color change from red to yellow, the intended conditions for kill of all spores on the strip were not achieved. Follow depart-
mental procedures for reporting liquid chemical sterilization process failures. Discontinue operation of SYSTEM 1E Processor immediately and do not process devices
until failure has been investigated and resolved (see Step 13).
11.2. If the Test culture remains red and clear, this demonstrates that the S40 sterilant use dilution present in the processor was adequate to kill at least 5 logs of Geobacillus
stearothermophilus spores on the strip.
12. Verify S40 Spore Test Strip Controls
12.1. Verify S40 Spore Test Strip Controls should be performed every day a Verify Spore Test Strip for S40 Test is performed and whenever the spore strip’s lot number
changes.
12.2. Repeat steps #2 and 3. Using the transfer clip, place Control spore strip into a fresh vial of culture medium. Mark vial “Control” and place vial in incubator at 55-60°C
(131-140°F) for 24 hours.
12.3. If the Control is positive for growth (color change and/or turbidity), record results as a “Pass”. If growth of the Control does not occur within 24 hours, immediately begin
incubation of a second control culture. If growth of a second culture does not occur within 24 hours, follow departmental procedures for liquid chemical sterilant process-
ing failures.
13. Investigation of failed Verify Spore Test Strip for S40
13.1. If Test culture exhibits growth (color change and/or turbidity) have microbiology lab identify organism type using Gram stain. The test organism is a Gram positive to Gram
variable spore forming rod. Growth of other types of organisms suggests likely environmental contamination.
13.2. If growth is not a Gram positive to Gram variable rod, assume that contamination has occurred. Thoroughly review challenge and culturing techniques to identify possible
causes prior to any subsequent testing.
13.3. If growth is identified as a Gram positive to Gram variable rod, operation of SYSTEM 1E Processor is suspect. Thoroughly review challenge and culturing techniques to
identify or rule out other possible causes. In particular, ensure that the transfer clip supplied by STERIS was used properly during testing, and that gloves were put on
after starting the challenge cycle to minimize potential for transfer of spores from handling the unprocessed Test strip or a Control strip. Repeat test.
13.4. If repeated test also shows growth of a Gram positive to Gram variable rod, assume that any items processed since the last negative (passing) test are not liquid chemi-
cally sterilized. Follow departmental procedures for liquid chemical sterilant processing failures.
Storage Conditions
The Verify Spore Test Strip for S40 should be stored at 36-75°F (2-24°C), 30-80% Relative Humidity (RH). Do not store near sterilizing agents.
Expiration Date
Do not use beyond the expiration date provided on the Verify Spore Test Strip for S40 label. The Verify S40 Spore Test Strip expires 12 months from the date of manufacture.
Performance Limitations
1. The Verify Spore Test Strip for S40 and growth medium are for single use only. Do not reuse either component.
2. Verify Spore Test Strip for S40 should not be used by anyone with color blindness specific to the colors used in the test. Ensure that users are able to correctly distinguish between the
color changes indicative of growth.
3. All personnel involved must be trained in the proper use of the Verify Spore Test Strip for S40 and a system for reporting failures must be established.
4. If there are any problems interpreting the results from this product, contact STERIS Corporation.
5. Do not use if damage or leakage has occurred to any of the media vials.
6. Verify Spore Test Strip for S40 holds a minimum of 1.5 x 105 spores upon manufacture. A limited number of spores are subject to removal during the liquid chemical sterilization cycle.
Each strip will retain a population of at least 1 x 105 spores at the end of the cycle. Therefore a “no growth” result after 24 hours of incubation indicates that the liquid chemical steriliza-
tion process achieved the conditions necessary to kill at least 1 x 105 viable spores (5 logs) on the test strip; it does not confirm the expected full performance of the SYSTEM 1E Liquid
Chemical Sterilization Cycle.
Safety Related Precautions
The Verify Spore Test Strip for S40 is safe under normal conditions of use.
The Verify Spore Test Strip for S40 is not intended for human consumption.
Caution: The Packaging Of This Product Contains Natural Rubber Latex Which May Cause Allergic Reactions.
Disposal Instructions
Culture media showing growth and expired spore test strips:
Before discarding, treat as appropriate for standard microbial waste, non-pathogenic species, e.g., steam autoclave at 121°C (250°F) for not less than 30 minutes, incinerate, or use other
suitable means.
Media showing no growth and expired culture media vials can be discarded as standard waste.
1 2 3 4 5 6 7 8 9 10
SYSTEM 1E
# 2# 1 # 3
# 4b # 5
# 4a
1 2 3 4 5 6 7 8 9 1
0
# 6 # 7 # 8a
# 8b # 9 # 10a
# 10b # 11
10005723 Rev. B
Manufactured by:
STERIS Corporation
5960 Heisley Road n Mentor, OH
44060-1834 n USA
440-354-2600 n (800-548-4873)
VERIFY
®
Spore Test Strip for S40® Instructions
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Steris System 1E Liquid Chemical Sterilant Processing System Operating instructions

Type
Operating instructions

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