Instrument Containers

[FSG]

I'd like to know what everyone thinks about the container systems. We are looking at Aesculap and deciding on the new PrimeLids with reusable filters vs. the metal lids with disposable filters. We have also trialed the Medline system. Before we make such a large investment I'd like some outside user's thoughts on the pros and cons. Some questions, ex: any trouble with wet loads, one lid works better, stays on better, etc? Thanks ahead of time for any and all input.

[Uprooted Scrub]

FSG:

We're using the Genesis containers (V. Mueller) at our facility. We've been using them for the past four years or so. V. Mueller has an excellent service department, and we have not been charged for any of the containers I've sent in for repair. They also have containers that can be put in Sterrad. One other advantage is that the Genesis containers can be used as a flash transport container. The only cons are the cost of the disposable filters, data plates and tamper evident arrows. We've also had minimal complaints from the OR.

Hope this helps.

Blaine

[FSG]

Thank you for your input. Anyone else??

[Ray Taurasi]

Rigid sterilization containers can provide many bennefits relative to quality, sterilization, storage, protection, labor and associated cost reductions. The procurement of sterilization containers is quite costly and should be considered an investment that will offer long range bennefits and and a long useable life. Therefore it is important for users to make wise and well informed purchasing decisions and to thoroughly evaluate any contaiment device prior to making a purchase decision. There are many options and products on the market today and contrary to what many believe there are major differences in the various containers available, they are not all created equal !
The following are some key points to consider in your evaluation and selection of rigid sterilization containers:
* What is your intended use of containers (method of sterilization)?
*Does the container have FDA clearance for use in your sterilant of choice?
Most containers have only been cleared for use in pre vacuum steam, only two have been cleared for multiple methods of sterilization and only one manufacturer is cleared for all methods of sterilization, steam (prevac and gravity), EO and gas plasma including sealed flash sterilization
* What is the composition of the container: anodized aluminum, stainless steel or plastic (some are mixed composition)?
* What are the advantages and or disadvantages of the composition?
* What instrument weight was container validated at and cleared for by FDA? (Most were validated for 11lbs. One manufacturer was cleared for 221bs)
* Is the filter protected by offset holes in the retention plate?
* If the container utilizes a filterless valve system; is it thermostatic or pressure driven? Can the valve be disassembled for cleaning? Is there a QC test for valve functioning?
* If other filterless system is utilized what is it’s life expectency? What are the QA protocols? How is it cleaned?
* Are contents completely dry after sterilization without the need to extend drying time or use towels or disposable tray liners for wicking?
* Is container FDA cleared and validated for medical devices such as blades, lumens, hinges, and power equipment?
* Are the containers cleared for stacking during sterilization process?
* Are locking devices tamper evident with chemical indicators?
* Are contents easy to lift and remove from container aseptically?
* Are all component parts such as baskets, brackets, inserts and the like FDA cleared?
* Has the container been validated and cleared for event related sterility maintenance?
* Can the containers be easily cleaned manually and or through automated washers?
* What is the estimated product life?
* Does pricing include all parts lid, base, and filter retention plates?
* What are the anticipated service charges?
* Are service contracts necessary?
* What added value services are provided by the manufacturer e.g.education, customization, implementation, and consultation?
* What consumable supplies are required such as filters, locks, and labels and what are the costs?
* What are the GPO contracts and discounting?
* Can manufacturer provide a reference list of users?
* What do current long term users have to say about product performance and services?
* Obtain and review all documentation in writing relative to use, care and handling, validation and FDA 510k clearance.

[FSG]

Ray,
Thank you for your input.