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October 2002

Sterilizing Units, Ethylene Oxide


Devices that fall into the latter categories include most
Scope of this Product Comparison plastic or rubber products, such as catheters, resusci-
This Product Comparison covers gas sterilizers tation bags, anesthesia masks, and most fiberoptic
that use 100% ethylene oxide (EtO) or other gas instruments.
mixtures, such as EtO/carbon dioxide (CO2) or EtO sterilizers used in healthcare facilities can be
EtO/hydrochlorofluorocarbon (HCFC). All listed enclosed in a cabinet; mounted on a wall, on the floor,
units release the sterilants automatically. Com- or in a pit; recessed; or, in the case of one manufac-
bination steam/EtO sterilizers, separate aera- turer’s units, placed on special racks as stand-alone
tors, and EtO disposal systems are not included. units. EtO sterilizers in hospitals are usually found in
For information on other sterilizers, see the fol- the central supply area; however, in some hospitals,
lowing Product Comparisons: they are also located elsewhere, such as in the operat-
• Sterilizing Units, Plasma ing room or in respiratory therapy areas.
• Sterilizing Units, Steam, Bulk
Principles of operation
• Sterilizing Units, Steam, Tabletop
Like any other sterilant, EtO will not effectively kill
• Washer/Sterilizing Units microorganisms protected in dried organic matter.
Therefore, the items to be sterilized are usually kept
UMDNS information moist until they are decontaminated. Before steriliza-
This Product Comparison covers the following tion, they are cleaned of contamination, such as feces,
device term and product code as listed in ECRI’s
Universal Medical Device Nomenclature System™
(UMDNS™):
• Sterilizing Units, Ethylene Oxide [13-740]

Purpose
EtO sterilizing units are used to sterilize medical
and surgical supplies and equipment. EtO (chemical
formula C2H4O), a colorless gas at room temperature
and atmospheric pressure, is flammable at concentra-
tions greater than 3% in air and liquefies at tempera-
tures below 52°F (11°C) and under pressure. It can be
used to sterilize non-heat-sensitive devices, as well as
those sensitive to excessive moisture or heat that would
be damaged by steam or liquid chemical sterilization.

225664 5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA


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Healthcare Product Comparison System

blood, and sputum, and are rinsed with distilled or


Localized
demineralized water to remove any detergent or tap- Ventilation
Air
Inlet
water residues. They are then placed into packs (e.g., System
sealed plastic wrapping film, muslin wraps, steriliza- Steam Bacteria-Retentive
Inlet Filter
tion containers) and loaded into baskets or carts, which
are placed in the sterilization chamber. (See the Prod-
uct Comparison titled STERILIZATION CONTAINERS.)
Hot or cold cycles are selected, depending on the de- Gas Conditioner
vices being sterilized.
Chambers are heated by electrical resistance or by
steam contained in a jacket surrounding the chamber. Sterilizing
Figure 1 shows a schematic of a steam-heated steril- Chamber
izer. The sterilization cycle usually consists of four
phases: conditioning, exposure (sterilizing), exhaust,
and air purge.
Vent
In the conditioning phase, a vacuum pump or water
ejector withdraws air from the chamber and allows EtO

C613UN5A
controlled amounts of moisture or steam to be released Cylinder
by a chamber heating system, thereby raising the Vacuum Pump
relative humidity (RH). Typically, after humidifica-
Figure 1. Schematic of an EtO sterilizer
tion, EtO or an EtO/diluent mixture is injected into the
chamber, starting the exposure (sterilizing) phase. The
chamber concentration of EtO varies from 450 to 1,200 alkylation process that kills the organisms. Extremely
mg/L of the chamber area, depending on the sterilizer. dry organisms may not be destroyed in normal EtO
sterilization; therefore, dehydrated cells may require
In the exposure phase for systems operating at presterilization treatments at 75% to 98% RH, pro-
positive pressure, chamber pressure may drop slightly longed EtO exposure time, and/or complete immersion
as EtO is absorbed by the items. Most sterilizers in water.
detect these pressure drops and provide small
amounts of additional gas (gas makeups) to maintain Because microbes vary in heat and moisture re-
proper pressure and EtO concentration. Typically, if quirements, any materials to be sterilized should be
three of these pressure drops occur, an alarm will prehumidified by washing and surface drying (not in a
sound to alert for potential leaks. hot oven) or by exposure to moderately humid air (30%
In the exhaust phase, the vacuum system vents the RH). The chamber should be maintained at 30% to
gas from the chamber to an exhaust drain and/or 100% RH during the sterilization cycle (Young 1986).
directly to the outside of the building to reduce work-
ers’ exposure to EtO when the door is opened. Most Exposure time depends on the temperature of the
sterilizers then purge the chamber with fresh, filtered chamber: as the temperature decreases, the required
air to prevent gas buildup from items degassing in the exposure time increases. A typical warm sterilization
chamber. The sterilized contents are then aerated to temperature is 120° to 145°F (49° to 63°C), with an
remove EtO residue, in either a separate aerator or an exposure time of one to two hours. Some units allow
in-chamber aerator. If separate aerators are used, they the operator to select a warm or cold cycle, according
should be of the same capacity as the sterilizer or to the items being sterilized. Temperature-sensitive
larger. devices, such as catheters, require lower temperatures
(80° to 131°F, or 27° to 55°C) to avoid damage or
Although the exact process is unknown, EtO is degradation and therefore require longer exposure
thought to attack the RNA and DNA of the microor- times (five to six hours).
ganisms on the surfaces of the items to be sterilized.
It penetrates the sealed pack and sterilizes the goods EtO is available diluted with CO2 or HCFC or in its
within. A number of variables determine whether pure (100%) form. Whatever the form, the gas must be
sterilization is successful, including EtO concentra- handled carefully to protect the operators in the event
tion, exposure time, temperature, and RH. RH is of an accident, but particular care must be taken in
important because moisture enhances EtO penetra- storing, using, and disposing 100% EtO to prevent
tion of microbial cells/spores and aids the chemical explosion.

2 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Regardless of the sterilant mixture, EtO mixtures Reported problems


usually come in a tank or cylinder. Gas is released from
Although it is more costly and takes more time to
the tank or cylinder into the chamber through an open
sterilize items than steam sterilization, EtO steriliza-
solenoid valve, which closes when the chamber reaches
tion has been the most commonly used process for
a certain pressure. 100% EtO usually comes in a car-
sterilizing temperature- and moisture-sensitive medi-
tridge; these containers, used for sterilizers whose
cal devices and supplies in healthcare institutions.
chambers are eight cubic feet or smaller, reduce the cost
However, specific problems are associated with the use
and explosion hazard associated with storing large
of EtO sterilizing units. EtO is a potent neurotoxin, a
cylinders of EtO over long periods. During sterilization,
known human carcinogen (classified under group I by
the cartridge is automatically punctured within the
the International Agency for Research on Cancer), a
sterilizer and releases gas into the chamber after air is
potential reproductive hazard, and an allergic sensi-
evacuated from the chamber by the vacuum system.
tizer. Acute overexposure causes conjunctival, skin,
Sterilization cycles and variables can be displayed and respiratory tract irritation as well as headache
graphically by a circle-chart recorder or dual-pen re- and nausea. Skin contact from inadequately aerated
corder or alphanumerically by a microprocessor-con- material can result in severe burns to workers and
trolled data recorder. Some types of recorders also patients. Chronic exposure can result in significant
provide the date and time and indicate the occurrence toxicity to the nervous system and extremely high
of any problems that may adversely affect the steriliza- exposures may result in decreased consciousness, cya-
tion cycle. If a recorder is not offered with the sterilizer, nosis, and pulmonary edema.
the information may be digitally displayed on the con-
trol panel. A hard copy of each cycle should be kept. The U.S. Occupational Safety and Health Admini-
stration (OSHA) published a standard on allowable
Several features improve the safety of EtO sterili- EtO exposure limits in 1984 and revised the standard
zation. Door-interlock systems prevent the steriliza- in 1988 (see Standards and Guidelines). The standard
tion cycle from beginning until the chamber door is places the permissible limit of occupational exposure
closed securely and keep the door from opening during to EtO at 1 part per million (ppm) time-weighted
the cycle. Most sterilizers are also equipped with an average for a normal eight-hour workday. In addition,
internal monitoring system that detects problems it specifies a 0.5 ppm “action level” (the point at which
(e.g., insufficient vacuum or gas concentration, tem- a hospital must institute regular employee monitoring
perature problems, gas leaks) and alerts the operator. and other safety measurements). The standard also
The end-of-cycle buzzer alerts the operator that the provides information concerning exposure control, em-
cycle is complete and that the chamber door should be ployee training, medical surveillance, signs and label-
opened. ing, emergency procedures, record keeping, and
Another important safety feature is the localized monitoring frequencies. The revised edition of this
ventilation package, which reduces environmental standard establishes a 5 ppm short-term excursion
and employee EtO exposure when the sterilizer door limit, the amount of EtO exposure allowed over a
is opened or if, for example, a leak should occur in the 15-minute period. The amendment also includes moni-
door gasket. EtO gas in the vicinity of the door is toring and protection mandates for employers. Initial
drawn up into an exhaust hood located above the door exposure monitoring is required, consisting of worker-
and then vented to the outside or to an emission-con- breathing-zone air samples that are representative of
trol system. It is also drawn up (through a flexible the 8-hour time-weighted average and 15-minute
hose) from the exhaust drain (which, in some steriliz- short-term exposure of each employee. When expo-
ers, may contain water discharge from the vacuum sures exceed the action level or excursion limit, em-
pump) to the hood. Instead of an exhaust hood, some ployers are required to repeat monitoring every three
sterilizers have copper tubing ducts leading directly months or as often as necessary to evaluate the situ-
outdoors. Many sterilizers have an automatic ation. (For more information on EtO levels, see the
overtemperature control. Product Comparison titled ETHYLENE OXIDE MONI-
TORS.) In addition, employers must develop written
Sterilizers can be pit mounted or floor mounted. In plans for emergency EtO situations, such as leaks or
pit-mounted models, the chamber floor is aligned with spills, and ways to “alert potentially affected employ-
the building floor to allow direct loading and unloading ees of such occurrences promptly” (U.S. Department of
of processing carts. In floor-mounted models, a hydrau- Labor 1988).
lic lift is provided at each door to raise and lower
processing carts for loading and unloading. Push- A recent study by LaMontagne and Kelsey (1997)
button lift controls are included on the control panel. describes a widespread lack of understanding of the

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 3
Healthcare Product Comparison System

“alert” requirement among managers and variable in- In certain situations, normally nonflammable mix-
terpretation of this requirement by OSHA. In the tures may become explosive when mixed with air. For
absence of clarity on this issue, some EtO-monitor example, one case involved an older portable EtO
marketers have interpreted the requirement in favor sterilizer that did not exhaust to the outside. Leaks in
of their own interests, recommending expensive alarm the pressure-relief valve and the gas-inlet piping al-
systems that comply with the OSHA standard. This is lowed gas to enter and accumulate in the cabinet
a situation in which educational intervention could beneath the chamber, resulting in combustion and
improve health and safety and decrease costs to hospi- explosion. The gas mixture apparently reached the
tals to comply with the standard (LaMontagne and combustion point for EtO and air and was ignited
Kelsey 1997). (probably by a spark from a relay or the purging
motor); investigators speculated that the EtO concen-
Exposure to high levels of EtO has resulted from
tration might have changed through selective diffusion
malfunctioning valves, worn door gaskets, and defec-
and loss of some of the nonflammable component.
tive door-interlock systems. According to one reported
problem, a malfunctioning solenoid valve allowed EtO can adversely affect some materials after re-
high-pressure EtO gas to enter the chamber, and a peated sterilization. For example, rubber endotracheal
safety relief valve failed to open, causing a pressure tubes soften and kink more easily, which could seri-
explosion. Valve failure can result from the deteriora- ously compromise a patient’s air exchange. Therefore,
tion of valve seal material caused by EtO or by the a strict hospital quality-assurance program should be
buildup of contaminants such as dirt and polymers. instituted to ensure the integrity of all EtO-sterilized
EtO will polymerize if it is left in contact with some items.
materials for extended periods; ECRI has had reports
Chlorofluorocarbons (CFCs) have been mixed with
of valve failures resulting from polymer buildup on
EtO to reduce its flammability; however, CFCs have
valve seals.
been found to deplete the Earth’s ozone layer. The
In another instance, EtO leaked because of an im- international ban on CFCs (under provisions of the
properly adjusted door-interlock system that allowed Clean Air Act of 1995) has encouraged many hospitals
the sterilization cycle to run with the door only par- to replace 12/88 EtO sterilizers with 100% EtO steril-
tially sealed. Regular inspections and newer safety izers, although some larger sterilizers now use EtO-
features can help eliminate these kinds of problems. CO2 or EtO-HCFC gas mixtures. Despite this
replacement, recent studies have questioned the effec-
When changing EtO cylinders, employees should
tiveness of 100% EtO sterilization. There is some indi-
avoid exposure to both the vapor and the liquid forms
cation that a narrower safety margin exists for 100%
of EtO. The installation of a check or shutoff valve near
EtO sterilization than for 12% EtO diluent gas sterili-
the disconnection point minimizes the release of EtO
zation (Alfa et al. 1996).
from the supply line. However, such valves are not
foolproof. ECRI received a report of two hospital em-
ployees being sprayed with EtO from a 63.6 kg (140 lb) Purchase considerations
cylinder after a valve had been turned completely to In general, there are four traditional methods used
the OFF position. Precautions that should be taken to sterilize medical devices: pressurized steam, EtO,
when changing an EtO cylinder or conducting other gas plasma, and liquid germicides. Each method has
sterilizer maintenance include wearing a respirator its limitations. Hospitals need to assess their current
with suitable eye and face protection, wearing suitable sterilization/reprocessing protocols and evaluate cur-
coveralls (preferably disposable) and neoprene gloves rent and future needs before purchasing a sterilizer.
to avoid skin exposure, and having an emergency
Plasma sterilization may be a cost-effective and
evacuation plan.
environmentally sound choice for low-temperature
Dedicated exhaust and ventilation systems should be sterilization. The process involves the generation of
carefully designed to avoid personnel exposure. EtO reactive species that interact with cell membranes,
sterilizers should be placed in isolated, well-ventilated enzymes, or nucleic acids to destroy microorganisms
areas with controlled access. Exhaust lines should be at or below 55°C (131°F). Currently marketed
local and lead directly from the sterilizer door to an plasma sterilizers employ a hydrogen peroxide gas
exhaust drain and/or to the outside. The ventilation plasma in the sterilization process. Although the
system should be nonrecirculating, discharging air from liquid sterilants used in plasma sterilizers are listed
the space to the outdoors. With adequate engineering substances in the OSHA hazard communication
controls and proper work techniques, exposures should standard (29 CFR 1910.1200), safety features have
be well below the permissible exposure limit of 1 ppm. been devised to minimize the chance of exposing

4 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

operatorstotheconcentrated chemicals. The end prod- or more dedicated electric lines. Other considerations
ucts of plasma sterilization are not toxic, reducing include the following:
regulatory and safety concerns. Installation of a • Current or pending changes in local regulations on
plasma sterilizer is straightforward, with a low risk of EtO or EtO diluent emissions
emission-related errors.
• Liability and cost issues associated with protecting
Because gas plasma technology is relatively new, personnel from exposure to toxic sterilants
many medical devices were not developed with the gas • Benefits and limitations of low-temperature sterili-
plasma sterilization method in mind, and many users zation alternatives
will have less experience with the process.
Hospitals can purchase service contracts or service
Although EtO units have larger chambers than gas on a time-and-materials basis from the supplier. Ser-
plasma sterilizers and thus can process more items at vice may also be available from a third-party organi-
once, EtO sterilization requires a longer cycle time and zation. The decision to purchase a service contract
10 to 16 hours of aeration time after processing to should be carefully considered. Purchasing a service
eliminate toxic residues from the sterilized items. contract can ensure that preventive maintenance will
These requirements can result in the removal of ster- be performed at regular intervals, thereby eliminating
ilized items from use for up to 24 hours and may the possibility of unexpected maintenance costs. Also,
require the purchase of additional inventory to meet many suppliers do not extend system performance and
the demands of the hospital. The cost of maintaining uptime guarantees beyond the length of the warranty
such an inventory is compounded by the costs associ- unless the system is covered by a service contract.
ated with meeting federal regulations for emissions
and personnel safety. ECRI recommends that, to maximize bargaining
leverage, hospitals negotiate pricing for service con-
Because of the potentially detrimental effects that tracts before the system is purchased. As a guideline,
EtO can have on the environment, a number of regions full-service contracts typically cost approximately 8%
have enacted regulations to limit emissions from EtO to 12% of the sterilizer’s purchase price. Additional
sterilizers. For healthcare facilities that are affected service contract discounts may be negotiable for mul-
by these regulations, the use of an EtO-emission- tiple-year agreements or for service contracts that are
abatement system may be the most desirable alterna- bundled with contracts on other sterilizing equipment
tive. Currently available systems can effectively in the department or hospital.
reduce emissions by up to 99.9%, allowing healthcare
facilities that wish to continue using EtO sterilizers to Stage of development
comply with even the most stringent environmental The earliest EtO sterilizers were produced in the
regulations. In some emission-abatement systems, early 1950s. Newer EtO sterilizers have such features
EtO is broken down into CO2 and water through a as built-in safety devices, the ability to be modified
process called catalytic oxidation. Other emission- with additional safety components (e.g., door-interlock
abatement systems use a scrubbing method. Purchase systems, audible alarms), and microprocessor-control-
prices for EtO-emission-abatement systems vary de- led sterilization cycles. In-chamber aeration is now
pending on the size and amount of EtO removed, with available with many sterilizers.
systems typically costing between $15,000 and
$100,000. Reportedly, scrubbing costs less than cata- Since the manufacture of 12/88 EtO sterilizing
lytic oxidation (MacNeal and Glaser 1997). units has ceased under provisions of the Clean Air Act
of 1995, alternative technologies to EtO with CFCs
Cost containment have become available. Aside from 100% EtO, EtO
with different stabilizing gases, such as CO2 or HCFC,
Installation costs for EtO sterilizers vary greatly. can be used in large-capacity, tank-supplied steriliz-
Most suppliers assume the hospital will provide ers. The EtO-CO2 mixture consists of 8.5% EtO and
plumbing, electricity, and ventilation before unit 91.5% CO2. This is less expensive than EtO-HCFC but
installation; a hospital should be aware of the sup- requires pressure vessels that are rated for steam
plier’s specific requirements. In addition, if an older sterilization because higher pressures (28 psi gauge)
unit is being removed, it is important to remove and are required. HCFCs are approximately 50-fold less
properly dispose of any asbestos insulation used in damaging to the Earth’s ozone layer than CFCs (Ru-
the unit and its interconnections. EtO sterilizers tala and Weber 1998). In the United States, HCFC
typically require a steam line, a cold-water line, a manufacturers will be subject to incremental produc-
drain, a duct to the outside of the building, and one tion restrictions starting in the year 2004. The U.S.

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 5
Healthcare Product Comparison System

Environmental Protection Agency will begin regula- MacNeal JR, Glaser ZR. Comparison of health care-
tion of HCFCs in the year 2015 and will ultimately based sterilization technologies: safety, efficacy,
terminate their production in the year 2030. EtO- and economics. J Healthc Saf Compliance Infect
HCFC mixtures are sold as drop-in replacements for Control 1997 Dec:91-107.
CFC-12 and are available in ratios of 8.6% EtO/91.4%
HCFC and 10% EtO/90% HCFC. Meridian Research Inc. Ethylene oxide: a case study in
hazard identification, OSHA regulation, and mar-
Alternative methods to EtO sterilization include ket response: final report. Silver Springs (MD): Me-
vapor-phase hydrogen peroxide and gas plasma ster- ridian Research Inc.; 1992. Contract No.
ilization (see the Product Comparison titled STERILIZ- J-9-F-1-0019.
ING UNITS, PLASMA); sterilization with ozone may be
available in the future. Pokrop F. Lessons from EtO vessel operations. Med
Device Diagn Ind 1989 Dec:36-42.
For facilities located in areas that have EtO emis-
sion-limiting regulations, emission abatement sys- Rutala WA. Weber DJ. Clinical effectiveness of low-
tems are now available that can effectively reduce temperature sterilization technologies. Infect Con-
emissions by up to 99.9%. However, the purchase and trol Hosp Epidemiol 1998 Oct;19(10):798-804.
operation of these systems can cost nearly as much as
a new EtO sterilizer. Rutala WA, Weber DJ. Low-temperature sterilization
technologies: do we need to redefine “sterilization”?
Serious health risks to hospital personnel due to Infect Control Hosp Epidemiol 1996 Feb;17(2):87-91.
EtO exposure have been addressed much more seri-
ously since the classification of EtO as a known car- Weaver VM. Chemical hazards in health care workers.
cinogen; consequently, EtO sterilizers are becoming Occup Med 1997 Oct-Dec;12(4):655-67.
less favorable as a means of sterilization. However, due
Young JH. Comparison of in-hospital and industrial
to the difficulty of sterilizing heat- and moisture-sen-
sterilization of medical devices. J Healthc Mater
sitive instruments, and due to the ready availability of
Manage 1986 Mar-Apr;4:30-4.
EtO sterilizing units, EtO sterilizers are still consid-
ered to be highly effective and will probably not be
phased out of the market for a few more decades. Standards and guidelines
Note: Although every effort is made to ensure that the
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Sterilizing Units, Ethylene Oxide

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©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 7
Healthcare Product Comparison System

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Occupational exposure to ethylene oxide; final
standard. Fed Regist 1988:11414-38. Health Technology Trends

Special occupational hazard review with control Hospitals weigh options and costs in EtO sterilization.
recommendations — use of ethylene oxide as a ster- 1995 Feb;7(2):5-6.
ilant in medical facilities. NTIS No. PB-274-795.

Citations from other ECRI publications Supplier information


Health Devices
EPA withdraws EtO labeling requirements. 1984 Andersen
May;13(7):145-6.
Andersen Medical (Hong Kong) Ltd [266340]
Minimizing EtO exposure when changing gas cylin- Flat A 9/Fl Century Industrial Center
ders [User Experience Network™]. 1989 Jul- 33-35 Au Pui Wan St Fo Tan
Aug;18(7-8):290. Shatin
Hong Kong SAR
Problems related to EtO sterilization of infant oxygen
People’s Republic of China
hoods [User Experience Network™]. 1994
Phone: 852 20511655
Mar;23(3):99.
Fax: 825 28510586
Ethylene oxide sterilization: how hospitals can adapt E-mail: andmed@netvigator.com
to the changes [guidance article]. 1994 Internet: http://www.anpro.com
Dec;23(12):485-92.
Andersen Products Inc [101953]
Improperly connected ethylene oxide sterilizer supply Health Science Park
cylinder [hazard report]. 1994 Dec;23(12):493-4. 3202 Caroline Dr
Questions to ask about new sterilization technologies Haw River NC 27258-8710
[Talk to the specialist]. 1996 Oct;25(10):393-5. Phone: (336) 376-3000, (800) 523-1276
Fax: (336) 376-8153
Choosing a low-temperature sterilization technology E-mail: mailbox@anpro.com
[guidance article]. 1999 Nov;28(11):430-55. Internet: http://www.anpro.com
EtO-emission-abatement systems. 1999 Nov;28(11):437.
H W Andersen Products Ltd [266341]
Estimated life expectancy of medical devices [Talk to Davy Rd Industrial Estate
the specialist]. 2000 Sep;29(9):343. Gorse Lane
Clacton-on-Sea, Essex CO15 4XA
Healthcare Hazard Control England
Phone: 44 (1255) 428328
Ethylene oxide hazard evaluation and field survey.
Fax: 44 (1255) 222987
Chemical hazards:3.5.
E-mail: sales@anderseneurope.com
Ethylene oxide. 2:Chemical hazards:3. Internet: http://www.anpro.com

8 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

ARS Fedegari

ARS Enterprises [105285]


Fedegari Autoclavi SpA [309507]
12900 Lakeland Rd
via Degli Abeti 300
Santa Fe Springs CA 90670-4517
I-61100 Pesaro
Phone: (562) 946-3505, (800) 735-9277
Italy
Fax: (562) 946-4120
Phone: 39 (0721) 26243
E-mail: info@arsenterprises.com
Fax: 39 (0721) 26285
Internet: http://www.arsenterprises.com
E-mail: gdr@fedegari.com
Internet: http://www.fedegari.com
Baumer

Baumer S/A [179534]


Avenida Prefeito Antonio Tavares Leite Nr 181 Sakura
Parque da Empresa
13800-000 Mogi Mirim-SP Sakura Finetechnical Co Ltd [157040]
Brazil 1-9 Honcho 3-chome
Phone: 55 (19) 38065955 Nihonbashi Chuo-ku
Fax: 55 (19) 38063317 Tokyo 103
E-mail: baumer@baumer.com Japan
Internet: http://www.baumer.com Phone: 81 (3) 32701666
Fax: 81 (3) 32702779
E-mail: intl@sakura-finetek.jp
Buxton Internet: http://www.sakura-finetek.jp

Buxton Medical Service Corp [107013]


1178 Rt 109
Lindenhurst NY 11757-1004 STERIS
Phone: (631) 957-4500
Fax: (631) 957-3884 STERIS Corp [107114]
E-mail: pmccann@buxtonmed.com 5960 Heisley Rd
Internet: http://www.buxtonmed.com Mentor OH 44060-1834
Phone: (440) 354-2600, (800) 548-4873
Fax: (440) 639-4459
Demed Internet: http://www.steris.com
Medicor Mutotechnika Kft [347077]
Fueredi uitz 98 STERIS Corp (Hong Kong) [227264]
H-4032 Debrecen Room 301-2 3/Fl Kodak House II
Hungary 39 Healthy Street East
Phone: 36 (52) 415569 North Point
Fax: 36 (52) 410485 Hong Kong SAR
People’s Republic of China
Phone: 852 25633623
Fax: 852 25637387
DMB-STERIVIT-Automatic
Internet: http://www.steris.com
DMB-Apparatebau GmbH [157961]
Saarbruecker Allee 1 STERIS Ltd (Europe) [355810]
Postfach 130245 The Stable Block
D-65090 Wiesbaden Cornbury Park
Germany Charlbury, Oxfordshire OX7 3EH
Phone: 49 (611) 9284602 England
Fax: 49 (611) 9284651 Phone: 44 (1608) 811822
E-mail: info@dmb-apparatebau.de Fax: 44 (1608) 811854
Internet: http://www.dmb-apparatebau.de Internet: http://www.steris.com

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 9
Healthcare Product Comparison System

3M Health Care Recorder: Most sterilizers have a recorder that can


3M Asia Singapore Pte Ltd [267252] document the total cycle time, phases and elapsed
9 Tagore Ln time, all set points, the date, alarms, and a cycle
Singapore 787472 summary.
Republic of Singapore H × W × D, cm (in): Refers to exterior dimensions.
Phone: 65 64548611 Height for tabletop model is with the lid open.
Fax: 65 64568953
Price: Some of the pricing information in these charts
E-mail: innovation.sg@mmm.com
has been derived from list prices reported to ECRI’s
Internet: http:www.3m.com.sg
in-house information services by healthcare institu-
3M Health Care [104967] tions and by suppliers. A footnote identifies these
3M Center Bldg 275-4E-01 prices. In these instances, suppliers have declined to
St Paul MN 55144-1000 provide HPCS directly with prices and may not have
Phone: (800) 228-3957 confirmed the information. These prices are esti-
Fax: (651) 633-2072 mates and may or may not reflect discounts, options,
E-mail: healthcare@3m.com special packages, and multiple-unit sales. They are
Internet: http://www.3m.com/healthcare provided for the convenience of our readers.
3M Health Care Ltd [151078] Seismic anchoring/installation: Refers to Title 24 (Divi-
3M House sion T-17 of Part 6) of the California Administrative
Morley Street Code, which requires that support equipment on the
Loughborough, Leicestershire LE11 1EP sterilizer be constructed of sturdy materials and
England securely fastened to floors, ceilings, or other areas.
Phone: 44 (1509) 611611
Dual-loading system: In sterilizers that use a tank or
Fax: 44 (1509) 237288
cylinder to hold gas to be released during steriliza-
E-mail: innovation.uk@mmm.com
tion, a spare may be included as a backup. When the
Internet: http://www.3m.com/uk
first tank or cylinder is empty, a warning light
flashes, and the sterilizer automatically switches
Xinhua over to the second.
Shandong Xinhua Medical Instrument Factory
Abbreviations:
[291655]
No 2 Honggou Road ASME — American Society of Mechanical Engi-
Zhangdian neers
255027 Zibo
Shandong Province CE mark — Conformite Europeene mark
People’s Republic of China CLA — City of Los Angeles
Phone: 86 (533) 2183171
Fax: 86 (533) 2183211 CSA — Canadian Standards Association
E-mail: xhmed@public.zbptt.sd.cn
Internet: http://www.xhmed.com CUL — Canadian Underwriters Laboratories
The following terms are used in the chart: EPA — U.S. Environmental Protection Agency
Full cycle time, hr: The elapsed time from the start of FDA — U.S. Food and Drug Administration
the cycle (phase 1) to its completion (when the
end-of-cycle buzzer sounds), excluding aeration HCFC — Hydrochlorofluorocarbon
time. Times may be programmable, depending on
the sterilizer and the devices to be sterilized. kW — Kilowatts

EtO exposure, hr: The time (recommended by the MDD — Medical Devices Directive
manufacturer) that devices are exposed to EtO.
OSHA — U.S. Occupational Safety and Health
Times may be programmable, depending on the
Administration
sterilizer and the devices to be sterilized.
In-chamber aeration: Times shown are those recom- PC — Personal computer
mended by the manufacturer. However, times may psig — Pounds per square inch gauge
be programmable, depending on the device to be
sterilized. TUV — Technischer Ueberwachungs Verein

10 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

UL — Underwriters Laboratories features and characteristics are standard and which


are not, some may be optional, at additional cost.
Note: The data in the charts derive from suppli-
ers’ specifications and have not been verified through For those models whose prices were supplied to us
independent testing by ECRI or any other agency. in currencies other than U.S. dollars, we have also
Because test methods vary, different products’ specifi- listed the conversion to U.S. dollars to facilitate com-
cations are not always comparable. Moreover, prod- parison among models. However, keep in mind that
ucts and specifications are subject to frequent changes. exchange rates change often.
ECRI is not responsible for the quality or validity of
the information presented or for any adverse conse- Need to know more?
quences of acting on such information.
For further information about the contents of this
When reading the charts, keep in mind that, unless Product Comparison, contact the HPCS Hotline at +1
otherwise noted, the list price does not reflect supplier (610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); or
discounts. And although we try to indicate which hpcs@ecri.org (e-mail).

About ECRI . . .
ECRI is a nonprofit health services research agency and a Collaborating Center of the World Health
Organization, providing information and technical assistance to the healthcare community to support
safe and cost-effective patient care for more than 25 years. The results of ECRI’s research and
experience are available through its publications, information systems, databases, technical assis-
tance program, laboratory services, seminars, and fellowships.

Our full-time staff includes a wide range of specialists in healthcare technology, hospital admini-
stration, financial analysis, risk management, and information and computer science, as well as
hospital planners, attorneys, physicists; biomedical, electrical, electronic, chemical, mechanical, and
registered engineers; physicians; basic medical scientists; epidemiologists and biostatisticians; and
writers, editors, and communications specialists.

Underlying ECRI’s knowledge base in healthcare technology are its integrity and objectivity. ECRI
accepts no financial support from medical product manufacturers, and no employee may own stock
in or consult for a medical equipment or pharmaceutical company.

The scope of ECRI’s resources extends far beyond technology. ECRI keeps healthcare professionals,
manufacturers, legal professionals, information specialists, and others aware of the changing trends
in healthcare, healthcare standards and regulations, and the best ways to handle environmental and
occupational health and safety issues. ECRI also advises on management issues related to healthcare
cost containment, accreditation, risk management, human resources, quality of care, and other
complex topics.

ECRI has more than 35 publications, databases, software, and services to fulfill the growing need
for healthcare information and decision support. They focus on three primary areas: healthcare
technology, healthcare risk and quality management, and healthcare environmental management.

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 11
Healthcare Product Comparison System

Product Comparison Chart


MODEL ANDERSEN ARS ARS ARS

EOGas 306 : 310 : 84000 Series 84000 Series Beverly Pacific


333 Series 3 Floor Loading
WHERE MARKETED Worldwide Not specified Not specified Not specified

FDA CLEARANCE Submitted Yes Yes Yes


CE MARK (MDD) Yes No No No

CHAMBER
Size, m3 (ft3) 0.17 (6) : 0.28 (10) 0.11-0.85 1.1-1.98 1.1 (38.8) and up
: 0.92 (32.5) (3.9-30) (38.8-69.9)

Jacket material Stainless steel 316 stainless steel 316 stainless steel 316 stainless steel
or steel with
nickel-clad interior
TYPE OF GAS 100% EtO single-use 12/88 12/88 100% EtO or 12/88
cartridges
STANDARD CYCLE
Chamber pressure,
psig NA * 40 40 15-40
Warm temp, °C (F) 50 (122) 57 (134.6) 57 (134.6) 57 (134.6)
Cold temp, °C (F) 50 (122) 38 (100.4) 38 (100.4) 38 (100.4)
Full cycle time, hr 16, sterilization 3 warm, 8.5 cold 3 warm, 8.5 cold 3 warm, 8.5 cold
and aeration
EtO exposure, hr 16, sterilization 2.5 warm, 8 cold 2.5 warm, 8 cold 2.5 warm, 8.5 cold
and aeration
DOOR(S)
Configuration Single Single or double Single or double Single or double
Operation Manual, self-locking Manual Power Manual or power
(side sliding)

Hinge
1 door Front right side Left or right Left or right Customized

2 doors Back left side Left or right (both) Left or right (both) Customized

LOADING EQUIPMENT Wire rack shelves Car, transfer Floor cart Cart or pallets
carriage, trays

IN-CHAMBER AERATION Yes 8-12 hr 8-12 hr Yes

RECORDER Digital display, Dual pen Dual pen PC printer or


printer, load- circular chart
identification label
printer
AUDIBLE ALARMS Yes Yes Yes Yes
INSTALLATION
1-door sterilizer Cabinet-enclosed, Cabinet-enclosed, Recessed, floor or Recessed, floor or
recessed or pedestal recessed pit mounted pit mounted

2-door sterilizer Cabinet-enclosed, Cabinet-enclosed, Recessed, floor or Recessed, floor or


recessed, through recessed pit mounted pit mounted
partition wall
CO2 ADAPTABLE No Yes Yes Yes
HCFC ADAPTABLE No Yes Yes Yes
SINGLE-USE 100% EtO Yes No No No

Colons separate data on similar models of a device. This is the first of


* Negative-pressure system. two pages covering
the above model(s).
These specifications
continue onto the
next page.

12 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Product Comparison Chart


MODEL ANDERSEN ARS ARS ARS

EOGas 306 : 310 : 84000 Series 84000 Series Beverly Pacific


333 Series 3 Floor Loading
UTILITY REQUIREMENTS
VAC, phase 110 or 220, 1-phase 120, 1-phase 120, 1-phase Customized

Power, kW 1 Not specified Not specified Not specified

Steam, avg psig NA 15 15 15

Water, avg psig NA 60-80, cold water 60-80, cold water 60-80, cold water
H x W x D, cm (in) 73.6 x 72.4 x 65.5 40.6 x 40.6 x 66 157.5 x 66 x 106.7 Customized
(29 x 28.5 x 25.8) : (16 x 16 x 26), (62 x 26 x 42),
99 x 62.2 x 65.5 50.8 x 50.8 x 96.5 157.5 x 66 x 193
(39 x 24.5 x 25.8) : (20 x 20 x 38), (62 x 26 x 76)
203.2 x 86.4 x 65.5 61 x 91.4 x [91.4,
(80 x 34 x 25.8) 121.9, 152.4] (24 x
36 x [36, 48, 60])

WEIGHT, kg (lb) 55.3 (122) : 79.4 431-567 1,360-3,175 Not specified


(175) : 215.5 (474) (948-1,247) (2,992-6,985)

PURCHASE INFORMATION
Price From $15,000 Not specified Not specified Not specified

Gas cost/cycle From $4 Not specified Not specified Not specified

Warranty 1 year, parts and 2 years, parts and 2 years, parts and 2 years, parts and
labor labor; 15 years, labor; 15 years, labor; 15 years,
vessel vessel vessel
Service contract Not specified Not specified Not specified Not specified
Delivery time, ARO 4 weeks 90-120 days 120-150 days 150-180 days

Year first sold 1996 Not specified Not specified Not specified

Number installed
USA Not specified Not specified Not specified Not specified
Worldwide Not specified Not specified Not specified Not specified

Fiscal year January to December November to October November to October November to October
OTHER SPECIFICATIONS Gas diffusion Liquid and gas Liquid and gas Custom cycles and
process matches dose separator tank separator tank control options;
size to load volume; (requires a vent (requires a vent zero-discharge
password entry; only); dual- only); dual- vacuum pump;
automatic load loading system; loading system; optional catalytic
tracking; zero-discharge zero-discharge converter with
diagnostic display; vacuum pump; vacuum pump; immediate system
custom chamber sizes optional catalytic optional catalytic connection;
on request; exhaust- converter with converter with backdraft safety
gas-abatement equip- immediate system immediate system assay.
ment available. connection. connection. Meets requirements
Meets requirements Meets requirements Meets requirements of ASME and CLA.
of CSA and OSHA; EPA of ASME and CLA. of ASME and CLA.
registered.

Colons separate data on similar models of a device.

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 13
Healthcare Product Comparison System

Product Comparison Chart


MODEL BAUMER BAUMER BUXTON DEMED
FAILED TO RESPOND *
EtO Advance EtO-Hivac Plus 9303 : 9304 : 9305 ** GST-21 : GST-21K :
GST-100
WHERE MARKETED Worldwide, except Worldwide, except Worldwide Europe
USA USA
FDA CLEARANCE No No No No
CE MARK (MDD) No No No Submitted

CHAMBER
Size, m3 (ft3) 0.10 (3.5) 0.25 (8.8), 0.36 0.51 (18) : 0.02 (0.7) : 0.02
(12.7), 0.5 (17.7), 0.68 (24) : (0.7) : 0.1 (3.5)
0.7 (24.7), 0.9 0.85 (30)
(31.8)
Jacket material 316 stainless steel 316 stainless steel Nickel-clad or Stainless steel
stainless steel

TYPE OF GAS 100% EtO 100% EtO, EtO/CO2, 10/90 EtO/HCFC cartridges,
EtO/HCFC EtO/CO2
STANDARD CYCLE
Chamber pressure,
psig -24 -10 to 45 4-10 29 : 26.1 : 65.3
Warm temp, °C (F) 59 (138.2) 54 (129.2) 54 (129.2) 54±8(129.2±14.4)
Cold temp, °C (F) 38 (100.4) 38 (100.4) Adjustable Not specified
Full cycle time, hr 8 8 2.5 to 6 5 : 5 : 16

EtO exposure, hr 4 4 Adjustable 4

DOOR(S)
Configuration Single Single or double Single or double Single
Operation Manual, self-locking Automatic, Manual or power Manual
self-locking

Hinge
1 door Vertical sliding Vertical sliding Customized Right

2 doors Vertical sliding Vertical sliding Customized Right

LOADING EQUIPMENT Manual Transfer cart Cart or carriage Manual, shelves

IN-CHAMBER AERATION Up to 16 hr Up to 16 hr Up to 99 hr No : No : Up to 11
hr
RECORDER Optional printer Printer Graphic and No : No :
alphanumeric Alphanumeric printer
recorder or chart

AUDIBLE ALARMS Yes Yes Yes No : No : Yes


INSTALLATION
1-door sterilizer Cabinet-enclosed or Cabinet-enclosed or Cabinet-enclosed, Cabinet-enclosed
recessed recessed recessed

2-door sterilizer Cabinet-enclosed or Cabinet-enclosed or Not specified Cabinet-enclosed


recessed recessed

CO2 ADAPTABLE No Yes Yes No : No : Yes


HCFC ADAPTABLE No Yes Yes Yes : Yes : No
SINGLE-USE 100% EtO Yes Yes No No : No : Yes

Colons separate data on similar models of a device. This is the first of


* Specifications current as of September 1999. two pages covering
** Buxton Medical also provides remanufactured Models 8303, 8304, and 8305. the above model(s).
These specifications
continue onto the
next page.

14 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Product Comparison Chart


MODEL BAUMER BAUMER BUXTON DEMED
FAILED TO RESPOND *
EtO Advance EtO-Hivac Plus 9303 : 9304 : 9305 ** GST-21 : GST-21K :
GST-100
UTILITY REQUIREMENTS
VAC, phase 220/380, 3-phase 220/380, 3-phase 120 220-240, 1-phase

Power, kW 10 10 Not specified 400 : 400 : 3,500

Steam, avg psig NA 30-40 10-30 Not specified

Water, avg psig 10-30 10-30 40-60 Not specified


H x W x D, cm (in) 160 x 60 x 120 75 x 40 x 53 61 x 91.4 x 91.4 38 x 45 x 65
(63 x 23.6 x 47.2) (29.5 x 15.7 x 20.9) (24 x 36 x 36) : (15 x 17.7 x 25.6) :
or 180 x 80 x 120 61 x 91.4 x 121.9 38 x 45 x 108
(70.9 x 31.5 x 47.2) (24 x 36 x 48) : (15 x 17.7 x 42.5) :
61 x 91.4 x 152.4 157 x 110 x 58.5
(24 x 36 x 60) (61.2 x 43.3 x 23)

WEIGHT, kg (lb) 200 (441) 600 (1,320) Not specified 57 (125) : 63 (139)
: 270 (594)

PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Gas cost/cycle Not specified Not specified Not specified $5

Warranty 1 year, parts; 1 year, parts; 1 year, parts; 1 year, parts


10 years, chamber 10 years, chamber 90 days, labor

Service contract Not specified Not specified Not specified Not specified
Delivery time, ARO Not specified Not specified Not specified 6 weeks

Year first sold Not specified Not specified Not specified 1974 : 1977 : 1980

Number installed
USA NA NA Not specified NA
Worldwide Not specified Not specified Not specified 3,450 : 1,050 : 45

Fiscal year Not specified Not specified October to September January to December
OTHER SPECIFICATIONS None specified. Microprocessor Microprocessor- Pneumatic or elec-
controlled; optional controlled or tric door lock; door
continuous air wash, electromechanically lock block system;
emissions control, controlled systems parameter-controlled
and gas/water available. system.
separator. Meets requirements
of ASME.

Colons separate data on similar models of a device.


* Specifications current as of September 1999.
** Buxton Medical also provides remanufactured Models 8303, 8304, and 8305.

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 15
Healthcare Product Comparison System

Product Comparison Chart


MODEL DEMED DMB-STERIVIT- FEDEGARI SAKURA
FAILED TO RESPOND * AUTOMATIC **
GST plusz-21 : plusz 30010-200010 : FOE AIIIE Series
-21K : plusz-100 Europak I-IV
WHERE MARKETED Europe Worldwide, except Worldwide Worldwide, except
North America Europe and USA
FDA CLEARANCE No No No No
CE MARK (MDD) Submitted Yes Yes No

CHAMBER
Size, m3 (ft3) 0.02 (0.7) : 0.02 0.1-10 (3.5-353.1) 0.45 (15.9) to 0.16 (5.6), 0.22
(0.7) : 0.1 (3.5) 30 (1,062.3) (7.8), 0.43 (15.2),
0.59 (20.8), 0.79
(27.9)
Jacket material Stainless steel Stainless steel AISI 304 Hot rolled steel

TYPE OF GAS EtO/HCFC cartridges, 6/94 EtO/CO2, EtO/CO2 20/80 EtO/CO2


EtO/CO2 15/85 EtO/CO2
STANDARD CYCLE
Chamber pressure,
psig 29 : 26.1 : 65.3 1.7-2.5 bar Up to 58 18.5 or 28.4
Warm temp, °C (F) 54±4 (129.2±7.2) 42-55 (107.6-131) 80 (176) 60 (140)
Cold temp, °C (F) Not specified Not specified 20 (68) Not specified
Full cycle time, hr 20 8 User selectable, Not specified
8-9 typical
EtO exposure, hr 2 2 User selectable, 3 to 99:59
3 typical
DOOR(S)
Configuration Single Single or double Single or double Single and double
Operation Manual Manual, automatic Self-locking, Manual swing,
automatic or double-locked by
semiautomatic steel arms/clutch
Hinge
1 door Right Left or right Sliding door Left or right

2 doors Right Left or right Sliding door Left or right

LOADING EQUIPMENT Manual, shelves Baskets, pallets Manual, shelves, Shelves, plates,
racks, baskets, loading car with
automatic pallets shelves

IN-CHAMBER AERATION Up to 16 hr >6 hr User selectable, Up to 99 hr, 59 min


unlimited
RECORDER Alphanumeric printer Printer Alphanumeric, Optional
printer/controller

AUDIBLE ALARMS Yes Yes Yes Yes


INSTALLATION
1-door sterilizer Cabinet-enclosed Floor mounted Cabinet-enclosed, Cabinet-enclosed or
floor or pit recessed
mounted
2-door sterilizer Cabinet-enclosed Floor mounted Cabinet-enclosed, Recessed mount
floor or pit
mounted
CO2 ADAPTABLE No : No : Yes No Yes Not specified
HCFC ADAPTABLE Yes : Yes : No No Yes Not specified
SINGLE-USE 100% EtO No : No : Yes No No No

Colons separate data on similar models of a device. This is the first of


* Specifications current as of September 1999. two pages covering
** Specifications current as of May 2001. the above model(s).
These specifications
continue onto the
next page.

16 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Product Comparison Chart


MODEL DEMED DMB-STERIVIT- FEDEGARI SAKURA
FAILED TO RESPOND * AUTOMATIC **
GST plusz-21 : plusz 30010-200010 : FOE AIIIE Series
-21K : plusz-100 Europak I-IV
UTILITY REQUIREMENTS
VAC, phase 220-240, 1-phase 400 400, 3-phase; 1-phase for control,
others available 3-phase for pump
Power, kW 400 : 400 : 3,500 8.5-28 Depends on size of 0.2 for control,
autoclave 0.75 to 2.2 for pump
Steam, avg psig Not specified Not specified 20, minimum 43-57

Water, avg psig Not specified 3 bar, minimum 20, minimum 14-43
H x W x D, cm (in) 38 x 45 x 65 195 x 325 x 86 66 x 66 x 100 50 x 50 x [65, 90]
(15 x 17.7 x 25.6) : (76.8 x 128 x 33.9) (26 x 26 x 39.4) : (19.7 x 19.7 x
38 x 45 x 108 minimum 80 x 80 x 125 [25.6, 35.4]),
(15 x 17.7 x 42.5) : (31.5 x 31.5 x 49.2) 100 x 66 x [65, 90,
157 x 110 x 58.5 : 100 x 80 x 125 120] (39.4 x 26 x
(61.2 x 43.3 x 23) (39.4 x 31.5 x 49.2) [25.6, 35.4, 47.2])
: 130 x 90 x 150
(51.2 x 35.4 x 59.1)
: 115 x 106 x 200
(45.3 x 41.7 x 78.7) ***
WEIGHT, kg (lb) 57 (125) : 63 (139) 1,500 (3,307) Depends on size 600 (1,320), 660
: 270 (594) minimum (1,452), 830
(1,826), 1,030
(2,266), 1,230
(2,706)
PURCHASE INFORMATION
Price Not specified DM 300,000 From $110,000 Not specified
(US$134,374)

Gas cost/cycle $5 Depends on size Not specified Not specified

Warranty 1 year, parts 1 year 1 year 1 year, parts

Service contract Not specified Depends on volume Not specified Not specified
Delivery time, ARO 6 weeks 7 months 24 weeks Not specified

Year first sold 1997 : 1997 : 1998 1955 1978 Not specified

Number installed
USA NA NA None NA
Worldwide 2 : 5 : Not 1,150 20 Not specified
specified
Fiscal year January to December January to December January to December Not specified
OTHER SPECIFICATIONS Pneumatic or elec- None specified. None specified. Computer controlled;
tric door lock; door reserve timer;
lock block system; vacuum; results
parameter-controlled recorded up to 10
system; vacuum pump; times; leak-test
vacuum test. device; 3 steriliza-
tion programs.
Complies w/Japanese
Ministry of Labor's
Boiler Pressure-
Vessel Code and the
Japan Pharmaceutical
Affairs Law.

Colons separate data on similar models of a device.


* Specifications current as of September 1999.
** Specifications current as of May 2001.
*** Also available as 150 x 130 x 250 cm (59.1 x 51.2 x 98.4 in).

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 17
Healthcare Product Comparison System

Product Comparison Chart


MODEL STERIS STERIS 3M HEALTH CARE 3M HEALTH CARE

Eagle 3017 Eagle Series Steri-Vac 4XL : Steri-Vac 8XL


3048 : 3058 Steri-Vac 5XL
WHERE MARKETED Worldwide Worldwide Worldwide Worldwide

FDA CLEARANCE Yes Yes Yes Yes


CE MARK (MDD) No No Yes Yes

CHAMBER
Size, m3 (ft3) 0.14 (4.9) 0.68 (24) : 0.11 (3.9) : 0.22 (7.8)
0.85 (30) 0.14 (4.9)

Jacket material Anodized aluminum Steel with nickel- Anodized aluminum Anodized aluminum
clad interior

TYPE OF GAS 100% EtO single-use HCFC blend 100% EtO single-use 100% EtO single-use
cartridges cartridges cartridges
STANDARD CYCLE
Chamber pressure,
psig NA * Up to 12 NA * NA *
Warm temp, °C (F) 54 (129.2) 54 (129.2) 55 (131) 55 (131)
Cold temp, °C (F) 38 (100.4) 38 (100.4) 37 (98.6) 37 (98.6)
Full cycle time, hr 2.5 warm, 6 cold 3 warm, 7.7 cold 2.5 warm, 5.5 cold : 3.75 warm, 5.5 cold **
2.75 warm, 4.75 cold **
EtO exposure, hr 1 warm, 4.5 cold 2.2 warm, 6.7 cold 1 warm, 4 cold 1 warm, 4 cold

DOOR(S)
Configuration Single or double Single or double Single *** Single, opt double
Operation Manual, self-locking Manual or power Manual, self-locking Manual, self-locking

Hinge
1 door Right side Left or right Front right side Front right side

2 doors Left side Left or right (both) NA : Back left side Back left side

LOADING EQUIPMENT 2 baskets, height- Shelves, racks, 2 baskets, optional 3 baskets, optional
adjustable loading cars, carriages, transfer cart transfer cart
car trays

IN-CHAMBER AERATION Up to 100 hr Up to 100 hr Up to 100 hr Up to 100 hr

RECORDER Printer controller Printer controller Graphic and Graphic and


alphanumeric alphanumeric
recorder recorder

AUDIBLE ALARMS Yes Yes Yes Yes


INSTALLATION
1-door sterilizer Cabinet-enclosed, Cabinet-enclosed, Cabinet-enclosed, Freestanding or
recessed, rack mount recessed recessed, rack mount † recessed

2-door sterilizer Double stacked Through 1 or 2 NA : Cabinet- Freestanding or


partition walls enclosed, recessed, recessed
pass-through
CO2 ADAPTABLE No No No No
HCFC ADAPTABLE No Yes No No
SINGLE-USE 100% EtO Yes No Yes Yes

Colons separate data on similar models of a device. This is the first of


* Negative-pressure system. two pages covering
** Without a hood, the cycle incorporates an additional 3 hr mandatory aeration time. the above model(s).
*** The Steri-Vac 5XL has an optional double-door configuration. These specifications

Can be placed on an elevated, stationary rack for ease of servicing and for loading and unloading. continue onto the
next page.

18 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Product Comparison Chart


MODEL STERIS STERIS 3M HEALTH CARE 3M HEALTH CARE

Eagle 3017 Eagle Series Steri-Vac 4XL : Steri-Vac 8XL


3048 : 3058 Steri-Vac 5XL
UTILITY REQUIREMENTS
VAC, phase 100, 120, 240, 120, 1-phase; 200, 220, 1-phase 220, 1-phase
1-phase 230/460, 3-phase
Power, kW Not specified Not specified 1.4 1.6

Steam, avg psig NA 50-80 NA NA

Water, avg psig See footnote * 20-50, cold water See footnote * See footnote *
H x W x D, cm (in) 73.7 x 83.8 x 94 91.4 x 61 x 121.9 70 x 80 x 72 179 x 94 x 109
(29 x 33 x 37) (36 x 24 x 48) : (27.5 x 31.5 x 28.3) (70.5 x 37 x 42.9)
91.4 x 61 x 152.4 : 79 x 76 x 89
(36 x 24 x 60) (31.1 x 29.9 x 35)
with hood,
58.5 x 76 x 89
(23 x 29.9 x 35)
without hood

WEIGHT, kg (lb) 136.1 (299) Not specified 94 (207) : 127 (279) 340 (750)

PURCHASE INFORMATION
Price $32,500-34,500 $116,000-162,000 $29,975-31,995 $47,750

Gas cost/cycle $10 Not specified Not specified Not specified

Warranty 1 year, parts; 90 1 year, parts; 90 6 months, parts and 6 months, parts and
days, labor days, labor; 15 labor ** labor **
years, vessel agreement
Service contract Not specified Not specified Not specified Not specified
Delivery time, ARO Not specified Not specified Not specified Not specified

Year first sold 1994 Not specified 1981 : 1991 1995

Number installed
USA Not specified Not specified Not specified Not specified
Worldwide Not specified Not specified Not specified Not specified

Fiscal year January to December January to December Not specified Not specified
OTHER SPECIFICATIONS Built-in Envirogard Built-in Envirogard Localized vent Localized vent
exhaust hood; exhaust hood; system; error codes; system; error codes;
battery backup; battery backup; power interruption power interruption
supervisor access supervisor access restart; vacuum- restart; user codes;
code; aerate-pause code; aerate-pause operated cartridge vacuum-operated
capability; optional capability; optional puncture; all- cartridge puncture;
kit for seismic kit for seismic negative pressure all-negative
installations. installations. cycle; optional pressure cycle;
relative humidity optional relative
monitor; custom humidity control;
cycles upon request. custom cycles upon
Meets requirements request. Meets
of CSA, TUV, and UL. requirements of CE
and CUL.

Colons separate data on similar models of a device.


* An external water connection is not required. Unit has a self-contained reservoir for distilled water.
** Optional preventive maintenance agreement.

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 19
Healthcare Product Comparison System

Product Comparison Chart


MODEL XINHUA

EOS360 : EOS600 :
EOS1000
WHERE MARKETED Not specified

FDA CLEARANCE Submitted


CE MARK (MDD) No

CHAMBER
Size, m3 (ft3) 0.36 (12.7) :
0.6 (21.2) :
1.0 (35.3)

Jacket material Anodized aluminum

TYPE OF GAS Not specified

STANDARD CYCLE
Chamber pressure,
psig 22
Warm temp, °C (F) 54 (129.2)
Cold temp, °C (F) 38 (100.4)
Full cycle time, hr 3.5 warm, 8 cold

EtO exposure, hr 2 warm, 6 cold

DOOR(S)
Configuration Single or double
Operation Manual or power

Hinge
1 door Customized

2 doors Customized

LOADING EQUIPMENT Shelves : Shelves :


Cart

IN-CHAMBER AERATION Up to 100 hr

RECORDER Dual pen, circular


chart

AUDIBLE ALARMS Visual


INSTALLATION
1-door sterilizer Floor

2-door sterilizer Floor

CO2 ADAPTABLE Yes


HCFC ADAPTABLE No
SINGLE-USE 100% EtO No

Colons separate data on similar models of a device. This is the first of


two pages covering
the above model(s).
These specifications
continue onto the
next page.

20 ©2002 ECRI. Duplication of this page by any means for any purpose is prohibited.
Sterilizing Units, Ethylene Oxide

Product Comparison Chart


MODEL XINHUA

EOS360 : EOS600 :
EOS1000
UTILITY REQUIREMENTS
VAC, phase 220, 1-phase;
380, 3-phase
Power, kW 16 : 16.5 : 20

Steam, avg psig Not specified

Water, avg psig 21-43


H x W x D, cm (in) 150 x 90 x 167
(59.1 x 35.4 x 65.7)
: 210 x 112 x 190
(82.7 x 44 x 74.8) :
260 x 112 x 190 :
(102.4 x 44 x 74.8)
for 1-door models;
see footnote for
2-door models *

WEIGHT, kg (lb) 600 (1,323) :


1,200 (2,646) :
1,800 (3,969)

PURCHASE INFORMATION
Price Not specified

Gas cost/cycle Not specified

Warranty 1 year

Service contract Not specified


Delivery time, ARO Not specified

Year first sold 1992

Number installed
USA Not specified
Worldwide 80 : 100 : 120

Fiscal year Not specified


OTHER SPECIFICATIONS None specified.

Colons separate data on similar models of a device.


* 2-door models: 120 x 90 x 167 cm (47.2 x 35.4 x 65.7 in) : 170 x 112 x 190 cm (66.9 x 44 x 74.8 in) : 220 x 112 x 190 cm
(86.6 x 44 x 74.8 in).

©2002 ECRI. Duplication of this page by any means for any purpose is prohibited. 21

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