Abstract: A sterilization system includes a communication hub that is configured to transfer information between devices of the system such as a sterilizing cabinet, biological indicator analyzer, and a server in order to allow a user to track a medical device throughout a sterilization process. The server may provide data to the sterilizing cabinet during a sterilization process that may be used to verify that the medical device is compatible with the sterilizing cabinet, and to automatically select a compatible sterilization cycle to perform on the medical device. Automatic selection of sterilization cycles and confirmation of compatibility reduces the possibility for user error, which could result in contaminated medical devices being placed back into service. Automatic selection of sterilization cycles also allows users to more efficiently configure and perform sterilization cycles while being confident that the medical device will be sterile upon completion.

Abstract: A method of using a vacuum chamber to assist in detecting and removing moisture from an instrument having a lumen, e.g., an endoscope is disclosed. Second derivatives of pressure with respect to time are calculated and differences therebetween summed. These summations may be compared to a threshold value to determine whether residual moisture remains on the instrument in the chamber. The vacuum chamber may include a rack for hanging instruments having lumens, such as endoscopes.

Abstract: A sterilization tray is disclosed herein. A medical instrument, such as an endoscope, may be placed into the sterilization tray, and the sterilization tray with the medical instrument disposed therein may be placed into a vacuum chamber of a sterilization system. The sterilization tray may also be used to transport the medical instrument to and from a point of care. Sterilization is performed with the instrument in the base component and the lid component disposed atop the base component. Transportation is performed with the instrument in the lid component and the base component disposed atop the lid component.

Abstract: An endoscope reprocessor having a tube and nozzles may be used to increase the effectiveness of an endoscope reprocessor. Fluid may be delivered into the tube through the nozzle, which may be oriented in various orientations. Energy of the flow within the tube may be increased by introduction of fluid through the nozzles, which may additionally move the endoscope within the tube.

Abstract: An article, a system, and a method for indication of treatment are provided. The article comprises a first body, a second body, and a treatment indicator. The first body comprises a first axis, a cavity, a first port, and a second port. The cavity is positioned within the first body and configured to receive the second body. The second body comprises a second axis, a chamber, a third port, and a fourth port. The article is configured to move between a first configuration and a second configuration. In the first configuration, the first port is aligned with the third port to form a fluid pathway to the chamber, and the second port is aligned with the fourth port to form a fluid pathway to the chamber. In the second configuration, the first port is misaligned with the third port, and the second port is misaligned with the fourth port.

Abstract: A self contained biological indicator is disclosed having a housing and an ampule disposed within the housing, the ampule having a first dome, a second dome and a sidewall. A cap may be coupled to the housing. The cap may include a projection that may be coupled to the ampule by, e.g., a friction fit. An insert may be disposed within the housing. The insert may include a well within which at least a portion of the bottom dome of the ampule may be disposed. The insert may also include a ramp that is angled relative to the central longitudinal axis of the ampule. The second dome of the ampule may contact the ramp. The insert may also include an arm or finger that extends above the well and has a stress concentrator disposed thereon such that it is also disposed above the second dome of the ampule and adjacent to the sidewall of the ampule.

Abstract: A sterilization tray is disclosed herein that may be used to facilitate preparation of an endoscope for sterilization and increase the likelihood that the endoscope will be properly sterilized. The sterilization tray may be fabricated from a flexible and vapor-permeable sheet. Cutouts may be disposed through the sheet to define standoffs that are foldable away from the sheet. A first standoff may include a first contoured portion disposed therein. The tray may also include a second standoff that has a second contoured portion and a third contoured portion disposed therein. The third standoff may include a locking tab disposed on a free end of the third standoff. A positioning tab may also be disposed on the third standoff. The sterilization tray may also include a dry booster to which an endoscope may be connected.

Abstract: A detergent composition, a method of making the detergent composition, and a method of use thereof are provided. The detergent composition comprises at least 0.001% by weight of an antimicrobial agent, based on the total weight of the composition; an enzyme; and at least 0.01% by weight of a hydrotrope, based on the total weight of the composition.

Abstract: Efficacy and efficiency of reprocessing a medical device having a restrictive channel and at least one less-restrictive channel, e.g., an endoscope, via disinfection may be improved by using a so-called “Purge-Then-Fill” technique in which channels are purged of disinfectant before refilling them with the disinfectant. Preferably, a less-restrictive channel is purged before the restrictive channel is purged, and then the less-restrictive channel or another less-restrictive channel is filled before the restrictive channel is filled.

Abstract: Biological indicators may be improperly activated. The disclosed subject matter is directed to methods of confirming that a biological indicator having an ampule containing a growth medium has been properly activated such that it may be assayed. The methods may include the steps of measuring a first fluorescence intensity of the biological indicator, heating the biological indicator; quenching the fluorescence intensity of the biological indicator from the first fluorescence intensity to a second fluorescence intensity, measuring the second fluorescence intensity; comparing the second fluorescence intensity and first fluorescence intensity to obtain a comparison value; and determining that the comparison value corresponds to a quenching metric of the liquid growth medium.

Abstract: A method of sterilizing medical instruments using a vacuum chamber connected to reservoir by a valve in a closed state is disclosed that includes placing instruments in a non-sterile state into a sterilization pack, opening a chamber, placing the pack into the chamber, closing the chamber, withdrawing a first volume of air from the chamber, changing a volume of liquid water into vapor, opening the valve, introducing sterilant into the chamber, introducing a second volume of air into the chamber, opening the chamber, removing the pack from the chamber, and removing the instruments in a sterile-state from the pack. The process may further include the steps of repeatedly determining pressure within the chamber, calculating second-derivative values of pressure with respect to time, and determining whether any local maxima exist in a plot of second derivative values that correspond to pressures above and/or below the triple-point pressure of water.

Abstract: A method and system for in-basin neutralization is provided. More specifically, neutralizer is added to a basin in excess of an amount of neutralizer suitable to neutralize a treatment solution in a reservoir in fluid communication with the basin. A first portion of the treatment solution is added to the basin and is contacted with the first portion of the treatment solution to form a secondary solution. The first portion of the treatment solution is neutralized with the neutralizer. A first portion of the secondary solution is removed from the basin. A second portion of the treatment solution is added to the basin. The second portion of the treatment solution is contacted with a second portion of the secondary solution remaining the basin to form a tertiary solution. The second portion of the treatment solution is neutralized with neutralizer in the second portion of the secondary solution.

Abstract: A sterilization system includes a communication hub that is configured to transfer information between devices of the system such as a sterilizing cabinet, biological indicator analyzer, and a server in order to allow a user to track a medical device throughout a sterilization process. The server may provide data to the sterilizing cabinet during a sterilization process that may be used to verify that the medical device is compatible with the sterilizing cabinet, and to automatically select a compatible sterilization cycle to perform on the medical device. Automatic selection of sterilization cycles and confirmation of compatibility reduces the possibility for user error, which could result in contaminated medical devices being placed back into service. Automatic selection of sterilization cycles also allows users to more efficiently configure and perform sterilization cycles while being confident that the medical device will be sterile upon completion.

Abstract: An apparatus and method are disclosed for identifying the position of an object that is, or will be, used in a sterilization process. The apparatus comprises at least two containers and each container has a cavity configured to receive the object. At least one visual indicator corresponds to each container. A programmable hardware device is configured to receive an identifier. Responsive to receipt of the identifier, the programmable hardware device is configured to indicate a position of at least one of the containers that corresponds to the identifier utilizing the visual indicator.

Abstract: An apparatus that assists in sterilizing an endoscope inside a sterilizer employing a gaseous sterilant, e.g., hydrogen peroxide, is disclosed. The apparatus may include a dry booster and a flow restrictor that includes two tubes, which may be connected to channels of an endoscope and the dry booster. The flow restrictor may be used to change the flow rates through the channels to assist in delivering sterilant throughout the channels.

Abstract: An apparatus and method for reprocessing a medical device includes a decontamination basin, a first flush conduit, a second flush conduit, and a manifold. The first and second flush conduits have respective first and second coupling ports configured to fluidly connect to the medical device positioned within the decontamination basin. The manifold is fluidly connected to the first and second flush conduits and configured to distribute the fluid received therein accordingly. The apparatus also includes a first valve, a second valve, and a primary pump configured to discharge the fluid into the manifold at a predetermined supply flow rate. The first and second valve are positioned respectively in the first and second flush conduits for balancing the respective flow rates discharged therefrom at a first predetermined conduit flow rate and a second predetermined conduit flow rate.

Abstract: A liquid distribution system is configured to deliver a disinfectant solution to a medical device within an enclosure. A disinfectant concentration measuring subsystem includes a mixing chamber, a reservoir, a reservoir cap, a pump, and a concentration analysis assembly. The first mixing chamber is in fluid communication with an outlet of the liquid distribution system. The reservoir is configured to contain a reagent solution and is in fluid communication with the mixing chamber. The reservoir cap includes a static member, which is configured to couple with a supply conduit and a return conduit; and a rotating member, which is configured to rotate relative to the static member to couple the reservoir cap with the reservoir. The pump is configured to simultaneously pump the disinfectant solution and the reagent solution into the mixing chamber. The concentration analysis assembly is operable to determine a concentration of disinfectant output from the mixing chamber.

Abstract: A biological sterilization indicator includes a housing having a first enclosure and a second enclosure, an ampule containing a liquid growth medium, and an insert disposed at least partially in the first enclosure. A portion of the ampule may be disposed inside the first enclosure. The insert may have a platform including a top surface, an abutment surface, and a side surface, as well as a first void disposed in the platform and configured to allow passage of a first volume of the liquid growth medium into the second enclosure and a second void disposed through at least a portion of the side surface and configured to allow passage of a second volume of the liquid growth medium into the second enclosure.

Abstract: A storage apparatus and methods for storing medical devices are provided. A storage apparatus comprises a first container having a first cavity configured to receive a first medical device, such as an endoscope, and a second container having a second cavity configured to receive a supply kit for the first medical device. The second container is positioned proximal to the first container within the storage apparatus.

Abstract: Apparatus and methods are provided for cleaning, disinfecting, and/or sterilizing a device. More specifically, a first treatment chamber can be configured to conduct a first treatment stage therein at a first pressure, a first temperature, and a first sterilant concentration. A first passage can be operatively connected to the first treatment chamber and a second treatment chamber can be operatively connected to the first passage and in communication with the first chamber via the first passage. The second chamber can be configured to conduct a second treatment stage therein at a second pressure, a second temperature, and a second sterilant concentration. An object can be treated in the first treatment chamber and moved to the second treatment chamber via the first passage to be treated in the second treatment chamber.