Abstract: A surgical video system 10 captures an image of a surgical procedure and displays the image on a video monitor 24 remote from the surgical procedure. The system includes at least one surgical lighthead 12, a video monitor 24, and a digital video camera 22 integrated into the surgical lighthead. The digital video camera forms part of a modular digital video camera unit 20 that is conveniently removable from the surgical lighthead so that camera units having different functionalities and capabilities can be selectively substituted as needed. A control unit 26 is operatively connected to the video camera and generates command signals that are executed by the modular camera unit to rotate the image of the surgical procedure displayed on the video monitor by at least 360° and to effect image zoom operations. The control unit is responsive to input signals from multiple sources including a hand-held IR/RF remote transmitter module 38, a wall mounted keypad 30, and a footswitch 40.

Abstract: An anticorrosive, penetration enhancing composition for cleaning decontaminating and rinsing includes electrochemically activated (ECA) water as the decontamination agent. The anticorrosive decontamination composition has, as the anticorrosive agent, a compound or mixture of compounds capable of inhibiting corrosion of various metals used in sterilization decontamination and rinsing systems and objects such as medical instruments. Preferred anticorrosive compounds include phosphates, azoles, and sulfates. Other additives, including wetting agents, are added to reduce the surface energy of the ECA water. This reduced surface energy permits the ECA water to penetrate into objects of complex design thus permitting complete decontamination of the treated object.

Abstract: A chamber (10) is supplied with a pressurized cleaning agent of carbon dioxide and cosolvents from a first source (12) and an antimicrobial fluid, such as ethylene oxide or hydrogen peroxide from a second source (16). Chamber conditions are maintained in the sub-critical range for the carbon dioxide. The cleaning agent and antimicrobial fluid are recirculated through a separator (32) and a condenser (38) to filter contaminants from the mixture before returning the carbon dioxide, and optionally the antimicrobial fluid and other additives, to the chamber. Medical instruments or other articles within the chamber are cleaned by the cleaning agent and sterilized by the antimicrobial fluid in a single cycle, rendering them ready for reuse in a short period of time. The instruments may be cleaned and stored in hermetically sealable containers (82). The cleaning agent is rapidly evaporated from surfaces of the articles at the end of the cycle by reducing the pressure in the chamber.

Abstract: A high pressure pump (14) supplies cleaning fluid from a reservoir (12) to spray nozzles (20) inside a washing chamber (10). The spray nozzles (20) spray the cleaning fluid over a load to be cleaned. Used cleaning fluid is collected in a sump (30). A sump pump (32) drains the sump. The combination of the high pressure pump and sump pump provides more efficient cleaning of the load and eliminates the requirement for a deep sump beneath the washer. A vertical traveler (22), having a pair of counterbalanced spray arms (24), raises and lowers the spray nozzles counter cyclically; a detergent injection system (50) accurately meters a correct amount of detergent is added to the cleaning fluid; and a filtration device (34) filters suspended material from the used cleaning fluid and uses a portion of the cleaning fluid to clean itself.

Abstract: A wet chemical indicator for peracetic acid solutions includes an indicator for peracetic acid and an inhibitor. The inhibitor is selected to inhibit a selected peracetic acid concentration in a reproducible sample of a solution containing peracetic acid. The indicator exhibits an observable change when the selected concentration of peracetic acid is exceeded. In this manner, a rapid indication of whether the peracetic acid solution is of a required minimum strength is provided.

Abstract: An outer, first container portion (50) has a peripheral wall (52) which has an opening at a first end (56) and at a second end (60). A porous filter (58) covers the second end. An inner, second container portion (70) has a peripheral wall (72) with a region which is formed from a first material which is impermeable to the powdered reagents but is permeable to water and to solutions containing dissolved reagents. The first and second container portions are configured such that the second container portion peripheral wall abuts and is connected to the first end of the outer first container portion. The first and second container portions define a first powdered reagent receiving chamber in the first container portion for receiving a first reagent and a second powdered reagent receiving chamber in the second container portion for receiving a second reagent. The porous filter is impermeable to the first reagent but permeable to water and to solutions containing dissolved reagents.

Abstract: A closure assembly (20) for engaging a door (14) across the opening (16) of a chamber (12) includes first and second triangular plates (28) and (30) which are pivotally connected to opposite corners of a front face (32) of the door. The plates face each other at the longest sides of the triangles. The remaining sides of the triangles define engagement portions (72, 74, 76, 78). To restrain the door, the plates are pivoted (50, 52) until the engagement portions engage flanges (80, 82, 84, 86) situated around the perimeter of the opening. A seal (96) is then activated to seal the door around the opening. Preferably, a coupling member (33) is coupled to the plates to coordinate their pivoting. Cam slots (114, 116), defined in the coupling member, receive followers (118, 120) connected to the two plates. An operator rotates the coupling member, the followers are cammed or permitted to move by gravity as the plates are pivoted apart and together.

Abstract: A door (18) for sealing the opening (14) to a walk-in steam sterilizer is formed from a stainless steel plate (50), sized to cover the opening, and a load-bearing framework (52), which is formed from a material having a different coefficient of thermal expansion to that of the plate, such as carbon steel. The framework includes a set of horizontally-spaced I beams (60) which are connected together at their ends by an outer frame (64). The framework is flexibly connected to an exterior surface of the plate by a number of flexible joints (56), such as carbon steel straps. The straps are welded at either end to the plate to form loops. The I beams are supported in the loops. As the temperature inside the sterilizer changes, causing the components of the door to expand or contract, the framework and the plate are able to expand or contract at different rates without resulting in bowing or other distortion of the door. Sets of rollers (22, 24) are rotatably mounted to upper and lower ends of the outer frame.

Abstract: A high pressure pump (14) supplies cleaning fluid from a reservoir (12) to spray nozzles (20) inside a washing chamber (10). The spray nozzles (20) spray the cleaning fluid over a load to be cleaned. Used cleaning fluid is collected in a sump (30). A sump pump (32) drains the sump. The combination of the high pressure pump and sump pump provides more efficient cleaning of the load and eliminates the requirement for a deep sump beneath the washer. A vertical traveler (22), having a pair of counterbalanced spray arms (24), raises and lowers the spray nozzles counter cyclically; a detergent injection system (50) accurately meters a correct amount of detergent is added to the cleaning fluid; and a filtration device (34) filters suspended material from the used cleaning fluid and uses a portion of the cleaning fluid to clean itself.

Abstract: A cleaning composition includes a detectable substance which is relatively stable in the cleaning composition, for indicating whether the cleaning composition has been thoroughly removed from a vessel following a cleaning process. For pharmaceutical applications, the detectable substance is preferably a low-foaming surfactant that is detectable by high performance liquid chromatography at concentrations of around 10 ppm, or less. The surfactant is thus detectable in the same analytical procedure as are traces of pharmaceutical residues which have not been removed from the vessel. The analytical procedure is used to develop a cleaning protocol for future cleaning processes by determining the number of rinses needed for reducing the surfactant, and hence the cleaning product, and also the pharmaceutical residues, in the rinse water to predetermined acceptable levels.

Abstract: A disposable sensor card (74) includes a polymeric substrate (80), such as polyester, printed with a plurality of electrodes (78), and a reuse-prevention system (150) which includes a fuse link (152) and a cut link (154). A controller (70) tests the fuse link and cut link to see if they have been destroyed. If the controller determines that the two links are good, a sensor card support system (72), which includes a ram (130), clamps the sensor card over an opening in a manifold (138) so that the electrodes are in contact with a decontaminant solution, such as peracetic acid solution, passing through the manifold. The controller detects an electrical property of the electrodes and determines a concentration of the decontaminant therefrom. During the clamping process, a cutter (170) severs the cut link. A memory of the cut link is retained by the controller. If power to the controller is interrupted, the memory is lost and the controller detects that the cut link is broken when power is regained.

Abstract: A convertible medical appliance support apparatus includes a box-shaped hollow main body portion A suspended from overhead by a support apparatus B. A horizontal support table C extends forward from the front face of the vertical main body column to form a platform for supporting associated medical equipment. Multiple gas connections D are provided the main body portion together with a manual handle E near the bottom of the main column on a side of the column opposite from the support table to provide a convenient point to grip and move the body column into a desired position. Manually actuatable controls are provided at the handle, including brake release pushbuttons I and a motorized height adjustment toggle switch J. Multiple electrical connections F are included on the main body together with optional shelves G selectively attachable below the main platform.

Abstract: An electrolysis unit (10) has an ion selective barrier (20) for separating an anodic chamber (12) from a cathodic chamber (14). An electrolyte within the unit includes a precursor, such as potassium acetate, or acetic acid. A positive potential is applied to an anode (16) within the anodic chamber, resulting in the generation of a variety of shorter and longer lived oxidizing species, such as peracetic acid, hydrogen peroxide, and ozone. In one preferred embodiment, a solution containing the oxidizing species is transported to a site where articles, such as medical instruments, are to be decontaminated. The oxidizing species are generated as needed, avoiding the need to store hazardous decontaminants.

Abstract: The present invention provides a system and method for real-time monitoring and control of anti-microbial cycle parameters within a load-simulation device 6. The system and method simulate the same conditions as those within an acceptable standard challenge load to be sterilized. Integration of the system into a control system 17 allows critical anti-microbial parameter levels to be achieved and maintained within the simulated load throughout a cycle, thus resulting in a significant reduction in the number of unsuccessful cycles. A redundant parameter-monitoring system 100 within the system is included. When acceptable parameter levels are shown to have been met, the processed load is automatically released for use immediately upon completion of the cycle, thus eliminating the need for biological indicators and chemical integrators.

Abstract: A dismantlable door (22) seals an opening (24) in a chamber (20) of a washer. The door includes removable glass panes (36) and (38) which allow an operator to view the contents of the washing chamber during a washing cycle. A connecting member (40, 132, 156, 180, 200, 216, 220, 244, 250) seals the inner glass pane (36) to a frame (28) of the door by compressing a gasket (42). In one preferred embodiment, the connecting member also receives a lower end 102 of the outer pane (38) in a channel (100, 202'). In other preferred embodiments a channel (131, 242) or L-shaped flange (224) is connected with the lower end of the door frame for supporting the lower end (102) of the outer glass pane. In yet another preferred embodiment, fixing members (258) connect the outer glass pane to the connecting member. An air space (170) is formed between the inner and outer panes. Air is able to enter and leave the air space through air gaps between the channel and the outer panes.

Abstract: A recirculation system for electrochemically activated antimicrobial solutions returns antimicrobial solution which has been depleted of active antimicrobial species to a electrolytic cell for regeneration of the active species. Organic load, which frequently contaminates items to be sterilized or disinfected, such as medical instruments, rapidly depletes the active antimicrobial species in a conventional treatment system, reducing the effectiveness of microbial decontamination by electrochemically activated solutions. By recirculating the antimicrobial through the electrolytic cell, the concentration of active species is maintained at a level at which efficient sterilization is achieved.

Abstract: A suspension of microorganisms includes a detectable indicator material, such as a food coloring, for ensuring that a biological indicator receives a preselected population of the microorganisms. A microorganism delivery system delivers the suspension with the indicator material from a tank (10) to a plurality of needles (18) where it is delivered to a carrier material (22), such as filter, chromatography, or blotter paper, or glass fiber passing beneath the needles or micropipetted onto non-absorptive or non-penetrable carriers, such as plastic polymers or stainless steel coupons. In the event of a malfunction in the system, such as a blockage in one of the needles or intermittent delivery of the microorganism suspension, the absence of color on the impregnated carrier material indicates the absence of microorganisms.

Abstract: A multiple flashpoint vaporization system rapidly sterilizes large enclosures. A plurality of vaporizers (10) inject hydrogen peroxide vapor into streams of carrier gas supplied by a generator (20). Supply lines (30) transport the mixture of carrier gas and hydrogen peroxide vapor to a plurality of regions of an enclosure (32). Monitors (52) monitor hydrogen peroxide vapor concentration or other conditions in each region of the enclosure. A control system (50) adjusts the hydrogen peroxide vapor supply rate in response to the corresponding monitored conditions.

Abstract: A collection vessel (20) is connected with inlet fitting assemblies (12, 14) for receiving waste fluids. The collection vessel is connected by a valve (74) with a drain (70) for selectively draining collected fluids. A fluid inlet (84) that is connected with an exterior water source supplies water through interconnecting tubing to rinse waste residue from the collection vessel. The water flows through a housing member (200) that surrounds a tubular member (214) of the inlet assembly. The housing member is spaced by spacers (216) from the bottom surface (220) of a well (210) surrounding the tubular member such that trapped water is drained through a drain outlet (222). Powdered reagent (166, 168) is received in a cup (26) that is carried by a drawer (160) to a position above a fluid mixing reservoir (124). A mechanical actuator (172) lifts a mechanical assembly (174) which defines the reservoir, forcing a cutting blade (180) to pierce and cut open the cup.

Abstract: A guidance assembly (28) guides a door (22) to a cabinet (10) while it is moved between an open position, in which access to an interior chamber is provided through an opening (16) in the cabinet, and a closed position, in which the door covers the opening. The guidance system includes four pairs of rollers (32, 34) which are mounted to upper and lower horizontal sides of the door. The rollers roll along upper and lower horizontal tracks (38, 42) which are mounted to an exterior wall (18) of the cabinet, adjacent upper and lower ends of the opening. Leading and trailing recesses (56, 62) are defined in the tracks to receive the rollers when the door is in the closed position. Leading pairs (32) of the rollers have shorter shafts (52) than corresponding trailing pairs (34) of the rollers. The trailing recesses (62) are further from the door than the leading recesses (56), leaving a narrow strip of land (64) between the trailing recesses and the door.