Abstract: A vessel (14) receives biological fluid wastes. After the biological fluids wastes are drained (24) from the vessel, the vessel is sprayed (36) with a cleaning and decontaminating solution. The solution is formed by mixing water with powdered reagents including (a) a highly soluble hypochlorite, preferably lithium hypochlorite, (b) a chelator including citrate and gluconate salts and EDTA, (c) a buffer for buffering the pH to a range of 7.0 to 13.0, (d) a stabilizer for stabilizing the hypochlorite, (e) a corrosion inhibitor, preferably an organic corrosion inhibitor such as a triazole and an inorganic inhibitor such as a molybdate, and (f) a surfactant, preferably present in a concentration of 0.2 to 5%. After the interior of the vessel has been decontaminated and the drain has been closed, the solution continues to be introduced into the vessel, such that a charge of the solution is present in the vessel to decontaminate next received biological waste fluids.

Abstract: The present invention relates to a modular automated transport system for transporting articles from one location to another. The system is particularly suited for transporting baskets of medical instruments and devices as part of a washing or sterilization process. Each module has mechanisms for positioning and moving articles along the module, and for transferring articles to and from adjacent modules, load tables, washers, or like devices. Each module also has simple control and communication mechanisms that permit adding and removing modules from the system without the need for complex reprogramming of the controller.

Abstract: A lid (10) of a countertop decontamination unit (A) is opened to gain access to a tray (12) for receiving items to be sterilized and a well (16) for receiving a two compartment powdered anti-microbial agent carrying cup (C). The cup includes an outer cup portion (50) and an inner cup portion (70) that have peripheral walls (52, 72) affixed together at flanges (54, 74). The outer cup portion (50) is closed at one end by a first detachable base (58). The inner cup portion (70) is closed by a second detachable base (78). The outer and inner cups (50, 70) define a first powdered reagent receiving chamber (56) therebetween. The inner cup defines a second chamber therein. A permeable sheet (100) is affixed to the inner cup portion flange (74) for ventedly sealing both chambers.

Abstract: A processing chamber for the treatment and decontamination of biological or medical waste includes a rotating waste treatment system carried within an open-top processing chamber, a cap for closing the chamber opening, a gas-pervious liner carried within the chamber for preventing waste from adhering to the underside of the cap as a result of waste-treatment operations, a sealing member disposed at and for sealing the interface of the cap and the processing chamber, and a chemical indicator carried within the interior of the processing chamber for confirming the presence of decontaminant during a waste treatment cycle.

Abstract: A countertop decontamination unit (A) has a decontamination chamber (10) for receiving a tray or module (C) which contains items to be sterilized, disinfected, or otherwise microbially decontaminated. The tray or walls of the decontamination chamber itself provide fluid outlets from which an anti-microbial solution is conveyed through tubing (76) to fittings (78). A pump (20) recirculates the anti-microbial fluid. The fittings include a porous sleeve (80, 92) which is received in firm frictional connection with an annular surface of a bore, nipple, or coupler mechanism of the item (86) to be sterilized. The porous sleeve is preferably elastomeric when used for frictional interconnections, but may be rigid when used with threaded or other standardized connectors. The porous sleeve has a porosity of 3 microns or more, sufficient that the anti-microbial fluid penetrates through the porous portion and contacts the immediately contiguous and abutting annular surface.

Abstract: A microbial decontamination system includes a lower housing portion (10) which receives a removable tray (12). The tray (12) defines a cassette receiving basin, a pair of anti-microbial fluid outlets (28, 64) and a drain (50). A pump (54) and associated plumbing circulates the anti-microbial fluid from the drain through the pair of outlets. A cassette (B) has a lower portion (FIGS. 8-10) which is configured to match the tray's basin and an upper portion (FIGS. 5-7) which is received on the lower cassette portion in an airborne microbe blocking relationship. The cassette bottom portion has an inlet (32) which receives the anti-microbial fluid and a baffle plate (44) adjacent the inlet having a plurality of apertures (96) for distributing the anti-microbial fluid within the cassette. The cassette defines a second inlet (66) which is interconnected with the tray second outlet also for receiving the anti-microbial fluid. The second inlet receives a removable distribution port assembly (68).

Abstract: A pigment such as crystal violet is impregnated in or otherwise affixed to a translucent plastic or porous member (14, 22). The color change material changes at least one of opacity or color with repeated exposure to a fluid sterilant, such as an oxidant solution. A label (10, 24) is mounted behind the translucent plastic material and carries an indicia (12, 26). With repeated sterilizations of the instrument, the color change material becomes progressively more translucent, allowing the indicia to be read through the translucent plastic material. When the indicia becomes visible, such as after about 7 sterilization cycles in FIG. 3, the user is warned to discontinue use of the instrument, either discarding it or having it rebuilt. Rather than having a written indicia, a color scale (30) can be provided for comparison against the current color of the color change material. When the color changes to the discard color on the color scale, the user is again advised to discontinue use of or rebuild the instrument.

Abstract: Reference microorganisms are sealed into an interior cavity of a microporous membrane (14, 20). In one embodiment, the reference microbes are inoculated on a element (12) which is sealed in a microporous envelope (14) (FIG. 1). In another embodiment, the reference microbes (22) are loaded into an interior bore or cavity of a microporous plastic tube or envelope (20) (FIG. 3). The microporous membrane and the reference microbes, such as spores, are immersed concurrently with items to be microbially decontaminated separately into an anti-microbial fluid. The microporous membrane is constructed of a material which is sufficiently resistant to temperature, water, strong oxidants, and other anti-microbial agents or processes used for microbial decontamination or sterilization that it retains its integrity during the immersion in any common steam, gas, or liquid microbial decontamination or sterilization fluid or system.

Abstract: A door (B) of a countertop decontamination unit (A) is opened to gain access to a well (20) for receiving an anti-microbial agent carrying cup (D). A knife blade assembly (E) includes a central shaft (30) which supports a blade (40). The blade has cutting edges (46) extending in a sloped manner downward from an apex portion (42) of the blade. The blade is divided into two blade sections (44) by the shaft. The cutting edges have beveled peripheral edges which face the front of each blade section. The blades has a curvilinear configuration that defines oppositely facing upper and lower cam surfaces (50, 52). The central shaft has apertures (34a, 34b, 34c) communicating between a shaft interior passage 32 and the outside of the shaft for providing jets of fluid to the inside of the reagent cup for dissolving and flushing the reagent material from the cup. The curved configuration of the blades deflect fluid flow from the apertures into the reagent cup.

Abstract: A film for releasing at least one of an anti-microbial agent, oxygen, and a medicament includes a flexible, porous layer (18) such as a woven, non-woven, or knitted cloth or a layer of open cell foam. A first dry reagent (12) and a second dry reagent (14) which react in the presence of a dilutant to form the anti-microbial agent, oxygen, or medicament attached to the flexible, porous layer. In one preferred embodiment, the two dry reagents are disposed on opposite sides of the flexible, porous layer such that the flexible porous layer keeps the two apart and prevents a premature reaction. Porous outer layers (20, 22) prevent the powdered reagents from being wiped off while permitting dilutant access. In a preferred embodiment, the powdered reagents include acetylsalicylic acid and a perborate which react in the presence of water to generate peracetic acid (an antimicrobial agent which breaks down in a matter of minutes to hours into oxygen) and salicylic acid (a topical keratotic).

Abstract: A microbial decontamination unit (A) has a door (B) which is hingedly mounted (90) to the housing. When the door is opened, the operator has access to a decontamination chamber (22), a mixing chamber (10) for receiving an anti-microbial solution concentrate, and other anti-microbial solution circulation paths (18). A mechanical locking mechanism (D) selectively locks the door member against a gasket (92) to assure that the anti-microbial solution does not leak between the door and the housing. The latch mechanism includes a hook member (54) that defines a circular bearing surface (52) that is rotatably received on a circular cam member (50). The circular cam member (50) is eccentrically mounted on a shaft (40). Rotation of the shaft and cam member moves a latch engaging surface (56) of the hook member into and out of engagement with a latch member (58) along an axis of travel (76).

Abstract: A bag (86) of medical wastes is inserted into a chamber (12) that contains a grinder (20). A package (48) is placed unopened in the chamber with the medical wastes. A selected volume of a dilutant such as water is added to the chamber (40, 42). The chamber is closed and the grinder operated for a selected duration. The grinder grinds the packaging, disposing of the packaging and permitting contained dry reagents (56, 58) such as acetylsalicylic acid and perborate to react with the dilutant, forming a peracetic acid solution or permitting a sterilant concentrate (70) to form an anti-microbial solution with the dilutant. The grinder continues to grind the packaging and the medical wastes into fine particulates forming a slurry with the peracetic acid solution. The continued operation of the grinder assures that the anti-microbial solution contacts all surfaces of the waste. In this manner, the medical wastes are microbially decontaminated.

Abstract: Sodium perborate is mixed with a mixture, preferably a 1:1 mixture, of a rapid acetylating agent, e.g. TAED, and a slow acetylating agent, e.g. acetylsalicylic acid, in water to form a biocidally effective peracetic acid solution. When sodium perborate and TAED alone react in water, peracetic acid is produced quickly but has relatively little stability and a short useful life (curve 10). When sodium perborate and acetylsalicylic acid are mixed in water, the peracetic acid solution takes an extended duration to reach maximum efficacy, but is stable for an extended duration (curve 12). The mixture of rapid and slow acetylating agents quickly produces a stable peracetic acid concentration (curve 14).

Abstract: An instrument (28) or other item to be sterilized is supported on a hanger (26) in a decontamination chamber (10). A container such as a sleeve (92), is supported at adjacent ends between supporting rings (90) such that the container surrounds and is displaced from the instrument. A pump (40) recirculates a sterilant or other antimicrobial solution that collects in a lower drain (48) and a reservoir (50) through spray nozzles (70, 96) and connectors (44) which are connected to interior passages of the instrument. In this manner, the internal passages of the instrument are sterilized by the flowing liquid and exterior surfaces are sterilized by sterilant solution mist which condenses on and coats the exterior surface. After the instrument is sterilized, a sterile rinse is sprayed on the instrument and interior of the container. The container and instrument are removed as a unit and the container is closed at its ends to prevent the instrument from becoming microbially contaminated from the ambient air.

Abstract: The body portion (A) of a small portable sterilizer has a face panel (46) against which a door (B) is selectively closed. The face panel defines an access opening for a sterilization chamber (10) which receives a cassette (C), an access opening for an anti-microbial concentrate chamber (20) which receives a powdered or other sterilant concentrate, and an outlet opening (50) from a microbe filter which filters microbes from incoming rinse water. The face plate and the door define fluid flow channels (48, 52) therebetween for selectively directing sterilant solutions and rinse solutions among the anti-microbial concentrate chamber, the sterilization chamber, and the microbial filter. The cassette is configured to assure that it is inserted into the sterilization chamber with a unique orientation such that its fluid inlet apertures (114) and outlet apertures (124) are at preselected locations.

Abstract: A front door (B) of a countertop decontamination unit is opened to gain access to a chamber (10) for receiving a cartridge (C) containing items to be sterilized and a chamber (12) for receiving a two compartment powdered anti-microbial agent carrying cup (D). The cup includes an outer cup portion (60) and an inner cup portion (70) that have peripheral walls (62, 72) affixed together at flanges (64, 74) and abutting base walls (66, 76). At least one of the base walls has a domed portion (68) constructed of plastic, whose plastic resiliency functions as a spring to urge the base walls continuously into engagement. The inner and outer cup portions peripheral walls define an annular chamber (86) therebetween. Preferably, the inner peripheral wall is generally conical to reinforce the outer cup base wall to prevent it from collapsing on impact with a cutting blade (14). The inner wall has a longitudinally elongated recess (80) which interacts with a filling aperture (84) surrounded by a flange portion (82).

Abstract: Medical instruments, which may include brass, copper, aluminum, stainless steel, carbon steel, or plastic parts are microbially decontaminated (sterilized or disinfected) in an antimicrobial solution. To provide a long shelf life, premeasured doses of powdered reagents are sealed in an ampule until ready for use. The powdered reagents are selected such that they react in the presence of water to form a strong oxidant solution in an appropriate concentration to be effective as an antimicrobial. The preferred powdered reagents include acetylsalicylic acid and sodium perborate which react in the presence of water to form a peracetic acid solution. Moreover, these dry reagents form sodium metaborate and salicylic acid, both corrosion inhibitors to inhibit corrosion of metal parts of the medical instruments. The ampule may also hold a preselected dose of phosphate or other water soluble corrosion inhibitors and a wetting agent.

Abstract: A liquid sterilizing system (A) defines a basin (10) in which a container (B) is removably disposed. The liquid sterilizing system selectively pumps sterile rinse liquids from a supply (24) and liquid sterilant solutions from a supply (70) into the basin filling the basin and the container. The container includes a lower shell having a bottom wall (34) that defines an aperture (32) for receiving sterilant and sterile rinse liquids. A nozzle plate (44) is mounted close to but spaced from the shell bottom wall to define a tortuous liquid distribution path (40) between the inlet aperture and nozzle plate apertures (90). A barrier (96) divides the liquid receiving portion and a drain portion of the liquid distribution path between the shell bottom surface and the nozzle plate. A cover (80) has a downward depending peripheral wall (82) which is offset from the shell peripheral wall (86) by the spacers (88) to define a tortuous vent path (48) therethrough.

Abstract: Medical instruments, which may include brass, copper, aluminum, stainless steel, carbon steel, or plastic parts are sterilized or disinfected in an anti-microbial solution. The anti-microbial effect of a strong oxidizing agent, such as peracetic acid, is improved with a wetting agent. The solution further includes a triazole or other component for inhibiting the corrosion of copper and brass. Phosphates or other buffering agents adjust the oxidizing agent generally to a neutral pH for preventing the corrosion of steel. Molybdates or analogous compounds also buffer the pH and inhibit corrosion of aluminum by the oxidizing agent. The corrosion inhibiting is enhanced by the wetting agent. Optionally, a sequestering agent is provided for inhibiting hard water precipitation.

Abstract: A tubing system (18) connects a source (10) of tap water with a container (20) holding an item to be sterilized. Powdered buffers, detergents, and corrosion inhibitors are deposited in a well (34) along with an ampule (46) containing a sterilant, such as peracetic acid. The ampule includes an exterior wall (80) which defines an interior volume (82) and a linear vent passage (84) extending from the exterior wall to a central region of the interior volume. A gas permeable liquid impermeable membrane (100) is mounted across a vent aperture (86) which is disposed adjacent the geometric center of the interior volume. The volume is filled less than half way full with the liquid sterilant such that in all orientations of the ampule (FIGS. 4A-C), an upper surface (98) of the sterilant remains below the vent aperture. A pump (50) recirculates the water through the container, the tubing system, and the well to dissolve the powdered reagents.