Measurement of the NCG concentration in a steam sterilizer
09861718 ยท 2018-01-09
Assignee
Inventors
Cpc classification
A61L2/28
HUMAN NECESSITIES
International classification
A61L2/28
HUMAN NECESSITIES
Abstract
A method and system for determining steam sterilant quality of a steam sterilizer where the steam sterilant comprises non-condensable gas(es).
Claims
1. Method for determining steam sterilant quality of a steam sterilizer, the method comprising: a) providing within the sterilizer a challenge device comprising a tube having a bore, the bore of the tube defining a free space which is open at one end for the entry of steam sterilant and closed at the other end; at least one thermal load having a predetermined heat capacity located around the tube, wherein the at least one thermal load contacts directly or indirectly the tube over a contact surface area and there is a predetermined thermal resistance between the tube and the at least one thermal load; a temperature sensor adapted to measure the temperature of the at least one thermal load; as well as a pressure sensor adapted to measure pressure in the steam sterilizer and/or a temperature sensor adapted to measure the temperature in the steam sterilizer; wherein the challenge device is configured and arranged such that, in use, condensate will flow out of the bore; b) allowing steam sterilant comprising non-condensable gas(es) to interact with the challenge device; c) measuring over time the temperature of the at least one thermal load and the pressure and/or temperature in the sterilizer; d) calculating the quantity of non-condensable gas(es) collected in the tube during a selected time interval t on the basis of the temperature of the at least one thermal load over the selected time interval t, the pressure and/or temperature in the sterilizer over the selected time interval t, the thermal resistance between the tube and the at least one thermal load, the heat capacity of the at least one thermal load and the geometry of the tube; e) calculating the quantity of steam condensed in the tube during the selected time interval t on the basis of the heat capacity of the at least one thermal load, the temperature of the at least one thermal load over the selected time interval t, and the specific condensation heat of the steam, wherein the value of specific condensation heat of the steam is either determined on the basis of the measured pressure and/or temperature over time in the sterilizer or used as a constant value independent of temperature dependency; and f) determining the steam sterilant quality on the basis of the quantity of non-condensable gas(es) collected in the tube during the selected time interval t and the quantity of steam condensed in the tube during the selected time interval t.
2. The method of claim 1, wherein the quantity of non-condensable gas(es) collected in the tube during the selected time interval t is calculated in terms of volume (V.sub.NCG) and/or mass (m.sub.NCG).
3. The method of claim 1, wherein the quantity of steam condensed in the tube during the selected time interval t is calculated in terms of mass (m.sub.steam) and/or volume (V.sub.steam).
4. The method of claim 1, wherein the quality of steam sterilant is represented as a percentage of the ratio of the quantity of non-condensable gas(es) collected in the tube during the selected time interval t and the quantity of steam condensed in the tube during said time interval t, in particular the ratio is selected from the group consisting of V.sub.NCG/m.sub.steam, V.sub.NCG/V.sub.steam, m.sub.NCG/m.sub.steam and m.sub.NCG/V.sub.steam.
5. The method of claim 1, wherein the challenge device comprises a single thermal load, or wherein the challenge device comprises two or more thermal loads and two or more temperature sensors adapted to measure the temperature of each thermal load, in particular two or three thermal loads and two or three temperature sensors, respectively, each temperature sensor adapted to measure the temperature of a thermal load.
6. A system for determining steam sterilant quality of a steam sterilizer where the steam sterilant comprises non-condensable gas(es), the system comprising: a) a challenge device comprising a tube having a bore, the bore of the tube defining a free space which is open at one end for the entry of steam sterilant and closed at the other end; at least one thermal load having a predetermined heat capacity located around the tube, wherein the at least one thermal load contacts directly or indirectly the tube over a contact surface area and there is a predetermined thermal resistance between the tube and the at least one thermal load; a temperature sensor adapted to measure the temperature of the at least one thermal load; as well as a pressure sensor adapted to measure pressure in the steam sterilizer and/or a temperature sensor adapted to measure the temperature in the steam sterilizer; wherein the challenge device is configured and arranged such that, in use, condensate will flow out of the bore; b) at least one data collection unit, the as least one data collection unit configured and arranged, such that, in use, it allows for measuring over time the temperature of the at least one thermal load and, as applicable, the pressure and/or temperature in the sterilizer as well as storing measured data together with their corresponding time stamp; c) at least one data evaluation unit; the at least one data evaluation unit configured and arranged such that, in use, it allows for: i) calculating the quantity of non-condensable gas(es) collected in the tube during a selected time interval t on the basis of the temperature of the at least one thermal load over the selected time interval t, the pressure and/or temperature in the sterilizer over the selected time interval t, the thermal resistance between the tube and the at least one thermal load, the heat capacity of the at least one thermal load and the geometry of the tube; ii) calculating the quantity of steam condensed in the tube during the selected time interval t on the basis of the heat capacity of the at least one thermal load, the temperature of the at least one thermal load over the selected time interval t, and the specific condensation heat of the steam, wherein the value of specific condensation heat of the steam is either determined on the basis of the measured pressure and/or temperature over time in the sterilizer or used as a constant value independent of temperature dependency; and iii) determining the steam sterilant quality on the basis of the quantity of non-condensable gas(es) collected in the tube during the selected time interval t and the quantity of steam condensed in the tube during the selected time interval t.
7. The system of claim 6, wherein the challenge device comprises a single thermal load, or wherein the challenge device comprises two or more thermal loads and two or more temperature sensors adapted to measure the temperature of each thermal load, in particular two or three thermal loads and two or three temperature sensors, respectively, each temperature sensor adapted to measure the temperature of a thermal load.
8. The system of claim 6, wherein the tube has along its length a thermal conductivity of 30 Wm.sup.1K.sup.1 or less; and/or wherein the tube has along its cross-section a thermal conductivity greater than 2 Wm.sup.1K.sup.1; and/or wherein the thermal conductivity along the longtidunal axis of the tube does exceed 120% of the thermal conductivity in a radial direction.
9. The system of claim 6, wherein the tube has a length of 15 cm or less; and/or wherein the tube is a hollow cylinder having a wall thickness of 2 mm or less; and/or wherein the bore of the tube has a bore diameter of between 2 mm and 12 mm; and/or wherein the cross section of the tube has an area of 210 mm.sup.2 or less.
10. The system of claim 6, wherein the tube is made of metal, in particular the tube is a metal tube comprising one or more selected from: stainless steel; non-rusting steel; CrNi-containing steel; titanium; and titanium alloys.
11. The system of claim 6, wherein the at least one thermal load has a shape substantially corresponding to a cylinder with a bore.
12. The system of claim 11, wherein the size and shape of the bore of the at least one thermal load generally corresponds to the outer size and shape of the tube.
13. The system of claim 11, wherein the bore of the at least one thermal load and/or the surface of the bore of the at least one thermal load is shaped such as to intermittently contact the tube.
14. The system of claim 6, wherein a foil or sheet of thermally insulating material is provided between the tube and the at least one load, in particular said foil or sheet comprises a material having a thermal conductivity which is lower than that of the tube.
15. The system of claim 6, wherein the at least one load has a heat capacity at 25 C. of at least 0.5 Jg.sup.1K.sup.1.
Description
BRIEF DESCRIPTION OF FIGURES
(1)
(2)
(3)
(4)
(5)
(6)
DETAILED DESCRIPTION
(7)
(8) Preferably, the tube material has a thermal conductivity along its length of 30 Wm.sup.1K.sup.1 (Watt per meter Kelvin) or less, more preferably of 25 Wm.sup.1K.sup.1 or less, and most preferably of 20 Wm.sup.1K.sup.1 or less. Thus, such thermal conductivities facilitate minimization or elimination of artefacts due to heat transfer along the length of the tube. It is preferred that tubes have along their cross-section a thermal conductivity greater than 2 Wm.sup.1K.sup.1, more preferably greater than 4 Wm.sup.1K.sup.1. Here, such thermal conductivities favourably facilitate transport the heat generated during condensation to the thermal loads in a radial direction. For tubes made of an isotropic material or an essentially isotropic material (such as a metal) favourably such the tube materials have a thermal conductivity of 30 Wm.sup.1K.sup.1 or less (more favourably of 25 Wm.sup.1K.sup.1 or less, and most favourably of 20 Wm.sup.1K.sup.1 or less) and a thermal conductivity greater than 2 Wm.sup.1K.sup.1 (more favourably greater than 4 Wm.sup.1K.sup.1).
(9) Preferably, the material properties, in particular the thermal conductivity, of tubes are essentially isotropic. It is preferred that the thermal conductivity along the longitudinal axis of the tube does not exceed 120%, preferably 110%, and more preferably 105% of the thermal conductivity in a radial direction.
(10) Desirably tubes may be made of metal. Preferably, metal tubes comprise one or a combination of: stainless steel; non-rusting steel; CrNi-containing steel; titanium; and titanium alloys.
(11) Tubes may favourably have a length of 15 cm or less, more preferably 12 cm or less, even more preferably 10 cm or less. Favourably, tubes are hollow cylinders having a wall thickness of 2 mm or less, preferably of 1.5 mm or less, more preferably of 1 mm or less and most preferably of 0.5 mm or less. Favourably, tubes have a bore diameter of between 2 mm and 12 mm, preferably between 3.5 mm and 10.5 mm, more preferably between 5 mm and 8 mm (inclusive the end points). Tubes inclusive wall thickness and bore may favourably have a cross sectional area of 210 mm.sup.2 or less, more preferably of 170 mm.sup.2 or less, even more preferably of 140 mm.sup.2 or less.
(12) Thermal loads preferably have a large heat capacity of preferably equal to or greater than 0.5 Jg.sup.1K.sup.1 at 25 C., more preferably of equal to or greater than 0.7 Jg.sup.1K.sup.1, even more preferably of equal to or greater than 0.85 Jg.sup.1K.sup.1. An exemplary suitable material for the thermal loads is aluminium.
(13) Load(s) preferably have a shape substantially corresponding to a cylinder with a bore. Desirably the size and shape of the bore of the load(s) generally corresponds to the outer size and shape of the tube. This facilitates the provision of a well-defined heat transfer between the tube and the one or more loads. Preferably, the bore of the one or a plurality of loads and/or the surface of the bore of the one or a plurality of loads may be shaped such as to only intermittently contact the tube. This desirably allows an increased control and optimization of the amount of heat transfer between the tube and the load(s). For example, the surface of the bore of the one or more loads may comprise at least one laterally or longitudinally extending groove, preferably at least two or more laterally and/or longitudinally extending grooves, which are preferably spaced equidistantly from each other. In essence, heat transfer then only takes place at the intermittent contact between the load(s) and the tube where no groove is present.
(14) Alternatively or in addition, a foil or sheet of thermally insulating material may be provided between the tube and the one or more loads. Such a foil or sheet may preferably comprise a material comprises one or a combination of: polyester, polypropylene, polyacrylonitrile, Kapton, polyurethane, polyamide, polyimide, polyether imide, PTFE, polyvinylchloride, polycarbonate, epoxy resin, polymethyl-methacrylate, polyethylene, and polystyrene. The use of such foils or sheets further aids in providing a well-defined heat transfer between the tube and the one or more loads and/or in controlling or optimizing the amount of heat transfer between the tube and the one or more loads. Foils or sheets preferably comprises a material having a thermal conductivity which is lower than that of the tube. Such materials may have a thermal conductivity of 5 Wm.sup.1K.sup.1 or less, more preferably of 1 Wm.sup.1K.sup.1 or less. To adjust thermal coupling between the tube and the one or more loads, foils or sheets may favourably comprise several holes and/or cut-outs.
(15) Returning to
(16) The exemplary embodiment shown in
(17) Pressure sensors suitable for use include those available on the market which withstand high pressures that may be present within a sterilizer during a typical sterilization cycle or even slightly higher (e.g. up to 4 bar absolute). Also it is desirable to employ pressure sensors which have a low long term drift and that are calibrated and temperature compensated to ensure high accuracy.
(18) Temperature sensors used to measure the temperatures at the load(s) and/or in the sterilizer favorably have an accuracy of 1 K, more favorably of 0.5 K, even more favorably of 0.3 K, most favorably of 0.1 K. Temperature sensors used to measure the temperatures at the load(s) and/or in the sterilizer favorably have a high resolution, for example equal to or less than 0.1K, more favorably equal to or less than 0.02 K, and most favorably equal to or less than 0.01 K. Also it is desirable to employ temperature sensors which have a low long term drift and that are calibrated to ensure high accuracy.
(19) In the following, examples of calculations used to determine quantities non-condensable gas(es) versus the amount of steam based on the measured temperature of the load(s) and measured pressure and/or temperature in the sterilizer, the results of the calculations are in turn used to provide a measure of steam sterilant quality. Reference is made to the exemplary challenge device embodiment shown in
(20) The total condensation energy of the steam condensed in the tube E.sub.steam can be calculated as follows:
E.sub.Steam(t)(T.sub.Load(t)T.sub.0).Math.C.sub.Load(I)
(21) with C.sub.Load=heat capacity of thermal load
(22) and T.sub.Load=temperature of thermal load
(23) and T.sub.0=temperature of thermal load at the beginning of the sterilization process
(24) The heating power of the steam P.sub.Steam in the tube can be calculated from the derivation of the energy E.sub.Steam with respect to time:
(25)
(26) The heating power P.sub.Steam can also be calculated from the steam temperature T.sub.STEAM and the actual load temperature T.sub.Load assuming that the inner surface area of the tube has the temperature of the steam:
(27)
(28) with R=thermal resistance between the tube and the at least one thermal load With the abbreviation (t)=T.sub.Steam(t)T.sub.Load(t) equation (III) can be written as:
(29)
(30) The thermal resistance R can be described as the quotient of the specific thermal resistance r of the tube and the contact area A between the load and the tube
(31)
(32) In case of a cylindrical tube which is in contact with the thermal load of the entire surface thereof as sketched in
A=h.Math.U(VI)
(33) In case non-condensable gas (NCG) is collected in the tube, it will insulate a part of the tube (or at least reduce heat transfer there from). Only that part of the tube that is filled with steam and is in thermal contact with the load will contribute to the heating power P.sub.Steam. This height is here called h.sub.Steam. Taking this into account with equation (IV, V, VI) one obtains:
(34)
(35) Equation (VII) can be transposed to h.sub.Steam resulting in:
(36)
(37) Using equation (II) yields:
(38)
(39) Equation (IX) generally shows that h.sub.Steam can be calculated from temperature measurements of the load and measured or derived temperature of the steam.
(40) The volume of NCG V.sub.NCG can be calculated from the inner volume of the tube V.sub.Tube (h.sub.Tube height of tube, r.sub.Tube inner radius of tube):
V.sub.Tube=h.sub.Tube.Math..Math.r.sub.Tube.sup.2(X)
(41) Assuming a clear separation of steam and NCG we get:
h.sub.Tube=h.sub.Steam+h.sub.NCG(XI)
(42) Transposing to h.sub.NCG yields:
h.sub.NCG=h.sub.Tubeh.sub.Steam(XII)
(43) Using equation (IX) e.g. we get height of NCG in the tube over time:
(44)
(45) Now the volume of non-condensable gas(es) V.sub.NCG can be calculated for example with following equation:
V.sub.NCG(t)=h.sub.NCG(t).Math..Math.r.sub.Tube.sup.2(XIV)
(46) To make the initially calculated volume of NCG V.sub.NCG independent of pressure and temperature, it is desirably to normalize the value.
(47) For example, using the ideal gas law
p.Math.V=n.Math.R.sub.m.Math.T(XV)
(48) the volume of NCG at a normal pressure and temperature, in particular at 101325 Pa and 23 C., V.sub.NCG.sub._.sub.normal can be calculated
(49)
(50) From the volume one can also derive the mass of NCG m.sub.NCG, for example using the following formula:
(51)
(52) where m.sub.mol is 29 g/mol and 24.3 l/mol represents the volume of 1 mol of gas under normal conditions, i.e. at 101.325 kPa and 23 C.
(53) The mass of steam, which is condensed in the tube can be obtained by using the equation:
E.sub.Steam=H.sub.Steam.Math.m.sub.Steam(XVII)
(54) with
(55)
m.sub.Stream=mass of steam in mol
(56) and equation (I):
E.sub.Steam(t)=(T.sub.Load(t)T.sub.0).Math.C.sub.LoadH.sub.Steam.Math.m.sub.Steam(XVIII)
(57) Transposing results in:
(58)
(59) For higher accuracy instead of using a constant value of H.sub.steam independent of the temperature, a value for H.sub.Steam may be determined on the basis of measured temperature (or, if applicable, determined via measured pressure), yielding
(60)
(61) If desired, the quantity of condensed steam can be given in terms of volume (V.sub.steam) where the V.sub.steam is equal to the m.sub.steam divided by the density of water.
(62) As can be recognized from above, the quantities of NCG and steam collected in the tube during a selected time interval t may be calculated in terms of either volume or mass, by using challenge devices as described herein, measured temperature measurements of the thermal load(s) and measured pressure and/or temperature in the sterilizer. Any appropriate ratio of these determined quantities of NCG and steam (e.g. V.sub.NCG/m.sub.steam, V.sub.NCG/V.sub.steam, m.sub.NCG/m.sub.steam and m.sub.NCG/V.sub.steam) may serve as a good measure for steam quality. However it is desirable to use ratio V.sub.NCG/m.sub.steam or V.sub.NCG/V.sub.steam since the determination of mass of NCGs required additional calculations while mass and volume of steam are essentially the same value since the density of water is one. Making reference to section 13.3.2 DIN EN 285, a value of greater than 3.5% V/V would seem to be an indicator of poor quality (as well as an indicator of some potential issue(s) with either the steam generator or sterilizer). Clearly a value approaching 0% would be ideal in terms of efficacy of sterilization. To allow for a desirable indicator of efficacy of sterilization, correlation studies may be made with side-by-side quality of steam determinations as described herein together with microbicidal efficiency determinations so that a particular value steam quality determined during sterilization may be correlated to a particular level of residual microbial activity after sterilization.
(63) The aforesaid example refers to a case where a single load is used, where its temperature as well as the temperature of steam are used in the equations. Again temperature in sterilizer may be directly measured or derived from measured pressure in the sterilizer. Although not shown in the equations, as mentioned above the skilled person knows how to derive temperature from pressure data, and the skilled person will know how to use measured pressure data and appropriately incorporate such data into the calculations illustrated by the equations shown above. The aforesaid calculations were made using data of and from a challenge device having a tube with a bore having a constant diameter along its length. However, it will be recognized by the skilled person that the equations and calculations shown above may be appropriately adjusted in case of other geometries, e.g. a conical-like tube bore.
(64) Methods in accordance may be applied to cases where challenge devices having two or more than one thermal loads are used.
(65)
(66) In such a case the amount of non-condensable gas(es) can be calculated in the same way as shown above. It just has to be done for every load, i.e. the determination of the height of the step according to equation (IX) is solved for each and every load. In case, the load is adjacent to a portion of the tube where there is only NCG (as is the case for load (3a) in
(67) Now h.sub.Steam for every load which is covered at least in part with steam has to be summed up, resulting in h.sub.Steam, total for the whole tube (s. equation (XX)), considering the spacing between the loads (which would preferably be between about 1 mm and about 4 mm).
(68)
(69) This value can then be used for the further calculations in analogy to the calculations shown above.
(70) The calculation of the total amount of condensed steam is similar to equation (XIX). The amount of condensed steam of every load may be summed up as shown in the following equation:
(71)
(72) Evidently, other modifications to the above algorithm may be made without departing from the scope of the present disclosure.
(73)
(74)
(75)
(76) Methods and systems described herein provides several advantages over the prior art. For example, methods and systems described herein can effectively make use of challenge devices requiring only a single or a low number of loads (e.g. two or three). This allows for a simplification of the challenge device, which accordingly at the same time, provides for the use of less sensors. In fact, in the most simple embodiments where the challenge device has one load, the device may only comprise two temperature sensors or a single temperature and a single pressure sensor. This is advantageous in that a low number of interfering heat bridges are generated and the resulting data analysis is much easier. Thus, methods and systems described herein allow for the use of challenge devices that are less expensive, easier to build, require less electronics and may be significant smaller in size. Finally, a quantitative assessment of the steam quality may be achieved using a comparably simple device.