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CLEANING OF HOLLOW INSTRUMENTS, VERIFICATION AND PCDS Pawel de Sternberg Stojalowski Dublin 2018

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Page 1: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

C L E A N I N G O F H O L L O W I N S T R U M E N T S , V E R I F I C A T I O N A N D P C D S

Pawel de Sternberg Stojalowski

Dublin 2018

Page 2: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

Agenda

1. Cleaning of Lumen instruments – major challenges and solutions.

2. Process Challenge Devices for cleaning verification – focusing on complex instruments

3. Q&A

Page 3: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

CLEANING OF LUMEN INSTRUMENTS

SECTION 01

Page 4: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

4

External vs Internal cleaning

• Different, independent processes

• Success of one does not guarantee

success of the other

• Need of dedicated tests to evaluate each process

• Evaluate each process in every washer

Page 5: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

5

Internal cleaning – it is all about the flow

• Erosion

• Dilution

• Mechanical Displacement

• Dynamic Pressure

Page 6: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

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At the boundary of the flowing fluid…

http://www.mcor.net/mcorabilities/mcorabilites-for-pumps-fluid-flow/cavitation-solution/

Page 7: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

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Internal cleaning mechanics – Continuity Principle et al.

• Volume of flow rate remains constant

• Volume flow rate = Area x Velocity

𝐴1𝑉1 = 𝐴2𝑉2

𝐴1 = 𝜋𝑟12

𝜋𝑟12𝑉1 = 𝜋𝑟2

2𝑉2

Example r1 = 3mm

r2 = 1mm

V1 = 100mm/s

V2 = 900mm/s

It is a squared relationship!https://courses.lumenlearning.com/boundless-physics/chapter/deformation-of-solids/

Law of Conservation of Mass in Fluids

• Laminar vs. Turbulent flow

• No slip condition

• Consider lumen size !

Page 8: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

The need for ultrasonics - its not magic, it’s beautiful physics!

Cleaning uniformityGood penetrationRemoves contamination locally!Penetrate lumen walls*

Most importantly:

Ultrasonic washer 1 ≠ Ultrasonic

washer 2

https://www.researchgate.net/profile/Claus_Dieter_Ohl/publication/242514089_Bubble_Dynamics_Shock_Waves_and_Sonoluminescence/links/54deb70f0cf2953c22afb362/Bubble-Dynamics-Shock-Waves-and-Sonoluminescence.pdf?origin=publication_detail

Page 9: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

PCDsfor cleaning verification

SECTION 02

Page 10: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

What is behind the idea of PCDs for cleaning verification?

There is no mathematical formula linking cleaning method to actual removal of contamination!

???

Page 11: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

11

Verification of instruments vs PCDs

INSTRUMENTS

• Impractical

• Compromise integrity of a set

• High cost

• Disruptive

• Time consuming

PROCESS CHALLENGE DEVICES (PCDs)

• Mimic real environment*

• Integrity of set assured

• Process not disrupted

• Saves time and resources

• Practical

Ideally we would like to verify every single instrument but that is too costly and impractical.

Page 12: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

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Simulating realistic cleaning

Three critical things to consider:

Test soil

Cleaning challenge

Evaluation method

Page 13: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

13

Test Soils

What affect test soils!

Composition

Surface preparation

Application method

Replicability

How do synthetic test soils go beyond visual inspection???

Page 14: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

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Different instruments create different challenges

Page 15: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

15

Four Dimensional cleaning challenge

Page 16: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

Internal cleaning PCDs – I told you it is all about the flow

It is all about the flow of water through the

instrument: the more realistic the flow the

more accurate the PCD.

Inside the capsule: exemplary flow

Optimised flow

Not-Optimised flow

Page 17: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

But how do we know if it is really clean?

What test do we need?

- Sensitive (at least 5µg protein)

- Quantitative

- Direct

… and ideally quick!

What works?

1. Fluorescence (ProReveal)

2. Protein sensitive reagent

Page 18: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

VeriTest Blue – Protein Sensitive Reagent

• Quantitative test

• Direct method

• Quick result

Page 19: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

Aseptium’s VeriTest Family

Different Cleaning Challenges

• VeriTest Tag

Natural protein test soil

• VeriTest Multi

4 Dimensional Cleaning

• VeriTest Lumen & FlexE

Different size lumens

• VeriTest Blue

Protein Sensitive Reagent

Page 20: Pawel de Sternberg Stojalowski Dublin 2018 · 7 Internal cleaning mechanics –Continuity Principle et al. • Volume of flow rate remains constant • Volume flow rate = Area x Velocity

THANK YOU!

#FightDirty

@BeyondClean

…find out more at aseptium.com