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Autoclaves Cycle

The N-cycle is suitable for sterilizing unwrapped, solid instruments. N-cycle sterilizers are the most popular bench top autoclaves, and are classified as passive systems (also known as gravity, non-vacuum, or downward displacement).

Typically, as steam is admitted into the sterilization chamber, it forces unsaturated and saturated air out through a vent. The major concern with the N-cycle sterilizers is the non-removal of trapped air (especially air pockets in lumens and difficult-to-access areas of the load) during gravity displacement. Errors in packaging or overloading the sterilizer chamber can result in cool air pockets where items are not sterilized.

The B-cycle is used to sterilize solid, hollow, and porous instruments, be they wrapped or unwrapped. It involves the use of active (forced) air removal, usually with a vacuum pump. These pre-vacuum sterilizers are usually fitted with a pump that creates a vacuum that removes air from the sterilizing chamber before the chamber is pressurized with steam. This technique allows faster and more effective steam penetration throughout the entire instrument load than the gravity displacement technique typically employed in sterilizers with N-cycles. Any air that is not removed from the chamber will interfere with steam-instrument contact, and may compromise sterilization. B-cycle sterilizers must be tested periodically for adequate air removal.

The S-cycle is indicated for unwrapped solid products; porous, hollow, single-wrapped products; or multi-layer wrapped products. Thus, all dental instruments can be sterilized with this cycle. The S-cycle utilizes forced air removal, this action being created by vacuum or steam pulsing. The positive pressure pulse system removes air from the sterilization chamber without a vacuum pump. Pressurized steam is injected into the chamber, gradually forcing the air out through a valve. Once the chamber is pressurized, the chamber is vented to near-atmospheric conditions. This process is repeated multiple times until effective air removal is achieved. S-cycle autoclaves use Positive Pressure Pulsed Air Displacement to offer a sterilization cycle that is specifically designed for clinical convenience in that they are able to sterilize products effectively (with validation) with reduced cycle times.

Cycle type

N-cycle

B-cycle

S-cycle

Materials that can be sterilized

solid only

solid/hollow

solid/hollow

non-wrapped only

multi-wrapped/non-wrapped

wrapped/non-wrapped

porous

 

Air removal

gravity displacement

forced

pressure pulsed

Disclaimer

The content of this issue is presented for general information only as perceived by the writer of the article. Reader should independently verify the correctness and accuracy of the material before using the same for any purpose whatsoever. The Company or Management or Staff of Puneet Industries or the Writer shall not be responsible for any inaccuracy or error in the article.

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