Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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Core Equipment ID: 12817 / 19344
Description: Autoclave, Consolidated Sterilizer, Model #SR24A
Room: B409A
Champion:
1.0 Purpose Standardize the process of control, maintenance and ownership of the Autoclave, Consolidated Sterilizer, Model #SR‐24A located in Room B409. 1.1 Autoclave, Consolidated Sterilizer, Model #SR24A
Chamber dimensions are 36D x 24W x 23" H. Power 3 Phase, 24 amp, 480 V & 19,500 Watts.
2.0 Reason for Issue
Maintain a document that describes the Standard Operating Procedures that allows for the standard safe and maximal use of the Autoclave, Consolidated Sterilizer, Model #SR‐24A within the Pharmacology and Toxicology Core Facilities.
3.0 Process Description Allow Core Facility Users within the Pharmacology and Toxicology Department to properly and effectively use the Autoclave, Consolidated Sterilizer, Model #SR‐24A. The process description details the standard use of the Autoclave, Consolidated Sterilizer, Model #SR‐24A. The controlled standard must maintain and adhere to proper approved research and regulatory qualitative conditions. 3.1 SOP: 12817‐19344.B409.001 for the Autoclave, Consolidated
Sterilizer, Model #SR‐24A, authored by Brian Jespersen, created on 11/03/08, approved on 11/25/08.
3.2 SOP: 12817‐19344.B409.001 applies to any User and / or Trainer of the Autoclave, Consolidated Sterilizer, Model #SR‐24A.
3.3 Responsibilities All Users are responsible for obtaining the proper approval and training before the use of the Autoclave, Consolidated Sterilizer, Model #SR‐24A. All Users are responsible for the proper use, according to the defined protocol, when using the Autoclave, Consolidated Sterilizer, Model #SR‐24A.
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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a. All Users must remember that multiple Users use the Autoclave, Consolidated Sterilizer, Model #SR‐24A. Many Users are under time constraints. All Users must be aware of these possible constraints and help allow the productive shared use of the Autoclave, Consolidated Sterilizer, Model #SR‐24A.
b. All Users must record equipment use in the Autoclave Usage
Logbook after the Autoclave, Consolidated Sterilizer, Model #SR‐24A has started, but before exiting B409. The Logbook is located on the desk in front of the Autoclave, Consolidated Sterilizer, Model #SR‐24A. Within the Logbook, on the current log sheet, Users must record the following: Date, Time, User Name, PI Name, Lab #, Lab Phone Number, Autoclave #, Autoclave Time in Minutes, and Comments / Actions.
c. All Users are responsible for contacting either the Autoclave,
Consolidated Sterilizer, Model #SR‐24A Equipment Champion or the Core Facilities Manager to report any Autoclave, Consolidated Sterilizer, Model #SR‐24A usage issues / problems within a 4‐hour period post use.
d. All Users must use autoclave indicator tape on the outside of all
autoclaved items.
e. All Items must be placed in a leak proof, temperature resistant, autoclave‐safe tray when autoclaving.
f. All Biohazard Items must be autoclaved for at least 30 minutes at
252°F. Allow items to cool to room temperature before disposal, approximately 10 minutes.
g. All Users must remove all items / biohazard bags from the
Autoclave, Consolidated Sterilizer, Model #SR‐24A immediately after use. This includes removing all autoclaved items from room B409A within 4‐hours post Autoclave, Consolidated Sterilizer, Model #SR‐24A use.
h. All Users must place autoclaved biohazard bags in black garbage
bags for proper disposal. Make sure the autoclaved bag has had proper cooling time before final disposal preparation. Make sure the most outer disposal bag does not leak.
i. All Users must properly clean and remove any personal items 4‐
hours post‐use from B409.
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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j. All Users must keep B409A door shut to help contain the heat produced during autoclave use. This step is necessary because two ultra‐low temperature freezers are in B409 and high ambient temperatures impair their functioning. The hall door to room B409 should remain open to help lower the ambient temperature.
3.4 Equipment Safety Issues
a. The Autoclave, Consolidated Sterilizer, Model #SR24A
operates under pressure and high temperature when the unit is autoclaving. Do not open the door until the chamber pressure has decreased to zero and chamber temperature has returned to ambient temperature.
b. All Users must use caution when opening the Autoclave,
Consolidated Sterilizer, Model #SR‐24A chamber door. Heated air and steam may rapidly release from chamber when the chamber door is opened. Keep face and hands away from the door edges when opening the chamber door.
c. All Items must be unsealed and / or uncapped before autoclaving.
d. All Users must wear protective, heat resistant gloves when
removing autoclaved items from the Autoclave, Consolidated Sterilizer, Model #SR‐24A. Autoclaved items will be very hot after autoclaving has completed.
e. Never force the chamber door open.
3.5 Quality Measures
a. Every month the Autoclave, Consolidated Sterilizer, Model #SR‐
24A chamber debris tramp must be emptied.
b. The Autoclave, Consolidated Sterilizer, Model #SR‐24A has a service contract to address any major User issues and complications. This contract includes a professional inspection and covers minor repairs every 90 days by a service representative from Michigan Medical Products Inc.
c. The Autoclave, Consolidated Sterilizer, Model #SR‐24A is
inspected, calibrated and certified yearly by the Michigan State University’s Office of Radiation, Chemical and Biological Safety (ORCBS) This calibration defines the proper sterilization settings for the Autoclave, Consolidated Sterilizer, Model #SR‐24A.
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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3.6 Procedure; Autoclave, Consolidated Sterilizer, Model #SR24A
a. All items entering the Autoclave, Consolidated Sterilizer, Model
#SR‐24A chamber must be in a leak‐proof and temperature resistant container. Autoclave indicator tape should be placed on the items or on the container.
b. All items entering the Autoclave, Consolidated Sterilizer, Model #SR‐24A should not be sealed, capped or closed. Remove all caps and seals before autoclaving these items.
c. If items are in a biohazard bag, make sure the bag is not sealed.
The biohazard bad should have an opening of at least one inch in diameter. A cup of water should be added to each biohazard bag before being autoclaved.
d. Autoclaved items should be spaced apart so as to not impair steam
circulation.
e. To open the chamber door, turn the rotational crank counter clockwise. Once the rotational crank cannot turn further, move the locking crank to the left. The locking pins will retract from around the chamber door.
f. Place the leak‐proof and temperature resistant container in the
middle of the chamber. No items should touch the chamber walls. No items should be placed directly on the chamber floor.
g. Close the chamber door and turn the locking crank to the right.
The locking pins with extend from the chamber door, securing the door. Turn the rotational crank clockwise until increased resistance is felt and further rotation is impeded.
h. The Recorder/Controller Temperature top pointer (red) should be
set at 252°F. The lower Temperature pointer (green) displays the chamber temperature, which should be at ambient levels prior autoclave use.
i. The autoclave Jacket switch with the red LED should always be
“ON”.
j. Set the Sterilize time to 30 minutes. Do this by opening the panel cover, press black button on the right side to open, and adjusting the thumbwheel digits to 30 minutes.
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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k. Set the Dry time to 10 minutes by adjusting the thumbwheel digits
to 10 minutes. Close the panel cover when complete.
l. If liquid is being autoclaved press then “Liquid” button. All other item should be autoclaved as Dry. Press the “Dry” button to select this setting.
m. To initiate autoclaving press the “On” button. The button will light
up green. Once the autoclave process has started the LED display will display the remaining autoclave time. The display will count backwards until autoclaving has completed.
n. Log Usage in the Autoclave, Consolidated Sterilizer, Model #SR‐
24A Usage Logbook. Refer to 3.3b. This step must be completed before leaving room B409A.
o. During the Sterilization process the “Sterilize” pilot light will be lit.
After the Sterilization process has completed, the Dry process commences and the “Exhaust” pilot light will be it. At the end of these processes the LED indicator will display “0”.
p. Once autoclaving has completed items should be promptly
removed from the autoclave. Do not remove items from the autoclave until the chamber pressure has returned to 0 psi and the chamber temperature has returned to ambient temperature.
q. Autoclaved items will be extremely hot after autoclaving. Remove
the items with caution. All Users should wear heat resistant, protective gloves.
r. After items are removed from the autoclave chamber close the
autoclave door to help decrease the ambient temperature in room B409 and B409A.
s. If the “Liquid” autoclave setting was used, press the Jacket reset
button to re‐pressurize the jacket once autoclaving has completed. The reset button should also be pressed if the green pilot light is to the right of the “Reset” button is on. Also, if the Jacket Pressure indicator reads 0 psi the Jacket needs to be reset. When autoclaving has completed the buzzer will sound indicating completion.
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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t. Press the “On” button to turn off the Autoclave, Consolidated Sterilizer, Model #SR‐24A once autoclaving has completed. The button will no longer be lit.
u. Place hot autoclaved items in on a safe surface away from high
traffic areas in room B409A. An example of a safe area would be on a metal pushcart along the room wall.
v. Allow autoclaved items to return to ambient temperature before
placing items in a garbage bag for disposal. Properly autoclaved items in a black garbage bag can be disposed of in the normal trash.
w. Please remove all items from room B409A and clean up any User
mess within a 4‐hour period.
x. At all times keep room B409A door closed.
y. Log Usage in the Autoclave, Consolidated Sterilizer, Model #SR‐24A Usage Logbook. Refer to 3.3b.
3.7 Core Materials
Currently, there are no Core Materials provided for the Autoclave, Consolidated Sterilizer, Model #SR‐24A.
3.8 User Materials Common use materials maybe purchased from the Michigan State University Stores at http://universitystores.msu.edu/. The above company is not the only possible supplier for common Autoclave, Consolidated Sterilizer, Model #SR‐24A User materials. Users are individually responsible for the compatibility, maintenance and purchase of these materials. Examples of User Materials needed for Autoclave, Consolidated Sterilizer, Model #SR‐24A use. a. Autoclavable Biohazard bags b. Autoclave steam indicator tape c. Leak‐proof and temperature resistant autoclave container d. Black garbage bags
3.9 User Use Records
a. Records of Use – Users must record all Autoclave, Consolidated
Sterilizer, Model #SR‐24A use. Refer to 3.3b
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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b. Error Messages / System Issues ‐ All error messages and system
issues must be relayed to the Equipment Champion and the Pharmacology and Toxicology Core Facility Manager. This information must be relayed on the same day as equipment use. Error messages / system issues must be recorded, refer to 3.3b
3.10 Resource Index
The below Autoclave, Consolidated Sterilizer, Model #SR‐24A listed resources can be found on the Autoclave, Consolidated Sterilizer, Model #SR‐24A and / or in the desk across from the autoclave in room B409. a. Autoclave, Consolidated Sterilizer, Model #SR‐24A Certification b. User Instructions c. Installation Instructions d. Autoclave Schematics
ORCBS Representative
Amber Bitters [email protected] (517) 432‐5262 Michigan Medical Products Inc. Service/Maintenance Contract Provider (989) 865‐8875
4.0 Competences, Authorization and Training
New Users must receive proper authorization from either the Equipment Champion and / or Pharmacology & Toxicology Core Facility Manager before equipment use. A New User may contact the Equipment Champion or Pharmacology & Toxicology Facility Manager to schedule training. Training includes SOP and instrument familiarization and any additional required or specialized training. Once training is complete authorization may be issued and B409 room access may be allowed. All Users are individually responsible for current SOP familiarization.
5.0 SOP Performance and Equipment Review The effectiveness of the SOP: 12817‐19344.B409.001 will be monitored by the Pharmacology & Toxicology Core Facility Manager, Equipment Champion and All Users. Any procedural or qualitative deviations will be reflected within an updated SOP. Any Approved User should aptly report any procedural or qualitative issues and / or errors to the Pharmacology & Toxicology Core Facility Manager or Equipment Champion. The Equipment
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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Champion’s name and contact information can be found on the Core Facility Identification Sticker. The Core Facility Identification Sticker is located on the Autoclave, Consolidated Sterilizer, Model #SR‐24A. The Core Facility Manager’s contact information maybe found on the Core Facility Contact Posting within room B409. Updated SOPs will be published and Approved Users will be notified. SOP: 12817‐19344.001 review will occur every two years. 5.1 Update Date:
Reason for SOP Change: New Version #:
5.2 Update Date Reason for SOP Change New Version #:
6.0 Definitions
a. SOP Standard Operating Procedure, which is a standard guide that officially standardize the process of control, maintenance and ownership of the Autoclave, Consolidated Sterilizer, Model #SR‐24A. The SOP number stand for (xxx . xxx . xxx) equipment number . room number . SOP version number. b. Originator / Author The individual representing the Pharmacology and Toxicology Core Facilities that created SOP: 12817‐19344.B409.001. c. Stakeholder Any individual that uses the Autoclave, Consolidated Sterilizer, Model #SR‐24A, included the Pharmacology and Toxicology Core Facilities Department. d. New User An individual who has not completed the requirements of section 4.0. e. Approved User An individual who uses the Autoclave, Consolidated Sterilizer, Model #SR‐24A and has fulfilled section 4.0. This title may only be given by the Equipment Champion and / or the Pharmacology and Toxicology Core Facilities Manager. f. Champion An individual who’s direct expertise with the Autoclave, Consolidated Sterilizer, Model #SR‐24A has been recognized by the Pharmacology and Toxicology Core Facilities Committee. This title is may only be given by the Pharmacology and Toxicology Core Facilities Committee.
7.0 Appendix
Pharmacology & Toxicology Core Facilities SOP #: 1281719344.B409.001 Version #:
Author: Brian Jespersen Page of 9 Approval Date:
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This SOP was written by: Brian Jespersen ___________________________________
This SOP was reviewed by: Dr. Stephanie Watts ______________________________ This SOP was authorized by: Dr. J.R. Haywood __________________________________ Issue Date: _____________________________________