Sterilization Packaging Systems

Publication Date: October 1, 2019

Recommendations

Chemical Indicators (CIs)

Select CIs specific to the sterilization method and cycle. (R)
326403
Place a CI on both the outside and inside of the package to be processed. (R)
326403
Place the CI in an area within the package that presents the greatest challenge for air removal and sterilant contact. (R)
326403

Packaging Systems

Inspect and monitor reusable woven sterilization wrap by
  • visually inspecting it on a lighted table for defects (eg, holes, tears, worn spots) and
  • following the manufacturer’s [instructions for use (IFU)] for the number of times the reusable woven materials can be processed.
(R)
326403
Inspect all single-use sterilization wrap for defects and cleanliness before use. Do not use packaging materials with defects. (R)
326403
Select the wrapping material size that completely covers the item(s) being packaged. Wrap the item(s) securely to prevent gapping, billowing, or formation of air pockets. (R)
326403
Use peel pouches only for small, lightweight, low-profile items. (R)
326403
Unless otherwise specified in the manufacturer’s IFU, when double pouching, place the sealed inner pouch
• within the outer pouch without folding it and
• facing in the same direction as the outer pouch (ie, plastic or polyester film faces plastic or polyester film, and paper or polyethylene material faces paper or polyethylene material)
()
326403
Inspect all parts of rigid sterilization containers before each use and on a scheduled basis, including that: the mating surfaces and edges of the container and lid are free of dents and chips;
  • the lid and container fit together properly and securely;
  • the filter retention mechanisms and fasteners are secure and not distorted or burred;
  • the latching mechanisms are functioning to maintain the seal;
  • the handles are in working order;
  • the integrity of the filter media is not compromised;
  • the gaskets are pliable, securely fastened, and without breaks or cuts; and
  • the valves are in working order.
(R)
326403
Do not use sterilization containers that do not pass the inspection. Remove damaged items from service for repair or replacement. (R)
326403
Consult the container’s manufacturer’s IFU to determine limitations related to density of materials, weight, and distribution of contents before placing instruments or devices within rigid sterilization containers. (R)
326403

Education

Provide education and competency verification activities that address specific knowledge and skills related to the selection and use of packaging systems. (R)
326403

Recommendation Grading

Disclaimer

Overview

Title

Sterilization Packaging Systems

Authoring Organization

Publication Month/Year

October 1, 2019

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Inclusion Criteria

Female, Male, Adolescent, Adult, Child, Infant, Older adult

Health Care Settings

Hospital, Operating and recovery room

Intended Users

Surgical technologist, nurse, medical techologist technician, nurse practitioner, physician, physician assistant

Scope

Prevention

Diseases/Conditions (MeSH)

D013242 - Sterilization, D019064 - Product Packaging

Keywords

packaging systems, sterilzation