After you release the pressure from the first autoclave cycle and run it through the evacuation step again come you essentially pull all of the water out of the poorest of these materials so that when you hit it with this scheme the second time theyre hot already and you dont get all this water condensing in the pores and about all of the temperature readings right up to the article of temperature within a couple of minutes. And this was borne out with the biological indicator strips. If we did this we kill all of the di strips were as in the one above we did not. So we found that the second cycle is much more effective than running a longer cycle. We also found that cutting the bags prior to autoclave improves the penetration. And separating the items improves the steam penetration. So theres limited capacity. The incinerators should use appropriate conditions to ke sure that they operate properly and there there some potential improvements could improve health and safety concerns for
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