A Vacuum Autoclave, often referred to as a Type B autoclave or pre-vacuum sterilizer, is an advanced machine that uses pressurized steam and a vacuum system to sterilize equipment and materials.
Its primary function is to achieve complete sterilization, especially for items that are difficult to sterilize with standard (gravity displacement) autoclaves.
The key difference from other autoclaves is the mechanical removal of air, which is the main barrier to effective steam sterilization. The process generally involves the following phases:
1.Pre-Vacuum (Air Removal): A powerful vacuum pump is used to actively evacuate the air from the chamber and from within the load (like porous materials or hollow instruments). This is often done in a series of vacuum and pressure pulses, ensuring all non-condensable gases (air) are removed.
2.Conditioning/Heating: Steam is introduced into the chamber, which rapidly fills the void left by the air. The chamber pressure and temperature begin to rise.
3.Exposure (Sterilization): The chamber is held at a specific high temperature and pressure (eg-121◦ C or 134◦ C) for a set duration, ensuring the saturated steam penetrates all parts of the load and kills all microorganisms, including bacteria, viruses, fungi, and spores.
4.Post-Vacuum (Drying): After the sterilization hold time, a second vacuum is often applied. This is the drying phase, where the vacuum removes the remaining steam and moisture, leaving the instruments dry.
5.Exhaust/Ventilation: The pressure is released, and the chamber returns to atmospheric pressure, allowing the sterilized load to be safely removed.
The use of a vacuum system provides significant advantages, making it the preferred method for certain applications:
| Feature | Gravity Autoclave (Class N) | Vacuum Autoclave (Class B) |
| Air Removal | Passive (steam displaces air by gravity) | Active/Mechanical (uses a vacuum pump) |
| Load Types | Solids, unwrapped, simple loads | All types: Solids, porous loads (e.g., textiles), hollow instruments, wrapped/packaged items |
| Steam Penetration | Limited, prone to cold pockets | Superior and complete, no cold pockets |
| Cycle Speed | Slower, especially for drying | Faster (especially the drying phase) |
Vacuum autoclaves are essential in: