Patent Application
20230309212
The present invention relates to disinfecting and/or sterilizing medical instruments, such as dental instruments using a plasma. More in general, the present invention relates to methods and devices for generating a disinfecting and/or sterilizing gas mixture.
Reusable medical instruments are instruments that health care providers can reuse to diagnose and/or treat multiple patients. Examples of reusable medical instruments include medical instruments used in dental care, such as scalpels, syringes, scopes, mirrors, drills, burs, discs, handpieces, excavators, turbines, files, reamers, etc.
When used on patients, reusable instruments become soiled and contaminated with blood, tissue and other biological debris such as microorganisms. To avoid any risk of infection by a contaminated instrument, the reusable instruments can be sterilized. Sterilizing results in a medical instrument that can be safely used more than once in the same patient, or in more than one patient. Adequate sterilizing of reusable medical instruments is vital to protecting patient safety.
Various sterilizing agents can be used for sterilizing medical instruments. Historically, steam or hydrogen peroxide is often used. More recently, plasma devices are being used for ionizing gases or gas mixtures, the ionized gas being used as sterilizing agent. Electrons in the plasma impact on gas molecules causing dissociation and ionization of these molecules, which creates a mix of reactive species. It is known to directly expose the medical instruments to the plasma, or to expose the medical instruments to the (partially) recombined plasma, sometimes referred to as afterglow, see e.g. S. Moreau et al., “Using the flowing afterglow of a plasma to inactivate Bacillus subtilis spores: Influence of the operating conditions”, J. Appl. Phys. Vol. 88, No. 2, 15 Jul. 2000.
Several attempts have been made to improve upon plasma sterilizing. US2011/0027125A1 discloses a system comprising a chamber and a plasma generator for generating free radicals combined with use of a hydrogen peroxide solution.
It is also known to use an atmospheric or super atmospheric plasma source.
Plasma sources can have the disadvantage that the composition of the disinfecting and/or sterilizing agent, produced by generating an at least partially ionized gas mixture, can vary significantly with varying temperature and/or pressure of the plasma.
It is an object to provide an improved plasma source for generating a disinfecting and/or sterilizing gas mixture.
Thereto, according to a first aspect, is provided a plasma source for generating a disinfecting and/or sterilizing gas mixture. The plasma source includes an ionization chamber. The ionization chamber includes a dielectric tubular portion. The dielectric tubular portion can form a wall of the ionization chamber. The ionization chamber includes an inflow port for feeding a gas or gas mixture into the chamber. In the ionization chamber the gas or gas mixture is transformed into the disinfecting and/or sterilizing gas mixture. The ionization chamber includes an outflow port for exhausting the disinfecting and/or sterilizing gas mixture out of the chamber. The inflow port can be positioned at a first end of the tubular portion. The outflow port can be positioned at an opposite, second end of the tubular portion. Hence, a gas or gas mixture can be made to flow through the tubular portion. The ionization chamber includes a first electrode positioned inside the dielectric tubular portion, and a second electrode positioned outside the dielectric tubular portion. The first electrode can e.g. extend longitudinally within the tubular portion, such as along the axis of the tubular portion. The second electrode can be formed on an outer surface of the tubular portion. The second electrode can be a separate part, such as a metal sheet. It is also possible that the second electrode is a conductive layer coated onto the outer surface of the tubular portion, such as a metallic layer (plasma) deposited onto the outer surface. The plasma source includes a high voltage source having a high voltage output terminal, wherein an electrical conductor connects the output terminal to the first or second electrode. The high voltage terminal can e.g. be connected to the first electrode. The second electrode can be connected to electrical ground. The electrical conductor is preferably less than 50 cm long. The plasma source includes a forced gas cooling system for cooling the ionization chamber.
The plasma source is arranged for generating a disinfecting and/or sterilizing gas mixture. It will be appreciated that depending on the circumstances it may suffice to generate a disinfecting gas mixture suitable for disinfecting objects, wherein a large proportion of microorganisms is killed, although not all microorganisms are necessarily killed. In other cases it is preferred to generate a sterilizing gas mixture suitable for sterilizing an object, wherein substantially all microorganisms are killed.
It has been found that cooling the ionization chamber, e.g. the tubular portion of the ionization chamber, with forced gas, such as forced air, provides particular good disinfecting and/or sterilizing gas mixture, especially when combined with the relatively short electrical conductor.
It is thought that the forced gas cooling improves quality of the disinfecting and/or sterilizing gas mixture by beneficially influencing temperature stability of the plasma source. In this respect it has been found that gas cooling outperforms liquid cooling such as water cooling. It is thought that liquid cooling has a more corrosive effect on parts of the plasma source than the gas cooling, thus causing larger temperature variations.
Also, the relatively short electrical conductor appears to beneficially influence the quality of the disinfecting and/or sterilizing gas mixture. Although not fully understood, it is believed that the relatively short electrical conductor has a beneficial effect on electromagnetic compatibility (EMC) and/or reduces electrical impedance of the system, which can be beneficial. The reduced variations in temperature can contribute to more stable production of desired disinfecting and/or sterilizing components in the gas mixture.
Optionally, the forced gas cooling system is arranged for forcing a cooling gas flow onto the dielectric tubular portion in a direction substantially orthogonal to a longitudinal axis of the tubular portion, e.g. perpendicular to the longitudinal axis of the tubular portion. It has been found that such flow effectively provides high quality of the disinfecting and/or sterilizing gas mixture. Alternatively, or additionally, the forced gas cooling system can be arranged for forcing a cooling gas flow onto the dielectric tubular portion in a direction substantially parallel to a longitudinal axis of the tubular portion.
Optionally, the forced gas cooling system includes a temperature control system for controlling the temperature of the plasma and/or the ionization chamber and/or the tubular portion. The temperature control system can include a temperature sensor and a controller.
Optionally, the forced gas cooling system includes a detector for detecting malfunction of the cooling system and is arranged for shutting down or reducing power of the high voltage source when a malfunction is detected. Hence overheating of the plasma source in case of a malfunction of the cooling system can be avoided.
Optionally, the electrical conductor is less than 50 cm long, preferably less than 30 cm long, more preferably less than 20 cm long.
Optionally, the plasma source includes a first end cap including the inflow port and closing the dielectric tubular portion at a first end. Optionally, the plasma source includes a second end cap including the outflow port and closing the dielectric tubular portion at a second end opposite the first end. The end caps provide an effective and mechanically simple way of providing the inflow port and/or outflow port to the dielectric tubular portion. Preferably, the first and/or second end cap is made of an electrically insulating material.
Optionally, the dielectric tube includes a wall of quartz or a glass, such as a borosilicate glass, such as Pyrex® or Duran®.
Optionally, the plasma source includes a, e.g. metal, housing.
Optionally, the ionization chamber, the high voltage source, and at least part of the forced gas cooling system are included in the housing. Hence a plasma source can be provided that can easily be installed and/or replaced. Also, when the housing is a metal housing EMC can easily be obtained.
The gas or gas mixture fed to the inflow port can be a humidified gas or gas mixture, such as humidified air. The gas or gas mixture can have a predetermined specific humidity, e.g. of between 2 to 25 grams of water vapor per kilogram of gas, such as about 10 grams of water vapor per kilogram of gas. The gas or gas mixture can be humidified e.g. as described in co-pending patent application NL2025110, incorporated herein by reference.
According to a second aspect is provided a sterilization apparatus for sterilizing medical instruments, including a plasma source as described hereinabove.
According to a third aspect is provided a method for generating a disinfecting gas mixture. The method includes feeding a gas or gas mixture through a dielectric tubular portion having a first electrode positioned inside the dielectric tubular portion, and a second electrode positioned outside the dielectric tubular portion. The method includes applying a high voltage difference between the first and second electrodes. The method includes cooling the dielectric tubular portion using a forced gas cooling system.
Optionally, the method includes providing the high voltage to the first or second electrode via a relatively short electrical conductor.
It will be appreciated that any of the aspects, features and options described in view of the plasma source apply equally to the sterilization apparatus and the method, and vice versa. It will also be clear that any one or more of the above aspects, features and options can be combined.
Embodiments of the present invention will now be described in detail with reference to the accompanying drawings in which:
In this example, a second wall is formed by a first end cap 6 closing the dielectric tubular portion 4 at a first end. In this example a third wall is formed by a second end cap 8 closing the dielectric tubular portion 4 at a second end opposite the first end. Here the end caps 6, 8 are connected to the tubular portion 4 in a gastight manner. Here a seal, such as an O-ring 10 is provided between the end cap 6, 8 and the tubular portion 4.
The ionization chamber 2 includes an inflow port 12 for feeding a gas or gas mixture into the chamber 2. Here, the inflow port is positioned at the first end of the tubular portion. In this example, the inflow port 12 forms part of the first end cap 6. The ionization chamber 2 includes an outflow port 14 for exhausting the sterilizing gas out of the chamber 2. Here, the outflow port 14 is positioned at the second end of the tubular portion 4. In this example, the outflow port 14 forms part of the second end cap 8.
The ionization chamber 2 includes a first electrode 16. The first electrode 16 is positioned inside the dielectric tubular portion 2. Here, the first electrode extends longitudinally within the tubular portion 2, here along the axis of the tubular portion 2. The first electrode 16 in this example is elongate, such as rod shaped. Here the first electrode 16 has a thicker rod diameter at the area where plasma is to be generated. In this example, the chamber 2 includes an electric feedthrough 18 forming an electrical connection from outside the chamber to the first electrode 16 inside the chamber 2. Here the feedthrough is positioned in the first end cap 6. In
The ionization chamber 2 includes a second electrode 20. The second electrode 20 is positioned outside the dielectric tubular portion 4. The second electrode 20 can be formed on an outer surface of the tubular portion 4. The second electrode can be a separate part, such as a metal sheet positioned on the outer surface of the tubular portion 4, such as in intimate contact with the outer surface of the tubular portion 4. In this example, the second electrode 20 is formed as a conductive layer coated onto the outer surface of the tubular portion 4, such as a metallic layer (plasma) deposited onto the outer surface. In
The plasma source 1 includes a high voltage source 22. The high voltage source 22 is arranged for supplying a high voltage difference between two output terminals 24, 26. In this example, the first output terminal 24 is a high voltage output terminal, and the second output terminal 26 is connected or connectable to electrical ground. The high voltage supplied at the first output terminal 24 can be a positive high voltage or a negative high voltage. In this example, a first electrical conductor 28 connects the first output terminal 24 to the first electrode 16. Here a second electrical conductor connects the second output terminal 26 to the second electrode 20. It will be appreciated that it is also possible that the second output terminal 26 and the second electrode 20 are both connected to electrical ground. In such case a dedicated second electrical conductor 30 in the form of a lead wire may be omitted.
The plasma source 1 includes a forced gas cooling system 32. The forced gas cooling system 32 in
In the example of
The plasma source 1 as described thus far can be used as follows in a method 200 for generating a disinfecting and/or sterilizing gas mixture, also see
During ionization, i.e. during generation of the plasma, the ionization chamber is cooled 206 using the forced gas cooling system 32. In this example, the fan 34 generates a stream of air blowing towards the ionization chamber 2. Here, the stream of air is directed towards the ionization chamber, e.g. towards the tubular portion 4, by the guides 36. Here, the stream of air is directed in a direction substantially orthogonal to a longitudinal axis of the tubular portion 4, here perpendicular to the longitudinal axis of the tubular portion 4. In principle, the forced gas cooling system can also be arranged for forcing a cooling gas flow onto the dielectric tubular portion in a direction substantially parallel to a longitudinal axis of the tubular portion. However, by blowing the gas orthogonal to the tubular portion, heat can be more quickly dissipated and/or more homogenous. For example, the orthogonally flowing heated gas can immediately leave the vicinity of the tubular portion compared to heated gas flowing along a length of the tube. For example, the orthogonally flowing gas can have a substantially uniform temperature along the length of the tube compared to a gas flowing heating up as it flows along the length of the tube. By using the forced gas cooling, the temperature of the ionization chamber, and the gas or gas mixture therein, can be maintained substantially constant. It has been found that this has a beneficial effect on the quality of the disinfecting and/or sterilizing gas mixture.
It has also been found that providing the first electrical conductor 28, providing the high voltage, having a relatively short length appears to beneficially influence the quality of the disinfecting and/or sterilizing gas mixture. Although not fully understood, it is believed that the relatively short electrical conductor reduces variations in supply voltage which reduces the variations in temperature. The reduced variations in temperature can contribute to more stable production of desired disinfecting and/or sterilizing components in the gas mixture. Here the relatively short length is a length of 50 cm or less, preferably 30 cm or less, more preferably 20 cm or less. It will be appreciated that it is possible that the first output terminal 24 is directly connected to the first electrode 16. Then the length of the first electrical conductor 28 is zero. The second output terminal 26 can also be directly connected to the second electrode 20. Then the length of the second electrical conductor 30 is zero.
The forced gas cooling system 32 cooling the chamber 2, such as cooling the outside of the tubular portion 4, while the plasma is being generated, can cause a gradient in temperature in the ionization chamber 2.
The forced gas cooling system 32 can include a temperature control system 37 for controlling the temperature of the plasma and/or the ionization chamber 2 and/or the tubular portion 4. The temperature control system 37 can include a temperature sensor 39. The sensor 39 can e.g. be mounted inside the ionization chamber 2, to an inner surface or outer surface of the tubular portion, or in the proximity of the tubular portion 4 outside the chamber 2. Alternatively, or additionally, a temperature sensor 39 can be placed in the gas stream output from the ionization chamber 2. Controlling the temperature of the plasma, e.g. by controlling the temperature of the ionization chamber 2 or the tubular portion 4, can provide two advantages. The controlled temperature of the plasma aids in beneficially influencing temperature stability of the plasma source. Also, by adjusting the setpoint of the controlled temperature of the plasma a quality of the disinfecting and/or sterilizing gas mixture, e.g. a composition of the disinfecting and/or sterilizing gas mixture, can be selected.
The forced gas cooling system 32 can include a detection system 38 for detecting malfunction of the cooling system. The detection system 38 can be arranged for shutting down or reducing power of the high voltage source 22 when a malfunction of the cooling system 32 is detected. Hence overheating of the plasma source in case of a malfunction of the cooling system 32 can be avoided. The detection system can include a detector 40 for detecting malfunction of the cooling system 32. The detector 40 can include a gas flow sensor for monitoring flowing of the cooling gas. The detector 40 can include a current sensor for sensing a motor current of the fan 34. The detector 40 can include a temperature sensor, e.g. the sensor 39, for sensing a temperature of the plasma source 1, e.g. a temperature of the chamber 2, the tubular portion 4 and/or the housing 42. The detector 40 can e.g. be a thermal switch.
Herein, the invention is described with reference to specific examples of embodiments of the invention. It will, however, be evident that various modifications and changes may be made therein, without departing from the essence of the invention. For the purpose of clarity and a concise description features are described herein as part of the same or separate embodiments, however, alternative embodiments having combinations of all or some of the features described in these separate embodiments are also envisaged.
In the example of
Preferably, the high voltage source as described herein is configured to generate a high voltage and/or current within a relatively short time span, e.g. within less than fifty milliseconds after startup (e.g. starting at zero volt/amp), preferably less than twenty milliseconds. More preferably, the voltage and/or current is ramped up after startup with an initial overshoot exceeding the nominal operating voltage thereafter, e.g. by at least 10%, to initiate the plasma creation. For example, the high voltage source is powered by a power supply adapted to allow such rapid startup. The inventors find that these setting may lead to a more stable and/or reliable plasma. For the purpose of clarity and a concise description features are described herein as part of the same or separate embodiments, however, it will be appreciated that the scope of the invention may include embodiments having combinations of all or some of the features described.
In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The word ‘comprising’ does not exclude the presence of other features or steps than those listed in a claim. Furthermore, the words ‘a’ and ‘an’ shall not be construed as limited to ‘only one’, but instead are used to mean ‘at least one’, and do not exclude a plurality. The mere fact that certain measures are recited in mutually different claims does not indicate that a combination of these measures cannot be used to an advantage.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2026249 | Aug 2020 | NL | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/NL2021/050505 | 8/11/2021 | WO |
