®
DO NOT PRINT SPOT RED TEMPLATE
FIRST AID
Vaprox® 59
If in eyes
•Hold eye open and rinse slowly and gently with
water for 15-20 minutes.
•Remove contact lenses, if present, after the first
5 minutes, then continue rinsing the eye.
•Call a poison control center or doctor for treatment
advice.
Active Ingredient:
Hydrogen Peroxide...............................................59%
Inert Ingredients:.................................................41%
Total: ..................................................................100%
If swallowed
•Call poison control center or doctor immediately for
treatment advice.
•Have person sip a glass of water if able to swallow.
•Do not induce vomiting unless told to do so by the
poison control center or doctor.
•Do not give anything by mouth to an unconscious
person.
EPA Reg. No. 1043-123 EPA Est. No. 58779-OH-003
If on skin
or clothing
•Take off contaminated clothing.
•Rinse skin immediately with plenty of water for
15-20 minutes.
•Call a poison control center or doctor for treatment
advice.
If inhaled
•Move person to fresh air.
•If person is not breathing, call 911 or an
ambulance, then give artificial respiration, preferably
by mouth-to-mouth, if possible.
•Call a poison control center or doctor for further
treatment advice.
Hydrogen Peroxide Sterilant
Reorder Number:
PB031US
Net Contents:
950mL (32 fl. oz.) (1 qt.)
950 mL (32 fl. oz.) (1 qt.)
4"
101.6mm
KEEP OUT OF REACH OF CHILDREN
DANGER PELIGRO
OXIDIZER CORROSIVE
PRECAUTIONARY STATEMENTS
Hazards to Humans and Domestic Animals
DANGER: Corrosive. Causes irreversible eye damage or skin
burns. May be fatal if inhaled. Harmful if swallowed or absorbed
through skin. Do not get in eyes, on skin or on clothing. Do not
breathe spray mist. Prolonged or frequently repeated skin contact
may cause allergic reaction in some individuals. User should wash
hands before eating, drinking, chewing gum, using tobacco or
using the toilet. User should remove contaminated clothing and
wash before reuse.
PB031US-21B(912)
9/14/12
3:56 pm
ALL BLACK
STERIS Coporation
Steris-PB031US-21B Vaprox 59 950mL,cp
Font Size 8pt, Lead 8pt.
First Aid Box: Font size 6.5pt., Lead 6.5pt.
Keep out of reach and storage disposal: 12pt. type
Danger: 14pt type
Products/Vaprox 59/Design
9/14/12
10051880 Rev. A
HOT LINE NUMBER
Have the product container or label with you when calling a poison
control center or doctor, or going for treatment.
NOTE TO PHYSICIAN
Probable mucosal damage may contraindicate the use of gastric lavage.
Personal Protective Equipment PPE
Applicators and all other handlers must wear: long-sleeved shirt
and long pants; socks and chemical resistant footwear; goggles or
face shield; chemical-resistant gloves such as barrier laminate, butyl
rubber, nitrile rubber, neoprene rubber, polyvinyl chloride, or viton; a
self contained breathing apparatus if concentrations exceed 1 ppm
during handling and/or application of Vaprox 59 Hydrogen Peroxide
Sterilant. Do not use oxidizable sorbants such as activated carbon.
Physical or Chemical Hazards
Liquid hydrogen peroxide is a strong oxidant and poses a FIRE,
EXPLOSION OR CONTAINER RUPTURE HAZARD. Avoid excessive
heat, contamination, or contact with combustible materials.
Clothing, shoes, or other combustible materials that have come
in contact with hydrogen peroxide must be immediately and
thoroughly washed with water. If allowed to dry in the materials, a
fire may result. Discard shoes in a fireproof container.
IN CASE OF FIRE use water only.
CONTAIN SPILLS and dilute with 20 parts of water.
After diluting the spill, sodium metabisulfide or sodium sulfite
(1.9 lbs. of SO2 equivalent per 500 ml of peroxide) may be used to
destroy the peroxide.
SEE EQUIPMENT MANUAL AND MATERIAL SAFETY DATA SHEET
FOR ADDITIONAL INFORMATION.
Environmental Hazards
Do not discharge effluent containing these products into lakes,
streams, ponds, oceans, or public waters unless these products
are specifically identified and addressed in a NPDES permit. Do not
discharge effluent containing this product to sewer systems without
previously notifying the sewage authority. For guidance contact your
State Water Board or Regional Office U.S. Environmental Protection
Agency.
DIRECTIONS FOR USE
It is a violation of federal law to use this product in a manner
inconsistent with its labeling.
For use as a microbial sterilant in validated (up to 250,000 ft3)
and non-validated (up to 4,000 ft3) applications for sterilization of
sealed, dry pre-cleaned enclosures located in industrial, commercial
and institutional settings (including production operations in
pharmaceutical manufacturing including clean rooms, equipment,
medical device sterilization as part of a manufacturing process,
laboratories, animal research facilities, patient rooms, hotel rooms,
offices, cruise ships, recreational facilities and emergency response
vehicles). Use only with STERIS VHP® application equipment. Shade
11"
279.4mm
from radiant heat and direct sunlight. Stow away from powdered
metals and permanganates.
This product is for use in STERIS VHP application equipment only,
and by trained personnel trained by STERIS Corporation. Read and
follow package insert for complete directions on cleaning, sealing
and use of this product in validated and non-validated applications.
See Equipment User Manual for operating procedures of the
STERIS VHP application equipment. Do not use this product without
development of an appropriate fumigation plan (see package insert).
Not for use as a terminal sterilant or high-level disinfectant for
reprocessing of critical or semi-critical medical devices.
Not for residential use.
STORAGE AND DISPOSAL
Do not contaminate water, food, feed by storage or disposal.
Store containers upright. Do not freeze. Do not expose to cyanide,
hexavalent chromium compounds, other oxidizers, reducers,
combustible materials, or flammable vapors.
PESTICIDE DISPOSAL: Rinse containers with 20 parts water and
then empty into sink with running water. Hydrogen Peroxide is
classified as a DOT oxidizer and a hazardous waste under U.S. EPA
hazardous waste regulations and it is a violation of federal law to
improperly dispose of pesticides.
Pesticide wastes are acutely hazardous. Improper disposal of
excess pesticide, spray mixture, or rinsate is a violation of Federal
Law. If waste cannot be disposed of by use according to label
instructions, contact your State Pesticide or Environmental Control
Agency, or the Hazardous Waste Representative at the nearest EPA
Regional Office for guidance.
CONTAINER DISPOSAL: Nonrefillable container. Do not reuse or
refill this container. Offer for recycling if available.
STERIS Corporation
5960 Heisley Road ■ Mentor, OH 44060 ■ U.S.A.
800-548-4873 ■ www.steris.com
Product Made in U.S.A.
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STERIS Corporation
Steris-PB031US-INB Vaprox 59 Insert,cp
Font Size 7.25pt. Lead 7.4pt.
Products/ Vaprox 59/ Insert / Design, 9/14/12
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DO NOT PRINT SPOT RED TEMPLATE
8-1/2”
®
• AERATION – The product injection is stopped and the flow of dry air continues to reduce the
VHP concentration within the enclosure to a 1 ppm level (≤ 1.0 ppm TWA 8 hr.) prior to reentry
into the enclosure by trained applicators. Treated enclosures may not be released for general
public use until 1 hour after a 1 ppm level of hydrogen peroxide is achieved in the enclosure.
Vaprox 59
®
2. User Safety Requirements:
Hydrogen Peroxide Sterilant
EPA Registration No. 1043-123
Section Name
Index
Page No.
1. Vaprox 59 Application Process.......................................................................1
2. User Safety Requirements............................................................................1
6. Preparation of Enclosures.............................................................................3
2. Liquid hydrogen peroxide is corrosive and will cause irreversible eye damage or skin burns
and may be fatal if inhaled at higher concentrations. It is also harmful if swallowed or absorbed
through skin. Do not get in eyes, on skin or on clothing. Do not breathe spray mist or vapor.
Prolonged or frequently repeated skin contact may cause allergic reaction in some individuals.
User should wash hands before eating, drinking, chewing gum, using tobacco or using the
toilet. User should remove contaminated clothing and wash before reuse. Discard clothing and
or absorbent material that has been heavily drenched or contaminated with liquid hydrogen
peroxide.
7. Application to Sealed Enclosures Requiring Validation of Conditions of Use...............3
3. Follow manufacturer’s instructions for cleaning/maintaining protective eyewear and respirators.
3. Efficacy and Use Applications........................................................................1
4. Fumigation Management Plan.......................................................................1
5. Training and Certification of Applicators............................................................2
a. Validation of Alternate Use Conditions
b. System Characterization
c. Biological Indicator Selection and Distribution
d. Process Characterization
e. Aeration Monitoring and Re-entry
f. Re-entry Instructions
g. Releasing Treated Sealed Enclosures for Return to Service
8. Application to Sealed Enclosures Up to 4,000 ft3 Not Requiring Validation of Use
Conditions...................................................................................................4
a. Application to Sealed, Dry Precleaned Enclosures at 250 ppm VHP Sterilant Concentration
b. Application to Sealed, Dry Precleaned Enclosures at 400 ppm VHP Sterilant
Concentration
c. Aeration Monitoring and Re-entry
d. Re-entry Instructions
e.Releasing Treated Sealed Enclosures for Return to Service
9. Application to Sealed Enclosures Between 2 ft3 and 40 ft3 that require
Validation....................................................................................................4
11"
1. Respirator Requirements – When a respirator is required for use with this product, the trained
applicator supervising the fumigation must make sure that:
a. Respirators must be fit tested and fit checked using a program that conforms with OSHA’s
requirements (described in 29 CFR Part 1910.134).
b. Respirator users must be trained using a program that conforms with OSHA’s
requirements (described in 29 CFR Part 1910.134).
c. Respirator users must be examined by a qualified medical practitioner to ensure the
physical ability to safely wear the style of respirator to be worn.
d. Respirators must be maintained according to a program that conforms with OSHA’s
requirements (described in 29 CFR Part 1910.134).
General Information
Restrictions:
Vaprox 59 Hydrogen Peroxide Sterilant has been registered by STERIS in accordance with Federal
Regulations for the specific uses described in this package insert. Uses other than as specified
and described are not permitted and may not be effective in the sterilization of exposed surfaces
in pre-cleaned sealed enclosures.
4. User Safety Recommendations:
a. Users should wash hands before eating, drinking, chewing gum, using tobacco, or using
the toilet.
b. Users should remove clothing/PPE immediately if hydrogen peroxide gets inside. Then
wash thoroughly and put on clean clothing.
c. Users should remove PPE immediately after handling this product. Wash the outside of
gloves before removing. As soon as practical, wash thoroughly and change into clean
clothing.
3. Efficacy:
Vaprox 59 Hydrogen Peroxide Sterilant is effective as a Sterilant, Sporicide, Bactericide, Virucide,
and Fungicide under the following conditions on exposed, pre-cleaned, dry, porous [NOT
APPROVED IN CALIFORNIA FOR EFFICACY ON POROUS SURFACES] and non-porous surfaces
in sealed enclosures in industrial, commercial and institutional settings (including production
operations in pharmaceutical manufacturing, manufacturing clean rooms, equipment, medical
device sterilization as part of a manufacturing process, laboratories, animal research facilities,
patient rooms, hotel rooms, offices, cruise ships, recreational facilities and emergency response
vehicles) when used with STERIS VHP application equipment:
- For 40 ft3 or smaller enclosures a Sterilization Cycle was developed for the VHP Generator
and validated for both 2 ft3 and 40 ft3 pre-cleaned, sealed enclosures using an Association
of Official Analytical Chemists (AOAC) sporicidal test protocol to validate sterilization when
applied at 2.2 grams of VHP per minute for 90 minutes (Should yield a theoretical value of
930 ppm).
- As a Sterilant, Sporicide, Bactericide, Virucide, and Fungicide at a minimum of
250 ppm of VHP for 90 minutes in sealed enclosures up to 4,000 ft3.
- As a Sterilant, Sporicide, Bactericide, Virucide, and Fungicide at a minimum of
400 ppm of VHP for 30 minutes in sealed enclosures up to 4,000 ft3.
- For larger than 40 ft3 enclosures as a Sterilant, Sporicide, Bactericide, Virucide, and
Fungicide when used in a validated application in accordance with use instructions
provided in Section 8.
Review the Vaporized Hydrogen Peroxide (VHP®) User’s Equipment Manual for proper
instructions on how to operate the VHP Generator prior to utilizing the equipment for sterilization.
Vaprox 59 Hydrogen Peroxide Sterilant should be applied only by properly trained and certified
personnel who are thoroughly trained in the use and operation of the VHP Generator.
This product is not to be used as a terminal high level disinfectant or sterilant for reprocessing
of any critical/semi-critical medical device in a healthcare setting. Not for use in residential
applications.
1. Vaprox 59 Application Process:
4. Fumigation Management Plan:
Effective application of vaporized hydrogen peroxide (VHP) requires adequate VHP concentration
and exposure time. The VHP Generator is utilized to achieve the concentration and contact time of
hydrogen peroxide in the enclosed area. The process parameters are controlled through the use
of the control panel on the VHP Generator. See the VHP Generator Equipment User’s Manual prior
to initiating the application process to determine the appropriate steps to take in development and
application of the process.
The STERIS Corporation trained applicator is responsible for working with the owners and/
or responsible employees of the site to be fumigated to develop a site specific Fumigation
Management Plan (FMP) for each site that will be treated with VHP. The applicator is responsible
for all tasks of the fumigation process unless otherwise noted in the FMP and must be on site for
the entire fumigation treatment process. The FMP must address characterization of the site, and
include appropriate monitoring and notification requirements, consistent with, but not limited to,
the following:
The VHP Generator uses air as a carrier to deliver hydrogen peroxide vapor to exposed surfaces
inside a sealed enclosure. This allows the process to take place at, or near, atmospheric pressure.
Since the VHP process relies only on the contact of the VHP with exposed surfaces, the transfer
of heat and moisture required by steam or chemical processes is not necessary.
This product is continuously injected for the required exposure time to maintain the desired
concentration of hydrogen peroxide vapor. Once the VHP leaves the enclosure, it is typically
broken down into water vapor and oxygen.
The VHP process consists of four phases:
• DEHUMIDIFICATION – Dry air is circulated in the sealed treatment enclosure to reduce humidity
to a predetermined level in the 10-70% relative humidity range. This permits the target VHP
concentration to be maintained below condensation levels during the CONDITIONING and
STERILIZATION phases. The time to reach the targeted dehumidification level increases with the
volume of the enclosure, and is dependant on environmental conditions.
• CONDITIONING – The product is injected into the air stream. The CONDITIONING phase
facilitates reaching the desired VHP concentration in the sealed enclosure. CONDITIONING
time is affected by VHP target concentration, injection rate, enclosure materials, environmental
conditions and enclosure volume.
• STERILIZATION – The product is continuously injected at a selected rate to maintain the target
VHP concentration over a pre-established period of time.
1. Inspect the structure and or area to determine its suitability for fumigation.
2. When sealing is required, consult previous records for any changes to the structure,
seal leaks, and monitor any occupied adjacent rooms and/or buildings to ensure safety.
3. Prior to each fumigation, review any existing FMP, MSDS, Equipment Manual and other
relevant safety procedures with company officials and appropriate employees.
4. Consult with company officials in the development of procedures and appropriate safety
measures for nearby workers who will be in and around the area during application and
aeration.
5. Consult with company officials to develop an appropriate monitoring plan that will confirm
that nearby workers and bystanders are not exposed to levels above the allowed limits during
application, fumigation and aeration. This plan must also demonstrate that nearby residents
will not be exposed to concentrations above the allowable limits.
6. Consult with owners and or responsible employees at the site who will be responsible for
development of procedures for local authorities to notify nearby residents in the event of an
emergency.
7. Confirm the placement of placards to secure entrance into any area under fumigation.
8. Confirm the required safety equipment is in place and the necessary manpower is available to
complete fumigation.
These factors must be considered in putting a FMP together. It is important to note that some
plans will be more comprehensive than others. All plans should reflect the experience and
expertise of the applicator and circumstances at and around the structure and/or area.
1 of 4
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DO NOT PRINT SPOT RED TEMPLATE
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In addition to the plan, the applicator must read the entire label and equipment manual and
follow all directions carefully. If the applicator has any questions about the development of an
FMP, contact STERIS Corporation for further assistance. An FMP must be developed for each
treated site. In the event of an emergency application, a generic FMP which can be updated may
be used and updated after fumigation. The STERIS Corporation trained applicator must sign the
plan indicating it was followed. The signed FMP and related documentation, including monitoring
records, must be maintained by the applicator for a minimum of 2 years and a copy provided to
the owner of the treated site.
1. GUIDANCE FOR PREPARATION OF A FUMIGATION MANAGEMENT PLAN
A Fumigation Management Plan (FMP) is an organized, written description of the required
steps involved to help ensure a legal and effective fumigation. It will also assist you and others
in complying with pesticide product label requirements. The guidance that follows is designed
to help assist you in addressing all the necessary factors involved in preparing for and
fumigating a structure and/or area.
This guidance is intended to help you plan any fumigation that you might perform PRIOR TO
ACTUAL TREATMENT. It is meant to be somewhat prescriptive, yet flexible enough to allow
the experience and expertise of the fumigator to make changes based on circumstances that
may exist in the field. By following a step-by-step procedure, yet allowing for flexibility, an
effective fumigation can be performed.
Before any fumigation begins, carefully read and review the label and the Equipment Manual.
This information must also be given to the appropriate company officials (supervisors,
foreman, safety officer, etc.) in charge of the structure and/or area. Preparation is the key to
any successful fumigation. If the type of fumigation that you are to perform is not listed in
this Guidance Document you will want to construct a similar set of procedures. Finally, before
any fumigation begins you must be familiar with and comply with all applicable state and local
laws. The success of the fumigation is not only dependent on your ability to do your job but
also upon carefully following all rules, regulations, and procedures required by governmental
agencies.
2. A CHECKLIST GUIDE FOR A FUMIGATION MANAGEMENT PLAN
11"
This checklist is provided to help you take into account factors that must be addressed prior
to performing all fumigations. It emphasizes safety steps to protect people and property.
The checklist is general in nature and cannot be expected to apply to all types of fumigation
situations. It is to be used as a guide to prepare the required plan. Each item must be
considered, however, it is understood that each fumigation is different and not all items will be
necessary for each fumigation structure and/or area.
A. PLANNING AND PREPARATION 1. Determine the purpose of the fumigation.
a. Sterilization of room enclosures.
b. Sterilization of emergency vehicles.
2. Determine the type of fumigation, for example:
a. Pharmaceutical Operations, clean rooms, medical device sterilization manufacturing
b. Laboratories, animal research facilities,
c. Patient rooms, hotel rooms, offices, recreational facilities.
d. Cruise ship rooms. In addition to the Equipment Manual, read the US Coast Guard
Regulations 46CFR 147A.
3. Evaluate the structure or area to be fumigated, and develop a site-specific plan that includes
the following points, as applicable:
a. The general structure layout, construction (materials, design, age, maintenance, of the
structure, fire or combustibility hazards, connecting structures and escape routes, above
and below ground, and other unique hazards or structure characteristics. Meet with the
owner/operator/person in charge. Draw or have a drawing or sketch of structure to be
fumigated, delineating features, hazards, and other structural issues.
b. The need for buffer zones in rooms adjacent to the treated enclosure to limit access to
only trained applicators. This would include adjacent rooms that could be occupied when
using VHP in areas such as hotel rooms, patient rooms or offices. Additional consideration
should also be given to adjacent rooms above or below the enclosure if the structure does
not consist of solid construction (i.e. Floors/walls adjacent to the enclosure) that would
preclude exposure if the treated enclosure was not properly sealed.
c. The number and identification of persons who routinely enter the area to be fumigated (i.e.,
Employees, visitors, customers, etc.).
d. Accessibility of utility service connections.
e. Nearest telephone or other means of communication, and mark the location of these items
on the drawing/sketch.
f. Emergency shut-off stations for electricity water and gas. Mark the location of these items
on the drawing/sketch.
g. Current emergency telephone numbers of local Health, Fire, Police, Hospital and Physician
responders.
h. Name and phone number (both day and night) of appropriate company officials.
i. Checkmark and prepare the points of fumigation application.
j. Review labeling and Equipment Manual.
k. Exposure time considerations. 1. Fumigant to be used.
2. Minimum fumigation period, as defined and described by the label use directions.
3. Down time required to be available.
4. Aeration requirements.
l. Determination of dosage.
1. Cubic footage or other appropriate space/location calculations.
2. Structure sealing capability and methods.
3. Label directions.
4. Past history of fumigation of structure.
5. Exposure time.
B. PERSONNEL
1. Confirm in writing that all personnel in and around the area to be fumigated have been notified
prior to application of the fumigant. Consider using a checklist that each employee initials
indicating they have been notified.
2. Instruct all fumigation personnel about the hazards that may be encountered; and about the
selection of personal protection devices, including detection equipment.
3. Confirm that all personnel are aware of and know how to proceed in case of an emergency
situation.
4. Instruct all personnel on how to report any accident and/or incidents related to fumigant
exposure. Provide a telephone number for emergency response reporting.
5. Instruct all personnel to report to proper authorities any theft of fumigant and/or equipment
related to Fumigation.
6. Establish a meeting area for all personnel in case of emergency.
7. Confirm that all applicators have been trained in the use of VHP and are in good standing
including the required refresher training.
8. Develop a Worker Health and Safety Plan as required by OSHA for applicators. The owner/
operators of the facility being treated should have a Worker Health and Safety Plan as required
by OSHA developed for their employees located within close proximity of the application
process.
C. MONITORING
1. Perimeter Safety
a. Monitoring of hydrogen peroxide concentrations must be conducted immediately adjacent
to the fumigated space to prevent excessive exposure and to determine where exposure
may occur. Document where monitoring will occur.
b. Keep a log or manual of monitoring records for each fumigation site. This log must at a
minimum contain the timing, number of readings taken and level of concentrations found
in each location.
c. When monitoring for leaks, document there is no hydrogen peroxide present above the
1 ppm levels. Subsequent leak monitoring is not routinely required. However spot checks
must be made, especially if conditions significantly change.
d. Monitoring must be conducted during aeration and corrective action taken if gas levels
exceed the allowed levels in an area where bystanders and/or nearby residents may be
exposed.
2.Efficacy
a. Hydrogen peroxide readings should be taken from within the fumigated structure to ensure
proper vapor concentrations. This can be safely achieved outside the structure through the
use of a remote sensor reading.
b. All reading of hydrogen peroxide concentration, temperature and relative humidity must be
documented.
D. NOTIFICATION
1. Confirm that all appropriate local authorities (fire departments, police departments, etc.) have
been notified as per label instructions, local ordinances if applicable, or instructions of the
client.
2. Prepare written procedure (“Emergency Response Plan”) which contains explicit instructions,
names, and telephone numbers so as to be able to notify local authorities if hydrogen peroxide
levels are exceeded in an area that could be dangerous to bystanders and/or domestic
animals.
3. In the event of a breach or leak of the enclosure where levels of hydrogen peroxide are above
1ppm in adjacent areas to the enclosure, abort the application process and initiate the aeration
process in the sealed enclosure. Ensure that the adjacent areas where levels have exceeded
1 ppm are evacuated by general personnel and that proper respiratory protection is utilized
by applicators that enter the area. Continue monitoring the area until levels are below 1 ppm
hydrogen peroxide. The treated enclosure and adjacent areas must remain unoccupied until
one hour after hydrogen peroxide levels are at or below 1 ppm. Early reentry into the sealed
treated enclosure at use concentration levels in the case of an emergency requires wearing a
Self Contained Breathing Apparatus (SCBA) operated in pressure-demand mode, full hydrogen
peroxide resistant body suit, gloves and boots to protect from the inhalation hazard as well as
the corrosive action of hydrogen peroxide to tissues.
E. SEALING PROCEDURES
1. Sealing must be adequate to prevent any leaks. Care should be taken to ensure that sealing
materials will remain intact until the fumigation is complete. Verify effectiveness of the sealing
process by conducting a smoke stick test to ensure there are no leaks where openings have
been sealed in the enclosure.
2. If the structure and/or area has been fumigated before, review the previous FMP for previous
sealing information.
3. Make sure that construction/remodeling has not changed the building in a manner that will
affect the fumigation.
4. Warning placards must be placed on every possible entrance to the fumigation site.
F. APPLICATION PROCEDURES & FUMIGATION PERIOD
1. Plan carefully and apply all fumigants in accordance with the label requirements.
2. When entering into the area under fumigation always work with two or more people under the
direct supervision of a trained applicator wearing appropriate respirators.
3. Apply fumigant from outside the fumigation space.
4. Provide watchmen when a fumigation site cannot otherwise be made secure from entry by
unauthorized persons.
5. When entering structures always follow OSHA rules for confined spaces.
G. POST-APPLICATION OPERATIONS
1. Provide watchmen when you cannot secure the fumigation site from entry by unauthorized
persons during the aeration process.
2. Ventilate and aerate in accordance with structural limitations.
3. Turn on ventilating or aerating fans where appropriate.
4. Use a suitable VHP detector before reentry to determine fumigant concentration.
5. Keep written records of monitoring to document completion of aeration.
6. Consider temperature when aerating.
7. Ensure aeration is complete before moving vehicle into public roads.
8. Remove warning placards when aeration is complete.
9. Inform business/client that employees/other persons may return to work or otherwise be
allowed to reenter the aerated structure.
H. CRITERIA FOR SUCCESSFUL FUMIGATION
1. All VHP fumigation process conditions (vapor concentration, temperature, relative humidity)
are achieved throughout the fumigation cycle.
2. All CIs that are properly recovered and evaluated exhibit a visible color change following
exposure to VHP.
3. All BIs that are properly recovered (no breach of aseptic technique) are negative for growth*.
4. Positive control BIs demonstrate growth following incubation*.
5. Negative control BIs exhibit no growth following incubation*.
* [not applicable to areas not requiring validation]
5. Training and Certification of Applicators:
Prior to use, applicators must be adequately trained and certified by STERIS Corporation on
the hazards and label directions for Vaprox 59 Hydrogen Peroxide Sterilant, on the use and
operation of the VHP application equipment, hydrogen peroxide monitoring procedures and when
appropriate, validation procedures.
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6. Preparation of Enclosures:
a.Cleaning: Remove gross filth and visible soil prior to application. Wash soiled surfaces
with a compatible detergent using a cloth, sponge or appropriate cleaning device to ensure
visible soils are removed. Rinse with potable water and allow to air dry. All the surfaces
in the treatment area must be completely dry to the touch or visibly dry prior to VHP
application.
b. The VHP Application Equipment: Position or connect the VHP application equipment for
optimum VHP distribution into the treatment enclosure. See Equipment User’s Manual for
proper equipment preparation and set-up.
c. Sealing: Seal the treatment enclosure adequately to assure that hydrogen peroxide levels
outside the enclosure are kept at acceptable levels [≤ one ppm time weighted average for
eight hours (TWA)] and ensure sufficient concentration of VHP sterilant in the treatment
enclosure.
1. Close and seal windows and doors. Sealing techniques can vary, but most often
includes polyethylene sheeting and adhesive tape. Verify effectiveness of the sealing
process by conducting an air draft potential analysis using a smoke stick test to ensure
there are no leaks where openings have been sealed in the enclosure.
2. Turn off all ventilation systems including HVAC and seal any supply or return vents/
ductwork.
3. Monitor areas immediately adjacent to the fumigated space to ensure levels are below
TWA for hydrogen peroxide.
d. Securing Enclosure:
1. Assure all personnel have vacated the treatment enclosure prior to VHP application.
Remove all plants, animals, beverages and food.
2. Applicators must not reenter the treated enclosure until exposure levels of hydrogen
peroxide are at/or below one ppm. Do not release the treated enclosure to the
general public until 1 hour after a level of 1ppm hydrogen peroxide is achieved in the
enclosure.
e. Placarding of Treatment Enclosure: The applicator must placard or post all entrances to
the treatment enclosure and designated buffer zones with signs in English bearing:
1. The signal word “DANGER/PELIGRO” in red.
2. “Area under treatment, “DO NOT ENTER/NO ENTER.”
3. The statement “This sign may only be removed 1 hour after the treatment enclosure
has been aerated to hydrogen peroxide levels less than or equal to one ppm”.
4. Identification of hydrogen peroxide as hazard associated with the treatment process.
5. Contact information for the applicator.
All entrances to the treatment enclosure must be placarded. Placards must be placed in advance
of the treatment in order to keep unauthorized persons from entering the treated enclosure.
Placards are removed 1 hour after the treatment enclosure contains concentrations of hydrogen
peroxide at/or below one ppm.
7. Applications to Sealed Enclosures Requiring Validation of Use Conditions:
11"
Vaprox 59 Hydrogen Peroxide Sterilant has been registered by STERIS in accordance with Federal
Regulations for the specific uses described in this package insert.
Vaprox 59 Hydrogen Peroxide Sterilant is used with enclosures that have been pre-cleaned of
visible soils and any gross contamination. Uses other than as specified and described are not
permitted: VHP may not be effective in sterilization without careful, thorough development and
validation. In addition, the ability of the VHP to decontaminate obstructed or covered surfaces
is limited. The instructions that follow explain how to define appropriate use conditions and
validate these conditions for use in a dry, pre-cleaned sealed enclosure of a fixed size, location
and materials of composition. This includes sealed enclosures in industrial, commercial and
institutional settings (including production operations in pharmaceutical manufacturing,
manufacturing clean rooms, equipment, medical device sterilization as part of a manufacturing
process, laboratories, animal research facilities, patient rooms, hotel rooms, offices, cruise ships,
recreational facilities and emergency response vehicles). Process conditions must be properly
validated prior to use to achieve sterilization of the treated enclosure. For use in applications
where the enclosure configuration, size, materials of composition and construction will vary,
please see instructions for use in applying VHP at a prescribed concentration and contact time
(See Section 7 “Sites Not Requiring In Use Validation”). For additional guidance, in-service, and
training on how to develop and validate custom cycles, contact STERIS Corporation.
Validation of Alternate Use Conditions:
Vaprox 59 Hydrogen Peroxide Sterilant may be used in validated custom cycles for treatment
of pre-cleaned, dry sealed enclosures when the enclosure to be treated is of a fixed volume
configuration and contains materials of composition that remain consistent in comparison to the
VHP validation run. The custom cycle developed for the treatment enclosure must be capable of
consistently achieving the desired log reduction in the number of Geobacillus stearothermophilus
ATCC 7953 spores inoculated on biological indicator substrates.
System Characterization:
Several factors need to be considered when validating an application. The volumetric size,
materials of construction, the physical nature of the contents and the temperature range of the
treatment enclosure will affect application time and concentration. In general, large enclosures will
take longer to reach the target VHP concentration due to a longer conditioning phase. Absorptive
materials present in the construction of an enclosure or in the contents will also increase the
conditioning time and the time required to aeration of the enclosure. Vaporized hydrogen peroxide
is a surface sterilant; therefore the enclosure and its contents should be prepared to maximize
VHP exposure. Working temperature and humidity ranges must be established to ensure that
the VHP does not condense on exposed surfaces in the treated enclosure. The chosen enclosure
temperature and humidity conditions must not reach the enclosure dew point. Condensation
can result in damage to enclosure surfaces and result in reduced cycle effectiveness. Placement
of fans or other devices to assist VHP distribution must be documented. Standard Operating
Procedures (SOPs) must be written to describe the physical preparation of an enclosure and its
contents required to achieve reproducible results.
Biological Indicator Selection and Distribution:
The VHP sterilant effectiveness for applications must be validated using Biological Indicators
(BIs) containing Geobacillus stearothermophilus spores. This organism has been shown to be the
most VHP resistant organism. Additionally, biological indicators consisting of other organisms of
interest to the user may be utilized to verify product performance. Use BIs with spore populations
of 106 when validating enclosure application processes. It is important to utilize BIs that are
suitable for evaluating VHP. STERIS Corporation supplies BIs designed for these applications and
should be consulted regarding proper use and selection of BIs for validation of the VHP process.
Numerous BI locations are used when validating a new application. Biological Indicators are
often geometrically distributed, but should also be placed in areas considered to be most difficult
for the VHP to reach. Additional BIs may be placed in areas considered to be critical such as a
product contact point in an aseptic area. Location and justification of BI placement should be
documented. In addition to BIs, Chemical Indicators (CIs) must be used during validation to
provide qualitative information about VHP exposure. The number of BIs and CIs used during
validation varies, depending on the size and complexity of the application. The number of
biological indicators used to validate the process must at a minimum be based on the following:
Number of BIs = 1 per 100 ft2 of floor space in the enclosure.
Process Development:
Typically the initial step in validating the VHP process is to determine the effectiveness of the
process against Geobacillus stearothermophilus BIs of a known population. This is achieved by
application of the sterilant at varying contact times and concentrations while keeping constant
other VHP cycle parameters in order to determine the level of surviving organisms remaining
on the BI at each exposure time. One approach to establishing effective kill times is the
characterization of a “D value” which is the number of minutes or time required for a one log
reduction of the target organism. This information can be utilized to extrapolate cycle parameters
to achieve the desired level of BI kill.
The following steps are required in developing a validated application process:
• DEHUMIDIFICATION – Reduce humidity to a predetermined level in the enclosure. A typical
range for relative humidity is 10-70%. This permits the necessary VHP concentration to be
maintained below condensation levels during the CONDITIONING and STERILIZATION phases.
The time to reach the targeted dehumidification level increases with the volume of the enclosure,
and is dependant on environmental conditions such as temperature and humidity in the sealed
enclosure. The chosen enclosure temperature and humidity conditions must not reach the
enclosure dew point. This may result in condensation on enclosure surfaces. Condensation can
result in damage to enclosure surfaces and reduced cycle effectiveness.
• CONDITIONING – The product is injected into the sealed enclosure. The injection rate is
adjusted and controlled based on guidelines established for the VHP equipment (refer to VHP
Generator Equipment User’s Manual). The CONDITIONING phase facilitates reaching the desired
VHP concentration in the sealed enclosure. CONDITIONING time is affected by VHP target
concentration, injection rate, enclosure materials, environmental conditions and enclosure
volume.
• STERILIZATION – A constant flow of VHP sterilant is maintained at a selected Vaprox injection
rate to maintain the target VHP concentration in the sealed enclosure required to achieve a 106
level of kill over a pre-established period of time.
• AERATION – The product injection is stopped and the flow of dry air continues to reduce the
VHP concentration within the enclosure to an acceptable level (≤ 1.0 ppm TWA 8 hr.) prior
to reentry into the enclosure by trained applicators. Treated enclosures may not be released
for general public use until 1 hour after a 1 ppm level of hydrogen peroxide is achieved in the
enclosure.
Once acceptable cycle parameters have been determined, three VHP cycle replicates must be
conducted to verify the performance of the process. After successful validation of the process,
the applicator must use the validated cycle conditions and contact time for VHP application.
Significant changes to the enclosure such as major modifications to room dimensions and
materials of composition will require additional validation or modification of application
parameters.
Monitoring of H2O2 Concentrations in the Sealed Enclosure and Reentry Instructions Following
Aeration.
VHP Monitoring: Dräger tubes or other VHP monitoring devices are utilized by means of a
minimally invasive technique for VHP sampling to determine the VHP concentration in the sealed
enclosure during and after the aeration phase. One hour after the VHP concentration within
the treated enclosure is at or below the OSHA Permissible Exposure Limit (PEL) of 1 ppm, the
enclosure may be released to normal operations and general public use.
Criteria for Successful Fumigation:
1. All VHP fumigation process conditions (vapor concentration, temperature, relative
humidity) are achieved throughout the fumigation cycle.
2. All CIs that are properly recovered and evaluated exhibit a visible color change following
exposure to VHP.
3. All BIs that are properly recovered (no breach of aseptic technique) are negative for
growth*.
4. Positive control BIs demonstrate growth following incubation*.
5. Negative control BIs exhibit no growth following incubation*.
* [not applicable to areas not requiring validation]
Reentry Instructions:
1. Early reentry in the case of an emergency requires wearing a Self Contained Breathing
Apparatus (SCBA) operated in pressure-demand mode, full hydrogen peroxide resistant body
suit, gloves and boots to protect from the inhalation hazard as well as the corrosive action of
hydrogen peroxide to tissues. When entering into the area under fumigation always work with
two or more people under the direct supervision of a trained applicator wearing appropriate
respirators.
2. Reentry to the sealed enclosure by a trained and certified applicator is allowed with a self
contained breathing apparatus at VHP concentrations up to 5 ppm to allow for windows to
be opened and to augment the aeration process if deemed appropriate at the specific location
by the trained and certified applicator. Otherwise, do not reenter the treated enclosure until
exposure levels of hydrogen peroxide are at or below one ppm.
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Releasing Treated Sealed Enclosure for Return to Service:
a. Once VHP levels are determined to be at or below one ppm, applicators may re-enter the
treated enclosure and remove any sealing materials and disconnect/remove VHP Generator
from the treated sealed enclosure.
b. Turn on ventilation systems including HVAC.
c. Remove placards and release the treated enclosure for normal operation and use
1 hour after the levels of hydrogen peroxide are determined to be at or below one ppm.
d. Release the treated enclosure for general public use 1 hour after hydrogen peroxide levels are
determined to be at or below one ppm.
8. Application to Sealed Enclosures of Up to 4,000 ft3 Not Requiring Validation of Use
Conditions:
Vaprox 59 Hydrogen Peroxide Sterilant may also be applied to dry, sealed pre-cleaned enclosures
without prior validation when the area is treated on a non-routine basis or enclosures being
treated vary in configuration, materials of composition and content of items located in the
treatment enclosure. The use of the VHP process in these conditions requires the applicator
to apply a fixed VHP concentration over a set contact time. In addition the enclosure must be
dehumidified and conditioned as part of the application process and aerated after sterilization.
The product may be applied at a set concentration and contact time to sealed enclosures
of up to 4,000 ft3 in industrial, commercial and institutional settings (including production
operations in pharmaceutical manufacturing, manufacturing clean rooms, equipment, medical
device sterilization as part of a manufacturing process, laboratories, animal research facilities,
patient rooms, hotel rooms, offices, cruise ships, recreational facilities and emergency
response vehicles). In these applications, the VHP concentration should be monitored using a
hydrogen peroxide sensor to ensure an adequate concentration level is maintained during the
STERILIZATION phase of the process. In addition, hydrogen peroxide chemical indicators must
be placed throughout the enclosure to be treated to verify distribution of hydrogen peroxide
throughout the enclosure. If more than one room of a consistent dimension is being treated, the
applicator may use the same VHP cycle settings as established in the initial room without use of
a VHP sensor to confirm the concentration of the treatment cycle. These operations should be
carried out by STERIS trained and certified applicators familiar with the set up and operation of
VHP application equipment.
Sterilization of Sealed, Dry Precleaned Enclosures at 250 ppm Vaprox 59 Hydrogen Peroxide
Sterilant for 90 minutes:
11"
2. All CIs that are properly recovered and evaluated exhibit a visible color change following
exposure to VHP.
Reentry Instructions:
1. Early reentry in the case of an emergency requires wearing a Self Contained Breathing
Apparatus (SCBA) operated in pressure-demand mode, full hydrogen peroxide resistant body
suit, gloves and boots to protect from the inhalation hazard as well as the corrosive action of
hydrogen peroxide to tissues. When entering into the area under fumigation always work with
two or more people under the direct supervision of a trained applicator wearing appropriate
respirators.
2. Reentry to the sealed enclosure by a trained and certified applicator is allowed with a self
contained breathing apparatus at VHP concentrations up to 5 ppm to allow for windows to
be opened and to augment the aeration process if deemed appropriate at the specific location
by the trained and certified applicator. Otherwise, do not reenter the treated enclosure until
exposure levels of hydrogen peroxide are at or below one ppm.
Releasing Treated Sealed Enclosure for Return to Service:
a. Once VHP levels are determined to be at or below one ppm, applicators may re-enter the
treated enclosure and remove any sealing materials and disconnect/remove VHP Generator from
the treated sealed enclosure.
b. Turn on ventilation systems including HVAC.
c. Remove placards and release the treated enclosure for normal operation and use 1 hour after
the levels of hydrogen peroxide are determined to be at or below one ppm.
d. Release the treated enclosure for general public use 1 hour after hydrogen peroxide levels are
determined to be at or below one ppm.
9. Application to Sealed Enclosures Between 2 ft3 and 40 ft3 that require Validation:
Use of VHP in sealed enclosures of this size, such as isolation chambers where reentry by
applicators or other individuals is not possible does not require a fumigation management plan
(FMP). All other applicable precautions for use of hydrogen peroxide should be adhered to when
applying VHP in these chambers.
Applications Not Requiring Validation of Use Conditions:
Prepare the treatment enclosure as defined above (Preparation of Enclosures Section) including
pre-cleaning, drying and preparation of VHP Generator (refer to User’s Manual for VHP
Generating Unit), sealing the enclosure and placarding of the enclosure to be treated. Place VHP
monitor in a location most difficult for VHP target concentration to be reached in the treatment
enclosure. This is typically in a corner in the enclosure farthest away from the VHP generation
unit. All drawers, closets & cabinet doors, etc. must be opened to permit exposure to VHP
sterilant. Place chemical indicators throughout the enclosure to verify effective distribution of
VHP. The number of indicators placed throughout the enclosure must be based on the formula of
1 chemical indicator per 100 ft2. The chemical indicators must be placed in room corners and
in areas difficult for the VHP to access such as closets, dressers, cabinets or other partially
occluded areas. Place oscillating fans throughout the enclosure to facilitate effective distribution
of the VHP. Program the VHP Generator to initiate a DEHUMIDIFICATION phase to achieve <70%
relative humidity. Assure the ambient temperature is not less than 21˚ C or 70˚ F initially and
throughout the fumigation process. Once the DEHUMIDIFICATION phase is complete initiate a
CONDITIONING phase to achieve a 250 ppm VHP sterilant concentration in the sealed enclosure.
When a 250 ppm VHP concentration is achieved initiate the STERILIZATION phase and maintain
this concentration for 90 minutes. During the STERILIZATION phase, monitor areas adjacent
to the sealed enclosure with devices such as Drager tubes to assure hydrogen peroxide levels
do not exceed one ppm. If this level is exceeded outside the treatment enclosure, the applicator
should immediately abort the treatment process and ensure the enclosure is properly sealed.
Upon completion of the STERILIZATION phase, begin the AERATION phase to reduce levels of
hydrogen peroxide at or below 1 ppm (TWA).
This product may be used at 250 ppm VHP for 90 minutes or 400 ppm for 30 minutes using a
hydrogen peroxide sensor and chemical indicators to verify these use conditions are met. See
Section 8 above for specific instructions regarding use under these conditions.
Sterilization of Sealed, Dry Precleaned Enclosures at 400 ppm Vaprox 59 Hydrogen Peroxide
Sterilant for 30 minutes:
Criteria for Successful Sterilization:
Prepare the treatment enclosure as defined above (Preparation of Enclosures Section) including
pre-cleaning, drying and preparation of VHP Generator (refer to User’s Manual for VHP
Generating Unit), sealing the enclosure and placarding of the enclosure to be treated. Place
VHP monitor in a location most difficult for VHP target concentration to be reached in the
treatment enclosure. This is typically in a corner in the enclosure farthest away from the VHP
generation unit. All drawers, closets & cabinet doors, etc. must be opened to permit exposure
to VHP. Place chemical indicators throughout the enclosure to verify effective distribution of
VHP. The number of indicators placed throughout the enclosure must be based on the formula
of 1 chemical indicator per 100 ft2. The chemical indicators must be placed in room corners
and in areas difficult for the VHP to access such as closets, dressers, cabinets or other partially
occluded areas. Place oscillating fans throughout the enclosure to facilitate effective distribution
of the VHP. Program the VHP Generator to initiate a DEHUMIDIFICATION phase to achieve <70%
relative humidity. Assure the ambient temperature is not less than 21° C or 70° F initially and
throughout the fumigation process. Once the DEHUMIDIFICATION phase is complete initiate a
CONDITIONING phase to achieve a 400 ppm VHP sterilant concentration in the sealed enclosure.
When a 400 ppm VHP concentration is achieved initiate the STERILIZATION phase and maintain
this concentration for 30 minutes. During the STERILIZATION phase, monitor areas adjacent
to the sealed enclosure with devices such as Dräger tubes to assure hydrogen peroxide levels
do not exceed one ppm. If this level is exceeded outside the treatment enclosure, the applicator
should immediately abort the treatment process and ensure the enclosure is properly sealed.
Upon completion of the STERILIZATION phase, begin the AERATION phase to reduce levels of
hydrogen peroxide at or below 1 ppm (TWA).
Monitoring of H2O2 Concentrations in the Sealed Enclosure and Reentry Instructions Following
Aeration.
Validation of Alternate Use Conditions:
Vaprox 59 Hydrogen Peroxide Sterilant may be used in validated custom cycles for treatment
of pre-cleaned, dry sealed enclosures when the enclosure to be treated is of a fixed volume
configuration and contains materials of composition that remain consistent in comparison to the
VHP validation run. The custom cycle developed for the treatment enclosure must be capable of
consistently achieving the desired log reduction in the number of Geobacillus stearothermophilus
ATCC 7953 spores inoculated on biological indicator substrates. See Section 7 above for specific
instructions regarding development of validated cycle conditions for alternate use conditions.
Monitoring of H2O2 Concentrations in the Sealed Enclosure and Instructions Following
Aeration.
VHP Monitoring: Dräger tubes or other VHP monitoring devices are utilized by means of a
minimally invasive technique for VHP sampling to determine the VHP concentration in the sealed
enclosure during and after the aeration phase. After the VHP concentration within the treated
enclosure is at or below the OSHA Permissible Exposure Limit (PEL) of 1 ppm, the enclosure
may be released to normal operations.
a. All VHP sterilization process conditions (vapor concentration, temperature, relative humidity)
are achieved throughout the sterilization cycle.
b. All CIs that are properly recovered and evaluated exhibit a visible color change following
exposure to VHP.
c. For validated processes, all BIs that are properly recovered (no breach of aseptic technique)
are negative for growth*.
d. For validated processes, positive control BIs demonstrate growth following incubation*.
e. For validated processes, negative control BIs exhibit no growth following incubation*.
* [not applicable to chambers not requiring validation]
Reentry Instructions:
1. Early reentry or opening of the chamber in the case of an emergency requires wearing a Self
Contained Breathing Apparatus (SCBA) operated in pressure-demand mode, full hydrogen
peroxide resistant body suit, gloves and boots to protect from the inhalation hazard as well as
the corrosive action of hydrogen peroxide to tissues.
Releasing Treated Sealed Enclosure for Return to Service:
a. Once VHP levels are determined to be at or below 1 ppm, applicators may open the isolator/
chamber and remove any sealing materials and disconnect/remove VHP Generator from the
treated sealed enclosure.
b. Remove placards and release the treated enclosure for normal operation.
VHP Monitoring: Dräger tubes or other VHP monitoring devices are utilized by means of a
minimally invasive technique for VHP sampling to determine the VHP concentration in the sealed
enclosure during and after the aeration phase. One hour after the VHP concentration within
the treated enclosure is at or below the OSHA Permissible Exposure Limit (PEL) of 1 ppm, the
enclosure may be released to normal operations and general public use.
STERIS Corporation
7501 Page Avenue
St. Louis, MO 63133 n USA
800-548-4873
Criteria for Successful Fumigation:
1. All VHP fumigation process conditions (vapor concentration, temperature, relative humidity)
are achieved throughout the fumigation cycle.
62297
PB031US-INB(912)
10051881 Rev. A
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