Quick Summary: If your facility runs a Getinge steam sterilizer, the device is not the variable you control day to day — the monitoring, packaging and documentation around it are. This guide covers the Getinge steam sterilizer range as it appears in Canadian facilities, how to match chemical and biological monitoring to the cycle rather than the brand, why steam quality produces wet packs even when the cycle passes, what a per-load consumable model looks like, and the record-keeping expectations that sit behind a CSA Z314:23 aligned program.
Getinge Sterilizers in Canada: Monitoring and Consumables Guide
Facilities rarely get to choose a sterilizer twice. Once a Getinge unit is installed, commissioned and wired into a service contract, the machine becomes a fixed point and the decisions that recur are the ones around it: which indicators go on the pack, which biological indicator is used and how often, which packaging holds up in the cycle, and what evidence survives an inspection.
This article is written for that position — not for someone buying a sterilizer, but for someone who owns one and has to keep the consumable side of the program defensible.
What the Getinge Range Looks Like in a Canadian Facility
Getinge is a global medical technology company whose sterile processing portfolio spans steam sterilizers, washer-disinfectors and endoscope reprocessing. In Canadian facilities, two families come up most often.
The Getinge HS33 steam sterilizer series is the compact-to-mid-range line. Getinge publishes two chamber models — 60-litre and 100-litre — each available as a single-door or double-door pass-through configuration with automatic or manually operated vertical sliding doors. Documented technical data lists chamber volumes of 63 litres (2.2 cu ft) and 99 litres (3.5 cu ft) for the two models, with chamber dimensions of 320 mm by 620 mm by 320 mm and 320 mm by 971 mm by 320 mm respectively, and a stated capacity of 1 and 1.5 sterilizer transport units. The HS66 line extends the same logic into larger hospital-scale installations and is commonly specified as part of a pass-through barrier arrangement.
Washer-disinfectors sit alongside the sterilizers in the same workflow — the WD-series machines, for example, handle the cleaning and thermal disinfection stage before instruments are inspected, packaged and sterilized. For a buyer, the practical point is that chamber size and cycle profile determine loading patterns, and loading patterns determine how much packaging and how many indicators a facility consumes per week. That is the number that belongs in a budget.
Match Monitoring to the Cycle, Not the Brand
The most common misconception in sterilizer ownership is that monitoring consumables are brand-tied. They are not. Chemical indicators and biological indicators are qualified against sterilization processes and cycle parameters, not against a machine's manufacturer.
For biological indicators, ISO 11138-1:2017 sets out general requirements for production, labelling, test methods and performance characteristics, and the parts of the ISO 11138 series address specific sterilization methods including moist heat. A facility running a Getinge sterilizer can therefore use any biological indicator properly qualified for the steam cycle conditions it actually runs — provided the cycle parameters, the indicator's stated resistance and the incubation conditions all line up.
What does change from cycle to cycle is the requirement profile. A 132°C or 135°C vacuum-assisted cycle has different air removal and penetration characteristics from a 121°C gravity cycle, and the indicator must be suited to the cycle being monitored rather than to the autoclave brand. Published work on rapid readout biological indicators for 132°C and 135°C vacuum-assisted steam cycles compared a one-hour readout indicator side by side with an existing three-hour readout format and reported virtually identical fluorescent-positive results at the corresponding intervals — a useful reminder that readout speed is an operational choice, while qualification is a technical requirement.
The Monitoring Stack: What Goes Where
| Monitoring Element | Function | Placement or Frequency |
|---|---|---|
| External chemical indicator or indicator tape | Distinguishes processed from unprocessed packs | On every package before the cycle |
| Internal chemical indicator or integrator | Indicates exposure to the sterilization conditions inside the pack | Inside every package for critical items |
| Biological indicator | Direct evidence that the process killed a known resistant spore population | On the schedule set by facility policy and provincial expectations |
| Air removal test | Verifies steam penetration in pre-vacuum cycles | Start of day on pre-vacuum sterilizers, per policy |
| Cycle records and load identification | Traceability from patient to load | Every cycle, retained per policy |
| Steam quality checks | Non-condensable gases moisture and dryness | Periodic testing and after maintenance |
Reading the stack this way makes the purchasing conversation easier, because each element has a consumption rate. Tape and external indicators scale with packages. Internal indicators scale with packages for critical items. Biological indicators scale with the test schedule. Air removal tests scale with machine-days.
Steam Quality: The Failure Mode That Isn't the Sterilizer
When a facility reports wet packs, the instinct is to call service on the sterilizer. The evidence points somewhere else first. A 2024 study in the American Journal of Infection Control evaluated steam quality monitoring as a strategy to reduce wet packs and sterilization failure and found that steam outside specification can compromise the process and leave wet packs at the end of the cycle.
Steam quality is influenced by the boiler or steam generator, the distribution system, traps and drains, and by maintenance activity anywhere upstream. Practical controls are unglamorous: monitor steam quality on a schedule, verify the dryer and trap function, allow packs to cool and dry before handling, correct loading patterns that trap condensate, and re-qualify after any steam system work. A facility that monitors its own steam has a defensible answer when a pack comes out wet, and it also has a defensible answer when the question is whether the sterilizer was at fault.
Consumables and the Per-Load Cost Model
The consumable side of a sterilization program is small per item and significant per year. Modelling it per load is the only way to see where the money actually goes.
| Consumable | Consumption Driver | Where the Cost Sits |
|---|---|---|
| Sterilization pouches or roll | Packages per load | Open category, volume sensitive |
| Indicator tape or external indicators | Packages per load | Open category, low unit cost |
| Internal chemical indicators or integrators | Critical packages per load | Open category |
| Biological indicators | Tests per week or per day | Format dependent; unit cost varies widely |
| Incubator or reader platform | One-time, format dependent | Check for proprietary lock-in |
| Record keeping supplies and labels | Loads per week | Open category |
CliniEco Medical supplies the monitoring and packaging categories — a 24-hour rapid readout biological indicator, a rapid fluorescence readout biological indicator with a matching four-well reader and a dry-block incubator, alongside packaging and indicator tape — as an open range rather than a locked platform.

A Buying Checklist for Getinge Owners
- Confirm the exact model and chamber size, then confirm which cycle types it runs in practice — gravity, pre-vacuum, or both.
- Identify which biological indicator format is qualified for those cycles, and whether the readout requires a proprietary device.
- Check how many packages, critical packages and tests the facility actually produces per week, using recent load records rather than estimates.
- Ask whether the packaging currently in use is stated as compatible with the cycle temperature and cycle type, and keep that documentation.
- Price the incubator or reader separately from the indicators so a format change later does not become a platform change.
- Set a documented biological indicator interval and stick to it — an interval that shifts with staff availability is an audit finding.
- Keep maintenance, calibration and steam quality records in the same place as load records.
Canadian Standards and Documents to Keep
Four reference points do most of the work in a Canadian program. CSA Z314:23 frames medical device reprocessing across health care settings, including cleaning, disinfection, sterilization, storage and the competency and documentation expectations around them. ISO 17665 addresses moist heat sterilization, which is the process a steam sterilizer performs. ISO 11138-1 governs biological indicators, and the ISO 11140 series covers chemical indicators. European standards EN 285 and EN 13060 differentiate large and small steam sterilizers and are frequently referenced in equipment documentation even where Canadian facilities rely on CSA and ISO.
On the regulatory side, Health Canada publishes guidance on the sterilization information manufacturers must provide for reusable medical devices, which is the source of the instructions a facility receives with an instrument. CliniEco Medical supplies these monitoring products under a medical device establishment licence (MDEL #35334).

Frequently Asked Questions
What monitoring consumables does a Getinge sterilizer need?
A steam sterilizer needs process monitoring that is independent of the machine: an external chemical indicator or indicator tape on each package, an internal chemical indicator inside the pack, and biological indicators run on the schedule the facility's policy and provincial expectations define. Pre-vacuum cycles also require air removal testing. The machine's own display and printout record the cycle, but they do not replace chemical and biological monitoring.
Are biological indicators brand specific to the sterilizer?
No. A biological indicator is qualified against a sterilization process and a set of cycle parameters, not against a sterilizer brand. ISO 11138-1:2017 sets out general requirements for the production, labelling, test methods and performance characteristics of biological indicators, and the parts of ISO 11138 address specific sterilization methods. A facility running a Getinge steam sterilizer can therefore use any biological indicator qualified for the relevant steam cycle conditions, provided incubation and readout are handled correctly.
What is a rapid readout biological indicator and does it replace a 48-hour result?
A rapid readout biological indicator delivers a fluorescent preliminary result in a much shorter interval than traditional growth-based incubation, with growth incubation still used as the confirmatory result. A published evaluation of a rapid readout biological indicator for 132°C and 135°C vacuum-assisted steam cycles compared its readouts side by side with an existing three-hour readout indicator and reported that fluorescent-positive results were virtually identical at the corresponding intervals. Whichever format a facility uses, the device must be qualified for its cycle type.
Do all biological indicators need a reader or an incubator?
Self-contained biological indicators require incubation at the temperature specified by the manufacturer, typically 55 to 60 degrees Celsius for steam indicators. Some formats are read visually, others require a fluorescence reader, and some need a specific reader platform from the same manufacturer. When comparing cost, include the incubator or reader in the calculation and check whether the indicator is tied to a proprietary readout device.
Why do wet packs appear even when the sterilizer passes its cycle?
Wet packs point at steam quality and load handling rather than at the sterilizer's control system. A 2024 study published in the American Journal of Infection Control examined steam quality monitoring as a strategy to reduce wet packs and sterilization failure, and reported that steam outside specification can compromise the process and produce wet packs at the end of the cycle. Practical responses include monitoring steam quality, checking drain and trap function, verifying correct loading and ensuring packs cool and dry before handling.
Can a Getinge sterilizer use third-party sterilization pouches and indicator tape?
Yes, provided the packaging is validated for the cycle it will experience and meets the relevant packaging standard. The sterilizer is not what determines pouch compatibility; the cycle conditions, the packaging material's stated temperature and cycle compatibility, and the facility's own validation of the load are what matter. CliniEco Medical supplies Class 4 dual-indicator pouches, sterilization roll and indicator tape for Canadian facilities.
What documentation should be kept for a sterilizer in Canada?
Expect to hold load records with a unique identifier, cycle parameters, chemical indicator results and biological indicator results including the indicator lot number, plus maintenance records, calibration evidence, staff competency records and the device's instructions for use. CSA Z314:23 frames the reprocessing workflow, storage and documentation expectations for Canadian health care settings, and provincial licensing bodies may specify additional record keeping.
How should a facility choose between a 24-hour and a rapid readout biological indicator?
The choice is a trade-off between turnaround time and unit cost, not a question of which one detects failure. A 24-hour readout indicator supports next-day release and suits facilities where instruments can be held overnight; a rapid readout indicator shortens the hold time when same-day reuse is needed. Many facilities run both, using the faster format for high-turnaround loads. CliniEco Medical publishes both formats with an open monitoring range so the two can be compared on cost per test without changing platforms.
Related Reading
- Sterility assurance level explained — what a 10⁻⁶ SAL claim actually means for a sterilizer program.
- Biological indicators explained — why spore testing is the direct evidence a cycle worked.
- Rapid readout versus standard indicators — how readout speed changes the cost per test.
- Why spore tests do not have to be brand locked — the ISO 11138 framework in practice.
- Sterilization monitoring supplies — indicators, spore tests and equipment for Canadian facilities.
- autoclave log template
References
- Getinge HS33-series steam sterilizer — product and technical data
- Getinge — sterile processing and medical technology product catalogue
- ISO 11138-1:2017 — Sterilization of health care products: biological indicators, general requirements
- Duodenoscope contamination review — reference for monitoring-driven reprocessing programs (2020)
- Steam quality monitoring as a strategy to reduce wet packs and sterilization failure — American Journal of Infection Control, 2024
- Evaluation of a rapid readout biological indicator for 132°C and 135°C vacuum-assisted steam cycles — American Journal of Infection Control, 2014
- Steam sterilization validation for parametric release in a healthcare facility — Biomedical Instrumentation & Technology, 2010
- Sterilization and biologic monitoring in private dental clinics — 2018
- Drying and residual moisture as a contamination factor — Journal of Hospital Infection, 2017
- CSA Z314:23 — Canadian medical device reprocessing in all health care settings
- Health Canada — Guidance document on sterilization information for reusable medical devices
- Canadian Centre for Occupational Health and Safety
- ISO 17665 — Sterilization of health care products: moist heat, requirements for the development, validation and routine control of a sterilization process for medical devices
- ISO 11140 series — Sterilization of health care products: chemical indicators
- EN 285 — Sterilization: steam sterilizers, large sterilizers
- EN 13060 — Sterilization: steam sterilizers, small sterilizers
- CliniEco Medical — Published 2026 Pricing Benchmark (permanent baseline, 2026-08-03)
- CliniEco Medical — licensed medical device establishment, MDEL #35334
Last updated: 2026-09-10. CliniEco Medical is a licensed medical device establishment (MDEL #35334).
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