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What This Guide Helps With
Troubleshooting wet loads caused by overloading, packaging, cycle selection, drainage, door opening, environmental conditions, or drying-system problems.
Step-by-Step Troubleshooting
1. Protect Sterility and Quarantine Wet Loads
A wet package may not maintain sterility. Do not release visibly wet items for patient use. Quarantine the load. Reprocess items according to facility policy. Use another verified sterilizer if instruments are needed immediately. Do not attempt to dry wrapped sterile items externally and consider them acceptable.
Expected outcome: Potentially contaminated or compromised items do not reach patient care.
2. Confirm the Type of Moisture
Determine whether:
- Water is pooled in the chamber.
- Wrapped packs are damp.
- Containers hold condensate.
- Only heavy instruments remain wet.
- The chamber walls are wet but the load is dry.
- The problem affects every cycle or a specific load type.
- The cycle completed without an alarm.
Expected outcome: The moisture pattern is documented and linked to loading, drainage, or drying performance.
3. Verify the Correct Cycle Was Selected
Confirm that:
- The selected cycle is approved for the load.
- The drying phase was not shortened, canceled, or omitted.
- The load type matches the programmed cycle.
- No unauthorized parameter changes were made.
- The cycle completed fully.
Expected outcome: The appropriate drying process was selected. If correct cycle selection resolves the problem, stop troubleshooting.
4. Evaluate Load Size and Arrangement
Check for:
- Overloading.
- Packs placed too closely together.
- Trays stacked improperly.
- Items touching the chamber walls.
- Basins or containers positioned to collect water.
- Heavy items placed where condensate cannot drain.
- Materials obstructing chamber airflow.
Expected outcome: Steam and air can circulate and condensate can drain. If revised loading produces a dry load, stop troubleshooting.
5. Check Packaging and Container Preparation
Verify that:
- Packaging is approved for steam sterilization.
- Wraps are not excessively dense.
- Hinged instruments are prepared correctly.
- Containers and basins permit drainage.
- Absorbent materials are used only when approved.
- Wet instruments were not loaded into the chamber.
Expected outcome: Packaging and preparation support drying. If proper preparation resolves the issue, stop troubleshooting.
6. Inspect Chamber Drainage
After the chamber is cool:
- Check for standing water.
- Inspect the accessible drain screen.
- Remove loose debris.
- Check external drain tubing for kinks or obstruction.
- Verify the waste container or facility drain is clear.
Expected outcome: Condensate leaves the chamber normally. If clearing an external restriction produces a dry load, stop troubleshooting.
7. Check Door-Opening Practices
Determine whether:
- The door was opened prematurely.
- The load was removed before drying completed.
- The door was left fully closed when approved post-cycle venting requires another position.
- Staff handled hot packages immediately.
- The chamber was opened in a humid or drafty environment.
- Follow approved facility and manufacturer procedures for post-cycle door handling.
Expected outcome: The load remains undisturbed through the complete drying and cooling process. If moisture no longer occurs, stop troubleshooting.
8. Evaluate Room Conditions and Sterilizer Placement
Confirm that:
- The room is adequately ventilated.
- Humidity is not unusually high.
- Airflow around the sterilizer is not blocked.
- The unit is not located near a sink, humidifier, or steam source.
- The sterilizer is level and stable.
Expected outcome: Environmental conditions support normal drying. If correcting the environment resolves the issue, stop troubleshooting.
9. Run a Standardized Test Load
Use an approved test load representative of normal operation. Confirm correct preparation and loading. Run the complete approved cycle. Observe drainage and drying phases. Allow proper cooling before assessment. Inspect the chamber, packs, and containers for moisture. Complete required quality-control testing.
Expected outcome: The test load is acceptably dry and the cycle record is complete. Troubleshooting can stop.
10. Remove From Service When Wet Loads Continue
Remove the sterilizer from service when:
- Standardized loads remain wet.
- Water pools in the chamber.
- The drying phase does not occur.
- Drainage remains slow.
- The door or gasket leaks.
- Cycle parameters appear unstable.
- Repeated loads are compromised.
Expected outcome: Recurrent wet loads are prevented from entering clinical circulation.
If the Problem Persists
Loading, packaging, cycle selection, drainage, door handling, and room conditions have been ruled out. Remaining categories may include the drying heater, chamber heating, exhaust or vent control, internal drainage, temperature sensing, control circuitry, door sealing, or calibration. The sterilizer should be:
- Removed from service.
- Labeled Out of Service.
- Sent for repair or bench evaluation.
- Evaluated using appropriate Tuttnauer documentation and approved test equipment.
- Repaired, calibrated, or configured only by qualified personnel.
- Return to service requires successful drying with approved test loads, complete cycle verification, and all facility-required sterilization quality checks. Knowing when to stop external troubleshooting is proper troubleshooting.
Clinical Use Tip
Do not release a wrapped item that is visibly wet because moisture can compromise the package barrier during handling and storage.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Sterile Processing reported that wrapped instrument packs remained wet after completed cycles."
Cause
What was observed during troubleshooting.
Example:
"Clinical Engineering found the chamber overloaded with packs tightly compressed against one another, preventing effective steam circulation and drying."
Resolution
What action was taken.
Example:
"Corrected the load arrangement, completed an approved test load with dry packs, and returned the sterilizer after required quality checks passed."
Helpful Details to Include (If Known)
- Cycle selected.
- Load type and quantity.
- Location of moisture.
- Standing water in chamber.
- Packaging or container type.
- Instrument preparation.
- Drain-screen and hose condition.
- Door-opening and cooling practice.
- Room humidity or ventilation concerns.
- Test-load result.
- Final quality-control results.
- Final device status.
Final Thought
Wet loads require evaluation of cycle choice, preparation, loading, drainage, door handling, and room conditions before internal drying failure is assumed. Protect sterility, verify with a standardized load, escalate unresolved faults, and document the final outcome clearly. That is successful troubleshooting.