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only by the electrical discharge, have the leading inactivation role [57-112].<br />

Nonetheless, the plasma-"based" sterilization has its important role in deter-<br />

mining the explosion of scientific research in real plasma sterilization systems,<br />

along with several other advantages. These can be synthesized in the low tem-<br />

perature of the processing cycle and the reduced treatment times (up to 3 hours).<br />

Overall, the use of such devices has improved the sterilization of thermosensitive<br />

category of the medical materials. Therefore, their efficiency and the effects on<br />

various materials have been closely monitored in many studies. On the other<br />

hand, the main concerning issue related to their operation is the use of powerful<br />

chemicals in the beginning of the treatment [50, 53, 54]. Despite of its high ef-<br />

ficiency to sterilize endoscopic instruments, Plazlyte TM has presented difficulties<br />

during sterilization of the ophthalmic instruments. It is worth to mention also<br />

that the Plazlyte TM system was retreated from the market.<br />

1.2.5.2 Plasma sterilizers<br />

The plasma sterilizers contains direct current (DC), alternative current (AC),<br />

radio frequency (RF) and microwave (MW) driven discharges produced at low,<br />

medium and high to atmospheric pressures. They were developed and tested for<br />

their potential as alternatives technologies to the existing conventional sterilization<br />

techniques. A schematic classification of low to atmospheric pressure plasma<br />

sources used for microbial inactivation is given in the Table 1.2<br />

11

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