RKI Storage of Sterile Instruments
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Storage of Sterile Instruments per RKI
After sterilization, proper storage determines how long instruments remain sterile. Sterile goods must be stored dry, dust-free and separated from non-sterile materials – the permissible storage period depends primarily on the packaging.
1Dry & dust-free storage
· Store in dry, dust-free cabinets or drawers.
· Store at room temperature; avoid moisture sources as well as significant temperature and humidity fluctuations. Specific climate limits are derived from the manufacturer's instructions, not from a blanket percentage figure.
· Sterile and non-sterile/contaminated instruments must never be stored together.
· Document the requirements for sterile goods storage in your hygiene plan or standard operating procedure so that every team member follows the same protocol.
2Storage period (guide values)
| Storage conditions | Guide value for storage period |
|---|---|
| Unprotected (e.g. open shelves) | use promptly only |
| Protected (closed cabinets/drawers) | considerably longer; depending on packaging and storage conditions, over 6 months is possible |
3Wrapped (critical) instruments
· Must remain in their sterile barrier packaging.
· Mechanical protection: secure sharp or pointed instruments with protective caps or holders to prevent damage to the packaging.
· Packaging with tears, defects or moisture ingress must not be used – reprocess the instruments instead.
4Labelling & organisation
Each package must bear the following information, readily identifiable by the user at all times: identification/contents (if not self-evident), sterilization date and batch identification of the sterilization cycle (for traceability), the release decision and – where specified – the expiry date or sterile goods shelf life, if this is shorter than the expiry date. Store according to the first-in-first-out (FIFO) principle so that older sterile goods are used first. Correct labelling and storage organisation requires appropriate specialist knowledge on the part of the reprocessing staff and is regularly checked during practice inspections.
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Important additional points per RKI & standards
These points are frequently overlooked in practice but are important for correct and legally compliant implementation:
- Manufacturer's instructions take precedence: The permissible storage period is primarily determined by the instructions of the medical device manufacturer and the packaging material manufacturer. Where such instructions exist, they take precedence over general guide values and should be documented in the standard operating procedure or QM manual.Source: KRINKO/BfArM 2012, Section 3 (consider manufacturer's instructions for the medical device and packaging material); MPBetreibV Section 8
- Visual inspection of sterile goods immediately before use: Before each use, inspect the sterile barrier packaging: undamaged, dry, intact seal seams, correct colour change of the process indicator, legible labelling and shelf life/expiry date not exceeded. If there is any doubt about integrity or dryness, the goods are considered non-sterile and must be reprocessed.Source: KRINKO/BfArM 2012, Sections 2.2.6/2.2.7 (labelling, verification of integrity and dryness)
- Correct arrangement of transparent peel pouches (paper to paper, film to film): Store wrapped sterile goods pressure-free and without compression: do not stack transparent peel pouches flat on top of each other; instead, arrange them upright with paper side to paper side and film side to film side to avoid pressure marks, creases and stress on the seal seams. Do not overfill packaging or store it under tension.Source: Steri24 practice FAQ (storage of wrapped sterile goods, paper/film side); packaging manufacturer's instructions
- Store only after documented release and complete cooling: Sterile goods may only be stored after the documented batch release and complete cooling of the load. Warm or moist goods must not be placed in the storage cabinet, as condensation can penetrate the sterile barrier and compromise sterility. You can record the documented batch release traceably with the free ClavioSoft.Source: KRINKO/BfArM 2012, Section 2.2.7 (documented release, verification of dryness before release)
- Protect the storage location from external influences: Protect the sterile goods storage location from splashing water, aerosols, direct sunlight and heat sources, and keep it in the clean/hygienic area, separated from the reprocessing and treatment areas.Source: KRINKO/BfArM 2012, Section 3 (storage must not adversely affect the properties) and 2.2.7
- Documentation and traceability of batches: Batch release and the assignment of batches to application/patient must be documented and retained in accordance with the applicable retention periods, so that each sterile goods package can be unambiguously traced back to its sterilization batch via its batch identification. Batch release and traceability can be completed in just a few clicks with the free ClavioSoft - including tamper-proof archiving.Source: KRINKO/BfArM 2012, Sections 2.2.6/2.2.8 (labelling, batch documentation, traceability); MPBetreibV Section 8
- Handling expired but undamaged sterile goods: Wrapped sterile goods whose shelf life has expired but which are externally undamaged, clean and dry may be re-sterilized - however, they must be repackaged (not in the same pouch). If the packaging is damaged or moisture-affected, the goods must undergo the complete reprocessing cycle (cleaning + disinfection/washer-disinfector) again.Source: Steri24 practice FAQ (reprocessing after expiry of shelf life); KRINKO/BfArM 2012, Sections 2.2.1/2.2.4
Required equipment, consumables & accessories
Checklist for this process step – items you should have ready (shopping list):
Equipment
- Class B autoclave with validated drying phase (prerequisite for completely dry sterile goods before storage) Order here in our shop
- Sealing device for airtight sealing of the sterile barrier (intact seal seams) Order here in our shop
- Dust-protected, closed sterile goods cabinet or dust-tight drawer unit for the clean area
- Workstation with digital documentation software for batch release and traceability Order here in our shop Create digitally with ClavioSoft
Consumables
- Sterile barrier packaging (transparent peel pouches/rolls, sterilization paper if applicable) per manufacturer's instructions Order here in our shop
- Labels/indicator labels with sterilization date, batch identification and shelf life/expiry date if applicable Order here in our shop
- VAH-listed surface disinfectant wipes for regular cleaning of storage areas and cabinets
- Protective caps/sleeves for sharp or pointed instruments to protect the packaging Order here in our shop
Accessories
- Trays/baskets/holders for pressure-free, upright arrangement of peel pouches (paper to paper, film to film) Order here in our shop
- Marking pen or label printer for permanent, legible labelling Order here in our shop
- FIFO organisational aids for expiry/shelf-life marking of storage locations
- Designated, protected storage zone for separation of clean and contaminated areas
References
- KRINKO/BfArM 2012, Bundesgesundheitsbl. 55:1244–1310 – Section 2.2.
- DIN 58953 (sterile goods supply, storage); DGSV expert recommendations.
- MPBetreibV § 8.
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Frequently Asked Questions
RKI Storage of Sterile Instruments – key questions answered clearly.