Water treatment for commercial and industrial applications.

Healthcare Water Treatment Solutions

Hydrotrue provides purpose-built water treatment systems designed for healthcare facilities that want consistent, defendable water quality that supports ANSI/AAMI ST108:2023 requirements and helps protect patients, staff, and critical equipment.

Reliable Water Solutions for Critical Healthcare Processes

Hydrotrue provides purpose‑built healthcare water treatment systems engineered to deliver consistent, defendable water quality that supports ANSI/AAMI ST108:2023. Our solutions help hospitals, clinics, surgery centers, and sterile processing departments reduce risk, protect equipment, and improve patient safety.

Whether your facility is navigating utility water, critical water, or steam quality requirements, Hydrotrue ensures you have the right water in the right application—every time.

ANSI/AAMI ST108:2023 Compliance Support

ANSI/AAMI ST108:2023 sets water quality expectations for processing reusable medical devices in hospitals and clinical settings. It emphasizes:

  • Application-specific water quality (Utility vs. Critical Water vs. Steam)

  • System-level design and qualification

  • Routine monitoring and documentation

  • Risk reduction for corrosion, biofilm, and cleaning effectiveness

Hydrotrue systems are engineered with these principles in mind so your facility creates the right water, in the right place, under the right controls.

Why Water Quality Matters in Healthcare

Water touches nearly every clinical process in a healthcare facilities and hospitals—from cleaning and rinsing to sterilization and infection prevention. Poor or inconsistent water quality can lead to:

  • Incomplete cleaning and reduced device performance
  • Increased risk of infection and bioburden
  • Corrosion, pitting, and instrument failure
  • Higher operational costs and equipment downtime
  • Non‑compliance with ST108 and accreditation expectations

Hydrotrue’s healthcare water treatment systems reduces these risks by aligning your water systems with established best practices and standards.

Utility Water vs. Critical Water: Knowing the Difference Matters

Not all water in a healthcare facility serves the same purpose. ST108 defines clear expectations for utility and critical water.
 
Utility Water
The preliminary water source feeding washers, pre‑cleaning stations, boilers, and general processes.

Common risk indicators:

  • High hardness causing scale on washers and autoclaves
  • Inconsistent quality affecting detergents and cleaning chemistry
  • Incorrect utility‑to‑critical water transitions
 
Critical Water

Used where the highest purity is required, such as:

  • Final rinsing in washer‑disinfectors
  • Endoscope and surgical device reprocessing
  • Steam generation for sterilizers
  • Ultrasonic cleaners and manual rinsing

Using critical water in the wrong locations leads to overspending. Not using it where needed increases infection risks. Hydrotrue helps you determine the right application for each water type.

ST108‑Aligned System Design and Support

Hydrotrue designs water treatment systems that support ST108 principles, including:

  • Proper pre‑treatment selection (softeners, carbon, filtration)
  • High‑efficiency RO systems for critical water
  • UV sanitization for microbial control
  • Endotoxin‑reduction filtration
  • Hygienic storage & distribution loop design
  • Documentation, monitoring, and routine testing

 

Our systems help minimize risks related to biofilm, endotoxins, sediment, hardness, pH, and conductivity, giving facilities complete oversight of their water quality.

Hydrotrue Solutions for Healthcare Environments

Pretreatment Systems

Pre‑treatment is the foundation of any reliable healthcare water treatment system, especially when producing Critical Water to meet ANSI/AAMI ST108:2023 requirements. Before water reaches a reverse osmosis (RO) system, it must be conditioned to remove contaminants that would damage equipment, reduce membrane performance, or compromise water quality used for reprocessing reusable medical devices.
 

Hydrotrue pre‑treatment systems—including water softeners, media filtration, and activated carbon systems—ensure downstream RO units operate efficiently while supporting consistent, compliant water quality throughout the healthcare facility.

hydrotrue water treatment system

Reverse Osmosis

High-efficiency RO systems for hospitals and healthcare facilities remove dissolved solids, bacteria, and contaminants that can impair cleaning and disinfection processes.

In alignment with ANSI/AAMI ST108:2023, Hydrotrue RO solutions deliver consistent, defendable water quality suitable for Critical Water applications.
 
Learn more about Hydrotrue’s RO 400 and RO 200 systems.

Post-Filtration

Post‑filtration in the ST108 water treatment system provides a critical final safeguard against endotoxins and particulate contamination. Using a 0.2‑micron absolute filter, this final barrier captures bacteria and bacterial fragments before water reaches critical points of use.

Installed at the end of the treatment train, post‑filtration helps protect washers, ultrasonic cleaners, and sterilizer feed water by reducing the risk of endotoxin carryover from upstream processes or distribution systems. This final step supports consistent water quality at the point where it matters most—just before use.

UV Disinfection

The ST108 water treatment system uses ultraviolet (UV) technology to help safeguard critical water from microbial contamination—without chemicals. High‑intensity UV light inactivates microorganisms as water moves through the system, supporting consistent quality throughout storage and distribution.

This added layer of protection helps control microbial growth, reduce biofilm risk, and maintain reliable water quality for washers, ultrasonic cleaners, and sterilizer feed water—supporting ST108‑aligned performance with minimal maintenance.

Water Quality for Every Healthcare Department

Healthcare water quality impacts more than sterile processing. Hydrotrue supports:

  • Sterile Processing (SPD / CSSD)
  • Endoscopy
  • Surgical Services
  • Clinical Labs & Spigots
  • Instrument Reprocessing Rooms
  • Autoclaves & Steam Generators
  • Medivators/Endoscope Reprocessing Systems

 

Every unit that uses water requires intentional design. Hydrotrue ensures no department is left as a weak link.

Get Expert Guidance for ST108 Compliance

Hydrotrue is more than a water treatment vendor—we are your partner in risk reduction, infection prevention, and system reliability.

Schedule your free consultation today and ensure your healthcare facility has water treatment that supports safe patient care and reliable operations.

Your Questions, Answered

Healthcare facilities that partner with Hydrotrue can expect:

  • Enhanced infection prevention: Cleaner water improves disinfection and reduces microbial risk.

  • Reduced instrument damage: Less corrosion and spotting extend the life of expensive assets.

  • More predictable outcomes: Consistent water quality supports reproducible reprocessing results.

  • Defensible water quality programs: Structured monitoring supports audits, surveys, and internal QA reviews.

Hydrotrue supports water quality needs across multiple healthcare environments, including:

  • Sterile Processing Departments (SPD)

  • Endoscopy and scope reprocessing areas

  • Surgical services

  • Washer-disinfectors and ultrasonic cleaners

  • Steam generation for sterilizers and autoclaves

  • Central water systems supporting multiple departments

ANSI/AAMI ST108 emphasizes application-specific water quality. Using Critical Water where Utility Water is sufficient can add unnecessary cost and complexity, while using insufficiently treated water where Critical Water is required increases clinical and operational risk. Hydrotrue designs systems that match the right water quality to the right process, avoiding both under- and over-treatment.

Hydrotrue supports structured monitoring programs that may include:

  • Conductivity and hardness measurement

  • Microbial risk control strategies

  • Defined sampling locations at generation and point-of-use

  • Documentation aligned with water management plans

These practices support ST108’s focus on verification, corrective action, and continuous improvement.


Yes. Hydrotrue regularly evaluates existing systems and designs solutions that integrate with current infrastructure when possible. Our approach focuses on system optimization, not unnecessary replacement, while still meeting healthcare performance and risk-reduction goals.

Yes! Hydrotrue helps facilities establish monitoring programs for:

  • Conductivity
  • pH
  • Hardness
  • Alkalinity
  • Endotoxins
  • HPC bacteria
  • And complete documentation procedures

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Free Facility Savings Guide

Managing operational costs is a constant challenge. Download our free Facility Savings Guide to learn how smarter water treatment can help your facility save money.