Ultrasonic Cleaner for surgical instruments

Ultrasonic Surgical Instrument Cleaner

all-in-ONE Ultrasonic Surgical Instrument Cleaner

four concentrated Ultrasonic surgical instrument cleaner enzymes,

Ultrasonic surgical instrument cleaner detergents,

Ultrasonic surgical instrument cleaner lubricants, and

Ultrasonic surgical instrument cleaner conditioners.

Lipase Ultrasonic surgical instrument cleaner enzymes,

Amylase Ultrasonic surgical instrument cleaner enzymes,

Carbohydrase Ultrasonic instrument cleaner enzymes,

Protease Ultrasonic instrument cleaner enzymes.

The fast and cost effective Ultrasonic Cleaner Solution.

Highly concentrated Ultrasonic Surgical Instrument Cleaner Solution.

Enzyme Detergent Ultrasonic Surgical Instrument Cleaner Solution:

non-irritating Ultrasonic Surgical Instrument Cleaner Solution,

100% biodegradable Ultrasonic Surgical Instrument Cleaner Solution and

Neutral pH Ultrasonic Surgical Instrument Cleaner Solution.

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all-in-ONE Ultrasonic Surgical Instrument Cleaner

Enzyme Detergent

The highly concentrated surgical instrument

ultrasonic cleaner solution conditioning concentrate.

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with just ONE Ultrasonic Cleaner Solution application.

Remove surgical instrument STAINS with just ONE application.

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delivers a concentrated level of:

Lipase Ultrasonic surgical instrument cleaner Enzymes: (to breakdown fat) to cleave fatty acid residue from the glycerol residue in a neutral fat or a phospholipid.

Amylase Ultrasonic surgical instrument cleaner Enzymes: (to breakdown starch) to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives.

Carbohydrase Ultrasonic surgical instrument cleaner Enzymes: (to breakdown starch to a lower level) to catalyze the hydrolysis of higher carbohydrates to lower forms

Protease Ultrasonic surgical instrument cleaner Enzymes: (breakdown blood) including the proteinases and peptidases, to catalyze the hydrolytic breakdown of proteins.

Ultrasonic Surgical Instrument Cleaner

Ultrasonic Surgical Instrument Cleaner Solution

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Ultrasonic Cleaner Solution surgical instrument cleaner delivers lower surgical instrument cleaning costs while cleaning surgical instruments cleaner. Enzyme Detergent Ultrasonic Cleaner Solution surgical instrument cleaner will remove STAINS and bioburden from surgical instruments while cleaning the surface of surgical instruments cleaner and conditioning the surgical stainless steel 'passive layer'. Surgical Instruments will look newer and perform longer. all-in-ONE™ Ultrasonic Cleaner Solution surgical instrument cleaner are 100% biodegradable and Neutral pH.

Neutral pH, free-rinsing Surgical Instrument Cleaners are designed to provide critically clean Surgical Instruments with a residue free surface. This is especially important when cleaning eye surgical instruments.

Importance of Cleaning Surgical Instruments

The primary purpose of cleaning surgical instruments is to remove all inorganic and organic proteinaceous bioburden material from the internal and external surfaces cleaning surgical instruments inside and out with careful attention to cleaning cannulated surgical instruments.

The secondary purpose of cleaning surgical instruments is to maintain and improve the “passive Layer” of surgical stainless steel. The passive layer is provided by the manufacturer of the surgical instruments, within the surgical stainless steel, to resist (prevent) corrosion. Proper cleaning of the surgical instrument will maintain and improve this passive layer. For more information go to Prevent Surgical Instrument Corrosion.

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Contact us for product information and pricing.

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The use of enzymes of various compositions and concentrations, in detergents is becoming common. Over half of all detergents presently available contain enzymes. The enzymatic enzyme detergent industry is the largest single market for enzymes, at rate of 25 - 30% of total sales. Details of which enzymes are used within enzymatic enzyme detergents and the ways in which they are best used, are rarely been published.

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Common misunderstandings exist pertaining to the application of enzymatic enzyme detergents including the times and temperatures for optimal cleaning outcomes. Although generalities can be misleading for specific applications there parameters for the use of enzymatic enzyme detergents that can render a high probability of excellent cleaning outcomes.

Ultrasonic Cleaner for surgical instruments

The optimal temperature for maximum enzymatic enzyme detergent cleaning performance peaks at 137 degrees Fahrenheit (137 degree Fahrenheit = 58.33 degree Celsius). The

The optimal dosage rate (ounces diluted per carrier solution, usually neutral pH water) is a function of the types of enzymes and the concentration level of enzymes.

Types of enzymes:

Lipase Enzymes: (to breakdown fat) to cleave fatty acid residue from the glycerol residue in a neutral fat or a phospholipid.

Amylase Enzymes: (to breakdown starch) to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives.

Carbohydrase Enzymes: (to breakdown starch to a lower level) to catalyze the hydrolysis of higher carbohydrates to lower forms

Protease Enzymes: (breakdown blood) including the proteinases and peptidases, to catalyze the hydrolytic breakdown of proteins.

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Ultrasonic Cleaner Solution surgical instruments

Soil (bioburden) comes in many forms and includes proteins, starches and lipids. In addition, clothes that have been starched must be freed of the starch. Using detergents in water at high temperatures and with vigorous mixing, it is possible to remove most types of dirt but the cost of heating the water is high and lengthy mixing or beating will shorten the life of clothing and other materials. The use of enzymes allows lower temperatures to be employed and shorter periods of agitation are needed, often after a preliminary period of soaking. In general, enzyme detergents remove protein from clothes soiled with blood, milk, sweat, grass, etc. far more effectively than non-enzyme detergents. However, using modern bleaching and brightening agents, the difference between looking clean and being clean may be difficult to discern. At present only proteases and amylases are commonly used. Although a wide range of lipases is known, it is only very recently that lipases suitable for use in detergent preparations have been described.

Detergent enzymes must be cost-effective and safe to use. Early attempts to use proteases foundered because of producers and users developing hypersensitivity. This was combated by developing dust-free granulates (about 0.5 mm in diameter) in which the enzyme is incorporated into an inner core, containing inorganic salts (e.g. NaCI) and sugars as preservative, bound with reinforcing, fibers of carboxymethyl cellulose or similar protective colloid. This core is coated with inert waxy materials made from paraffin oil or polyethylene glycol plus various hydrophilic binders, which later disperse in the wash. This combination of materials both prevents dust formation and protects the enzymes against damage by other detergent components during storage.

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Enzymes are used in surprisingly small amounts in most detergent preparations, only 0.4 - 0.8% crude enzyme by weight (about 1% by cost). It follows that the ability to withstand the conditions of use is a more important criterion than extreme cheapness. Once released from its granulated form the enzyme must withstand anionic and non-ionic detergents, soaps, oxidants such as sodium perborate which generate hydrogen peroxide, optical brighteners and various less-reactive materials (Table 4.1), all at pH values between 8.0 and 10.5. Although one effect of incorporating enzymes is that lower washing temperatures may be employed with consequent savings in energy consumption, the enzymes must retain activity up to 60°C.

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Table 4.1 Compositions of an enzyme detergent

Constituent

Composition (%)

Sodium tripolyphosphate (water softener, loosens dirt)a 38.0

Sodium alkane sulphonate (surfactant) 25.0

Sodium perborate tetrahydrate (oxidising agent) 25.0

Soap (sodium alkane carboxylates) 3.0

Sodium sulphate (filler, water softener) 2.5

Sodium carboxymethyl cellulose (dirt-suspending agent) 1.6

Sodium metasilicate (binder, loosens dirt) 1.0

Bacillus protease (3% active) 0.8

Fluorescent brighteners 0.3

Foam-controlling agents Trace

Perfume Trace

Water to 100%

a A recent trend is to reduce this phosphate content for environmental reasons. It may be replaced by sodium carbonate plus extra protease.

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The enzymes used are all produced using species of Bacillus, mainly by just two companies. Novo Industri A/S produce and supply three proteases, Alcalase, from B. licheniformis, Esperase, from an alkalophilic strain of a B. licheniformis and Savinase, from an alkalophilic strain of B. amyloliquefaciens (often mistakenly attributed to B. subtilis). GistBrocades produce and supply Maxatase, from B. licheniformis. Alcalase and Maxatase (both mainly subtilisin) are recommended for use at 10-65°C and pH 7-10.5. Savinase and Esperase may be used at up to pH 11 and 12, respectively. The a-amylase supplied for detergent use is Termamyl, the enzyme from B. licheniformis which is also used in the production of glucose syrups. a-Amylase is particularly useful in dish-washing and de-starching detergents.

In addition to the granulated forms intended for use in detergent powders, liquid preparations in solution in water and slurries of the enzyme in a non-ionic surfactant are available for formulating in liquid 'spotting' concentrates, used for removing stubborn stains. Preparations containing both Termamyl and Alcalase are produced, Termamyl being sufficiently resistant to proteolysis to retain activity for long enough to fulfil its function.

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It should be noted that all the proteolytic enzymes described are fairly non-specific serine endoproteases, giving preferred cleavage on the carboxyl side of hydrophobic amino acid residues but capable of hydrolysing most peptide links. They convert their substrates into small, readily soluble fragments which can be removed easily from fabrics. Only serine protease; may be used in detergent formulations: thiol proteases (e.g. papain) would be oxidised by the bleaching agents, and metalloproteases (e.g. thermolysin) would lose their metal cofactors due to complexing with the water softening agents or hydroxyl ions.

The enzymes are supplied in forms (as described above) suitable for formulation by detergent manufacturers. Domestic users are familiar with powdered preparations but liquid preparations for home use are increasingly available. Household laundering presents problems quite different from those of industrial laundering: the household wash consists of a great variety of fabrics soiled with a range of materials and the user requires convenience and effectiveness with less consideration of the cost. Home detergents will probably include both an amylase and a protease and a lengthy warm-water soaking time will be recommended. Industrial laundering requires effectiveness at minimum cost so heated water will be re-used if possible. Large laundries can separate their 'wash' into categories and thus minimise the usage of water and maximise the effectiveness of the detergents. Thus white cotton uniforms from an abattoir can be segregated for washing, only protease being required. A pre-wash soaking for 10-20 min at pH up to 11 and 30-40°C is followed by a main wash for 10-20 min at pH 11 and 60-65°C. The water from these stages is discarded to the sewer. A third wash includes hypochlorite as bleach which would inactivate the enzymes rapidly. The water from this stage is used again for the pre-wash but, by then, the hypochlorite concentration is insufficient to harm the enzyme. This is essentially a batch process: hospital laundries may employ continuous washing machines, which transfer less-initially-dirty linen from a pre-rinse initial stage, at 32°C and pH 8.5, into the first wash at 60°C and pH 11, then to a second wash, containing hydrogen peroxide, at 71°C and pH 11, then to a bleaching stage and rinsing. Apart from the pre-soak stage, from which water is run to waste, the process operates counter-currently. Enzymes are used in the pre-wash and in the first wash, the levels of peroxide at this stage being insufficient to inactivate the enzymes.

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There are opportunities to extend the use of enzymes in detergents both geographically and numerically. They have not found widespread use in developing countries which are often hot and dusty, making frequent washing of clothes necessary. The recent availability of a suitable lipase may increase the quantities of enzymes employed very significantly. There are, perhaps, opportunities for enzymes such as glucose oxidase, lipoxygenase and glycerol oxidase as means of generating hydrogen peroxide in situ. Added peroxidases may aid the bleaching efficacy of this peroxide.

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A recent development in detergent enzymes has been the introduction of an alkaline-stable fungal cellulase preparation for use in washing cotton fabrics. During use, small fibres are raised from the surface of cotton thread, resulting in a change in the 'feel' of the fabric and, particularly, in the lowering of the brightness of colours. Treatment with cellulase removes the small fibres without apparently damaging the major fibres and restores the fabric to its 'as new' condition. The cellulase also aids the removal of soil particles from the wash by hydrolysing associated cellulose fibres.

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