Surgical Instrument Care
The primary purpose of cleaning surgical instruments and scopes is to remove all inorganic and organic bioburden material from the internal and external surfaces of medical devices. The secondary purpose of cleaning surgical instruments is to maintain and improve the passive Layer of surgical instrument stainless steel. The passive layer is provided by the manufacturer of the surgical instruments to prevent corrosion. The proper cleaning of surgical instruments will maintain and improve this passive layer. If the manual cleaning of surgical instruments, brushing and rinsing steps are not properly carried out, protein debris can harden and lead to formation of corrosion. The optimal cleaning surgical instrument protocol will break down bioburden and clean the surface. Inadequate cleaning surgical of instruments can result in material remaining on the surfaces which prevents disinfection and sterilization fluids or gases reaching all surfaces of the contaminated medical devices. Inadequate sterilization or disinfection may result in transmission of infectious organisms when the device is reused. ONEcleaner Enzymatic Surgical Instrument Cleaners with Detergents and Lubricant will strengthen and maintain the passive protective layer of surgical stainless steel, thereby avoiding the corrosion of medical devices.
All disinfection processes, whether done manually or automatically in a surgical instrument washer disinfector can only be effective if prior cleaning is adequate. Effective disinfection or sterilization of an inadequately cleaned surgery instrument or scope is not possible.
The ONEcleaner enzymatic surgical instrument cleaner formulation has been shown to be effective in removing stains, hard water deposits, and encrusted bioburden, and safe for residue free cleaning of all medical instruments.
The cleaning function efficacy of enzyme cleaners is determined by the ratio of enzymes to bioburden. The higher the proportion of enzymes the higher the efficacy. As a result, if the enzyme surgical instrument cleaners become laden with bioburden from previous cleaning, the efficacy of the enzyme cleaners is lower. The ONEcleaner Surgical Instrument Cleaners contain: protease (enzyme) which break protein debris into smaller, more soluble sub-units, amylase (enzyme) which catalyses the break down of starch, and lipase (enzyme) which breaks up fat-containing debris and carbohydrates.
When Surgical Instrument Cleaners state that they provide enzyme cleaning in minutes", this can be a misrepresentation. all medical enzymes clean at the same rate. What determines the level of cleaning performance is the concentration and the types of enzyme cleaners in the formulation. The most effective test is against your most difficult cleaning challenge. The optimal temperature for cleaning surgical instruments when using enzymatic surgical instrument cleaners is at temperatures that are above room temperature.
The optimal range begins as > 22 C - 72 F with performance reaching it's peak at 58.3 C - 137 F. This is often referred to as the optimal temperature for the performance or activity of enzymatic cleaning action. The activity of surgical instrument enzyme cleaners and detergents do not stop at higher temperatures but the level of performance does begin to decrease. Enzyme and detergent cleaning concentrates should be used in accordance with the manufacturer's recommendations and the recommendations of the medical devices being cleaned.