The following instructions are for all reusable medical devices supplied by Surgi Corp Intl Ltd unless stated otherwise with the packaging of the product. These instructions are intended for use only by persons with the required specialist knowledge and training.
1. Hold in:
It is important never to hold instruments in a dry container, which allows blood and debris to dry onto instrument surfaces and makes cleaning more difficult. If rinsing and decontamination processes are not immediately available, pre-treat instruments or hold in a neutral holding/pre-soak enzymatic solution after patient use but before actual cleaning. Prep Enzyme Foaming spray for pre-cleaning of soiled instruments and scopes. Simply spray on instruments until ready for rinsing and disinfection. Also, use neutral pH all purpose multi-enzyme concentrate is ideal for instrument pre-soaking and pre-cleaning. As soon as possible, rinse, disinfect and clean as follows:
Immediately after surgery, remove organic materials by rinsing instruments under warm (not hot) running water. Rinse should remove most blood fluids and tissue. Do not process metals (stainless, copper, chrome plated, etc.) together. Always wear safety protection gear.
To protect medical personnel from contamination during cleaning, immerse instruments completely in an EPA approved disinfectant for approximately 10-20 minutes. Always closely follow manufacturers’ recommended disinfecting time and solution preparation and instruction. Then rinse again.
All blood dried body fluids and should be completely removed from the instruments prior to sterilization. Several methods are available.
A. Soak: An enzymatic cleaner bath (soak) or a solution of water and neutral pH (7) detergent are effective in removing organic material from instruments. Use distilled (demineralized) water if possible. Instruments should be fully submerged for at least 10 minutes. Do not let “sharp” (scissors, knives, osteotomes, etc.) running water to remove the solution. Change solutions frequently.
B. Ultrasonic Cleaning: Most instruments manufacturers recommend ultrasonic cleaning as the most effective way to clean surgical instruments, particularly those with hinges, box locks, and other moving parts. All instruments must be fully submerged in open position. Use distilled (demineralized) water if possible. Make sure that “sharp” blades do not touch other instruments to prevent possible surface scratching and also be sure dissimilar metal instruments are separated. Process instruments for full recommended ultrasonic cleaning cycle. Change solution frequently or as often as the manufacturers recommend. Rinse instruments with water to remove the cleaning solution can be safely used with all ultrasonic units.
Automatic Washer sterilizer: follow manufacturers’ recommendations but ensure instruments are lubricated after the last rinse cycle and before the sterilization cycle.
5. After Cleaning:
Separate dissimilar metals prior to sterilizing/autoclaving. If instruments are to be stored, let them air-dry and store them in a clean and dry environment.
A. Lubricate all hinged instruments which have any “metal to metal” action, at the screw or box lock.
B. Sterilizer instruments either individually or in sets.
o Individual Instruments: Disposable paper or plastic pouches are ideal. Make sure to use a wide enough pouch for instruments with ratchet locks so instruments can be sterilized in an open (unlocked) position. Instruments locked during autoclaving can experience cracked hinges (box lock) or other problems because of heat expansion. If wrapping instruments, make sure the towel does not contain detergent residue, which can stain instruments.
o Instruments Sets: Unlock all instruments and sterilize in an open position. Place heavy instruments on the bottom of sets (when two layers are required). Do not overload the chamber because an air pocket may form that hinders steam penetration.
With most portable table top autoclaves, at the end of the autoclave cycle and before the drying cycle, unlock the door and open it no more than crack, about ¼” (6.4mm). Then run the dry cycle for the period recommended by the autoclave manufacturer. If the autoclave door is fully opened before the drying cycle, cold room air will rush into the chamber causing condensation on the instruments that may result in water stains or cause wet packs. Make sure autoclave filters and chambers are cleaned as recommended by the manufacturer.
Stain Remover is effective in removing stains and cleaning the autoclave chamber. If you have any unusual staining on your instruments after sterilization, obtain our Instruments Care Instruction or contact to your local Surgicorp representative.
7. Chemical / Cold Sterilization:
Most chemicals/cold sterilization solution renders instruments sterile only after 10- hour immersion. This prolonged chemical action can be more detrimental than usual 20-minute autoclave cycle. If the instruments need to be “disinfected” only, a chemical/cold sterilization soak is acceptable, as disinfection in using bleach (paragraph 3).