Proper Sequence of Surgical Instrument Washer Treatments
"complete removal of all pathogens"
"the efficacy of disinfection was 100%"
John Prohonic, Product Development
Summary : Properly Designed Surgical Instrument Washer Decontaminator, Washer Disinfectors, clean all surfaces thoroughly, thereby providing the critical prerequisite for Surgical Instrument Decontamination, the safe handling of surgical instruments, disinfecting surgical instruments, and the sterilizing of surgical instruments.
Critical cleaners, usually referred to as Surgical Instrument Washer Decontaminators Washer Disinfectors, perform pre-wash, ultrasonic (optional), detergent washing, purified water elevated temperature rinsing, lubrication and high temperature drying in such a manner as to provide thoroughly clean, stain free and lubricated medical devices. Surgical Instruments cannot be sterilized (be sterile) unless all exposed surfaces are properly cleaned, prior to sterilization, to remove soil (debris, bioburden) and properly rinsed to prevent staining.1,2,3 Not all Washer Decontaminators Washer Disinfectors provide adequate pre-rinsing, pre-cleaning, purified water rinsing, and thereby render higher rejection rates of processed surgical instruments. 4,5.
Enzymes alone do not “clean”.
Surgical Instrument Detergents are necessary.
Surgical Instrument Detergents are necessary to clean the surface of surgical instruments. Enzymes alone do not “clean”. It is commonly stated that enzymes “clean”. Enzymes alone do not “clean”. The primary function of an enzyme surgical instrument detergent is to break down soil, usually proteinaceous bioburden. When the enzymes have broken down the soil, then the surgical instrument detergents are able to reach the surface for proper cleaning. Surgical Instrument Detergents also to enhance the passive layer of the surgical instruments allowing the surgical instrument surface be a barrier against staining, pitting, and corrosion.
The "Proper Sequence of Surgical Instrument Washer Treatments" delivered by a properly designed Surgical Instrument Washer Decontaminator Washer Disinfector design will secure consist and repeatable performance.
The proper sequence of surgical instrument washer treatments and the correct choice of time, temperature and the components used are necessary to render surgical instruments that are critically clean, safe to handle, and have the prerequisite for sterilization. 6,7,8.
Surgical Instrument Washers (Decontaminators Disinfectors) employ a cold water pre-wash to remove gross debris. This removes proteins and lipids, preventing them from being baked onto devices during the high temperature treatments to follow. 9, 10. Then, the ultrasonic process creates millions of micro implosions to loosen and free debris from lock boxes, hinge pins, serrations and other difficult-to-access surface areas.
The Surgical Instrument Washers Decontaminators Disinfectors detergent wash then applies high flow low pressure water with a cleaning concentrate (at ~ 135 degrees F) in such a manner as to evenly reach all areas of the load and strip bioburden from the surgical instruments. The elevated temperature (at ~ 194 to 209 degrees F) purified water final rinse secures the biocidal process, removes mineral deposits from prior cycles and lubricates the instruments. The high temperature (at ~ 158 to 230 degrees F) dry cycle presents heated, forced air which dries each device. The critical cleaned medical devices are now clean, safe to handle, have the prerequisite for sterilization, and are properly prepared for further reprocessing.
Surgical Instrument Washer Decontaminator Washer Disinfector achieves
the Complete Removal of Pathogens
The Washington University School of Medicine at Washington University Medical Center examined the performance of a properly designed Washer Decontaminator Washer Disinfector (CESCO washer Decontaminator Model 520) and found that it removed all organisms from the surgical instruments tested. 11
The Surgical Instrument Washer Decontaminator Washer Disinfector was tested for its ability to complete remove pathological organism from surgical instruments.
Pure cultures of the following organisms were grown on appropriate agar plates:
- 1. Staphylococcus aureus;
- 2. Pseudomonas aerations;
- 3. Escherichia coli;
- 4. Bacillus species
Kelly clamps, tweezers and scissors wee placed on these plates of organism, taking care to ensure that all serrated edges were packed with all the organisms. Each contaminated instrument was then dipped into the tube of Thiogycolate medium before being placed in all the washer baskets. The instruments were then processed through the complete Washer Decontaminator Washer Disinfector cycle. At the end of the drying cycle, the instruments were allowed to cool and then dipped into another tube of Thioglycolate medium.
Surgical Instrument Washer Decontaminator Washer Disinfector Performance Results
All tubes of the Thioglycoate medium tested before the wash grew the appropriate organism within six to 18 ours after testing. All tubes tested at the end of the wash showed no growth after 14 days of incubation. This Washer Decontaminator Washer Disinfector removed all organisms from the instruments.
Surgical Instrument Washer Decontaminator Washer Disinfector
Efficacy of Disinfection 100%
Another evaluation of Washer Decontaminators Washer Disinfectors confirmed that the efficacy of disinfection was 100%. In this study, L.P. Jette and N.G. Lambert used two test methods.12 One method (N) was to test the effect of heat only within the disinfection process and the other test method (G) was to test the efficacy of both heat and washing. Each method gave reproducible results and confirmed the efficacy of the Washer Decontaminator Washer Disinfector.
Surgical Instrument Washer Decontaminator Washer Disinfector
Critical Cleaners Will Work for You
Washer Decontaminator Washer Disinfector Critical cleaners demonstrated the ability to completely remove pathological organisms with effective repeatability. There operation is automatic, reliable, labor saving and easy to use. Central Processing departments rarely find the need to manually treat devices and report an exceptionally low rate of rejected devices.
Conclusion:
The Surgical Instrument Washer Decontaminator Washer Disinfector "Proper Sequence of Instrument Washer Treatments": cold water pre-wash, ultrasonic cleaning, detergent washing action, elevated temperature final rinses, and elevated temperature hot air drying delivered by a properly designed Surgical instrument Washer Decontaminator Washer Disinfector Critical Cleaner will provide critical cleaning, the prerequisite for safe handling, optimal disinfecting, and sterilizing of medical devices.
References
1. Peggy Ryan, RN, “Concepts of Cleaning Technologies and Processes,” Journal of Healthcare Material Management, (Nov./Dec. ’87), pp. 20-27.
2. Marimargaret Reichert, RN, “processing Reusable Medical Devices, “Journal of Hospital Material Management, p. 40.
3. Training Manual for Central Service Technicians, American Society for Central Services Personnel of the American Hospital Association, (Chicago, IL, 1986), p. 69.
4. Ryan, op. cit.
5. Training Manual for Central Service Technicians, op. cit.
6. Ryan, op. cit.
7. Interview with Charles A. Reed, Washington University School of Medicine, Washington University Medical Center, Dec. 1985.
8. L.P. Jette’and N.G.Lambert, “Evaluation of Two Hot Water Washer Disinfectors for Medical Instruments, “ Infection Control Hospital Epidemiology, Vo.1 9, No. 5, (1988), pp. 194-199.
9. Training Manual for Central Service Technicians, op. cit.
10. Ryan, op. cit.
11. Ryan, op. cit.
12. L.P. Jette’and N.G.Lambert, op.cit.
NOTE: The Surgical Instrument Washers (Tunnel Washers with Ultrasonic Cleaner Solution) used in this research study were manufactured by CESCO, Mercersburg PA. Although these Surgical Instrument Washers (Tunnel Washers with automated Ultrasonic Cleaners) are not currently available. The studies demonstrate the propensity for Surgical Instrument Washers with Ultrasonic Cleaning Treatment to deliver optimal cleaning results. The surgical instrument cleaners used in these studies are currently available in the form of the all-in-ONE combination enzymatic enzyme detergent surgical instrument cleaners. A critical component for optimal cleaning is using the best possible "surgical instrument cleaners". Recent European studies have illustrated and concluded that combination enzymatic enzyme detergent surgical instrument cleaners are more effective than conventional surgical instrument cleaners. The research was initiated to deactivate prions deactivating prions within the objective to prevent CJD (Creutzfeldt-Jakob Disease).
John Prohonic, Product Development
Surgical Instrument Washers with automated Ultrasonic Cleaner Solution provides the Prerequisite for Sterilizing Surgical Instruments easy FOAM-it
The ultimate Ultrasonic Cleaning Solution.
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Washer Disinfector Washer Decontaminators
Studies demonstrate that Surgical Instrument Washers with automated Ultrasonic Cleaning (Surgical Instrument Washers Decontaminators, Washer Disinfectors) deliver optimal cleaning using a 'combination' mechanical and chemical "Proper Sequence of Treatments". After surgical instruments were cleaned in Surgical Instrument Washers with automated Ultrasonic Surgical Instrument Cleaning using a combination enzymatic enzyme detergent: "the efficacy of disinfection was 100%", "removed all pathogens", and "All instruments and utensils tested were sterile at the completion of the process."
Click here to go to studies.
includes a series of mechanical and chemical treatments. The chemical complex is formulated with enzymatic enzyme cleaners, detergents, conditioners and lubricants.
John Temple: Surgical Instrument Washers, Surgical Instrument Washer Detergents, Surgical Instrument Detergents, and the Proper Sequence of Surgical Instrument Washer Treatments.
Surgical Instrument Detergent Cleaners
easy FOAM-it for Cleaning Surgical Instruments cleaner.
The highly concentrated Surgical Instrument Cleaner with Conditoners is the key to superior surgical instrument cleaning.
UPS-1 Surgical Instrument Detergents Cleaners Lubricants
Surgical Instrument Detergent Enzyme Cleaners and Surgical Instrument Washers that deliver the high quality Surgical Instrument Care that you and your surgical instruments deserve.
Surgical Instrument Detergent Cleaners are packages as:
UPS-23 Surgical Instrument Detergent Enzyme Cleaners - 23 oz., 12 per case
UPS-1 Surgical Instrument Detergent Enzyme Cleaners - 4 gallons per case with 1 pump
UPS-5 Surgical Instrument Detergent Enzyme Cleaners - 5 gallon
UPS-15 Surgical Instrument Detergent Enzyme Cleaners - 15 gallon
UPS-30 Surgical Instrument Detergent Enzyme Cleaners - 30 gallon
UPS-55 Surgical Instrument Detergent Enzyme Cleaners - 55 gallon
Surgical Instrument Detergents Cleaners Lubricants:
The manufacturers of stainless steel surgical instruments are consistent in their recommendations for the "proper sequence of cleaning treatments" to optimize the care of surgical instruments and the sterilization of reusable surgical instruments.
Surgical Instrument Detergents Cleaners Lubricants:
The foundation of their recommendations are based on a sequence of chemical and mechanical treatments which include using: Neutral pH chemicals, combination cleaning agents (enzymatic instrument cleaners, enzyme surgical instrument detergents), cold water pre-wash, elevated temperature detergent cleaning, redundant purified water rinses, and elevated temperature (above boiling point) hot air drying.
