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Instrument Care

We have had a lot of calls with regards Instrument Care, and have found that a considerable return of instruments is because they are not being cleaned properly. So for this reason, we have included the following information on caring for your surgical instruments 'the right way'. Three important things for Instrument Care Best Practice to remember are:

  1. All instruments must be cleaned properly before first use.
  2. Instruments should never be left to soak in ANY fluids.
  3. You cannot sterilise an instrument that is not CLEAN and DRY.

 

Instrument Care v1.1

All Instruments must be cleaned properly before first use.

A new instrument must undergo a full cleaning process prior to use to remove any remaining debris from the manufacturing process.

  • A new instrument is the most vulnerable to poor conditions, as its passivity layer is at its thinnest. This layer builds up over time with exposure to water and air and repeated usage. If problems are identified with a new instrument, investigate and improve circumstances that your instruments are exposed to - it may not be a manufacturing issue.
  • Clean instruments are achieved through a combination of chemical (detergents) and
    mechanical (scrubbing or machine washing) means, both are required to achieve a clean instrument.
  • Please note that instruments should never be left to soak in any fluids.
  • Whenever possible, do not expose instruments to salts, iodine, harsh acid or alkaline
    solutions or other chemicals.
  • Use appropriate chemicals (active non-protein-fixing cleaners) for cleaning instruments; ensure they are measured in dilutions according to manufacturer’s instructions.
  • All new instruments must be ultrasonic cleaned before normal cleaning. Ultrasonic cleaners assist in microscopic cleaning of instruments – their use does not replace the normal cleaning process. Any item placed in an Ultrasonic cleaner is considered contaminated (water is dirty) and must undergo a full cleaning process afterwards.
  • Ultrasonic cleaners remove all lubricants from the instruments – any instruments with moving parts must be lubricated with appropriate instrument lubrication to reduce damage to the instruments.
  • Do not use metal brushes on surgical instruments as they will scratch the surface. Use plastic or natural bristled brushes. Both external and channel brushes are required to make sure all aspects of the instruments are clean.
  • Final rinsing of instruments should be done with demineralised and softened water, this reduces problems from salts and minerals during the sterilisation process and watermark deposits.
  • Instruments must be dry prior to wrapping, packaging and sterilisation. Compressed air drying is recommended. Non-linting cloths would be a secondary option.
  • Instruments must be taken apart whenever possible to maximise cleaning. Place all
    movable joint instruments in an open position to allow sterilisation of cutting surfaces such as clippers etc. and to prevent stress cracking of the joints.
  • Please note – you cannot sterilise an instrument that is not CLEAN and DRY.

 

Follow these simple instructions listed above, and not only will you prolong the life of your Surgical Instruments, you will be running an efficient Instrument Care Best Practice within your facility.

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LATEST UPDATE: 25 MARCH 2014