Enzyme Surgical Instrument Detergent Cleaners
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners
deliver a unique formulation of: detergents, enzymes, and a Neutral pH surfactant chemical complex. Bbreak down bioburden and clean the surface of surgical instruments, remove stains from surgical instruments, enhance the "passive layer" protection of surgical stainless steel, and lubricate moving parts of surgical instruments.
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners ONE Gallon delivers 512 gallons of Surgical Instrument Cleaners. Dilution rate .25 to .5 ounces per gallon depending on level of bioburden, encrustation and stains.
Enzyme Detergent Surgical Instrument Cleaners
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners
can replace enzyme cleaners, cleaning chemicals, stain removers, surface conditioners, and lubricants for use with manual cleaning, automated washer decontaminators, washer disinfectors, ultrasonic cleaners, and scope cleaners.
Enzyme Surgical Instrument Detergent Cleaners
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners
CUT your Surgical Instrument Cleaning COSTS
ONE product. ONE application. Apply it ONCE. It's all you really need.
Nothing cleans faster than the 4 Enzyme Washer Disinfector Detergent.
Nothing will lower your surgical instrument cleaning costs as much as the all-in-ONE 4 Enzyme Washer Disinfector Detergent, and we guarantee it.
4 Enzyme Detergent Surgical Instrument Cleaners
Surgical Instrument Cleaner with Conditioners
Surgical Instrument Cleaner with Conditioners delivers all of the cleaning and conditioning power you need in ONE application.
Enzyme Surgical Instrument Detergent Cleaners
Surgical Instrument Cleaner with Conditioners will prevent corrosion.
Enzyme Detergent Detergent Lubricant Enzyme Cleaners
Surgical Instrument Cleaner with Conditioners rinse clean.
Enzyme Detergent Surgical Instrument Cleaners
Surgical Instrument Cleaner with Conditioners will cut the cost.
Enzyme Detergent Surgical Instrument Cleaners
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners
Enzyme Surgical Instrument Detergent Cleaners
Surgical Instrument Cleaner Detergent Lubricant Enzyme Cleaners
deliver a unique formulation of: detergents, four enzymes, and a Neutral pH surfactant chemical complex. Bbreak down bioburden and clean the surface of surgical instruments, remove stains from surgical instruments, enhance the "passive layer" protection of surgical stainless steel, and lubricate moving parts of surgical instruments.
all-in-ONE Enzyme Detergent
easy FOAM-it Enzyme Detergent
Surgical Instrument Detergent Cleaners four Enzyme Detergent Surgical Instrument Lubricant Cleaners for cleaning Surgical Instruments cost effectively and fast.
Surgical Case Carts that create space.
Recognized worldwide as the leader in developing the most effective Surgical Instrument Care products, the all-in-ONE Product Development Team has released the all-in-ONE easy FOAM-it (non-foaming) ONEStep Surgical Instrument Cleaner, eliminating the spraying of enzymes within the workplace while delivering the most effective surgical instrument cleaner.
non-irritating, 100% Biodegradable, and Neutral pH
Enzyme Detergent Surgical Instrument Cleaners for cleaning Surgical Instruments cost effectively and fast.
The all-in-ONE Surgical Instrument Cleaner delivers the highest quality Surgical Instrument Cleaner with Conditioners
The proper Cleaning and Decontamination of Surgical Instruments is critical to provide optimal worker safety and surgical instrument care. The all-in-ONE Surgical Instrument Cleaner with Conditioners achieves this by rapidly removing all forms of proteinaceous bioburden, mineral encrustation, and STAINS, while conditioning the surface. The all-in-ONE delivers the highest quality and concentration Surgical Instrument Cleaner with Conditioners with the lowest possible cost. When you use the all-in-ONE Surgical Instrument Cleaner with Conditioners, you are applying the highest level multi-tiered Enzymatic Enzyme, Detergents and Conditioners. The all-in-ONE Surgical Instrument Cleaner with Conditioners can REPLACE multiple products: enzyme cleaners, cleaning chemicals, STAIN removers, surface conditioners, and lubricants. ONE gallon delivers 512 gallons (1938 liters) of Surgical Instrument Cleaner with Conditioners power. The Dilution rate is .25 to .5 ounces per gallon (1.92 ml per liter to 3.85 ml per liter) depending on the level of bioburden, encrustation and STAINS. The all-in-ONE™ Surgical Instrument Cleaner with Conditioners replace products used for: manual cleaning, ultrasonic cleaning, automated surgical instrument washers, and scope (flexible and rigid) cleaners. The all-in-ONE™ is inherently environmentally friendly being: Neutral Ph, 100% biodegradable, and free of toxic and/or hazardous components.
Summary: It is a recognized risk of exposure to unidentified microorganisms that reprocessing personal endure during the decontamination, reprocessing, and cleaning of surgical instruments. Our goal is to minimize the amount and degree of reprocessing personal exposure to this risk and provide reprocessed surgical instruments that are clean: safe to handle, safe for patient care, are cleaned, decontaminated reprocessed at the lowest cost. Optimal decontamination cleaning-reprocessing of surgical instruments will secure the prerequisite for disinfecting surgical instruments and/or sterilizing surgical instruments.
Enzymatic 4 Enzyme Detergent Surgical Instrument Cleaners
Typically, Healthcare Facilities manually clean [hand-wash] surgical instruments: with dried on or excessive debris, surgical instruments that are cannulated, surgical instruments with working channels and/or surgical instruments with lumens. Healthcare Facilities also manually clean [hand-wash] surgical instruments, when a surgical instrument washer decontaminators or washer disinfectors is not available. Hand washing surgical instruments places the reprocessing personnel at risk. In the decontamination area, surgical instruments are received that are contaminated with variable amounts of debris and unidentified microorganisms. In the Clean Side reprocessing area, surgical instruments requiring further reprocessing are handled by unprotected reprocessing personnel. CLEANING SURGICAL INSTRUMENTS BY HAND CAN LEAD TO INJURY AND INCREAESED EXPOSURE TO HERPATITIS. THE CDC BELIEVES THAT AS MANY AS 18,000 HEALTH CARE WORKERS PER YEAR MAY BE INFECTED BY THE HBV,” AND “AS MANY AS 300 DEATHS MAY RESULT ANNUALLY.”
Workers at Risk Reprocessing Surgical Instruments: Inherent in the manual cleaning-decontamination-reprocessing of surgical instruments is power spraying, splashing, and the creation of contaminated aerosols. The manual cleaning-decontamination-reprocessing of surgical instruments presents the risk of infectious puncture wounds. The handling of each individual surgical instrument device is time consuming, labor intensive, renders limited through-put and has high overhead costs.
Enzymatic Enzyme Detergent Surgical Instrument Cleaners
Exposure Contained by Automated Surgical Instrument Washer Decontaminators Disinfectors
Surgical Instrument Washers CSSD Washer Disinfectors In the United States manufacturers of Surgical Instrument Washers are not approved by the FDA to market their products as Washer Disinfectors. However, many of the Surgical Instrument Washers are manufactured to produce the times and temperatures that can effectively deliver disinfected surgical instruments. If it is your preference to have cleaning reprocessing results of a "washer disinfector", refer to the Surgical Instrument Washer Specifications for assurance that the times and temperatures available are those you consider to be appropriate for disinfecting surgical instruments. Automated Surgical Instrument Washer Decontaminator Disinfectors can safely contain within their chambers the cleaning-decontamination-reprocessing functions, removal of debris, and contaminated aerosols. The batch treatment of reprocessing surgical instruments using automated Surgical Instrument Washer Decontaminators Disinfectors saves time, increases material through-put, improves surgical instrument turnaround times, provides for FTE reduction, and lowers cost for surgical instrument cleaners. It has been demonstrated that a properly designed Surgical Instrument Washer Decontaminator Disinfector, that is used to manufacturer’s specifications, will consistently and repeatedly remove all microorganisms from surgical instruments.
Enzymatic Enzyme Detergent Surgical Instrument Cleaners
Washer Decontaminators Washer Disinfectors should be used in accordance with the manufacturer’s direction for use, to secure the most consistent and efficacious results. Worker safety and reprocessing efficacy can be compromised by violating the manufacturer’s recommendations. Examples of such recommendations are: Keeping the cannulated surgical instrument working chambers and lumens exposed during cleaning-reprocessing and the use of purified water final rinses. A Clean Surgical Instrument Device is Safe to Handle It is critical that devices are cleaned properly to secure the safety of reprocessing workers in the Clean Area. During the steps of inspection, sorting and packaging of devices, the unprotected reprocessing personnel are repeatedly at risk from a surgical instrument that has remained contaminated with microorganisms. Within the implementation of the Universal Surgical Instrument Reprocessing Decontamination Precautions, it is our goal to eliminate exposure and reduce the risk to Reprocessing personnel whenever possible.
Enzymatic Enzyme Surgical Instrument Detergent Cleaners
The use of proper hand washing surgical instrument reprocessing decontamination methods can render surgical instruments that are clean, but requires the continual exposure of the Reprocessing Staff to contaminated surgical instruments. The Reprocessing Staff performance is influenced by skill level, knowledge and work load. This may impact the efficacy of the process. The use of a properly designed surgical instrument washer decontaminator disinfector reduces the: overhead cost of reprocessing, risks to the Reprocessing Staff and provides consistence removal of all microorganisms from soiled surgical instruments. Once a surgical instrument is clean, it is then safe for further reprocessing and handling. Proper cleaning is the prerequisite for disinfecting and/or sterilizing surgical instruments. Optimal cleaning can render surgical instruments that, at the end of decontamination, cleaning, and reprocessing, are sterile.
Product Development
Surgical Instrument Care and the 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 Corrosion )
If the manual cleaning, brushing and rinsing steps are not properly carried out, protein debris can harden and lead to formation of biofilm on the surgical instrument, i.e. the biopsy channel of an endoscope. The optimal surgical instrument cleaning protocol will break down proteinaceous bioburden and clean the surface. Inadequate cleaning can result in material remaining on the surgical instrument which will prevent disinfection and sterilization fluids or gases reaching all parts of the potentially contaminated device. Inadequate sterilization or disinfection sterilization and may in turn result in transmission of infectious organisms when the device is reused. The intricate design and delicate materials of flexible scopes complicate the cleaning process. This requires repetitive and consistent oversight.
Enzyme Detergent Surgical Instrument Cleaners
Cleaning Surgical Instruments is the Prerequisite for Sterilization
Cleaning Surgical Instruments in the presence of pathological prions
(Creutzfeld-Jakob disease) deactivating prions (protein and prion contamination)
The most common practice believes that the only completely safe way to prevent transmission of vCJD is to use single-use surgical instruments. Because of the pervasive distribution of these infectious proteins and the long incubation time of the disease, reprocessing cleaning surgical instruments has been identified as a high risk factor for nosocomial transmission of vCJD. Research has shown that the agent of the vCJD disease, an infectious prion protein, is extremely resistant to today’s sterilization methods; therefore, the argument, “It does not matter if instruments are 100 percent clean, as they will be sterilized,” is definitely no longer valid. Today, we understand that cleaning surgical instruments is as important as the sterilizing the surgical instruments. Today’s surgical instrument cleaning process requires increasingly sophisticated surgical instrument cleaning concentrates. Detergents, which are used in these processes, can be mild, with a neutral pH, or they may be more aggressive, with values in the alkaline range of the pH scale. A number of hospitals and surgical centers are effectively using neutral pH “combination” enzymatic enzyme detergent cleaners for reprocessing surgical instruments. The “combination” enzyme detergent cleaners provide optimal cleaning as well as the highest possible level of care for surgical instruments and scopes. The manufacturers of surgical instruments strongly recommend the use of Neutral pH cleaners to enhance the "passive layer" of instrument protection. The early prion inactivation approach, using a high concentrate of sodium hydroxide solution or sodium hypochlorite combined with long holding times, is generally lethal for medical surgical instruments and washer-decontaminators- disinfectors. Recently, researchers have been looking is a minimally destructive method to decontaminate surgical instruments potentially contaminated with prions. The use of “combination” enzyme detergent surgical instrument cleaners has offered the highest level of cleaning outcomes.
Enzyme Surgical Instrument Detergent Cleaners
Ultrasonic cleaning of reusable endoscope accessories and components may be needed to remove material from hard-to-clean areas. The same detergent used for ultrasonic cleaning can be the same as used for manual cleaning. Recommendations for detergents used for ultrasonic cleaning are as follows:a non-foaming detergent must used the labeling of the detergent should recommend the use of the product for ultrasonic cleaning always use enzymatic detergents for instruments soiled with bioburden (protein, fats, starch) use detergents with 'surfactant' cleaning agents for removing stains and hard water mineral deposits the treatment cleaning time recommended by the medical device and detergent manufacturers should be observed avoid the inhalation of enzyme-containing detergent aerosols (risk of anaphylactic reactions) by maintaining a cover over the ultrasonic cleaner when in use.
Ultrasonic cleaners are very effective when used with hot water per manufacturer’s recommended temperature and specially formulated detergents. It is recommended that all visible debris and blood be removed from the instrument prior to ultrasonic cleaning. Sort instruments by similar metals to prevent corrosion due to the contact of dissimilar metals. (electrolytic deposition - galvanic corrosion) It is not recommended to clean plated instruments in an ultrasonic cleaner since the ultrasonic vibration and the presence of other sharp instruments may crack or rupture the plating. Because Ultrasonic Cleaner solutions do not provide the complete "proper sequence of treatments" i.e. final rinse(s) that are purified, purged between treatments, and/or have temperatures elevated to disinfection levels, they are not considered to be as clinically effective as automated washer-decontaminators- disinfectors. Ultrasonic Cleaning can effectively remove: long term encrustation and surgical cements or glues that have dried onto instrumentation. Always refer to the printed manufacturer recommendations prior to using Ultrasonics.
Recommendations for Maximizing Ultrasonic Cleaner solution Efficacy:
items being cleaned must be fully immersed
hinged instruments must remain open during treatment
only use cleaning trays that do not obstruct the ultrasonic cleaning process or add mass (e.g. wire baskets)
large surface bulky items such as kidney shaped bowls must be positioned not to create anechoic (shadow) zones that will block the efficacy of ultrasonic transducer waveform. Position such items vertically or put them on top of the other items.
always sort instruments by similar metals to prevent corrosion
do not overload the ultrasonic cleaning tank with excessive mass as this will reduce the efficacy of cleaning
the soil being removed from devices being cleaned adds to the mass within the tank and decreases the efficacy of the ultrasonic cleaner. Review the level of soil and renew the ultrasonic bath as needed
ALWAYS follow ultrasonic cleaning with separate rinse treatments. Ultrasonic cleaning will fragment and loosen soil but will not necessarily remove the soil from the surface of the surgery instrument being cleaned.
Cleaning Concentrates - Detergents
Aldehydes Contained in Cleaning Concentrates
for Cleaning Surgical Instruments
When using Cleaning Concentrates which contain Aldehydes, be aware that they denature and coagulate protein. Amine Compounds or Glucoprotamine in combination with Glutaraldehyde and Cleaning Concentrates Detergents based on amine compounds or glucoprotamine in combination with glutaraldehyde for disinfection should not be used as chemical reactions may result in formation of colored residues. These residues can appear to be corrosion. The use of a high level cleaning surfactant "combination" enzyme detergent instrument cleaner can be used to remove the corrosion-stains, and prevent corrosion or stains.
Product Development
Surgical Instrument Cleaning Reprocessing
Cleaning cannulated Surgical Instruments inside and out.
Surgical Instrument Washer Decontamination
Clean is Safe Washing Surgical Instruments
Surgical Instrument Cleaning cost effectively and fast.
Surgical Instrument Cleaners lower cleaning costs.
Pre wash and soaking Surgical Instruments
Surgical Instrument Decontamination
Automated Surgical Instrument Washers
Ultrasonic Surgical Instrument Cleaners
Washer Disinfector Detergent Enzyme Lubricant Cleaners cut costs.
Surgical Instrument Detergent Washer Disinfector Lubricant Cleaners clean fast.
Surgical Instrument Detergent Enzyme Lubricant Cleaners improve throughput.
Surgical Instrument Cleaning Detergents Enzymes remove bioburden.
Washer Disinfector Detergents that deliver lubricant cleaners can cut costs.
Washer Disinfectors,using lubricant enzyme detergent cleaners will cut costs.
Surgical Instrument Detergent Enzyme Lubricant Cleaners reduce inventory costs.
Surgical Instrument Cleaners that deliver four enzyme remove bioburden effectively.
