4 Enzyme Detergent Surgical Instrument Cleaner
Care of Surgical Instruments to Prevent Corrosion.
ONE Enzyme Detergent Surgical Instrument Cleaner product.
ONE Enzyme Surgical Instrument Cleaner application.
Apply this Enzyme Surgical Instrument Cleaner ONCE.
It's all you really need.
The all-in-ONE easy FOAM-it lays down a blanket of fast acting "high level" multi-tiered enzyme detergent cleaning action.
The all-in-ONE Enzyme Detergent Surgical Instrument Cleaner Conditioner for manual and automated cleaning is a unique formulation of multi-tiered high-level enzymes, detergents, and a surfactant chemical complex to: clean, prevent corrosion, remove stains, protect the surface, and lubricate. The Enzyme Detergent Surgical Instrument Cleaner delivers all of the cleaning power you need in ONE application. For most applications there is no need to add further cleaning ingredients for pre-soaking or manual cleaning. When the Enzyme Detergent Surgical Instrument Cleaner is used for manual and automated cleaning the dilution rates of only .25 to 1 ounce per gallon. The Enzyme Detergent Surgical Instrument Cleaner will significantly lower your cost for consumables while improving your cleaning outcomes. The Enzyme Detergent Surgical Instrument Cleaner will prevent corrosion. The Neutral pH all-in-ONE enzyme detergents break down bio-burden, clean and condition the surface and then rinse clean. Your Instruments will look newer and perform longer. The all-in-ONE Enzyme Detergent Surgical Instrument Cleaner is a unique formulation of: detergents, "multi-tiered" "high-level" enzymes, and a neutral pH surfactant chemical complex. The all-in-ONE Enzyme Detergent Surgical Instrument Cleaner will: remove stains, protect the surface protection, and lubricate. With the all-in-ONE Enzyme Detergent Surgical Instrument Cleaner you will be able to combine enzyme and detergent treatments for manual cleaning and automated washer decontaminators. You will: save time, lower inventory levels, cut the cost of consumables, and improve turnaround time. Your surgical instruments will look newer and perform longer.
Enzyme Detergent Surgical Instrument Cleaner
Your first-line-of-defense against Corrosion
the "passive oxide layer" of Surgical Instruments
Stainless steel surgical instruments are made of corrosion resistant high-grade specialty steels. The key word here is “resistant”. Corrosion resistant does not mean corrosion proof. One of the special characteristics of these steels is that the manufacturer forms a "passive oxide layer" on the surface, which protects them against corrosion. This makes surgical instruments as corrosion resistant as possible. It is imperative that you maintain the passive oxide layer to prevent corrosion and maintain your surgery instruments in optimal condition. If this is not done the stainless steel will corrode or stain more readily which will reduce the life of the surgical instrument and/or render it useless. Initially, all “stainless steel” surgical instruments have the same corrosion resistance. When strength and hardness requirements are important factors for instrument function, corrosion resistance is generally lower. Increasing the corrosion resistance would soften the stainless steel. Manufacturers of surgical instruments and surgical instrument containers recommend the use of neutral pH cleaning concentrates. Newly developed neutral pH all-in-one or "combination" cleaning concentrates have been shown to be effective in optimizing the efficacy of the "passive oxide layer". This will provide a longer life for stainless steel surgical instruments. More information and studies regarding the "passive oxide layer" of Surgical Instruments is below.
Interpreting "Rust" - Yellow-brown to Dark-brown Stains or Spots
Yellow-brown to dark-brown stains or spots on surgical stainless steel instruments are frequently mistaken for "rust". These residue deposits (stains or spots arranged in groups or along edges or in crevices) are usually the instrument being exposed to result of high chloride content. They will lead to pitting of the surgical instrument surface if not removed. (see Avoiding High Levels of Chloride below) Excessively hard water can contain high levels of salt sufficient to cause stains or spots that appear as rust. Boilers used to generate the steam for steam sterilizers, if not cleaned properly, will produce contaminated steam which can deposit minerals onto instruments during the sterilization process.
Avoiding High Levels of Chloride
- use neutral pH cleaning agents
- dry and cool instruments as soon as possible following cleaning & sterilization treatments
- whenever possible use purified water (DI or RO) to thoroughly rinse instruments prior to drying & sterilization
- avoid exposing the surface protective layer of the instrument to abrasive conditions & treatments
- minimize the time instruments are exposed to high temperatures
- avoid using agents containing chloride (do not exceed ~ 120 mg/l, 200mg/l NaCl Sodium Chloride - Salt). A common problem is the inadvertent use of NaCl Sodium Chloride - Salt containing solutions do 'soaking instruments in surgery to maintain hydration of debris and prevent encrustation.
ALSO AVOID using cleaning agents containing other halogen ion agents (e.g. iodides, bromides).
Use cleaning agents containing "Nonionic Surfactants" whenever possible.
Enzyme Detergent Surgical Instrument Cleaner
Neutral pH Cleaning Concentrates recommended by Device Manufacturers
Virtually all manufacturers of surgical instruments, rigid scopes, flexible scopes, and instrument containers recommend the use of neutral pH cleaning concentrates. e.g.: Do not use high acidic (pH <4) or high alkaline (pH >10) products for disinfection or cleaning, since these can corrode metal, cause discoloration or stress fractures.
Do not use abrasive pads or cleansers, which will scratch the surface allowing dirt and water deposits to collect. Abrasive cleaning will remove the protective passive layer.
Do not use high concentrations of chlorine bleach to clean or disinfect stainless steel instruments, as pitting will occur. Never use bleach to clean any surgical instruments. The high pH of bleach causes surface deposits of brown stains and might even corrode the instrument. Even high quality stainless steel is not impervious to an acidic bleach solution.
Sort instruments by similar metal for subsequent processing so that electrolytic deposition (galvanic corrosion) due to contact between dissimilar metals will not occur.
Rinsing Instruments - Tap or "Source" Water
Tap water can contain many minerals, which may discolor and stain surgical instruments. It is recommended that de-ionized water be used for the final rinsing to prevent spotting. all-in-one or "combination" cleaning concentrates can be effective in treating unacceptably hard source water and removing hard water encrustation from surgical instruments and equipment. If untreated tap water is used for final rinsing, then the instruments must be dried immediately to avoid staining.
Cleaning, Conditioning, Disinfection & Sterilization of Surgical Instruments
Clean instruments, or apply treatment to prevent the drying and encrustation of debris, as quickly as possible after use. Do not allow blood and debris to dry on the instruments. If cleaning must be delayed, place groups of instruments in a covered container with appropriate detergent or enzymatic solution to delay drying. The use of pre-soaking enzyme foam sprays has been shown to reduce the time expended for manual cleaning and render higher quality outcomes. After surgery, open all box locks and disassemble instruments with removable parts. This will limit blood drying on instruments that may cause them to corrode. The "all-in-one" cleaners and the enzyme-detergent foam sprays deliver a chemical complex to: maintain the hydration of bioburden, prevent corrosion, clean the surface, and condition the surface of instruments & scopes. This can significantly reduce manual cleaning and facilitate cleaning the surface of surgical instruments, scopes, and the lumens of cannulated instruments inside-and-one. If used properly, all-in-one enzyme detergent foam sprays and/or all-in-one "combination" cleaning concentrates can render excellent outcomes and facilitate cleaning instruments and scopes inside-and-out. They effectively cleaning the surface while cleaning lumens and working channels. This can eliminate or reduce the manual labor expended, rendering lower reprocessing costs while improving turnaround.
Cleaning the Prerequisite for Sterilization
The reprocessing decontamination process, whether done manually or automatically in a washer-decontaminator- disinfector, can only be effective if cleaning is adequate. Effective disinfection or sterilization: (Generic Sterilization with a Pre-Vacuum Sterilizer (HI-VAC): 270-272° F (132-134° C), 16-minute exposure time, with 4 pulses and a 30-minute dry time. Generic Sterilization with a Gravity Displacement Sterilizer: 270-272° F (132-134° C), 30-minute exposure time, with a 30-minute dry time.) Sterilization of an inadequately cleaned instrument is not possible. Cleaning is the prerequisite for sterilization.
Enzyme Detergent Surgical Instrument Cleaner
Ultrasonic Cleaning of Surgical Instruments
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. Contact between dissimilar metals can cause corrosion when ultrasonics is applied. Sort surgical instruments according to similar metal types to prevent corrosion. (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. Ultrasonic Cleaners do not provide the complete "proper sequence of treatments" i.e. purified final rinse(s) that are purified, purged between treatments and/or have temperatures elevated to disinfection levels. Ultrasonic Cleaning can effectively remove: long term encrustation and surgical cements or glues that have dried onto instrumentation. Overloading, and low water temperature, will decrease the effectiveness of ultrasonic equipment.
Ultrasonic cleaners are 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 metal for subsequent processing so that electrolytic deposition (galvanic corrosion) due to contact between dissimilar metals will not occur. 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. Always refer to the printed manufacturer recommendations prior to using ultrasonics.
Lubrication of Surgical Instruments
To maintain moving parts and protect instruments from staining and rusting during sterilization and storage, they should be lubricated with a water-soluble, preserved lubricant after each cleaning. Most automated washer decontaminators provide the option for lubrication at the end of the final rinse treatment. Since effective ultrasonic cleaning removes all lubricant, re-lubrication is important. A complete "all-in-one cleaner" will provide lubrication. The lubricant should contain a chemical preservative to prevent bacterial growth in the lubricant bath. The bath solution should be made with de-mineralized water. A lubricant containing a rust inhibitor helps prevent electrolytic corrosion of points and edges. Immediately after cleaning, instruments should be immersed or rinsed for 30 seconds and allowed to drain off, not wiped off. A lubricant film will remain through the sterilization to protect them during storage.
Prevent Staining and Spotting
Staining and spotting may result if residual chemicals are not completely rinsed from instruments that are subjected to steam sterilization. Following the manufacturer’s recommendations for the proper sequence of treatments (cold water pre-wash, enzyme/detergent wash, purified water rinse/lubrication, and drying) is critical in preventing staining and spotting. A Cleaning concentrate that will avoid spotting should be "free-rinsing" or state "rinse clean".
Studies regarding the "passive oxide layer" of Surgical Instruments
(Guidelines on metals and alloys in contact with food; Council of Europe; published 11.10.2000. Systemic nickel: the contribution made by stainless steel cooking utensils; Contact Dermatitis, Volume 32:2, 1994) of the stainless steel passive layer to prevent corrosion have revealed a reduction in corrosion prevention with the use of cleaning concentrates that are not neutral pH. The use of cleaning agents that deliver an acid rinse will release nickel from the stainless steel and decrease the efficacy of the passive layer. This is most critical on initial reprocessing events of stainless steel surgical instruments. Measurable levels of nickel have been detected. It was also shown that, as the number of subsequent uses increased, the level of nickel release diminished and reached a steady state (measured in the order of μg/l). These observations reflect the changes that occur in the passive oxide layer on first immersion of stainless steels in aqueous media.
Enzyme Detergent Surgical Instrument Cleaner
What is Stainless Steel ?
Stainless steel is essentially a low carbon steel which contains chromium at 10% or more by weight. It is this addition of chromium that gives the steel its unique stainless, corrosion resisting properties. The chromium content of the steel allows the formation of a rough, adherent, invisible, corrosion-resisting chromium oxide film on the steel surface. If damaged mechanically or chemically, this film is self-healing, providing that oxygen, even in very small amounts, is present. The corrosion resistance and other useful properties of the steel are enhanced by increased chromium content and the addition of other elements such as molybdenum, nickel and nitrogen. Stainless steel has a passive film created by the presence of chromium (and often other alloying elements, nickel, molybdenum) that resists this process. When exposed in air, stainless steels passivate naturally (due to the presence of chromium). But the time required can vary. In order to ensure that the passive layer reforms rapidly after pickling, a passivation treatment is performed using a solution of nitric acid and water.
How is the "passive oxide layer" Manufactured and Maintained ?
The passive layer or stainless steel is intended to prevent or resist corrosion. The process is called “Passivation”. “Passivation” and Polishing eliminate the carbon molecules form the instrument surface. This forms a layer which acts as a corrosive resistant seal. Passivation is a chemical process that removes carbon molecules from the surface of the instrument. This chemical process can also occur through repeated exposure to oxidizing agents in chemicals, soaps, and the atmosphere. Polishing, by the manufacturer, is a process used to achieve a smooth surface on the instrument. It is extremely important to polish an instrument because the passivation process leaves microscopic pits where the carbon molecules were removed. Polishing also builds a layer of chromium oxide on the surface of the instrument. With proper cleaning, handling, and sterilization the layer of chromium oxide will build up and protect the instrument from corrosion and /or pitting. In some circumstances older instruments are less corrosive than new ones. The newer instruments have not had the time to build up the chromium oxide layer. However, improper cleaning and sterilization can cause the layer of chromium oxide to disappear or become damaged thus increasing the possibility of corrosion and/or pitting. Proper cleaning and sterilization can cause the layer of chromium oxide to improve over time thus decreasing the possibility of corrosion and/or pitting. Second only to the financial asset value of the working staff, the surgical instrument and scope inventory is the single most financially valuable asset of the healthcare facility. That is a why it is so important to properly clean, sterilize, handle and store your instruments.
John Temple
Product Development
Importance of cleaning
Enzyme Detergent Surgical Instrument Cleaner
The primary purpose of cleaning surgical instruments and scopes is to remove all inorganic and organic material from the internal and external surfaces of flexible endoscopes. The secondary purpose of cleaning surgical instruments and scopes is to maintain and improve the “passive Layer” of stainless steel. The passive layer is provided by the manufacturer of surgical stainless steel to resist (prevent) corrosion. Proper cleaning will maintain and improve this passive layer. (for more information go to: Prevent Corrosion – Importance of Cleaning) 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 biopsy channel of the endoscope. Inadequate cleaning can thus result in material remaining on the endoscope surfaces which prevents disinfection and sterilization fluids or gases reaching all parts of potentially contaminated surfaces. Inadequate sterilization or disinfection may in turn result in transmission of infectious organisms when the endoscope is reused. The intricate design, delicate materials and susceptibility to damage of flexible endoscopes further complicates their decontamination.
Cleaning is the Prerequisite for Sterilization
The reprocessing decontamination process, whether done manually or automatically in a washer-decontaminator- disinfector, can only be effective if cleaning is adequate. Effective disinfection or sterilization: (Generic Sterilization with a Pre-Vacuum Sterilizer (HI-VAC): 270-272° F (132-134° C), 16-minute exposure time, with 4 pulses and a 30-minute dry time. Generic Sterilization with a Gravity Displacement Sterilizer: 270-272° F (132-134° C), 30-minute exposure time, with a 30-minute dry time.) Sterilization of an inadequately cleaned instrument is not possible. Cleaning is the prerequisite for sterilization.
All disinfection processes, whether done manually or done automatically in a 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. Endoscopes should be cleaned with an enzymatic detergent compatible with the endoscope immediately after use and before manual or automated disinfection. Cleaning involves the entire endoscope, including valves, channels, connectors and all detachable parts. High level enzymatic formulations (Enzymatic Surgical Instrument Cleaners), in combination with a high level surfactant chemical complex, have been shown to be more effective in removing stains, hard water deposits, and encrusted bioburden, while being safe to use for rigid or flexible scopes.
Enzyme Detergent Surgical Instrument Cleaner
Enzyme Cleaning Concentrates
Manufacturers usually recommend that Enzyme Cleaning Concentrates should be discarded after each use as these products are not microbicidal and will not retard microbial growth. Some manufactures of "combination" or all-in-one cleaning concentrates include a bacteriostatic agent which will prevent the growth of microorganisms. Some detergent complexes contain antimicrobial-microbicidal substances. These agents do not replace disinfection but are intended to reduce the risk of infection to reprocessing personnel. The cleaning function efficacy of enzyme cleaning concentrates is determined by the ratio of enzymes to bioburden. The higher the proportion of enzymes the higher the efficacy. As a result, if the cleaning solution becomes laden with bioburden from previous cleaning, the efficacy of the enzyme cleaning concentrates is lower. When a cleaning concentrate states that is it "multi-tiered", the inference is that is contains: proteases (enzyme) which break protein debris into smaller, more soluble subunits, amylase (enzyme) which catalyses the breakdown of starch, and lipase (enzyme) which breaks up fat-containing debris and carbohydrates. When a cleaning concentrate states that is it "high-level", the inference is that is contains a high concentration of enzymes. When a cleaning concentrate states that is provides "enzyme activity" the inference is that is contains enzymes but this is usually is a misrepresentation of ingredients for a cleaning concentrate that does not contain enzymes. Enzymes are effective and they are costly for manufacturers to include in the formulation. As is true for all cleaning concentrates, the most effective test is against your most difficult cleaning challenge. The two most common tests for cleaning concentration efficacy that are commercially available are the "TOSI Test" and the "film test".
Enzyme Detergent Surgical Instrument Cleaner
Optimal Temperature for using Enzyme Cleaning Concentrates
Enzyme Cleaning Concentrates function more effectively at temperatures above room temperature. The optimal range begins as > 22C - 72°F with performance reaching it's peak at 58.3C - 137F. This is often referred to as the optimal temperature for the performance or activity of enzymatic action. The activity of enzymes does not stop at higher temperatures but the level of performance does begin to decrease. Enzyme cleaning concentrates enzyme-detergents and all-in-one cleaning concentrates, which include enzymes, should be used in accordance with the manufacturer's recommendations and the recommendations of the medical devices being cleaned.
Cleaning in the presence of pathological prions (Creutzfeld-Jakob disease)
The approach is the same if the presence of pathological prions (including the prions of Creutzfeld-Jakob disease) is suspected, however attention to detail is more important. It has been long known, that prions are unusually resistant to disinfection and sterilization by physical and chemical methods in common use for decontamination of infectious pathogens. It is a difficult task to gain a consensus opinion on what constitutes optimal and practical conditions for decontamination of prions. Numerous studies have been conducted, but they do not reflect the reprocessing procedures for instruments in a clinical setting which are critical for iatrogenic transmission. The method of reprocessing prion contaminated surgery instruments and scopes includes (1) decontamination by NaOH or NaOCl for 30 or 60 minutes followed by GL-autoclaving at 121°C for 30 minutes, (2) cleaning and (3) routine PL-autoclaving at 134°C. It is known that some medical devices cannot be decontaminated by heat and moisture. Disinfectants have been widely used for this purpose although practically ineffective. The most common practice believes that the only completely safe way to prevent transmission is to use single-use instruments. Because of the pervasive distribution of these infectious proteins and the long incubation time of the disease, reprocessing of surgical instruments and scopes has been identified as a 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 the washing process is fully as important as the sterilization process. Today’s standard washing processes require increasingly sophisticated 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 surgery centers are effectively using neutral pH “combination” enzymatic-detergent cleaners for reprocessing surgical instruments and scopes. The “combination” enzyme-detergent cleaners provide optimal cleaning as well as the highest possible level of care for surgery instruments and scopes. The early prion inactivation approach, using a high concentration of sodium hydroxide solution or sodium hypochlorite combined with long hold times, is generally lethal for medical instruments and washers. Recently, researchers have been looking for less destructive methods to decontaminate medical devices potentially contaminated with prions. The use of “combination” enzymatic-detergent cleaners has offered the highest level of cleaning outcomes.
Ultrasonic Cleaning
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 Cleaning of Surgical Instruments
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 Cleaners 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 and 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 the Efficacy of Ultrasonic Cleaning
• itmes 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 itmes 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 reperate rinse treatments. Ultrasonic cleaning will fragment and loosen soil but will not necesarily remove the soil from the surface of the instrument being cleaned.
Enzyme Detergent Surgical Instrument Cleaner
Cleaning Concentrates - Detergents for Cleaning Surgery Instruments and Scopes
For the cleaning of endoscopes, detergents with or without enzymes, and detergents containing antimicrobial substances may be used. Use of non-foaming detergents is recommended. Foaming can inhibit good fluid contact with device surfaces, and prevent a clear field of vision during the cleaning process with a risk of injury to personnel.
The detergent selected should effectively loosen organic and non-organic material so that the flushing action of the detergent fluid and subsequent rinsing water removes the unwanted material. Combination all-in-one Enzymatic Surgical Instrument Cleaner detergent complexes have been shown to be highly effective.
Detergents may contain the following substances with properties supporting the cleaning action:
•
surfactants which reduce surface tension thus facilitating removal of debris
surfactants which reduce surface tension thus facilitating removal of debris •activated H2O2 which effectively loosens debris at room temperature
activated H2O2 which effectively loosens debris at room temperature •proteases (enzyme) which break protein debris into smaller, more soluble subunits
proteases (enzyme) which break protein debris into smaller, more soluble subunits •amylase (enzyme) which catalyses the breakdown of starch
amylase (enzyme) which catalyses the breakdown of starch •lipase (enzyme) which breaks up fat-containing debris
lipase (enzyme) which breaks up fat-containing debris •quaternary ammonium compounds, biguanidine, alcohols
quaternary ammonium compounds, biguanidine, alcohols Other active substances recommended for cleaning include:
•amine compounds
amine compounds•glucoprotamine
glucoprotamine•peracetic acid
peracetic acid•hydrogen peroxide
hydrogen peroxideEnzyme Detergent Surgical Instrument Cleaner
Aldehydes Contained in Cleaning Concentrates for Cleaning Surgery Instruments and Scopes
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.
John Temple
Product Development
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all-in-ONE
Enzyme Detergent
Surgical Instrument Cleaner
Enzyme Detergent
Surgical Instrument Cleaner
Enzyme Detergent Surgical Instrument Cleaner.
ONE Enzyme Detergent Surgical Instrument Cleaner product.
ONE Enzyme Detergent Surgical Instrument Cleaner application.
Don't just spray it... easy FOAM-it, the most effective
Surgical Instrument Cleaner available.
