Surgical Instrument Washers, and Dishwashers
Properly designed automated endoscope washers can deliver the proper endoscope disinfecting temperatures and provide cleaning Endoscopes cleaner with less damage. Properly designed automated endoscope washers can deliver the proper endoscope disinfecting temperatures. Always refer to manufacturers specifications prior to establishing your reprocessing protocol. Contact us for Surgical Instrument Detergents that cut costs.
Surgical Instrument Washers,
HTM 2030 is the NHS standard governing the washing and disinfection of surgical and dental instruments – this is the standard that ensures the instrument is ‘clean’ prior to sterilisation and Clean is Safe for Reprocessing Surgical Instruments. To equate to hospital standards, 2010 and 2030 must be achieved in the dental surgery. The BDA guideline A12 states that ‘all instruments contaminated with oral and other body fluids must be thoroughly cleaned and sterilised after use.’ So why can’t we use a dishwasher? Dishwashers look like washer disinfectors, they come in a variety of models and they have similar spray arms, nozzles, racks and baskets. At issue is the definition of ‘clean.’ A scientist would say ‘completely free of harmful organisms’ and a dishwasher salesman would say ‘lemon fresh.’ It is accepted that sterilisation alone is not enough, as debris remaining on an instrument will act as a barrier to the steam and prevent sterilisation. Proteins, including prions (the agents believed to responsible for vCJD) are also not susceptible to steam sterilisation, but are removed by correct washing and disinfection procedures. The dishwasher will undoubtedly deliver your crockery ‘lemon fresh.’ It performs a series of cycles that typically operate to a maximum of 60°C, but there is no designated minimum temperature. The washer disinfector is specifically designed to ensure instruments are clinically ‘clean’ after processing. Although it’s cycle is similar to the dishwasher, the initial flushing is carried out at a designated temperature of less than 35°C to prevent protein coagulation (proteins coagulate at 35°C, so an initial hand wash in hot water is equally ineffective). During the wash phase there is a controlled release of chemical detergent and the load carrier and spray distribution are designed to facilitate total cleansing. The rinsing phase includes a thermal disinfection - a high temperature (93°C) water rinse which has a micro-biocidal action against a wide range of infective organisms and also removes any chemical residues from the wash phase. The whole cycle is monitored and any faults reported, which enables the operator to verify that the process has been successfully completed and the instruments are ‘clean’ in accordance with HTM 2030. Independent monitoring is a key element in achieving the required standard. There are currently very few manufacturers from the medical NHS hospital market in the UK that is now providing GDP’s with tabletop sterilizers, Table top Autoclaves, surgical instrument disinfecting equipment, and endoscope disinfecting equipment. For Information refer to: surgical instrument washers, surgical instrument enzyme cleaners, surgical instrument detergents, tabletop sterilizers, Table top Autoclaves, surgical instrument disinfecting equipment, and endoscope disinfecting equipment. The domestic dishwasher lacks accurate time and temperature controls and does not validate its cleaning cycle. Ultrasonic surgical instrument cleaning provides no reliable means of validation, and their use for instrument decontamination is, at best, questionable as they do not provide the full and proper sequence of surgical instrument cleaning treatments. The washer disinfector will decontaminate your surgical instruments to hospital standards and verify its own performance; you, your staff, your patients and the Department of Health will be confident that your instruments really are clean. Automated Endoscope Washer Temperature Parameters for Cleaning Endoscopes should not be heated over 199,4°F (93°C). Automated Endoscope Washer Temperature Parameters for Cleaning Flexible scopes should not be heated over 149°F (65°C). Properly designed automated endoscope washers can deliver the proper endoscope disinfecting temperatures.
Surgical Instrument Washers