ABSTRACT Summary:
Paper accepted for presentation at APIC:
Eighteenth Annual Conference and International Meeting
Nashville Tennessee
Oral Presentation
Validation of the microbial safety of surgical instruments and utensils following automated cleaning by a properly designed Washer Decontaminator Washer Disinfector – Thermal Disinfection. A. Drake, RN and L. Ayers, MD., The Ohio State University Hospitals, Columbus, Ohio, 43210
The sequential functions of the Surgical Instrument Washer progress from flush/rinse, sonic bath, wash, rinse, lubricant/deionized water (DI) sprays to drying at 240° F. for 4 minutes. The Surgical Instrument Washer was challenged with selected instruments and utensils that are considered to be very difficult to clean. All products were tested for sterility. Ten separate cultures were taken of the final rinse solution of instrument lubricant and de-ionized water prior to the drying cycle. A separate culture was taken of the instrument lubricant fluid. All instruments and utensils tested were sterile at the completion of the process.
Ann Drake
John Temple
Product Development
NOTE:
Surgical Instrument Washers with an automated Ultrasonic Surgical Instrument Cleaner used in this research study were manufactured by CESCO, Mercersburg PA. Although these Surgical Instrument Washers with automated Ultrasonic Surgical Instrument Cleaning are not currently available. The studies demonstrate the propensity for Surgical Instrument Washers with an automated Ultrasonic Surgical Instrument Cleaner to deliver optimal cleaning results.
The surgical instrument cleaner 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 cleaner is 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).
Properly Designed Surgical Instrument Washers, Washer Decontaminators, and Washer Disinfectors Provide the Prerequisite for Sterilizing Surgical Instruments.
John Temple
John Prohonic
Instrument Washer Disinfector Products
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The all-in-ONE ™ Enzyme Detergent Surgical Instrument Cleaner & Conditioner 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. When applied directly to soiled surgical instrument & scopes, delivers all of the cleaning & conditioning power you need in ONE application. When used for manual and automated cleaning, the dilution rates are .25 to 1 ounce per gallon. The all-in-ONE ™ Surgical Instrument Cleaner will significantly lower your cost for consumables while improving your Surgical Instrument cleaning outcomes. The Neutral pH all-in-ONE™ Surgical Instrument Cleaner will rapidly break down bio-burden, clean and condition the surface of your surgical instruments. and then... rinse clean.
Surgical Instrument Cleaners and Conditioners
The all-in-ONE™ Surgical Instrument Cleaner is: a formulation of detergents, "multi-tiered" "high-level" enzymes, and a neutral pH surfactant chemical complex. The all-in-ONE™ Surgical Instrument Cleaner will: remove stains from surgical instruments , protect the surface protection, and lubricate the moving parts of surgical instruments. The multi-tiered high level Enzyme Formulation (Protease, Amylase, Lipase, and Carbohydrase enzymes) quickly removes the most stubborn organic encrustation and bio-burden including: blood, fat, carbohydrates, starches, and protein. The all-in-ONE™ high-level surfactant Chemical Complex breaks down and removes bioburden, cleans the surface, removes stains, and conditions the surface to prevent staining and corrosion and pitting. The “free rinsing” all-in-ONE™ Surgical Instrument Cleaner will condition the source water and counter the effects of hard water for spotless cleaning. With the all-in-ONE™ 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.
Surgical Instrument Cleaners and Conditioners
After Surgical Instruments were cleaned in a Surgical Instrument Washer using a 'combination' surgical instrument cleaner concentrate: "evaluation of Washer Decontaminators Washer Disinfectors confirmed that the efficacy of disinfection was 100%". "All instruments and utensils tested were sterile at the completion of the process."
Properly Designed Surgical Instrument Washers, Washer Decontaminators, and Washer Disinfectors Provide the Prerequisite for Sterilizing Surgical Instruments.
John Temple
John Prohonic
Product Development
CLICK Here to go to the Studies.
Summary: Properly Surgical Instrument Washers clean all surfaces thoroughly, thereby providing the critical prerequisite for the safe handling, high level disinfection, and the sterilization of surgical instruments.
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.
Proper Surgical Instrument Washer Design Secures Optimal Cleaning Performance
The proper sequence of treatment 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 [disinfecting and/or sterilizing].
Washer Decontaminator Washer Disinfector - 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 was tested for its ability to complete remove pathological organism from surgical instruments. 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 Efficacy of Disinfection 100%
Conclusion
The Surgical Instrument Washer sequence, cold water pre-wash, ultrasonic cleaning, detergent washing action, final rinse and drying treatment of a properly designed Surgical Instrument Washer will provide critical cleaning, the prerequisite for safe handling, optimal disinfecting, and sterilizing of medical devices.
NOTE:
Surgical Instrument Washers with an automated Ultrasonic Surgical Instrument Cleaner used in this research study were manufactured by CESCO, Mercersburg PA. Although these Surgical Instrument Washers with automated Ultrasonic Surgical Instrument Cleaning are not currently available. The studies demonstrate the propensity for Surgical Instrument Washers with an automated Ultrasonic Surgical Instrument Cleaner to deliver optimal cleaning results.
The surgical instrument cleaner 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 cleaner is 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).
After Surgical Instruments were cleaned in a properly designed Surgical Instrument Washer using a 'combination' surgical instrument cleaner concentrate: "evaluation of Surgical Instrument Washers confirmed that the efficacy of disinfection was 100%". "All instruments and utensils tested were sterile at the completion of the process."
Properly Designed Surgical Instrument Washers, Washer Decontaminators, and Washer Disinfectors Provide the Prerequisite for Sterilizing Surgical Instruments.
John Temple
John Prohonic
CLICK Here to go to the Studies.
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