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 designed surgical instrument cleaners will maintain and improve this passive layer. If the manual cleaning of surgical instruments, 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. The optimal cleaning surgical instrument protocol will break down bioburden and clean the surface. Inadequate cleaning surgical of instruments 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. Contact us for ultrasonic enzyme detergent cleaners, the ONEcleaner enzymatic surgical instrument cleaners, highly concentrated surgical instrument cleaning detergents, enzymatic detergent surgical instrument lubricants, four enzyme surgical instrument cleaning detergents that strengthen surgical stainless steel, and surgical instrument lubricant detergent cleaning enzymes that lower cleaning reprocessing costs.
Surgical instrument cleaners should not not used with antimicrobial agents. All disinfection processes, whether done manually or done automatically in a surgical instrument washer 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. Manufacturers usually recommend that Surgical Instrument Cleaners should be discarded after each use as these products are not microbicidal and will not retard microbial growth. The ONEcleaner includes a bacteriostatic agent which will prevent the growth of microorganisms. Some detergent complexes contain antimicrobial-microbicidal substances. The cleaning efficacy of enzyme surgical instrument cleaners is determined by the ratio of enzymes to bioburden. The higher the proportion of enzymes surgical instrument cleaners, the higher the cleaning efficacy. If the surgical instrument cleaners become laden with bioburden from previous cleaning, the efficacy of the enzyme surgical instrument cleaners is lower. Surgical Instrument Cleaning Detergents should contain protease enzymes which break protein debris into smaller, more soluble subunits, amylase enzymes which catalyses the breakdown of starch, and lipase enzymes which breaks up fat-containing debris and carbohydrates enzymes which breakdown complex starches. When Surgical Instrument Cleaning Detergents and enzymatic medical endoscope cleaners state that they provide 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. The most effective test for surgical instrument cleaners is against your most difficult cleaning challenge. Refer to the label and MSDS for disclosure of ingredients for surgical instrument cleaners. The optimal cleaning range of enzyme cleaners begin 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 Surgical Instrument Cleaners 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 endoscope cleaners, which include enzymes, should be used in accordance with the manufacturer's recommendations.