Instrument Care & Handling - page 1

Care & Handling
STAINLESS STEEL INSTRUMENTS
Required Cleaning Items:
Distilled water with a neutral pH.
Enzymatic Cleaning Solution with a neutral pH of is highly recommended.
Detergent with a neutral pH.
Lubricant (BR82-12050) or Instrument Milk.
BR Brushes with nylon bristles (BR82-17005), or approved stainless steel bristles (BR82-17004).
New Instruments:
Should be disassembled and thoroughly cleaned BEFORE sterilization to remove manufacturing
residue or foreign debris.
Distilled Water:
Immediately after use, submerge instrument(s) in distilled water. Keep submerged until the cleaning
steps begin.
Enzymatic Soak:
Disassemble instruments and submerge them in an approved enzymatic solution following the
manufacturer’s recommendation. All instruments must be in the unlocked, un-ratcheted, jaws-open position to ex-
pose as much of the instruments’ surfaces as possible. This helps to keep blood, debris and protein matter from stick-
ing to the instrument surfaces and crevices.
Rinse to Remove the Enzymatic Solution and Loose Bio-debris:
Rinse the instruments with filtered, distilled, or
de-ionized water before instrument cleaning/scrubbing begins.
Cleaning Instruments:
Instruments should be scrubbed using approved brushes and a detergent with a neutral pH.
Immerse instrument in the detergent solution and clean with a small nylon bristled brush concentrating on the box -
lock, hinged areas, ratchets, serrated jaws and tip areas. Use caution while cleaning sharp tip instruments and instru-
ments with teeth so not to damage those delicate areas. A soft cloth or lap sponge can be used to clean the shafts and
shanks of the instrument. Stainless steel wire brushes approved for use on surgical instruments can be used for clean-
ing difficult areas such as serrations, bone rasp and instrument handles with grooved areas.
Rinse:
Immediately after scrubbing, rinsing the instruments in distilled water is preferred. Open the instruments to ex-
pose all surfaces to ensure all the detergent residues are wiped off all possible surfaces. Pay particular attention to the
box lock, hinged areas, and small crevice areas.
Inspection:
Visually inspect each instrument to ensure cleanliness and performance. Inspection should include check-
ing scissor blade closure, thumb forceps with 1x2 teeth and with serrations, and are properly aligned when closed.
Hemostats and needle holders should open and close smoothly with uniform jaw closure.
Drying by Hand:
Instruments must be thoroughly dried before being wrapped or placing them in a basket for steriliza-
tion.
IMPORTANT STEP:
Any cleaning moisture left on the instruments may contain detergents or minerals that will
cause spotting, staining, discoloration, corrosion and will lower the performance and life expectancy of the device.
Lubrication:
Lubrication should be applied before each sterilization. Instruments should be soaked or sprayed with
water soluble instrument milk on the hinges and sliding parts of the instruments. This helps the instruments move
freely during use. The instrument lubricant also helps build up a passivation layer on the instrument surface. This lay-
er acts like a wax coating to help resist blood, debris and or other protein matter from sticking to the instruments. It
also helps resist mineral deposits on the instrument surface. Silicon or Petroleum based lubricants are not recom-
mended for surgical instruments. Instruments can now be made ready for the sterilizer.
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BR SURGICAL
3500 Beachwood Court
Suite 107
Jacksonville, FL 32224
Office:
904.642.1366
Toll Free:
888.642.1366
Fax:
904.642.1368
OVER 20,000 SURGICAL INSTRUMENTS & PROCEDURE SETS • ENDOSCOPIC VIDEO EQUIPMENT & RELATED MEDICAL DEVICES
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