Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
The ONEStep Enzyme Detergent Surgical Instrument Cleaner with Conditioning offers a highly concentrated surgical instrument cleaner with conditioners. Reduce your surgical instrument cleaning costs. Eliminate surgical instrument cleaning products from your inventory. Boost surgical instrument cleaning productivity and cut turnaround times. ONE product for cleaning Surgical Instruments fast. ONE application for cleaning Surgical Instruments cost effectively. Apply it ONCE. It's all you really need for cleaning Surgical Instruments cost effectively and fast. You will not need any additional Surgical Instrument Cleaner products for: hydrating dried on debris from surgical instruments, pre-cleaning surgical instruments, soaking surgical instruments, removing stains from surgical instruments, manually cleaning surgical instruments, ultrasonic cleaning surgical instruments, or using an automated surgical instrument washer.
Enzyme Detergent Surgical Instrument Cleaning  
Surgical Instrument Care and
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Prevent Surgical Instrument Corrosion
Your first-line-of-defense against Corrosion is the passive 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 of all surgical instruments, which protects them against corrosion. This makes surgical instruments as corrosion resistant as possible. It is imperative that you maintain the passive layer of surgical instruments to prevent corrosion and maintain your surgical instruments in optimal condition.  If this is not done the surgical instrument 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 surgical instruments stainless steel. Manufacturers of surgical instruments and surgical instrument containers recommend the use of neutral pH surgical instrument cleaning concentrates. Neutral pH all-in-one or "combination" cleaning concentrates have  been shown to be effective in optimizing the efficacy of the passive layer of surgical instruments. This will provide a longer life for stainless steel surgical instruments. More information and studies regarding the passive layer of Surgical Instruments is below.
The Surgical Instrument Cleaning Process:
the primary surgical instrument cleaning process and
the secondary surgical instrument cleaning process.
Surgical Instrument 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. 
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Avoiding High Levels of Chloride
use neutral pH surgical instrument cleaners as recommended by all manufacturers of surgical instruments. Dry and cool surgical instruments as soon as possible following cleaning surgical instruments and sterilizing. Use purified water (DI or RO) to thoroughly rinse instruments prior to drying surgical instruments. Avoid exposing the surface protective layer of the surgical instruments to abrasive conditions and treatments. Minimize the time surgical 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. Soak surgical instruments at the point of use to maintain hydration of debris and prevent encrustation on surgical instruments. Avoid using surgical instruments cleaning agents containing other halogen ion agents such as glutaraldehyde (e.g. iodides, bromides). Use surgical instrument cleaning agents containing Nonionic Surfactants whenever possible.
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Enzyme Detergent Surgical Instrument Cleaner  
Surgical Instrument Cleaner with Conditioning  
delivers a unique formulation of multi-tiered high-level enzymes, detergents, and a surfactant chemical complex to: rapidly breakdown and remove bioburden from surgical instruments, clean the surface of surgical instrument stainless steel, prevent surgical instrument corrosion, remove stains from surgical instruments, enhance the surgical instrument surface protective passive layer of surgical instruments, and lubricate the moving parts of surgical instruments.
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Surgical Instrument Cleaners with Conditioners 
Surgical Instrument Cleaning with Conditioning
Neutral pH surgical instrument 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 surgical instrument cleaning concentrates. Generic  Example of this recommendation: Do not use high acidic (pH <4) or high alkaline (pH >10) products for disinfecting surgical instruments or cleaning surgical instruments, since these can cause surgical instrument corrosion, corrode surgical instrument metal, cause discoloration of surgical instruments, or cause surgical instrument stress fractures.
Do not use abrasive pads or cleansers, which will scratch the surface of surgical instruments allowing dirt and water deposits to collect. Abrasive cleaning of surgical instruments will remove the protective passive layer of surgical instruments. This will reduce the ability of the passive layer to prevent surgical instrument corrosion.   .
Do not use high concentrations of chlorine bleach to clean surgical instruments or disinfect surgical instruments 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 surgical instruments stainless steel is not impervious to an acidic solution. Always use neutral pH surgical instrument cleaning as recommended by virtually all manufacturers of surgical instruments.  
Sort surgical instruments by similar metal for subsequent processing so that electrolytic deposition (galvanic corrosion) due to contact between dissimilar metals will not occur.
Rinsing surgical 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 of surgical instruments to prevent  spotting. all-in-one or "combination" surgical instrument 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 the final rinsing of surgical instruments, then the surgical instruments must be dried immediately to avoid staining.
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Cleaning surgical instruments,
Conditioning surgical instruments,
Disinfecting surgical instruments
Sterilizing Surgical Instruments
Clean surgical instruments, or apply a prewash surgical instrument cleaner to prevent the drying and encrustation of debris, as quickly as possible after use. Do not allow blood and debris to dry on the surgical instruments. If the cleaning must be  the surgical instruments must be delayed place 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 cleaning surgical instruments and render alit outcomes. After using the surgical instrument , 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 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" surgical instrument cleaning concentrates can render excellent outcomes and facilitate cleaning instruments and scopes inside-and-out. They effectively cleaning the surface while cleaning surgical instrument lumens and working channels. This can eliminate or reduce the manual labor expended, rendering lower reprocessing costs while improving surgical instrument turnaround.

Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
The reprocessing decontamination process, whether done manually or automatically in a washer-decontaminator- disinfector, can only be effective if surgical instruments 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.
Surgical instrument cleaning is the Prerequisite for Sterilizing surgical instruments.
Ultrasonic Cleaning of Surgical Instruments
Ultrasonic surgical instrument cleaners are very effective when used with hot water as per the manufacturer recommended temperatures. It is recommended that  all visible debris and blood be removed from the surgical instrument prior to ultrasonic cleaning. Contact between dissimilar metals can cause Surgical Instrument 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 surgical instruments in an ultrasonic surgical instrument cleaner since the ultrasonic vibration and the presence of other sharp instruments may crack or rupture the plating. Ultrasonic surgical instrument Cleaners do not provide the complete "proper sequence of treatments" purified final rinse(s) that are purified, purged between treatments and/or have temperatures elevated to disinfection levels. Ultrasonic surgical instrument 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 surgical instrument 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 surgical instruments prior to ultrasonic cleaning. Sort surgical 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 a ultrasonic surgical instrument 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.
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
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 of Surgical Instruments
Staining and spotting may result if residual chemicals are not completely rinsed from instruments that are subjected to steam sterilization. Following the manufacturer  recommendations for the proper sequence of treatments (cold water pre-wash, enzyme/detergent wash, purified water rinse/lubrication, and drying) is critical in preventing of  staining and spotting. A Cleaning concentrate that will avoid spotting should be "free-rinsing" or state "rinse clean".

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.
What is of Surgical Instrument 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.
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
Lubrication of Surgical Instruments 
How is the passive oxide layer of of Surgical Instruments Maintained?
The passive layer or Surgical Instruments stainless steel is intended to prevent or resist Surgical Instrument  corrosion. The process is called “Passivation”. “Passivation” and Polishing eliminate the carbon molecules  form the instrument surface. This forms a layer on Surgical Instruments which acts as a corrosive resistant seal. Passivation is a chemical process that removes carbon molecules from the surface  of the Surgical Instruments. This chemical process can also occur through repeated exposure to oxidizing agents in chemicals, soaps, and the atmosphere. Polishing of Surgical Instruments, 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 Surgical Instruments also builds a layer of chromium oxide on the surface of the Surgical Instruments. With proper Surgical Instrument cleaning, Surgical Instrument handling, and sterilization, the layer of  chromium oxide will build up and protect the Surgical Instruments from corrosion and /or pitting. In some circumstances older surgical instruments are less corrosive than new ones. The newer surgical instruments have not had the time to build up the chromium oxide layer. Improper surgical instruments cleaning and sterilization can cause the layer of chromium oxide to disappear or become damaged. This increases the possibility of surgical instrument corrosion and/or surgical instrument pitting. Proper surgical instrument cleaning and sterilization can cause the layer of chromium oxide to improve over time thus decreasing the possibility of surgical instrument corrosion and/or surgical instrument 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
The 4 Enzyme Detergent Surgical Instrument cleaner
delivers a unique formulation of: detergents, "multi-tiered" "high-level" enzymes, and a neutral pH surfactant chemical complex.
The 4 Enzyme Detergent Surgical Instrument cleaner will:
  • remove surgical instrument stains,
  • prevent surgical instrument pitting and corrosion,
  • recondition water to avoid surgical instrument mineral encrustation,
  • protect surface protection, and
  • lubricates surgical instruments.
The 4 Enzyme Detergent Surgical Instrument cleaner delivers:
  • Protease enzyme detergent cleaners,
  • Amylase enzyme detergent cleaners,
  • Lipase enzyme detergent cleaners, and
  • Carbohydrase enzyme detergent cleaners, 
to quickly remove the most stubborn organic encrustation and bio-burden including: blood, fat, carbohydrates, starches, and protein. The 4 Enzyme DetergentSurgical Instrument cleaner breaks down and removes bioburden, clean the surface, remove stains, and condition the surface to prevent staining and corrosion and pitting. The “free rinsing” 4 Enzyme Detergent Surgical Instrument cleaner conditions source water and counters the effects of hard water for spotless cleaning of Surgical Instruments.
The 4 Enzyme Detergent Surgical Instrument cleaner will remove stains from surgical instruments. The 4 Enzyme Detergent Surgical Instrument cleaner will prevent pitting and corrosion of surgical instruments. The 4 Enzyme Detergent Surgical Instrument cleaner will improve Surgical Instrument Washer performance.
Ultrasonic Surgical Instrument Cleaner 
Contact us for product information and pricing that will lower your
surgical instrument cleaning and conditioning costs while delivering the
surgical instrument care that you and your surgical instruments deserve.
Surgical Instrument pre wash cleaner 12 per case
Surgical Instrument Cleaner 4 gallons 1 pump per case  
Surgical Instrument Cleaner 5 gallon
Surgical Instrument Cleaner  15 gallon
Surgical Instrument Cleaner  30 gallon
Surgical Instrument Cleaner  55 gallon
4 Enzyme Detergent Surgical Instrument Washer Detergents
4 Enzyme Detergent Washer Disinfector Detergents
4 Enzyme Detergent Surgical Instrument pre wash cleaner
4 Enzyme Detergent Surgical Instrument Cleaners  
Surgical Instrument Washer 4 Enzyme Detergent
Contact us for product information and pricing that will lower your
surgical instrument cleaning and conditioning costs while delivering the
surgical instrument care that you and your surgical instruments deserve.
4 Enzyme Detergent Surgical Instrument cleaner
Surgical Instrument Cleaning 
Enzyme Detergent Surgical Instrument Cleaner: Care and Cleaning
ONEStep Surgical Instrument Cleaning Products
are non irritating to the eye, nose and throat, biodegradable , Neutral pH, and Phosphate free.
The easy-FOAM-it 4 Enzyme Detergent Cleaners lay down a blanket of long lasting Enzyme Detergents.
The 4 Enzyme Detergent Surgical Instrument cleaners delivers the fast removal of all forms of proteinaceous bioburden, Surgical Instrument Cleaning and Conditioning The Surgical Instrument cleaner dilution rate is .25 to .5 ounces per gallon depending on the level of bioburden, encrustation and stains.
The 4 Enzyme Detergent Surgical Instrument cleaner 
Nothing cleans faster or more effectively than the 4 Enzyme Surgical Instrument Detergent.
Nothing will lower your cleaning costs as much as the all-in-ONE 4 Enzyme Surgical Instrument Detergent, and we guarantee it.
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