APIC Clinical Report
 Enzyme Detergent Lubricating Cleaners

Washington University clinical inspection reported the removal of all pathogens, efficacy of disinfection was 100%. APIC (Infection Control International Association) clinical inspection reported sterile surgical instruments at the end of the washing process.

The proper sequence of surgical instrument washer cycle treatments, times, temperatures, ultrasonic cleaner cycle, and medical enzymatic surgical instrument cleaner with lubricant, rendered surgical instruments that were sterile at the completion of the process.

The elevated temperature (at 194 to 209 degrees F) purified water final rinse secures the biocidal process, removes mineral deposits from prior cycles and lubricates the instruments. The high temperature (at 158 to 230 degrees F) dry cycle presents heated, forced air which dries each device. The medical devices are now clean, safe to handle, have the prerequisite for sterilization, and are properly prepared for further reprocessing.

 The Washington University School of Medicine clinical inspection report stated that the process removed all organisms from the surgical instruments tested.

 Pure cultures of the following organisms were grown on appropriate agar plates:
1. Staphylococcus aureus;
2. Pseudomonas aerations;
3. Escherichia coli;
4. Bacillus species

Kelly clamps, tweezers and scissors wee placed on these plates of organism, taking care to ensure that all serrated edges were packed with all the organisms. The instruments were then processed through the complete surgical instrument washer cycles.

Clinical Report for  the removal of all pathogens,
the efficacy of disinfection was 100%.

APIC Eighteenth Annual International Conference

The inspection reported sterile surgical instruments after being cleaned by surgical instrument washers using an enzyme detergent cleaner with a lubricating ingredient.

 The sequential functions of the Washer Decontaminator Disinfector progress from flush, rinse, sonic bath, wash, rinses with lubricant, and drying at 240 F for 4 minutes. The Washer Disinfector was challenged with instruments that are considered to be very difficult to clean. Included were 30 each of stainless steel non-perforating towel clips and stainless steel and glass medicine cups.  The instruments were processed in the Washer Disinfector during times of high volume reprocessing. All products were tested for sterility. Ten separate cultures were taken. All instruments and utensils tested were sterile at the completion of the process. Our clinical inspection report supports the use of the Washer Decontaminator Disinfector, sequence of washing treatments, using an Enzyme Detergent Lubricating Cleaner.

John Temple, Product Development
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Surgical Instrument Cleaning Detergents