​The ONEcleaner formulation for surgical instrument cleaning detergents includes four enzyme cleaners, surface cleaning detergents, conditioners that lubricate, and stain removers.

ONEcleaner surgical instrument cleaning detergents
includes four enzymes (protease, lipase, amylase, and carbohydrase).

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These enzymes act as catalysts, within the formulation, to speed up chemical reactions that would otherwise occur at a much slower rate. The enzymes are not used up in the reaction so they are available for multiple reactions. 

Enzymes fit their target cleaning function like a lock fits a key. Enzyme surgical instrument cleaners can only break down specific types of soil.This makes the cleaning capability of each enzyme type highly specific for cleaning only specific types of debris.

The four enzyme cleaners and cleaning functions are:
Lipase Enzymes break down fat to cleave fatty acid residue from the glycerol residue in a neutral fat or a phospholipid,
Amylase Enzymes break down starch to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives,
Carbohydrase Enzymes break down starch to a lower level to catalyze the hydrolysis of higher carbohydrates to lower forms,
Protease Enzymes: break down blood including the proteinases and peptidases, to catalyze the hydrolytic break down of proteins.

Enzyme surgical instrument cleaner formulations should use FOAM to deliver the enzymes.

Enzymes digest, or break down, protein tissues (such as lung tissues) and should not be sprayed, they should be presented as a liquid or foam. The soaking easy FOAM-it enzyme cleaning detergents deliver enzymes as a foam. This avoids the respiratory irritations that have been associated with cleaning agent aerosols. The ONEcleaner formulation used for enzyme surgical instrument cleaning detergents that deliver enzymes as a foam.
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Surgical Instrument Cleaning Detergents