Cleaning surgical instrument residue free can avoid corrosion. 

Cleaning surgical instruments with an enzymatic detergent can avoid instrument pitting. 

Surgical instrument enzymatic detergent lubricants clean faster

Surgical instrument detergent enzymatic lubricant cleaners replace several cleaning products including enzymes, detergents, stain removers, and surface lubricants while maintaining the passive layer of surgical instruments. 

Stainless steel surgery 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, which protects them against  corrosion. This makes surgical instruments as corrosion resistant as possible. It is imperative that you maintain the passive oxide layer to prevent corrosion and maintain your surgical instruments in optimal working condition. If this is not done the stainless steel will be more susceptible to corrosion, pitting and stains.This will reduce the life of the surgery instruments 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 stainless steel. Manufacturers of surgical instruments and surgical instrument containers recommend the use of neutral pH cleaning concentrates.

Newly developed neutral pH all-in-ONE enzymatic detergent cleaning concentrates have been shown to be effective in optimizing the efficacy of the passive oxide layer. This will provide a longer life for stainless steel surgery instruments. Cleaning concentrates with a high or low pH have been shown to erode the passive layer. The most common of these cleaning concentrates utilize an alkaline detergent with an acid neutralizer. Virtually all manufacturers of surgical instruments and surgical instrument containers recommend against using these detergents and recommend using a neutral ph detergent. 

Surgical instrument detergent enzyme lubricant cleaners replace surgical instrument cleaning enzymes, surgical instrument cleaning detergents, surgical instrument corrosion preventing stain removers, and surgical instrument surface conditioning lubricants. Contact us for product information. Interpreting 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. 

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 surgical instruments during the sterilization process. 

Use neutral pH medical cleaning concentrates as soon as possible following the medical devices being used. 

Whenever possible use purified water (DI or RO) to thoroughly rinse instruments before drying and sterilization 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, 200 mg/l NaCl Sodium Chloride - Salt). A common problem is the inadvertent use of NaCl Sodium Chloride Salt containing solutions for soaking instruments in surgery to maintain the hydration of debris and prevent encrustation. This will weaken the surgical instrument's protective passive layer and cause the surgical instruments to be more susceptible to pitting and corrosion

Neutral pH surgical instrument cleaning concentrates are recommended by surgical instrument manufacturers and manufacturers of surgical instruments, rigid scopes, flexible scopes, and instrument containers. 

Do not use high acidic (pH <4) or high alkaline (pH >10) products for disinfection or cleaning, since these can corrode metal, cause  discoloration or stress fractures. Do not use abrasive pads or abrasive Cleaning Concentrates, which will scratch the surface allowing dirt and water deposits to collect. Abrasive cleaning will remove the protective passive layer. Do not use Cleaning Concentrates  with high concentrations of chlorine bleach to clean or disinfect 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 stainless steel is not impervious to an acidic bleach solution. Sort instruments by similar metal for subsequent processing so that electrolytic deposition (galvanic corrosion) due to contact between dissimilar metals will not occur. Rinsing Instruments Surgical Instrument Cleaners clean surgical instruments cleaner. Tap or Source Water and Ultrasonic Surgical Instrument Cleaners can contain many minerals, which may discolor and stain surgical instruments. It is recommended that de-ionized water be used for the final rinsing to prevent spotting. all-in-one or "combination" 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 final rinsing, then the instruments must be dried immediately to avoid staining. Clean instruments, or apply cleaning treatments to prevent the drying and encrustation of debris, as quickly as possible after use. Do not allow blood and debris to dry on the instruments. 

Cleaning surgical instrument cleaner can avoid corrosion. 

Surgical instrument detergent lubricant enzymes clean residue free. 

If used properly, all-in-one enzyme detergent foam sprays and/or all-in-one "combination" cleaning concentrates can render excellent outcomes and facilitate cleaning instruments and scopes inside-and-out. They effectively cleaning the surface while cleaning lumens and working channels. This can eliminate or reduce the manual labor expended, rendering lower reprocessing costs while improving turnaround. 

Cleaning surgical instruments berfore sterilization is the Prerequisite for Sterilization. 

The reprocessing decontamination surgical instrument cleaning process, whether done manually or automatically in a washer disinfector, can only be effective if cleaning is adequate.

Effective disinfection or 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. 

Neutral ph enzymatic detergent surgical instruments cleaners avoid pitting. 

Surgical instrument enzymatic detergent lubricants clean faster. 

Cleaning is the prerequisite for sterilization. Surgical Instrument Cleaners and Ultrasonic Surgical Instrument Cleaner Solutions are very effective when used with hot water temperatures. All visible debris and blood should be removed from the surgical instrument prior to ultrasonic cleaning. Contact between dissimilar metals can cause 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 instruments in an ultrasonic cleaner since the ultrasonic vibration and the presence of other sharp surgery instruments may crack or rupture the plating. 

Ultrasonic Cleaners do not provide the complete proper sequence of treatments i.e. purified final rinse(s) purged between treatments or have temperatures elevated to disinfection levels. Ultrasonic Cleaning can effectively remove long term encrustation and surgical cements and glues that have dried onto the surgical instrumentation. Overloading, and low water temperature, will decrease the effectiveness of ultrasonic cleaning. 

Ultrasonic cleaners are most effective when used with hot water temperatures and with enzyme detergents. It is recommended that all visible debris and blood be removed from the instrument prior to ultrasonic cleaning. Sort 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 surgery instruments in an ultrasonic 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. 

Lubrication of surgical instruments maintains moving parts and protects instruments from staining and rusting during sterilization and storage. Surgical instruments should be lubricated with a water-soluble lubricant after or during 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. all-in-one cleaning concentrates 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 surgical instrument lubricant film will remain on medical devices through sterilization protect surgical instruments during storage. 

Staining and spotting may result if residual chemicals are not completely rinsed from surgery instruments that are subjected to steam sterilization. The proper sequence of treatments (cold water pre-wash, enzyme-detergent wash, purified water rinse/lubrication, and drying) is critical to prevent stains and spots. 

Surgical instrument detergent enzyme lubricant cleaners replace enzymes, detergents, stain removers, and lubricants. 

Studies of the passive oxide layer for Surgical Instrument stainless steel passive layer that prevents corrosion, have revealed a reduction in corrosion prevention with the use of cleaning concentrates that are not neutral pH. The use of cleaning concentrates that deliver an acid rinse will release nickel from the stainless steel and decrease the efficacy of  the passive layer. 

This is most critical during the initial reprocessing 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 the Stainless Steel Surgical Instrument passive layer? 

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. 

How is the passive oxide layer manufactured and maintained when cleaning surgical instruments? 

The passive layer or stainless steel is intended to prevent or resist corrosion. The process is called Passivation. Passivation and Polishing eliminate the carbon molecules  form the instrument surface. This forms a layer which acts as a corrosive resistant seal. Passivation is a chemical process that removes carbon molecules from the surface  of the instrument. This chemical process can also occur through repeated exposure to oxidizing agents in chemicals, soaps, and the atmosphere. Polishing, by the manufacturer, is a process used to achieve a smooth surface on the instrument. Surgical Instruments are polished because the passivation process leaves microscopic pits where the  carbon molecules were removed. Polishing also builds a layer of chromium oxide on the surface of the surgery instrument. 

Proper cleaning, handling, and sterilization will build up the layer of  chromium oxide and protect the Surgical Instrument from corrosion and pitting. In some circumstances older instruments have higher resistance to corrosion than new ones. 

The newer instruments have not had the time to build up the chromium oxide layer. Improper cleaning and sterilization can cause the layer of chromium oxide to disappear or become damaged thus increasing the possibility of corrosion and/or pitting. Proper cleaning and sterilization can cause the layer of chromium oxide to improve over time thus decreasing the possibility of corrosion and pitting. 

Second only to the financial asset value of the working staff, the surgery instrument and scope inventory is the single most financially valuable asset of the healthcare facility. It is important to properly clean, sterilize, handle, and store your instruments. 

Preventing Surgical Instrument Corrosion 

Enzyme Detergent Surgical Instrument Lubricant Cleaners were designed for preventing surgical instrument corrosion and removing stains and bioburden from surgical instruments while cleaning surgical instrument cleaner

Clean surgical instruments will look newer are perform longer

The Enzyme Detergent Surgical Instrument Lubricant Cleaner is biodegradable and neutral pH for safely cleaning surgical instruments cleaner. The ergo-Logistics Surgical Instrument Cleaner will lower surgical instrument cleaning costs, replace multiple Surgical Instrument cleaning detergent products for cleaning Surgical Instruments. 

Using neutral pH enzyme detergent surgical instrument cleaners can avoid the corrosion of medical devices. 

Cleaning surgical instruments residue free can avoid  pitting. 

Surgical instrument detergent lubricating enzymatic cleaners clean medical devices faster and residue free. 
Clean surgical instruments will look newer are perform longer. 

The ONE cleaner Enzyme Detergent Surgical Instrument Lubricant Cleaner is biodegradable and neutral ph for safely cleaning surgical instruments faster

ONE cleaner Surgical Instrument Cleaners cut surgical instrument cleaning costs and replace enzymes, detergents, and lubricats performing as a concentrated Ultrasonic Surgical Instrument Cleaner

Surgical instrument detergent enzyme lubricant cleaners replace surgical instrument cleaning enzymes, detergents, stain removers, and lubricants. 
ONE Cleaner

ONE Cleaner

​Cleaning Surgical Instruments cleaner can avoid Corrosion

Enzyme Detergent Surgical Instrument Lubricant Cleaners were designed to prevent surgical instrument corrosion and remove stains and bioburden from surgical instruments, cleaning surgical instrument residue free

If surgical instrument cleaning is delayed, place groups of instruments in a covered container with appropriate enzyme-detergent cleaning concentrate or apply an enzyme-detergent foam prewash soaking spray to delay drying. Prewash-soaking enzyme-detergent foam sprays have been shown to reduce the time expended for manual surgical instrument cleaning and render higher-quality outcomes. After surgery, open all box locks and disassemble instruments with removable parts. This will limit blood drying on devices that may cause them to corrode. 

The enzymatic detergent cleaners and the enzyme detergent prewash soaking easy FOAM it deliver a chemical complex to: maintain the hydration of bioburden, prevent corrosion, clean the surface, and condition the surface of instruments and scopes. This can significantly reduce manual cleaning, facilitate residue free cleaning of surface of surgical instruments and reduce the cleaning time for the lumens of cannulated instruments.