The Cleaning, Preparing, and Packaging Surgical Instruments and Endoscopes for Sterilization Presents a Risk to the Reprocessing Staff. Summary:  It is a recognized risk of exposure to unidentified microorganisms that reprocessing personal endure during the decontamination, reprocessing, and cleaning of surgical instruments. Our goal is to minimize the amount and degree of reprocessing personal exposure to this risk and provide reprocessed surgical instruments that are clean: safe to handle, safe for patient care, are cleaned, decontaminated reprocessed at the lowest cost. Optimal decontamination cleaning-reprocessing of surgical instruments will secure the prerequisite for disinfecting surgical instruments and/or sterilizing surgical instruments. Typically, Healthcare Facilities manually clean [hand-wash] surgical instruments: with dried on or excessive debris, surgical instruments that are cannulated, surgical instruments with working channels and/or surgical instruments  with lumens. Healthcare Facilities also manually clean [hand-wash] surgical instruments, when a surgical instrument washer decontaminators or washer disinfectors is not available. Hand washing surgical instruments places the reprocessing personnel at risk. In the decontamination area, surgical instruments are received that are contaminated with variable amounts of debris and unidentified microorganisms. In the Clean Side reprocessing area, surgical instruments requiring further reprocessing are handled by unprotected reprocessing personnel.   

CLEANING SURGICAL INSTRUMENTS BY HAND CAN LEAD TO INJURY AND INCREASED EXPOSURE TO HERPATITIS.  THE CDC BELIEVES THAT AS MANY AS 18,000 HEALTH CARE WORKERS PER YEAR MAY BE INFECTED BY THE HBV,” AND “AS MANY AS 300 DEATHS MAY RESULT ANNUALLY. 

Workers at Risk Reprocessing Surgical Instruments
Inherent in the manual cleaning-decontamination-reprocessing of surgical instruments is power spraying, splashing, and the creation of contaminated aerosols. The manual cleaning-decontamination-reprocessing of surgical instruments presents the risk of infectious puncture wounds.  The handling of each individual surgical instrument device is time consuming, labor intensive, renders limited through-put and has high overhead costs.

Exposure Contained by Automated Surgical Instrument Washer Decontaminators Disinfectors, Surgical Instrument Washer Disinfectors 
In the United States manufacturers of Surgical Instrument Washers are not approved by the FDA to market their products as Washer Disinfectors. However, many of the Surgical Instrument Washers are manufactured to produce the times and temperatures that can effectively deliver disinfected surgical instruments. If it is your preference to have cleaning reprocessing results of a "washer disinfector", refer to the Surgical Instrument Washer Specifications for assurance that the times and temperatures available are those you consider to be appropriate for disinfecting surgical instruments.

Automated Surgical Instrument Washer Decontaminator Disinfectors can safely contain within their chambers the cleaning-decontamination-reprocessing functions, removal of debris, and contaminated aerosols.  The batch treatment of reprocessing surgical instruments using automated Surgical Instrument Washer Decontaminators Disinfectors saves time, increases material through-put, improves surgical instrument turnaround times, provides for FTE reduction, and lowers cost for surgical instrument cleaners.  It has been demonstrated that a properly designed Surgical Instrument Washer Decontaminator Disinfector, that is used to manufacturer’s specifications, will consistently and repeatedly remove all microorganisms from surgical instruments. 

Surgical Instrument Washer Decontaminators Disinfectors should be used in accordance with the manufacturer’s direction for use, to secure the most consistent and efficacious results.  Worker safety and reprocessing efficacy can be compromised by violating the manufacturer’s recommendations.  Examples of such recommendations are: Keeping the cannulated surgical instrument working chambers and lumens exposed during cleaning-reprocessing and the use of purified water final rinses.  

A Clean Surgical Instrument Device is Safe to Handle 
It is critical that devices are cleaned properly to secure the safety of reprocessing workers in the Clean Area.  During the steps of inspection, sorting and packaging of devices, the unprotected reprocessing personnel are repeatedly at risk from a surgical instrument that has remained contaminated with microorganisms.  

Within the implementation of the Universal Surgical Instrument Reprocessing Decontamination Precautions, it is our goal to eliminate exposure and reduce the risk to Reprocessing personnel whenever possible.

The use of proper hand washing surgical instrument reprocessing decontamination methods can render surgical instruments that are clean, but requires the continual exposure of the Reprocessing Staff to contaminated surgical instruments.  The Reprocessing Staff performance is influenced by skill level, knowledge and work load.  This may impact the efficacy of the process. The use of a properly designed surgical instrument washer decontaminator disinfector reduces the: overhead cost of reprocessing, risks to the Reprocessing Staff and provides consistence removal of all microorganisms from soiled surgical instruments.  Once a surgical instrument is clean, it is then safe for further reprocessing and handling. Proper cleaning is the prerequisite for disinfecting and/or sterilizing surgical instruments. Optimal cleaning can render surgical instruments that, at the end of decontamination, cleaning, and reprocessing, are sterile.
John Temple 
Product Development 
Nothing cleans faster than the 4 Enzyme Surgical Instrument Detergent. Nothing will lower your cleaning costs as much as the all-in-ONE Enzyme Surgical Instrument Detergent, and we guarantee it. 
Surgical instrument Cleaner 
Endoscope Cleaner Enzyme Detergent Product Usage: 
The use of Surgical instrument Endoscope Enzyme Detergent Cleaners of various compositions and concentrations is becoming common. Over half of all Surgical instrument Endoscope Enzyme Detergent Cleaners available contain enzymes. The enzymatic enzyme detergent cleaner industry is the largest single market for enzymes, at rate of 25 - 30% of total sales. Details of which enzymes are used within enzymatic enzyme detergent cleaners and the ways in which they are best used, are rarely been published. 
Surgical instrument Endoscope Enzyme Detergent Cleaner Mis Understandings: 
Common misunderstandings exist pertaining to the application of  Surgical instrument Endoscope Enzyme Detergent Cleaners including the times and temperatures for optimal cleaning outcomes. Although generalities can be misleading for specific applications there are parameters for the use of  Surgical instrument Endoscope Enzyme Detergent Cleaners that will consistently render a high probability of excellent cleaning outcomes.
Surgical instrument Endoscope Enzyme Detergent Cleaner Optimal 
Enzyme Detergebnt Optimal Cleaning Temperatures: 
The optimal temperature for maximum  Surgical instrument Endoscope Enzyme Detergent Cleaners cleaning performance peaks at 137 degrees Fahrenheit (137 degree Fahrenheit = 58.33 degree Celsius). The cleaning activity of the enzyme detergents at temperatures below and above this point is less but does offer cleaning value. The cleaning activity of  Surgical instrument Endoscope Enzyme Detergent Cleaners does not stop at this temperature but is does lessen as the temperature. 
Endoscope Cleaning Sponges offer an additional margin of worker safety when cleaning Endoscope manually and render high quality cleaning results. 
Endoscope Cleaning Sponges present a barrier to risk of exposure to unidentified microorganisms
A properly designed surgical instrument washer or washer disinfector can clean surgical instruments so that the are clean and safe to handle. 

Clean is Safe
Risk of Cleaning Surgical Instruments, Cleaning Endoscopes 
Endoscope Cleaners 
Surgical Instrument Decontaminating 
Enzyme Endoscope Cleaners 

Clean is Safe 
Clean Surgical Instruments are Safe to Handle 
Risk of Cleaning Surgical Instruments, Cleaning Endoscopes 
Endoscope Cleaners 
Surgical Instrument Decontaminating 
Enzyme Endoscope Cleaners