Each of the four enzymes used for medical surgical instrument cleaners have a specific function. The four enzymes can remove all forms of surgical bioburden that contaminate surgical instruments scopes, and utensils. Surgical instrument enzyme cleaners are proteins produced by living organisms that act as catalysts to speed up chemical reactions that would otherwise occur at a much slower rate. Enzyme detergent surgical instrument lubricant cleaners clean surgical instruments faster. Four enzyme detergent surgical instrument cleaners are more effective.The catalysts delivered with the enzyme cleaners help the surgical instrument cleaning process from a beginning to an end. The enzyme catalysts are not used up in the cleaning treatment and are available for multiple cleaning treatments. Surgical instrument cleaning enzymes fit their target substrates like a lock fits a key. The surgical instrument enzyme active site is open only to the surgical bioburden being decontaminated and cleaned. If the enzyme substrate doesn't match the key (the type of bioburden), the surgical instrument cleaning enzymes can't enter and no cleaning reaction occurs. This makes the action of surgical instrument cleaning enzymes highly specific for their substrates. For this reason specific enzymes are needed for cleaning bioburden from surgical instruments. The four enzymes necessary for enzyme surgical instrument cleaners to be effective. Those enzyme instrument cleaners are: protease enzyme cleaners to break down proteins including blood, amylase enzyme cleaners to break down starch and catalyze the hydrolysis of starch, lipase
enzyme cleaners to break down high level lipids, and carbohydrase enzyme cleaners to breakdown high level starches.
Enzyme detergent cleaners that do not offer these four enzymes cannot remove all forms of proteinaceous bioburden and will not be as effective for cleaning surgical instruments. When bioburden has been emulsified, i.e. during suction, the bioburden becomes more challenging to remove, particularly lipids and proteins. Highly concentrated protease enzyme cleaners and lipase enzyme cleaners are necessary for medical enzyme surgical instrument cleaners to be effective.