Washer Sterilizers Sterilizing Surgical Instruments 
Washer Sterilizers Cleaning Surgical Instruments 
Washer Sterilizers Decontaminating Surgical Instruments 
Washer Sterilizers 
Sterilizing Surgical Instruments 
Study Results: After being cleaned in a properly designed Surgical Instrument Washer, that used an Ultrasonic Surgical Instrument Cleaner, a four  enzyme, free rinsing, lubricating detergent Surgical Instrument Cleaner: All instruments and utensils tested were sterile at the completion of the process. 
APIC ABSTRACT Paper accepted for presentation at APIC 
Eighteenth Annual Conference and International Meeting 
Nashville Tennessee 
Oral Presentation, Ann Drake, John Temple Product Development 
Validation of the microbial safety of surgical instruments and utensils following automated cleaning by a properly designed Washer Decontaminator  Washer Disinfector – Thermal Disinfection. A. Drake, RN and L. Ayers, MD, The Ohio State University Hospitals, The application of universal precautions to instruments/utensils handling became an issue in the selection of replacement decontamination equipment  for Central Sterile supply at our hospital.  The new technology of an automated thermal disinfection Surgical Instrument Washer Decontaminator Washer  Disinfector (TW)(CESCO TM, Mercersburg, Pa.) offered increased protection to our reprocessing staff due to decreased handling but raised concerns  about the efficacy of thermal disinfection as opposed to traditional washer sterilization. Because of the limited scientific documentation of this new  technology, a study was undertaken to establish the microbial safety of finished products and to identify any feature or function failure which could  adversely affect outcome. The Surgical instrument Washer Proper Sequence of Treatments used was: cold water pre-wash, enzyme ultrasonic sonic  bath, detergent wash, purified water rinses, instrument lubricant rinse, and hot air drying at 240°  F for 4 minutes.  The Surgical instrument Washer  Decontaminator  was challenged with selected instruments and utensils 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.  Each item was rinsed with a 10 5ml  suspension of  Staphylococcus aureus, Pseudomonsaeruginosa, Enterococcus fecalis and Candida albicans in nutrient media and then dried. The instruments were  processed in the Surgical instrument Washer during times of high volume operation. All products were tested for sterility. Ten separate cultures were  taken of the final rinse solution of instrument lubricant and de-ionized water prior to the drying cycle.  A separate culture was taken of the instrument  lubricant fluid. All instruments and utensils tested were sterile at the completion of the process.  Our  findings support the practice of validating all features of new technologies that may compromise the expected final outcome.  The Surgical instrument  Washer is a valid replacement for the conventional washer-sterilizer. 

Ann Drake
John Temple 
Product Development 

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