HOLD / PRESOAK

Presoak in enzymatic solution to prevent blood to dry onto the instrument

Holding instruments in dry containers for a prolonged duration after or during the surgery.

RINSE

Rinse the instruments under warm running water as soon as possible

Rinsing dissimilar metals together

CLEANING

Soak the instruments in enzymatic cleaner or neutral pH solution to remove organic material as per recommendation. Rinse the instrument in warm running water to remove solution. Use an ultrasonic cleaner for the most effective method of cleaning instruments, especially for instruments with hinges or box locks. Rinse the instrument in warm running water to remove solution and ensure that no debris remain, especially in the hinged areas Dry the instruments for Autoclaving

Using “generic” soap solution to soak / clean the instruments

AUTOCLAVING

Lubricate hinged instruments using a surgical lubricant. Sterilize instruments as per recommendation from manufacturer of the autoclave. Ensure that the instruments with ratchet lock are sterilized in an OPEN position.

Locking instruments with ratchet lock during sterilization. This can cause cracks on the instrument due to heat expansion. Wrapping instruments with towels that have detergent residue. This can cause staining on instruments.

STORAGE

Ensure that the instruments are completely dry before storage. Instruments should be stored at room temperature in a dry room. Micro instruments should be stored separately in suitable trays to avoid damage.

Storing instruments near chemicals that emit corrosive vapors. Storing instruments of dissimilar metals together.

GENERAL

Brand new instruments should also go through the same reprocessing cycle as used instruments. Use demineralized water for all steps. Check quality of water being used, especially for new units.

Do not use hard water or water with dissolved chlorides. This can cause lime deposits / scaling or chloride induced pitting on the instrument surface.