Instruments Cleaning & Care

  • PROCESS / MATERIAL REQUIREMENT
  • Water PH
    Chloride & Fluoride
    4.5 - 9.5
    Less than 120mg/1(ppm)
  • Salt
    Water Temperature
    Less than 200mg/1(ppm)
    Below 45'C
  • Intended Use
    To open Instruments after auto clave or operation.
    Instruments are meant for unique intended use only.
    Allow the Instruments to reach room temperature before open.
  • Post operation Cleaning start time.
    During Cleaning
    Less than 6 Hours (Recommended 20 minutes)/Approved wetting agents to be used.
    Rack, blades, work part to be in open condition for better exposure.
  • During Cleanings
    During Cleaning
    Separate racks for Delicate, small, micro structured and heavy Instruments
    Avoid Dropping or Bumping
  • During Cleaning
    During Cleaning
    Genuine Cleaners and Disinfectants
    Free from foam carry over from Cleaners / Disinfectant Residues
  • During Cleaning
    During Cleaning
    Immerse Approx. 5 minutes in Hydrogen Peroxide.
    De mineralised / Distilled water Free from minerals, silicates and chlorides
  • Final Rinsing
    Soap Solution
    Fresh Prepared Water on Daily basic
    Neutral PH soap (between 7ph-8ph) free from iodine, Chlorhexidine and bleaches.
  • Dissimilar Metal
    Brushes
    Clean SS Instruments only.
    Stiff Nylon Brushes under Water.
  • Drying
    Storage
    Wipe with soap Free towels and Air dry
    Room Temperature and constant humidity.
  • Storage
    Storage
    Separate racks for delicate, Small, micro structured and Heavy instruments
    Store instruments After drying Properly.
  • Storage
    Storage
    Free from Stress and Kink
    Free form Corrosive fumes
  • Sterilization
    Sterilization
    Auto clave 132'C & 15 minutes (15 - 20 psi)
    Distilled water
  • Sterilization
    Sterilization
    Adequate Drying after Autoclaving.
    Autoclave Instruments with ratchet in open position.
  • Sterilization
    Lubrication
    Heavy Instruments at Bottom and Delicate at top
    Paraffin / White oil basis
  • Lubrication
    Sterilization Soaking in Disinfectant Solution
    Paraffin / White oil basis
    Neutral pH (between 7pH - 8pH) free from Benzyl ammonium chloride, Chlorhexidine and bleaches, chloride, Dish& hand wash, laundry and bath soap
  • Sterilization Soaking in Disinfectant Solution
    Sterilization Soaking in Disinfectant Solution
    Follow Manufacturer’s Instruction for Exposure Time / Concentration
    Final rinse with sterile Distilled water& proper drying
  • ABNORMAL RESULTING PROBLEM
  • <4.5 & >9.5
    Above 120mg/l(ppm)
    Corrosion
    Corrosion
  • Above 200mg/l(ppm)
    Above 45'C
    Corrosion
    Coagulation of body fluid and lead to stain corrosion
  • Using Instruments For Other Purpose
    Open Instruments at high or low Temperatures
    Mechanical Damage
    Stress Corrosion
  • Above 6 Hours & Aldehyde containing disinfectants / Soaking in water or unapproved liquids.
    Blood and boby Fluids stains & Protein inside the hidden parts.
    Corrosion Due to blood and body fluids stains & protein Fixing.
    Corrosion
  • Ultrasonic Wash in Common Rack.
    Dropping and Bumping with Force
    Lead to Mechanical Damage
    Mechanical Damage of Sharp and Delicate Parts
  • Contaminated Cleaners and Disinfectants
    Carry over of Foam from Cleaners / Disinfectant Residues
    Lead to Surface Changes
    Corrosion
  • Longer than 5 minutes
    Soft and Tap water Will lead Stain.
    Lead to Surface Changes
    Corrosion
  • Used for too long, contamination level high.
    Dish & hand wash, Laundry and bath Soap will lead Corrosion
    Corrosion
    Corrosion
  • Dissimilar Metal like Aluminium, Chromium etc. Will cause Reverse Plating.
    Metal brushes will damage Natural Passivation Layer
    Galvanic Corrosion
    Lead to Corrosion
  • Natural drying will lead to stain.
    Large temperature Variation lead condensation Inside plastic package, which will lead corrosion
    Lead to Corrosion
    Lead to Corrosion
  • Stored in common place
    Not properly Dried and stored in ratchet locked Position.
    Mechanical Damage
    Rust and Stress crack.
  • Stress & Kink
    Humidity more than 65% RH and chemical fumes Like ammonia, acid fumes, Active chlorine etc.,
    Mechanical Damage
    Lead to Corrosion
  • High temperature and pressure.
    Tap water with high Mineral Content
    Crack
    Corrosion
  • Inadequate Drying
    Autoclave Instruments in Ratchet closed Condition
    Spotting/Corrosion
    Stress Crack.
  • Stains
    With soap residue/ Not thoroughly rinsed
    Corrosion
    Corrosion
  • Un even Loading
    Heavy Load
    Crack
    Crack
  • Small Instruments at bottom
    Without Lubrication
    Crack
    Fretting corrosion
  • Silicon oil
    Not Complies
    Bad Movement.
    Corrosion
  • Not Follow
    Not complies/sterilisation with saline solution
    Corrosion
    Corrosion/Pitting
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