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Call +91-44-42195500
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Email - sisco@sisco.in
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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