The temperature for maximum enzymatic cleaning performance peaks at 137 degrees Fahrenheit (58.33 degree Celsius). The cleaning activity of the enzymes at temperatures below and above this point is less but does offer cleaning performance.
The cleaning activity of the enzymes does not stop at this temperature but is does lessen as the temperature increases or decreases. The cleaning performance of detergents is not impacted by the temperatures used in our healthcare industry for cleaning or decontamination, for manual cleaning, or by scope washers, ultrasonic cleaners, automated washers, and case cart washers.
Surgical Instrument washer using an enzyme detergent lubricant surgical instrument cleaner with proper cycle times and temperatures, delivered sterile surgical instruments. An APIC study demonstrated that a surgical instrument washer using proper time and temperatures, with an enzyme detergent surgical cleaner rendered surgical instruments and utensils hat were sterile at the completion of the washing process.
Common misunderstandings exist pertaining to the application of enzymatic enzyme detergents including the times and temperatures for optimal cleaning outcomes. Although generalities can be misleading for specific applications there parameters for the use of enzymatic detergents that can render a high probability of excellent cleaning outcomes.
The optimal dosage rate (ounces diluted per carrier solution, usually neutral pH water) is a function of the types of enzymes and the concentration level of enzymes. Manufacturers tend to state dosage rates for their products but those dosage rates can only be used as a guideline and not accurately used for specific applications. The dosage rates use by the healthcare professional that is cleaning or decontaminating a medical device must be determined based on the amount and hydration level of the soil, stains, and mineral encrustations on that medical device.
What are the four enzyme surgical instrument cleaners necessary to remove surgical instrument bioburden?
Lipase enzyme cleaners break down fat to cleave fatty acid residue from the glycerol residue in a neutral fat or phospholipid. Amylase enzyme cleaners break down starch to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives. Carbohydrase enzyme cleaners break down starch to a lower level) catalyzes hydrolysis of higher carbohydrates to lower forms. Protease enzyme cleaners break down blood including the proteinases and peptidases, to catalyze the hydrolytic breakdown of proteins.
What is the use of enzyme surgical instrument cleaners?
The ONE cleaner delivers a unique surgical instrument cleaner solution of enzymes, detergents, and a lubricant to rapidly breakdown bioburden, remove debris from the surface of medical devices, prevent surgical instrument corrosion, remove stains from medical devices, enhance the surface protective passive layer of surgical stainless steel, and lubricate surgical instruments.
ONE cleaner surgical instrument enzyme cleaners lubricate with every reprocessing cycle. The surgical instrument lubricating cleaners deliver a water soluble lubricant, while cleaning devices residue free with lower cleaning costs.
AORN Recommended Practices state that: Surgical instruments should be lubricated and checked for function after cleaning. Those with moving parts may require lubrication according to manufacturers' instructions. Water soluble lubricants should be applied to those instruments that require lubrication. Instruments should be cleaned before the lubricant is applied. Lubricants decrease friction between working surfaces. Unless otherwise specified, lubricants should be water soluble to allow steam penetration during sterilization; oil-based products cannot be penetrated.
An APIC Study demonstrated that using an enzyme detergent lubricant surgical instrument cleaner with the proper time and temperatures delivered sterile surgical instruments.
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