6. Pre-sterilization Cleaning and
Disinfection of Instruments and their
Loading into the Device
Caution!
Instruments should not be loaded into the
autoclave to be sterilized unless Steam
Sterilization is instructed in their User Manual.
The instructed Steam Sterilization Program
should be verified against the programs
available in this autoclave.
Caution!
Never use the autoclave to sterilize corrosive
products (acids, bases, or phenols) volatile
compounds or solutions (ethanol, methanol or
chloroform), or radioactive substances.
The most important stage begins with removing debris by cleaning and rinsing.
Effective cleaning is affected by several factors: water quality, type,
concentration and quality of a cleaner, effective washing method, and adequate
rinsing and drying.
Cleaning dried blood is especially difficult because it flows and dries in difficult-
to-clean locations. It shall be washed away. Mechanically scrubbing, high pH
detergents, enzymatic solutions, and water spray at high pressure will clean
this contamination.
Note:
Consult the Medical Device manufacturer relating adequate and most
effective cleaning method and cleaning agents.
Instruments which are composed of several components shall be dismantled.
Disinfection
is the next step. It is important for safe handling. There are various
methods and means for disinfection like soaking in liquid chemical disinfectants
or hot water disinfection.
Packaging.
The target in packing medical items is to assure that the contained
goods are sterile and maintaining them sterile till opening the package.
There are various methods and techniques used in preparation and packaging
of surgical instruments.
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