Virtually all manufacturers of medical devices recommend using neutral pH enzyme detergent cleaning products, including those used for Endoscope Cleaning and Endoscope Disinfecting.

Automated reprocessing and combination enzymatic surgical instrument cleaners with surfactant detergents and lubricant can provide valuable alternatives and have demonstrated superior cleaning outcomes. These developments, in automated scope cleaning and cleaning concentrates, can improve  scope performance, and protect flexible scopes from damage, while reducing the risks and costs associated with manual reprocessing.These developments have shown an increase in safety and have demonstrated a decreased risk of nosocomial infections. Endoscope manufacturers have focused on improving the functionality and clinical performance of scopes while manufacturers of washer decontaminators and washer disinfectors have focused on improving the automation of reprocessing (cleaning, disinfection, packaging, and sterilization). One main issue still remains and ongoing concern, human error. The most common human errors occur during manual cleaning and when flexible endoscopes are connected to automated endoscope cleaners. These errors occur in endoscope departments worldwide and have not been correlated to specific scopes or re-processors. Validation of these reprocessing methods and operations may be written down in Standard Operation Procedures but in fact, the verification on how close these procedures are followed may be quite difficult. ONEcleaner for: surgical instrument cleaning detergents, enzymatic washer disinfector detergents, washer disinfectors, surgical instrument washers, surgical instrument detergents, endoscope cleaning sponges, enzyme surgical instrument cleaners, and countertop surgical instrument washers.

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Endoscope Cleaning, Endoscope Disinfecting, Endoscope Sterilizing Product improvements by scope manufacturers require ongoing changes to reprocessing protocols and present new challenges to the reprocessing staff as well as the manufacturers of automated washer decontaminators and disinfectors. These ongoing changes require an ongoing review of the cleaning, disinfection and sterilization protocols. Virtually all manufacturers of medical devices recommend using neutral pH enzyme detergent cleaning products, including those used for Endoscope Cleaning and Endoscope Disinfecting.Combination "all-in-one" cleaning concentrates (high level multi-tiered enzyme formulations in combination with a high level chemical complex of surfactants, have been shown to be more effective in preventing corrosion, removing stains, preventing hard water deposits, and removing encrusted bioburden. These neutral pH cleaning concentrates are safe for all metals, plastics, and elastic compounds. A pressure drop caused by leakage leads to the immediate stopping of the wash program which protects the endoscope against internal water damages. The thermal disinfection of the water for the final rinse is the safest and most easily validated method to eliminate any germs which may be in the water system. This method is performed by heating the final rinse water to a temperature of at least 93°C. Since this high water temperature would damage the endoscope it must be cooled to below 60°C where then the disinfected final rinse water can be safely be applied to the endoscope for the final rinse. Generic Temperature Parameters for Cleaning Rigid and Flexible Scopes Always refer to manufacturers specifications prior to establishing your reprocessing protocol. Temperature Parameters for Cleaning Rigid scopes should not be heated over 199,4°F (93°C). Temperature Parameters for Cleaning Flexible scopes should not be heated over 149°F (65°C). Scopes with the HAMOU head are not suitable for reprocessing via washer decontaminators or washer disinfectors. Virtually all manufacturers of medical devices recommend using neutral pH enzyme detergent cleaning products, including those used for Endoscope Cleaning and Endoscope Disinfecting. For the protection of scope surfaces we recommend the use of Purified Water (DI or RO de-mineralized water), at least for the final rinse treatment. A cleaning agent in neutral pH-range (less that 9) can augmented with an enzymatic cleaner. Combination all-in-one Enzymatic Surgical Instrument Cleaner detergent complexes have been shown to be highly effective. Depending on the water quality, it may be necessary to use a cleaning concentrate that softens the source water for the treatments: cold water pre-wash, detergent wash, and purified water rinse/lubrication. When the treatment processes are finished, the scopes should be removed from the reprocessor avoid corrosion. As recommended by virtually all manufacturers of Scopes Surgical Instruments and Instrument Containers, Cleaning Concentrates (alkaline) that require a neutralizing agent (citric acid) should not be used as they can etch instrumentation. Aluminum is highly susceptible to etching. Dyed anodized aluminum parts are not easily identified as aluminum. High level enzymatic formulations (Enzymatic Surgical Instrument Cleaners), in combination with a high level surfactant chemical complex, have been shown to be more effective in removing stains, hard water deposits, and encrusted bioburden, while being safe to use for rigid or flexible scopes. When using a Washer Decontaminator-Disinfectors Pressure Box for automated cleaning, connect the channels of optics with the insufflating channel to the rinsing connections of the washer rack. This will effectively clean the lumens and working channels while cleaning the surface of the scope. Virtually all manufacturers of medical devices recommend using neutral pH enzyme detergent cleaning products, including those used for Endoscope Cleaning and Endoscope Disinfecting.