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, and the proper cycle times and temperatures, delivered sterile surgical instruments. An APIC study demonstrated that a surgical instrument washer using an enzyme surgical cleaners with detergents and lubricant rendered surgical instruments and utensils tested 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 Enzymes break down fat to cleave fatty acid residue from the glycerol residue in a neutral fat or phospholipid.
Amylase Enzymes break down starch to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives.
Carbohydrase Enzymes break down starch to a lower level) catalyzes hydrolysis of higher carbohydrates to lower forms.
Protease Enzymes 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 use of Enzyme Detergent Cleaners of various compositions and concentrations becoming common. Over half of all detergent cleaners available contain enzymes. The enzymatic enzyme detergent cleaner industry is the largest single market for enzymes, at rate of 25 - 30% of total sales. Details of which enzymes are used within enzymatic enzyme detergent cleaners and the ways in which they are best used, are rarely been published.
The ONEcleaner delivers a unique medical instrument cleaner solution of enzymes, detergents, and lubricating surface cleaner 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.
ONEcleaner surgical instrument cleaners assure you that your surgical instruments will be lubricated with every reprocessing cycle. ONEcleaner surgical instrument lubricating cleaners deliver a water soluble lubricant, while cleaning devices residue free with lower cleaning costs.
The ONEcleaner surgical instrument lubricant cleaners are water soluble, neutral pH, and biodegradable.
AORN Recommended Practices state that: Surgical instruments should be 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.
Understandings 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, if incorporated into the reprocessing protocol, can render the highest quality cleaning outcomes. As and example, an APIC Study demonstrated that surgical Instrument washers, used with an enzyme detergent lubricant surgical instrument cleaner, and the proper treatment cycles, have proven to deliver sterile surgical instruments.
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