Best Practice Begins With Appropriate Instrument Cleaning

By now, it should be widely understood that surgical instruments can’t be successfully sterilized if they haven’t been thoroughly cleaned first. Unfortunately, it’s a crucial step that continues to challenge many sterilize processing professionals.

1. Don’t let blood dry-Starting the decontamination procedure within 20 minutes after surgery prevents blood from drying and is your best defense against corrosion, pitting and staining. If more time is required, keep instruments moist by placing a wet towel over the equipment. The use of spray-on wetting agents (enzymatic- or detergent-based) is also an efficient way to manage instruments moist.

2. Know the adversary – Water and moisture of any type, especially blood, surgical residues and chloride-based solutions are harmful to stainless steel equipment and are the primary causes of staining and pitting. Other adversaries include surgeon’s hand scrub, household solutions, bleach, iodine-type solutions, general disinfectants, and even briny.

3. Use the right solutions – Only use solutions that have been specifically designed for use on surgical equipment for washing, disinfecting and lubricating. Their product labels will state the intended use on the label. Only solutions with a neutral pH (between 7pH and 8pH) are recommended.

4. Ultrasonically clean– Ultrasonic cleaning is the most efficient technique for cleaning difficult-to-clean areas such as box locks, hinge areas, and serrations. Ultrasonic cleaning employs millions of microscopic collapses produced from sound waves to barrage and pull away debris from the surface of the equipment. Recommended for use in automatic washers and ultrasonic machines when instruments have been pre-cleaned. Hemolytic detergent removes blood and soil, then rinses spot-free, leaving no residue

5. Use the right brush– In addition to mechanized washing, it is essential to use instrument cleaning brushes to assure instruments are adequately cleaned before sterilization. When brushing lumened or annulated equipment, it is important that the brush exit the distal end fully too effectively push out any debris (and then pull back through).

6. Lubricate– A simple, profitable way to maintain instruments and maintain against rusting is to lubricate them with a water-based, neutral pH lubricant after every cleaning cycle, before sterilization. Be assured you are not utilizing a mineral or silicone-based lubricant as these will interfere with sterilization.

7. Troubleshoot stains- The following stain trouble-shooting guide will assist you determining and further prevent instrument staining.

• Brown/Orange Stains – Most brown/orange stains are not rust. This stain color is the result of high pH surface deposits caused by any of the following: chlorhexidine usage, improper soaps, and detergents, cold-sterilization solution, baked-on blood, soaking in saline, or utilizing laundry soap.
• Dark Brown/Black Stains – Low pH (less than 6) acid stain. Maybe caused by incorrect detergents and soaps and/or dried blood.
• Bluish-Black Stains – Reverse plating may appear when two various types of metals ultrasonically proceed together. For eg., stainless steel equipment processed with chrome instruments may cause a stain color reaction. Liability to saline, blood or potassium chloride will cause this bluish-black stain to appear.
• Multi-Color Stains – Extreme heat caused by a localized “hot spot” in the autoclave.
• Light and Dark Spots – Water spots from permitting instruments to air-dry.
• Bluish-Gray Stains – Cold sterilization solution being utilized outside manufacturer guidelines.
• Black Stains – Probable exposure to ammonia.

8. Sterilization– Ever sterilize with the ratchets open. This reduces stress and prevents the box lock/ hinge field from crashing, and promotes better steam penetration. If utilizing a pan or tray, we recommend one with perforations.
Delivering on consistent and compliant sterilization procedures throughout a complex organization is not simple—especially when there hasn’t been mistake or accountability for these procedures before. Making assured that instruments used in surgery are optimally cleaned needs the expertise, quickness, and willingness to the defender for change in the face of resistance.

 

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Infographic- India: The next Medical Instruments Manufacturing Destination

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Types of Operation Theatre Lights

Operation theatre lights or surgical lights are utilized to help surgeons during surgical procedures. These lights are utilized to flash local area of the patient so that a surgeon can examine him in details. They are focused on giving clear clarity so correct position of the patient is visible to the surgeon. OT lights should give homogenous light on a flat surface as well as wide cavities or narrow surfaces. They should not cast a shade of surgeon’s hands or head so that clear view is not blocked. There should be an adjustment of backup with these lights. Their functions should be restored within 5 seconds with power back up in case of disruption in power supply.

OT lights are available in different configurations. There are ceiling lights, LED OT Lights, LED examination lights, wall mounted lights and many more variables. They are very essential for a surgical procedure as they give clear visibility, which is a pre-requisite of any surgical procedure. You can select one, which suits your need to the tee. Some of the most common OT lights are as follows-

Ceiling Shadow less OT Light with Single Dome

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It is a good quality O.T. Light, which is fixed on the ceiling. It can be operated with remote control. It offers good brightness to the OT table and adjoining area. It is absolutely good and can be utilized for all types of Surgery. Its intensity can be adjusted. It also has power backup source, which works in case of power source breaking down. It has a single dome. It does not cast the shadow of the surgeon on the patient, thus clear view is not blocked.

Ceiling Shadow less OT Light with Double Dome

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It is also a ceiling light, which has a double dome. It appears with reserve power source to provide power back up in case of power cut. It can be operated with remote control. It has inbuilt glass reflector, which offers high brightness. Its intensity can also be adjusted. It is shadowless.

Wall Mounted Shadow less OT Light

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It is mounted on the wall and has an alternative bulb inbuilt in the light head that is it has an initial bulb and a backup bulb. Back up bulb lights in case primary bulb does not work. Lights arms are made of Stainless Steel Fitting. Its intensity can be adjusted through the digital control panel. It does not cast a shadow.

Mobile Shadow less OT Light

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It is good quality OT light, which can be moved as per requirement. It helps in having the clear view even in narrow areas or wide cavities. Its intensity can be adjusted.

LED OT Lights

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It appears with microcomputer control. It has good illumination and brightness can be adjusted. It has better illumination and facilitates clearer vision. It acquires better color explanation.

How to Choose the Right Operation Theatre Instruments?

Choice of right surgical apparatus for various operations is a difficult task. The availability of same equipment in two categories: reusable and disposable has made it more crucial. We make it simple for you by telling some conspiracy to choose right operation theatre instruments.

When it comes to selecting the right operation theater instruments, people get confused with reusable and single-use instruments. Most of the time, a doctor or specialist would know, due to their defined knowledge of basic equipment.

If you ask anyone about the various surgical instruments, they will end up telling you some common names only like blades, knives, scalpels etc. Though these are essential instruments, there are different other instruments in various surgeries. For example, in eye surgery, ophthalmic surgical knife and PVA spear are some of the essential surgical tools.Surgical lights, autoclaves, and some specific tools are equitably important for various surgeries.


In every operation theater disinfects make an essential surgical tool. With the changing technology, there is a change in the design and features of this equipment too. Many surgical instrument manufacturers give disposable disinfects. No matter how much change is there, reusable instruments are still needed to be sterilized and you never know when serious risks can be there due to error. To buy right disinfect for your hospital, you need to decide the procedure for which it needs to be utilized. For equipment like single-use forceps, you need small sized disinfects, while for sterilization trays you need the same in much larger size.

Can you operate surgery in dim or improper lights? Definitely no! So operation theatre table lights are other tools you need to select carefully. The success of any surgery extremely depends on the lights in Operation Theater. In OT you need two kinds of lights: fixed for general lighting and spotlights for particular areas. These lights need due care while the choice to enable the surgeon see the body parts and equipment properly.

 

In order to ensure supply of high-quality surgical materials and equipment, you need to contact right suppliers. They can also assist you to get particular instruments like for ophthalmic surgery. It also assists you to get the supplies at the correct time. These manufacturers and suppliers have a wide stock of various surgical instruments for varied customers. Bhumikasurgicals is a leading surgical instruments supplier in India.

 

So you want to take care of several things while buying surgical instruments like the quality, price, size, the material utilized and the surgery to be performed with these. You also want to determine whether you want reusable surgical instruments or disposable surgical instruments. Take time to do thorough research to assure choice of right instruments.

5 Types of Operation Table

The types and quality of operating tables continually change due to the advancement of the number of surgical procedures that are conducted. Though many hospitals usage rather standard tables, special designs become more and more famous due to their loyalty and efficiency during surgeries.

Such units often feature radio crystalline materials for the tabletop, so there is also a probability to use imaging equipment, a C-arm imager, interchangeable head/ foot sections and also sliding tabletops.

Many surgical tables are hybrids; it means they mix two various types of tables into a single style. Good examples of such units are cardiac operating tables, which double as cardiac catheterization tables.

Surgery Tables
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These operating room tables are designed for catching and containing anesthesia gases. They avert disclosure to personnel during surgical operations. Various models can meet different requirements and specialized procedures.

Perhaps the important function they have is managing the patient in the right position probable for the definite surgical operations, allowing the surgeon to make all needed adjustments during the surgery without intrusive with the operation.

There are general and specialty tables. 

Ambulatory care

  • Bariatric

  • Acute care

To specialty ones:

  • orthopedic

  • image-guided

  • ortho/spine

    Cardiac Tables

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    These operating tables can be classified as mobile and stationary systems. Speaking of the first option, it should be noted that the position of the table is shifting within the operating room. The stable sections can be removed or changed when required. The foot of the system limits the availability of leg space, but this is the issue of a stationary system as well.

    In a stationary different the column is firmly anchored to the floor. During the process, all the necessary medication and instrument are brought to the table.

    Cardiac surgeons mostly have less complex positioning needs, but they usually choose to utilize fully motorized movement systems of the tabletop and the table.

    C-arm Tables

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    They are specially designed for surgical centers, C-arm fluoroscopy operations, and pain management facilities. Such tables are respected to as ideal units for pain care applications. They assure the needed access and stability. They are soft, precise and vibration-free, which is very essential for such procedures.

    A great functional design provides the needed access to the reduced level of radiation disclosure to clinicians. Some newer models feature multiple positioning control options with basic pre-programmed features. This is essential for safe and rapid tabletop positioning during the surgery.

    In most cases, this surgical table has a foot-operated controller, a handy hand-held controller and a rail-mounted main control panel that are there for a beneficial access from various points around the operating table.

    Gynecology Tables

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    These tables are a kind of progressive instrument that is designed for examination and surgery. They usually have all the needed tools and mirrors and give up with the curve of the body. The angle and the height can be adjusted directly in order to make the operation successfully. Some gynecological exam tables feature isolated rests for the knees of the patient.

    The materials that are utilized in the manufacturing of these tables are of preferable quality, assuring a long-term use.

    Orthopedic Tables

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    All orthopedic tables have the instruments for providing and supporting traction for the limbs of the patient during orthopedic procedures.  Applications for such tables include even upper-extremity procedures.

    As a rule, an orthopedic table has a rectangular top that is made of plastic, metal or is a plastic/metal/carbon-fiber compound. The top is usually supported by a podium that is a kind of a fixed base. It can also be a movable and swivel-caster base.

    All fixed-based models feature the tops that are interchanged in order to contain some specific surgical procedures. The tops are simply transformed to trolleys that are required for the transportation of patients to and from an operating room.

    These surgical tables have padding that is needed for an upper-body support. They feature a perineal post for lower-body support. Some of the supports are interchangeable in order to contain specific procedures.

    There are also other models that are available with the tabletops, which permit orthopedic table conversion to a full-length table required for surgeries.

    Neurology Tables

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    Neurological procedures are all about accuracy. Therefore, neurology tables should offer the great probable patient access with extraordinary positioning, which will permit doctors to operate these surgical procedures.

    Additionally, our neurology tables give the following particular features:

    • A broad range of positioning options, such as a back section, lateral slide, and tilt, longitudinal slide, Trendelenburg and altitude options

    • Electro-hydraulic operation that’s simple to learn, with manual controls for positioning the head and back section

    • Precise foot-controlled tabletop slide functions, permitting surgeons and medical staff to create elegant movements hands-free

    Surgeons should have the capability to offer input on a neurology table’s full configuration and optional attachments or accessories.

     

     

     

 

Which Alloy is Best for Surgical Instruments?

Surgical instruments are specifically designed instruments that are clinically and accurately produced to help the surgeon in performing surgery. Different types of instruments are used in surgery. The various types of surgical instruments help the experts at different stages as and when needed.

Mostly, alloys are preferred on the base of their corrosion resistance, yield strength, toughness, fatigue strength, hardness or wear resistance. In some occurrences, an application may need a combo of two or more of these properties, with each reaching a decent level of performance. Many times it may be significant to evaluate several alloys because no single alloy can give universal service.

stainlesssteelStainless Steel – One of the most helpful characteristics of this smooth, corrosion-resistant steel is its hygienic quality. Stainless steel is simple to clean and can combat sterilization methods as good as any material always invented. The steel is highly corrosion resistant and it is a common preferred of material for biomedical instills. Bhumika Surgicals is a leading surgical instruments supplier.

Inox – Inox is well suitable for medical intents, because this stainless steel, magnetic alloy has magnificent corrosion resistance and good salt resistance. inoxTemperature resistant up to 400°C, it can be disinfect at 180°C. Almost as secure as carbon steel, Inox is a magnificent general-purpose alloy for surgical operation table instruments.

titaniumTitanium – 100% anti-magnetic, corrosion-resistant, slight and strong, Titanium alloy is excellent for biological and medical applications. Titanium has the tensile strength of carbon steel and is fully resistant to corrosion from nitric acid, chloride, saltwater, and industrial and organic chemicals. Titanium is more malleable and 40% lighter than Inox. When heated or cooled, the dimensions of Titanium alloy change less than half of what stainless steel alloys will, creating Titanium surgical instruments much more reliable. Titanium is stain-free and temperature resistant up to 430°C. Titanium tools are the excellent choice for caustic environments or MRI applications.

dormoxelDumoxel – Developed by Dumont Tools, Dumoxel is highly resistant to sulfuric environments, hydrochloric acid, mineral and organic acids. Highly flexible, Dumoxel is 95% anti-magnetic and stain resistant. Temperature resistant up to 400°C, it can be disinfect at 270°C. Dumoxel is the most famous Dumont alloy for tools.

Dumostar – Utilize by Dumont Tools, Dumostar is more elastic and more corrosion-resistant than the good stainless steel. It is resistant to inanimate and organic acids and salt corrosion. Dumostar is 100% anti-magnetic and temperature resistant up to 500°C. Dumostar is the most profitable and useful alloy for laboratory tools.

Anti-magnetic – With best corrosion resistance, this alloy is 80% anti-magnetic. Temperature resistant up to 400°C, it can be disinfect at 270°C. Anti-magnetic is not perfectly as hard as Inox.

Tungsten Carbide – As a general rule, surgical equipment’s build of tungsten carbide performing the same kind of work will last up to 5 time longer than stainless steel equipment’s. The added length of service creates tungsten carbide surgical instruments more profitable than cheaper models.

High-grade stainless steel medical instruments used in surgery must be stored free of debris and stored in a dry environment. If accurately cared for, these tools should maintain their efficacy for years.
You should compare the various options carefully to choose the best type of stainless steel for you.

High quality assurance from Bhumika Surgicals.Contact for queries at +91-9205156857 or write to us for more information at info@bhumikasurgicals.com

How Medical Surgical Instruments Should be Cared & Handled?

The most essential considerations in continuing the life of an instrument are relevant use, careful handling, and proper cleaning and sterilization. Every instrument is designed for a special purpose. Utilizing it for an unexpected purpose is an assured technique of damaging an instrument. Examples of misuse include securing surgical cloaks or opening a medicine vial with an instrument designed to hold tissue.

Cleaning, Disinfecting and Sterilizing are the three stages of instrument care.

Cleaning removes dirt, rubble and biological material from medical surgical instruments. You can clean surgical equipment’s manually or mechanically utilizing water and detergents or an enzymatic cleaner. Do thoroughly clean your instruments because rubble which remains on instruments can prevent the instrument from further disinfection/sterilization or can corrupt the research data. Cleaning is the first step toward sterilization and sometimes it is all that is needed.

Disinfection can be damaged down into three categories: low level disinfection (LLD), intermediate level disinfection (ILD) and high level disinfection (HLD). LLD wipes out all vegetative bacteria (except tubercle bacilli), lipid viruses, some non-lipid viruses and some fungi in less than 10 minutes. ILD consumes tubercle bacilli, bacterium, lipid draped and some non-lipid draped viruses and fungus spores. In addition to killing these microorganisms, HLD can also kill bacterial spores, though not in a great number. The CDC recommends a 90 minute soak at 25°C.

Sterilization consumes all microbial life. Some chemical sterilizer can be utilized as HLD disinfectants when utilized for shorter risk periods. Dry heat or autoclave are the favored method of sterilizing operating room instruments.

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Cleaning-The first stage in perfectly cleaning your medical surgical instruments.Dip off all blood, physical fluids and tissue instantly after use. Dried soils may damage the equipment surface and make cleaning more difficult. Dip your instruments in cold water. Hot water can cause proteins items to coagulate. If coveted, soak your surgical instruments in water with an enzymatic detergent. The detergent assists to soften the proteins and break down oils. Then, the equipment may be cleaned manually or automatically in a washer or ultrasonic bath.

Disinfection -Both thermal and chemical techniques are available for HLD (High Level Disinfection). As a common rule, surgical instruments are not affected to heat, making boiling the favored method for disinfecting. Boiling instruments in 100°C water for at least one minute kills all microorganisms, except for a few bacterial spores. Boiling does not sterilize instrument.

Bring the boiler to a rolling boil. Submerge open equipment’s in the boiling water. When the water returns to the boiling point, turn the heat down to a pleasant boil. A rolling boil could harm instruments as they rebound around in the boiler. After one minute, remove the instruments from the water utilizing a set of disinfected forceps. Permit the instruments to dry and lubricate the pivots. Do NOT leave boiled equipment’s in the water as it cools, because they could be re-contaminated. Abandon the water when you complete disinfecting your equipment.

To eliminate lime buildup on boiled equipment, use distilled water for boiling or add a little amount of white marinade to the boiler before you process your medical surgical instruments.

Chemical disinfection can be utilized when equipment’s will be harmed by heat. Some chemicals that may be treated include glutaraldehyde 2% for 20 minutes, hydrogen peroxide 6%–7.5% for 20–30 minutes, per-acetic acid 0.2–0.35% for 5 minutes and ortho-phthalaldehyde (OPA) for 5–12 minutes.

Sterilizations -Sterilizations kills all microorganisms and spores. Autoclave (saturated steam under high pressure) is the most common technique for sterilizing surgical equipment’s, however, dry heat and chemical sterilizer (ethylene gas, hydrogen peroxide gas plasma, etc.) can also be utilized.

Dry Heat

Dry heat may also be used to surgical equipment. Instruments can be protected in aluminum foil or fixed in sterilization plates before putting them in the oven. Refer to the manufacturer’s directions to heat the oven. Equipment can be heated to any of the following to be considered sterilized:

  • 180°C for 30 minutes
  • 170°C for 1 hour
  • 160°C for 2 hours
  • 149°C for 2.5 hours
  • 141°C for 3 hours

Permit the instruments to cool to room temperature inside the oven and store them as defined above.

Surgical instruments are a main financial investment in every surgical facility, and procedures should be in place to secure this investment. The life of a surgical instrument is reliant upon the way it is utilized and the care it receives.

Contact for queries at +91-9205156857 or write to us for more information at info@bhumikasurgicals .com