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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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.