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Reprocessing Instructions for Reusable Surgical Instruments

Reprocessing Instructions for Reusable Surgical Instruments
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Reprocessing Instructions for Reusable Surgical Instruments

Product catalog summary
Overview
This document provides detailed reprocessing instructions for reusable surgical instruments supplied non-sterile by United Orthopedic Corporation. It includes guidelines for cleaning, inspection, packaging, and sterilization to ensure safe handling and effective reprocessing. Healthcare facilities must validate any alternative methods used.
Materials
The instruments are composed of materials such as aluminum alloy, cobalt/chromium alloys, stainless steels, titanium, titanium alloys, titanium nitride coatings, polymers, and silicone rubber.
Cautions
  • Devices are for sale only by licensed healthcare practitioners.
  • Instructions apply solely to reusable instruments supplied non-sterile by United.
  • Personal Protective Equipment (PPE) is mandatory when handling contaminated devices.
  • Avoid metal brushes or abrasive cleaners.
  • Use cleaning agents with pH 7-9 and avoid corrosive substances.
  • Do not stack trays during sterilization.
  • Flash sterilization is for emergencies only.
Limitations on Reprocessing
The lifespan of devices is contingent on usage and handling. Devices should be inspected for damage such as corrosion, discoloration, and wear before use. Damaged devices must not be used.
Cleaning, Inspection, Packaging
A. Pre-treatment at the Point of Use: Remove contamination immediately after use.
B. Loading and Transportation: Process instruments promptly and cover if cleaning is delayed.
C. Disassembly: Disassemble complex instruments as per instructions.
D. Preparation of Cleaning: Use a neutral pH cleaning solution and appropriate water quality.
E. Cleaning - Manual Method with Ultrasonic: Soak, brush, flush, rinse, and perform ultrasonic cleaning.
F. Cleaning - Automated/Mechanical Method: Follow manual cleaning steps before using a mechanical washer.
G. Inspection, Functional Check: Inspect for cleanliness, damage, and functionality. Reassemble and check function.
Sterilization
Follow specific sterilization guidelines for the United States and other regions.
Storage
Store instruments to maintain sterility and functionality.
Validation Information
Validation is provided for manual and automated cleaning, as well as moist heat sterilization.
Packaging Requirements
Instruments should be contained in cases and double wrapped using the AAMI/CSR technique. Packaging must comply with ISO 11607-1, CE Mark, or FDA clearance and be suitable for steam sterilization. The total weight of a wrapped instrument case should not exceed 11.4kg/25lbs.
Sterilization Procedures
Steam sterilization should follow ANSI/AAMI ST79 guidelines. In the US, the cycle involves a dynamic-air-removal (pre-vacuum) process with 4 pulses at 132℃ for 4 minutes and a 30-minute drying time. For CJD/TSE contamination, a temperature of 134℃ for 18 minutes is recommended.
Storage Guidelines
Post-sterilization, instruments should be stored in a dry, dust-free environment. The shelf life depends on the sterile barrier, storage conditions, and handling, and should be defined by each healthcare facility.
Validation Information
Manual and automated cleaning validation involves exposure to artificial test soil and inspection for residual soil and protein. Moist heat sterilization validation uses biological indicators with resistant spores to ensure a 10-6 sterility assurance level.
References and Standards
Key references include AAMI TIR12, ANSI/AAMI ST79, ISO 11607-1, and ISO 17665-1. These standards guide the design, testing, and labeling of reusable medical devices for reprocessing.
Symbols Glossary
Includes symbols for medical devices, catalogue numbers, batch codes, manufacturer information, and CE marking, as per ISO 15223-1.
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Catalog excerpts

Reprocessing Instructions for Reusable Surgical Instruments-1

Reprocessing Instructions for Reusable Surgical Instruments English

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Reprocessing Instructions for Reusable Surgical Instruments-3

DESCRIPTION Reprocessing instructions are intended to assist hospital personnel in safe handling, and effective reprocessing reusable surgical instruments, instrument trays and cases supplied Non-Sterile by United Orthopedic Corporation (United). All hip, knee, trauma, and extremity of United reusable medical instruments must be cleaning, inspection, packing and sterilization prior to use. United has validated the processes provided in reprocessing instructions to be capable of being effective. Equipment, operators, cleaning agents and procedures all contribute to the efficacy of the processing....

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Reprocessing Instructions for Reusable Surgical Instruments-4

CAUTIONS 1. Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner. Following symbol: 2. Reprocessing instructions apply to:  Reusable surgical instruments supplied Non-Sterile by United  Instruments intended for reprocessing in a health care facility setting Do not apply to single-use devices. Personal Protective Equipment (PPE) should be worn when handling or working with contaminated or potentially contaminated devices. PPE includes: gown, mask, goggles or face shield and shoe covers. Do not place heavy instruments on top of delicate devices. Do...

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Reprocessing Instructions for Reusable Surgical Instruments-5

applicable that the devices are not manufactured and/or distributed by United. 13. Do not use descaling agents that include morpholine in steam sterilizers. These agents leave residue which may damage polymer instruments over time. 14. Do not stack cases or trays during sterilization. Because it may limit steam penetration and prevent effective sterilization of the instruments. 15. Under certain classifications of risk, the World Health Organization (WHO), or local regulatory authorities recommend special Creutzfeldt-Jakob disease (CJD/TSE) inactivation processing procedures. Consult WHO and...

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Reprocessing Instructions for Reusable Surgical Instruments-6

CLEANING, INSPECTION, PACKAGING  Remove contamination: As soon as possible after use, remove excessive soiling with a disposable wipe, rinse and flush lumened devices with sterile or deionized water to prevent the drying of soil and/or debris to the inside. Ensure that no instruments or pieces of instruments are left in the surgical site prior to closure, as they may not be detectable using imaging techniques such as X-ray or MRI and patient injury may result. Process instruments as soon as is reasonably possible after use. It is recommended not to delay cleaning for more than 2 hours. If transfer...

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Reprocessing Instructions for Reusable Surgical Instruments-7

TIR34[10], Hardness <1ppm, Conductivity <10μS/cm, Chlorides <1ppm, Bacteria <10CFU/mL, Endotoxin <10CFU/mL, Total organic carbon <1mg/mL. Used primarily for final rinses and steam generation. The warm deionized water is at 30~ 44°C. The Hot deionized water is at more than 44°C.  E. CleaningManual Method with Ultrasonic Equipment: various sized soft-bristled brushes, lint-free cloths syringes, pipettes and/or water jet, ultrasonic cleaner, cleaning bath or vessel large enough to allow complete immersion of the instruments. Soak soiled instruments and prevent air bubbles to ensure that all surfaces...

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Reprocessing Instructions for Reusable Surgical Instruments-8

Cleaning-Manual method with Ultrasonic step 1-6 should occur prior to this step. Mechanical washer with approved efficacy (e.g. Verified by ISO 15883) should be used. Load the opened instruments in the washer such can drain (for example, hinges should be open and cannulations and holes can drain). F. Cleaning -Automated /Mechanical Method Dry the instruments after final rinse with a clean towel or clean compressed air until visibly dry. Process parameters follow "INSTRUMENT" cycle parameters validated by mechanical washer manufacturer and a pH neutral cleaning agent intended for use in automated...

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Reprocessing Instructions for Reusable Surgical Instruments-9

hinges, shafts of flexible reamers; recessed features (holes, cannulations) ; features where soil may be pressed into contact with the device, e.g. drill flutes adjacent to the cutting tip, sides of teeth on broaches and rasps. Note: If contamination is noted repeat the cleaning process. Completeness, damage and/or excessive wear: Visually inspect for no damage including but not limited to, malfunction, burrs, wear, tear, corrosion (rust, pitting), discoloration, creaked seals, excessive scratches and flaking. Note: If damage or wear is noted that may compromise the function of the instrument,...

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Reprocessing Instructions for Reusable Surgical Instruments-10

Smooth and free of cracks and Cracks and deep nicks. deep nicks. (Minor crack don’t affect the smooth operation is acceptable.) Loose burrs or large nicks. Hammering surfaces Flexible features Instrument tray/case Without burrs and large nicks. Flex and relax to inspect flexible feature like shafts, springs for any damage and major deformation Major deformation or can’t operate smoothly. Inspect for burrs and locking from damage the wrap. (Minor burr is acceptable.) Burrs or locking mechanism loosening which may damage the wrap. UDI Information Use DataMatrix barcode scanners to scan the UDI...

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Reprocessing Instructions for Reusable Surgical Instruments-11

SterilContainer System -JN-400~JN-446 included with base vents use as packaging for the instrument sets. No more than one case can be placed directly into a rigid steam sterilization container.  The total weight of a wrapped instrument case should not exceed 11.4kg/25lbs.

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Reprocessing Instructions for Reusable Surgical Instruments-12

STERILIZATION Using ANSI/AAMI ST79 Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care is recommended to be steam sterilized by the health care facility using the process parameters below, which has been validated by United under laboratory conditions to provide a 10-6 sterility assurance level (SAL). A verified, properly maintained and calibrated steam sterilizer is recommended. The process parameters of sterilization should be followed explicitly. It is the responsibility of the medical facility to ensure that reprocessing is performed using the appropriate equipment...

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Reprocessing Instructions for Reusable Surgical Instruments-13

STORAGE After sterilization, re-usable instruments should be stored the in the sterilization wrap in a dry and dust-free place. The shelf life is depending on the sterile barrier employed, storage manner, environmental conditions and handling. A maximum shelf life for sterilized re-usable instruments before use should be defined by each health care facility. VALIDATION INFORMATION  For Manual Cleaning/Automated Cleaning Validation: The reusable devices are exposed to the artificial test soil which is a mixture of Edinburgh test soil and bone meal to simulate the clinical soil, and be dried for...

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.