Contraindications
These instruments are contraindicated in the removal of spinal hardware systems which
use a pressure fit to retain its components or which twist off the threads of the locking
screws.
Precautions
Instruments are provided non-sterile. Clean and sterilize prior to each use.
Neutral pH cleaners are recommended.
Prior to use, care must be taken to protect nerves, vessels and/or organs from damage
that may result from the use of these instruments.
Reprocessing Limitations
Repeated processing has minimal effect upon manual instruments. End of life is
determined by wear and damage due to use.
Point of Use
Remove excess bodily fluids and tissue with a disposable wipe.
Instruments should not be allowed to dry prior to cleaning.
Containment / Transportation
Follow hospital protocols when handling contaminated and or biohazardous materials.
Instrument should be cleaned within 30 minutes after use to minimize the potential of
staining, damage, and drying after use.
Manual Cleaning Procedure
1. Prepare a proteolytic enzyme solution according to the manufacturer's instructions.
2. Completely submerge instruments in the enzyme solution and gently shake them to
remove trapped bubbles. Actuate instruments with hinges or moving parts to ensure
contact of the solution with all surfaces. Lumens, blind holes and cannulations should
be flushed with a syringe to remove bubbles and ensure contact of the solution with
all instrument surfaces.
3. Soak instruments for a minimum of 10 minutes. While soaking, scrub surfaces using
a nylon-bristled brush until all visible soil has been removed. Actuate moveable
mechanisms. Particular attention should be given to crevices, hinged joints, box locks,
instrument teeth, rough surfaces, and areas with moving components or springs.
Lumens, blind holes, and cannulas should be cleaned using a snug fitting round
nylon bristle brush. Insert the snug fitting round brush into the lumen, blind hole, or
cannula with a twisting motion while pushing in and out multiple times.
NOTE: All scrubbing should be performed below the surface of the enzyme solution
to minimize the potential of aerosolizing contaminated solution.
4. Remove the instruments from the enzyme solution and rinse in tap water for a
minimum of one (1) minute. Actuate all moveable and hinged parts while rinsing.
Thoroughly and aggressively flush lumens, holes, cannulas, and other difficult to
access areas.
5. Prepare an ultrasonic cleaning bath with detergent and de-gas according to the
manufacturer's recommendations. Completely submerge instruments in the cleaning
solution and gently shake them to remove any trapped bubbles. Lumens, blind holes,
and cannulations should be flushed with a syringe to remove bubbles and ensure
contact of the solution with all instrument surfaces. Sonically clean the instruments at
the time, temperature, and frequency recommended by the equipment manufacturer
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