Enzyme Surgical Instrument Cleaners
Soaking Surgical Instruments in a 'high level' 'multi-tiered' 4 enzyme surgical instrument detergent cleaner to loosen blood and all forms of proteinaceous debris from serrations, box locks, ratchets, and hinge point will prolong the life of surgical instruments and render high quality cleaning outcomes. The easy FOAM-it Pre wash Enzyme Surgical Instrument Detergent Cleaner eliminates the safety issues associated with the spraying of enzyme surgical instrument cleaners within the workplace while delivering the most effective 4 enzyme detergent surgical instrument cleaner available. The easy FOAM-it Pre wash Enzyme Surgical Instrument Detergent Cleaner delivers a thick layer of highly concentrated enzymes and surface cleaning detergents to digest all forms of protienations bioburden. The foam disipates when water is added rendering a lightly colored media for safely cleaning surgical instruments underwater.

Soaking and/or cleaning surgical instruments as soon as possible after use to prevent blood and other forms of protienacios debris from drying on to the surface is critical in providing rapid reprocessing throughput and high quality cleaning outcomes.
Blood causes stains which are difficult to remove. Fats dehydrate, incrust and congele with protiens making more difficult to remove. All manufacturers of surgical instruments recommend using a Neutral pH enzyme surgical instrument detergent cleaner for soaking and cleaning surgical instruments.

Saline solutions are highly corrosive to the stainless steel of surgical instruments and should never be used for soaking or cleaning surgical instruments. Following the cleaning process, rinse all Surgical Instrument cleaning residue thoroughly off of Surgical Instrument surfaces. This is especially critical when not using a 'free rinsing' Surgical Instrument Cleaner. Free rinsing Surgical Instruments Cleaners are designed to provide a residue free surgical instrument when proper rinsing is performed . Use distilled or de-mineralized water only for washing Surgical Instruments and rinsing Surgical Instruments as well as for sterilizing Surgical Instruments.  Using Surgical Instrument cleaning brushes (designed to fit the working channel properly and prevent scoring), and/or surgical instrument cleaning sponges impregnated with low foaming, neutral detergent (pH 7) enzyme surgical instrument detergent cleaner will optimize your Surgical Instrument cleaning outcomes. Normal (all) tap (source) water will leave spotting deposits on Surgical Instruments due to their mineral content. Some surgical instrument cleaners include buffers to condition the source water and prevent surgical instrument spotting. These surgical instrument cleaners are also designed to render a residue free surgical instrument. Avoid using abrasive methods when cleaning surgical instruments.

Apply the all-in-ONE 4 Enzyme Detergent ONCE. Your surgical instruments will look newer and perform longer. It's the only surgical instrument cleaner you will need. The easy FOAM-it™ surgical instrument cleaner, for pre washing and soaking surgical instruments, cleans faster and cleaner while removing STAINS from surgical instruments with lower surgical instrument cleaning costs.
Nothing cleans faster than the 4 Enzyme Surgical Instrument Detergent.
Nothing will lower your surgical instrument cleaning costs as much as the all-in-ONE  Surgical Instrument Enzyme Detergent, and we guarantee it.
"If surgical instruments are not clean, they cannot be sterilized".
John Temple Marketing Director: Surgical Instrument Cleaners, Surgical Instrument Washers.
Contact us for information that will lower your surgical instrument cleaning costs and deliver the surgical instrument care that you and your surgical instruments deserve.

John Temple
Product Development
Passivation of Stainless Steel Surgical Instruments
Passivation of stainless steel surgical instruments prepares the surface and protects surgical instruments against the pitting of surgical instruments and the corrosion of surgical instruments. Passivation of surgical instrument stainless steel improves the corrosion resistance properties of the components made of precipitation-hardened, austenitic, ferritic and martensitic surgical instrument steels. Passivation treatments improve the surface condition of stainless steel surgical instruments by dissolving iron that has been imbedded in the surface of the surgical instruments during forming or machining. If allowed to remain, the iron can corrode and give the appearance of rust pots on the stainless steel surgical instruments. Passivation, which consists of immersing stainless steel surgical instruments in a solution of nitric or citric acid without oxidizing salts, will dissolve the imbedded iron and restore the original corrosion-resistant surface by forming a thin, transparent oxide film.
Neutral pH enzyme surgical instrument detergent cleaner
Passivation of Surgical Instruments is performed during the manufacturing of surgical instruments and should not be attempted following the initial passivation by the surgical instrument manufacturer. Only Neutral pH enzyme surgical instrument detergent cleaners should be used to treat the surface of surgical instruments.
Again, All manufacturers of surgical instruments recommend using neutral pH surgical instrument cleaners and we know from a proven history of success that surgical instrument washer manufacturers recommend using an enzyme surgical instrument washer detergent. The only manufacturers of surgical instrument washers and washer disinfectors that recommend using other than a neutral pH surgical instrument cleaner are those that also sell surgical instrument cleaners. They use false product differentiation methods of selling, implying that because they manufacture the washer they should recommend the  surgical instrument cleaners to be used. Note: if a manufacturer implies that using another companies with their product violates the Warranty, they are violating Federal Fair Trade Laws, and are being illogical. The technical experience of manufacturing surgical instrument cleaning chemicals is different than the technical expertise for manufacturing surgical instrument washers and washer disinfectors. Companies making such claims should be reported to the Federal Trade Commission.
Reprocessing Surgical Instruments
Lubricating Surgical Instruments
Keep surgical instrument box locks and surgical instrument ratchets open when cleaning and sterilizing surgical instruments. Disassemble all surgical instruments instruments with removable parts. 
Immediately after cleaning, surgical instruments should be lubricated. Conventional milk lubricants have nominal bonding properties and are rinsed off with subsequent cleaning and sterilization cycles. The all-in-ONE™ surgical instrument lubricant uses an ionic bond which is activated by the high level temperatures during the final rinse. The all-in-ONE enzyme detergent surgical instrument cleaner is “free-rinsing” and  delivers a residue free surface. The all-in-ONE enzyme detergent surgical instrument cleaner will also condition the source water for spotless cleaning by countering the effects of the minerals within normal and hard water which would remain of the surface and manifest themselves as rust spotting, staining, and encrustation. Surgical instruments lubricated in a water-soluble lubricant such as 'Instrument Milk', and 'Pre-lube' will leave a visual spotting. If you use 'Instrument Milk' surgical instrument lubricant, do not rinse or wipe off the protection film (may appear as a milky spotting) which should remain on the instrument throughout sterilization, storage, and use of Surgical Instruments. Keep surgical instrument box locks, surgical instrument ratchets, surgical instrument hinges and surgical instrument serrations free of any debris. If substances are allowed to build up in the box locks, the surgical instruments will become stiff and be more prone to misalignment and cracking. Thoroughly dry surgical instruments before wrapping them. Any moisture remaining on the surgical instruments, particularly in the box locks, surgical instrument hinges, and crevices may result in surgical instrument corrosion. Make sure your reusable surgical instruments wrappers are rinsed thoroughly to remove all residues of the detergents used for cleaning surgical instruments, otherwise staining or corrosion might occur during steam sterilization. Using a 'free rinsing' surgical instrument cleaner will avoid surface residue. Never mix stainless steel surgical instruments with surgical instruments of dissimilar material (carbon steel, copper, brass, aluminum). If plated surgical instruments are  chipped or peeled an electrolytic action will carry particles from the exposed metal on to the surface of the stainless steel surgical instruments. To eliminate this problem replace all plated surgical instruments with stainless steel surgical instruments.
Tungsten Carbide tipped Surgical Instrument Corrosion.
Make sure all surgical instrument detergents, enzyme instrument cleaners, and surgical instrument lubricants are pH neutral. Tungsten Carbide tips and inserts can deteriorate prematurely. Strong Alkaline cleaning solutions (over pH 7) will attack and break down tungsten carbide surfaces. If your solutions are acidic  (below pH 7) you will cause the breaking down of the cobalt binder which holds the tungsten and the carbon particles in  position. The insert will loose it's hardness. The Manufacturers of your Tungsten Carbide tipped Surgical Instruments will ask you to make sure all surgical instrument detergent cleaners, surgical instrument enzyme cleaners, and surgical instrument lubricants are pH neutral.
Enzyme Surgical Instrument Cleaners
Even the finest stainless steel surgical instrument can become spotted very quickly. Mat finished surgical instruments are more susceptible to staining than surgical instruments with a bright or mirror finish.
Understanding and Preventing Surgical Instrument Stains:
Enzyme Surgical Instrument Cleaners
Adhering to proper surgical instrument cleaning (the proper sequence of washer treatments, the proper sequence of hand washing surgical instruments) and surgical instrument sterilization procedures will prevent most occurrences of surgical instrument staining and surgical instruments spotting.
Light or dark spots and stains on surgical instruments.
Slow evaporation of water condensation on surgical instruments will cause light or dark spots. Mineral deposits left on surgical instruments after the water has evaporated is the result of using tap water. The use of distilled or demineralized water for rinsing surgical instruments will eliminate the problem. 
Spots and stains on surgical instruments.
Spots on surgical instruments can also be the result of opening the autoclave door before steam has been completely exhausted, causing a slow drying process. Spots on surgical instruments can be traced to reusable instrument wrappers. If you begin to see spots on surgical instruments, see if this correlates with a change in packaging. During laundering procedures it is important that the detergents are thoroughly rinsed out. Any residues from the laundry process will be carried on to the surgical instrument surface during steam sterilization. 
Brown stains on surgical instruments.
A dull brown or blue stain can be the build-up of oxidation on the  surface of the instrument. These stains are more detectable on a dull (mat) finished surgical instrument than on a  bright (mirror) surface. It is the formation of chromic oxide, a very thin hard layer which forms naturally on the surface of stainless steel surgical instruments to prevent atmospheric corrosion of surgical instruments. 
Blue stains on surgical instruments.
Blue stains or spots on surgical instruments are often the result of cold sterilizing solutions. Prepare the surgical instrument sterilizing solution to exact proportions and change as directed by the manufacturer. Prolonged use of the sterilizing solution will make the surgical instrument sterilizing solution corrosive. Use of distilled or demineralized water and a rust inhibitor will minimize discoloration. 
Purplish-Black stains on surgical instruments.
Purplish-Black stains on surgical instruments may result from contact with ammonia. Many cleaning compounds contain ammonia which remains on the Instrument if not rinsed thoroughly. Purplish-Black stains on surgical instruments can also result from amine deposits traced in the autoclave or steam pipes. Clean the autoclave and follow the autoclave cleaning with a cleaning cycle of distilled water. 
Rust spots on surgical instruments.
It is unlikely that surgical grade stainless steel will rust. What appears on a surgical instrument as rust is actually residual organic matters or mineral deposits in box locks, ratchets, serrations, hinges etc. which have been baked on to the surface of the surgical instruments. Proper surgical instrument cleaning will avoid this problem. Again, adhering to proper surgical instrument cleaning (the proper sequence of washer treatments, the proper sequence of hand washing surgical instruments) and surgical instrument sterilization procedures will prevent most occurrences of surgical instrument staining and surgical instruments spotting. Sterilization of stainless surgical instruments together with plated surgical instruments of dissimilar material should be avoided. Chipped or imperfectly plated carbon steel  on surgical instruments. will cause rust deposits on stainless steel instruments. Electrolytic action will carry carbon particles from the exposed metal on to the stainless steel  on surgical instruments surface. These particles promptly oxidize and the stainless steel  on surgical instruments  appear to have rusted. A rust colored film on  on surgical instruments can be caused by the high mineral content of water or by the use of improper water softeners. Free rinsing Surgical Instruments Cleaners are designed to provide a residue free surgical instrument when proper rinsing is performed . Use distilled or de-mineralized water only for washing Surgical Instruments and rinsing Surgical Instruments as well as for sterilizing Surgical Instruments. Using Surgical Instrument cleaning brushes (designed to fit the working channel properly and prevent scoring), and/or surgical instrument cleaning sponges impregnated with low foaming, neutral detergent (pH 7) enzyme surgical instrument detergent cleaner will optimize your Surgical Instrument cleaning outcomes. Normal (all) tap (source) water will leave spotting deposits on Surgical Instruments due to their mineral content. Some surgical instrument cleaners include buffers to condition the source water and prevent surgical instrument spotting. These surgical instrument cleaners are also designed to render a residue free surgical instrument.
Enzyme Surgical Instrument Cleaners
The presence of blood, andy form of proteinaceous bioburden (protien, lipids, or carbohydrates), and other soils the in box locks, surgical instrument ratchets, surgical instrument serrations, and surgical instrument hinges can cause corrosion. Care should be taken in cleaning surgical instruments. Excessive moisture left on the  surface of surgical instrument can lead to surgical instrument corrosion. Preheat the surgical instrument autoclave, do not rush the surgical instrument drying time. Foreign matters deposited in the autoclave can result in surgical instrument spotting and surgical instrument corrosion. Inner surfaces of the autoclave should be given a routine maintenance. Wipe down with acetic acid (equal parts of vinegar and distilled water) to remove any  impurities. 
Stress corrosion can be caused by not opening surgical instrument box locks during sterilization procedure. The heating-up and cooling-down process during sterilization causes tension in the surgical instrument material. 
Prevent Surgical Instrument Pitting
Pitting of Surgical Instruments 
When surgical instruments are exposed to saline solutions, blood, iodine, potassium chloride and other compounds surgical instrument pitting will occur. Surgical Instruments should be rinsed thoroughly immediately after exposure. Surgical Instrument Pitting can also be traced to detergents with a high pH level used for Surgical Instrument cleaning. Make sure all surgical instrument detergents, enzyme instrument cleaners, and surgical instrument lubricants are pH neutral. Surgical Instruments should be thoroughly rinsed after cleaning. It is impossible to completely restore Surgical Instruments after pitting or when rust has eroded the hard passive payer surface of surgical instruments. The Surgical Instrument should be replaced immediately as pitted Surgical Instruments are far more susceptible to further corrosion and will couse corrosion to of surgical instruments if they are in contact with them during the cleaning process . 
Enzyme Surgical Instrument Cleaners:
Enzyme Detergent Surgical Instrument Cleaner
Surgical Instrument Cleaner with Protease Enzyme Detergent Surgical Instrument Cleaner enzymes,
Surgical Instrument Cleaner with Amylase Enzyme Detergent Surgical Instrument Cleaner enzymes,
Surgical Instrument Cleaner with Lipase Enzyme Detergent Surgical Instrument Cleaner enzymes,
Surgical Instrument Cleaner with Carbohydrase Enzyme Detergent Surgical Instrument Cleaner enzymes, 
Surgical Instrument Cleaner with chemical surfactants,
Surgical Instrument Cleaner quickly removes bioburden, 
Surgical Instrument Cleaner quickly removes encrustation, 
Surgical Instrument Cleaner quickly removes bio-burden, 
Surgical Instrument Cleaner quickly removes blood,
Surgical Instrument Cleaner quickly removes fat,
Surgical Instrument Cleaner quickly removes STAINS,
Surgical Instrument Cleaner quickly removes carbohydrates,
Surgical Instrument Cleaner quickly removes starches,
Surgical Instrument Cleaner quickly removes protein.
Enzyme Detergent Surgical Instrument Cleaners.
TMED is recognized as a leader in manufacturing Surgical Instrument Enzyme Detergent Cleaners.
The ONEStep 4 Enzyme Detergent Surgical Instrument Cleaner is the most effective Enzyme Detergent available for cleaning Surgical Instruments cost effectively and fast, we guarantee it.
The ONEStep 4 Enzyme Detergent Surgical Instrument Cleaner is a:
100% Biodegradable Enzyme Detergent Surgical Instrument Cleaner,
non-irritating Enzyme Detergent Surgical Instrument Cleaner,
phosphate free Enzyme Detergent Surgical Instrument Cleaner, and
Neutral pH Enzyme Detergent Surgical Instrument Cleaner.
The easy FOAM-it Pre wash Enzyme Surgical Instrument Detergent Cleaner eliminates the spraying of enzymes within the workplace while delivering the most effective 4 enzyme detergent surgical instrument cleaner available. The ONEStep 4 Enzyme Detergent Surgical Instrument Cleaner delivers the highest level of enzymes with the surfactant detergents necessary to breakdown and remove all forms of proteinaceous bioburden. Other products may claim a high concentration but, at .25 0Oz per gallon of diluents, the ONEStep 4 Enzyme Detergent Surgical Instrument Cleaner delivers the highest level of enzymes and surfactant detergents for more effective cleaning and conditioning of surgical instruments and utensils. The ONEStep 4 Enzyme Surgical Instrument Cleaner Detergent is free rinsing to render spotless and residue free cleaning. The ONEStep 4 Enzyme Detergent Surgical Instrument Cleaner is the most effective  Enzyme Detergent available for Cleaning Surgical Instruments cost effectively and fast, we guarantee it.
Enzyme Surgical Instrument Cleaners
Enzyme Detergent Surgical Instrument Cleaners
Studies demonstrate that properly designed Surgical Instrument Washers, Washer Disinfectors, Washer Decontaminators, that include the use of a 4 Enzyme Detergent Surgical Instrument Cleaner "combination instrument cleaner" can deliver:
  • "complete removal of all pathogens" from surgical instruments,
  • “surgical instruments sterile at the completion of the process".,
  • "evaluation of Surgical Instrument Washers confirmed that the efficacy of disinfection was 100%"
The "Proper Sequence of Washer Treatments" includes a combination of mechanical and chemical surgical instrument cleaner treatments.
  • cold water pre-wash to flush proteinaceous debris and prevent baking,
  • ultrasonic cleaning with Ultrasonic Cleaner Solution ,
  • detergent wash with all-in-ONE Surgical Instrument Cleaner Conditioner,
  • purified water rinses with increasingly elevated temperatures,
  • and hot air drying elevated to disinfection time temperatures.
The chemical Surgical Instrument Cleaner treatments include:
  • Protease Enzyme Detergent Surgical Instrument Cleaners,
  • Amylase Enzyme Detergent Surgical Instrument Cleaners,
  • Lipase Enzyme Detergent Surgical Instrument Cleaners, , and
  • Carbohydrase Enzyme Detergent Surgical Instrument Cleaners, 
  • surfactant enzyme detergent cleaners that are functional in the elevated washing temperatures,
  • surfactant surgical instrument surface cleaners and instrument stain removers,
  • water conditioners to condition source water and dissolve mineral incrustation, and
  • lubricants to free and facilitate the for hinge points of instruments.
Apply the all-in-ONE™ 4 Enzyme Detergent ONCE. Your surgical instruments will look newer and perform longer. It's the only surgical instrument cleaner you will need. The easy FOAM-it™ surgical instrument cleaner, for pre washing and soaking surgical instruments, cleans faster and cleaner while removing STAINS from surgical instruments with lower surgical instrument cleaning costs.
Nothing cleans faster than the 4 Enzyme Surgical Instrument Detergent.
Nothing will lower your surgical instrument cleaning costs as much as the all-in-ONE™  Surgical Instrument Enzyme Detergent, and we guarantee it.
"If surgical instruments are not clean, they cannot be sterilized".
John Temple Marketing Director: Surgical Instrument Cleaners, Surgical Instrument Washers.
Contact us for information that will lower your surgical instrument cleaning costs and deliver the surgical instrument care that you and your surgical instruments deserve.

John Temple
Product Development
Enzyme Detergent Surgical Instrument Cleaners
Surgical Instrument Cleaners cleaning Surgical Instruments decontaminate. Decontamination Surgical Instruments Surgical Instrument Cleaners cleaning
Surgical Instrument Cleaners cleaning Surgical Instruments decontaminate. Decontamination Surgical Instruments Surgical Instrument Cleaners cleaning
Surgical Instrument Cleaners cleaning Surgical Instruments decontaminate. Decontamination Surgical Instruments Surgical Instrument Cleaners cleaning