The all-in-one Enzyme Detergent easy Foam Spray delivers long lasting hydration and immediately begins to break down blood, fat, and protein. The Enzyme Detergent Foam Spray keeps instruments moist, prevents bio-burden from drying/encrusting surgical instruments, inhibits bacterial growth, and prepares the instrumentation for reprocessing. The neutral pH Enzyme Detergent easy Foam Spray is safe for flexible and rigid scopes, stainless steel, tungsten carbide, aluminum, brass, plastic materials and delicate eye surgery microsurgical instruments. Compare all-in-one instrument cleaning to other enzymatic cleaners and cleaning chemicals.
prevent corrosion
The High Level multi-tiered Enzymatic Complex used in the all-in-one C3 Enzyme Detergent easy Foam Spray™ is designed to deliver high quality outcomes with rapid results. The all-in-one will lower reprocessing costs and render high quality results. Compare all-in-one instrument cleaning to other enzymatic cleaners and cleaning chemicals.
rinse clean
The all-in-one High Level multi-tiered enzymatic detergent cleaners are powerful against bioburden yet safe for all rigid and flexible instrument materials. The High Level multi-tiered enzymatic complex, available in ergo-Logistics products, rapidly breaks down and removes bioburden, prevents incrustation, and protects surgical instrumentation.
The primary purpose of cleaning surgical instruments and scopes is to remove all inorganic and organic material from the internal and external surfaces of flexible endoscopes. The secondary purpose of cleaning surgical instruments and scopes is to maintain and improve the “passive Layer” of stainless steel. The passive layer is provided by the manufacturer of surgical stainless steel to resist (prevent) corrosion. Proper cleaning will maintain and improve this passive layer. (for more information go to: Prevent Corrosion – Importance of Cleaning) If the manual cleaning, brushing and rinsing steps are not properly carried out, protein debris can harden and lead to formation of biofilm on the biopsy channel of the endoscope. The optimal cleaning protocol will break down bioburden and clean the surface. Inadequate cleaning can thus result in material remaining on the endoscope surfaces which prevents disinfection and sterilization fluids or gases reaching all parts of potentially contaminated surfaces. Inadequate sterilization or disinfection may in turn result in transmission of infectious organisms when the endoscope is reused. The intricate design, delicate materials and susceptibility to damage of flexible endoscopes further complicates their decontamination.
The reprocessing decontamination process, whether done manually or automatically in a washer-decontaminator- disinfector, can only be effective if cleaning is adequate. Effective disinfection or sterilization: (Generic Sterilization with a Pre-Vacuum Sterilizer (HI-VAC): 270-272° F (132-134° C), 16-minute exposure time, with 4 pulses and a 30-minute dry time. Generic Sterilization with a Gravity Displacement Sterilizer: 270-272° F (132-134° C), 30-minute exposure time, with a 30-minute dry time.) Sterilization of an inadequately cleaned instrument is not possible. Cleaning is the prerequisite for sterilization.
All disinfection processes, whether done manually or done automatically in a washer-disinfector, can only be effective if prior cleaning is adequate. Effective disinfection or sterilization of an inadequately cleaned surgery instrument or scope is not possible. Endoscopes should be cleaned with an enzymatic detergent compatible with the endoscope immediately after use and before manual or automated disinfection. Cleaning involves the entire endoscope, including valves, channels, connectors and all detachable parts. High level enzymatic formulations (Enzymatic Surgical Instrument Cleaners), in combination with a high level surfactant chemical complex, have been shown to be more effective in removing stains, hard water deposits, and encrusted bioburden, while being safe to use for rigid or flexible scopes.
Manufacturers usually recommend that Enzyme Cleaning Concentrates should be discarded after each use as these products are not microbicidal and will not retard microbial growth. Some manufactures of "combination" or all-in-one cleaning concentrates include a bacteriostatic agent which will prevent the growth of microorganisms. Some detergent complexes contain antimicrobial-microbicidal substances. These agents do not replace disinfection but are intended to reduce the risk of infection to reprocessing personnel. The cleaning function efficacy of enzyme cleaning concentrates is determined by the ratio of enzymes to bioburden. The higher the proportion of enzymes the higher the efficacy. As a result, if the cleaning solution becomes laden with bioburden from previous cleaning, the efficacy of the enzyme cleaning concentrates is lower. When a cleaning concentrate states that is it "multi-tiered", the inference is that is contains: proteases (enzyme) which break protein debris into smaller, more soluble subunits, amylase (enzyme) which catalyses the breakdown of starch, and lipase (enzyme) which breaks up fat-containing debris and carbohydrates. When a cleaning concentrate states that is it "high-level", the inference is that is contains a high concentration of enzymes. When a cleaning concentrate states that is provides "enzyme activity" the inference is that is contains enzymes but this is usually is a misrepresentation of ingredients for a cleaning concentrate that does not contain enzymes. Enzymes are effective and they are costly for manufacturers to include in the formulation. As is true for all cleaning concentrates, the most effective test is against your most difficult cleaning challenge. The two most common tests for cleaning concentration efficacy that are commercially available are the "TOSI Test" and the "film test".
Enzyme Cleaning Concentrates function more effectively at temperatures above room temperature. The optimal range begins as > 22C - 72°F with performance reaching it's peak at 58.3C - 137F. This is often referred to as the optimal temperature for the performance or activity of enzymatic action. The activity of enzymes does not stop at higher temperatures but the level of performance does begin to decrease. Enzyme cleaning concentrates enzyme-detergents and all-in-one cleaning concentrates, which include enzymes, should be used in accordance with the manufacturer's recommendations and the recommendations of the medical devices being cleaned.
The approach is the same if the presence of pathological prions (including the prions of Creutzfeld-Jakob disease) is suspected, however attention to detail is more important. It has been long known, that prions are unusually resistant to disinfection and sterilization by physical and chemical methods in common use for decontamination of infectious pathogens. It is a difficult task to gain a consensus opinion on what constitutes optimal and practical conditions for decontamination of prions. Numerous studies have been conducted, but they do not reflect the reprocessing procedures for instruments in a clinical setting which are critical for iatrogenic transmission. The method of reprocessing prion contaminated surgery instruments and scopes includes (1) decontamination by NaOH or NaOCl for 30 or 60 minutes followed by GL-autoclaving at 121°C for 30 minutes, (2) cleaning and (3) routine PL-autoclaving at 134°C. It is known that some medical devices cannot be decontaminated by heat and moisture. Disinfectants have been widely used for this purpose although practically ineffective. The most common practice believes that the only completely safe way to prevent transmission is to use single-use instruments. Because of the pervasive distribution of these infectious proteins and the long incubation time of the disease, reprocessing of surgical instruments and scopes has been identified as a risk factor for nosocomial transmission of vCJD. Research has shown that the agent of the vCJD disease, an infectious prion protein, is extremely resistant to today’s sterilization methods; therefore, the argument, “It does not matter if instruments are 100 percent clean, as they will be sterilized,” is definitely no longer valid. Today, we understand the washing process is fully as important as the sterilization process. Today’s standard washing processes require increasingly sophisticated cleaning concentrates. Detergents, which are used in these processes, can be mild, with a neutral pH, or they may be more aggressive, with values in the alkaline range of the pH scale. A number of hospitals and surgery centers are effectively using neutral pH “combination” enzymatic-detergent cleaners for reprocessing surgical instruments and scopes. The “combination” enzyme-detergent cleaners provide optimal cleaning as well as the highest possible level of care for surgery instruments and scopes. The early prion inactivation approach, using a high concentration of sodium hydroxide solution or sodium hypochlorite combined with long hold times, is generally lethal for medical instruments and washers. Recently, researchers have been looking for less destructive methods to decontaminate medical devices potentially contaminated with prions. The use of “combination” enzymatic-detergent cleaners has offered the highest level of cleaning outcomes.
John Temple
Product Development
all-in-ONE™
& Conditioners
for lower cost,
fast and effective cleaning.
easy FOAM-it™
& Conditioners
with Neutral pH
and "free-rinsing" Cleaners
Neutral pH and "free-rinsing" for residue free
The most effective Surgical Instrument Cleaning Conditioning Concentrate.
Apply it ONCE. It's all you really need for
LOWER Eye Surgical Instrument Cleaning COSTS.
Break down and remove bioburden,
clean and condition the surface... all-at-ONCE.
The easy FOAM-it ™ is formulated for "free-rinsing-purity".
Eye Surgical Instruments rinsing clean.
Your eye surgical instruments will look newer and perform longer.
Cut the cost of
Cut the clutter of
easy FOAM-it™
with Conditioners
Contact us for product information.
Statim 5000 Tabletop Sterilizer