Approved Handling, Care, and Sterilization Methods by Fortec International

Warning: Instruments are supplied non-sterilized. All instruments must be sterilized using an approved method before use.

Fortec International Approved Sterilization Methods:

We recommend steam autoclave and ethylene oxide (ETO) sterilization methods. Steam autoclaving is efficient and maintains the sharpness of the instruments. If these methods are unavailable, dry heat and chemical vapor methods are acceptable. Chemical sterilization methods are not approved, as they can damage instruments and may invalidate their warranty.

Sterilization Advice:

  • Ensure instruments are dry and in the open position before sterilization.
  • Avoid overloading instrument trays.
  • Keep sterilization units clean and in proper working order. Use only purified or distilled water in autoclaves to prevent corrosion and discoloration. Tap water can cause mineral buildup and corrosion.
  • Remove instruments from the autoclave immediately after cooling and ensure all tips and joints are moisture-free. Moisture can cause corrosion.
  • Lubricate instruments with a silicone-based lubricant before storage.

Cleaning of Instruments:

  • Clean instruments thoroughly to enhance their lifespan. Remove bulk debris immediately after use.
  • Use an enzymatic cleaning solution in an ultrasonic cleaner, changing the solution daily. Instruments with hinges should be cleaned in the open position.
  • Avoid tap water during cleaning as it may cause corrosion and neutralize rust-inhibiting solutions.
  • Use purified, distilled water in ultrasonic cleaning units and consider non-rinse ultrasonic solutions containing both lubricant and rust inhibitors.
  • Remove and dry instruments immediately after the ultrasonic cycle.

Lubrication of Instruments:

  • Regular lubrication, ideally daily or weekly, is essential for extending instrument life. Use lubricants designed for precision hinged instruments and ensure compatibility with your sterilization method.

Sharpening of Instruments:

  • Regular sharpening of instruments, such as cutters, enhances their service life and cutting efficiency. Frequency depends on usage and wire type. Assess cutters regularly for sharpening needs.

Corrosion:

  • Fortec’s instruments are highly resistant to corrosion. Discoloration may sometimes be mistaken for corrosion. Common stains include:
    • Orange, brown: Phosphate layer from water or sterilization solutions.
    • Black: Acidic reaction from detergents.
    • Deep brown: Dried blood residues.
    • Blue-black: Plating from autoclave cleaning materials.
  • Do not mix corroded with non-corroded instruments, as this can accelerate oxidation. Discard corroded instruments immediately.

Preventing Corrosion:

  • Thoroughly clean all residual matter before sterilization.
  • Sterilize instruments in the open position.
  • Air-dry instruments thoroughly, paying special attention to joints and hinges.
  • Do not sterilize corroded instruments with non-corroded ones.

Fortec International Final Recommendations:

  1. All reusable instruments are delivered non-sterile and must be cleaned, lubricated, and sterilized before use.
  2. Disinfect and clean surgical instruments immediately after use.
  3. Rinse instruments with warm (not hot) water if they come into contact with blood, tissue, or other substances.
  4. Use a pH 7.0 cleaning solution.
  5. Ultrasonic cleaning is recommended; clean instruments before placing them in the ultrasonic cleaner.
  6. Dry instruments immediately after cleaning.
  7. Apply physiologically safe oil (e.g., paraffin oil) to the ends, ratchets, and moveable parts.
  8. Instruments could be disinfected in thermal washer-disinfectors.
  9. Avoid leaving instruments in cleaning solutions overnight or for extended periods.
  10. Inspect all instruments for damage or breakage.
  11. Proper instrument care is the user’s responsibility.
  12. Store instruments in their original packaging.
  13. For vacuum autoclave (steam) sterilization, use a temperature of 134°C.
  14. For dry heat (warm air) sterilization, use a temperature between 180°C to 190°C.
  15. Discard corroded instruments immediately.
  16. Always follow the autoclave manufacturer’s instructions.
  17. Store instruments in a dry, clean, humidity-free environment away from direct sunlight.
  18. Protect pointed tips with cloth, gauze, or a special tube.

Maintenance of Instruments:

Fortec International recommends following proper handling, care, and sterilization methods to maximize instrument lifespan and performance.

For additional support or suggestions, please contact us at info@fortec.ca.