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Posted by Dalina (Mauritius) (Questions: 1, Answers: 0)
Asked on September 1, 2017 6:04 am
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Dear, Dalina.

You are have a lot of the questions, so I start to answer from the first.
1. If MD was sterilize at the factory by EtO, and just expiry date is passing, technically we can resterilize this MD by EtO. It’s depend from low in your country. If MD was sterilize by Radiation after expiry date it will be trash. Usually you should ask manufacturer recommendation about resterilize of single use MD, but they will not give to you wrights for it, they will just sell to you a new MD.
2. In a lot of the countries resterilization of used MD is terminated by the low. In 2014 on 15 World congress in Prague, one speaker from the U.S.A. was read report about their practice for resterilization of single use MD. As I remember this MD is resterilizing in manufacture with all validation processes, MD price was -20% and patient was sign the papers that he was unformed about MD will be after reprocessing.
3. Main purpose of ultrasonic cleaner – washing the simple (without holes and channels) steel instruments.
4. For all of MD validated automatic washer-disinfector machine –is a best practice. You cannot validate manual processes. If you have instruments with holes and channels, for example laparoscopic instruments, you should discollect it and use minimum invasive surgery rack to canullate end washes this type of MD correctly.
5. Manual washing recommended for critical items only is you are working in the clean field. If you are working in the hospital you should use validated equipment (washing- disinfectors and sterilizers) to come to the best result of decontamination process and this process will be safe for patients, healthcare workers and environments.

Hope it’s help.
Petr Demidov, RN, MPH, CSSD manager, 4 City hospital, Moscow, Russia, drpedro@mail.ru

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Posted by Petr Demidov (Russia) (Questions: 0, Answers: 11)
Answered on September 4, 2017 9:38 am
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1. Is it advisable to resterilize expired single use devices using ETO and reuse those items? Please comment also on the material of the device. How safe is it to reuse?

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1. Is it advisable to resterilize expired single use devices using ETO and reuse those items? Please comment also on the material of the device. How safe is it to reuse?
2. Can we wash (manually) a single use medical device that has been used, sterilize using ETO and re – use on another patient? How safe and ethical is it? Please note that we do not have any local laws regarding this matter in our country.
3. What is the main purpose of the Ultrasonic cleaner?
4. What is the best practice for the cleaning and disinfection of fine instruments? Is automated washing recomended or manual washing preferred?
5. Is manual washing recomended for critical items (according to the Spaulding’s classification)?

Thank you

Marked as spam
Posted by Dalina (Mauritius) (Questions: 1, Answers: 0)
Asked on September 1, 2017 6:04 am
135 views
0
Private answer

Dear, Dalina.

You are have a lot of the questions, so I start to answer from the first.
1. If MD was sterilize at the factory by EtO, and just expiry date is passing, technically we can resterilize this MD by EtO. It’s depend from low in your country. If MD was sterilize by Radiation after expiry date it will be trash. Usually you should ask manufacturer recommendation about resterilize of single use MD, but they will not give to you wrights for it, they will just sell to you a new MD.
2. In a lot of the countries resterilization of used MD is terminated by the low. In 2014 on 15 World congress in Prague, one speaker from the U.S.A. was read report about their practice for resterilization of single use MD. As I remember this MD is resterilizing in manufacture with all validation processes, MD price was -20% and patient was sign the papers that he was unformed about MD will be after reprocessing.
3. Main purpose of ultrasonic cleaner – washing the simple (without holes and channels) steel instruments.
4. For all of MD validated automatic washer-disinfector machine –is a best practice. You cannot validate manual processes. If you have instruments with holes and channels, for example laparoscopic instruments, you should discollect it and use minimum invasive surgery rack to canullate end washes this type of MD correctly.
5. Manual washing recommended for critical items only is you are working in the clean field. If you are working in the hospital you should use validated equipment (washing- disinfectors and sterilizers) to come to the best result of decontamination process and this process will be safe for patients, healthcare workers and environments.

Hope it’s help.
Petr Demidov, RN, MPH, CSSD manager, 4 City hospital, Moscow, Russia, drpedro@mail.ru

Marked as spam
Posted by Petr Demidov (Russia) (Questions: 0, Answers: 11)
Answered on September 4, 2017 9:38 am
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