Browsing tag: instrumentarium medyczne

Przygotowanie instrumentarium medycznego do zabiegów chirurgicznych. Część I – wstępna dekontaminacja i dezynfekcja

Medical instrument preparation for surgical procedures. Part I – initial decontamination and disinfection
B. Sokół-Leszczyńska, E. Sztark, P. Leszczyński, G. Młynarczyk, M. Wróblewska

1. Wstęp. 2. Podział instrumentów medycznych. 3. Kompatybilność i tolerancja materiałowa. 4. Centralizacja procesów dekontaminacji. 5. Transport narzędzi od użytkownika. 6. Oczyszczanie i dezynfekcja. 7. Suszenie. 8. Podsumowanie

Abstract: Developments in modern medicine, introduction of new surgical techniques and invasive methods of diagnosis and treatment, resulted in an increased risk of medical personnel’s contact with materials contaminated by pathogens. Surgical instruments pose a high risk of infection transmission, as due to contact with tissue they must be sterile. Reprocessing is the technological line, comprising a series of steps that must be done to contaminated instruments during the procedure which makes them suitable for reuse. The main stages of reprocessing are: cleansing, disinfecting, rinsing, drying, control of functionality, maintainance, packaging, sterilisation and verification of medical device quality and performance of functional tests, which allow the user to provide a sterile product, while maintaining its full functional capacity. The paper presents the steps of preparation of medical instruments for use, from transportation from the user, through the cleansing, disinfection and control. The sterilisation process and its control are discussed in part two of the article.

1. Introduction. 2. The classification of medical instruments. 3. Compatibility and material tolerance. 4. Centralisation of decontamination processes. 5. Transportation of instruments from the user. 6. Cleansing and disinfection. 7. Drying. 8. Summary

Przygotowanie instrumentarium medycznego do zabiegów chirurgicznych. Część II – sterylizacja i reprocesowanie

Medical instrument preparation for surgical procedures. Part II – sterilisation and reprocessing
B. Sokół-Leszczyńska, E. Sztark, P. Leszczyński, G. Młynarczyk, M. Wróblewska

1. Wstęp. 2. Kontrola i konserwacja narzędzi 3. Rodzaje opakowań sterylizacyjnych i zasady pakowania narzędzi do sterylizacji. 4. Załadunek komory sterylizatora. 5. Sterylizacja i jej kontrola 6. Transport do użytkownika. 7. Warunki przechowywania wyrobów sterylnych. 8. Reprocesowanie sprzętu jednorazowego użytku. 9. Podsumowanie

Abstract: Sterilisation constitutes another step in the reprocessing cycle of medical instruments. It aims at killing all types of microorganisms and spores. Preferably it should be performed by highly qualified personnel of the central sterilisation unit at the hospital. This part of the paper covers drying, control and maintainance of medical instruments, packaging, methods of sterilisation and its control, and releasing of sterile medical instruments. Problem of reprocessing of the single use devices is also discussed.

1. Introduction. 2. Inspection and maintenance of instruments. 3. Types of sterilisation packaging and principles of packing instruments for sterilization. 4. Loading of the sterilisation chamber. 5. Sterilisation and its control. 6. Transport to the user. 7. Storage. 8. Reprocessing of single use instruments. 9. Summary