CLEANING FOR INFECTION CONTROL
A Brief Summary of Clinical Detergents
ⓒ Majac
Clinical Detergents – Some Comparisons
ProDet and CliniDet
ProDet and Clinicare
ProDet and Sonidet
DenJet MULTI and Dental Aspiration Line Cleaners
CLEANING FOR INFECTION CONTROL
The presentation today will cover
CLEANING FOR INFECTION CONTROL
Cleaning & Detergents
Instruments – Devices - Environment
According to AS 5369:2023. The Spaulding Classification Scheme shall be used to categorize RMDs and Devices applicable to the required level of processing to insure the items are either surgically clean, sterilized or disinfected prior to being released for use on a patient or client.
The Spaulding Classification is a widely used system to categorize medical instruments devices and equipment based on risk of transmitting infections to patients.
This classification system assists healthcare professionals identify the appropriate level of cleaning and sterilizing & disinfection required for each item.
Wear the appropriate PPE, to protect your selffrom potential exposure to pathogens and cleaning chemicals. Remember these steps when cleaning and disinfecting RMDs.
The 3 categories in the Spaulding classification are as follows:
Critical Items. Semi-critical items. Noncritical items.
The cleaning & dissection of handheld instruments Iris Lamphier, MPH, CIC
The Cleaning and Disinfection of Handheld Equipment (infectioncontroltoday.com) Critical Item
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The Spaulding classification is a cornerstone of infection control in healthcare settings. Developed by Dr. Earle H. Spaulding in 1939, it categorizes medical devices based on the level of risk they pose for transmitting infections, thereby dictating the necessary reprocessing methods. This system ensures patients are protected from harmful microorganisms during medical procedures.
Patient safety: Ultimately, the Spaulding classification safeguards patients from potential life-threatening infections, upholding the highest standards for Healthcare & Non-healthcare facilities.
The Spaulding Classification:
A Guide to Safe Medical Device Reprocessing
The Spaulding Classification Scheme
General criteria for reprocessing RMDs – Instruments & Devices
Critical
Clean as soon as possible after using.
Sterilize by steam (autoclave) after cleaning
Should the device heat sensitive then choose to sterilize with a low-temperature sterilizer.
Sterility is to be maintained in a storage area that will prevent environmental contamination.
Semi-critical.
Clean as soon as possible after using.
Sterilize by steam (autoclave) after cleaning
Should the device be heat sensitive then choose to sterilize with a low-temperature sterilizer or
a thermal disinfection process, or a high-level disinfection process.
Store to prevent environmental contamination.
Non-critical.
Clean as soon as possible after using.
For further treatment, disinfect with compatible low-level or intermediate-level instrument grade
disinfectant.
refer AS5369:2023. page 37 table 5.1
Category | Definition | Level of microbicidal action | Method of decontamination | Example of common items/equipment |
High�(critical) | Medical devices involved with a break in the skin or mucous membrane or entering a sterile body cavity. | Kills all microorganisms. | Sterilization (usually heat if heat-stable or chemical if heat-sensitive). | Surgical & Dental instruments, implants, prostheses, instruments and devices, all scopes. Forceps, chisels, burrs, Handpieces Cosmetic: Micro- Dermabrasion. Tattoo |
Intermediate�(semi-critical) | Medical devices in contact with mucous membranes/non-intact skin. | Kills all microorganisms, except high numbers of bacterial spores. | High-level disinfection by heat or chemicals (under controlled conditions with minimum toxicity for humans). | Respiratory and anaesthetic equipment, flexible endoscopes, vaginal specula, reusable bedpans and urinals patient bowls, dental diagnostics, |
Low�(non-critical) | Items in contact with intact skin. | Kills vegetative bacteria, fungi and lipid viruses. | Low level disinfection (cleaning). | Blood pressure cuffs, stethoscopes, leads, etc. Environmental surfaces OR tables, dental & podiatry chairs and other environmental surfaces. |
Cleaning & Drying of Instruments must be taken very seriously and should include:
Sterilisation should not be a substitute for good cleaning
WHAT IS A Cleaning Agent for RMDs – Clinical Detergent ?
Requirements Of Clinical Detergents
Compliance for AS 5369:2023
Cleaning Agents – Clinical Detergents shall be:
a. Intended for use on Medical Devices
b. Used only if they are on the ARTG.
c. Compatible with the RMDs /other devices being processed and the
selected method of cleaning.
d. Diluted and used in accordance with their IFU
e. Compatible with the available water quality.
f. Preferably biodegradable.
Requirements Of Clinical Detergents
Compliance for AS 5369:2023
Cleaning Agents – Clinical Detergents shall be:
g. Non –toxic at the in-use dilution.
h. Non-abrasive
i. Low foaming
j. Free rinsing; and
k. Preferably in liquid form.
ProDet® - Compliant to AS 5369:2023
Cleaning Agents for RMDs shall be:
a. Intended for use on Medical Devices.
ProDet® is specially formulated to solubilise protein and prevent
re-deposition of bio-soil onto any surface.
Mildly alkaline with a pH 9-10. More efficient than a neutral detergent.
b. Used only if they are on the ARTG.
ProDet® ARTG 342355.
c. Compatible with the RMDs/other devices being processed and the
selected method of cleaning.
ProDet® is designed for optimum cleaning either manually or using an
ultrasonic cleaner. A corrosion inhibitor is incorporated in the formulation.
d. Diluted and used in accordance with their IFU
Instructions are on labels, for manual/ultrasonic bath 4ml/litre
.
Cleaning Agents for RMDs shall be:
e. Compatible with the available water quality.
Improved performance in hard water.
Overcomes hard water problems in rural areas.
f. Preferably biodegradable.
All ingredients are bio-degradable.
NOTE: Never flush any chemical in stormwater drains, many chemicals are a threat to
aquatic life.
g. Non–toxic at the in-use dilution.
ProDet® is safe to handle, store and transport. ProDet® is
Safe in concentration and dilution 4ml/litre. Using 8ml pump 1 pump/2 litres.
h. Non-abrasive.
ProDet® is completely soluble in water. No powder content.
ProDet® - Compliant to AS 5369:2023
i. Low foaming
ProDet® incorporates low foaming surfactants. This reduces the risk of “sharps” accidents.
j. Free rinsing; and
K. Preferably in liquid form.
ProDet® has a unique formula it is “free rinsing”. The quality surfactants solubilize the bio-burden and then negatively charge all surfaces of the devices, instruments & the surface of the sink or ultrasonic cleaner, even the free-floating bioburden (gunk) itself will repel each other.
This prevents “re-deposition”.
Mildly alkaline formulation greatly improves the solubilization of proteins and fats compared with neutral detergents. (ph 6.0-8.5). Refer slides 22, 23.
As an Environmental Cleaner. ProDet® is super-efficient and economical.
Includes a “mist free” applicator. Mildly alkaline and free rinsing.
500ml Environment Office dispenser 1 x 8ml pump = 8ml/500ml.
ProDet Compliant to AS 5369:2023
The pH Scale
pH is the measure of the acidity or basicity of an aqueous solution.
The pH scale is logarithmic . 10 to the 1 power is 101
The abbreviation pH stands for potential hydrogen, and it tells us how much hydrogen is in liquids—and how active the hydrogen ion is.
Mild Alkalinity – Hard Surfaces and Particulates
Clumping and Re-deposition of the Bio-burden in poor quality neutral detergents
positive and negative charge - no repulsion
No Clumping No re-deposition - ProDet.
In mildly alkaline detergents (ProDet) the surface of the instruments and the Bio-burden becomes negative charged, and they repel each other – no clumping or re-deposition
Dilution Rates
Contact Time
Instructions
Safety
Warning against
Mixing products
Contact Details
WORKSAFE REQUIREMENTS FOR OFFICE DISPENSER
Label impervious to chemical contents
Non-Misting Applicator
Majac Medical Products is committed to producing chemicals that pose a “nil threat” to healthcare workers, patients and the environment. We are achieving this goal by searching out second generation compounds that are superior in performance, non-hazardous and cost effective.
Cleaning agents for RMDs (Clinical Detergents) are formulated for use on instruments and medical devices, in healthcare & non-healthcare settings for cleaning RMDs and in this instance, on the cutting edge as an Environment Cleaner.
These detergents should not be HAZARDOUS to healthcare workers or patients and should have a pH level and chemicals that are safe.
Some companies are still promoting clinical detergents with a pH level over 10.5 + (11+).
Such detergents may contain acidic or highly alkaline chemicals that can be “hazardous” and “corrosive”.
Majac Healthcare has maintained and is constantly improving all formulae to ensure the safety and well-being of all operatives and the environment.
ProDet has carefully formulated to have a concentrate a pH level between 9 and 10.2 which is considered safe for use in healthcare settings.
ProDet – The benchmark in Clinical Detergents
Available Products
ProDet vs Clinidet
Clinical Detergents are usually concentrates and used in a diluted state for cleaning contaminated instruments & devices either manually or with an ultrasonic cleaner.�
Often Disinfectants are classified as “Dangerous” / “Hazardous” because of the chemicals used,
e.g. Quats, Ethanol, Chlorine based are used neat. No mixing or pouring.
NO Clinical Detergent should be hazardous. SDS Clinidet
SDS Clinidet: Note pH 12.2 – 12.8. Label indicates the same:
Shelf life only 2 years
In an effort, to keep pace with the constant world health challenges and the need for quality “Infection Control” products. Majac Medical researched the formulae of Clinical Detergents. The advanced technology ensures that ProDet will solubilize & emulsify organic bio-soils such as protein, blood and lipids.
These “state of the art” ingredients prevent re-deposition of bio-soils onto the surface of instruments and devices.
ProDet is ideal for use in an ultrasonic cleaner or manually in a sink.
A corrosion inhibitor is incorporated to prevent damage to valuable instruments and equipment.
The formula makes ProDet dynamic for “environmental surfaces” such as surgical tables, lighting, benches, floors.
The result is ProDet
Shelf life: 3 years
ARTG 342355
FEATURE | BENEFIT |
Excellent Detergency with Rapid Wetting | Detergency is critical to removing soil from the surface being cleaned. Rapid wetting is important for ultrasonic cleaning. |
Corrosion inhibitor incorporated into the solution. | Helps protect delicate and high-quality instruments. |
Highly buffered with multi-functional sequestrants. | Greatly improves the solubilisation of blood, proteins and fats. Helps suspend soil in solution and prevent redeposition of any bioburden. |
The Benchmark for Clinical Detergents | the work safe requirements and for Standard AS:5369:2023. Cleaning RMDs as per spaulding categories. |
Non-Hazardous | ProDet is a leading clinical detergent without hazardous implications. Safe for use, storage, and transport. Three (3) year shelf life |
Majac Medical Products Pty Ltd has been one of the leaders in the marketing of Clinical Detergents and Disinfectants for decades.
In an effort, to keep pace with the ever-changing circumstances of the Healthcare Marketplace and the need for quality “Infection Control” products we researched the formulae of Clinical Detergents and Disinfectants. The result is ProDet.
TIME – Protein hardens and bonds to the surface when DRY
INHIBIT® is a unique pre-wash foam detergent. Formulated to prevent blood and body fluids (protein) from drying onto instruments & devices prior to washing.
INHIBIT® maintains a moist hygroscopic layer on the soiled instruments which immediately begins to solubilize and lift the bio-soil from the surfaces & prevents bacterial growth on contaminated instruments.
When possible, soak contaminated instruments immediately after use.
Delays often occur when busy treating patients or transporting contaminated instruments.
TIME – Protein hardens and bonds to the surface when DRY
* INHIBIT® prevents blood and bio-soils from drying onto the surface of instruments and devices.
* INHIBIT® is pH optimized and suitable for all instruments and is safe to apply to a wide range
of materials to include plastics, rubber & fabrics.
* INHIBIT® is a free rinsing clinical detergent.
Transportation Container
with Hinged Lid
MB2318 orange 4 litres
230x170x200mm
INHIBIT Product codes:
INH-750-1 750ml Foam Dispenser Single Bottle
INH-750-6 750ml Foam Dispenser 6 Pack
Cleaning Container
(basket, drip tray and lid)
DSS2711 – blue – 3 Litre
257x180x128mm.
The cleaning /soaking containers can be autoclaved
The container may be used to transport contaminated instruments/devices back
to the cleaning room
750 ml
PLASTICS & VINYL
What causes cracking of plastics ?
and inevitable process that all hard plastics will undergo.
the plastic is under stress or load. (eg. Hinges, screw or rivet
holes or where a load or stress is regularly applied)
PLASTICS & VINYL
to promote ESC from very aggressive to almost no effect.
This generalisation must be taken in light of
variable plastic susceptibility as described above.
PlasClean has been formulated using surfactants
& sequestering agents that show minimal
interaction with sensitive plastics.
Take Home Message:
After applying any cleaning solution wipe the surface dry take attention to joints and crevices where liquid can collect.
Preventative Maintenance of DENTAL ASPIRATION Lines
Routine cleaning is an essential part in keeping the aspiration lines in working condition and a guarantee of effective trouble free operation.
Sanitation of the waste system is essential to maintaining a hygienic aspiration system that will protect patients and staff from hazardous microorganisms.
Many Suction Line Cleaners recommend a use Daily (alkaline) formula to clean the bio-burden (alkaline) then a weekly formula (acidic) to remove any residual plaque from the lumen of the lines.
Some are enzyme based with a pH (7) Neutral (Daily) then acidic for Weekly.
Enzyme based detergents are not recommended in a Clinical Environment as their fumes may be hazardous. They are all neutral (ph7) to suit the enzyme’s stability and usually have a low shelf life.
AS/NZS4815 & ASNZS 4187 recommend mildly alkaline
Mild alkaline detergents clean better than neutral or acidic detergents.
The pH of the diluted detergent should be between 9.00 and 10.2.
DenJet
MULTI
IS
NEW
CliniJet Dental Suction Line Cleaner
“Hope all is well.
See the photo of the 6 month old, Durr suction motor?
Damage caused, according to the Service tech by Clinijet DS.
He also states that this is a common problem with the product.
Can you advise in writing anything that would support the product?”
A comparison of Suction Line Cleaners - DENJET MULTI is
A comparison of Suction Line Cleaners DENJET MULTI is
Routine cleaning is an essential part in keeping the aspiration lines in working condition and a guarantee of effective trouble-free operation.
A comparison of Suction Line Cleaners DENJET MULTI is
Routine cleaning is an essential part in keeping the aspiration lines in working condition and a guarantee of effective trouble free operation.
A comparison of Suction Line Cleaners DENJET MULTI is
Routine cleaning is an essential part in keeping the aspiration lines in working condition and a guarantee of effective trouble free operation.
A comparison of Suction Line Cleaners DENJET MULTI is
Routine cleaning is an essential part in keeping the aspiration lines in working condition and a guarantee of effective trouble free operation.
When using DenJet®MULTI a weekly descale with another acidic cleaner, is not necessary.
MULTI is a two in one function
Because the MULTI formula incorporates a chelating agent that is effective in preventing any residual plaque from forming that may be resistant to other cleaners.
MAJAC HEALTHCARE
Supports Continuing Education
Ph: +61 7 3265 6355 – 130 138 578
ⓒ Majac Medical Products Pty Ltd