影响器械清洁结果的因素-如何获得良好结果以及什么算是足够好

CleaningHow to do it?What is good enough?Dr. Gerhard KirmseSenior Expert Reprocessing and OR SupplyB. Braun -Aesculap Divisiongerhard.kirmse@aesculap.deGoalHygienicSafetyValue PreservationReliabilityEfficiencyEverywhereinthe world?You can clean without disinfecting, but you cannot disinfect without cleaning ! If it is not clean, you cannot sterilize it ! Earle SpauldingDigital public library of AmericaDr. Earle Spaulding | DPLAWhy is cleaning so difficult?•Multiple Process Steps•Multiple manual Factors•Including Machine Cleaning (Loading,…)Pre CleaningKontaminationPoint-of-Use-CleaningTransportation Time/ ConditionMachine Cleaning2nd CleaningVisualInspectionDifferent Philosophies –Different Ways to Rome TextGraphics by Markus Auly, CHWhat is clean ? -Where is Rome?Risk Based Approach: no harm below this limitFeasibility Based Approach : achievable with reasonableeffort•Biocompatibility ISO10993 :2021: complex laboratory test•Pyrogens, Senzitation, Cytotoxicity, Haemocompatibility