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IAHCSMM CCSVP

Vendor Education Program

Module Three

Assembly and Packaging

Introduction:

• Once items have been decontaminated and made

safe to handle, they are assembled and packaged. While this may sound simple, it is a multi-step

process that requires several technical skills.

• This module is designed to provide you with an overview of the inspection, assembly and packaging processes.

Objectives:

• Upon completion of this module, you will be able

to:

– List the steps in instrument inspection and assembly

– Explain the impact that positioning and placement of

instruments has on sterilization processes

– Identify common packaging methods

– List factors that can impact assembly and packaging outcomes

Instructions

• Read Chapters 10, 11 and 12, in the
IAHCSMM Central Service Technical Manual, Eighth Edition, 2016.

• Review this module. • Complete the online quiz for Module

Three .

Central Service Technicians…

…are responsible

for the quality of instruments.

Instrument Manufacturing

• Forging

• Grinding and Milling • Assembly • Heat Tempering • Polishing

• Note: Instruments are

inspected throughout their manufacturing

process.
• Passivation

• Final Inspection • Etching

Passivation

A chemical process applied during instrument manufacture that provides a corrosion-resistant finish by forming a thin transparent oxide film.

Reminder:

• Be sure to watch the

Instrument

Manufacturing Process

Video from “How It’s Made” that

accompanies this unit.

Post-operative Care of

Surgical Instruments

• Keep instruments moist. Do not allow

blood to dry on

instruments.
• Transport to Central
Service for cleaning as

soon as possible.

Solutions that Damage Surgical

Instruments

  • • Saline
  • • Laundry Detergents

• Betadine • Peroxide
• Long-term Soaking in Rust
Remover

• Long-term Soaking in Stain

• Dish Soaps

• Soaking in Water • Soaking in Saline

• Bleach

Remover

• Surgeon’s Hand Scrubs

• Household Lubricants • Household Powder Cleaners
• Iodine

• Hand Soaps

  • Inspection and Assembly Tips
  • Instrument Assembly

• Inspect for cleanliness • Test for function

• Verify that all components

are available on multi-part instruments

• Check the device’s manufacturer’s IFU for

specific instructions

Tray Assembly Tips

• Select an instrument tray that allows adequate space for weight distribution.

• Place heavy instruments on the bottom or side of the tray. • Place all curved instruments in the same direction. • Nest tissue and dressing forceps. • Protect delicate instruments. • Use instrument stringers (holders) to keep instruments open and in place. • Avoid metal to metal contact between laser finish instruments.

Assemble instruments in a manner that will

facilitate the sterilization method chosen

Complex Surgical

Instruments

Powered Surgical Instruments (PSI’s)

What We See and Don’t See

Powered Surgical Instruments

Look Simple – Are Complex

Look Durable – Are Delicate Look Plain – Are Expensive
Look Easy to Clean – Are Difficult to Clean

Electrically Powered Instruments

• Cable attached to a motorized hand piece.

Electrically Powered Instruments

• Require a cable that can be sterilized. One

end attached to the instrument handpiece

and the other to a motor or adapter that is connected to an electrical outlet.

Pneumatic Powered Instruments

• Powered by Compressed
Gas.

Pneumatic Powered Instruments

• Powered by compressed gas.
They require a hose that can be sterilized. One end

attaches to the instrument

handpiece and the other to a stand alone cylinder tank or a wall or column-mounted regulator panel.

Battery Powered Instruments

• Least cumbersome because there is no cord or

cable. Requires batteries and a battery charger.

Example of a Battery Powered

PSI and Two Styles of Batteries

PSI Processing Concerns

• PSIs are complex

instruments that are difficult to clean and

easy to damage.

• Central Service
Technicians should

follow manufacturer’s

processing instructions

carefully.

PSI Cleaning

• PSI’s must be processed

manually.
• Care MUST be taken to

prevent Fluid Invasion.

Fluid Invasion

• Occurs when water or cleaning solution is allowed to

enter PSIs.

• Fluid invasion can severely damage a PSI.

Decontamination batteries and cords can protect PSIs from fluid invasion

PSI Processing Concerns

• Do not immerse PSIs • Inspect cords and air hoses for signs of wear or

damage

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