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