Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer

Xiaojia Li; Mingchun Yang; Jianrui Yang; Yanjuan Shi; Xiaorui Wei

doi:10.11910/j.issn.2791-2043.2024.2.02

Your Location：

Home >

Browse articles >

Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer

MONOGRAPHIC STUDY | Updated：2026-01-13

- Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer
- Sterile Supply Vol. 3, Issue 2, (2024)
- Affiliations：
  
  Central Sterile Supply Department, Yan An Hospital of Kunming City, Kunming, Yunnan, 650000, China
- Author bio：
  
  Mingchun Yang
- Funds：
- DOI：10.11910/j.issn.2791-2043.2024.2.02
  CLC：
- Published：15 August 2024
- Accepted：
Scan QR Code
Li Xiaojia,Yang Mingchun,Yang Jianrui,et al.Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J].Sterile Supply,2024,03(02):62-66.
DOI：

Li Xiaojia,Yang Mingchun,Yang Jianrui,et al.Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J].Sterile Supply,2024,03(02):62-66. DOI： 10.11910/j.issn.2791-2043.2024.2.02.

摘要

Abstract

Objective

The present study aims to detect the inner wall cleanliness of spinal luminal instruments with visual track viewer

and to analyze the difficulties of spinal surgical instruments cleaning

so as to improve and perfect the cleaning quality.

Methods

226 luminal spinal instruments were selected. The luminal cleaning quality of instruments after mechanical cleaning and manual cleaning plus mechanical cleaning were examined by visual track viewer

and the results were statistically analyzed.

Results

In the control group

113 instruments were cleaned by mechanical cleaning. The clearance rate was 90.26% for bloodstain

78.76% for stain

72.57% for foreign body

and 85.84% for tissue residue. In the experimental group after manual cleaning and mechanical cleaning

the clearance rate of bloodstain was 100%

stain was 96.46%

foreign body was 92.03%

tissue residue was 100%. The pollutant clearance rate of experimental group was significantly higher than that of control group (

0.05).

Conclusion

The structure of spinal surgical instruments is complex

and they are difficult to clean. The use of visual track viewer can clearly detect the inner wall of the lumen

find out the cleaning difficulties

check the cleaning quality

and effectively ensure the safety of surgical instruments.

关键词

Keywords

references

M. J. Alfa , “ Medical instrument reprocessing: current issues with cleaning and cleaning monitoring ,” American Journal of Infection Control , vol. 47 , pp. A10-A16, 2019.

Y. Yuan and Z.H. Liu , “ Study on the heating delay of steam sterilization of loaner instruments with different pulsations ,” Chinese Journal of Disinfection , vol. 37 , pp. 428 - 430 , 2020 .

T. C. Liu , Peng C. L. , H. P. Wang et al. , “ SpyGlass application for duodenoscope working channel inspection: Impact on the microbiological surveillance ,” World Journal of Gastroenterology , vol. 26 , no. 26 , pp. 3767 - 3779 , Jul. 2020 .

S. de Souza Evangelista , N. R. Guimaraes , N. B. Garcia et al. , “ Effectiveness of manual versus automated cleaning on Staphylococcus epidermidis biofilm removal from the surface of surgical instruments ,” American Journal of Infection Control , vol. 48 , no. 3 , pp. 267 - 274 , Mar. 2020 .

W. Zhou , C. Ye , X. Huang et al. , “ Efficacy of cleaning methods for ophthalmic microscopic instruments: a comparison study ,” AORN Journal , vol. 112 , no. 2 , pp. 112 - 121 , Aug. 2020 .

Y. Huang , Y. Huang , Y. Chen et al. , “ Factors affecting implementation and pass rates of surgical instrument moistening ,” BMC Infectious Diseases , vol. 21 , no. 1 , p. 752 , 2021 .

World Health Organisation . Decontamination and reprocessing of medical devices for health-care facilities [EB/OL ] . [ 2022-03-10 ] .

W. Zhang , P.Q. Yan , Y.L. Wang et al. , “ Evaluation of the cleaning effects of different cleaning methods on luminal instruments by using borescope inspection method ,” China Medical Equipment , vol. 18 , pp. 47 - 51 , 2021 .

C. H. Kowalski , K. A. Morelli , D. Schultz et al. , “ Fungal biofilm architecture produces hypoxic microenvironments that drive antifungal resistance ,” Proceedings of the National Academy of Sciences of the United States of America , vol. 117 , no. 36 , pp. 22473 - 22483 , Sep 2020.

J.W. Wu , Y. Cao , C.Y. Yang et al. , “ Comparison of different detection methods on clean effects of lumen instrument ,” China Medical Equipment , vol. 16 , pp. 157 - 160 , 2019 .

C. L. Ofstead and K. M. Hopkins , “ Sterilization central: the value of borescopes in detecting damage , soil, fluid, and foreign objects in flexible endoscopes,” Biomedical Instrumentation & Technology, vol. 54 , no. 2 , pp. 146 - 152 , Mar. 2020 .

H. Zhou , Q.F. Shi , X.D. Gao et al. , “ Evaluation of cleaning effect of loaner luminal surgical instruments by endoscopic lumen visual inspection system ,” Chinese Journal of Infection Control , vol. 21 , pp. 656 - 660 , 2022 .

C.R. Lin , Y.Q. Jiang and Y.L. Yang , “ Effect comparison between two cleaning methods of endoscopic equipment ,” Journal of Nursing Science , vol. 32 , pp. 48 - 49 , 64, 2017.

A.Q. Li , H.T. Li , N. Li et al. , “ Application of the visual trail viewer combined with ATP biofluorescence assay in the quality control of laparoscopic instrument cleaning ,” Chinese Journal of Nosocomiology , vol. 33 , pp. 1277 - 1280 , 2023 .

Y.W. Qiu and J.J. Shi , “ Research progress on monitoring methods of cleaning effect of reusable instruments ,” Chinese Journal of Disinfection , vol. 35 , pp. 781 - 783 , 2018 .

Views

120

Downloads

CSCD

Alert me when the article has been cited

Submit

Tools

Publicity Resources

The effects of perfusion device technology in the cleaning of luminal instruments

Application of portable luminal light-guiding device in cleaning quality assessment of luminal instruments

Related Author

Meifeng Cao

Chunxia Qian

Wenfang Zhou

Lingyun Zhang

Juan Liu

Jianping Dai

Huan Tan

Related Institution

Central Sterile Supply Department, Nantong Tumor Hospital

Xiangtan Central Hospital

⁰