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Reprocessing complex and general surgical instruments: Endowrist. Martin Johnson 26 th May 2011. The evolution of the market… ...the growth of our range. Our philosophy. “If it’s not clean, it can’t be sterilised”. Proving that it’s clean: the Radio Nucleide Method (RNM).

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Reprocessing complex and general surgical instruments: Endowrist

Martin Johnson

26th May 2011


The evolution of the market…

...the growth of our range


Our philosophy

“If it’s not clean,

it can’t be sterilised”



Visualisation for optimisation
Visualisation for Optimisation

Test instrument:

fan retractor

Before cleaning

15 seconds with water pistol and 45 minutes in washer

10 minutes in the Medisafe system



The Endowrist instrument


Test conclusions
Test Conclusions

  • Ultrasonics – on the inside and outside of the instrument

  • High pressure – 2 bar minimum ( 30psi)

  • Detergent injection

  • Time specific – for the enzymatic detergent and for the exposure to ultrasonic power


ISO 17664 validated cycle

  • Pre-wash – internal and external at 3 bar

  • Detergent injection

  • 20 minute main wash with sonic irrigation internally and externally at 3 bar

  • Pre-rinse – internal and external at 3 bar

  • Thermal disinfection

  • Empty – each cycle




The SI PCF and the Niagara SI PCF from Medisafe –

The only validated automated method for cleaning complex and general instruments using high pressure irrigation and combined ultrasonics.


Instrument manufacturer approvals
Instrument manufacturer approvals

  • Major manufacturers

  • Conformity to official standards

  • More to come...


- Thank you for your attention


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