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Sterilizing robotic surgical instruments

Robotic Instrument Reprocessing

Robotic Assisted Surgeries (RAS) have revolutionized the way healthcare providers deliver care in facilities worldwide, delivering more efficient procedures, reducing recovery time, and attracting new patients. The design of these robotic instruments with multiple articulation points allows for greater precision. However, the intricacy of the instruments may present reprocessing challenges for the Sterile Processing Department (SPD).


Overview

Whether you are preparing to add a RAS system or expanding the robotic offering at your facility, STERIS provides products that help simplify and streamline processes, automate cleaning, and protect your investments.

When reprocessing two da Vinci robotic instrument sets, you can save OVER 3 hours of reprocessing time with products exclusively offered by STERIS1

Save Time –
Boost Productivity

142

minutes

saved

AMSCO 7052/53 HP with RAS Cycle

the RAS 12 Rack,
Prolystica Cleaning Chemistries and AMSCO 7052/53HP with RAS Cycle

vs. 15 manual cleaning steps

30

minutes

saved

V-PRO maX 2 Sterilizer

using V-PRO maX 2 Sterilizer

processes 2 da Vinci endoscopes in 30 minutes, compared to 60 minutes with other brands

10

minutes

saved

Celerity 5 HP Biological Indicator

using Celerity 5 HP BI

vs. other brands requiring 15 minutes      
per read

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Robotic Instrument Point-of-Use Processing

Protect Your Investment - Immediately following a procedure, point-of-use products can be applied in the operating room (OR) to help create a more efficient reprocessing loop. STERIS pre-treatment products prevent soils from drying for up to 72 hours.

 Robotic Instrument Point-of-Use Processing

Pre-Klenz Soak Shield Kit

This kit follows the manufacturer’s reprocessing instructions and immediately starts cleaning to remove stubborn soils during transport while protecting to guard against instruments being out of commission for repairs.
  • Maintains moisture in a humidity bag for up to 72 hours to help support an easier manual cleaning process
  • Keeps instrument sets together during transport while protecting the device tip
  • PRE-KLENZ Soak Shield Kit is a ready-to-use kit designed for point-of-use application of robotic instruments at the bedside
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Robotic Instrument Manual Cleaning

RAS instrument reprocessing instructions require up to 15 manual cleaning steps and soak times that range up to 30 minutes per instrument. As a result, having efficient, effective products to support reprocessing these instruments becomes even more important.

It’s beneficial to define a dedicated 3 bay reprocessing sink to help streamline reprocessing workflows, and it is important to ensure you choose an instrument cleaning chemistry with excellent cleaning performance that is effective on difficult to remove soils to support your new program.

Technician using Reprocessing Sink for Robotic Instruments

AMSCO™ 50 Reprocessing Sink

  • 30-inch Wide Bays accommodate da Vinci instruments
  • Height adjustable counter and magnetic backsplash help support a more ergonomic approach during manual cleaning, which can help reduce the risk of work-related injuries
Prolystica High Performance Enzymatic Manual Cleaner

Prolystica™ High Performance Enzymatic Manual Cleaner

  • Clinically proven to remove soil faster and more effectively than other brands to help ensure a more efficient cleaning process
Cleaning Brushes for Robotic Instruments

Toothbrush Style Cleaning Brushes

  • Rigid Nylon Bristles help remove soil and bioburden while remaining gentle on the instrument
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Robotic Instrument Automated Cleaning

Transform your process when cleaning. Select da Vinci X/Xi and S/Si instruments2 using the first and only validated process. Discover the AMSCO 7052HP and 7053HP Washer/Disinfectors with the RAS Cycle, RAS 12 Rack, and Prolystica Ultra Concentrate HP Cleaning Chemistries.

When a validated washer/disinfector is not an option, an ultrasonic irrigator should be used as part of the process. Although the same time savings cannot be achieved as with the validated RAS cycle, ultrasonic cleaning helps remove soil and is a crucial step in the overall process.

Washer/Disinfector Cleaning reusable da Vinci® instruments

AMSCO® 7053HP Washer Disinfector

  • The first of its kind, the AMSCO 7053HP Washer/Disinfector delivers a validated process for cleaning reusable da Vinci® X/Xi and S/Si EndoWrist® instruments
Prolystica High Performance Enzymatic Manual Cleaner

Prolystica™ High Performance Enzymatic Manual Cleaner

  • Clinically proven to remove soil faster and more effectively than other brands to help ensure a more efficient cleaning process
Sonic Irrigator processing Robotic Instruments

InnoWave™ Pro Sonic Irrigator

  • Process 60 lumened instruments or up to 66 lbs. per cycle. Meets ultrasonic requirements for da Vinci SP, X/Xi, and S/Si instrument IFUs
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Robotic Instrument Sterilization Options

STERIS offers two sterilization solutions to keep your department running on time. When reprocessing da Vinci endoscopes, productivity, and capacity are essential as they are used in every robotic procedure. Avoid delays at this stage in reprocessing and sterilizing endoscopes in a validated solution with the ability to sterilize four Endoscopes per Hour. Processing two da Vinci Xi Endoscopes in the V-PRO maX 2 Low Temperature Sterilizer Non Lumen Cycle provides 50% of sterilant cost savings compared to other brands.3

VHP Sterilization for Robotic Instrument Reprocessing

V-PRO™ maX 2 Low Temperature Sterilization System

  • Double the throughput of select da Vinci Xi endoscopes with the ability to sterilize four Endoscopes per Hour
Biological Indicator Robotic Instruments Reprocessing

Celerity™ 5 HP Biological Indicators

  • 5 Minute Read Out provides expedited cycle monitoring so you can keep your OR on schedule
Chemical Indicator Robotic Instrument Reprocessing

Celerity™ HP Multivariable Chemical Indicator

  • Verifies the three key parameters of time, temperature, and sterilant exposure have been met. Clear color change with no gradient reduces the chance of misinterpretation

AMSCO™ steam sterilizers offer a solution for reprocessing RAS instruments to help your department keep up with OR demands. Due to the specific reprocessing lives for each instrument, many facilities have started to individually peel the robotic arms pouch to maximize the number of reprocessing lives and to avoid opening an instrument that is not needed for surgery.

Steam Sterilizers Reprocessing RAS Instruments

AMSCO® 600 Medium Steam Sterilizer

  • The AMSCO 600 is fully equipped to reprocess robotic assisted surgical instruments, including select daVinci X/Xi and S/Si instruments
Robotic Arm Instrument Card

Robotic Arm Instrument Card

  • Provides structure for robotic instruments while mitigating the risk of puncturing sterile barriers during steam sterilization. Includes a dedicated location for Chemical Indicators
High temperature Sterilization Tubing

Vis-U-All™ High Temperature Sterilization Tubing

  • Individually package instruments and avoid unnecessary reprocessing if an instrument is not used during a procedure
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Robotic Instrument Tracking

Reinforce your reprocessing approach every step of the way with guided workflows that help technicians understand instructions for use. Interactive on-screen work instructions and the ability to view uploaded videos and IFU excerpts help lead staff through unexpected situations.

With the ability to track reprocessing cycles and notifications that alert technicians to check the indicator on the instrument, you can ensure instruments aren’t reprocessed after their use lives have been met, saving valuable time.

SPM for Robotic Assisted Surgical Instruments

SPM® Workflow Solution and Surgical Asset Tracking Software

  • Manage and identify the status and location of your surgical instruments and so much more. SPM advances your Sterile Processing Department through digital recordkeeping and automation of the sterilization process

1 Utilizing 12 da Vinci X/Xi RAS Cycle with RAS 12 Rack, PUCHP Cleaning Chemistries in the AMSCO 7052/53HP Washer/Disinfector allows time savings of 142 minutes. V-PRO maX 2 Sterilizer can reprocess 2 da Vinci endoscopes in 30 minutes, as compared to 1 hour with other brands. Using Celerity 5 Biological Indicator has a read-out time of 5 minutes, which is 10 minutes faster than other brands.

2 The RAS Racks are used in the RAS Cycle of the AMSCO 7052HP Single-Chamber Washer/Disinfector and the AMSCO 7053HP Single-Chamber Washer/Disinfector for the effective cleaning, rinsing, intermediate level disinfection and drying of reusable da Vinci® X/Xi and S/Si EndoWrist® instruments.

3 When sterilizing 2 Xi Endoscopes per 30 minutes.

da Vinci®, EndoWrist® are registered trademarks of Intuitive Surgical

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