Details of which enzymes are used within enzyme detergent endoscope cleaners and the ways in which they are best used are rarely published.
Enzyme Detergent Endoscope Cleaners misunderstandings
Common misunderstandings exist pertaining to the application of enzymatic enzyme detergents including the times and temperatures for optimal cleaning outcomes, for cleaning of instruments prior to sterilization. Although generalities can be misleading for specific applications the parameters for the use of enzymatic enzyme detergents that can render a high probability of excellent cleaning outcomes are available from some manufacturers of enzymatic enzyme detergents.
Enzyme Detergent Endoscope Cleaners Optimal Temperatures:
The optimal temperature for maximum enzymatic enzyme detergent cleaning performance peaks at 137 degrees Fahrenheit (137 degree Fahrenheit = 58.33 degree Celsius). The cleaning activity of the enzyme detergents at temperatures below and above this point is less but does offer cleaning value. The cleaning activity of the enzyme detergents does not stop at this temperature but is does lessen as the temperature increases.
Enzyme Detergent Endoscope Cleaners Optimal Dosage Rates:
It is feasible to manufacture an enzymatic enzyme detergent that is truly highly concentrated, as the most prominent ingredient of even the most concentrated enzymatic enzyme detergents is water. The optimal dosage rate (ounces diluted per diluents solution, usually neutral pH water) is a function of the types of enzymes and the concentration level of enzymes. Some manufacturers suggest that a significantly smaller dosage of their enzymatic enzyme detergent is needed but do not specifically state how effective their enzymatic enzyme detergent is at that dosage level. A key factor affecting the efficacy of any enzymatic enzyme detergent is the concentration level of the enzymatic enzyme detergent as it is packaged prior to dilution. Also, it is important that the enzymatic enzyme detergents must deliver each of the 4 enzymes necessary for removing bioburden at appropriate concentration levels. Claims that an enzymatic enzyme detergent is "multi" enzymatic is void of fact and these enzymatic enzyme detergent are usually severely lacking in the 4 enzymes necessary as well as the individual concentration level of each of the enzyme detergents needed.
It is commonly stated that enzymes clean. Enzymes alone do not clean. The primary function of enzymes is to break down soil, usually surgical bioburden. For a cleaning product to clean, surfactant detergents are necessary that will remove the soil from the surface. A combination of enzymes and detergents is necessary for optimal “cleaning”. Enzyme and Detergent combination products are referred to as “Enzymatic Enzyme Detergents” or "all-in-one enzymatic enzyme detergents".
Enzymatic Enzyme Detergents should be free rinsing to render a residue free surface. Enzymatic Enzyme Detergents should be designed to condition the source water to counter the potential pitting and staining effects of hard water. The primary goal of Enzymatic Enzyme Detergent cleaning is to remove soil (surgical bioburden), which includes proteins, starches and lipids. To accomplish this, the Enzymatic Enzyme Detergents must contain 4 enzyme detergents.
The types of Medical Enzyme Detergent Cleaners are: Lipase Enzyme Medical Cleaners breakdown fat to cleave fatty acid residue from the glycerol residue in a neutral fat or a phospholipid, Amylase Enzyme Medical Cleaners breakdown starch, to catalyze the hydrolysis of starch to sugar to produce carbohydrate derivatives, Carbohydrase Enzyme Medical Cleaners breakdown starch to a lower level to catalyze the hydrolysis of higher carbohydrates to lower forms, Protease Enzyme Medical Detergent Cleaners breakdown blood including the proteinases and peptidases, to catalyze the hydrolytic breakdown of proteins.