Cleaning laparoscopic equipment

Laparoscopic surgery necessitates the use of sophisticated tools (such as trocars, cannulas, stryker laparoscopic tower, etc.) that are correctly calibrated. The most significant distinction between surgical tools used in open surgery and those used in laparoscopic surgery is that the latter are more sophisticated in design while also being more delicate in manufacture. As a result, bioburden (microorganisms and detritus) can become trapped inside the crevices of laparoscopic tools (whether new or refurbished medical equipment), making them more susceptible to infection. As a result, laparoscopic tools are more difficult to clean, disinfect, and maintain properly. Furthermore, because of their delicate nature, the gentlest cleaning and sterilization procedures must be employed in addition to sterilization.

Additionally, thorough cleaning, maintenance, and sterilization are done by refurbished medical equipment companies in order to avoid compromising the safety of the patient, the surgeon, or any operating room staff members. It has become more important to clean thoroughly. Disinfection of laparoscopic medical equipment is a must due to the increase in complexity of laparoscopic operations and the appearance of resistant strains of bacteria, mycobacteria, fungus, and viruses. Sterilization is the complete and total eradication of all kinds of microbiological life. It can be achieved by the use of steam, gas, or chemicals. On the other hand, disinfection is the relative elimination of harmful organisms, except spores.

Disinfection can be classified as follows:

  1. high level – in which all living forms save spores are killed
  2. Intermediate level – in which some fungi, viruses, and spores are spared at this level
  3. Low-level – in which fungus, viruses, spores, and mycobacteria are not eliminated but instead persist. Sterilization or, at the very least, high-level disinfection should be done on laparoscopic equipment whenever possible.

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When it comes to optimizing LI processing, various procedures/steps must be completed in order to decrease the danger of spreading infection from used instruments and other sources to healthcare staff.

They are:

  • Dismantling
  • Decontamination
  • Precleaning
  • Cleaning and rinsing
  • Drying
  • Sterilization

The majority of big hospitals have a Central Sterile Supplies Department, from which the new or refurbished medical equipment is brought to the operating room and processed there. It is possible to follow the essential stages in instrument processing even in hospitals or nursing homes that do not have a sophisticated CSSD.

Fact: The most crucial aspect after  cleaning laparoscopic instrument is the Storage


Instruments should be utilized or appropriately kept as quickly as possible following sterilization or high-level disinfection to avoid becoming contaminated. Proper Storage is just as critical as proper decontamination, cleaning, sterilization, or high-level disinfection (HLD). It is possible that objects will get contaminated if they are not maintained correctly, despite the fact that all of the work and materials expended to treat them have been squandered properly. Specific recommendations for proper storage depend on whether sterilization or high-level disinfection (HLD) is still being conducted, the method utilized, and whether the objects are wrapped or unwrapped before being placed in Storage.

Numerous variables, including the following, contribute to the shortening of the shelf life of a wrapped item:

  • The type of packaging material that was utilized
  • The number of times a certain item is handled
  • The number of individuals who will be in charge of the pack
  • The storage space’s cleanliness, humidity, and temperature
  • Whether the packets are kept on open or closed shelves.
  • Whether or not dust coverings (such as plastic bags that have been sealed) are used.

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