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  • #71806
    SDH Manager
    Participant

    Author:
    SDH Manager

    Email:
    manager@SOUTHPORTDAYHOSPITAL.COM.AU

    Organisation:

    State:

    Hello Michael.

    I just wanted to ask you or the forum if there are any issues with using identification tape on instruments? I have been told conflicting information concerning this matter.

    Also, I have a query regarding surgical saw blades. I have always discarded used surgical saw blades, but was chastised by a rep the other day, who advised that his blades were reusable? I have never reused a surgical saw blade, does anyone in the forum have any insight into this issue, or would it be a manufacturers question?

    Thanks in advance for your assistance on these matters

    Cheers

    Tina Owens
    Clinical Manager
    Southport Day Hospital

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    #71808
    Roel Castillo
    Participant

    Author:
    Roel Castillo

    Email:
    Roel.Castillo@LH.ORG.AU

    Organisation:

    State:

    Hi Tina

    In old AS 4187:2003: . It is Section 12.2.2 of the standard as a warning of possibility of detachment during procedures and can harbour microorganisms as well, thus compromising the sterility of the processed instrument.

    I haven’t been updating yet (to the new) but best practice entails nonetheless.

    The blade: if it says reusable you can obviously reprocess referring to IFUs, if it’s not (single use) please discard.

    Happy marking

    Roel

    Roel Castillo
    Sterilising Services Manager
    [Chris O`Brien Lifehouse]
    119-143 Missenden Road
    Camperdown NSW 2050
    PO BOX M33 Missenden Road NSW 2050

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    Hello Michael.

    I just wanted to ask you or the forum if there are any issues with using identification tape on instruments? I have been told conflicting information concerning this matter.

    Also, I have a query regarding surgical saw blades. I have always discarded used surgical saw blades, but was chastised by a rep the other day, who advised that his blades were reusable? I have never reused a surgical saw blade, does anyone in the forum have any insight into this issue, or would it be a manufacturers question?

    Thanks in advance for your assistance on these matters

    Cheers

    Tina Owens
    Clinical Manager
    Southport Day Hospital

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    #71807
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Tina

    As Roel said, and this is the current text in AS/NZS 4187:2014

    A2.4.3 Identification and traceability of product
    A2.4.3.1 General
    It is recommended that high quality etching (e.g. chemical or laser etching) should be used
    where it is necessary to uniquely identify an RMD for reprocessing. Engraving is not
    recommended as it can compromise the strength of a reprocessed RMD and can cause
    pitting.
    Colour-coded identification systems, including coloured instrument tape, silicon rings,
    adhesive labels, can detach from a RMD during surgery, thereby compromising patient
    safety. In addition, microorganisms can become trapped beneath the adhesive layer of these
    systems, thereby compromising the ability of the RMD to be reprocessed effectively.
    In some clinical settings it might be necessary to utilize an alternative system for the
    identification of an RMD because of the design of the RMD to be reprocessed, e.g. in dental
    and gastroenterological procedural units.

    Amy reusable saw blades will have specific manufacturer guidelines about reuse, including reprocessing instructions and guidelines for how many reuses or testing for reuse. Make sure you get written instructions; the verbal chastisement of a rep doesn’t count! 🙂 Also, you can also choose NOT to reuse. Just because a product is capable of reuse doesn’t always mean it is the most efficient and effective use of the product. I recall some specific biopsy devices that were marketed as reusable, but in practice if caused delays during the procedure when they didn’t function correctly during subsequent uses, so we used them as disposable.

    Hope this helps.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0]
    P Please consider the environment before printing this email

    Hello Michael.

    I just wanted to ask you or the forum if there are any issues with using identification tape on instruments? I have been told conflicting information concerning this matter.

    Also, I have a query regarding surgical saw blades. I have always discarded used surgical saw blades, but was chastised by a rep the other day, who advised that his blades were reusable? I have never reused a surgical saw blade, does anyone in the forum have any insight into this issue, or would it be a manufacturers question?

    Thanks in advance for your assistance on these matters

    Cheers

    Tina Owens
    Clinical Manager
    Southport Day Hospital

    ______________________________________________________________________
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