Instrument Cleaning Is Critical
INSTRUMENT CLEANING IS MORE CRITICAL THAN STERILIZING! If the instrument is not cleaned thoroughly, it CANNOT be sterilized! Duraline Systems, Inc. offers the full package of instrument cleaning equipment - depending on your facilities needs. See here.
As per The CDC (The U.S.A. Center for Disease Control): "Cleaning. As repeatedly mentioned, items must be cleaned using water with detergents or enzymatic cleaners before processing. Cleaning reduces the bioburden and removes foreign material (i.e., organic residue and inorganic salts) that interferes with the sterilization process by acting as a barrier to the sterilization agent. Surgical instruments are generally presoaked or prerinsed to prevent drying of blood and tissue. Precleaning in patient-care areas may be needed on items that are heavily soiled with feces, sputum, blood, or other material. Items sent to central processing without removing gross soil may be difficult to clean because of dried secretions and excretions. Cleaning and decontamination should be done as soon as possible after items have been used."
"Several types of mechanical cleaning machines (e.g., utensil washer-sanitizer, ultrasonic cleaner, washer-sterilizer, dishwasher, washer-disinfector) may facilitate cleaning and decontamination of most items. This equipment often is automated and may increase productivity, improve cleaning effectiveness, and decrease worker exposure to blood and body fluids. Delicate and intricate objects and heat- or moisture-sensitive articles may require careful cleaning by hand."
See full document here on The CDC's website.