A scissor must be sharp. Clamps must be aligned properly and not inadvertently snap open when in use, needle holders must not be worn, and the insulation on laparoscopic instruments must not be damaged. In addition to these inspections and arguably the most important is to make sure the instrument is clean and free from debris. If the instrument is not clean, it cannot be sterilized. Debris left on the instrument through the sterilization process may fall into the following patient on the next case.
Any debris contacting the patient has the potential for causing infection.
This underscores the importance of an Assembly technician and the proper training required to do the job effectively. Following assembly of the instrument tray, it is wrapped in a special linen or non-woven fiber or placed in a rigid instrument container. All items wrapped will be sealed and remained unopened until called for on a surgical case. After proper wrapping the trays are brought to the Sterilization area. There are several ways to sterilize modern medical devices.