The sterilization process starts with a thorough cleaning. Previously used tools that are not disposable start with a debridement and disinfection process using enzymatic cleaners and  hand washing. This process is followed by a cycle in an ultrasonic cleaner with enzymatic detergent. New jewelry is steamed prior to autoclave sterilization to remove any oils and debris instead of being placed in an ultrasonic cleaner. These items are then sterilized in our Statim 2000 or our Statim 2000 G4 prior to storage in packaging that maintains sterility or stored for later use after being sterilized again. This process is tested weekly with a spore test performed by an independent testing facility as well as Class 5 Integrators in every piercing cycle. Our testing results are available upon request.