ASTM F700-93(2008)
(Practice)Standard Practice for Care and Handling of Intracranial Aneurysm Clips and Instruments
Standard Practice for Care and Handling of Intracranial Aneurysm Clips and Instruments
SCOPE
1.1 This practice covers recommended procedures for handling of neurosurgical intracranial aneurysm clips and the clip appliers (instruments).
1.2 This practice is intended to inform hospital receiving personnel, central supply personnel, operating room personnel, and other individuals who will handle intracranial aneurysm clips and the instruments related thereto of recommended care and handling procedures to prevent damage of intracranial aneurysm clips and instruments.
1.3 Handling and packaging procedures for the product are not a part of this practice and are covered in other practices.
General Information
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Standards Content (Sample)
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Designation: F700 − 93(Reapproved 2008)
Standard Practice for
Care and Handling of Intracranial Aneurysm Clips and
Instruments
ThisstandardisissuedunderthefixeddesignationF700;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginal
adoption or, in the case of revision, the year of last revision.Anumber in parentheses indicates the year of last reapproval.Asuperscript
epsilon (´) indicates an editorial change since the last revision or reapproval.
1. Scope 3.2 Transport—Transport in a manner to preclude any
damage or alteration to the received condition of the implant or
1.1 This practice covers recommended procedures for han-
instrument (clip applier).
dling of neurosurgical intracranial aneurysm clips and the clip
appliers (instruments).
3.3 Storage:
3.3.1 Store the aneurysm clips and appliers prior to use in
1.2 This practice is intended to inform hospital receiving
such a manner to maintain the device’s surface finish or
personnel, central supply personnel, operating room personnel,
configuration, or both.
and other individuals who will handle intracranial aneurysm
3.3.2 Implants will be identified by a unique code on the
clips and the instruments related thereto of recommended care
surface of the device. When implanted, it is necessary that the
and handling procedures to prevent damage of intracranial
type of aneurysm clip and its code be noted in the operative
aneurysm clips and instruments.
report.
1.3 Handling and packaging procedures for the product are
3.3.3 Stock Rotation—The principle of first in, first out, is
not a part of this practice and are covered in other practices.
recommended.
3.3.4 Store implants in the operating room in such a manner
2. Terminology
as to isolate and protect the implant’s surface, sterility, and
2.1 Definitions:
configuration. Keep implants made of different metals sepa-
2.1.1 clip applier—any clip holder designed specifically for
rated.
a particular type clip used during surgical procedures involving
the implantation of intracranial aneurysm clips. This device is
4. Cleaning and Sterilization
referred to in this practice as a clip applier.
4.1 Prior to resterilization and promptly following each
2.1.2 intracranial aneurysm clip—a device introduced sur-
surgical procedure, thoroughly and carefully clean all instru-
gically to occlude the blood inlet into an intracranial aneurysm
ments and implants with approved cleaning techniques. Ultra-
with the intention that it remain within the body following the
sonic cleaners or hand scrubbing are suitable methods if
surgery. This device is referred to in this practice as an
carefully done. The method employed should be utilized to
“implant,” specifically as an intracranial aneurysm clip.
prevent impact, scratching, bending, or surface contact with
3. Receiving Implants and Instruments any materials that might affect the implant or instrument
configuration. Aneurysm clips must not be opened except by
3.1 Receipt:
their specific applier.
3.1.1 Many implants are wrapped in special packages,
envelopes, or other containers. These wrappings should not be
4.2 Any clip that has been implanted or in direct contact
removed by the receiving personnel. with blood or body fluids and is not used in the procedure
3.1.2 Carefully handle nonsterilized implants and instru-
should not be reused in any subsequent procedure. The clips
ments upon receipt to avoid scratching, marking, or abrasion should be discarded; in accordance with tracing requirements,
by other implants, instruments, unpacking tools, or by drop-
the manufacturer must be informed of each clip that is
ping or otherwise endangering the surface finish or configura- discard
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