ASTM F700-93(2002)

NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
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Designation:F700–93 (Reapproved 2002)
Standard Practice for
Care and Handling of Intracranial Aneurysm Clips and
Instruments
This standard is issued under the fixed designation F 700; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope by other implants, instruments, unpacking tools, or by drop-
ping or otherwise endangering the surface finish or configura-
1.1 This practice covers recommended procedures for han-
tion.
dling of neurosurgical intracranial aneurysm clips and the clip
3.2 Transport—Transport in a manner to preclude any
appliers (instruments).
damage or alteration to the received condition of the implant or
1.2 This practice is intended to inform hospital receiving
instrument (clip applier).
personnel, central supply personnel, operating room personnel,
3.3 Storage:
and other individuals who will handle intracranial aneurysm
3.3.1 Store the aneurysm clips and appliers prior to use in
clips and the instruments related thereto of recommended care
such a manner to maintain the device’s surface finish or
and handling procedures to prevent damage of intracranial
configuration, or both.
aneurysm clips and instruments.
3.3.2 Implants will be identified by a unique code on the
1.3 Handling and packaging procedures for the product are
surface of the device. When implanted, it is necessary that the
not a part of this practice and are covered in other practices.
type of aneurysm clip and its code be noted in the operative
2. Terminology report.
3.3.3 Stock Rotation—The principle of first in, first out, is
2.1 Definitions:
recommended.
2.1.1 clip applier—any clip holder designed specifically for
3.3.4 Store implants in the operating room in such a manner
a particular type clip used during surgical procedures involving
as to isolate and protect the implant’s surface, sterility, and
the implantation of intracranial aneurysm clips. This device is
configuration. Keep implants made of different metals sepa-
referred to in this practice as a clip applier.
rated.
2.1.2 intracranial aneurysm clip—a device introduced sur-
gically to occlude the blood inlet into an intracranial aneurysm
4. Cleaning and Sterilization
with the intention that it remain within the body following the
4.1 Prior to resterilization and promptly following each
surgery. This device is referred to in this practice as an
surgical procedure, thoroughly and carefully clean all instru-
“implant,” specifically as an intracranial aneurysm clip.
ments and implants with approved cleaning techniques. Ultra-
3. Receiving Implants and Instruments sonic cleaners or hand scrubbing are suitable methods if
carefully done. The method employed should be utilized to
3.1 Receipt:
prevent impact, scratching, bending, or surface contact with
3.1.1 Many implants are wrapped in special packages,
any materials that might affect the implant or instrument
envelopes, or other containers. These wrappings should not be
configuration. Aneurysm clips must not be opened except by
removed by the receiving personnel.
their specific applier.
3.1.2 Carefully handle nonsterilized implants and instru-
4.2 Any clip that has been implanted or in direct contact
ments upon receipt to avoid scratching, marking, or abrasion
with blood or body fluids and is not used in the procedure
should not be reused in any subsequent procedure. The clips
should be discarded; in accorda
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