ASTM F700-93(1998)

NOTICE: This standard has either been superseded and replaced by a new version or
withdrawn. Contact ASTM International (www.astm.org) for the latest information.
Designation: F 700 – 93 (Reapproved 1998)
AMERICAN SOCIETY FOR TESTING AND MATERIALS
100 Barr Harbor Dr., West Conshohocken, PA 19428
Reprinted from the Annual Book of ASTM Standards. Copyright ASTM
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 3.3.1 Store the aneurysm clips and appliers prior to use in
such a manner to maintain the device’s surface finish or
1.1 This practice covers recommended procedures for han-
configuration, or both.
dling of neurosurgical intracranial aneurysm clips and the clip
3.3.2 Implants will be identified by a unique code on the
appliers (instruments).
surface of the device. When implanted, it is necessary that the
1.2 This practice is intended to inform hospital receiving
type of aneurysm clip and its code be noted in the operative
personnel, central supply personnel, operating room personnel,
report.
and other individuals who will handle intracranial aneurysm
3.3.3 Stock Rotation—The principle of first in, first out, is
clips and the instruments related thereto of recommended care
recommended.
and handling procedures to prevent damage of intracranial
3.3.4 Store implants in the operating room in such a manner
aneurysm clips and instruments.
as to isolate and protect the implant’s surface, sterility, and
1.3 Handling and packaging procedures for the product are
configuration. Keep implants made of different metals sepa-
not a part of this practice and are covered in other practices.
rated.
2. Terminology
4. Cleaning and Sterilization
2.1 Definitions:
4.1 Prior to resterilization and promptly following each
2.1.1 clip applier—any clip holder designed specifically for
surgical procedure, thoroughly and carefully clean all instru-
a particular type clip used during surgical procedures involving
ments and implants with approved cleaning techniques. Ultra-
the implantation of intracranial aneurysm clips. This device is
sonic cleaners or hand scrubbing are suitable methods if
referred to in this practice as a clip applier.
carefully done. The method employed should be utilized to
2.1.2 intracranial aneurysm clip—a device introduced sur-
prevent impact, scratching, bending, or surface contact with
gically to occlude the blood inlet into an intracranial aneurysm
any materials that might affect the implant or instrument
with the intention that it remain within the body following the
configuration. Aneurysm clips must not be opened except by
surgery. This device is referred to in this practice as an
their specific applier.
“implant,” specifically as an intracranial aneurysm clip.
4.2 Any clip that has been implanted or in direct contact
3. Receiving Implants and Instruments
with blood or body fluids and is not used in the procedure
should not be reused in any subsequent procedure. The clips
3.1 Receipt:
should be discarded; in accordance with tracing requirements,
3.1.1 Many implants are wrapped in special packages,
the manufacturer must be informed of each clip that is
envelopes, or other containers. These wrappings should not be
discarded.
removed by the receiving personnel.
4.3 After cleaning, rinse the neurosurgical intracranial an-
3.1.2 Carefully handle no
...