1、Designation: F 565 04 (Reapproved 2009)Standard Practice forCare and Handling of Orthopedic Implants and Instruments1This standard is issued under the fixed designation F 565; the number immediately following the designation indicates the year oforiginal adoption or, in the case of revision, the yea
2、r of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon () indicates an editorial change since the last revision or reapproval.1. Scope1.1 This practice covers recommended procedures for thehandling of orthopedic implants and instruments.1.2 Hospital r
3、eceiving personnel, central supply personnel,operating room personnel, surgeons, and occasionally otherindividuals will handle orthopedic implants and instruments.All personnel should be informed of recommended care andhandling procedures to prevent damage of orthopedic implantsand instruments.1.3 T
4、his practice does not cover producer level handlingand packaging procedures.1.4 This standard does not purport to address all of thesafety concerns, if any, associated with its use. It is theresponsibility of the user of this standard to establish appro-priate safety and health practices and determi
5、ne the applica-bility of regulatory limitations prior to use.2. Terminology2.1 Definitions of Terms Specific to This Standard:2.1.1 orthopedic implanta device introduced by surgicallypenetrating the skin or mucosa of the body with the intentionthat it remain within or attached to the skeleton within
6、 the bodyfollowing the surgery. This device is referred to in this practiceas an “implant.”2.1.2 orthopedic instrumentany cooperative device usedduring surgical procedures involving the implantation of or-thopedic implants. This device is referred to in this practice asan “instrument.”3. Receiving I
7、mplants and Instruments3.1 Receipt:3.1.1 Many implants are wrapped in special sterilizable orpre-sterilized packages, envelopes, or other containers. Thesewrappings should not be removed by the receiving personnel.3.1.2 Carefully unwrap and handle non-sterilized implantsand instruments upon receipt
8、to avoid scratching, marking, orabrasion by other implants, instruments, unpacking tools, or bydropping or otherwise endangering the surface finish or con-figuration.3.2 TransportPerform transport in a manner to precludeany damage or alteration to the received condition of theimplant or instrument.3
9、.3 Storage:3.3.1 Store implants or instruments prior to use in such amanner as to maintain the devices surface finish or configu-ration, or both.3.3.2 Many implants are identified by a serial or lot number,or both, on the package label, package insert, or surface of thedevice. Record these control n
10、umbers and retain for transfer topatient records, to facilitate inventory, stock rotation, medicaldevice reporting, and possible traceability to the manufacturer.3.3.3 Stock RotationThe principle of first in, first out, isrecommended.3.3.4 Store implants in the operating room in such a manneras to i
11、solate and protect the implants surface, sterility, andconfiguration. Keep implants made of different metals sepa-rated.3.3.5 Store the implants and instruments in the operatingroom in such a manner as to isolate the instruments from theimplants.4. Handling4.1 Mixing MetalsMaintain orthopedic implan
12、ts and in-struments of different metals separately to avoid the possibilityof mixing during surgery.4.2 Cleaning and Sterilization:4.2.1 Prior to initial sterilization and promptly followingeach surgical procedure, thoroughly and carefully clean allinstruments and implants. Ultrasonic cleaners, mech
13、anizedwashers, or hand scrubbing are suitable methods, if carefullydone. The method employed should be utilized to preventimpact, scratching, bending, or surface contact with anymaterials that might affect the implant or instrument surface orconfiguration.4.2.2 Closely follow the manufacturers recom
14、mendationson cleaning. In hand scrubbing, use soft brushes and avoidharsh chemicals or harsh cleaning solutions.4.2.3 After cleaning, rinse the orthopedic implants andinstruments completely free of all residuals, soap, detergent, orcleaning solutions. Following rinsing, dry them thoroughly.Devote sp
15、ecial attention to hinges, pivots, box locks, and otherrecesses since these are points that entrap both chemicals andrinse water.1This practice is under the jurisdiction ofASTM Committee F04 on Medical andSurgical Materials and Devices and is the direct responsibility of SubcommitteeF04.21 on Osteos
16、ynthesis.Current edition approved April 1, 2009. Published April 2009. Originallyapproved in 1978. Last previous edition approved in 2004 as F 565 04.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.4.2.4 Lubricate instruments that re
17、quire lubrication imme-diately after drying. Follow the recommendations of themanufacturers of such instruments explicitly as to method,type, and amount of lubricant. Insufficient or excessive lubri-cation can be nearly as disastrous as no lubrication.4.2.5 Carry out sterilization by steam autoclavi
18、ng or othermethods in a manner that protects the integrity of the implantsand instruments.4.2.6 Sterilize implants and instruments of polymericmaterials in accordance with methods recommended by themanufacturer.4.2.7 Do not sterilize implants in contact with instrumentsor implants of other materials
19、. Metallic oxide could transfer tothe implant, initiating an unacceptable conditioning.4.2.8 Do not expose instrumental cutting edges and teeth tothe hazard of dulling.4.3 AppearanceDispose of orthopedic implants that ex-hibit surface or configuration damage.4.4 Contouring and Modifying Implants and
20、 Instruments:4.4.1 Contouring or clamping of orthopedic implants, whennecessary, shall be performed by the surgeon in a manner thatwill least damage the implant.4.4.2 It is recommended that metallic orthopedic implantsshould not be sharply bent, re-bent, angulated at a screw hole,notched, or scratch
21、ed.4.4.3 Reshaping or contouring may cause complete loss ofperformance for instruments. It is recommended that orthope-dic instruments be handled with care to prevent costly rework-ing or destruction. If modifications are necessary, the instru-ment should not be sharply bent, re-bent, or angulated.4
22、.4.4 Orthopedic instruments in general have a long servicelife, but mishandling or inadequate protection can quicklydiminish the instruments life expectancy.4.4.5 Dispose of instruments whose performance capabili-ties have been jeopardized by mishandling or improper care.5. Reuse5.1 Avoid the reimpl
23、antation of previously implanted ortho-pedic implants.5.2 Trial fitting of an orthopedic implant in a patient,followed by proper cleaning and sterilization if not immedi-ately implanted in the same patient, may not in all instances beconsidered as reimplantation. The user is cautioned that anymechan
24、ical alteration of the components (for example, platebending), coating damage, or surface damage (for example,nicks,ch scratches) should prevent the device from beingreimplanted. In addition, certain coatings (porous coating, HA)may not be able to be recleaned or resterilized, or both, whileproperly
25、 maintaining the integrity of the implant. The usershould refer to the manufacturers instructions for guidance; or,in their absence, the device should not be reimplanted.6. Keywords6.1 handling of implants; instruments; material handlingASTM International takes no position respecting the validity of
26、 any patent rights asserted in connection with any item mentionedin this standard. Users of this standard are expressly advised that determination of the validity of any such patent rights, and the riskof infringement of such rights, are entirely their own responsibility.This standard is subject to
27、revision at any time by the responsible technical committee and must be reviewed every five years andif not revised, either reapproved or withdrawn. Your comments are invited either for revision of this standard or for additional standardsand should be addressed to ASTM International Headquarters. Y
28、our comments will receive careful consideration at a meeting of theresponsible technical committee, which you may attend. If you feel that your comments have not received a fair hearing you shouldmake your views known to the ASTM Committee on Standards, at the address shown below.This standard is co
29、pyrighted by ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959,United States. Individual reprints (single or multiple copies) of this standard may be obtained by contacting ASTM at the aboveaddress or at 610-832-9585 (phone), 610-832-9555 (fax), or serviceastm.org (e-mail); or through the ASTM website(www.astm.org).F 565 04 (2009)2
