INSTRUMENT STERILIZATION SERVICES • Sterilization Cycle Load Prep Including test and steam validation per use. • Sterilization Process (as applicable to items within Attachment 3 – Surgical Instrument List) - Maximum of twenty (20) surgical instruments per batch/cycle - No minimum, in excess of 20 instruments will be another batch/cycle - Surgical instruments that exceed 10 inch in length in a batch will be separated and will constitute another separate batch/cycle - Surgical instruments presented and itemized only by LAC and accepted will be sterilized and pouched - Includes post sterilization pouching single/double/customized - Includes enzymatic solution upon request • Pick up/Delivery SHARPENING, LUBRICATION, and PARTS REPLACEMENT* (Including Pick-up/Delivery Cost) Wire Cutter $__________ Per piece Ring Cutter $__________ Per piece Allegator Forceps $__________ Per piece Ear Curette $__________ Per piece Long Curved Scissor $__________ Per piece Medium Curved Scissor $__________ Per piece Medium Straight Scissor $__________ Per piece Ring Forceps $__________ Per piece Straight Forceps $__________ Per piece Spring and Screw Replacement (per piece) $__________ Per piece OTHER SERVICES * Enzymatic Spray Fee $____________ Per Gallon Enzymatic Tablets $____________ Per Box
