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Four enzymes are necessary to breakdown bioburden on soiled surgical instruments. Surgical instrument cleaners that do not contain these four enzymes cannot remove all forms of proteinaceous bioburden.
For the surgical instrument cleaning process to be thorough, four enzymes are needed:

1. Lipase Surgical Instrument Cleaner Enzymes: for fat
2. Amylase Surgical Instrument Cleaner Enzymes: for starch
3. Carbohydrase Surgical Instrument Cleaner Enzymes: for high starches
4. Protease Surgical Instrument Cleaner Enzymes: for blood

For the surgical instrument cleaning process to be thorough, four surgical instrument cleaner enzymes are needed:

Lipase Surgical Instrument Cleaner Enzymes: for fat
Amylase Surgical Instrument Cleaner Enzymes: for starch
Carbohydrase Surgical Instrument Cleaner Enzymes: for high starches
Protease Surgical Instrument Cleaner Enzymes: for blood