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Nickel release from surgical instruments and operating room equipment

Abstract

Background There has been no systematic study assessing nickel release from surgical instruments and equipment used within the operating suite. This equipment represents important potential sources of exposure for nickel-sensitive patients and hospital staff.

Objective: To investigate nickel release from commonly used surgical instruments and operating room equipment.

Methods and Materials: Using the dimethylglyoxime nickel spot test, a variety of surgical instruments and operating room equipment were tested for nickel release at our institution.

Results: Of the 128 surgical instruments tested, only 1 was positive for nickel release. Of the 43 operating room items tested, 19 were positive for nickel release, 7 of which have the potential for direct contact with patients and/or hospital staff.

Conclusion: Hospital systems should be aware of surgical instruments and operating room equipment as potential sources of nickel exposure.

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