Product Evaluation

AIR TECHNIQUES

Monarch 4+ Enzymatic Cleaner

Featuring convenient, user-friendly packaging and dispensing, Monarch 4+ is uniquely formulated to quickly and effectively remove debris from instruments

It’s the last thing most hygienists want to see as they open an instrument pack to begin their day. But just like Lydia Pope, those hygienists can probably remember times when they’ve gotten ready to use their already sterilized instruments only to be stopped in their tracks by leftover debris. Using Air Techniques’ Monarch 4+ Enzymatic Cleaner has put those memories to rest for Pope, who recently retrieved her instruments from the ultrasonic and found that all of the blood and debris from a messy SRP were gone. Stacey Abbatessa had an equally satisfying experience when, after using Monarch 4+, she “noticed immediately that my hygiene mirrors were cleaner, had less debris on the edges, and seemed to fog up less.”

Thanks to its unique formulation, the Monarch 4+ presoak cleaner and ultrasonic detergent quickly and effectively remove blood and debris prior to sterilization, saving time and ensuring instrument cleanliness and longevity. Two options for dispensing, including a convenient unit dose, make Monarch 4+ exceptionally user-friendly, and a pleasing tropical scent lets staff members know the solution is at work.

After using Monarch 4+, Pope was understandably relieved that she “didn’t have to scrub debris off instruments after they were in the ultrasonic.” Abbatessa noticed “an immediate improvement in visibility” with her now cleaner mirrors, and has dubbed Monarch “a noticeable improvement over our previous enzymatic cleaners.”

Ease of Use & Efficiency/Time Savings

Monarch 4+ mixes instantly without foaming and comes in both 1/3-oz unit-dose packets, which make 1 gallon of solution, and an 84.5-oz bottle, which yields 125 gallons. “I love the unit-dose packets; they’re very easy to use and open,” shared Pope. Abbatessa preferred the bottle with its convenient measuring cup and was pleased that Monarch 4+ “didn’t create a lot of excess bubbles or foam.”

Shelley Gessler said it was easy to dispense the liquid, and Jody Ebert “loved the small, space-saving economic packaging and being able to mix solutions.” Terri Janke liked that Monarch 4+ “mixed with water immediately and I didn’t have to wait for a tablet to dissolve.” She also said, “It saved time when starting the day and getting the ultrasonic set up.” Monarch 4+ “removed debris in a timely fashion with quick dispersement into the water for even distribution with no wait time,” noted Jessica Wells, and Melissa Long said the cleaning process “took less time and was easier with less mess.” When asked about potential improvements, Heather Giordano, Jessica Dusseault, and Wells suggested adding more color to help signify that the solution has been added.

“Debris came off with ease without leaving any residue on instruments.”

- Dana Jones, RDH Quincy, MA

Improved Debris Removal

Monarch 4+ Enzymatic Cleaner efficiently removes blood, tissue, fats, carbs, sugars, and other difficult debris from surgical instruments, even in fine crevices, and leaves no residue behind. The pH-neutral formula is noncorrosive, with a high concentration of detergents and enzymes that protects instruments and ensures optimal cleaning.

“It removes protein debris from instruments with no residue,” shared Donna Bowman, and Abbatessa said, “It worked great with cleaning surgical instruments and definitely cleaned better than our previous cleaner.” Janke was pleased that the “instruments were clean and I didn’t have to reshake in the ultrasonic,” and Dusseault said, “Bloody instruments with excess plaque attached came out without a trace.” After an extraction, Dana Jones reported, “Debris came off with ease without leaving any residue on instruments.” Commenting that Monarch 4+ “works great, is easy to use, and kept instruments clean and free of buildup,” Giordano said it worked especially well on buildup of blood and bone after extractions. Michelle Cunningham mentioned that instruments seemed shinier, and Kim Williams said Monarch 4+ gives her “confidence that instruments will be clean.” Tropical Scent “Some cleansers smell toxic, but Monarch wasn’t too viscous and the smell was pleasant,” said Jones about the solution’s tropical scent. Abbatessa called it “pleasant and not overly chemical smelling,” and Ebert found it “surprisingly clean and pleasant smelling.” Williams liked the freshness and color of the solution and said, “It smells wonderful and looks cleaner.” Bowman described the smell as “awesome,” and Dusseault called the scent “faint enough to be pleasant.”

Overall Satisfaction

Stating that Monarch 4+ Enzymatic Cleaner “met all my requirements in an ultrasonic bath solution,” Bowman said, “We will be buying this solution in place of the one we used to use prior to the evaluation.” Noting that she would recommend Monarch 4+ to colleagues, Dusseault concluded, “Ease of use makes for a good product and easy transition from a previous product.”

Takeaways

• Uniquely formulated to quickly and effectively remove blood and debris prior to sterilization

• Anionic & non-ionic surfactants keep instruments clean and free of fragments

• pH neutral and noncorrosive, with a high concentration of detergents and enzymes to protect instruments and ensure optimal cleaning

• Packaged in convenient unit-dose packets and an 84.5-oz bottle 

• Has a pleasant tropical scent