Introduction
Umbilical cord scissors are purpose-designed surgical scissors used to cut the umbilical cord as part of routine childbirth care. Although the device is simple, it sits at a critical junction of infection prevention, patient safety, workflow reliability, and traceability—especially in high-volume maternity units and resource-variable settings.
For hospital administrators, clinicians, biomedical engineers, and procurement teams, the real-world performance of Umbilical cord scissors depends less on “features” and more on correct selection (single-use vs reusable), consistent availability, sterile integrity, reliable cutting performance, and disciplined reprocessing or disposal practices.
This article provides general, non-clinical guidance on what Umbilical cord scissors are, where they are used, how to operate and manage them safely, how to think about infection control and reprocessing, and how the global market looks across key countries. It is informational only and not a substitute for local protocols, clinical training, or the manufacturer’s instructions for use (IFU).
A practical note for non-clinical stakeholders: even when cord scissors are regulated as “basic” surgical instruments in many jurisdictions, they still participate in higher-risk processes (sterile field control, exposure to blood/body fluids, and post-use sharps handling). The “simple device” framing can sometimes lead to underinvestment in upstream controls like storage conditions for sterile packs, incoming inspection for reusable instruments, and a clear replacement strategy when performance degrades. Also, evolving clinical practices—such as delayed cord clamping, cord blood collection in some facilities, and family-participation rituals under supervision—can change when the instrument is needed and how long it must remain sterile and ready.
What is Umbilical cord scissors and why do we use it?
Definition and purpose
Umbilical cord scissors are a handheld, bladed medical device used to cut the umbilical cord cleanly and controllably, typically after the cord has been clamped or secured per facility protocol. In most facilities they are treated as sterile clinical devices at the point of use because they contact blood and body fluids and are used in a procedure where infection prevention is essential.
Common design characteristics include:
- Blunt tips to reduce the risk of unintended puncture or laceration.
- Curved or angled blades to improve access and visibility.
- Serrated or micro-serrated edges (varies by manufacturer) to reduce slipping on a wet cord.
- Stainless steel construction for reusable models; single-use versions may use stainless blades with polymer components (varies by manufacturer).
- Box lock or screw joint hinge designs (varies by manufacturer) that affect cleaning access and long-term durability.
Additional design and specification details that often matter in day-to-day operations include:
- Overall length (commonly in the ~12–16 cm range, varies by manufacturer) which affects reach, control, and pack configuration.
- Surface finish (for example, satin/matte vs mirror-polished) that can influence glare under procedure lights and may affect how easily residues are seen during inspection.
- Markings and identification such as laser etching for batch/lot traceability, instrument set marking, or hospital asset tracking (implementation varies by facility).
- Left- vs right-hand bias (most are neutral, but ergonomics can still feel different depending on handle geometry and ring size).
- Edge geometry choices such as one serrated blade vs both blades smooth; these choices can change how the cord is “held” during the cut and how quickly the cutting edge feels dull in real use.
From a procurement standpoint, small differences in finish, hinge construction, and edge geometry can translate into measurable differences in: (1) reprocessing time, (2) corrosion frequency, (3) complaints about incomplete cutting, and (4) the lifetime number of reuses before replacement.
Common clinical settings
Umbilical cord scissors are used anywhere births are attended and cord cutting is performed, including:
- Labor and delivery rooms in hospitals and maternity centers.
- Operating theaters during cesarean deliveries (as part of a surgical set or delivery pack).
- Emergency and urgent care contexts where delivery occurs unexpectedly (policy- and training-dependent).
- Community clinics and outreach settings, often via sterile delivery kits.
- Ambulance and prehospital environments in some systems, typically as part of emergency obstetric kits (availability varies by region).
In addition, some facilities encounter cord cutting in:
- Midwife-led birth units and birthing suites that still follow hospital-grade sterile supply and sharps safety rules but may differ in trolley layout and staffing models.
- Neonatal resuscitation areas if the cord cut is performed close to a warmer or resuscitation bay due to workflow or space constraints (facility-dependent).
- Education and simulation settings, where non-sterile training scissors may be used for competency building—highlighting the importance of clearly separating “training” and “clinical” stock.
From an operational perspective, Umbilical cord scissors may be stocked as:
- A standalone sterile instrument.
- A component of a pre-assembled sterile delivery kit.
- A part of a reusable obstetric instrument set processed through central sterile services (CSSD).
Key benefits in patient care and workflow
While Umbilical cord scissors are “low-tech,” they enable high-reliability care when standardized:
- Controlled cutting performance supports consistent workflows and reduces delays at a time-sensitive moment.
- Reduced handling and fewer improvised tools can lower risk compared with using non-dedicated scissors.
- Sterility and traceability options (sterile single-use or reprocessed sets) align with infection prevention programs.
- Predictable training and competency are easier when the device is standardized across units.
- Procurement efficiency improves when specifications are aligned with delivery packs, inventory systems, and reprocessing capacity.
Additional “system-level” benefits that hospitals often notice after standardization include:
- Fewer last-minute substitutions (for example, staff reaching for bandage scissors or suture scissors) because the correct device is reliably present in the same location.
- Reduced sharps exposure time when the cut is completed in one controlled motion rather than multiple attempts.
- Cleaner quality data for investigations: if one standardized item is used, trends in dullness, corrosion, or packaging defects are easier to detect and address.
For administrators and procurement teams, the most meaningful “performance” metrics are often operational: stock-out rates, packaging integrity failures, reprocessing nonconformities, and incident/near-miss trends. In sustainability programs, teams may also track waste volumes and the balance between reusable-lifecycle impacts (water, energy, labor) and single-use waste streams (regulated clinical waste, packaging).
When should I use Umbilical cord scissors (and when should I not)?
Appropriate use cases
Umbilical cord scissors are generally used when a controlled cut of the umbilical cord is required as part of childbirth care and immediate post-delivery processes, including:
- Routine deliveries where a cord cut is performed per local clinical protocol.
- Cesarean deliveries where a sterile instrument is required within a controlled surgical field.
- Deliveries supported by sterile delivery kits (facility-based or community-based), where the kit has been approved by the organization.
- Situations requiring standardization and traceability, such as accredited facilities or programs with strong quality management requirements.
In many facilities, Umbilical cord scissors are preferred over general-purpose scissors because they are designed for grip, access, and safer tip geometry.
Operationally, it can be helpful to think of “appropriate use” as also including readiness scenarios. For example, if a facility practices delayed cord clamping, the scissors may need to remain sterile and within immediate reach for longer than in workflows where cutting occurs quickly. Similarly, if a site performs cord blood collection or sampling as part of its service line, ensuring the correct sterile cord-cutting instrument is available and not substituted mid-process can prevent avoidable workflow disruptions (specific clinical steps are protocol-driven and outside the scope here).
Situations where it may not be suitable
Umbilical cord scissors may be a poor choice, or explicitly disallowed by policy, in scenarios such as:
- Using non-sterile scissors in contexts where a sterile instrument is required.
- Using a reusable instrument when reprocessing capacity is inadequate, unreliable, or not validated.
- Using a device with compromised packaging, missing sterility indicators, or damaged seals (for sterile single-use items).
- Using a visibly damaged instrument, such as bent tips, loose joints, corrosion, or misaligned blades.
- Using one instrument for multiple tasks (for example, cutting packaging, tape, dressings, or non-sterile materials) that can dull blades and increase contamination risk.
If the cord is unusually slippery or thick, or if access is restricted, selecting the correct blade geometry and maintaining a backup device is often more important than “forcing” a cut with a marginal instrument.
Another common “not suitable” scenario is role confusion between similar instruments on the same trolley. If cord scissors are easily mistaken for suture scissors or bandage scissors, the workflow risk is not just cutting performance—it is also the chance of inadvertently introducing a non-sterile, previously used, or inappropriate instrument into the sterile field.
Safety cautions and contraindications (general, non-clinical)
Umbilical cord scissors are not contraindicated in the patient-specific sense (that is a clinical decision), but there are common operational “do not use” cautions:
- Do not use if sterility is uncertain or the integrity of the sterile barrier is compromised.
- Do not use if the device shows signs of wear that could cause tearing, crushing, or incomplete cutting.
- Do not use if the hinge is so tight or loose that control is reduced or the cut becomes unpredictable.
- Do not use if the instrument cannot be cleaned/sterilized as required (reusable devices), or if reprocessing records cannot support traceability.
- Do not use beyond any stated single-use labeling. If labeling is unclear, treat as “varies by manufacturer” and confirm with the supplier.
From a staff safety perspective, treat Umbilical cord scissors as a sharps-risk instrument: safe passing, controlled cutting, and proper post-use handling should be routine.
Facilities also commonly add process cautions such as: do not place a used instrument back onto general work surfaces; do not leave an open instrument where hands may sweep across it during newborn care; and do not soak reusable instruments in corrosive solutions unless explicitly permitted by the IFU (chlorine-containing chemicals are a frequent cause of pitting and premature corrosion in stainless instruments).
What do I need before starting?
Required setup and environment
A safe and reliable process for using Umbilical cord scissors starts with basics that are easy to overlook during busy shifts:
- Adequate lighting and a stable working surface.
- A clean, organized field consistent with the facility’s delivery or theater setup.
- Clear roles and communication within the birth team to avoid rushed handoffs.
- Sharps safety workflow, including a defined post-use placement zone and an approved disposal or transport pathway.
- Waste segregation aligned with local regulation (infectious waste, sharps, recyclable packaging where applicable).
In many hospitals, the best operational control comes from standardizing Umbilical cord scissors into a delivery pack or procedure tray with a consistent layout.
Two additional operational readiness points that reduce last-minute errors are:
- Storage discipline for sterile items: avoid crushing sterile packs in overfilled drawers, and keep them away from moisture sources that can compromise packaging integrity.
- Defined “back-up” location: when a primary instrument is dropped or fails to cut cleanly, staff should not need to search—there should be an agreed secondary sterile instrument location or an extra instrument in the pack (policy and cost trade-offs vary).
Accessories and related items
Umbilical cord scissors are rarely used in isolation. Typical related items include:
- Umbilical cord clamps or ties (type varies by protocol and country).
- Sterile gloves and drapes (as required by the setting).
- Sterile gauze or wipes for field management (per local practice).
- A designated sterile tray or kidney dish for instrument placement.
- If cord blood sampling is performed in the facility, additional collection materials may be prepared (workflow varies widely by site).
Depending on facility workflow, related items may also include a dedicated sharps container within arm’s reach, a cord clamp applicator (if used), and labeling materials if any specimens are collected. From a procurement perspective, these “adjacent” items influence whether a facility benefits more from a comprehensive pack (fewer picking errors, predictable layout) or from individually stocked items (more flexibility, but higher assembly variance).
For procurement teams, it is often more useful to specify Umbilical cord scissors as part of a system (clamps, pack configuration, and reprocessing pathway) rather than a standalone commodity purchase.
Training and competency expectations
Because Umbilical cord scissors are a simple medical equipment item, training is sometimes informal—yet many preventable errors come from inconsistent technique or handling. Practical competency expectations commonly include:
- Understanding sterile field handling and the facility’s aseptic technique expectations.
- Safe instrument passing and sharps-risk mitigation.
- Device inspection and recognition of damage (alignment, corrosion, hinge issues).
- Correct post-use handling: disposal for single-use devices or transport to decontamination for reusable devices.
- Documentation and traceability basics, including lot number capture when required.
Facilities often benefit from short, standardized training modules embedded into onboarding for labor and delivery, operating theater staff, and CSSD teams. In mature systems, competency also extends upstream to stores/receiving staff who handle sterile packaged items: understanding how to spot wet packs, crushed cartons, or compromised outer boxes can prevent “silent failures” that only appear at the bedside.
Pre-use checks and documentation
A lightweight, repeatable pre-use check prevents most usability failures. Typical checks include:
- Packaging integrity (no tears, wet packs, broken seals).
- Sterility indicator status (if present) and expiration date (if applicable).
- Correct item for the pack and procedure (right type, right size).
- Blade condition: clean edges, no chips, no visible dulling, no misalignment.
- Hinge function: smooth open/close, no grinding, no excessive looseness.
- Cleanliness (for reusable instruments): no residual stains, debris, or corrosion.
A few additional checks that can be useful in high-volume units include:
- Confirming the instrument was not “borrowed” for non-clinical cutting during stock handling or pack assembly (a surprisingly common cause of dullness complaints).
- Verifying identification and traceability elements (for example, UDI/lot information on the packaging) are still available for scanning or recording if required by policy.
- Checking for dried lubricant residue on reusable instruments if lubrication is part of the reprocessing process; residue can indicate process issues and can interfere with smooth action.
Documentation expectations vary by facility and regulation. Examples include:
- Recording the sterile pack lot/UDI in the patient record or procedure log (where mandated).
- Recording sterilizer load and tray/set ID for reusable instruments.
- Capturing incident/near-miss reports for cutting failure, packaging compromise, or suspected device defects.
If documentation requirements are unclear, treat them as “varies by facility and jurisdiction” and align with quality and risk teams.
How do I use it correctly (basic operation)?
A practical, high-level workflow
Umbilical cord scissors do not require calibration and typically have no “settings.” Correct use is mostly about preparation, controlled handling, and post-use containment. A general workflow looks like this:
- Prepare the field according to facility protocol and confirm the required items are present.
- Confirm the correct device (single-use sterile vs reusable sterile) for the setting.
- Open the sterile package using aseptic technique and place the device in the sterile field.
- Perform a quick functional check: open/close action, blade alignment, and tip condition.
- Use the device as part of the cord-cutting sequence per local clinical protocol, maintaining clear visualization and controlled movement.
- Verify the cut is complete and that the device has not contacted non-sterile surfaces.
- Contain the used instrument immediately: – Place reusable devices into the designated transport container for decontamination. – Dispose of single-use devices per local policy for contaminated sharps/instruments.
- Document as required, including pack identifiers, lot numbers, or instrument set IDs when applicable.
This description is intentionally non-clinical. Clinical timing and technique are defined by local guidelines and clinician training.
A small but high-impact operational rule is: if the instrument is dropped from the sterile field or contacts a non-sterile surface, treat it as contaminated and replace it rather than attempting ad-hoc “wipe downs” (unless your facility has an explicitly validated protocol for that situation). Having a clearly defined replacement pathway reduces improvisation under stress.
Handling and ergonomics (human factors)
Many failures with Umbilical cord scissors are human-factor related rather than manufacturing defects. Practical handling considerations include:
- Maintain a stable grip; wet gloves and fluids increase slip risk.
- Avoid “sawing” motions that can tear or crush rather than cut cleanly.
- Keep the cutting action deliberate and within the visible field.
- Use a standardized handoff method to reduce sharps injuries.
- Have a backup device available in case cutting performance is inadequate.
Ergonomic nuances that can matter in busy units include finger-ring fit (some staff find small rings restrictive when wearing thicker gloves), the feel of textured vs smooth handles when wet, and whether curved blades improve line-of-sight in the local delivery position. Some organizations also reduce confusion by choosing cord scissors that look and feel distinct from suture scissors and bandage scissors (for example, a consistent curved-blade pattern reserved for cord cutting).
If the device includes a protective sheath, safety cap, or integrated feature, follow the IFU because these features affect both safety and cleaning.
“Calibration” and “typical settings”
For most Umbilical cord scissors:
- Calibration is not applicable.
- User-adjustable settings are not applicable.
However, some reusable scissors use a screw joint that can be tensioned during maintenance. Any adjustment guidance is “varies by manufacturer” and is typically managed by sterile processing or biomedical engineering under a controlled maintenance process.
From a purchasing standpoint, what people sometimes call “settings” are actually configuration choices:
- Straight vs curved blades.
- Serrated vs smooth cutting edges.
- Length and handle style.
- Single-use sterile vs reusable.
Selecting the right configuration should be aligned to the clinical environment and reprocessing capability. In addition, some facilities define internal “fitness for use” tests for reusable scissors (for example, a consistent material test or functional check method in CSSD) to decide when an instrument should be sharpened, repaired, or retired—methods and acceptance criteria vary by facility.
How do I keep the patient safe?
Safety practices that reduce risk
Even a basic clinical device can contribute to harm if process control is weak. Patient safety practices commonly emphasize:
- Assured sterility at point of use (validated sterilization for reusable sets or intact sterile barrier for single-use items).
- Single-task discipline: do not repurpose the instrument for non-sterile cutting tasks during the procedure.
- Controlled cutting within a clearly visualized field to reduce unintended injury.
- Standardized tray layout so staff can locate the instrument quickly without rummaging.
- Immediate containment after use to avoid cross-contamination of surfaces and equipment.
Where facilities use delivery packs, standardization reduces variation, which is often the hidden driver of safety events.
Facilities that perform instrument counts (common in operating theaters) may also incorporate cord scissors into the count process when they are part of a tray, reinforcing accountability and reducing the likelihood that used instruments are misplaced among linens or newborn supplies.
Monitoring and “alarm handling”
Umbilical cord scissors do not produce electronic alarms. The “alarms” in this workflow are process signals, such as:
- Packaging damage discovered at opening.
- Unexpected resistance or incomplete cutting performance.
- Visible contamination of a sterile item.
- A sharps near-miss or glove breach.
- A missing instrument during post-procedure checks (if instrument counting is part of policy).
Facilities can manage these signals with simple controls:
- A stop-and-replace rule for compromised sterility or poor cutting performance.
- Clear escalation pathways to charge nurse, theater coordinator, CSSD leadership, and biomedical engineering.
- Non-punitive incident reporting to capture trends (dull blades, packaging defects, or training gaps).
Operationally, it helps to define what “quarantine” looks like: where compromised sterile packs are held, who labels them, and how information (brand, lot, distributor, storage location) is captured so that recurring issues can be investigated rather than repeatedly rediscovered.
Human factors and workflow design
Because Umbilical cord scissors are used at a high-stakes moment, workflow design matters:
- Keep the device in a predictable location on the delivery trolley or sterile tray.
- Avoid mixing similar-looking scissors intended for other tasks (suture scissors, bandage scissors).
- Standardize across wards where possible to reduce cognitive load for float staff.
- Use checklists that include “scissors present and sterile” when assembling delivery packs.
Always prioritize facility policy and the manufacturer’s IFU. If the IFU and facility policy conflict, escalate internally for review; do not improvise.
Some facilities also use simple visual management techniques—like dedicated instrument zones, shadow boards in procedure trolleys, or pack diagrams—to reduce the chance of “search behaviors” during critical moments.
How do I interpret the output?
Types of outputs/readings
Umbilical cord scissors do not generate numeric outputs or electronic readings. The “output” is a physical result:
- A completed cut separating the cord as intended by the procedure.
- A cut edge quality that can be visually assessed (for example, clean cut vs frayed/crushed appearance).
- The status of the instrument after use (intact, contaminated, damaged).
In documentation terms, the output can also include traceability data where required, such as pack identifiers or lot numbers.
In quality investigations, it can be useful to treat “instrument integrity” as part of the output as well: if the blades show nicks, if the tips appear bent after use, or (rarely) if a fragment is suspected to have broken off, the instrument should be secured and escalated rather than discarded.
How clinicians typically interpret them (general)
In practice, teams interpret performance and quality using simple cues:
- Cut quality: a clean, controlled cut is generally easier to manage than a torn or crushed cut.
- Ease of use: excessive force, repeated attempts, or slipping can signal instrument wear or mismatch of device design to the task.
- Workflow impact: any delay or tool substitution is a process deviation worth capturing for quality improvement.
Clinical interpretation of the patient condition after the cord is cut is outside the scope of this article and is governed by clinical protocol.
From an operational improvement standpoint, repeated reports of “slipping” or “needing multiple cuts” are often early indicators of a broader issue: a batch defect, inappropriate scissor geometry for local workflow, or reprocessing practices that are dulling edges prematurely.
Common pitfalls and limitations
- Assuming all scissors are equivalent; blade geometry and serration can materially affect grip and cut consistency.
- Underestimating the effect of reprocessing on cutting edges; repeated sterilization and cleaning can dull blades over time.
- Using a device outside its intended use (for example, cutting thick materials) and then returning it to clinical use.
- Poor traceability, especially when sterile single-use items are removed from their packaging and identifiers are discarded.
A simple limitation to remember: Umbilical cord scissors cannot compensate for weak aseptic technique, missing accessories, or an unreliable supply chain.
Another limitation is that scissor performance is not purely “sharpness.” Joint tension, alignment, and surface residues can all create a feeling of resistance or slipping, so troubleshooting should consider both the cutting edge and the hinge condition—particularly for reusable inventory.
What if something goes wrong?
A practical troubleshooting checklist
When Umbilical cord scissors do not perform as expected, the safest response is often to stop, replace, and contain the risk. A general troubleshooting checklist includes:
- Packaging issue
- Is the sterile barrier compromised (tear, moisture, broken seal)?
- Is the sterility indicator missing/unclear (if present)?
-
Action: do not use; quarantine and report per facility process.
-
Cutting performance issue
- Do the blades slip on the cord rather than cut?
- Is excessive force required?
- Are there visible chips, nicks, or misalignment?
-
Action: replace immediately; remove from service; tag for inspection.
-
Hinge or alignment issue
- Does the hinge bind, grind, or wobble?
- Do the blades meet evenly along their length?
-
Action: remove from service; send to CSSD/biomedical engineering as appropriate.
-
Contamination issue
- Has the instrument contacted a non-sterile surface before use?
- Was it placed on an unprotected trolley or touched with non-sterile gloves?
-
Action: treat as contaminated; replace with a sterile device.
-
Reprocessing concern (reusable instruments)
- Are there stains, corrosion, retained debris, or moisture in packaging?
- Is the sterilization documentation incomplete?
- Action: do not use; escalate to CSSD leadership for investigation.
Two additional practical troubleshooting actions that support better investigations are: (1) retain the suspect instrument or pack (when permitted) so it can be inspected rather than thrown away, and (2) capture identifying details (brand, item code, lot number, sterilizer load, tray ID) while the event is fresh. Without those details, trends become nearly invisible.
When to stop use
Stop use and replace the device if:
- Sterility is uncertain.
- Cutting performance is inadequate or unpredictable.
- The device appears damaged or difficult to control.
- There is any sharps incident or near-miss that creates immediate risk.
From a risk-management standpoint, one failed cut is often enough to justify removing a batch or instrument set from service until the cause is understood.
When to escalate to biomedical engineering or the manufacturer
Escalate when:
- There is repeated cutting failure across multiple units or packs.
- A pattern of packaging compromise is observed.
- Corrosion or hinge failure occurs earlier than expected for reusable inventory.
- There is a suspected manufacturing defect or a labeling discrepancy (single-use vs reusable ambiguity).
- A patient safety incident or staff injury has occurred and device performance is a contributing factor.
Biomedical engineering may support investigations involving product evaluation, incoming inspection criteria, complaint documentation, and coordination with procurement and the supplier. Manufacturer escalation is appropriate when device defects are suspected and when formal complaint handling is required for regulatory reasons (process varies by country).
In higher-regulation environments, escalation pathways may also intersect with formal vigilance reporting rules (for example, reporting certain adverse events to regulators). The exact thresholds and reporting timelines are “varies by jurisdiction,” but the foundational requirement is the same: preserve evidence, document identifiers, and route the case through the facility’s quality/risk process.
Infection control and cleaning of Umbilical cord scissors
Core principles (what stays true across settings)
Infection prevention for Umbilical cord scissors is mainly about ensuring the device is sterile at the point of use and safely contained afterward. The operational approach depends on whether the device is single-use or reusable:
- Single-use sterile: infection control relies on intact packaging, correct storage, and disposal after use.
- Reusable: infection control relies on validated cleaning and sterilization, inspection, maintenance, and documented traceability.
Both models can be safe when managed well; the right choice depends on birth volume, CSSD maturity, water quality, staff capacity, cost-per-use modeling, and waste management constraints.
A practical nuance for sterile single-use products is that infection control depends not only on the individual pack but also on the distribution and storage chain: excessive heat, humidity, crushing, or poor stock rotation can increase packaging failures. Facilities that use “event-related sterility” principles still need disciplined handling rules so that packs remain intact and dry from receiving to point of use.
Disinfection vs. sterilization (general)
These terms are frequently mixed, so it helps to keep definitions clear:
- Cleaning removes visible soil and reduces bioburden; it is a prerequisite for effective disinfection or sterilization.
- Disinfection reduces microbial load but does not reliably eliminate all spores; it is typically used for non-critical items (use cases vary by policy).
- Sterilization aims to eliminate all forms of microbial life, including spores, and is generally required for instruments used in sterile procedures.
For Umbilical cord scissors that are reusable, sterilization method compatibility (steam, low-temperature modalities, chemical systems) is varies by manufacturer and must match the IFU and facility validation.
From a risk classification point of view, instruments used to cut the umbilical cord are typically treated as critical items because they contact blood and tissue in a setting where sterile technique is expected. That usually places them firmly in the “sterilize” category for reusable devices, not “high-level disinfect,” unless a specific local policy and validated process states otherwise.
High-touch and hard-to-clean points
Whether single-use (handling risk) or reusable (reprocessing risk), focus attention on:
- The hinge/box lock area where soil can be retained.
- Serrations (if present) that can trap debris.
- The inner blade surfaces near the hinge.
- Handle knurling or texture that can retain contaminants.
- Any screw joint that can loosen over time (design varies).
In addition, corrosion and staining often start in the same hard-to-clean areas. Common contributors include dried blood left at point-of-use, high mineral content in rinse water, and exposure to harsh chemicals. Even when a device looks “clean,” microscopic pitting at the hinge can shorten lifespan and make future cleaning harder—another reason why consistent point-of-use containment and validated washer/ultrasonic steps can pay off in lower replacement rates.
Example cleaning workflow (non-brand-specific)
This is a general, non-prescriptive example of how reusable surgical instruments are often managed. Always follow the IFU and local policy.
-
Point-of-use containment – Remove gross soil promptly per facility protocol. – Keep the instrument in an open position if recommended by CSSD policy. – Transport in a closed, leak-resistant container.
-
Receiving and sorting in decontamination – Use appropriate PPE and follow workflow separation (dirty-to-clean). – Verify set completeness and identify any instruments needing repair.
-
Cleaning – Rinse according to policy (water temperature and chemistry vary by manufacturer and facility). – Apply approved enzymatic or neutral detergent. – Brush hinge and serrations with appropriate tools. – Use ultrasonic cleaning if part of the validated process (facility-dependent).
-
Rinse and dry – Thoroughly rinse to remove detergent residues. – Dry completely to reduce corrosion risk and packaging moisture.
-
Inspection and function check – Check for stains, corrosion, cracks, loose joints, and alignment issues. – Confirm smooth operation and adequate cutting performance (inspection method varies by facility).
-
Lubrication and assembly – Apply instrument lubricant if used by the facility (product choice varies). – Assemble sets and protect sharp edges as required.
-
Packaging and sterilization – Package in validated wraps/containers. – Sterilize using the validated cycle for that instrument type and packaging. – Record load parameters and traceability identifiers.
-
Storage and distribution – Store in clean, dry conditions. – Rotate stock and manage event-related sterility per local policy.
A practical procurement note: if a facility cannot reliably execute the above steps at required quality, single-use sterile Umbilical cord scissors may reduce infection-control variability, but waste and recurring cost must be evaluated.
Additional lifecycle considerations for reusable scissors that facilities often formalize over time include: defined retirement criteria (for example, persistent staining, repeated need for joint adjustment, or repeated complaints of poor cutting), periodic preventive maintenance checks (joint tension, alignment), and clear rules for whether sharpening is permitted and by whom (in-house CSSD capability vs third-party service). Having those rules in writing reduces “instrument drift,” where marginal scissors remain in use because no one is sure who is authorized to pull them from service.
Medical Device Companies & OEMs
Manufacturer vs. OEM (Original Equipment Manufacturer)
In the context of Umbilical cord scissors and other hospital equipment, roles can be split:
- A manufacturer is typically the legal entity responsible for design controls (where applicable), quality management, regulatory compliance, labeling, and complaint handling for the finished medical device.
- An OEM may produce components or finished instruments that are then branded and sold by another company, depending on the business model and regulatory framework.
For simple instruments, OEM relationships are common. Many “brands” source stainless steel instruments from specialized instrument manufacturing hubs, while maintaining branding, packaging, and distribution.
In some regulatory frameworks, additional roles may appear on labels and documents (for example, importer, authorized representative, or local registration holder). For hospital buyers, the operational takeaway is that the “name on the box” and the “factory that made the instrument” may not be the same, so supplier qualification processes often need to look beyond branding.
How OEM relationships impact quality, support, and service
OEM arrangements can be beneficial or risky depending on controls:
- Quality consistency depends on metallurgy, machining, finishing, and process validation; transparency is often limited to what is shared in audits and technical files.
- Change control matters: an uncommunicated change in steel grade, heat treatment, or edge finishing can affect corrosion resistance and cutting performance.
- Complaint handling can be slower when brand owners and OEMs split responsibilities; clear escalation pathways help.
- Sterility assurance for single-use products depends on validated packaging, sterilization modality, and lot traceability; details are “varies by manufacturer.”
- Service and spare parts mainly apply to reusable instruments (repair, sharpening, joint tightening), which may be handled by CSSD, third-party instrument services, or the brand owner depending on region.
For procurement teams, OEM opacity is a reason to strengthen incoming inspection, supplier qualification, and lot-based complaint trending.
Practical questions procurement and quality teams often ask—especially when onboarding a new brand or private-label line—include:
- What is the stainless steel grade and is it consistent across lots?
- Are there defined surface finishing and passivation processes to improve corrosion resistance?
- For sterile single-use items, how are packaging validation and sterilization validation documented, and what traceability is provided on the label?
- What are the stated recommended number of reuses (if any) and the maintenance guidance for reusable scissors?
- What is the supplier’s complaint response timeline and do they provide investigation reports suitable for accreditation and risk review?
Top 5 World Best Medical Device Companies / Manufacturers
The following are example industry leaders in global medical technology. Inclusion here is not a claim that they manufacture Umbilical cord scissors specifically, as product portfolios vary by division and region and are not always publicly stated at the item level.
-
Medtronic – Widely recognized for broad medtech portfolios across surgical, cardiovascular, and other specialties.
– Known for scale in regulated markets and structured quality systems.
– Global footprint and distributor networks can influence how hospitals standardize products, even for commodity items bundled into procedure ecosystems. -
Johnson & Johnson (including Ethicon businesses) – A diversified healthcare company with a long history in surgical devices and consumables.
– Often associated with operating room products, procedure standardization, and clinician training ecosystems.
– Global presence is strong, though item-level availability varies by country and procurement channel. -
B. Braun – Known for hospital products spanning infusion therapy, surgical instruments, and sterile processing-related offerings in many regions.
– Frequently engaged with hospital systems on standardization, infection prevention, and total cost-of-ownership discussions.
– Global operations are established, but exact instrument catalogs differ by market. -
Stryker – Commonly associated with surgical, orthopedic, and operating room technologies and hospital equipment integration.
– Often operates through structured capital and consumables pathways, with service models that may influence purchasing behavior.
– Availability of basic instruments is region- and channel-dependent. -
Smith+Nephew – Known for surgical and wound-related device categories across multiple care settings.
– Operates globally with established distribution in many higher-regulation markets.
– As with other large firms, whether a specific commodity instrument is offered depends on portfolio strategy and region.
Vendors, Suppliers, and Distributors
Vendor vs. supplier vs. distributor (practical differences)
Procurement teams often use these terms interchangeably, but the operational roles differ:
- A vendor is the entity you buy from (contract holder), which may be a manufacturer, distributor, or marketplace provider.
- A supplier is the organization that provides the goods; it may be upstream (manufacturer) or downstream (local reseller).
- A distributor typically purchases or holds inventory and sells/logistics-supports products to healthcare facilities, often offering warehousing, last-mile delivery, and returns management.
For Umbilical cord scissors, distributors play an outsized role because the items are high-volume, low-unit-cost, and frequently bundled into kits and packs.
In many countries, distributors also become the practical “front line” for recall notices, field safety corrections, and substitution management. That makes distributor maturity (documentation, lot control, and communication speed) particularly relevant for sterile products where packaging integrity and traceability drive safety.
What good distributors add for this category
Strong vendors/distributors can reduce risk by providing:
- Reliable availability and substitution controls (avoiding unapproved product swaps).
- Lot traceability support where required.
- Storage condition control for sterile packaging (temperature, humidity, handling).
- Clear documentation for regulatory and accreditation audits.
- Complaint intake and escalation channels back to manufacturers.
For hospitals running pack standardization programs, good distributors may also support pack configuration control (so “equivalent” substitutions don’t quietly change blade type or length), provide advance notice of manufacturer changes, and help coordinate evaluations when a line is discontinued or a packaging format changes.
Top 5 World Best Vendors / Suppliers / Distributors
The following are example global distributors and healthcare supply organizations. Inclusion is not a claim that they supply Umbilical cord scissors in every country; offering and reach vary by market and business unit.
-
McKesson – A major healthcare supply and distribution organization with strong logistics capabilities in markets where it operates.
– Often serves hospitals and health systems with broad catalog access and contract management structures.
– Value typically comes from scale, inventory reliability, and procurement integration. -
Cardinal Health – Known for distribution and healthcare supply chain services, with a large footprint in certain regions.
– Frequently supports hospitals with standardized consumables programs and inventory management offerings.
– Product availability and private-label structures vary by country. -
Medline Industries – A large medical supply organization offering a wide range of consumables and procedure packs in many markets.
– Often associated with pack standardization and unit-based logistics models.
– Buyer profiles commonly include hospitals seeking consistent consumable quality and supply continuity. -
Henry Schein – Strong presence in healthcare distribution channels, especially where outpatient and clinic procurement overlaps with hospital supply.
– Often serves diverse buyer groups, from clinics to institutional accounts, depending on country operations.
– Offerings can include branded and private-label consumables (varies by market). -
Owens & Minor – Known for healthcare logistics and supply chain services in markets where it operates.
– Often engaged in distribution, inventory management, and supply chain optimization for hospitals.
– The relevance to obstetric consumables depends on local catalog strategy and contracting structures.
Global Market Snapshot by Country
India
India’s demand for Umbilical cord scissors is driven by high birth volume, expanding facility-based deliveries, and ongoing investment in maternal and newborn health programs. Procurement often spans public tenders, private hospital groups, and NGO-supported supply chains, with a mix of imported and locally sourced medical equipment. Urban tertiary centers may prefer standardized sterile packs, while rural access can be more dependent on kit availability and last-mile distribution reliability.
Quality variability in commodity instruments can be a practical concern, so buyers often emphasize clear specifications (steel grade, finish, hinge type), consistent labeling, and supplier capability to support large-volume replenishment without frequent product changes.
China
China has a large hospital base and significant domestic manufacturing capacity for medical devices, including many categories of stainless steel instruments (specific items vary by manufacturer). Demand is influenced by hospital modernization, infection prevention expectations, and supply chain localization strategies. Larger urban hospitals often prioritize traceability and consistent product specification, while smaller facilities may purchase through regional distributors with variable catalog depth.
Centralized procurement approaches in some segments can affect brand availability and pricing dynamics, and hospitals may focus on documentation completeness and packaging integrity due to the scale of distribution networks.
United States
In the United States, Umbilical cord scissors are commonly managed within highly standardized obstetric workflows, with strong emphasis on sterility assurance, labeling, and traceability expectations that vary by facility policy and regulation. Single-use sterile and reusable reprocessed options both exist, often influenced by hospital sustainability strategies and CSSD capacity. Group purchasing and distributor contracts strongly shape brand availability and pricing.
Hospitals may also incorporate cord scissors into broader supply-chain digitization efforts (scan-based inventory, UDI capture, recall readiness), making packaging labels and data quality operationally important.
Indonesia
Indonesia’s market reflects a mix of public and private sector purchasing, with import dependence for many medical equipment categories and variable access across islands. Demand for reliable, sterile delivery consumables is higher in urban hospitals, while rural and remote areas may rely more on packaged kits and donor-supported programs. Distributor reach and cold-chain-free storage suitability are practical considerations for this device class.
Because logistics can be complex, facilities may prioritize suppliers that can maintain consistent product equivalency across regions to reduce training variance and substitution risks.
Pakistan
Pakistan is both a buyer and, in some regions, part of global supply chains for surgical instruments, while domestic distribution for clinical devices can vary by province and facility tier. Demand is driven by maternity service volume and the need for affordable, reliable instruments and sterile consumables. Quality consistency and traceability can differ across suppliers, making procurement controls and incoming inspection important.
Where reusable instruments are common, maintenance practices and corrosion control (water quality, chemical exposure) can significantly influence lifecycle cost, not just purchase price.
Nigeria
Nigeria’s demand is shaped by high birth rates, uneven facility coverage, and ongoing efforts to strengthen maternal and neonatal care. Many facilities rely on imported medical devices and consumables, with procurement sometimes constrained by foreign exchange, distributor coverage, and logistics. Urban centers may access a wider range of sterile pack options, while rural areas can face stock-outs and limited reprocessing infrastructure.
Programs focused on maternal health often emphasize kit completeness and supply continuity, which can make standardized delivery kits with cord scissors operationally attractive when consistently available.
Brazil
Brazil has a sizable healthcare system with both public and private procurement channels and a mix of domestic production and imports. Demand for Umbilical cord scissors is tied to hospital birth volume and infection prevention programs, with increased interest in standardized kits in some networks. Regional variation is common, and procurement often balances cost, regulatory compliance, and supply continuity.
Hospitals may also consider local regulatory documentation and labeling requirements, especially when products move between public tenders and private purchasing channels.
Bangladesh
Bangladesh’s market is driven by high delivery volumes and ongoing investment in maternal health services, with significant demand for cost-effective, dependable medical equipment. Import dependence is common for many finished devices, while local distribution networks vary in capability. Urban hospitals may have stronger CSSD services, while rural facilities may prefer single-use sterile options to reduce reprocessing burden.
For many buyers, the key differentiator becomes consistency: stable specifications, reliable packaging, and predictable replenishment to avoid ad-hoc substitutions.
Russia
Russia’s procurement environment for medical devices varies by region and facility system, with a mix of domestic production initiatives and imported supply. Demand for basic obstetric instruments is stable, while purchasing pathways may be influenced by public procurement frameworks and distributor networks. Service ecosystems for reusable instruments depend on facility sterilization infrastructure and local maintenance capacity.
In some regions, buyers may prioritize suppliers that can provide clear documentation and continuity of supply amid changing import conditions.
Mexico
Mexico’s demand is supported by a large hospital network and a significant private healthcare sector, with procurement split across public tenders, distributor contracts, and private hospital purchasing. Many consumables and instruments are imported or sourced through multinational distribution channels, depending on product class and registration status. Urban-rural gaps can show up as differences in kit standardization and reprocessing reliability.
Hospitals often focus on practical service factors such as distributor responsiveness, backorder management, and clear labeling for sterile vs reusable options.
Ethiopia
Ethiopia’s market is shaped by expanding healthcare coverage, maternal health initiatives, and infrastructure constraints in rural regions. Import dependence for medical devices is common, and distribution and training capacity can be limiting factors for consistent availability. Single-use sterile consumables may be favored in settings where CSSD capacity is limited, but affordability and supply continuity remain key constraints.
For outreach and remote sites, packaging robustness and clear instructions can help reduce waste from damaged sterile barriers and handling errors.
Japan
Japan’s market emphasizes high standards for quality, packaging integrity, and process control, supported by mature hospital systems and well-developed supply chains. Demand for Umbilical cord scissors is stable and often embedded in standardized obstetric sets and hospital procurement frameworks. Reprocessing practices for reusable instruments tend to be structured, with strong attention to documentation and device condition over lifecycle.
Hospitals may be particularly attentive to finish quality, smooth hinge action, and consistent manufacturing tolerances that support predictable performance.
Philippines
The Philippines has a mixed public-private healthcare system with variable access across islands, affecting distribution consistency for medical equipment. Demand for obstetric consumables is driven by birth volume, facility delivery initiatives, and infection prevention priorities. Hospitals in major urban areas often have stronger procurement leverage and CSSD capacity, while remote facilities may prioritize ready-to-use sterile kits.
Disaster readiness considerations in some regions can also increase demand for compact, shelf-stable delivery kits that include cord scissors.
Egypt
Egypt’s demand for Umbilical cord scissors reflects large maternity service volumes and continued investment in public health facilities alongside a sizable private sector. Import dependence varies by product, and distributor networks are central to availability and after-sales support. Facilities with high patient throughput often prioritize pack standardization and reliable replenishment cycles to avoid delays and substitutions.
Hospitals may also evaluate suppliers based on documentation quality and the ability to provide consistent sterile packaging that withstands storage and transport conditions.
Democratic Republic of the Congo
In the Democratic Republic of the Congo, demand is high but access is constrained by infrastructure, logistics complexity, and variable facility resources. Many settings depend on imported supplies, NGO procurement, and intermittent distribution, which can affect product consistency. Single-use sterile kits may be operationally attractive where reprocessing capacity is limited, but supply continuity is a persistent challenge.
In addition to availability, safe disposal pathways for contaminated sharps and instruments can be a limiting factor, influencing whether facilities prefer specific packaging formats or kit-based approaches.
Vietnam
Vietnam’s market is influenced by expanding hospital capacity, growing private healthcare, and increasing expectations around infection prevention and standardization. Procurement mixes domestic suppliers and imports, with distributor reach and regulatory pathways affecting what is available at facility level. Urban hospitals may pursue kit-based standardization, while smaller facilities may purchase instruments separately based on budget and availability.
As hospitals modernize CSSD services, some facilities reassess the single-use vs reusable balance based on labor capacity and reprocessing validation maturity.
Iran
Iran’s medical device market includes both domestic production and import channels, with availability influenced by regulatory processes and supply chain constraints. Demand for basic obstetric instruments is consistent, but procurement pathways can vary between public systems and private facilities. Service and reprocessing capability for reusable instruments differs by facility tier, impacting device selection strategies.
Where imports are constrained, buyers may emphasize maintainability of reusable instruments and local service options for repair and replacement.
Turkey
Turkey has a substantial healthcare manufacturing and distribution ecosystem, serving both domestic demand and, in some segments, export markets (specific products vary by manufacturer). Demand is driven by a large hospital network and ongoing modernization of clinical workflows. Procurement often balances cost, quality documentation, and distributor service capability, with strong urban hospital demand for standardized consumables.
In some segments, local manufacturing capacity can support faster replenishment, but buyers still need to verify consistency of specifications and documentation.
Germany
Germany is associated with high expectations for medical device quality systems, documentation, and standardized sterile processing practices. Demand for Umbilical cord scissors is stable and typically integrated into well-defined obstetric and surgical supply chains. Reusable instrument lifecycle management and validated reprocessing are often strong, and procurement decisions may emphasize total cost, repairability, and traceability.
Sustainability initiatives in some systems can further encourage structured evaluation of reusable vs single-use models based on validated outcomes and lifecycle impacts.
Thailand
Thailand’s demand reflects a strong private hospital sector alongside public healthcare services, with procurement practices ranging from centralized tenders to private distributor contracts. Import dependence exists for many branded products, while local and regional suppliers also serve commodity instruments. Urban hospitals often focus on standardized packs and consistent quality, while rural facilities may prioritize affordability and supply availability.
Private hospitals serving international patient populations may also emphasize packaging quality, labeling clarity, and predictable equivalency to support standardized training and workflow.
Key Takeaways and Practical Checklist for Umbilical cord scissors
- Standardize Umbilical cord scissors specifications across maternity and theater units where possible.
- Choose single-use sterile vs reusable based on CSSD capability, not unit price alone.
- Treat Umbilical cord scissors as sterile at point of use in controlled clinical workflows.
- Reject any sterile pack with torn, wet, or unsealed packaging.
- Confirm sterility indicators and expiration details when provided by the manufacturer.
- Keep a backup sterile instrument available to avoid delays during cutting failure.
- Do not repurpose Umbilical cord scissors for tape, dressings, or packaging cuts.
- Train staff on safe passing techniques to reduce sharps injuries.
- Use a consistent tray layout so the instrument is easy to locate under pressure.
- Inspect blades for alignment, chips, and dullness before use.
- Check hinge action for smooth movement without wobble or grinding.
- Remove reusable instruments from service at the first sign of corrosion.
- Define clear “stop and replace” rules for cutting resistance or slipping.
- Capture lot/pack identifiers when traceability is required by policy.
- Quarantine and report suspected device defects rather than silently discarding them.
- Trend complaints by brand, lot, and distributor to identify recurring issues.
- Align procurement specs with local regulatory registration requirements.
- Require suppliers to provide clear labeling for single-use versus reusable status.
- Validate sterilization compatibility for reusable devices using the IFU.
- Ensure CSSD can effectively clean hinge areas and serrations if present.
- Avoid chlorine-containing chemicals unless explicitly permitted by the IFU.
- Transport used reusable instruments in closed, leak-resistant containers.
- Prevent dried soil by following point-of-use containment procedures.
- Build incoming inspection checks into stores receiving for high-volume consumables.
- Include Umbilical cord scissors in delivery kits to reduce missing-item events.
- Define disposal routes for single-use instruments per local infectious waste policy.
- Verify distributor substitution rules to prevent unapproved product swaps.
- Use competency sign-offs for new staff and rotating staff in maternity units.
- Keep procurement and clinical teams aligned on acceptable equivalents.
- Document reprocessing loads and tray IDs to support recall readiness.
- Audit sterile storage conditions to prevent packaging damage in stores.
- Establish repair/sharpening criteria for reusable scissors where applicable.
- Separate cord-cutting instruments from suture scissors to reduce misuse.
- Integrate device checks into pre-procedure checklists for delivery rooms.
- Ensure rural and outreach sites have a reliable replenishment plan to prevent stock-outs.
- Evaluate total cost of ownership, including reprocessing labor and failure rates.
- Include infection prevention stakeholders in product changes and evaluations.
- Prefer suppliers who can support complaint handling with timely documentation.
- Run periodic observational audits to catch workflow drift and unsafe shortcuts.
Additional checklist items that many facilities find useful once the basics are stable:
- Define acceptable blade length and curvature in procurement specs to avoid “equivalent” substitutions that change ergonomics.
- Specify whether serrations are required (and on which blade) to match local preference and reduce slipping complaints.
- Use FEFO stock rotation (first-expire, first-out) for sterile single-use packs where expiration dates apply.
- Store sterile packs away from heavy compression to reduce micro-tears and seal failures over time.
- For reusable inventory, set a routine joint tension and alignment check interval (for example, monthly or per load volume).
- Ensure complaint reports include photos of packaging damage or corrosion when possible to speed supplier investigations.
- Keep “training stock” clearly separated from clinical stock to prevent accidental use of non-sterile training instruments.
- When introducing a new supplier, run a short pilot evaluation with CSSD and end users before full conversion.
- Maintain a clear plan for product holds and recalls, including who pulls stock and how affected wards are notified.
- Include cord scissors performance in periodic maternity pack audits (missing items, wrong items, substitutions, and expired stock).
If you are looking for contributions and suggestion for this content please drop an email to info@mymedicplus.com