Multi-Tiered Enzymatic Detergent with Advanced Proteolytic Action and Rust Inhibitors - Specifically Designed for use in all Washer, Washer Sterilizers, Ultrasonics and Manual Cleaning. ENDOZIME AW TRIPLE PLUS is a unique formulation of protease, amylase, lipase, carbohydrase and proprietary enzymes with A.P.A. (Advanced Proteolytic Action) which removes all bio-burden and inhibits rust. A.P.A. is the latest enzymatic breakthrough developed by Ruhof Healthcare that greatly increases protein enzyme activity to provide a faster more thorough penetration into hard-to-reach places on surgical instruments and scopes. Recommended for reprocessing of all instruments - from the most difficult to clean to the most delicate - ENDOZIME AW TRIPLE PLUS now has biological additives that speed the process of liquefaction and solubilization, facilitating enzymatic action and contributing to the products superior effectiveness. ENDOZIME AW TRIPLE PLUS reduces film build-up left by some non-glutaraldehyde high-level disinfectants.