All are items that are best cleaned by manual cleaning except:

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Manual cleaning is often preferred for certain types of medical instruments and devices that require careful handling and thorough cleansing to ensure they are free of contaminants. Among the types of items listed, difficult-to-reach areas are typically addressed more effectively with mechanical means, like ultrasonic cleaners or automated washers, because these methods can ensure that all surfaces of the device are properly cleaned without the risk of damaging the integrity of complex or lumened instruments.

Powered equipment and lumened devices often require manual cleaning due to their intricate designs and the need for thorough attention to detail. Additionally, complex instruments, which can have multiple parts and intricate designs requiring precise cleaning techniques, also benefit from the careful approach that manual cleaning provides.

In contrast, difficult-to-reach areas of an item might not lend themselves well to manual cleaning methods. The design of many cleaning devices and cleaning solutions is optimized to address these areas more efficiently through mechanical or automated processes, thereby ensuring a more thorough clean without the potential for human error that can come with manual methods.

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