Sterilizing surgical tools is extremely expensive, and not good enough. You can sterilize some tools, for some purposes, but usually that doesn’t remove all contaminants.
So surgical tools are instead produced for single time use, and after that recycled, to ensure they’re always sterile.
They are much harder to sterilize, and autoclaves don't work. Ideally you'd dispose all tools exposed to prions, but if that's infeasible, the CDC recommends an autoclave in a bath of NaOH.