Preparations At The Place Of Use; Preparation Before Cleaning - Braun Aesculap AdTec mini Instrucciones De Manejo/Descripción Técnica

Preparations at the place of use

►
If applicable, rinse non-visible surfaces preferably with deionized water, with a disposable syringe for example.
►
Remove any visible surgical residues to the extent possible with a damp, lint-free cloth.
►
Transport the dry product in a sealed waste container for cleaning and disinfection within 6 hours.

Preparation before cleaning

►
Dismantle the product prior to cleaning, see Disassembling.
Cleaning/disinfection
Product-specific safety notes on the reprocessing procedure
Damage to the product due to inappropriate cleaning/disinfecting agents and/or
excessive temperatures!
►
Use cleaning and disinfecting agents according to the manufacturer's instruc-
tions which
CAUTION
– are approved for the material in question (e.g., aluminum, plastics, high-
grade steel),
►
Observe specifications regarding concentration, temperature and exposure
time.
►
Do not exceed the maximum permitted cleaning temperature of 93 °C.
Immersion treatment in a 3 % H O solution for approx. 5 minutes is a particularly effective and gentle method to
2 2
dissolve encrustations from HF instruments. Subsequently, the debris can be removed by hand, with a medium-hard
brush and or in an ultrasonic bath. This is followed by the conventional reprocessing steps.
►
Use suitable cleaning/disinfecting agents if the product is put away in a wet condition. To prevent foam forma-
tion and reduced effectiveness of the process chemicals: Prior to mechanical cleaning and disinfection, rinse the
product thoroughly with running water.
►
Carry out ultrasound cleaning:
– as an effective mechanical supplement to manual cleaning/disinfection.
– as a pre-cleaning procedure for products with encrusted residues, in preparation for mechanical cleaning/
disinfection.
– as an integrated mechanical support measure for mechanical cleaning/disinfection.
– for additional cleaning of products with residues left after mechanical cleaning/disinfection.
Validated cleaning and disinfection procedure
Validated procedure Specific requirements
■
Manual cleaning with immersion
Cleaning brush, e.g., GK469200
disinfection
■
20 ml disposable syringe
■
Handle
■
When cleaning products with
movable hinges, ensure that
these are in an open position
and, if applicable, move the
joint while cleaning.
■
Drying phase: Use a lint-free
cloth or medical compressed air
■
Manual cleaning with ultrasound
Cleaning brush, e.g., GK469200
and immersion disinfection
■
20 ml disposable syringe
■
Shafts
■
When cleaning instruments
with movable hinges, ensure
that these are in an open posi-
tion and, if applicable, move
the joint while cleaning.
■
Drying phase: Use a lint-free
cloth or medical compressed air
■
Mechanical alkaline cleaning and
Place the instrument in a tray
thermal disinfection
that is suitable for cleaning
■
(avoiding rinsing blind spots).
Handle
■
Connect components with
lumens and channels directly to
the rinsing port of the injector
carriage.
■
Keep working ends open for
cleaning.
■
Place instruments in the tray
with their hinges open.
■
Manual pre-cleaning with brush
Cleaning brush, e.g., GK469200
and subsequent mechanical alka-
■
20 ml disposable syringe
line cleaning and thermal disinfec-
■
tion
Place the instrument in a tray
■
that is suitable for cleaning
Shafts
(avoiding rinsing blind spots).
■
Connect components with
lumens and channels directly to
the rinsing port of the injector
carriage.
■
Keep working ends open for
cleaning.
■
Place instruments in the tray
with their hinges open.
Reference
Chapter Manual cleaning/disinfec-
tion and sub-chapter:
■
Chapter Manual cleaning with
immersion disinfection
Chapter Manual cleaning/disinfec-
tion and sub-chapter:
■
Chapter Manual cleaning with
ultrasound and immersion dis-
infection
Chapter Mechanical cleaning/dis-
infecting and sub-chapter:
■
Chapter Mechanical alkaline
cleaning and thermal disinfect-
ing
Chapter Mechanical cleaning/dis-
infection with manual pre-clean-
ing and sub-chapter:
■
Chapter Manual pre-cleaning
with a brush
■
Chapter Mechanical alkaline
cleaning and thermal disinfect-
ing
Manual cleaning/disinfection
►
Prior to manual disinfecting, allow water to drip off for a sufficient length of time to prevent dilution of the dis-
infecting solution.
►
After manual cleaning/disinfection, check visible surfaces visually for residues.
►
Repeat the cleaning /disinfection process if necessary.
Manual cleaning with immersion disinfection
Phase Step T
[°C/°F]
I Disinfecting RT (cold)
cleaning
II Intermediate RT (cold)
rinse
III Disinfection RT (cold)
IV Final rinse RT (cold)
V Drying RT
D–W: Drinking water
FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water quality
at least)
RT: Room temperature
*Recommended: BBraun Stabimed
►
Note the information on appropriate cleaning brushes and disposable syringes, see Validated cleaning and dis-
infection procedure.
Phase I
►
Fully immerse the product in the cleaning/disinfectant for at least 15 min. Ensure that all accessible surfaces are
moistened.
►
Clean the product with a suitable cleaning brush in the solution until all discernible residues have been removed
from the surface.
►
If applicable, brush through non-visible surfaces with an appropriate cleaning brush for at least 1 min.
►
Mobilize non-rigid components, such as set screws, links, etc. during cleaning.
►
Thoroughly rinse through these components with the cleaning disinfectant solution (at least five times), using a
disposable syringe.
Phase II
►
Rinse/flush the product thoroughly (all accessible surfaces) under running water.
►
Mobilize non-rigid components, such as set screws, joints, etc. during rinsing.
►
Drain any remaining water fully.
Phase III
►
Fully immerse the product in the disinfectant solution.
►
Mobilize non-rigid components, such as set screws, joints, etc. during rinsing.
►
Rinse lumens at least 5 times at the beginning of the exposure time using an appropriate disposable syringe.
Ensure that all accessible surfaces are moistened.
Phase IV
►
Rinse/flush the product thoroughly (all accessible surfaces).
►
Mobilize non-rigid components, such as set screws, joints, etc. during final rinse.
►
Rinse lumens with an appropriate disposable syringe at least five times.
►
Drain any remaining water fully.
Phase V
►
Dry the product in the drying phase with suitable equipment (e.g. cloth, compressed air), see Validated cleaning
and disinfection procedure.
Manual cleaning with ultrasound and immersion disinfection
Phase Step T
[°C/°F]
I Ultrasonic RT (cold)
cleaning
II Intermediate RT (cold)
rinse
III Disinfection RT (cold)
IV Final rinse RT (cold)
V Drying RT
D–W: Drinking water
FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water quality
at least)
RT: Room temperature
*Recommended: BBraun Stabimed
►
Note the information on appropriate cleaning brushes and disposable syringes, see Validated cleaning and dis-
infection procedure.
Phase I
►
Clean the product in an ultrasonic cleaning bath (frequency 35 kHz) for at least 15 min. Ensure that all accessible
surfaces are immersed and acoustic shadows are avoided.
►
Clean the product with a suitable cleaning brush in the solution until all discernible residues have been removed
from the surface.
►
If applicable, brush through non-visible surfaces with an appropriate cleaning brush for at least 1 min.
►
Mobilize non-rigid components, such as set screws, links, etc. during cleaning.
►
Thoroughly rinse through these components with the cleaning disinfectant solution (at least five times), using a
disposable syringe.
Phase II
►
Rinse/flush the product thoroughly (all accessible surfaces) under running water.
►
Mobilize non-rigid components, such as set screws, joints, etc. during rinsing.
►
Drain any remaining water fully.
t Conc. Water Chemical
[%] quality
[min]
>15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
1 - D–W -
15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
1 - FD-W -
- - - -
t Conc. Water Chemical
[%] quality
[min]
>15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
1 - D–W -
15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
1 - FD-W -
- - - -