Avoid exposing instruments to hypochlorite solutions, as
these will promote corrosion.
Clean delicate instruments separately from other
instruments.
Repeated processing has minimal effects on instrument
life and function.
End of useful instrument life is generally determined by
wear or damage from handling or surgical use. Inspect
instruments between uses to verify proper functioning.
(See "Inspection and Functional Testing" instructions
below.)
CLEANING AND STERILIZATION INSTRUCTIONS
These cleaning and sterilization instructions have been
validated for preparing reusable DePuy Mitek instruments
for reuse. It is the responsibility of the end user to ensure
that the cleaning and sterilization is actually performed
using appropriate equipment, materials, and personnel
to achieve the desired result. This normally requires
validation and routine monitoring of the process. Any
deviation from these instructions should be evaluated for
effectiveness and potential adverse consequences.
PREPARATION
• Clean instruments as soon as possible after use. If
cleaning must be delayed, wet the instruments in
a compatible liquid solution to prevent drying and
encrustation of surgical soil.
• Avoid prolonged exposure to saline to minimize the
chance of corrosion.
• Remove excessive soil with a disposable wipe.
Prior to sterilization, instruments should be cleaned by
either automated or manual means described below.
AUTOMATED CLEANING
Instrument types with such complex design features as
cannulations, lumens, (i.e. tubes), holes, hinged joints,
box locks, spring-loaded retractable features, or flexible
shafts; must be manually pre-cleaned prior to automated
cleaning to improve the removal of adherent soil.
Manual Pre-Cleaning Instructions
• Flush internal areas with a warm detergent solution.
Pay close attention to lumens, cannulations,
holes, threads, crevices, seams, and any hard to
reach areas. While flushing, actuate any moveable
mechanisms, (hinged joints, box locks, or spring-
loaded features), to free trapped blood and debris. If
the components of the instrument can be retracted,
retract or open the part while flushing the area.
• For instruments with flexible shafts, flex the instrument
while flushing.
• For instruments with lumens, brush the internal
surfaces of the lumen.
• Rinse the instrument thoroughly with warm tap water.
• Ultrasonically clean the instrument for 10 minutes in
neutral pH detergent, prepared in accordance with the
manufacturer's instructions.
Loading Instructions
• Load instruments into washer disinfector so that
hinges are open and cannulations and holes can
drain.
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