Step 2: Press push button located on side and keep it held down. Then
open handle completely (slight resistance will be present).
Step 3: Insert is now disengaged from handle and may be removed by
grasping distal end and pulling from shaft.
Step 4: For handles with rotation: Hold rotating wheel in place, loosen
screw connection nut, then separate shaft from handle. For handles
without rotation: Hold handle in place, loosen screw connection nut,
then separate shaft from handle.
B. RE-ASSEMBLY
Step 1: For handles with rotation: Screw shaft with connection nut to
handle's rotating wheel while holding rotating wheel in a fixed position.
For handles without rotation: Screw shaft with connection nut to handle
while holding handle in a fixed position.
Step 2: For handles with ratchets: Push gold-plated lever down to
detach/disassemble ratchet connection. For handles without ratchets:
Go directly to Step 3.
Step 3: Slide insert into shaft while jaw is in the closed position. Handle
must remain in the most open position. At distal end, align both pins
of the insert with the two slots on the shaft. Press insert into shaft until
you feel resistance. Continue pushing insert in until push button on side
unlatches and a slight audible first click is heard.
Closed
Most open
Step 4: Close handle against resistance until insert engages into shaft
and an audible second click is heard.
Click
INSPECTION OF ALL INSTRUMENTS
Instruments must be thoroughly inspected upon receipt and prior to
use to assure proper functioning. Failure to make a complete inspection
to assure proper operation and function of instrument may result in
unsatisfactory performance.
HANDLING AND OPERATING INSTRUMENTS
Instruments should be handled and operated by personnel completely
familiar with their use, assembly and disassembly.
Before a new instrument is used and prior to each surgical procedure,
instrument must be decontaminated, lubricated and sterilized.
DO NOT use instrument if it does not appear to be functioning properly.
Use of an instrument for a task other than that for which it is intended
could result in a damaged or broken instrument, or one which provides
an unsatisfactory performance.
In order to insure warranties and guarranties, instruments in need of
repair should be sent to Integra.
DECONTAMINATION AND STERILIZATION PROCEDURES
Personnel should follow accepted guidelines as recommended in ANSI/
AAMI ST79:2006, A1:2008, A2:2009 - Comprehensive guide to steam
sterilization and sterility assurance in health care facilities.
Instruments must be rendered safe for handling, inspection and
assembly by wearing appropriate personal protection equipment (PPE)
as promulgated by OSHA & AORN.
Sterilization is a two step process involving thorough cleaning, rinsing
and decontamination and then terminal sterilization:
1) Decontamination is a thorough cleaning and rinsing using physical
or chemical means to remove, inactivate, or destroy blood-borne
pathogens so they are no longer capable of transmitting infectious
particles and render instrument safe for handling or disposal.
2) Sterilization is a validated process to render an instrument free from
viable microorganisms.
PRECLEANING: Remove gross debris from surgical instruments with
a lap sponge and sterile water routinely during procedure to prevent
drying on of blood and body fluids, etc.
NOTE: Perform "A. Manual Decontamination" or "B. Mechanical
Decontamination," followed by "C. Terminal Sterilization" instructions.
A. MANUAL DECONTAMINATION
CLEANING: Cleaning should occur as soon as possible after
instrumentation is used.
Step 1: Maintain moisture: Immediately after surgical procedure, place
instruments in an instrument tray/container and saturate all surfaces for
five (5) minutes with a pre-cleaning enzymatic spray. Foam, spray or
gel products, specifically intended for use with surgical instruments, are
available to keep soil moist.
Step 2: Rinse: Thoroughly rinse instrument with distilled water for two
(2) minutes to remove pre-cleaning products.