CLEANING AND DECONTAMINATION
As with any decontamination procedure, personnel should follow accepted guidelines for hand
washing, the use of protective attire, etc. as recommended by A.A.M.I. Standards and Recommended
Practice ANSI/AAMI ST79:2010.
CAUTION: During this cleaning / decontamination process, the dermatome is to be partially
disassembled by removal of the guard plate from the unit's cutting head and removal of the cutting
head from the hand piece. With these components removed, certain features of the dermatome that
are critical to its proper operation are exposed. Therefore, extra care must be exercised when handling
the dermatome components in this state to protect them from physical damage. The critical features
of the dermatome components include the oscillating pin and drive shaft of the motor housing, the
blade nest and leading edge of the cutting head, and the edge of the guide bar. Only remove the
components as instructed below. Further disassembly of the instrument is likely to cause
permanent damage. The dermatome contains no user serviceable parts and must be returned to an
approved Integra Padgett Dermatome repair center for repair and maintenance.
CUTTING HEAD REMOVAL (For models equipped with removable head).
Only remove the dermatome's cutting head to perform the cleaning and decontamination process.
Use the dermatome wrench (3539-702) provided to disassemble the two hex nuts located on the
motor housing's flange. Tip the motor housing to create sufficient clearance between the motor shaft
and the opening in the blade bed of the cutting head so that the motor housing freely slides out of the
cutting head. Forcibly removing the motor housing from the cutting head may cause permanent
damage.
A. PRECLEANING
Remove width clip and width clip screw fasteners. Carefully remove the single-use dermatome
blade (CAUTION: Blade is sharp). Dispose of dermatome blade as per your institutions' protocol
regarding the handling and disposal of sharps. Remove any apparent debris from dermatome,
width clip, and power cord with a lap sponge and sterile water to prevent drying of blood and
body fluids.
B. CLEANING AND DECONTAMINATION
To prevent the formation of biofilm, cleaning should occur as soon as possible after dermatome use.
1.
Maintain Moisture: Immediately after the surgical procedure, place the dermatome
hand piece, width clip, guard, and screw fasteners in an instrument container and apply
a transport foam or gel product (e.g., Steris PRE-Klenz®) specifically intended to keep
soil moist on surgical instruments. Also introduce some of the foam or gel product into
the oscillating pin recess of the cutting head. Transport the tray containing the soiled
dermatome in an impervious plastic bag or container to the decontamination environment.
Keep the outside of the container clean.
2.
Enzymatic Soak: Prepare an enzymatic detergent solution (e.g., ASP® ENZOL®) as per the
manufacturer's recommendation. Remove the two hex nuts fastening the dermatome's
cutting head to the motor housing. Immerse only the dermatome's cutting head, width clips,
guard, and screw fasteners in the enzymatic solution. Do not immerse the dermatome's
motor housing. Immersion of the motor housing can cause permanent damage to its
electrical components.
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