Johnson & Johnson accuratus swiss Información Importante página 3

A. Manual • Clean delicate (microsurgical) instruments separately from other instruments.
Cleaning: ALL
• Prepare an enzymatic neutral pH cleaning solution in accordance with the manufacturer's
INSTRUMENTS
instructions.
• Soak soiled instruments per manufacturer's instructions (minimum of 5 minutes) in the
enzymatic solution.
• Use a soft bristle brush to remove all traces of blood and debris; pay close attention to any hard-
to-reach areas, textured surfaces, or crevices. 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. Rinse the instrument thoroughly with warm tap water.
• Dry the instrument immediately after final rinse.
B. Manual • Follow the steps in Section A. Manual Cleaning – ALL INSTRUMENTS.
Cleaning –
• When cleaning, use a tight-fitting, soft, non-metallic cleaning brush or pipe cleaner to scrub the
Instruments
cannula, lumen, or hole. Push in and out, using a twisting motion to remove debris. Use a syringe
with cannulas, filled with enzymatic neutral pH cleaning solution to flush hard to reach internal areas.
lumens or holes
• When rinsing, flush the cannulations, lumens, or holes with warm tap water.
• Dry internal areas with filtered compressed air.
C. Manual • Follow the steps in Section A. Manual Cleaning – ALL INSTRUMENTS.
Cleaning –
• Immerse the instrument in the neutral pH cleaning solution to avoid aerosol generation. Actuate
Articulating
moveable mechanisms, such as hinges, box locks, or spring-loaded/retractable features. For
Instruments instruments with flexible shafts, bend or flex the instrument under the neutral pH cleaning
(moveable parts)
solution while brushing the flexible areas.
• Actuate and/or retract moveable parts while rinsing. For instruments with flexible shafts, flex the
instrument while rinsing. Dry internal areas with filtered compressed air.
Automated
• For complex instruments, as described in Manual Cleaning sections B. and C. above, it is necessary
Cleaning
to manually clean prior to automated processing to improve the removal of soil.
• Clean, using the " INSTRUMENTS" cycle in a validated washer disinfector and a pH neutral cleaning
agent intended for use in automated cleaning. The cleaning cycle should incorporate enzymatic
pre-wash, wash, rinse, thermal rinse, and drying steps.
• Load instruments so that hinges are open and cannulations, holes, and concave surfaces can
drain.
• Place heavier instruments on the bottom of containers. Do not place heavy instruments on top
of delicate instruments.
Inspection and
• Inspect all instruments before sterilization or storage to ensure the complete removal of soil.
Functional • If areas are difficult to inspect visually, apply a 3% hydrogen peroxide solution. If bubbling is
Testing observed, blood is present. Rinse instruments thoroughly after using hydrogen peroxide
solution. If soil is still present, re-clean the instrument.
• Visually inspect the instrument and check for damage and wear. Cutting edges should be free of
nicks and have a continuous edge, jaws and teeth should align properly, moveable parts should
have smooth movement, locking mechanisms should fasten securely; long, thin instruments
should be free of bending and distortion.
Disinfection • Instruments must be terminally sterilized prior to surgical use. Re-assemble instrument (if
applicable), prior to sterilization, in accordance with the disassembly/re-assembly instructions
provided with the instrument. See Sterilization instructions.
Maintenance • Lubricate moving parts with a water-soluble lubricant per the manufacturer's instructions.
• Lubrication should be performed after cleaning but before sterilization.
Packaging • If desired, use instrument trays to contain instruments that are provided in sets.
• Wrap instruments in accordance with local procedures, using standard wrapping techniques.
• Label the contents of the wrapped tray using an indelible marker or other sterilization
compatible label system.
4