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58

Chapter 3 Cleaning, Disinfection and Sterilization Procedures

EVIS EXERA GIF/CF/PCF TYPE 160 Series REPROCESSING MANUAL

3.9

Cleaning, disinfection and sterilization

procedures for reusable parts and reprocessing

equipment

This section includes the cleaning, disinfection and sterilization procedures for
the reusable parts and reprocessing equipment listed below. For all other parts,
refer to their respective instruction manuals. For compatible reprocessing
methods, refer to Section 2.1, “Compatibility summary”.

Equipment needed



Reusable parts which are normally reprocessed with the
endoscope

• Personal protective equipment
• Soft brush
• Large basin
• Detergent solution
• Clean water (for non-sterile water rinse)
• Clean, lint-free cloths
• Disinfectant solution
• Sterile water (for sterile water rinse)
• Sterile, lint-free cloths
• Small container
• 70% ethyl or isopropyl alcohol

• 30 cm

3

(30 ml) syringe

• Channel plug

(MH-944)

• Injection tube

(MH-946)

• Water-resistant cap

(see Table 1.1)

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Summary of Contents for CF Q160AL/I

Page 1: ... of a physician INSTRUCTIONS EVIS EXERA GASTROINTESTINAL VIDEOSCOPE OLYMPUS GIF TYPE XP160 OLYMPUS GIF TYPE 160 OLYMPUS GIF TYPE Q160 OLYMPUS GIF TYPE Q160Z OLYMPUS GIF TYPE 1TQ160 OLYMPUS GIF TYPE XTQ160 EVIS EXERA COLONOVIDEOSCOPE OLYMPUS CF TYPE Q160L I OLYMPUS CF TYPE Q160AL I OLYMPUS CF TYPE Q160ZL I OLYMPUS CF TYPE Q160DL I OLYMPUS PCF TYPE 160AL I EVIS EXERA SIGMOIDOVIDEOSCOPE OLYMPUS CF TY...

Page 2: ......

Page 3: ...rilization autoclaving of accessories 12 Chapter 3 Cleaning Disinfection and Sterilization Procedures 14 3 1 Required reprocessing equipment 14 3 2 Cleaning disinfection and sterilization procedures 24 3 3 Precleaning 25 3 4 Leakage testing 31 3 5 Manual cleaning 37 3 6 High level disinfection 50 3 7 Rinsing after high level disinfection 52 3 8 Sterilization 56 3 9 Cleaning disinfection and steril...

Page 4: ...Contents ii EVIS EXERA GIF CF PCF TYPE 160 Series REPROCESSING MANUAL ...

Page 5: ...ERA GIF CF PCF TYPE 160 Series REPROCESSING MANUAL Symbols The meaning s of the symbol s shown on the back cover of this instruction manual are as follows Manufacturer Authorized representative in the European Community ...

Page 6: ...cal literature reports incidents of patient cross contamination resulting from improper cleaning disinfection or sterilization It is strongly recommended that reprocessing personnel have a thorough understanding of and follow all national and local hospital guidelines and policies A specific individual or individuals in the endoscopy unit should be responsible for reprocessing endoscopic equipment...

Page 7: ...es from one patient to another after each examination the endoscope must undergo thorough manual cleaning followed by high level disinfection or sterilization ALL channels of the endoscope including auxiliary water channel where fitted MUST be cleaned and high level disinfected or sterilized during EVERY reprocessing cycle even if the channels were not used during the previous patient procedure Ot...

Page 8: ...scope If you are uncertain as to the ability of your endoscope reprocessor to clean and high level disinfect endoscope including all channels contact the endoscope reprocessor supplier for specific instructions and or connectors Patient debris and reprocessing chemicals are hazardous Wear personal protective equipment to guard against dangerous chemicals and potentially infectious material During ...

Page 9: ...the durability against each method please contact Olympus If cleaning disinfection and sterilization methods not stated in this instruction manual are performed Olympus cannot guarantee the effectiveness safety and durability of this instrument Make sure to confirm that there is no abnormality before use and use under responsibility of a physician Do not use if any abnormality is found When aerati...

Page 10: ...tube is set to the softest condition indicated by the mark on the flexibility adjustment ring before immersing the endoscope in cleaning disinfectant solution If the endoscope is cleaned and disinfected or sterilized while the insertion tube is stiff the endoscope may be damaged Endoscope models Water resistant cap CF Q160ZL I MH 553 MAJ 583 CF Q160DL I MH 553 MAJ 942 Other MH 553 Table 1 1 ...

Page 11: ...ompatibility summary Olympus endoscopic equipment is compatible with several methods of reprocessing Certain components and accessories however are not compatible with some methods which can cause equipment damage For appropriate reprocessing methods refer to Table 2 1 below the recommendations of your infection control committee and all national and local hospital guidelines and policies ...

Page 12: ... Endoscope Water resistant cap MH 553 Water resistant cap MAJ 583 Water resistant cap MAJ 942 Forceps suction plug T plug MH 405 Channel cleaning brush BW 17K BW 20T Channel opening cleaning brush MH 507 Air water valve MH 438 Suction valve MH 443 Channel plug MH 944 Injection tube MH 946 Suction cleaning adapter MH 856 AW channel cleaning adapter MH 948 Mouthpiece MB 142 MA 474 Biopsy valve MB 35...

Page 13: ...sed to achieve high level disinfection are defined as liquid chemical germicides registered with the U S Food and Drug Administration as sterilant disinfectants which are used according to the time temperature and dilution recommended by the disinfectant manufacturer for achieving high level disinfection These conditions usually coincide with those recommended by the disinfectant manufacturer for ...

Page 14: ...s used after disinfection wipe the endoscope and flush the channels with 70 ethyl or isopropyl alcohol then air dry all internal channels to inhibit the growth of residual bacteria Do not reuse rinsing water 2 5 ETO gas sterilization This instrument and other accessories listed as compatible with ethylene oxide ETO gas sterilization in Table 2 1 can be sterilized by ETO gas and aerated within the ...

Page 15: ... facility as well as the instruction manual of the sterilization device All instruments must be properly aerated following ETO gas sterilization to remove toxic ethylene oxide residuals Exceeding the recommended parameters may cause equipment damage When reprocessing EVIS videoscope models remove the water resistant cap before ETO gas sterilization see Figures 2 1 and 2 2 Repeated ETO gas steriliz...

Page 16: ...thod of placing and loading of the instrument in the sterilization device Please verify the sterilization effects by using biological or chemical indicators Also follow the guidelines for sterilization issued by medical administrative authorities public organizations or the infection management sections at each medical facility as well as the instruction manual of the sterilization device Exceedin...

Page 17: ...ry within the autoclave using the autoclave s drying cycle if available or by opening the door of the autoclave and allowing the packages to air dry Handling a wet package can compromise its sterility Process Parameters Prevacuum Temperature 132 134 C 270 274 F Exposure time 5 minutes Table 2 3 Steam sterilization autoclaving exposure parameters ...

Page 18: ...ion of the endoscope may pose an infection control risk to the patient and or operators performing the next procedure with the endoscope 3 1 Required reprocessing equipment Preparation of the equipment Prior to cleaning disinfection or sterilization prepare the equipment shown in Figure 3 1 Use basins which are at least 40 cm by 40 cm 16 by 16 in size and deep enough to allow the endoscope to be c...

Page 19: ... basins with tight fitting lids for detergent and disinfectant solution Clean lint free cloths 500 cm3 500 ml container Water resistant cap MH 553 Water resistant cap MAJ 583 for CF Q160ZL I only Water resistant cap MAJ 942 for CF Q160DL I only Channel opening cleaning brush MH 507 Channel cleaning brush BW 20T BW 17K for GIF XTQ160 only Biopsy valve MB 358 Channel plug MH 944 Suction cleaning ada...

Page 20: ...al connector on the endoscope to protect the connector from water penetration during reprocessing For leakage testing the venting connector on the water resistant cap must be connected to the leakage tester see Figure 3 2 Figure 3 2 Water resistant cap MAJ 583 for CF Q160ZL I only The water resistant cap MAJ 583 is attached to the zoom connector on the endoscope to protect the connector from water...

Page 21: ...the UPD scope connector on the endoscope to protect the connector from water penetration during reprocessing The water resistant cap is connected to the endoscope by a chain see Figure 3 4 Figure 3 4 Channel plug MH 944 The channel plug is used to plug the openings of the instrument channel port air water and suction cylinders during cleaning see Figure 3 5 Figure 3 5 Seal Thread Chain Biopsy valv...

Page 22: ...s to expel fluids see Figure 3 6 Figure 3 6 Auxiliary water tube MAJ 855 for endoscopes with auxiliary water feeding only The auxiliary water tube is used to inject detergent solution disinfectant solution water and alcohol into the auxiliary water channel and to flush air through the channel to expel fluids see Figure 3 7 Figure 3 7 Suction channel tube Notice card Connector plug Air pipe port Ai...

Page 23: ... brush is used to brush the inside of the instrument suction channels and the holes in the air water and suction valves see Figure 3 8 Figure 3 8 Channel opening cleaning brush MH 507 The channel opening cleaning brush is used to brush the external surface of the distal end of the endoscope the suction cylinder and the instrument channel port see Figure 3 9 Figure 3 9 Metal tip ...

Page 24: ...rocessing fluids from the distal end of the endoscope through the instrument channel see Figure 3 10 Figure 3 10 AW channel cleaning adapter MH 948 During precleaning the AW channel cleaning adapter is connected to the air water cylinder When the adapter is depressed water is fed through the air water nozzle Air is continuously fed when the adapter is not depressed see Figure 3 11 Figure 3 11 Weig...

Page 25: ... the water resistant cap is free from scratches flaws and debris 3 Check the venting connector for looseness Inspection of the water resistant cap MAJ 583 for CF Q160ZL I only 1 Confirm that the inside of the water resistant cap is dry and free from debris see Figure 3 3 2 Confirm that the seal of the water resistant cap is free from scratches flaws and debris 3 Confirm that the thread of the wate...

Page 26: ...is emitted from the air pipe port Confirm that water is not emitted from the suction port 4 Attach the 30 cm3 30 ml syringe to the suction channel port With the filter mesh immersed in rinsing water withdraw the syringe plunger and confirm that rinsing water is drawn into the syringe Depress the plunger and confirm that rinsing water is emitted from the distal end of the suction channel tube Confi...

Page 27: ...ng brush 1 Check for loose or missing bristles see Figure 3 9 2 Check for debris on the shaft and or in the bristles of the brush Inspection of the suction cleaning adapter Check for cracks scratches flaws debris and other damage see Figure 3 10 Inspection of the AW channel cleaning adapter Check for cracks scratches flaws debris and other damage see Figure 3 11 ...

Page 28: ...disinfection and sterilization procedures Endoscope reprocessing summary chart Withdrawal of the endoscope Precleaning Section 3 3 Leakage testing Section 3 4 Manual cleaning Section 3 5 High level disinfection Section 3 6 Rinsing after high level disinfection Section 3 7 ETO gas sterilization Section 3 8 Storage and Disposal Chapter 5 ...

Page 29: ...mediately precleaned residual organic debris will begin to solidify and it may be difficult to effectively reprocess the endoscope Turn the endoscope s illumination OFF immediately after the examination The temperature at the distal end of an illuminated endoscope may exceed 41 C 106 F and reach 50 C 122 F due to intense endoscopic illumination Surface temperature above 41 C 106 F may cause burns ...

Page 30: ...ertion tube with a clean lint free cloth soaked in detergent solution Wipe from the boot at the control section toward the distal end Aspirate detergent solution Monitor the suction bottle on the suction pump carefully to ensure that it does not overflow Otherwise suction pump damage could result 1 Turn the suction pump and the light source ON 2 Immerse the distal end of the insertion tube in dete...

Page 31: ... cleaning adapter Lubricants may cause malfunction of the AW channel cleaning adapter 1 Prepare clean water in a 500 cm3 500 ml container except for GIF XTQ160 2 Prepare clean water in a 1000 cm3 1000 ml container for GIF XTQ160 only 3 Switch OFF the airflow regulator on the light source 4 Remove the air water valve from the endoscope and place it in a container of detergent solution see Figure 3 ...

Page 32: ...the airflow regulator to maximum output HIGH or 3 7 Immerse the distal end of the insertion tube in the water see Figure 3 14 8 Depress the AW channel cleaning adapter to feed water through the channels for 30 seconds Release the valve to feed air through the channels for 10 seconds or more see Figure 3 14 Figure 3 14 9 Turn the light source and EVIS video system center OFF AW channel cleaning ada...

Page 33: ...water feeding attach the auxiliary water inlet cap to the auxiliary water inlet and open the cap see Figure 3 15 1 Immerse the distal end of the insertion tube in the water 2 Using the 30 cm3 30 ml syringe slowly flush detergent solution through the auxiliary water channel several times until no bubbles exit the distal end 3 Using the 30 cm3 30 ml syringe slowly flush water through the auxiliary w...

Page 34: ...dures for reusable parts and reprocessing equipment for endoscopes with auxiliary water feeding only 3 Disconnect the water container s water supply tube from the air water supply connector of the endoscope connector 4 Disconnect the suction tube from the suction connector of the endoscope connector 5 Disconnect the magnification controller cable from the zoom connector of the endoscope connector ...

Page 35: ...cope always attach the water resistant cap If the exterior of the electrical connector is scratched the connector may no longer be waterproof and the seal inside the water resistant cap may be scratched If the electrical connector is scratched send it immediately to Olympus for repairs Never immerse the water resistant cap unless it is attached to the endoscope Water remaining inside the water res...

Page 36: ...or KC TD character see Figure 3 16 b on the water resistant cap with mark 2 on the electrical connector housing 2 Align the pin on the electrical connector with the groove on the water resistant cap 3 Push the water resistant cap into position and rotate it clockwise until it stops approximately 45 Figure 3 16 a OER ETD EW character b KC TD character Mark 2 Mark 2 Rotate Rotate 1 1 2 2 3 3 ...

Page 37: ...urn it clockwise see Figure 3 18 1 and 2 3 Confirm that there is no gap between the zoom connector and the water resistant cap see Figure 3 18 3 Attach the water resistant cap MAJ 942 for CF Q160DL I only The UPD scope connector of the endoscope is not waterproof Before immersing the endoscope always attach the water resistant cap If the seal ring on the UPD scope connector is scratched the UPD sc...

Page 38: ...d Sterilization Procedures EVIS EXERA GIF CF PCF TYPE 160 Series REPROCESSING MANUAL Figure 3 17 Figure 3 18 Seal ring Zoom connector or UPD scope connector Zoom connector or UPD scope connector Water resistant cap No space Assembled 1 2 3 ...

Page 39: ... of the leakage tester s connector cap and the outside of the water resistant cap s venting connector are thoroughly dry Water remaining on either component may penetrate the inside of the water resistant cap MH 553 and could cause endoscope malfunction Detaching the leakage tester s connector cap from the venting connector while the leakage tester is still connected to the light source will not a...

Page 40: ...n the endoscope from which a continuous series of bubbles emerges 6 Remove the endoscope from the basin with the leakage tester attached 7 Turn the maintenance unit or the light source OFF 8 Disconnect the leakage tester from the maintenance unit or the light source Maintenance unit or light source Water resistant cap MH 553 Venting connector Leakage tester s connector cap Leakage tester connector...

Page 41: ...rding to the procedures described below Equipment needed Prepare the following equipment To prevent damage to the endoscope never immerse it together with objects other than the reprocessing accessories Personal protective equipment Soft brush Clean lint free cloths Large basins Detergent solution Clean water Suction pump 30 cm3 30 ml syringe Suction cleaning adapter MH 856 Channel plug MH 944 Inj...

Page 42: ...which is at least 40 cm by 40 cm 16 by 16 in size and deep enough to allow the endoscope to be completely immersed 2 Immerse the endoscope in the detergent solution 3 With the endoscope immersed use a soft brush or lint free cloth to thoroughly brush or wipe all external surfaces of the endoscope Pay particular attention to the air water nozzle opening and ensure that all surfaces of the distal en...

Page 43: ...ft inside the channel of the endoscope by passing a new cleaning brush or other endo therapy accessories through it Any part left in the channel may drop into the patient during the procedure Depending on the location the missing part may not be recoverable by passing a new brush or other endo therapy accessory through the channel In this case contact Olympus Withdraw the channel cleaning brush fr...

Page 44: ...oscope s bending section Grip the channel cleaning brush BW 20T at a point 3 cm from the bristles 2 Insert the channel cleaning brush BW 20T at a 45 angle into the opening located in the side wall of the suction cylinder as illustrated by A in Figure 3 22 Using short strokes feed the brush through the insertion tube until it emerges from the distal end of the endoscope 3 Clean the bristles with yo...

Page 45: ...3 Clean the bristles with your fingertips in the detergent solution Carefully pull the brush out through the channel 4 Clean the bristles in the detergent solution again 5 Repeat until all debris is removed Brushing the suction channel in the universal cord location B Use the channel cleaning brush BW 20T to brush the suction channel in the universal cord If the BW 20T is not used on this endoscop...

Page 46: ...e brush handle touches the channel opening as illustrated by D in Figure 3 22 2 Turn the inserted brush once 3 Pull the brush out and clean the bristles in the detergent solution 4 Repeat until all debris is removed 5 Reprocess the cleaning brushes BW 17K BW 20T and MH 507 as described in Section 3 9 Cleaning disinfection and sterilization procedures for reusable parts and reprocessing equipment A...

Page 47: ...n 3 9 Cleaning disinfection and sterilization procedures for reusable parts and reprocessing equipment Figure 3 23 Figure 3 24 Suction cleaning adapter Weighted end Weighted end Instrument channel port Suction channel Suction cylinder Universal cord Suction connector Suction tube Suction pump Suction bottle Endoscope connector Insertion tube Suction cleaning adapter Instrument channel ...

Page 48: ...Attach the injection tube s connector plug to the air and water supply connectors on the endoscope connector see Figure 3 26 4 Attach the injection tube s air pipe port to the air pipe on the endoscope connector see Figure 3 26 5 Attach the injection tube s suction channel tube to the suction connector on the endoscope connector see Figure 3 26 6 Immerse the suction port of the injection tube in t...

Page 49: ... detergent solution into the air water channel 9 Disconnect the channel plug and injection tube from the endoscope and leave all items immersed Figure 3 27 Biopsy valve cap Channel plug Air channel Air water cylinder Suction cylinder Suction connector Suction port Suction channel port Syringe Water channel Air water nozzle Connector plug Water supply connector Air supply connector Air pipe Injecti...

Page 50: ...etergent solution into the auxiliary water channel 1 Attach the auxiliary water tube to the auxiliary water inlet see Figures 3 28 and 3 29 2 Using the 30 cm3 30 ml syringe inject 90 cm3 90 ml of detergent solution 3 Disconnect the auxiliary water tube from the endoscope and immerse it in detergent solution Figure 3 28 Figure 3 29 Syringe Auxiliary water tube Auxiliary water channel Universal cord...

Page 51: ...to the injection tube s air water channel port and inject 90 cm3 90 ml of clean water into the air water channel see Figure 3 27 3 Attach the 30 cm3 30 ml syringe to the suction channel port and inject 90 cm3 90 ml of clean water into the suction channel see Figure 3 30 4 Attach the auxiliary water tube to the auxiliary water inlet for endoscopes with auxiliary water feeding only 5 Attach the 30 c...

Page 52: ...ary water feeding only Figure 3 30 Dry external surfaces 1 Using a clean lint free cloth thoroughly wipe and dry the external surfaces of the endoscope channel plug and injection tube 2 Inspect the endoscope for residual debris Should debris remain repeat the procedures given in this section Biopsy valve cap Channel plug Suction cylinder Suction channel Suction channel Injection tube Air water cha...

Page 53: ...ast 40 cm by 40 cm 16 by 16 in size and deep enough to allow the endoscope to be completely immersed 2 Carefully coil the endoscope s insertion tube and universal cord and completely immerse the endoscope in the detergent solution Do not coil the insertion tube or universal cord with a diameter of less than 12 cm Equipment damage can result 3 Fill all the channels with the detergent solution follo...

Page 54: ...ant solution may not adequately contact all surfaces of the equipment Preparation 1 Fill a basin with disinfectant solution at the temperature and concentration recommended by the disinfectant manufacturer Use a basin which is at least 40 cm by 40 cm 16 by 16 in size and deep enough to allow the endoscope to be completely immersed 2 Connect the channel plug and the injection tube to the endoscope ...

Page 55: ... and all equipment in disinfectant solution 1 If air bubbles adhere to the surfaces of the endoscope channel plug injection tube or the auxiliary water tube remove them using a clean lint free cloth 2 Cover the basin with a tight fitting lid to minimize the release of disinfectant vapors 3 Soak the endoscope and all equipment in disinfectant solution for the amount of time and at the temperature r...

Page 56: ...therwise bacteria may proliferate in the channels and pose an infection control risk to the patient and or operators performing the next procedure with the endoscope After high level disinfection rinse the endoscope according to the procedures described below Use water of appropriate microbiological quality Once removed from disinfectant solution the instrument must be thoroughly rinsed with steri...

Page 57: ...protective equipment Sterile lint free cloths Large basin Sterile water for sterile water rinse Suction pump with sterile suction tube 30 cm3 30 ml syringe Sterile cotton swabs 70 ethyl or isopropyl alcohol Channel plug MH 944 Injection tube MH 946 Auxiliary water tube MAJ 855 for endoscopes with auxiliary water feeding only Clean water for non sterile water rinse Small container ...

Page 58: ...annel 6 Attach the 30 cm3 30 ml syringe to the suction channel port and inject 90 cm3 90 ml of sterile water into the suction channel 7 Attach the auxiliary water tube to the auxiliary water inlet for endoscopes with auxiliary water feeding only 8 Using the 30 cm3 30 ml syringe inject 90 cm3 90 ml of sterile water into the auxiliary water channel for endoscopes with auxiliary water feeding only 9 ...

Page 59: ...nel with 90 cm3 90 ml of the alcohol for endoscopes with auxiliary water feeding only 6 Using the 30 cm3 30 ml syringe flush the auxiliary water channel with 90 cm3 90 ml of air for endoscopes with auxiliary water feeding only 7 Disconnect all equipment from the endoscope 8 Remove all equipment and the endoscope from the basin 9 Using a sterile lint free cloth thoroughly wipe and dry the external ...

Page 60: ...as described in Section 3 3 Precleaning and Section 3 5 Manual cleaning follow the procedures given below Exceeding the recommended parameters may cause equipment damage If ETO gas sterilization is performed while the water resistant cap is attached the covering of the bending section can be damaged 1 Remove the water resistant cap MH 553 before ETO gas sterilization see Figure 3 31 2 Remove the w...

Page 61: ...ur hospital s protocol 5 Sterilize the package according to the recommended ETO gas exposure parameters described in Section 2 5 ETO gas sterilization and the sterilizer manufacturer s instructions 6 Aerate the components following the minimum aeration parameters specified in Section 2 5 ETO gas sterilization 7 Store the components following the instructions given in Chapter 5 Storage and Disposal...

Page 62: ...r parts refer to their respective instruction manuals For compatible reprocessing methods refer to Section 2 1 Compatibility summary Equipment needed Reusable parts which are normally reprocessed with the endoscope Personal protective equipment Soft brush Large basin Detergent solution Clean water for non sterile water rinse Clean lint free cloths Disinfectant solution Sterile water for sterile wa...

Page 63: ...eticulously clean all external surfaces in detergent solution 3 Clean the bristles of the channel cleaning brushes thoroughly while the brushes are immersed 4 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning adapter 5 Using the channel cleaning brush thoroughly brush the openings of the suction valve air water valve and biopsy valve until ...

Page 64: ...for 5 minutes 11 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning adapter 12 Attach the 30 cm3 30 ml syringe to the suction cleaning adapter and flush the tube with clean water 13 Attach the 30 cm3 30 ml syringe to the luer port of the auxiliary water tube and flush the tube with water for endoscopes with auxiliary water feeding only 14 Re...

Page 65: ...cm3 30 ml syringe to the luer port of the auxiliary water tube and flush the tube with disinfectant solution Ensure that all air bubbles are expelled for endoscopes with auxiliary water feeding only 8 Using a sterile lint free cloth and or 30 cm3 30 ml syringe wipe and or flush all surfaces with the disinfectant solution to remove all air bubbles 9 Rub the bristles of the cleaning brushes to remov...

Page 66: ...sterile water 5 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning adapter 6 Attach the 30 cm3 30 ml syringe to the suction cleaning adapter and flush the tube with sterile water 7 Attach the 30 cm3 30 ml syringe to the luer port of the auxiliary water tube and flush the tube with sterile water for endoscopes with auxiliary water feeding onl...

Page 67: ... the luer port of the auxiliary water tube and flush the tube with alcohol for endoscopes with auxiliary water feeding only 5 Immerse all equipment in the alcohol and gently agitate them 6 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning adapter 7 Remove all equipment from the alcohol 8 Attach the 30 cm3 30 ml syringe to the suction cleani...

Page 68: ...turer s instructions 4 Aerate the components following the minimum aeration parameters specified in Section 2 5 ETO gas sterilization 5 Store the components following the instructions given in Chapter 5 Storage and Disposal Steam sterilization autoclaving After cleaning as described in Manual cleaning on page 59 steam sterilize autoclave according to the procedures given below 1 Seal the individua...

Page 69: ...mpus confirms validation of the endoscope reprocessors recommended by Olympus only If using endoscope reprocessor that are not recommended by Olympus the endoscope reprocessor manufacturers are responsible for validation of the endoscope reprocessor with the endoscope models listed in its intended use statement If using an endoscope reprocessor confirm that it is capable of reprocessing endoscope ...

Page 70: ...e insufficient cleaning and disinfection or sterilization of the endoscope may pose an infection control risk to the patient and or operators performing the next procedure with the endoscope The applicable connectors for each endoscope model should be listed in the automated endoscope reprocessor instruction manual If your endoscope model is not listed in this table please contact the manufacturer...

Page 71: ...endoscope Routinely storing the endoscope in a humid non ventilated environment such as the carrying case may present an infection control risk When storing an endoscope that has the flexibility adjustment mechanism make sure that the insertion tube is set to the softest condition indicated by the mark on the flexibility adjustment ring If the endoscope is stored while the insertion tube is too st...

Page 72: ...locks to the F direction 5 Hang the endoscope in the storage cabinet with the distal end hanging freely Make sure that the insertion tube hangs vertically and as straight as possible 5 2 Disposal When disposing of the endoscope or any of its components such as valves follow all applicable national and local laws and guidelines ...

Page 73: ...e reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP OLYMPUS is a registered trademark of OLYMPUS CORPORATION Trademarks product names logos or trade names used in this document are generally registered trademarks or trademarks of each company ...

Page 74: ... Valley Road 12 01 04 Valley Point Office Tower Singapore 248373 Fax 6834 2438 Telephone 6834 0010 A8F Ping An International Financial Center No 1 3 Xinyuan South Road Chaoyang District Beijing 100027 P R C Fax 86 10 5976 1299 Telephone 86 10 5819 9000 117071 Moscow Malaya Kaluzhskaya 19 bld 1 fl 2 Russia Fax 095 958 2277 Telephone 095 958 2245 3 Acacia Place Notting Hill VIC 3168 Australia Fax 03...

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