Page 25
holder (5) or reaches the blue area of the level gauge (2340EA-
D, EKA-D, 2840EA-D, EKA-D).
4.
In case more water is accidentally filled above the blue area, decrease
the water level by draining the reservoir before starting a cycle (see
10.2).
Caution!
Use only water having the characteristics as per table in 3.8.
7. PREPARATION BEFORE STERILIZATION. LOADING
The most important stage begins with removing debris by
cleaning
and
rinsing. Effective cleaning is affected by several factors: Water quality,
type, concentration and quality of a cleaner, an effective washing
method and adequate rinsing and drying.
Cleaning dried blood is especially difficult because it flows and dries in
difficult-to-clean locations. It must be washed away. Mechanically
scrubbing, high pH detergents, enzymatic solutions and water spray at
high pressure will clean this contamination.
Attention: Consult the Medical Device manufacturer relating adequate
and most effective cleaning method and cleaning agents.
Instruments which are composed of several components shall be
dismantled.
Disinfection
is the next step. It is important for safe handling. There
are various methods and means for disinfection like soaking in liquid
chemical disinfectants or hot water disinfection.
Packaging.
The target in packing medical items is to assure that the
contained goods are sterile and maintaining them sterile till opening the
package.
There are various methods and techniques used in preparation and
packaging of surgical instruments.
7.1. General rules to be considered:
The packaging materials should be held in the room ambient conditions
(temperature and humidity) for at least 2 hours.
The packaging materials should be examined regularly for defects.
Procedures should be established to assure that packaging is
consistent with the manufacturer's recommendations.
Policy whether to warp in single or double layer, woven or non-woven
should be established.
Container systems should be scientifically proven to suit the specific
sterilization cycle.
Paper-paper bags are used for safe post sterilization handling. Usually
as single wrap. Intended for small, lightweight and low profile
instruments.
Paper-plastic pouches, single or double packing is intended for longer
storage period. In case of double packing, two sequentially sized packs
should be used. No folding is permitted. They should be placed so that
