Atmos ATMOS C 21, Руководство по эксплуатации

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11.0 Hygiene Plan
What How
Recommendations
When Who
Reusable parts
C
Cleaning
D
Disinfection
S
Sterilisation
After each procedure W
eekly
Monthly
Qualifi ed and trained
staff who are familiar
with reprocessing.
(Please fi ll in the
responsable person
-> use a water-based
overhead marker) Daily
Endoscope management
Plastic quiver X X
2)4)5)
Cleaning with a brush; disinfect afterwards X
Metal quiver X X
2)4)5)6)
Cleaning with a brush; disinfect afterwards (manual or
automatic)
X
Protective sleeve (tefl on
element for metal quiver)
X X
2)4)5)
Manual or automatic cleaning and disinfection X
Instrument management
ENT instruments X X
2)4)5)
X
Immerse instruments into solution immediately after use,
fully wetting is required, air must be removed from any
cavities, after the contact time instruments must be rinsed
with water, has to be dried and sterilised afterwards. Ple-
ase also observe the ATMOS operating
instructions for ENT instruments.
X
Instrument bowl with co-
ver
X X
4)
Cleaning with a brush;
disinfect afterwards (manual)
X
Visualisation
ATMOS
®
Cam 21 / 31 X X
3)
Wipe cleaning and wipe disinfection X
ATMOS
®
Strobo 21 LED X X
3)
Wipe cleaning and wipe disinfection X
Flexible scope X X
1),7),8)
X
1)
Immediate pre-cleaning after the procedure X
Rigid scope X X 1),7),8) X 1) Immediate pre-cleaning after the procedure X
Laryngoscope X X
1),7),8)
X
1)
Immediate pre-cleaning after the procedure X
Light conductor X X
3)
Wipe cleaning and wipe disinfection X
Light source X X 3) Wipe cleaning and wipe disinfection X
Microscope X X 3) Wipe cleaning and wipe disinfection X
Headlight X X
3)
Wipe cleaning and wipe disinfection X
Radio frequency surgery
ATMOS
®
RS 221
(surface)
X X
3)
Wipe cleaning and wipe disinfection X
Ergonomic handles X X
1)2)4)5)
X
1)
Wipe cleaning and wipe disinfection X
Bipolar tweezers X X
1)2)4)5)
X
1)
Immediate pre-cleaning after the procedure or dispose of
in wet disposal tray; use of enzymatic detergents,
cleaning and disinfection (manual or automatic)
X
Bipolar electrode X X
1)2)4)5)
X
1)
X
Bipolar electrode cable X X
1)2)4)5)
X
1)
Immediate pre-cleaning after the procedure or dispose of
in wet disposal tray; use of enzymatic detergents,
cleaning and disinfection (manual or automatic)
X
Neutral electrode X X
1)2)4)5)
X
1)
X
Neutral electrode cable X X
1)2)4)5)
X
1)
Immediate pre-cleaning after the procedure or dispose of
in wet disposal tray; use of enzymatic detergents,
cleaning and disinfection (manual or automatic)
X
ENT electrodes X X
1)2)4)5)
X
1)
X
Surfaces
Housing X X
3)
Wipe cleaning and wipe disinfection X
Roller shutter X X
3)
Wipe cleaning and wipe disinfection X
Drawers X X
3)
Wipe cleaning and wipe disinfection X
Writing leaf
X X
3)
Wipe cleaning and wipe disinfection
X
Instrument deposit X X
3)
Wipe cleaning and wipe disinfection X
Mirror pre-heater X X
3)
Wipe cleaning and wipe disinfection X
Tongue patches and
swab dispenser
X X
3)
Wipe cleaning and wipe disinfection,
every day or when refi lling
X
Waste disposal X X
3)
Wipe cleaning and wipe disinfection ,
every day or when emptying the container
X
Instrument tray X X
3)
Wipe cleaning and wipe disinfection, daily or when
replacing with new instruments
X
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16

79853 Lenzkirch/Germany
Phone +49 7653 689-0  Fax +49 7653 689-190
info@atmosmed.de  www.atmosmed.de
2017-03 Index: 01
Recommended disinfectants
3)
Surface disinfection for coated surfaces:
• Green & Clean SK (ATMOS)
• Dismozon
®
plus (Bode Chemie)
• Kohrsolin
®
FF (Bode Chemie)
• Perform
®
(Schülke & Mayr)
• Terralin
®
Protect (Schülke & Mayr)
Other surfaces:
• Dismozon ® plus (Bode Chemie)
• Kohrsolin
®
FF (Bode Chemie)
• Mikrobac
®
forte (Bode Chemie)
• Perform
®
(Schülke & Mayr)
Terralin
®
Protect (Schülke & Mayr)
• Surface disinfection FD 312 (Dürr Dental)
Please see the manufacturer‘s instructions for con-
centration, contact time, temperature and the com-
patibility of materials.
4) Instruments - manual disinfection:
• Korsolex ® basic (Bode Chemie)
• Korsolex ® plus (Bode Chemie)
• Korsolex
®
extra (Bode Chemie)
neodisher
®
Septo MED (Dr. Weigert)
• neodisher
®
Septo 3000 (Dr. Weigert)
• Sekusept
®
aktiv (Ecolab)
• Gigasept ® Instru AF (Schülke & Mayr)
• Gigazyme ® (Schülke & Mayr)
• Gigasept FF neu (Schülke & Mayr)
5)
Instruments - automatic disinfection:
• Dismoclean
®
24 Vario (Bode Chemie)
• Dismoclean
®
28 alka med (Bode Chemie)
• Dismoclean ® twin basic/twin zyme (Bode Chemie)
• neodisher ® FA (Dr. Weigert)
• neodisher ® MediClean forte (Dr. Weigert)
• Thermosept
®
alka clean forte (Schülke & Mayr)
• Thermosept
®
RKN-zym (Schülke & Mayr)
7) Endoscopes - manual disinfection:
• Helipur
®
H plus N (BBraun)
• Helix
®
Ultra (BBraun)
• Korsolex ® Basic (Bode Chemie)
• neodisher
®
MediClean forte (Dr. Weigert)
• Sekusept
®
aktiv (Ecolab)
8)
Endoscopes - automatic disinfection:
• Korsolex ® Basic (Bode Chemie)
• neodisher
®
MediClean forte (Dr. Weigert)
• Gigasept
®
FF neu (Schülke & Mayr)
• Endozime ® AW Plus (Ruhof)
• ADAPTACLEAN™ (ASP)
Important information
Wipe cleaning and wipe disinfection: All surfaces
have to be wiped with a clean (disposable) wipe
which is damped with disinfectant solution; the
entire surface has to be wiped thoroughly and may
not be dried afterwards.
1)
Please observe the manufacturer‘s operating
instructions.
2)
Alternative to manual cleaning und disinfection:
Wash-Disinfector 78°C / 172°F
6) Material dimensionally stable at 134°C
The above stated hygiene requirements are based on the regulations
according to the Medical Devices Act, the Medical Devices Operator
Ordinance, §18 IfSG and the recommendations of the Robert Koch
Institute.
Defi nition of the required reprocessing steps result from the recom-
mendations of the Robert Koch Institute: „Requirements for the repro-
cessing of medical products“. The medical products were categorised
in the risk groups uncritical, semicritical and critical. The reprocessing
measures mentioned in this cleaning
and disinfection plan are a recommendation of ATMOS Medizin-
Technik. Any additional reprocessing measures are at the operator‘s
discretion.
All the recommended disinfectants which are stated herein are listed
disinfectants (VAH/RKI) and have been tested on their suitability of
use on the ATMOS
®
C 21 / ATMOS
®
C 31. ATMOS MedizinTechnik
cannot be hold liable for any damage caused by wrong concentration
of the disinfectants or by the application of any other disinfectants.
Patients with suspicion of a clinical disease or who developed a
transmissible spongiform encephalopathy (CJK, vCJK, etc.) have to
be treated at facilities which are able to provide for the necessary
preventive measures against infection. The reprocessing of the reu-
sable instruments and material may only be performed at facilities
which have an externally certifi ed QM Management acc. to DIN EN
ISO 13485.
The Medical Devices Act, IfSG, the RKI directives, BGR 250 and
TRBA 250 always have to be considered.
Wrong concentration of disinfectants
may lead to damage!
GA3GB.110200.0