Cosmed microQuark, Руководство пользователя

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Step 2 Inspection. Inspect the items for damage at all stages of handling. If damage is detected on any of the components it should be identified
and documented. Complete the disinfection/sterilization process and contact technical service for replacement.
Step 3 Presoak. Protective attire is required of personnel handling contaminated items. At the processing area soak or rinse the items in tap water
22°-43° C. Please note that rinse with flowing water is not possible on the turbine. If an enzyme product is required, soak for one to two minutes.
Remove and examine, extend the soak time for components with dried-on matter, prolonged soaking of components may be detrimental, causing
damage to the component surfaces. Refer to the detergent instructions for its usage and soak time.
Step 4 Disassembly. Disassemble the item (if necessary) according to the instructions reported in the corresponding section.
Step 5 Cleaning. Protective attire is required for personnel handling contaminated items. Manual cleaning must be done in a manner that
protects personnel handling the devices from aerosolization and splashing of infectious material.
1.
Manual cleaning of the items should be done under 22°-43°C water. Use a neutral pH (7) mild detergent. Water hardness, temperature and
the type of soil affect the effectiveness of the detergents; the detergent manufacturer's instructions should be consulted. Use a small soft
brush to scrub all parts. Abrasive cleaning compounds and implements can damage the items and should not be used. Additional cleaning
supplies may be required to clean stubborn stains or hard-to-reach areas.
2. Items must be thoroughly rinsed with clean water to remove the detergent residuals and debris from the components. Use a flowing triple
rinse cycle at a minimum with tap water. Please note that rinse with flowing water is not possible on the turbine.
3. Dry all components thoroughly using soft clean clothes or disposable paper towels.
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Disinfection
The recommendations in this sections have been retrieved from:
William A. Rutala, Ph.D., M.P.H., David J. Weber, M.D., M.P.H., and the Healthcare Infection Control Practices Advisory Committee (HICPAC):
Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
(http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf)
High-level disinfection is the recommended decontamination procedure for semi-critical devices.
Devices are classified semi-critical when they touches mucous membranes or broken skin. Examples of semi-critical devices are flexible endoscopes,
laryngoscopes, endotracheal tubes, respiratory therapy and anesthesia equipment, diaphragm fitting rings, and other similar devices.
Preparing the disinfecting solution
The recommended disinfection solutions are as follows:
•
Sodium hypochlorite 0.5% (5000 ppm) prepared fresh for use within 24 hours.
•
Sodium hypochlorite 1% (10000 ppm) prepared fresh for use within 30 days.
The first solution can be prepared by adding 1 part household bleach (sodium hypochlorite 5.25%) to 9 parts water. The second solution can be
prepared by adding 1 part household bleach to 4 parts water.

. The turbine flowmeter
Guidelines recommend that the turbine should be cleaned and disinfected prior to every test to ensure accurate measurements and to comply with
recommended sanitation measures as follow.
Cleaning the turbine
Follow the standard cleaning procedure reported above, paying attention to the following:
1.
For rinsing, do not use flowing water, which may damage the turbine. Rinse the turbine in a vessel, filled of clean water, shaking gently to
remove the disinfectant. Do not place the turbine under running water or move the turbine while submerged.
2. For cleaning and rinsing, do not wet the sampling line.
3. Use the brush (point 1 step 5) only for the external parts of the turbine, in order to avoid damages to the turbine blade.
Disinfecting the turbine
1. Take out the turbine.
2. Dip it in a disinfectant solution (non alcoholic based) for about 20 minutes.
3. Rinse the turbine in a vessel, filled of clean water, shaking gently to remove the disinfectant (do not clean the turbine by putting it under
running water!).
System maintenance - Cleaning and disinfecting - 27