Johnson & Johnson DePuy Mitek 108804, Руководство пользователя

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5
PREPARATION
• Clean instruments as soon as possible after
use. If cleaning must be delayed, wet the
instruments in a compatible liquid solution to
prevent drying and encrustation of surgical soil.
• Avoid prolonged exposure to saline to minimize
the chance of corrosion.
• Remove excessive soil with a disposable wipe.
Prior to sterilization, instruments should be cleaned
by either automated or manual means described
below.
AUTOMATED CLEANING
Instrument types with such complex design
features as cannulations, lumens, (i.e. tubes),
holes, hinged joints, box locks, spring-loaded
retractable features, or flexible shafts; must be
manually pre-cleaned prior to automated cleaning
to improve the removal of adherent soil.
Manual Pre-Cleaning Instructions
• Flush internal areas with a warm detergent
solution. Pay close attention to lumens,
cannulations, holes, threads, crevices,
seams, and any hard to reach areas.
While flushing, actuate any moveable
mechanisms, (hinged joints, box locks, or
spring-loaded features), to free trapped
blood and debris. If the components of
the instrument can be retracted, retract or
open the part while flushing the area.
• For instruments with flexible shafts, flex
the instrument while flushing.
• For instruments with lumens, brush the
internal surfaces of the lumen.
Loading Instructions
• Load instruments into washer disinfector
so that hinges are open and cannulations
and holes can drain.
• Place heavier instruments on the bottom
of containers. Do not place heavy
instruments on top of delicate instruments.
• For instruments with concave surfaces,
such as curettes, place instrument with
the concave surface facing downward to
facilitate draining.
Automated Cleaning Instructions
• Clean in a validated washer disinfector
using the “INSTRUMENTS” cycle and a
pH neutral cleaning agent intended for
use in automated cleaning. Effective
automated cleaning can be achieved
using the following parameters: two cold
water pre-washes (minimum hold of two
minutes each); a hot water enzyme wash
(minimum hold of 4 minutes); followed by
a hot water pH neutral detergent wash
(minimum hold 3 minutes at 60˚C); a hot
water rinse (minimum time 20 seconds); a
thermal rinse (minimum hold of 1 minute
at 82.2˚C) and dry (minimum hold 5
minutes at 95˚C).
• After automated cleaning, proceed to
inspection, instructions below.
MANUAL CLEANING
Cleaning Instructions
• Prepare an enzymatic cleaning solution
in accordance to the manufacturer’s
instructions.
• Soak soiled instruments for a minimum of
10 minutes. Do not exceed 30ºC.
• When cleaning, fully immerse the
instrument in the cleaning solution to
avoid aerosol generation. 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. When cleaning Instruments
with cannulations or lumens (i.e. tubes), or
holes, use a tight-fitting, soft, non-metallic
cleaning brush or pipe cleaner to scrub
the cannula, lumen, or hole. Push in and