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Chapter 3 Cleaning, Disinfection and Sterilization Procedures

EVIS LUCERA JF/TJF TYPE 260V REPROCESSING MANUAL

3.3

Precleaning

If the endoscope is not immediately cleaned after each
procedure, residual organic debris will begin to solidify and it
may be difficult to effectively reprocess the endoscope.

Preclean the endoscope at the bedside in the procedure room immediately after
each procedure. During precleaning, wear appropriate personal protective
equipment.

Equipment needed

Prepare the following equipment.

Preparation

1.

Turn the video system center and light source OFF.

2.

Prepare a 500 cm

3

(500 ml) container of detergent solution at the

temperature and concentration recommended by the detergent
manufacturer.

3.

Prepare clean water in a 500 cm

3

(500 ml) container.

Wipe down the insertion tube

Handle the insertion tube carefully. Tightly gripping or sharply
bending the insertion tube or bending section can stretch or
severely damage the insertion tube and/or the covering of the
bending section.

Wipe the entire insertion tube with a clean, lint-free cloth soaked in detergent
solution. Wipe from the boot at the control section toward the distal end.

• Personal protective equipment
• Clean lint-free cloths
• 500 cm

3

(500 ml) containers

• Detergent solution
• AW channel cleaning adapter

(MH-948)

• Clean water
• Suction pump
• Washing tube

(MH-974)

• 5 cm

3

(5 ml) syringe

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Содержание EVIS LUCERA TJF 260V

Страница 1: ...the endoscope s companion manual the OPERATION MANUAL whose cover lists the model of your endoscope for operation information INSTRUCTIONS EVIS LUCERA DUODENOVIDEOSCOPE OLYMPUS JF TYPE 260V OLYMPUS TJF TYPE 260V ...

Страница 2: ......

Страница 3: ...Rinsing water 10 2 5 ETO gas sterilization 10 2 6 Steam sterilization autoclaving of accessories 11 Chapter 3 Cleaning Disinfection and Sterilization Procedures 13 3 1 Required reprocessing equipment 14 3 2 Cleaning disinfection and sterilization procedures 21 3 3 Precleaning 22 3 4 Leakage testing 29 3 5 Manual cleaning 33 3 6 High level disinfection 48 3 7 Rinsing after high level disinfection 5...

Страница 4: ...Contents ii EVIS LUCERA JF TJF TYPE 260V REPROCESSING MANUAL Chapter 5 Storage and Disposal 71 5 1 Storage of the endoscope 71 5 2 Storage of reusable parts and reprocessing equipment 72 5 3 Disposal 72 ...

Страница 5: ...S LUCERA JF TJF TYPE 260V 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 ...

Страница 6: ...ll related manuals in a safe accessible location If you have any questions or comments about any information in this manual or if a problem that cannot be solved occurs while reprocessing contact Olympus 1 2 Importance of cleaning disinfection and sterilization The medical literature reports incidents of cross contamination resulting from improper cleaning disinfection or sterilization It is stron...

Страница 7: ...and high level disinfect or sterilize endoscopic equipment after each procedure can compromise patient safety To minimize the risk of transmitting diseases from one patient to another after each procedure the endoscope and its ancillary equipment must undergo thorough manual cleaning followed by high level disinfection or sterilization as described in Chapter 3 Cleaning Disinfection and Sterilizat...

Страница 8: ...oscope reprocessor Otherwise 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 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...

Страница 9: ...disease CJD cannot be destroyed or inactivated When using this instrument on a patient with CJD or variant Creutzfeldt Jakob disease vCJD be sure to use this product for such patient only and or immediately dispose of this product after use in an appropriate manner For methods to handle CJD please follow the respective guidelines in your country This instrument is not durable or does not have suff...

Страница 10: ...er the endoscope and damage the equipment 1 5 Reprocessing before the first use and reprocessing and storage after use This instrument was not cleaned disinfected or sterilized before shipment Before using this instrument for the first time reprocess it according to the instructions given in this manual After using this instrument reprocess and store it according to the instructions given in this ...

Страница 11: ...ibility 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 ...

Страница 12: ... water valve MH 438 Suction valve MH 443 Biopsy valve MB 358 Channel plug MH 944 Injection tube MH 946 AW channel cleaning adapter MH 948 Suction cleaning adapter MH 856 Mouthpiece MB 142 Washing tube MH 974 Distal cover MAJ 311 411 1 The endoscope is compatible with ultrasonic cleaning by endoscope reprocessor OER OER A only OER OER A are not available in some areas 2 The water resistant cap and ...

Страница 13: ...nels 2 3 Disinfectant solution In the U S agents used 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...

Страница 14: ...hospital and the instruction manuals of the sterilization equipment Before sterilization the instrument must be thoroughly cleaned and dried Residual moisture inhibits sterilization The results of sterilization depend on various factors such as how the sterilized instrument was packed or the positioning method of placing and loading of the instrument in the sterilization device Please verify the s...

Страница 15: ... packed or the positioning method 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 ...

Страница 16: ...S LUCERA JF TJF TYPE 260V REPROCESSING MANUAL Exceeding the recommended parameters may cause equipment damage see Table 2 3 Table 2 3 Steam sterilization autoclaving exposure parameters Process Parameters Prevacuum Temperature 132 134 C 270 274 F Exposure time 5 minutes ...

Страница 17: ...previous patient procedure Otherwise 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 Do not coil the endoscope s insertion tube or universal cord with a diameter of less than 12 cm The endoscope can be damaged if coiled too tightly For proper reprocessing res...

Страница 18: ...r detergent and disinfectant solution Personal protective equipment Clean water Large basins for rinsing and leakage testing Clean lint free cloths Sterile water 30 cm3 30 ml syringe Sterile lint free cloths 70 ethyl or isopropyl alcohol 500 cm3 500 ml containers Sterile cotton swabs Disinfectant solution Soft brush Small basins 5 cm3 5 ml syringe Channel opening cleaning brush MH 507 Leakage test...

Страница 19: ...ater resistant cap is attached to the electrical 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 Channel plug MH 944 The channel plug is used to plug the openings of the instrument channel port air water and suction cy...

Страница 20: ... expel fluids see Figure 3 4 Figure 3 4 Channel cleaning brush BW 20T The channel cleaning brush is used to brush the inside of the instrument and suction channels and the interior and or openings of the suction valve air water valves AW channel cleaning adapter and biopsy valve see Figure 3 5 Figure 3 5 Suction channel tube Notice card Connector plug Suction channel port Air pipe port Air water c...

Страница 21: ...e external surfaces of the distal end of the endoscope the suction cylinder and the instrument channel port see Figure 3 6 Figure 3 6 Washing tube MH 974 The washing tube is used to inject detergent solution disinfectant solution water and alcohol into the elevator wire channel and to flush air through the channel to expel fluids see Figure 3 7 Figure 3 7 Brush handle Shaft Brush Connecting end Lu...

Страница 22: ... of the endoscope through the instrument channel see Figure 3 8 Figure 3 8 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 9 Figure 3 9 Weighted end Connecting end Notice card Slid...

Страница 23: ...om debris see Figure 3 2 on page 15 Wipe with a dry cloth if the inside of the water resistant cap is wet or there is debris 2 Confirm that the seal inside the water resistant cap is free from scratches flaws and debris 3 Check the venting connector for looseness Inspection of the channel plug MH 944 Confirm that the cylinder plug and biopsy valve cap are free from cracks scratches flaws and debri...

Страница 24: ...for loose or missing bristles see Figure 3 5 on page 16 2 Check for bends scratches and other damage to the shaft 3 Check for debris on the shaft and or in the bristles of the brush Inspection of the channel opening cleaning brush MH 507 1 Check for loose or missing bristles see Figure 3 6 on page 17 2 Check for bends scratches and other damage to the shaft 3 Check for debris on the shaft and or i...

Страница 25: ...cleaned and high level disinfected or sterilized during EVERY reprocessing cycle even if the channels were not used during the previous patient procedure Otherwise 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 Withdrawal of the endoscope Precleaning Section...

Страница 26: ...FF 2 Prepare a 500 cm3 500 ml container of detergent solution at the temperature and concentration recommended by the detergent manufacturer 3 Prepare clean water in a 500 cm3 500 ml container Wipe down the insertion tube Handle the insertion tube carefully Tightly gripping or sharply bending the insertion tube or bending section can stretch or severely damage the insertion tube and or the coverin...

Страница 27: ...d of the insertion tube in detergent solution Depress the suction valve and aspirate detergent solution into the instrument channel for 30 seconds see Figure 3 10 4 Remove the distal end of the insertion tube from the detergent solution and immerse it in clean water Depress the suction valve and aspirate clean water into the instrument channel for 10 seconds 5 Remove the distal end of the insertio...

Страница 28: ...ter Lubricants may cause malfunction of the AW channel cleaning adapter 1 Turn the light source ON 2 Switch OFF the airflow regulator on the light source 3 Remove the air water valve from the endoscope and place it in a container of detergent solution see Figure 3 11 Water may drip from the air water cylinder when the air water valve is detached The water dripping from the air water cylinder is cl...

Страница 29: ...cleaning adapter to feed water through the channels for 30 seconds Release the adapter to feed air through the channels for 10 seconds or more see Figure 3 12 Figure 3 12 8 Turn the light source OFF Flush detergent solution and air into the elevator wire channel 1 Connect the washing tube to the elevator channel plug see Figure 3 13 Figure 3 13 2 Immerse the distal end of the insertion tube in the...

Страница 30: ... endoscope reusable parts and cleaning equipment Do not touch the light guide of the endoscope connector immediately after removing it from the light source because it is extremely hot Operator or patient injury may result 1 Disconnect the videoscope cable from the endoscope s electrical connector 2 Disconnect the suction tube from the suction connector of the endoscope connector 3 Disconnect the ...

Страница 31: ...e bending mechanism of the bending section or deform its covering After the distal cover has been removed make sure not to subject the forceps elevator to impact or bend the elevator wire during cleaning disinfection sterilization storage or preparation of the endoscope This could adversely affect the function of the forceps elevator 1 Move the elevator control lever all the way in the opposite di...

Страница 32: ...as possible toward the endoscope see Figure 3 16 4 Turn it counterclockwise until it stops see Figure 3 16 5 Pull the distal cover off the endoscope slowly and straightly see Figure 3 16 Figure 3 16 6 Reprocess the distal cover as described in Section 3 10 Cleaning disinfection and sterilization procedures for distal cover 4 Turn 3 Push 5 Pull ...

Страница 33: ...al connector is scratched send it immediately to Olympus for repairs Always use a dry water resistant cap Any water remaining on the water resistant cap may cause damage to the endoscope maintenance unit or light source 1 Confirm that the inside of the water resistant cap is dry and free from debris Wipe with a dry clean cloth if the inside of the water resistant cap is wet or there is debris 2 Al...

Страница 34: ...e endoscope If you locate a leak remove the endoscope from the water and contact Olympus Never connect or disconnect the water resistant cap or the leakage tester s connector cap while immersed Doing so could allow water to enter the endoscope and equipment damage can result Rotate the leakage tester s connector cap until it stops If it is not fully and properly attached the endoscope s interior w...

Страница 35: ...n with clean water 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 Insert the leakage tester connector into the output socket of the maintenance unit or the light source see Figure 3 18 and turn it ON Set the light source s airflow regulator switch to its maximum level 3 Confirm that the leakage tester is emitting air...

Страница 36: ...ter attached 7 Turn the maintenance unit or the light source OFF 8 Disconnect the leakage tester from the maintenance unit or the light source Always disconnect the leakage tester connector from the light source or maintenance unit before disconnecting the leakage tester s connector cap from the venting connector Failure to do this will not allow the endoscope to depressurize properly This may dam...

Страница 37: ...ach procedure on page 47 then follow the procedure described below Reusable parts which are normally reprocessed with the endoscope Equipment needed Prepare the following equipment and wear appropriate personal protective equipment Channel plug MH 944 Injection tube MH 946 Water resistant cap MH 553 Chain for water resistant cap MAJ 1119 Washing tube MH 974 Personal protective equipment Soft brush...

Страница 38: ...he endoscope to be completely immersed 2 Fill a basin with clean water 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 Cleaning the external surface 1 Immerse the endoscope in the detergent solution 2 With the endoscope immersed use a soft brush or lint free cloth to thoroughly brush or wipe all external surfaces of the...

Страница 39: ...to the instrument channel opening at the distal end of the endoscope then pull it out see Figure 3 20 3 Repeat until all debris is removed 4 Brush along the forceps wire and the groove of the instrument channel outlet for TJF 260V only using a commercially available soft brush or the channel opening cleaning brush see Figure 3 21 5 While holding the distal end with one hand and keeping the forceps...

Страница 40: ...apter 3 Cleaning Disinfection and Sterilization Procedures EVIS LUCERA JF TJF TYPE 260V REPROCESSING MANUAL Figure 3 21 Figure 3 22 Figure 3 23 Groove Channel opening cleaning brush Guidewire locking groove ...

Страница 41: ...ch use Should a part of the brush come off inside the endoscope immediately retrieve it and carefully confirm that no parts remain inside the channel of the endoscope by passing a new cleaning brush or other endo therapy accessory through the channel Any parts left in the channel can drop into the patient during the procedure Depending on the location the missing part may not be recoverable by pas...

Страница 42: ...splattering 2 Straighten the endoscope s bending section Grip the channel cleaning brush at a point 3 cm from the bristles 3 Insert the channel cleaning brush at a 45 angle into the opening located in the side wall of the suction cylinder as illustrated by A in Figure 3 24 Using short strokes feed the brush through the insertion tube until it emerges from the distal end of the endoscope 4 Clean th...

Страница 43: ...e suction cylinder location C When inserting the channel opening cleaning brush into the suction cylinder do not forcibly insert the brush beyond the middle of the brush section Otherwise the brush may become stuck in the suction cylinder 1 Insert the channel opening cleaning brush into the suction cylinder as illustrated by C in Figure 3 24 until half of the brush section is inserted 2 Turn the i...

Страница 44: ...onnect the suction tube from the suction pump to the suction connector on the endoscope connector Turn the suction pump ON 3 Immerse both the endoscope s distal end and the weighted end of the suction cleaning adapter in the detergent solution 4 Cover the suction cylinder with your finger and aspirate detergent solution for approximately 30 seconds 5 Release your finger from the suction cylinder 6...

Страница 45: ...aise and lower the forceps elevator 3 times 2 With the forceps elevator raised flush the interior of the forceps elevator with detergent solution using the 30 cm3 30 ml syringe see Figure 3 27 Figure 3 27 Weighted end Instrument channel port Suction channel Suction cleaning adapter Insertion tube Instrument channel Suction cylinder Universal cord Endoscope connector Suction connector Suction tube ...

Страница 46: ...ply connectors on the endoscope connector see Figures 3 29 and 3 30 5 Attach the injection tube s air pipe port to the air pipe on the endoscope connector see Figures 3 29 and 3 30 6 Attach the injection tube s suction channel tube to the suction connector on the endoscope connector see Figures 3 29 and 3 30 7 Immerse the suction port of the injection tube in the detergent solution 8 Attach the 30...

Страница 47: ... Suction channel tube Air pipe port Suction port Basin Detergent solution Connector plug Biopsy valve cap Channel plug Air channel Water channel Air water cylinder Air water nozzle Connector plug Suction cylinder Water supply connector Air supply connector Suction connector Suction port Injection tube Suction channel port Air water channel port Syringe Air pipe port ...

Страница 48: ...or channel plug see Figure 3 31 Figure 3 31 2 Using the 5 cm3 5 ml syringe inject 15 cm3 15 ml of detergent solution into the elevator wire channel via the washing tube see Figure 3 32 Figure 3 32 3 Disconnect the washing tube from the endoscope and immerse it in detergent solution Elevator channel plug Washing tube 5 cm3 5 ml syringe Elevator wire channel Endoscope connector Washing tube Elevator...

Страница 49: ...ng equipment in clean water and gently agitate them to thoroughly rinse Removing detergent solution from all channels 1 Attach the channel plug and the injection tube to the endoscope Place the suction port of the injection tube in clean water Attach the channel plug s biopsy valve cap to the instrument channel port see Figure 3 33 2 Attach the 30 cm3 30 ml syringe to the suction channel port of t...

Страница 50: ...ree cloth from the distal end and the control section of the endoscope 11 Detach the channel plug and injection tube from the endoscope 12 Disconnect the washing tube from the endoscope Figure 3 33 Dry external surfaces 1 Using a clean lint free cloth wipe and dry the external surfaces of the endoscope and all equipment thoroughly 2 Inspect the endoscope and all equipment for residual debris Shoul...

Страница 51: ...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 3 Fill all channels with the detergent solution following the procedures described in this section 4 Remove only the reprocessing equipment from the detergent solution 5 Cover the ba...

Страница 52: ...Prepare the following equipment and wear appropriate personal protective 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 Attach the channel plug and the injection tube to th...

Страница 53: ...nt solution through the elevator wire channel via the washing tube Confirm that no air bubbles exit the distal end of the endoscope see Figure 3 31 and 3 32 5 While immersed in disinfectant solution raise the forceps elevator and flush the vicinity of the forceps elevator with disinfectant solution using the 5 cm3 5 ml syringe Soaking the endoscope and all equipment in disinfectant solution All di...

Страница 54: ...on tube to the endoscope Attach the channel plug s biopsy valve cap to the instrument channel port 2 Before removing the endoscope from the disinfectant solution connect the washing tube to the elevator channel plug 3 Remove the injection tube s suction port from the disinfectant solution 4 Using the 30 cm3 30 ml syringe flush 90 cm3 90 ml of air through the air water and suction channels respecti...

Страница 55: ...sidue If sterile water is not available fresh potable tap water or water which has been processed e g filtered to improve its microbiological quality may be used with 70 ethyl or isopropyl alcohol rinse see Non sterile water rinse and alcohol flush on page 53 Consult with your hospital s infection control committee Equipment needed Prepare the following equipment and wear appropriate personal prot...

Страница 56: ...ely via the injection tube 6 Connect the washing tube to the elevator channel plug 7 Using the 5 cm3 5 ml syringe flush the elevator wire channel with 15 cm3 15 ml of sterile water via the washing tube 8 Remove the endoscope together with all equipment from the sterile water and place them in the sterile large basin 9 Using the 30 cm3 30 ml syringe flush 90 cm3 90 ml of air through the air water a...

Страница 57: ...els respectively via the injection tube 6 Remove the suction port of the injection tube from the alcohol Using the 30 cm3 30 ml syringe flush 90 cm3 90 ml of air through the air water and the suction channels respectively via the injection tube 7 Connect the washing tube to the elevator channel plug 8 Using 5 cm3 5 ml syringe flush the elevator wire channel with 10 cm3 10 ml of the alcohol via the...

Страница 58: ...ant cap is attached the covering of the bending section can be damaged The chain for water resistant cap MAJ 1119 and the water resistant cap itself MH 553 cannot be sterilized by ETO gas and may be damaged if they are subjected to ETO gas sterilization 1 Dry the endoscope and all equipment before ETO gas sterilization 2 Remove the water resistant cap before ETO gas sterilization see Figure 3 34 I...

Страница 59: ...ng to the recommended ETO gas exposure parameters described in Section 2 5 ETO gas sterilization and the sterilizer manufacturer s instructions 5 Aerate the components following the minimum aeration parameters specified in Section 2 5 ETO gas sterilization 6 Store the components following the instructions given in Chapter 5 Storage and Disposal ...

Страница 60: ...ent and wear appropriate personal protective equipment Air water valve MH 438 Suction valve MH 443 AW channel cleaning adapter MH 948 Mouthpiece MB 142 Biopsy valve MB 358 Channel opening cleaning brush MH 507 Channel cleaning brush BW 20T Suction cleaning adapter MH 856 Sterile lint free cloths Sterile water for sterile water rinse Clean water non sterile water 70 ethyl or isopropyl alcohol Clean...

Страница 61: ...t to be completely immersed 3 Detach the biopsy valve s cap from the main body before immersing in the detergent solution see Figure 3 35 Figure 3 35 4 Immerse all other equipment in the detergent solution 5 Using a soft brush or clean lint free cloth clean the external surfaces of all equipment in detergent solution 6 Using a soft brush or clean lint free cloth clean the inside of the mouthpiece ...

Страница 62: ...ncentration recommended by the detergent manufacturer 15 Remove all equipment from the detergent solution and inspect it If debris remains on any of the equipment ultrasonically clean it at 33 48 kHz for 5 minutes 16 Immerse all equipment in the clean water 17 Gently agitate the equipment to thoroughly rinse 18 While immersed depress and release the pistons of the air water valve suction valve and...

Страница 63: ...recessed parts of them while they are immersed Ensure that all air bubbles are expelled 5 While immersed depress and release the pistons of the valves and AW channel cleaning adapter Ensure that all air bubbles are expelled 6 Using the 30 cm3 30 ml syringe flush the recessed parts of the biopsy valve with disinfectant solution while the valve is immersed Ensure that all air bubbles are expelled 7 ...

Страница 64: ...pletely immersed 2 Immerse all equipment in the sterile water 3 Gently agitate the equipment to thoroughly rinse them 4 Using the 30 cm3 30 ml syringe flush the interior and recessed parts of all equipment with sterile water while they are immersed Ensure that all air bubbles are expelled 5 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning ...

Страница 65: ...d recessed parts of all equipment with alcohol to remove all air bubbles 7 While immersed depress and release the pistons of the air water valve suction valve and AW channel cleaning adapter Ensure that all air bubbles are expelled 8 Rub the bristles of the channel cleaning brush and channel opening cleaning brush to remove all air bubbles 9 Attach the 30 cm3 30 ml syringe to the suction cleaning ...

Страница 66: ...ed in Section 3 8 Sterilization Steam sterilization autoclaving After cleaning as described in Manual cleaning on page 57 steam sterilize autoclave the equipment according to the procedures given below Before taking the equipment package out of the autoclave let it cool down to room temperature Otherwise it may cause burns Effective sterilization will not be possible if items are packed tightly to...

Страница 67: ...izer manufacturer s instructions 3 Following steam sterilization autoclaving let all components gradually cool down to room temperature 4 Store the components following the instructions given in chapter 5 Storage and Disposal 3 10 Cleaning disinfection and sterilization procedures for distal cover Equipment needed Prepare the following equipment and wear appropriate personal protective equipment P...

Страница 68: ...etergent solution 4 Using the 30 cm3 30 ml syringe flush the interior and recessed parts of the distal cover with detergent solution while the distal cover is immersed 5 Using a clean soft brush or lint free cloth meticulously clean the external surfaces in detergent solution 6 Cover the basin with a tight fitting lid to minimize the diffusion of detergent vapors Soak the distal cover at the tempe...

Страница 69: ...ing lid to minimize the diffusion of disinfectant vapors Soak the distal cover for the amount of time at the temperature and concentration recommended by the disinfectant manufacturer 6 Remove the distal cover from the disinfectant solution Rinse after high level disinfection After high level disinfection rinse the distal cover according to the procedures described below Alcohol is flammable Handl...

Страница 70: ...age and Disposal Sterilization Steam sterilization autoclaving After cleaning as described in Manual cleaning on page 64 steam sterilize autoclave according to the procedures given below Before taking the distal cover package out of the autoclave let it cool down to room temperature Otherwise it may cause burns Effective sterilization will not be possible if the distal cover is packed tightly toge...

Страница 71: ...king do not place it together with other cleaning equipment accessories etc The distal cover could be deformed and may become difficult to attach or the risk of the distal cover falling off during the examination will increase When steam sterilizing the distal cover do not place other objects on top of the distal cover The distal cover could be deformed and may become difficult to attach or the ri...

Страница 72: ...may impair the cleaning and disinfection capabilities of the reprocessor and the endoscope can pose an infection control risk to the patient and or operators who perform the next procedure with it Note that if the instrument is not precleaned immediately after the procedure patient debris may solidify which could impair proper cleaning and disinfection of the endoscope Refer to the endoscope repro...

Страница 73: ...nformation on connectors When cleaning and disinfecting an endoscope in an endoscope reprocessor use connectors that are compatible with the endoscope model Otherwise insufficient cleaning and disinfection or sterilization of the endoscope may occur which could pose an infection control risk to the patient and or operators performing the next procedure with the endoscope The applicable connectors ...

Страница 74: ...sinfected by a reprocessor clean and disinfect the elevator wire channel according to procedures described in Chapter 3 Cleaning Disinfection and Sterilization Procedures If using the endoscope reprocessor be sure to attach the appropriate connectors see Table 4 1 Otherwise insufficient cleaning and disinfection or sterilization of the endoscope may pose an infection control risk to the patient an...

Страница 75: ...ge the endoscope or present an infection control risk Do not store the endoscope in the carrying case Use the carrying case only for shipping the endoscope Routinely storing the endoscope in a humid non ventilated environment such as the carrying case may present an infection control risk 5 1 Storage of the endoscope When storing the endoscope make sure that the forceps elevator is not protruded f...

Страница 76: ...ocessing equipment are dry 2 Store all reusable parts in the storage cabinet Make sure that the parts do not touch each other during storage 3 Store all reprocessing equipment in a container then place the container in the storage cabinet 5 3 Disposal When disposing of the endoscope or any of its components such as valves follow all applicable national and local laws and guidelines ...

Страница 77: ......

Страница 78: ......

Страница 79: ...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 ...

Страница 80: ... 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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