Automated Cleaning; Manual Cleaning - DePuy Synthes 107066 Manual Del Usuario

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 60ºC); a hot water rinse (minimum time
20 seconds); a thermal rinse (minimum hold of 1 minute at
82.2ºC) and dry (minimum hold 5 minutes at 95ºC).
• 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 out, using a twisting motion to remove debris. Use a
syringe filled with enzymatic cleaning solution to flush hard to
reach internal areas. When cleaning articulating instruments,
(those with moveable parts), brush with a soft non-metallic
bristle brush to remove all traces of blood and debris. Pay close
attention to threads, crevices, seams, and any hard to reach
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