Atmos S61 Servant Operating Instructions Manual page 14

Instruments
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6.0 Hygiene Plan
What
Reusable parts
Instrument management
ENT instruments
Instrument bowl
Instrument bowl with cover
Visualisation
ATMOS
Cam 21 / 31
®
ATMOS
Strobo 21 LED
®
Flexible scope
Rigid scope
Laryngoscope
Light conductor
Light grip
Microscope
Headlight
Radiofrequency surgery
ATMOS
RS 221 (surface)
®
Ergonomic handles
Bipolar tweezers
Bipolar electrode
Bipolar electrode cable
Neutral electrode
Neutral electrode cable
ENT electrodes
Surfaces
Housing
Roller shutter
System frame
Drawers
Writing surface
Instrument deposit
Mirror pre-heater
Tongue patches and
swab dispenser
Waste disposal
Instrument tray
Recommended disinfectants
Surface disinfection
3)
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)
Important information
Wipe cleaning and wipe disinfection: All sur-
faces have to be wiped with a clean (dispos-
able) wipe which is damped with disinfectant
solution; the entire surface has to be wiped tho-
roughly and may not be dried afterwards.
14
How
C
D
S
Cleaning
Disinfection
Sterilisation
Immerse instruments into solution immediately after use,
complete wetting is required, air must be removed from
any cavities, after the contact time instruments must be
X
X
2,4,5
X
rinsed with water, have to be dried and sterilised after-
wards. Please also observe the ATMOS operating
instructions for ENT instruments.
Cleaning and disinfection (manual)
X
X
4
Cleaning with a brush; afterwards disinfection (manual)
X
X
4
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Immediate pre-cleaning after the procedure
X
X
1,7,8
X
1)
Immediate pre-cleaning after the procedure
X
X
X
1,7,8
1)
Immediate pre-cleaning after the procedure
X
X
X
1,7,8
1)
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
X
1,2,4,5
1)
Immediate pre-cleaning after the procedure
X
X
1,2,4,5
X
1)
cleaning and disinfection (automatic or manual);
X
X
X
1,2,4,5
1)
use of enzymatic detergents
Immediate pre-cleaning after the procedure
X
X
X
1,2,4,5
1)
cleaning and disinfection (automatic or manual);
X
X
X
use of enzymatic detergents
1,2,4,5
1)
Immediate pre-cleaning after the procedure
X
X
X
1,2,4,5
1)
cleaning and disinfection (automatic or manual);
X
X
1,2,4,5
X
1)
use of enzymatic detergents
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
X
X
Wipe cleaning and wipe disinfection
3
X
X
Wipe cleaning and wipe disinfection
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection
X
X
3
Wipe cleaning and wipe disinfection,
X
X
3
every day or when refi lling
Wipe cleaning and wipe disinfection,
X
X
3
every day or when emptying the canister
Wipe cleaning and wipe disinfection, daily when replacing
X
X
3
with new instruments
4)
Instruments - manual disinfection:
 Korsolex
med AF (Bode Chemie)
®
 Korsolex
basic (Bode Chemie)
®
 Korsolex
plus (Bode Chemie)
®
 Korsolex
extra (Bode Chemie)
®
 neodisher
®
Septo MED (Dr. Weigert)
 neodisher
Septo 3000 (Dr. Weigert)
®
 Sekusept
®
PLUS (Ecolab)
 Sekusept
aktiv (Ecolab)
®
 Gigasept
Instru AF (Schülke & Mayr)
®
 Gigazyme
(Schülke & Mayr)
®
 Gigasept FF neu (Schülke & Mayr)
Instruments - automatic disinfection:
5)
 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)
®
Please observe the manufacturer's operating instructions.
1)
Alternative to manual cleaning und disinfection: Wash-
2)
Disinfector 78°C / 172°F
Material dimensionally stable at 134°C
6)
Recommendations
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)
Please see the manufacturer's instructions for
concentration, contact time, temperature and
the compatibility of materials.
Wrong concentration of disinfectants
may lead to damage!
When
Who
Qualifi ed and trained
staff who are familiar
with reprocessing.
(Please fi ll in the re-
sponsible person ->
use a water-based
overhead marker)
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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 re-
commendations of the Robert Koch Institute: „Requirements for
the reprocessing 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 MedizinTechnik. Any additio-
nal 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
S 61 Servant. 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.
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16  79853 Lenzkirch/Germany
Phone +49 7653 689-0  Fax +49 7653 689-190
atmos@atmosmed.de  www.atmosmed.de
GA3GB.110100.0
2017-05 Index: 13

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