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Medivators CER-1 Service Manual

Endoscope reprocessor
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CER-1 / CER-2
(MV-1 / MV-2)
(CLM-5001X / CLM-5002VX)
Endoscope Reprocessor
User/Service Manual
50096-645/B

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Summary of Contents for Medivators CER-1

  • Page 1 CER-1 / CER-2 (MV-1 / MV-2) (CLM-5001X / CLM-5002VX) Endoscope Reprocessor User/Service Manual 50096-645/B...
  • Page 2 Part Number 50096-645/B – MARCH 2007 Old Part Number 50096-432/A – July 2006 Old Part Number 50090-917- February 2003 No part of this publication may be reproduced without the express written permission of MEDIVATORS Reprocessing Systems a division of Minntech Corporation Medivators Reprocessing Systems...
  • Page 3 CER-1 / CER-2 User/Service Manual Explanation of Symbols Note: This information adds additional insight and/or instructions for a specific topic. Caution: This information is an alert to the possibility of a problem with the device associated with its use or misuse.

  • Page 4: Table Of Contents

    CER-1 / CER-2 User/Service Manual CONTENTS Page 1 Warnings and Precautions ..............1-1 Warnings ........................1-1 Precautions ....................... 1-2 Guidelines for Cleaning and Disinfection ..............1-3 2 Introduction....................2-1 Specifications ......................2-2 2.2. Special Features ...................... 2-3 3 Plumbing and Electrical Specifications ..........3-1 Water Supply......................
  • Page 5 CER-1 / CER-2 User/Service Manual 6 Quality Control Guide ................6-1 7 Troubleshooting Guide ................7-1 8 Reprocessing Cycle Times ..............8-1 Full Automatic Cycle....................8-1 LCG/Rinse ........................ 8-1 9 Glossary ....................9-1 10 Warranty ....................10-1...

  • Page 6: Warnings And Precautions

    • Follow endoscope/accessory manufacturer’s instructions for reprocessing. • Read all precautionary labels on all models of CER-1 and CER-2 before using. • Ensure that fluid is not sprayed on personnel, electrical fixtures or patients. Do not point the distal tip of an endoscope toward personnel, electrical fixtures or patients.

  • Page 7: Precautions

    CER-1 / CER-2 User/Service Manual 1.2 Precautions • Medivators recommends use of a detergent with the following properties: Bacteriostatic properties to inhibit bacterial growth. Low foam properties for effective recirculation. • Do not use regular kitchen detergent for the following reasons: Kitchen detergent may contain bacteria.

  • Page 8: Guidelines For Cleaning And Disinfection

    CER-1 / CER-2 User/Service Manual 1.3 Guidelines for Cleaning and Disinfection Always follow established professional guidelines for cleaning and disinfection of endoscopes. Develop a protocol based on such guidelines. The following organizations have published recommended guidelines: Society of Gastroenterology Association for Professionals in...

  • Page 9: Introduction

    CER-2 Dual endoscope reprocessing capability • This User/Service Manual applies to the following models: CER-1/MV-1/5001X (All referred to as CER-1 throughout the manual.) • CER-2/MV-2/5002VX (All referred to as CER-2 throughout the manual.) • Filtration system - Certified bacteria retentive grade, water filtration system to provide USP •...

  • Page 10: Specifications

    CER-1 / CER-2 User/Service Manual 2.1 Specifications Dimensions 14 X 22 X 20-inches 31-inches with lid open Chassis Dimensions (height - width - depth) 36 x 56 x 51cm 79cm Weight CER-1 Weight (approx.) 66 lb 30 kg CER-2 Weight (approx.)

  • Page 11: Special Features

    CER-1 / CER-2 User/Service Manual 2.2 Special Features The CER-1 has one channel connector for each of the internal endoscope channels. • This results in maximum flow through channels regardless of difference in channel sizes. The CER-2 is capable of reprocessing two endoscopes with additional connectors.

  • Page 12: Plumbing And Electrical Specifications

    • Vacuum breakers for the water inlet. Backflow protection for the drain. Note: Medivators recommends that the user check local regulations regarding anti-siphon valves and vacuum breakers before attempting to install any reprocessor models. Note: Always TURN OFF the water supply at the end of the day! 3.2 Drain...

  • Page 13: Electrical Requirements

    6.5 amps attachments: 3.85 amps Note: • Medivators recommends that surge protectors be used for protection against power spikes and surges. • A Hospital Grade electrical cord is supplied with each machine. • If the outlet is adjacent to the water supply, a ground fault interrupter should be used.

  • Page 14: Plumbing Schematic

    CER-1 / CER-2 User/Service Manual 3.4 Plumbing Schematic This line used only for CER-2 CER Flow Diagram...

  • Page 15: Installation

    CER-1 / CER-2 User/Service Manual INSTALLATION 4.1 Specifications COUNTER TOP INSTALLATION • All models Counter top must be a minimum of 24-inches (61cm) deep. It is necessary to cut two, 2-inch (5.1cm) holes in the counter top to allow passage of the drain pipe and chemical reservoir tubing from under the counter.

  • Page 16: Water Filtration System

    CER-1 / CER-2 User/Service Manual 4.2 Water Filtration System 1. Connection of Filtration System to the Water Source. IN Port ¾-inch hose connection OUT Port Postfilter Prefilter Figure 3. Water Filtration Unit Tap into the water line. This must be done by qualified personnel.

  • Page 17: Installation And Sanitization Of Water Filtration System

    Note: Water filters must be replaced every three to six months depending on water quality. A pressure differential across the gauges of 5 psi or more indicates a need to replace one or both filters. Medivators supplied replacement parts and filters must be used to assure proper operation and efficacy of the reprocessors.
  • Page 18 CER-1 / CER-2 User/Service Manual Using the Liquid Chemical Germicide Transfer Pump. • ▬ Screw the housings into the bracket. Make sure that the filters are well seated into the peg in the lid of the housing. If the pre-filter and the gasket are not properly seated, the housing will not screw into the bracket.
  • Page 19 CER-1 / CER-2 User/Service Manual • Without using the Liquid Chemical Germicide Transfer Pump. Fill each housing with approximately 40-ounces of high level disinfectant. ▬ Screw the housings into the bracket. Make sure that the filters are well seated into the ▬...

  • Page 20: Reprocessor Installation

    CER-1 / CER-2 User/Service Manual 4.3 Reprocessor Installation 1. Water See Section 3.1 2. Drain Connect the flexible drain hose to the white drain fitting on the back of the reprocessor and attach the screw clamp. Caution: For all models: The drain must be 12-inches below the drain fitting on the reprocessor.
  • Page 21 For all reprocessor models, plug the electrical cord FIRMLY into the power entry module on the right side of the reprocessor. Plug the other end into a standard 110VAC/220VAC outlet. Caution: Medivators recommends that for safety, only outlets outfitted with a ground fault interrupter (GFI) be used.
  • Page 22 CER-1 / CER-2 User/Service Manual...

  • Page 23: Operation

    CER-1 / CER-2 User/Service Manual OPERATION Note: The endoscope reprocessor is an effective aid for controlling the spread of disease. Laboratory tests performed to evaluate the effectiveness of the reprocessors automated programs point out that effective reprocessing can only be accomplished by complete manual precleaning of the endoscope followed by exposure to a LCG.

  • Page 24: Heated Disinfectant Reservoir Option

    CER-1 / CER-2 User/Service Manual 5.3 Heated Disinfectant Reservoir Option (for use with heated disinfectant) Note: There is a temperature loss of at least 2ºC between the disinfectant reservoir and the reprocessing basin, therefore it is essential to initially set the disinfectant reservoir temperature 2ºC higher than the disinfectant label...

  • Page 25: Control Panel

    CER-1 / CER-2 User/Service Manual 5.4 Control Panel Figure 9. Control Panel (Glutaraldehyde panel for illustrative purpose only) Note: If the unit is supplied for use with Rapicide, then the “LCG Time” will be 5, 20 and 45, on the control panel.
  • Page 26 CER-1 / CER-2 User/Service Manual LCG/Rinse: Sets the program to provide a 1-minute water purge, LCG exposure, two rinses • and a 2-minute air purge. The user may select the time for LCG exposure. Detergent Flush: The user may select for 3 or 5 minutes.
  • Page 27 • a) Check the level of LCG in the tank. There must be 4 gallons (15.1L) of LCG in the chemical reservoir for model CER-1. There must be 5 gallons (18.9L) of LCG in the chemical reservoir for model CER-2.
  • Page 28 (7.6L) per minute at 40-60 psi for the reprocessor to operate properly. Note: Inadequate water flow can be caused by a clogged water filtration system. Medivators recommends changing the pre and post filters every three months but depending on your water source, internal plumbing and other environmental factors.
  • Page 29 CER-1 / CER-2 User/Service Manual AUTOMATIC (FULL) CYCLES • LED Status During Full Cycle Cycle LED State Wash Full Blinking Wash 3 or 5 Blinking Start ON if chosen Drain/Air Full Blinking Wash Blinking Start ON if chosen Rinse Full...
  • Page 30 CER-1 / CER-2 User/Service Manual AUTOMATIC (FULL) CYCLES (cont.) • Cycle LED State Drain/Air Full Blinking Wash Start ON if chosen Rinse#2 Same as Rinse#1 Drain/Air Full Blinking Wash Start ON if chosen 10 MIN Air If Full Blinking chosen at beginning of full cycle.
  • Page 31 CER-1 / CER-2 User/Service Manual AUTOMATIC (LCG RINSE) CYCLES • Cycle LED State Pre-rinse LCG/Rinse Blinking Start ON if chosen Drain/Air Cycle Blinking Wash Start ON if chosen LCG/Rinse Blinking LCG 10, 20 or 45 Blinking Start ON if chosen...
  • Page 32 CER-1 / CER-2 User/Service Manual MANUAL FUNCTIONS • Cycle LED State LCG/IN LCG/IN Blinking Manual Start Complete LCG/IN Manual Stop LCG/OUT LCG/OUT Blinking Manual Start Complete LCG/OUT Manual Stop Drain Drain Blinking Manual Start Complete Drain Manual Stop Blinking Manual...

  • Page 33: Filling And Draining The Liquid Chemical Germicide Reservoir

    CER-1 / CER-2 User/Service Manual 5.5 Filling and Draining the Liquid Chemical Germicide Reservoir Caution: Use personal protective clothing when transferring LCGs. 1. Recommended filling Method. Figure 10. Chemical Transfer Pump Plug the Transfer Pump into a power outlet. •...
  • Page 34 Note: Ensure that there are no leaks. If leaks are seen, turn the pump OFF. Note: There must be 4 gallons (15.1L) of LCG in chemical reservoir of Model CER-1. There must be 5 gallons (18.9L) of LCG in the chemical reservoir of Model CER-2.
  • Page 35 CER-1 / CER-2 User/Service Manual Empty the reservoir using Transfer Pump and Tube set. Refer to Figures 10 and 11. Note: Some local, regional, or national agencies require neutralization of the solution prior to disposal. If neutralization is not required, refer to Step 4.
  • Page 36 It is the user's responsibility to ensure that the LCG is used for the proper time and temperature to effect high-level disinfection or sterilization. Medivators recommends LCG testing before every reprocessing cycle to ensure an adequate level of active ingredient. Use the manufacturer’s test strips to test the potency of the high level disinfectant.

  • Page 37: Prepare Endoscopes For Reprocessing

    Place the control head of the endoscope with the control wheels UP over the drain cover. Loop the insertion tube clockwise and the umbilical counterclockwise. The light guide plug will fit in the outside of the dome on a CER-1. 2. Load two endoscopes into model CER-2. Refer to Figure 17.
  • Page 38 The second endoscope can be placed with the head at the left front of the basin with the control wheels down. Channel connectors Channel connector Channel connector Figure 16. One Endoscope loaded into CER-1 basin. 5-16...
  • Page 39 CER-1 / CER-2 User/Service Manual Channel connector Channel connector Figure 17. Two Endoscopes loaded into CER-2 basin 5-17...

  • Page 40: Channel Connectors/Hookups

    Center, User Library. Refer to the appropriate Olympus, Pentax, or Fujinon guides for connection instructions and illustrations Note: Contact your local representative or Medivators Customer Support if further assistance is needed. Note: Periodically, inspect Hook-ups for damage and/or deterioration and replace as necessary.
  • Page 41 CER-1 / CER-2 User/Service Manual 1. Setting Controls for Automatic Cycle. a. Full Automatic: 1) Turn the POWER switch ON. The red indicator lights will come ON to FULL, 3, and 20. The reprocessor is ready for operation. The program is automatically set to default to full cycle with a 3-minute wash and a 20-minute high-level disinfectant exposure time.

  • Page 42: Instructions For Alcohol Flushing Port

    5. After the air has begun to flow, inject the alcohol into the reprocessor. For two colonoscopes, Medivators recommends the use of 120 cc of alcohol. For one endoscope or for smaller endoscopes such as bronchoscopes 60 cc is sufficient.

  • Page 43: Storing Endoscopes After Reprocessing

    CER-1 / CER-2 User/Service Manual Connect to Syringe To Machine To Alcohol Container Figure 19. Alcohol Flushing Adapter 5.11 Storing Endoscopes after Reprocessing Endoscopes should be stored, hanging vertically, in a well ventilated storage cabinet with caps removed. Manufacturers recommend that valves and other removable parts not be inserted until immediately before using the scope.

  • Page 44: Quality Control Guide

    CER1 / CER2 User/Service Manual QUALITY CONTROL GUIDE In order to insure correct operation of the reprocessor, the Quality Control Procedure must be performed prior to the first use of the day. Maintenance on the unit should be performed whenever the following Quality Control procedures fail to give the expected results.
  • Page 45 LCG. e. Examine the level of LCG in the reservoir daily. Medivators recommends LCG testing before every reprocessing cycle, to ensure an adequate level of active ingredient. Use the manufacturers test strips to test the potency of the high level disinfectant.
  • Page 46 Caution: Do not use a powder detergent. Undissolved powder may block the endoscopes internal channels. m. Medivators recommends that all units be used with a water filtration unit designed to remove bacteria and debris present in the potable water systems.

  • Page 47: Troubleshooting Guide

    If a problem occurs, please use this section to locate the cause. It is best to review main topics to help identify the problem. Listed below are possible solutions to problems which might occur. Note: Contact your local representative or Medivators Customer Support (1-800- 444-4729) if problem is not resolved after using the Troubleshooting Guide.
  • Page 48 No air flow through channel connectors Channel connector is not fully Reinsert channel connector inserted Check valve inline with alcohol Contact Medivators Customer Support manifold is leaking air for replacement/repair ASW leaking air through main pump Contact Medivators Customer Support manifold...
  • Page 49 Contact Medivators Customer Support Losing LCG during cycles for replacement/repair Drain screen plugged Clean screen and make sure nothing is blocking the drain or Contact Medivators Customer Support for replacement/repair LCG OUT quick disconnect is Contact Medivators Customer Support leaking...
  • Page 50 No lights on control panel Switch is turned OFF Turn ON power switch Fuse is blown Replace fuse Motherboard is defective Contact Medivators Customer Support for replacement/repair Control panel is defective Contact Medivators Customer Support for replacement/repair Ribbon cables are loose...

  • Page 51: Reprocessing Cycle Times

    CER1 / CER2 User/Service Manual REPROCESSING CYCLE TIMES Note: All reprocessor models are capable of using EITHER the full automatic cycle OR the LCG/rinse cycle. Note: If using the disinfectant chemical Cidex OPA, then the system will have three rinse cycles after the “LCG IN” cycle. Cidex OPA requires three complete rinse cycles after disinfectant contact with the endoscope.

  • Page 52: Glossary

    CER1 / CER2 User/Service Manual Glossary Alcohol Used to dry the inside of endoscope channels High Level Disinfection Defined by the Centers for Disease Control and Prevention as a process that destroys all vegetative bacteria, viruses, and fungi, but not necessarily all bacterial endospores. Liquid Chemical Germicide (High-level Disinfectant) Minimum Effective Concentration...

  • Page 53: Warranty

    (iv) servicing or repair not authorized by Medivators. Limitation of Remedy The warranty obligation of Medivators hereunder is limited to the repair or replacement (at its option) of the Product or any parts it deems defective. This will be customer’s exclusive remedy for a covered defect.
  • Page 54 CER1 / CER2 User/Service Manual...

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Cer-2

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