Advertisement
Interpretation of Results
Contraindications of Test Results
Documentation
Special Warnings and Cautions
Disposal
(for additional test procedures with the TOSI
http://www.hmark.com/tosi.php)
®
1.
Open the TOSI
package by tearing across the precut notch at the top of the TOSI
package; remove the TOSI
®
2.
Secure one (1) TOSI
diagram above.
3.
Place one on each shelf. In multiple shelf units follow diagram above and examples:
e.g. 3 Shelf Unit, 3 TOSI
4.
Process using your surgical instrument wash cycle.
®
5.
Examine the TOSI
for visual cleanliness. Compare the test to the
WT104, scale (0-5).
6.
Record results on
log sheet
Sonic & Blood Soil Test
1.
Make sure that the ultrasonic cleaner has been degassed prior to running the test
and has the correct amount of cleaning solution in the tank/bath.
2.
The number of SonoChecks placed in the tank will be dependent on the volume of
the tanks (see routine testing).
3.
Place the correct amount of SonoChecks in the appropriate tray for testing
according to tank size.
4.
Secure one (1) TOSI
®
5.
TOSI
and SonoCheck
6.
Run the Sonic through its normal cycle (record the cycle).
7.
Record both the SonoCheck
If less than optimal results were obtained (1-5), make adjustments to the equipment
utilizing the
chart (WT104)
●
clogged spinner arms
●
worn spray arm bushings
●
insufficient detergent due to empty containers
●
detergent pump failure or clogged delivery tubing
●
poorly functioning water pump
●
incorrect water temperature
●
incorrect cycle settings
●
Tiny Red Spot on TOSI
imperfection in the stainless-steel plate which leads to oxidation of the metal. The
result is a little red speck which could be confused with the hemoglobin soil on the
®
TOSI
. The easiest way to double check for such a thing is to directly employ
mechanical action (with a gloved hand, preferably with the aid of an instrument
cleaning brush) under water. If the speck remains, then it is definitely not the TOSI
blood soil that remains.
●
Ghosting on the TOSI
can be confused with fibrin protein remaining on the TOSI
facility that has hard water. If allowed to dry and the TOSI
water staining may be observed on the TOSI
plate in a bath of water. If the stain "disappears" when wetted,
®
submerge the TOSI
this indicates a non-test soil residue (likely hard water minerals or detergent) and not
the blood soil.
●
Ultrasonic Cycle: Residual Soil Re-deposited on TOSI
washers that do not have a distinct rinsing stage within the same tank (draining of
cleaning solution and filling with a fresh bath of water), it is possible that a small
®
amount of TOSI
soil can become trapped underneath the clear plastic holder and that
soil is then redeposited upon the coupon. To determine if that is the case, simply give a
gentle agitation of the TOSI
cycle should be rinsed away. If soil still remains attached to the surface of the TOSI
after this rinsing procedure, then this indicates sub-optimal cleaning.
Record all changes and adjustments to the washer according to the results found from the
®
TOSI
test relative to the chart scale. Utilize the supplied log sheet.
®
Since the TOSI
is run in the mechanical cleaning equipment, there is a chance for
contamination. Therefore, it is recommended to dispose of the used TOSI
container in compliance with facility protocols.
®
, please visit:
®
coupon from the package.
per level in the center of an empty tray as depicted in the
®
®
; 4 Shelf, 4 TOSI
or 1 Level Tunnel Washer, 1 TOSI
on www.hmark.com.
®
to the middle of the tray.
TM
can be placed in the same tray.
TM
®
and TOSI
results at the end of the cycle.
as a guide. Typical failures can be caused by:
®
Plate: Very rarely, but nonetheless possible, is a slight
®
Plate: A whitish stain is observed on the TOSI
®
plate. The simplest method is to gently
®
within a bath. Any soil that was detached during the
®
®
.)
interpretation
chart,
®
®
plate, which
®
. This usually happens at a
®
is read at that point, hard
®
Plate: In ultrasonic
®
®
in a biohazard
Advertisement
