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       Cleaning, Disinfection and Sterilization                                                  Cleaning, Disinfection and Sterilization



               Operation       Operating mode               Warning                                      Operation       Operating mode               Warning
                            •  Once the accessories   •  The hook mechanism has to                                    •  Pulp and dentine   •  Do not allow remnants to dry
                               have been cleaned     be activated several times                                          remnants must be      on. Clean no later than 2
                               and inspected, place   during disinfection and the                                        removed from the      hours. For visible impurities
                               them into the         rinse to allow the inner parts                                      accessories           that are observed on
                               disinfection bath for   to be disinfected more                                            immediately.          instruments, a pre- cleaning
                               the prescribed        effectively.                                                     •  After using the       is recommended by brushing
                               contact time (e.g.   •  To dry use oil-free, filtered                                     accessories on the    them manually with soft
                               Cidex OPA, Johnson    compressed air and then                                             patient, place them   material. Only use clean, soft
                               & Johnson Medical,    leave the accessories to dry                                        directly into a dish   brushes to manually remove
                               100% for 20 minutes);   further in a clean place for at                                   filled with a suitable   contamination and remnants,
                               the accessories must   least 20 minutes.                                                  cleaning and          or a clean, soft cloth or wipe
                               be sufficiently    •  Once the accessories are                                            disinfection solution   that is only used for this
        5   Disinfection
                                                                                                                                      ®
                               immersed in the       dry, inspect and pack them                                          (e.g. CIDEZYME ,      purpose. Do not use metal
                               solution.             as soon as possible.                                                ENZOL  Enzymatic      brushes or wire wool. Check
                                                                                                                               ®
                            •  Remove the                                                                                Detergent Solutions,   that no visible contamination
                               accessories from the                                                                      Johnson & Johnson     or remnants remain, and
                               disinfection bath and                                                                     Medical, 0.8% for     repeat the pre-cleaning
                               rinse them off                                                      2   Pre-Disinfection  between 1 minute      process if necessary.
                               thoroughly at least                                                                       and 2 hours) for   •  Make sure that the products
                               five times for a minute                                                                   cleaning, pre-        are fully immersed.
                               each time with water.                                                                     disinfection and   •  The disinfectant solution
                            •  Dry the accessories                                                                       interim storage.      should be aldehyde free (to
                               by blowing them                                                                        •  Wash the              avoid blood impurities
                               down fully.                                                                                                     fixation), suitable for
                                                                                                                         accessories under
                            •  Abundant rinsing    •  Use quality water in                                               flowing sterile,      disinfecting the accessories,
                               (at least 1 min).     accordance with local                                               deionized water or in   and compatible with the
                                                     regulations.                                                        a disinfection solution   accessories.
                                                  •  If a disinfecting solution                                          at least three times   •  Disinfectant used for pre-
                                                     contains a corrosion                                                for a minute each     treatment is only for personal
                                                     inhibitor, it is recommended                                        time, in order to     protection and does not
        6   Rinsing                                                                                                                            obviate the need for
                                                     to rinse the instruments just                                       remove all visible
                                                     before the autoclaving.                                             traces of             disinfection once cleaning
                                                  •  Dry on a single use non-                                            contamination and     has been completed.
                                                     weaved cloth, or with a                                             remnants.             Pre-treatment should never
                                                     drying machine or filtered                                                                be omitted.
                                                     compressed air.                                                  •  Abundant rinsing    •  Use clean water.
                                                                                                                         (at least 1 min).  •  If a pre-disinfectant solution
                                                                                                                                               contains a corrosion
                                                                                                   3   Rinsing
                                                                                                                                               inhibitor, it is recommended
                                                                                                                                               to rinse the instruments just
                                                                                                                                               before the cleaning.




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