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Cleaning, Disinfection and sterilization                                                  Cleaning, Disinfection and sterilization



       7.3     Procedure for Lip Clip, Hook and Fork                                               N°       Operation          Operating mode            Warning

                                                                                                                                                  When choosing cleaning agents
        N°        Operation          Operating mode            Warning                                                                            and disinfectants, make sure
                                                                                                                                                  that:
                                                        1. Do not allow remnants to dry                                                           - they are suitable for cleaning or
                                                        on. Clean no later than 2 hours.                                                          disinfecting instruments;
                                                        For visible impurities that are                                                           - you use a disinfectant with
                                                        observed on instruments, a pre-                                                           proven efficacy (e.g. with VAH/
                                                        cleaning is recommended by                                                                DGHM or FDA certification or
                                                        brushing them manually with soft                                                          CE mark) and that the
                                 1. Pulp and dentine remnants   material.                                                                         disinfectant is compatible with
                                 must be removed from the   Only use clean, soft brushes to                                                       the cleaning agent;
                                 accessories immediately.  manually remove contamination                                                          - the chemicals used are
                                                        and remnants, or a clean, soft                                                            compatible with the accessories.
                                 2. After using the accessories on   cloth or wipe that is only used for
                                 the patient, place them directly   this purpose. Do not use metal                         1. Place the pre-cleaned   Combined cleaning/disinfection
                                 into a dish filled with a suitable   brushes or wire wool. Check that                     accessories into the cleaning   products should only be used if
                                 cleaning and disinfection   no visible contamination or                                   bath for the prescribed contact   the instruments are only slightly
                                                                                                                                         ®
                                                 ®
                                 solution (e.g. CIDEZYME ,   remnants remain, and repeat the                               time (e.g. CIDEZYME ,   contaminated (no visible
                                                        pre-cleaning process if
                                                                                                                                                  contamination/remnants).
                                                                                                                                ®
                                      ®
                                 ENZOL  Enzymatic Detergent   necessary.                                                   ENZOL  Enzymatic Detergent   Comply with the concentrations
        1.    Pre-Disinfection or   Solutions, Johnson & Johnson                                                           Solutions, Johnson & Johnson   and contact times specified by
                                                                                                                           Medical, 0.8% for 1 minute);
              Decontamination    Medical, 0.8% for between   2. Make sure that the products                                                       the manufacturers of the
                                 1 minute and 2 hours) for   are fully immersed.                                           make sure that the products are   cleaning agents and
                                 cleaning, pre-disinfection and                                                            fully immersed (if necessary, use   disinfectants, as well as their
                                 interim storage.       3. The disinfectant solution                                       a soft brush to carefully brush   instructions regarding the
                                                        should be aldehyde free (to                                        them down).            intensity of subsequent rinsing.
                                 3. Wash the accessories under   avoid blood impurities fixation),
                                 flowing sterile, deionized water   suitable for disinfecting the   3.  Manual Cleaning    2. Remove the accessories from   Use only freshly prepared
                                 or in a disinfection solution at   accessories, and compatible                            the cleaning bath and rinse them   solutions, water that is sterile or
                                 least three times for a minute   with the accessories.                                    off thoroughly at least three   has a low microbe content (<
                                 each time, in order to remove all                                                         times for a minute each time with   10 cfu/ml) and a low endotoxin
                                 visible traces of contamination   Note that disinfectant used for                         sterile, deionized water.  content (< 0.25 EU/ml, e.g.
                                 and remnants.          pre-treatment is only for                                                                 purified water (PW/HPW)), and
                                                        personal protection and does not                                   3. Next, place the accessories in   filtered, oil-free air for drying.
                                                        obviate the need for disinfection                                  an ultrasonic bath with a
                                                        once cleaning has been                                             cleaning agent (e.g.   ®  Make sure that the accessories
                                                                                                                                   ®
                                                        completed.                                                         CIDEZYME , ENZOL       are not in direct contact with one
                                                        Pre-treatment should never be                                      Enzymatic Detergent Solutions,   another.
                                                        omitted.                                                           Johnson & Johnson Medical,
                                                                                                                           0.8% for 20 minutes).  The hook mechanism has to be
                                                        Use clean water.                                                                          activated during the cleaning
                                                                                                                                                  process, the rinsing process and
                                                        If a pre-disinfectant solution                                                            the ultrasonic bath cleaning
        2.    Rinsing            Abundant rinsing (at least   contains a corrosion inhibitor, it
                                 1 min).                                                                                                          (press several times the push
                                                        is recommended to rinse the                                                               button) to allow the inner parts to
                                                        instruments just before the                                                               be cleaned more effectively.
                                                        cleaning.
                                                                                                                                                  Make sure that the products are
                                                                                                                                                  fully immersed (if necessary, use
                                                                                                                                                  a soft brush to carefully brush
                                                                                                                                                  them down).
                                                                                                                                                  No visible impurities should be
                                                                                                                                                  observed on the accessories
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