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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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