Page 39 - Dr. Shumacher-Hygiene&Disinfection-FULL Catalogue

Manual disinfection - containing aldehydes
DESCOTON forte /DGHM
RKIA
powerful disinfectant for instruments and endoscopes
virucidal acc. to RKI/DVV guidelines
high degree of material compatibility – suitable for endoscope reprocessing RKI listed for disinfection in cases of epidemics
DESCOTON forte is a highly active, virucidal liquid concentrate for disinfection of endoscopes and all kinds of surgical instruments.
DESCOTON forte is economical to use and combines a broad spectrum of activity including virucidal, tuberculocidal and sporicidal eicacy with a high degree of material compatibility. It is ideally suited for inal disinfection of all kinds of medical instruments.
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Manual Reprocessing of Instruments
• De-gas freshly prepared solutions before immersing instruments in them.
Guideline –
Manual cleaning and chemical disinfection of instruments
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Cleaning
P Pr r o o p p e e r r c c l l e e a a n n i i n n g g
Amongst other aspects, DIN EN ISO 17664 deiines cleaning as the removal of stains from an object to the degree required for further processing or its in- tended use.
Eiicient cleaning is a prerequisite for eiicient disin- fection and - if required – subsequent sterilization.
Ultrasonic baths to support the cleaning:
Manual cleaning is performed using suitable clea- ning agents. Cleaning agents differ in terms of their ingredients (e.g. surfactants, enzymes) and pH value (slightly alkaline, highly alkaline, and pH neutral).
To avoid contamination with potentially infectious material, the cleaning must not be performed un- der a strong jet of water. If brushes are used for the cleaning the brushing must only be done below the liquid´s surface because of the risk of splashing.
Recommendations for use:
• To avoid acoustical shadows, do not place instru- ments above one another.
• Cover instruments with solution completely, illing provided cavities with solution.
The cleaning of medical devices can be performed with cleaning accessories e.g. brushes. It is important that the cleaning accessories do not cause damage on the instruments, e.g. scratching of instruments by the use of metal brushes.
Ultrasonic baths can be used to support the clea- ning.
• Use detergent process chemicals that are suitable for sonication and not protein-ixing.
• Comply with concentrations and exposure times.
• Fill bath with solution up to the illing mark.
• Position sensitive instruments, and in particular the cutting jaw parts of scissors and pliers, at a distance from one another to avoid damage.
• Thoroughly clean and disinfect the ultrasonic bath mechanically every working day after draining/whi- le replacing the working solution.
Where the cleaning of hollow instruments is concer- ned, the manufacturer is either required to recom-
Our product recommendations:
mend suitable brushes or to provide information about the diameter and length of the brushes. Pre- ferred are cleaning accessories that can be sterilized by a machine or disposable cleaning accessories.
Ultrasonic baths are used to support the cleaning process. If sonication is used, the following points have to be considered: information provided by the manufacturer of the medical device to be cleaned, the used process chemicals of the disinfectant ma- nufacturer and the application guidelines of the ul- trasonic bath manufacturer.
• Replace the solution in the ultrasonic bath at least once a day or in case of visible soling.
• Gently place medical devices in the basket and not on the loor of the bath. Open medical devices fea- turing joints, e.g. scissors, before immersing them.
Tip Box:
Water quality:
Water is a key success factor at every stage of the process. Microbiological drinking water quality is mandatory for all process steps. The inal rinse must blepmrsovdiudreindgwaitshudbesemqiunenratlisztedrilwizateiornt.o avoid pro-
PLURAZYME extra
INSTRU PLUS
DESCO CLEANER
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t i n r i s - t e r n u z m y me n a t t s i c a n c l d e a e n n d e r o f s o c r o s p u e r r g e i c p a r o l c e s s i n g
l a i q n u d i e d n c d l e o a s n c o e p r e f o s r i n s t r u m e n t s
p o w d e r c l e a n e r f o r i n s t r u m e n t s
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Documentation and release
Storage
Application
Appropriate preparation
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Cleaning
Sterilization
Intermediate rinse
Packaging
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Inspection for cleanli- ness and intactness
Disinfection
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Maintenance and control
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Rinsing and drying
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Manual cleaning and disinfection – individual processing steps:
Final rinse
• Final rinse with microbiologically safe water to remove disinfectant residues.
• Rinse all inner and outer parts and move movable parts in the rinsing process.
01 Appropriate preparation • Removal of heavy soiling or rinsing
Drying
• Drying follows immediately after the
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01
iinal rinse.
• Water needs to drain off surfaces irst.
• Dry all surfaces using medical com-
pressed air and/or clean, low-germ and
lint-free towels. 10
• • •
Removal of soilings using suitable detergents and cleaning accessories such as brushes, for example.
No cleaning under powerful jets of water.
Maintenance and control • Targeted application of maintenance
The Instrument Cycle
03 Intermediate rinse
• Rinse all outer and inner surfaces with microbiologically safe water.
• Move moveable parts in the rinsing process.
products for example lubricant oils
in joints, sliding surfaces or threads.
• Surplus of maintenance products 09 can be removed from the surface
with a cloth.
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Documentation and
04 Inspection for cleanliness and intactness
release
• All individual cleaning and disinfection
• Visual inspection, using a magnifying lamp, if required.
• Renewed cleaning of insuiciently clean instruments.
activities must be documented. 08 • Release of the medical device after
completion and documentation of the
manual cleaning and disinfection.
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Depending on the use intended for
the medical device, the disinfection process can be combined with further work tasks: functional check, packaging, sterilization, labelling.
clean
unclean
The operator needs to deine work instructions providing detailed descriptions of all individual tasks in writing. Individual givens at the facility must be consi- dered in creating the work instructions. The work instructions need to deine the approach in detail while naming the aids required.
Examples include:
• Process chemicals, concentrations and exposure times
• Cleaning accessories (type and dimensions of cleaning brushes)
• Rinsing requirements (water quality, water quantity and/or deined rinsing periods) • Drying (lint-free cloths, compressed air quality and quantity, drying cabinet)
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06
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05 Disinfection
• sImolmuteiorsne. medical devices in disinfectant • Ensure that all inner and outer surfaces are completely covered by the solution. • Observe exposure time.
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through of cavities.
• Disassembly of demountable medical devices.
• Transport of instruments to disinfec- tion area.
02
Brushing only under the surface of the liquid.
02 Cleaning
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dirty conditions:
7.6 g Formaldehyde, 4.5 g Glutaral
2 % 60 min. 3 % 15 min.
1 L 2 L 5 L
dosage bottle bottle container
Antimicrobial properties
bactericidal incl. MRSA, yeasticidal
acc. to VAH/DGHM
tuberculocidal acc. to EN 14348/EN 14563
sporicidal
active against all enveloped viruses
incl. Hepatitis B virus/HIV/Hepatitis C virus
virucidal incl. Polio virus/Adeno virus /Papova/ Polyoma virus /Hepatitis A virus
Active ingredients in 100 g
Directions for use
Instrument disinfection
acc. to German guidelines/VAH/DGHM:
tested and approved by
PENTAX, STORZ, OLYMPUS-WINTER & IBE, WOLF
virucidal
Single unit
approved for
HETTICH
Zentrifugen
Unit Art.-No.
10 00-101-010 6 00-101-020 3 00-101-050
Manual reprocessing of instruments
Manual cleaning and chemical disinfection of instruments
To provide excellent disinfection results in the reprocessing of surgical instruments, disinfection products with a reliable disinfectant efect, a broad activity spectrum and a good cleaning performance are necessary. Besides an excellent product quality also the procedures applied to clean and disinfect medical devices
are key for optimal hygiene. To learn more about the required procedures, please refer to our brochure „Guideline - Manual cleaning and chemical disinfection of instruments”, in which we explain the cycle of instrument reprocessing following the DGSV (German Society for the Supply of Sterilized Materials) as well as the RKI (Robert Koch Institute).