Work Steps for the Reprocessing of KaVo Handpieces, Turbines and
Transcription
Work Steps for the Reprocessing of KaVo Handpieces, Turbines and
Work Steps for the Reprocessing of KaVo Handpieces, Turbines and SONICflex Tips with KaVo Products Preparations at the site of use ! To minimise the risk of infection during reprocessing, always wear protective gloves. Always remove the bur from the chuck system first. Q 3 4 Remove/screw off the instrument from the motor coupling or the turbine from the quick coupling. 5 Wipe the outside of instruments immediately after the end of the treatment with an approved disinfection agent (e.g. with MinutenWipes/ALPRO) in order to protect the practice team. 6 Instruments with interchangeable heads: remove the heads from the reducing shank for separate servicing and treat for 1 second with a corresponding attachment (this is generally not possible with speed-increasing contra-angles and turbines). In some cases, surgical instruments can be dismantled for cleaning and servicing (see instructions for use). Do not place KaVo instruments and turbines in disinfectant solutions or clean them in ultrasonic devices. Manual Reprocessing Reprocessing with QUATTROcare CLEAN Reprocessing with washer disinfector and autoclave Work Steps - Manual Procedure Work Steps - Mechanical Procedure Work Steps - Mechanical Procedure 1. Manual cleaning 1. Cleaning externally (manual) 1. External and internal cleaning / external and internal disinfection Manual cleaning of the exterior Manual cleaning of the exterior Accessories required: •Tap water 30 °C ±5 °C (86 °F ±10 °F) •Brush under running tap water using, e.g., a medium-hardness toothbrush. Accessories required: •Tap water 30 °C ±5 °C (86 °F ±10 °F) •Brush under running tap water using, e.g. a medium-hardness toothbrush. KaVo CLEANspray 2110: Validated manual interior cleaning (residual protein removal) can only be accomplished with KaVo CLEANspray and KaVo DRYspray. •Cover the medical device with the KaVo Cleanpac bag, and place it on the corresponding servicing adapter. Hold the can upright, press the spray button 3x for 2 seconds each time and allow to take effect for 1 minute. KaVo DRYspray 2117: Used for subsequent drying of the air, water and gear unit ducts. Place the corresponding connection set on the DRYspray head. Place medical device on the service coupling and spray through for 3-5 seconds. KaVo Cleanpac bags offer optimum infection protection for the personnel. KaVo recommends washer disinfectors in accordance with EN ISO 15883-1 that are operated with alkaline cleaning agents. 2. Manual disinfection Manual disinfection of the exterior KaVo recommends the following medical devices based on the compatibility of the materials. The microbiological efficacy must be confirmed by the disinfectant manufacturer. Disinfectants compatible with the medical devices: •Mikrozid AF by Schülke & Mayr (liquid or cloths) •FD 322 made by Dürr •WL-cid made by ALPRO •MinutenWipes made by ALPRO Manual disinfection of the exterior Cloths for wiping off the medical device. 2. Care Cloths for wiping off the medical device. •Spray the disinfectant on a cloth, then wipe down the medical device and allow the disinfectant to act according to the instructions of the disinfectant manufacturer. •Follow the instructions for use of the disinfectant. Validated internal cleaning (RKI-compliant) with cleaning fluid containing tensides. Subsequent application of water steam and lubrication with KaVo QUATTROcare Oil guarantee safe reprocessing and value retention of medical devices. •Attach the instruments to the service couplings •Close the front flap, select a fully automatic service programme and press the start key QUATTROcare Clean has a programme for servicing the chuck (programme no. 4). KaVo recommends servicing the chucking system/the chuck of the instruments and turbines once every week. 4. Disinfection 3. Manual care KaVo medical devices bearing the sterilisation symbol, can be sterilised in steam sterilisers (autoclaves), as per EN 13060/ISO 17665-1 and have a maximum temperature stability of up to 138 °C. KaVo MULTIflex couplings are not sterilisable. Manual care KaVo products bearing the sterilisation symbol, can be sterilised in steam sterilisers (autoclaves), as per EN 13060/ISO 17665-1 and have a maximum temperature stability of up to 138°C. The medical device must be packed before sterilisation. KaVo MULTIflex couplings are not sterilisable. Servicing the chuck KaVo recommends cleaning and servicing the chucking system once every week. Depending on the available autoclave, select a suitable option from the following sterilisation protocols: •Autoclave with a triple pre-vacuum: at least 3 minutes at 134 °C -1 °C / +4 °C •Autoclave with gravitation procedure: min. 10 minutes at 134 °C -1 °C / +4 °C alternatively: min. 60 minutes at 121 °C -1 °C / +4 °C Exception: turbines with fixed connection at least 90 minutes at 121 °C -1 °C / +4 °C (Please observe the areas of application of the steri-manufacturer or the KaVo instructions for use) Remove contra-angle handpieces and turbines immediately after the completion of the sterilisation cycle from the steriliser. Reprocessed medical devices must be stored in a dry, dark, cool room, protected from germs (as far as possible) and dust. Notes Notes ! Hazard due to incomplete disinfection. The disinfection procedures used must be verified to have bactericidal, fungicidal and virucidal effects. If the disinfectants used do not offer the prescribed characteristics, the process must be concluded with thermal disinfection of devices in unpacked condition in the steam steriliser. Serialisation parameters: Depending on the available autoclave, select a suitable option from the following sterilisation protocols: •Autoclave with a triple pre-vacuum: at least 3 minutes at 134 °C -1 °C / +4 °C •Autoclave with gravitation procedure: min. 10 minutes at 134 °C -1 °C / +4 °C alternatively: min. 60 minutes at 121 °C -1 °C / +4 °C Exception: turbines with fixed connection at least 90 minutes at 121 °C -1 °C / +4 °C (Please observe the areas of application of the steri-manufacturer or the KaVo instructions for use) Remove contra-angle handpieces and turbines from the steriliser immediately after the completion of the sterilisation cycle. Reprocessed medical devices must be stored in a dry, dark, cool room, protected from germs (as far as possible) and dust. Putting the products back into clinical use 135 ° C 1 Directly prior to providing treatment, place instruments and turbines onto the motor or MULTIflex coupling. Activate handpiece and let it run for a few seconds. Wipe off any excess lubrication oil that may exit the instrument. Notes 135 ° C 1 Serialisation parameters: •Place the medical device on the matching coupling on the KaVo SPRAYrotor and cover with the Cleanpac bag •Service the medical device KaVo products bearing the sterilisation symbol, can be sterilised in steam sterilisers (autoclaves), as per EN 13060/ISO 17665-1 and have a maximum temperature stability of up to 138°C. The medical device must be packed before sterilisation. KaVo MULTIflex couplings are not sterilisable. 5. Sterilisation Service the chuck for 1 second KaVo recommends cleaning and servicing the chucking system once every week. •Remove the cutter or grinder and spray into the opening of the chuck using the tip of the spray nipple (see instructions for use) Care with KaVo SPRAYrotor KaVo recommends servicing the medical device as part of the reprocessing after each use, i.e. after each cleaning, disinfection, and before each sterilisation. 3. Sterilisation •At the end of the service cycle, the door opens automatically and the instruments can be removed (see instructions for use) For cleaning KaVo SONICflex tips and surgical instruments with an external cooling media line, adapter couplings are available as special accessories. Thermal disinfection: not packed in the steriliser KaVo Spray 2112 A KaVo recommends servicing the medical device as part of the reprocessing after each use, i.e. after each cleaning, disinfection, and before each sterilisation. •Removing the cutter or grinder •Cover the medical device with the Cleanpac bag •Plug the medical device onto the connection set and press the spray button for 2 seconds. Servicing device with expansion pressure for optimum care. KaVo recommends servicing the medical device as part of the reprocessing after each use, i.e. after each cleaning, disinfection, and before each sterilisation. •Remove the cutter or grinder •Servicing the medical device (see instructions for use) KaVo QUATTROcare CLEAN 2140A Manual internal disinfection The efficacy of manual internal disinfection must be demonstrated by the manufacturer of the disinfection agent. With KaVo handpieces, use only disinfection agents that have been listed by KaVo, to ensure compatibility of materials (e.g. WL-cid / ALPRO). Immediately after internal disinfection, lubricate the KaVo medical device immediately with care agents from the KaVo care system. KaVo QUATTROcare Plus 2124 3. Internal cleaning & servicing - automatically KaVo recommends the following disinfecting devices based on the compatibility of the materials. The microbiological efficacy must be confirmed by the disinfectant manufacturer. •Disinfectants compatible with the medical devices: •Microcide AF by Schülke & Mayr (Liquid or cloths) •FD 322 made by Dürr •WL-cid made by ALPRO •MinutenWipes made by ALPRO Consumables required: QUATTROcare Plus has a programme for the care of the chuck. KaVo recommends servicing the chucking system/the chuck of the instruments and turbines once every week. Consumables required: •Spray the disinfectant on a cloth, then wipe down the medical device and allow the disinfectant to act according to the instructions of the disinfectant manufacturer. •Follow the instructions for use of the disinfectant 2. Manual disinfection •For program settings as well as cleansers and disinfectants to be used, please refer to the instructions for use of the washer disinfector •In order to ensure residual liquids do not damage the KaVo medical device, the interior and the exterior must be dried. Remove any residual liquids from the interior and exterior of the medical device using compressed air. Immediately after drying, lubricate with care agents from the KaVo care system ! Manual interior cleaning External and internal cleaning / external and internal disinfection Only KaVo medical devices marked with the thermal disinfection (1) or sterilisation symbol (2) may be processed in the washer disinfector (RDG) or sterilised in the steam steriliser. 2 Note: The current regulations on validating the devices locally must be complied with, and be instigated and validated by the owner. Please also comply with the detailed information in the instructions for use of the medical devices. Only KaVo medical devices marked with the thermal disinfection (1) or sterilisation symbol (2) may be processed in the washer disinfector (RDG) or sterilised in the steam steriliser. 2 KaVo Dental GmbH · D-88400 Biberach/Riß · Tel. +49 7351 56-0 · Fax +49 7351 56-1488 · www.kavo.com Mat. Nr. 1.007.3836 10/14 EMEA-en 2 1 !
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