4.2
Machine Cleaning
4.2.1
General Notices
It is always preferable to use machines (washer-disinfectors) for instrument cleaning and
disinfection because, unlike manual procedures, machine processes can be easily standardized.
Be sure to observe and follow the operating and loading instructions provided by the machine
manufacturer. In addition, only the cleaning agents recommended by the manufacturer should
be used for the application at hand.
Jointed instruments should always be processed in open condition. Be sure to arrange the
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items so that the water can easily flow out of cannulations, blind (non-through) holes and
hollow bodies.
Complex instruments must be totally taken apart before cleaning.
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For instruments with long or narrow lumens, standard procedures should be used only if
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the hot disinfectant can easily flow through the lumens and safe rinsing is guaranteed.
The instrument trays used for cleaning must always be loaded correctly to ensure proper
•
cleaning.
Store the instruments correctly in the tray. Be sure to prevent "rinsing shadows"!
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For ergonomic reasons, a total tray weight of 8 – 10kg should not be exceeded.
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When removing the instruments from the machine after cleaning, be sure to check them
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for cleanness (visible dirt). This especially applies to cannulated instruments or those with
blind holes. If necessary, repeat the cleaning cycle or pre-clean manually as specified in
section 4.3 "Manual Cleaning", page 28.
The final rinse must guarantee that any residues left after the cleaning stage are
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completely removed. Be sure to use only fully demineralized water for the final rinse!
26
Instructions for Use
Surgical Instruments
Revision 5