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Rhino-Laryngo Flexible Scopes – Non-Channelled ENF-GP2, ENF-VH2, ENF-V4 Cleaning and Disinfection Checklist
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Rhino-Laryngo Flexible Scopes Non-Channelled Cleaning and Disinfection Checklist This checklist is designed for use solely as a customer educational tool and is not intended to replace or in any way modify the Olympus instruction manual/reprocessing manual. Be sure to follow the detailed steps outlined in the reprocessing manual that was included with your Olympus equipment when purchased. While Olympus' training may be used in support of a facility's overall competency program, it shall not constitute certification of the facility's CDS protocol. Olympus shall in no event be held responsible for a facility's proper performance of CDS protocol nor for a facility staying current with ongoing CDS instructional changes and corresponding training updates. Facility owners of Olympus equipment are fully responsible for complying with industry CDS standards and manufacturer's proper use and CDS instructions.
Facility Name
Date
Endoscope Models: Check each model reviewed during this session. ENF-GP2
ENF-VH2
ENF-V4
Olympus Instructor Name Title Signature
Staff Member Name Signature
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Pre-Cleaning 1.
Demonstrated
Wear appropriate Personal Protective Equipment. (PPE). Ensure angulation lock is placed in the FREE position and the insertion tube is in the neutral position
2.
3.
Turn OFF the video system center and light source.
4.
Wipe the insertion tube of the endoscope carefully and gently using a water-soaked lint-free cloth. Wipe from the boot toward the distal tip.
5.
Disconnect the video connector from the video system center by pushing the locking lever down on the video system center.
6.
Disconnect the light guide connector of the endoscope from light source, while holding the video connector.
7.
Transport the endoscope and any accessories to the reprocessing area in covered container.
Comments:
Leakage Testing 1.
Demonstrated
Fill a large basin with clean water.
If using handheld WA23070A/WA23080A
2.
Confirm that both the inside of the WA23070A/WA23080A adapter and venting connector of the endoscope are both clean and dry. If wet, dry with clean lint-free cloth.
3.
Connect the leakage tester adapter to the endoscope venting connector.
4.
Confirm that the pressure release leaver is closed.
5.
Squeeze hand pump until pressure between 19 and 27 kPa is indicated on the pressure display. Confirm the pointer is stabilized within the green area on the pressure display.
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
* Note - If the pointer continues to fall towards “0” kPa the endoscope may have a serious water leakage, or the leakage tester may be damaged. Stop leakage testing immediately and contact Olympus for further instruction. If the pointer is confirmed as stable between 19 and 27 kPa then the endoscope can be submerged in the water for completion of the leakage test. (Keep the pressure gauge and the hand bulb out of the water).
6.
7.
With the leak tester attached, pressurised and stabilised, immerse the endoscope in the water and observe for approximately 30 seconds while deflecting the bending section of the endoscope. i.e. UP/DOWN
8.
If a continuous series of bubbles emerges from any location remove the endoscope from the water with the leak tester still attached, and contact Olympus for further instructions.
9.
If no leak is detected, remove the endoscope from the water leaving leakage tester attached. Once removed from water, press the pressure release lever, allowing
10. the pointer to release to “0” kPa, decompressing the scope. the leakage tester WA23070A/WA23080A from the 11. Detach endoscopes venting connector.
12. Thoroughly dry the leak tester using a clean lint free cloth If using MU-1 Leakage tester & MB-155
1. 2. 3.
Connect the leakage tester to the MU-1 (Maintenance unit). Turn ON the MU-1. Depress pin inside connector cap to confirm that air is being emitted.
4.
Confirm that the leakage tester’s connector cap and endoscope venting connector are both clean and dry. If wet, dry with a clean lint free cloth.
5.
Connect the leakage tester to the endoscope. Ensure the bending section has inflated
6.
Completely immerse the endoscope in water.
7.
Observe for 30 seconds while angulating the bending section carefully in all directions. i.e. UP/DOWN
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
8.
If a continuous series of bubbles emerges from any location, remove the endoscope from the water with the leak tester still attached, and contact Olympus for further instructions.
9.
If no leak is detected, remove the endoscope from the water and turn off the MU-1 unit.
10. Disconnect the leakage tester from the MU-1. 30 seconds or until the bending section contracts to its pre 11. Wait expansion size. the leakage tester connector cap from the venting 12. Disconnect connector.
13. Thoroughly dry the leak tester using a clean lint free cloth. Comments:
Manual Cleaning
Demonstrated
Note: If manual cleaning could not be performed within 1 hour after the patient procedure or if you are not sure whether manual cleaning could be performed within 1 hour, presoak the endoscope in detergent solution to loosen debris that has dried and hardened onto the endoscope’s surfaces, as described in section 5.9 in the appropriate Reprocessing Manual.
1. 2. 3.
Fill a basin with fresh detergent solution at the concentration and temperature as recommended by the manufacturer. Completely immerse the endoscope in detergent solution. NOTE: for the ENF-GP2 follow steps 3-4, and 7-13 only. Clean the external surfaces of the insertion section.
a. Immerse the endoscope in detergent solution. b. Wipe the insertion tube using lint free cloths, brushes or sponges.
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
c. Take the insertion section out of the detergent solution and confirm that no debris remains on all external surfaces, particularly the objective lens on the distal end.
d. If any debris remains, repeat steps “a-c” until no debris is observed.
4.
Clean the external surfaces of the control section and its surrounding parts.
a. Immerse the endoscope in detergent solution. b. Thoroughly wipe or brush all external surfaces of the control section, the boot and the universal cords boot, using lint free cloths, brushes or sponges.
**Note for the ENF-GP2 this only applies to the control section and the boot – not the universal boot as this scope does not have one.
c. Take the control section, the boot and the universal cord boot out of the detergent solution and confirm no debris remains on all their external surfaces. **Note for the ENF-GP2 only the control section and boot are removed out of the detergent.
d. If any debris remains, repeat steps “a- c” until no debris is observed.
5.
Clean the external surfaces of the light guide connector, the video connector, the universal cord and the video cable.
a. Immerse the endoscope in detergent solution. b. Thoroughly wipe or brush all external surfaces of the light guide connector, the video connector, the universal cord, and the video cable, using lint free cloths, brushes or sponges.
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
c. Take the light guide connector, the video connector, the universal cord and the video cable out of the detergent solution and confirm no debris remains on all their external surfaces.
d. If any debris remains, repeat steps “a-c” until no debris is observed.
6.
When all debris is removed, put the light guide connector, video connector, universal cord and video cable in the detergent solution.
7.
Soak the endoscope in detergent solution for the time specified by the detergent manufacturer.
8. 9.
Remove endoscope from the detergent solution. Fill a clean, large basin with the water.
the endoscope in the water and gently agitate to thoroughly 10. Immerse rinse.
11. Remove endoscope from the water solution. the external surfaces of the endoscope by wiping with a clean lint12. Dry free cloth(s). the endoscope for residual debris. Should any debris remain, 13. Inspect repeat the entire cleaning procedure until all debris is removed.
Comments:
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Automated Endoscope Reprocessor (AER) High-Level Disinfection
Demonstrated
AER Type: High Level Disinfectant Type:
1.
Test disinfectant concentration (i.e. MRC) according to the manufacturer's instructions.
2.
Inspect the endoscope connectors/adapters according to the AER manufacturer's instructions.
3.
Attach the endoscope connectors/adapters to the AER and endoscope as per the AER manufacturer's instructions.
4.
Operate the AER according to the AER manufacturer's instructions.
5.
Remove the endoscope promptly after the AER cycle has been completed.
6.
Perform the terminal steps that the AER does not perform (e.g., alcohol and air purge).
FOR FACILITY INTERNAL USE ONLY! Olympus personnel are unable to demonstrate use of individual manufacturer's AER.
Comments:
Manual High-Level Disinfection 1.
Fill a basin with disinfectant solution.
2.
Test the disinfection concentration (i.e., MRC) according to the manufacturer’s instructions.
3.
Completely immerse the endoscope in the disinfectant solution and wipe all external surfaces of the endoscope to remove air bubbles, using clean lint free cloths.
4.
Confirm that there are no air bubbles on the surfaces of the endoscope. If air bubbles adhere to the surfaces, wipe them away using your gloved finger or clean lint-free cloths.
5.
Cover the basin with a tight-fitting lid to minimize the release of disinfectant vapors.
6.
Leave the endoscope immersed in the disinfectant solution according to the instructions of the disinfectant manufacturer.
7.
Remove the endoscope from the disinfectant solution.
Comments:
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Demonstrated
Rinsing after Manual High-Level Disinfection 1. 2.
Fill a basin with sterile water, filtered water, or potable tap water.
3.
Wipe all external surfaces of the endoscope using sterile lint free cloths.
4.
Repeat Step 1 through 3 for the necessary number of times described in the disinfectant manufacturer’s instructions.
5.
Remove the endoscope from the water and place in a sterile basin.
6.
Dry the external surfaces of the endoscope, including the electrical contacts by wiping with sterile lint-free cloths.
Demonstrated
Completely immerse the endoscope in the rinse water.
Comments:
Sterilisation with Ethylene Oxide
Demonstrated
NOTE: After performing precleaning, leakage testing, and manual cleaning, perform the following:
1.
Dry all external surfaces of the endoscope and the sterilisation cap (MB-156) using sterile lint free cloths, before ethylene oxide (ETO) sterilisation.
2.
Attach the sterilisation cap to the venting connector on the light guide connector.
3.
Place endoscope in a stainless steel wire mesh basket or as per manufacturer recommendations.
4.
Seal the instrument in a package appropriate for sterilisation according to your hospital's protocol. Sterilise and aerate the package according to the recommended ETO or exposure parameters described in the endoscope instruction manual and the steriliser manufacturer's instructions.
5.
Comments:
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Sterilisation with Sterrad 100S/NX/ 100NX or V-PRO MAX
Demonstrated
NOTE: After performing precleaning, leakage testing, and manual cleaning, perform the following:
1.
Dry all external surfaces of the endoscope and the sterilisation cap (MB-156) using sterile lint free cloths.
2.
Attach the ETO sterilisation cap to the venting connector on the light guide connector.
3. 4.
Place endoscope upon instrument tray and double wrap the tray with sterilisation wraps according to your hospital's protocol and compatible instrument trays. Sterilise the packaged endoscope according to the recommendations of steriliser manufacturer.
Comments:
Endoscope Storage 1. 2.
Demonstrated
Ensure that angulation lock is in the free position. Confirm that all surfaces of the endoscope are completely dry.
3.
Store the sterilised endoscope in a proper storage cabinet, following policies in your institution, professional society guidelines and recommended practices.
4.
If storing an endoscope that has been sterilised, record the sterile expiration date on the sterile packaging. Do not damage the packaging. Sterile endoscopes may be stored flat in their sterile packaging.
Comments:
3 Acacia Place, Notting Hill. VIC 3168 PO Box 985 Mt Waverley. VIC 3149 Phone: 1300 132 992 Fax: 03 9543 1350 Web: www.olympusaustralia.com.au ABN 90 078 493 295
QR V07.444 V1.0 NOV 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603