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TJF-160VR Duodenoscope 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.
TJF-160VR
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 07.239 V2.0 SEPT 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. 2.
Demonstrated
Wear appropriate Personal Protective Equipment (PPE). Turn OFF the video processor and light source.
3.
Prepare detergent solution at the temperature and concentration recommended by manufacture in a 500 ml container, and another 500ml container of clean water.
4.
Wipe down the insertion tube with a detergent-soaked lint-free cloth or sponge. Wipe from the boot at the control section toward the distal end.
5.
Turn ON the suction source and ensure biopsy valve cap is closed.
6.
Immerse the distal tip in the detergent solution and depress the suction valve to aspirate the detergent for 30 seconds.
7.
Remove the distal tip from the detergent and immerse it in clean water. Depress the suction valve and aspirate clean water for 10 seconds.
8.
Remove distal end from the water. Depress the suction valve, and aspirate air for 10 seconds.
9.
Turn OFF the suction source.
10.
Remove the air/water valve and attach the air/water channel cleaning adapter.
11. 12.
Turn ON the light source and set the air flow to HIGH.
13.
Depress the air/water channel cleaning adapter and flush water for 30 seconds.
14.
Release the air/water channel cleaning adapter to flush air for 10 seconds or more.
15. 16. 17.
Turn OFF the light source.
Immerse the distal tip in clean water.
Connect the washing tube to the elevator channel plug. Immerse the distal end of the insertion tube in the water.
18.
Using a 5ml syringe slowly flush detergent solution through the elevator wire channel several times until no bubbles exist the distal end.
19.
Using the 5ml syringe slowly flush water through the elevator wire channel via the washing tube several times.
20.
Using the 5ml syringe slowly flush air through the elevator wire channel via the washing tube several times until a steady stream of air bubbles exits the distal end.
21.
Disconnect all removable and reusable parts from the endoscope.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
22.
Confirm that the water-resistant cap is dry and free of debris, and attach the water-resistant cap.
23.
Transport to reprocessing area in a covered container.
Comments:
Leakage Testing
Demonstrated
1.
Wear appropriate Personal Protective Equipment (PPE).
2.
Detach the distal cover by moving the elevator control lever all the way in the opposite direction of the “◄U” direction until it stops. Gently hold the distal part in the covering of the bending section Hold the top end of the distal cover with the other hand.
3.
Push the distal cover as far as possible toward the endoscope (step 3). Turn it counterclockwise until it stops (step 4). Pull the distal cover off the endoscope slowly and straight (step 5).
4.
5.
Reprocess the distal cover as described in reprocessing manual.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
6.
While observing forceps elevator at the distal tip, slowly move the elevator control lever all the way in the opposite direction of the “◄U” direction. Confirm that the lever can be operated smoothly, and the forceps elevator is lowered smoothly. Visually confirm that the portion of the elevator wire extending from the distal end of the scope is not broken, frayed or bent. If any damage is observed on the elevator wire, do not use the endoscope. (refer to diagram below and IFU fig 3.5, and additional precaution in 1.6 of the Reprocessing Manual)
7.
Perform the leak test in the reprocessing area, prior to reprocessing each endoscope.
8.
Fill a basin with clean water.
9.
Detach air/water channel cleaning adapter, suction valve, and biopsy valve, washing tube and removable distal cap from the endoscope.
10. Connect the leakage tester to the MU-1. (Maintenance unit). 11. Turn ON the MU-1. 12. Depress pin inside connector cap to confirm that air is being emitted. that the leakage tester’s connector cap and venting connector 13. Confirm are dry. If wet, dry with a lint free cloth. the leakage tester to the endoscope. Ensure bending section 14. Connect has inflated. for 30 seconds while angulating the bending section in all 15. Observe directions. series of bubbles emerges from any location, remove 16. Ifthea continuous endoscope from the water, and contact Olympus for further
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
instructions. no leak is detected, remove the endoscope from the water and turn 17. IfOFF the air source.
18. Disconnect the leakage tester from the MU-1. 30 seconds, or until the bending section contracts to its pre19. Wait expansion size.
20. Disconnect the leakage tester connector cap from the endoscope. 21. Thoroughly dry the leakage tester by using a clean, lint-free cloth. Comments:
Manual Cleaning
Demonstrated
1.
Fill a basin with fresh detergent solution prepared as recommended by the manufacturer.
2.
Completely immerse the endoscope and accessories in detergent solution.
3.
Use a soft brush, lint-free cloth, or sponge to thoroughly clean all external surfaces, paying particular attention to the air/water nozzle opening and the objective lens on the distal end of the insertion section, and ensure that all surfaces of the distal end are thoroughly cleaned.
4.
Lower the forceps elevator by turning the elevator control lever in the opposite direction of the “◄U” direction until the forceps elevator stops.
5.
Straighten the bending section of the endoscope. Insert the channel- opening cleaning brush into the instrument channel opening at the distal end of the endoscope and then pull the brush out. Repeat until all debris is removed.
6.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Brush along the forceps wire and the grove of the instrument channel outlet, using a commercially available soft brush of the channelopening cleaning brush.
7.
While holding the distal end with one hand and keeping the forceps elevator lowered with the fingers, brush both sides of the forceps elevator, the groove of the interior of the forceps elevator, around the axis of the forceps elevator and guidewire-locking groove of the forceps elevator using the soft brush or the channel-opening cleaning brush.
8.
9.
Remove fingers from the forceps elevator. Brush the distal end of the endoscope, using the soft brush or the channel-opening cleaning brush.
endoscope model-specific brushes to brush 10. Use channels/cylinders/ports until no visible debris remains.
a. Brush the instrument/suction channel in the insertion tube: 1. Insert the channel cleaning brush at 45° angle into the opening located at the side wall of the suction cylinder. 2. Using short strokes, feed the brush through the suction channel until it emerges from the distal end of the endoscope. 3. Remove any debris from the brush bristles with your fingertips and carefully pull the brush back through the instrument channel. 4. Clean the brush bristles with your fingertips to remove any debris. 5. Repeat until no debris is observed on the brush.
b. Brush the suction channel in the universal cord: 1. Insert the channel cleaning brush straight into the suction cylinder.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
2. Using short strokes, feed the brush through the suction channel until it emerges from the suction connector on the endoscope connector. 3. Remove any debris from the brush bristles with your fingertips and carefully pull the brush back through the suction channel. 4. Clean the brush bristles with your fingertips to remove any debris. 5. Repeat until no debris is observed on the brush.
c. Brush the suction cylinder. 1. Insert the channel-opening cleaning brush into the suction cylinder until half the brush section is inserted. 2. Rotate the brush one full revolution and pull the brush out of the suction cylinder. 3. Remove any debris on the brush bristles with your fingertips and clean the brush in the detergent solution. 4. Repeat until no debris is observed on the brush.
d. Brush the instrument channel port. 1. Insert the channel-opening cleaning brush into the channel port fully until the brush handles touches the channel opening. 2. Rotate the brush one full revolution and pull the brush out of the instrument channel port. 3. Remove any debris on the brush bristles with your fingertips and clean the brush in the detergent solution. 4. Repeat until no debris is observed on the brush.
11. Attach the suction cleaning adapter to the instrument channel port. the suction tube from the suction source to the suction 12. Connect connector on the endoscope. the distal end and weighted end of suction cleaning adapter 13. Immerse in detergent.
14. Confirm that the forceps elevator is lowered. 15. Turn ON the suction source. distal end of endoscope and distal end of suction cleaning 16. Ensure adapter remain in detergent solution. the suction cylinder with your gloved finger, and aspirate 17. Cover detergent solution for approximately 30 seconds.
18. Turn OFF the suction source. 19. Detach the suction tube and the suction cleaning adapter. the distal end in detergent solution and operate the elevator 20. Immerse control lever to raise and lower the forceps elevator 3 times. 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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
the forceps elevator raised, flush the interior of the forceps 21. With elevator with detergent solution using the 30 ml syringe.
Comments:
Manual Cleaning Manual Flushing with a Syringe 1.
Attach the channel plug to the air/water and suction cylinders, and the biopsy valve cap to the instrument channel port.
2.
Attach the injection tube to the endoscopic connector.
3.
Immerse the suction port of the injection tube into the detergent solution.
4. 5.
Attach a 30 ml syringe to the air/water port of the injection tube.
6.
Detach the channel plug and injection tube from the endoscope, and leave all items immersed.
7.
Connect the washing tube to the elevator channel plug.
8.
Using the 5 ml syringe, inject 15mls of detergent solution into the elevator wire channel via the washing tube.
9.
Disconnect the washing tube from the endoscope and immerse it in detergent solution.
Flush the air/water channel with 90 mls detergent.
the endoscope is immersed in detergent solution, wipe external 10. While surfaces of the endoscope/accessories with a lint-free cloth.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Demonstrated
the endoscope and accessories in detergent solution for the 11. Soak time specified by the detergent manufacturer.
12. Remove the endoscope and equipment from the detergent solution. endoscope and accessories in clean water, and gently 13. Immerse agitate to thoroughly rinse. the channel plug and the injection tube to the endoscope. 14. Attach Immerse the suction port of the injection tube in the water. a 30ml syringe to flush 90mls of water through each side of the 15. Use injection tube.
16. Connect the washing tube to the elevator channel plug. the 5ml syringe to the washing tube and flush the elevator 17. Attach wire channel with 5mls of clean water. the endoscope and accessories from the water and place 18. Remove them in a clean basin.
19. Cover the distal end with a clean lint-free cloth. a 30ml syringe flush 90mls of air through each side of the 20. Use injection tube. the 5 ml syringe, flush the elevator wire channel with 10mls of 21. Using air via the washing tube.
22. Remove the cloth from the distal end. the channel plug, injection tube, and washing tube from 23. Disconnect the endoscope. a clean, lint-free cloth to dry all external surfaces, channel plug, 24. Use and injection tube. all items for residual debris. If any debris remains, repeat the 25. Inspect entire cleaning process until it is removed. the accessories as described in the Olympus 26. Reprocess Reprocessing Manual, Chapter 6, Reprocessing the Accessories.
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 07.239 V2.0 SEPT 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 1.
Test the disinfectant concentration according to the manufacturer's instructions.
2.
Inspect the connections 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.
Ensure the endoscope is soaked in disinfectant solution according to the disinfectant manufacturer's recommendations for time and temperature.
6.
Remove the endoscope promptly after the AER cycle is completed.
7.
Perform the terminal steps that the AER does not perform (e.g., alcohol and air purge).
Demonstrated
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 disinfectant concentration (i.e. MRC) according to the manufacturer's instructions.
3.
Attach the channel plug and injection tube to the endoscope.
4.
Completely immerse the endoscope and accessories in disinfectant solution.
5.
Confirm that the suction port of the injection tube is immersed in the disinfectant solution.
6.
Connect the washing tube to the elevator channel plug.
7.
Use a 30 ml syringe to inject 90mls of the disinfectant into each side of the injection tube and confirm that no air bubbles exit the distal tip. Use a 5 ml syringe, inject 10 mls of disinfectant solution through the elevator wire channel via the washing tube and confirm that no air bubbles exit the distal tip.
8.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Demonstrated
9.
While immersed in disinfectant solution, raise the forceps elevator and flush the vicinity of the forceps elevator with disinfectant solution using the 5ml syringe.
the equipment and endoscope are immersed in disinfectant, 10. While disconnect all equipment from the endoscope. any bubbles that adhere to the surfaces with a gloved finger 11. Remove or a clean lint-free cloth. the basin of disinfectant solution with a tight-fitting lid to 12. Cover minimise the diffusion of disinfection vapors. endoscope and equipment for the time and at the temperature 13. Soak recommended by the disinfectant manufacturer. the channel plug, injection tube, and washing tube to the 14. Reconnect endoscope. the suction port of the injection tube from the disinfectant 15. Remove solution. a 30 ml syringe to each port on the injection tube, and flush 16. Attach with 90 ml of air. the 5ml syringe, flush the elevator wire channel with 10mls of 17. Using air via the washing tube. the endoscope with attached accessories from the 18. Remove disinfection solution.
Comments:
Rinsing after Manual High-Level Disinfection 1. 2.
Fill a basin with sterile water, filtered water, or tap water.
3.
Detach the channel plug, injection tube, and washing tube from the endoscope.
4.
Wipe all external surfaces with a lint-free cloth.
5.
Attach the channel plug, injection tube and washing to the endoscope.
6.
Immerse the suction port of the injection tube in the rinse water.
7.
Use a 30 ml sterile syringe to inject 90mls of water through each side of the injection tube.
8.
Using the 5 ml syringe, flush the elevator wire channel with 15mls of sterile water via the washing tube.
9.
Remove the endoscope and accessories from the water and place them in a sterile basin.
Completely immerse the endoscope and equipment in the water.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Demonstrated
10. Cover the distal tip with a sterile, lint-free cloth. a 30 ml syringe to inject 90mls of air through each side of the 11. Use injection tub the 5 ml syringe, flush the elevator wire channel with 15mls of 12. Using sterile water via the washing tube.
13. Remove the cloth from the endoscope. 14. Detach only the injection tube from the endoscope. a sterile suction tube from the suction pump to the suction 15. Attach connector on the endoscope connector.
16. Turn ON the suction source. 17. Aspirate air for at least 15 seconds. 18. Turn OFF the suction source. 19. Detach the suction tube and the channel plug from the endoscope. all external surfaces with a sterile, lint-free cloth to thoroughly 20. Wipe dry the endoscope.
Comments:
Alcohol Flush
Demonstrated
1.
Fill a small sterile basin with the alcohol.
2.
Attach a reprocessed channel plug and injection tube to the endoscope
3.
Immerse suction port of injection tube in 70% isopropyl or ethyl alcohol.
4.
Cover the distal end and control section with a sterile lint-free cloth to prevent splashing
5.
Attach a sterile 30ml syringe to the suction channel port of the injection tube and flush the suction channel with 90mls of the alcohol, i.e., pump the syringe at least three times.
6.
Move the syringe to the air/water channel port of the injection tube and flush the air/water channel with 90ml of the alcohol.
7.
Remove the suction port from the alcohol.
8.
Use a 30ml syringe to inject 90mls of air through each side of the injection tube.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
9.
Connect the washing tube to the elevator channel plug.
a 5ml syringe flush the elevator wire channel with 10mls of 10. Using alcohol via the washing tube. a 5ml syringe flush the elevator wire channel with 15mls of air 11. Using via the washing tube.
12. Remove the cloth(s) from the endoscope. 13. Disconnect all equipment from the endoscope. dry the external surfaces of the endoscope, the channel 14. Thoroughly plug, and the injection tube, by wiping with a sterile, lint-free cloth. sterile cotton swabs to dry the inside of the air/water and suction 15. Use cylinders, forceps recess, and instrument channel port.
Comments:
Sterilisation
Demonstrated
1.
Dry the endoscope and accessories before ETO sterilisation.
2.
Detach the water-resistant cap from the electrical connector.
3.
Seal the endoscope and accessories in individual packaging appropriate for ethylene oxide gas sterilisation, according to your institution’s protocol.
4.
Sterilise and aerate the packaged endoscope and accessories according to the parameters described in the reprocessing manual. In addition, always comply with the instructions of the steriliser manufacturer.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603
Endoscope Storage
Demonstrated
1.
Detach all accessories as applicable following manual alcohol flushing of endoscopes.
2.
Detach the water-resistant cap (MH-553) from the electrical connector on the endoscope connector.
3. 4.
Ensure that angulation locks are in the free position.
5.
Confirm that the forceps elevator is not protruding from the distal end, so it cannot strike any objects.
6.
Hang the endoscope so that the universal cord and insertion tube are hanging vertically.
7.
If storing an endoscope that has been sterilized, record the sterile expiration date on the sterile packaging. Do not damage the packaging. Store the sterilized endoscope and accessories in a proper storage cabinet, following your institutional guidelines. Sterile endoscopes may be stored flat in their sterile packaging.
Confirm that all surfaces of the endoscope are completely dry.
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 07.239 V2.0 SEPT 2020
28 Corinthian Drive. Albany, Auckland NZ 0632 Phone: 0508 6596787 Fax: 09 836 3386 Web: www.olympus.co.nz Companies No: 910603