olympus_hd_autoclavable_camera_ch-s190-xz-x_reproce.pdf
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REPROCESSING MANUAL
INSTRUCTIONS
HD AUTOCLAVABLE CAMERA HEAD
OLYMPUS CH-S190-XZ-E
OLYMPUS CH-S190-XZ-Q
Chapter 1
General Policy
1
Chapter 2
Function and Inspection of the
Accessory for Reprocessing
7
Compatible Reprocessing
Methods and Chemical Agents
9
Reprocessing Workflow for the
Camera Head and Accessory
17
Chapter 5
Reprocessing the Camera Head
21
Chapter 6
Reprocessing the Accessory
33
Chapter 7
Reprocessing the Camera Head
Using an Automatic Thermal
Cleaning/ Disinfector
39
Storage and Disposal
41
Chapter 3
Chapter 4
Chapter 8
Accessories:
• Cleaning brush (MAJ-1534, sold separately)
Refer to the camera head’s companion manual, the “OPERATION MANUAL” with your camera head model listed on
the cover, for operation information.
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Contents
Contents
Chapter 1 General Policy ....................................................................... 1
1.1
Instructions ............................................................................................................... 1
1.2
Importance of reprocessing .................................................................................... 2
1.3
Signal words ............................................................................................................. 2
1.4
Precautions ............................................................................................................... 3
1.5
Reprocessing before the first use .......................................................................... 5
1.6
Reprocessing and storage after use ...................................................................... 5
1.7
Reprocessing before patient procedure ................................................................ 6
Chapter 2 Function and Inspection of the Accessory for
Reprocessing ........................................................................7
2.1
Cleaning brush (MAJ-1534, sold separately) ......................................................... 7
Chapter 3 Compatible Reprocessing Methods and
Chemical Agents ...................................................................9
3.1
Compatibility summary ............................................................................................ 9
Microbiological efficacy ........................................................................................................ 10
Material durability ................................................................................................................ 10
3.2
Water (for reprocessing) ........................................................................................ 12
3.3
Detergent solution .................................................................................................. 12
3.4
Disinfectant solution .............................................................................................. 12
3.5
Rinse water ............................................................................................................. 13
3.6
Automatic thermal cleaning/disinfection ............................................................. 13
3.7
Ethylene oxide gas sterilization ............................................................................ 15
3.8
Steam sterilization (autoclaving) .......................................................................... 16
Chapter 4 Reprocessing Workflow for the Camera Head and
Accessory ............................................................................17
4.1
Summary of reprocessing workflow .................................................................... 17
4.2
Workflow for manually cleaning and disinfecting the camera head and
accessory ................................................................................................................ 18
4.3
Workflow for manually cleaning and sterilizing the camera head and
accessory ................................................................................................................ 19
4.4
Workflow for reprocessing the camera head and accessory using an
automatic thermal cleaning/disinfector ............................................................... 20
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Contents
Chapter 5 Reprocessing the Camera Head ........................................ 21
5.1
Summary of reprocessing the camera head ........................................................ 21
5.2
Preparing the equipment for reprocessing .......................................................... 23
Equipment needed .............................................................................................................. 23
5.3
Manually cleaning the camera head ..................................................................... 24
Equipment needed ..............................................................................................................
Disconnect the camera head from the video system center ................................................
Clean the external surface ...................................................................................................
Immerse the camera head in detergent solution .................................................................
Remove detergent solution from the camera head .............................................................
Dry external surfaces ...........................................................................................................
5.4
Manually disinfecting the camera head ................................................................ 27
Equipment needed ..............................................................................................................
Preparation ..........................................................................................................................
Immerse the camera head in disinfectant solution ..............................................................
Remove the camera head from disinfectant solution ..........................................................
5.5
24
24
25
26
26
26
27
27
28
28
Rinsing the camera head following disinfection ................................................. 29
Equipment needed .............................................................................................................. 29
Rinse the camera head ....................................................................................................... 30
5.6
Sterilizing the camera head ................................................................................... 31
Ethylene oxide gas sterilization of the camera head ........................................................... 31
Steam sterilization (autoclaving) of the camera head .......................................................... 32
Chapter 6 Reprocessing the Accessory ............................................ 33
6.1
Summary of reprocessing the accessory ............................................................ 33
Equipment needed .............................................................................................................. 34
6.2
Manually cleaning the accessory .......................................................................... 35
6.3
Manually disinfecting the accessory .................................................................... 36
6.4
Rinsing the accessory following disinfection ...................................................... 37
Rinse the accessory ............................................................................................................ 37
6.5
Sterilizing the accessory ........................................................................................ 38
Steam sterilization (autoclaving) .......................................................................................... 38
Chapter 7 Reprocessing the Camera Head Using an Automatic
Thermal Cleaning/Disinfector ............................................39
7.1
ii
Reprocessing the camera head using an automatic thermal cleaning/
disinfector ...............................................................................................................39
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Contents
Chapter 8 Storage and Disposal ......................................................... 41
8.1
Precaution of storage and disposal ..................................................................... 41
8.2
Storing the disinfected camera head and accessory .......................................... 43
8.3
Storing the sterilized camera head and accessory ............................................. 43
8.4
Disposal .................................................................................................................. 43
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Contents
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1.1 Instructions
Chapter 1
1.1
General Policy
Ch.1
Instructions
• This manual contains the reprocessing methods recommended by Olympus for the camera
heads listed on the front cover.
• This instruction manual contains essential information on reprocessing camera heads safely
and effectively.
• Before reprocessing, thoroughly review this manual and the manuals of the reprocessing
equipment and chemicals that will be used for reprocessing. Reprocess all the devices as
instructed.
• Note that the complete instruction manual set for the camera head consists of this manual
and the “OPERATION MANUAL” with your camera head model listed on the cover. Both
manuals accompanied the camera head at shipment.
• Keep this manual and all related manuals in a safe and accessible location (e.g., in the
reprocessing area).
• If you have any questions or comments about any information in this manual, or if a problem
that cannot be solved occurs while reprocessing, contact Olympus.
Terms used in this manual
Disinfection:
Some countries classify the disinfection level and define “high-level disinfection”, and other
countries do not. The term “disinfection” is used, including meaning “high-level
disinfection” in this manual. For disinfectant solution, follow the instructions as described in
Section 3.4, “Disinfectant solution”.
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1.2 Importance of reprocessing
Ch.1
1.2
Importance of reprocessing
The medical literature reports incidents of cross-contamination resulting from improper reprocessing. It
is strongly recommended that all individuals engaged in reprocessing closely observe all instructions
given in this manual and the manuals of all ancillary equipment, and have a thorough understanding of
the following items:
• Professional health and safety policies of your hospital
• Instruction manuals for the camera head, accessories, and all the other reprocessing
equipment
• Structure and handling of camera head and accessories
• Handling of pertinent chemicals
When selecting appropriate methods and conditions for cleaning and disinfection and sterilization,
follow the policies at your institution, applicable national laws and standards, and professional society
guidelines and recommended practices, in addition to the instructions given in this manual.
1.3
Signal words
The following signal words are used throughout this manual:
WARNING
Indicates a potentially hazardous situation which, if not avoided, could result in
death or serious injury.
CAUTION
Indicates a potentially hazardous situation which, if not avoided, may result in minor
or moderate injury. It may also be used to alert against unsafe practices or potential
equipment damage.
NOTE
2
Indicates additional helpful information.
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1.4 Precautions
1.4
Ch.1
Precautions
WARNING
• An insufficiently reprocessed camera head may pose an infection control risk to the
patients and/or operators who contact them.
• All disinfection methods (whether performed manually or by an automatic thermal
cleaning/disinfector), and all sterilization methods (whether performed by ethylene
oxide gas or steam) require thorough prior cleaning of the instrument being
reprocessed. If the equipment is not adequately cleaned prior to
disinfection/sterilization, these processes will be ineffective. Immediately after each
patient procedure and before disinfection/sterilization, thoroughly clean the camera
head.
• Residual disinfectant solution may cause adverse reactions in patients. Therefore,
rinse all external surfaces of the camera head thoroughly with water to remove
residual disinfectant solution after disinfection.
• The results of sterilization depend on various factors. These factors include how
the equipment was packaged, and the placing and loading of the package in the
sterilization device. Verify the sterilization process using biological and/or chemical
indicators. Follow the guidelines for sterilization issued by national authorities,
professional organizations and infection control professionals, including the
frequency of the above verification, as well as the instruction manual for the
sterilization device.
• Establish an internal system of identifying contaminated versus reprocessed
camera heads to prevent both mix-ups and cross-contamination. Some national or
professional guidelines recommend separating dirty (contaminated) area, clean
area, and storage area. Touching a reprocessed camera head with contaminated
gloves or placing it on a contaminated hanger or surface, including letting it touch
the floor, will recontaminate it.
• Prior to each patient procedure, confirm that the camera head has been properly
reprocessed and stored. If there are any doubts or questions, reprocess it again
before the patient procedure, following the instructions given in this manual.
• Store alcohol in an air tight container. Alcohol stored in an open container may
cause a fire hazard and may result in a loss of efficacy due to evaporation.
• The accessory listed on the front cover of this manual is consumable, meaning that
this accessory cannot be refurbished or repaired and is intended to be replaced
once it shows any signs of wear and tear. Should any irregularity be observed, use
a replacement accessory instead. Using a defective accessory may cause
equipment malfunction, reduce the efficacy of reprocessing, present a risk to
patients and/or operators, or damage the camera head and/or accessories.
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1.4 Precautions
Ch.1
WARNING
• Patient debris and reprocessing chemicals pose infection control risks. To guard
against contact with dangerous chemicals and potentially infectious material, wear
appropriate personal protective equipment during reprocessing. Such protective
equipment should include appropriate eyewear, face mask, cap, moisture-resistant
clothing, shoe covers, and chemical-resistant gloves that fit properly and are long
enough to prevent skin exposure.
• The reprocessing room must be adequately ventilated to minimize the risks from
chemical vapors.
• Always remove contaminated personal protective equipment before leaving the
reprocessing area to prevent contamination from spreading.
• Instructions provided in this manual are not valid for Olympus devices repaired by a
non-Olympus facility. The Olympus recommended reprocessing procedures have
not been validated for reprocessing devices repaired by a non-Olympus facility. In
the event that your device has been repaired by a non-Olympus facility, it may pose
an infection control risk to the patients and/or operators who contact them.
• Prions, which are the pathogenic agents of the Creutzfeldt-Jakob disease (CJD)
cannot be destroyed or inactivated by the reprocessing methods stated in this
instruction manual. When using the camera head on patients with CJD or variant
Creutzfeldt-Jakob disease (vCJD), be sure to use it for such patients only, or
immediately dispose of it after use in an appropriate manner to prevent the usage
of exposed devices on other patients. For methods to handle CJD, please follow
the respective guidelines in your country.
• The camera head may be damaged by published methods for destroying or
inactivating prions. For information on the durability of Olympus equipment against
a particular reprocessing method, please contact Olympus. In general, Olympus
cannot guarantee the effectiveness, safety, and durability of reprocessing methods
not described in this reprocessing manual. If you chose to use a reprocessing
method not recommended in this manual, the local institution and/or physicians
must assume responsibility for its safety and efficacy. Make sure to carefully
inspect each piece of camera head’s equipment for irregularities (damage) prior to
each patient procedure. Do not use the equipment if any irregularity is found.
• Good quality control practices typically require appropriate documentation. Items
such as local SOPs (Standard Operating Procedures), confirmation of operator
training, routine testing of the disinfectant’s MEC (Minimal Effective Concentration),
confirmation of the disinfectant’s use-life, etc., should be documented as
performed.
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1.5 Reprocessing before the first use
Ch.1
CAUTION
• To prevent damage, do not apply excessive force to the camera head during
reprocessing.
• Vapors from disinfectant solution and alcohol may damage electronic devices such
as computers. Properly manage the quality and durability of the devices used in
reprocessing rooms and the ventilation performance of the rooms.
1.5
Reprocessing before the first use
New camera heads and repaired camera heads are not reprocessed prior to shipping from Olympus,
regardless of whether those camera heads are for new purchase, demo or loaner purposes.
Reprocess all such camera heads received from Olympus according to the instructions given in this
manual before storage and before using them in a patient procedure.
1.6
Reprocessing and storage after use
WARNING
• Do not reuse rinse water.
• Disinfectant solution is only effective when used according to the disinfectant
manufacturer’s instructions. Follow the manufacturer’s instructions regarding
activation (if required), concentration, temperature, contact time and use life
required to achieve disinfection.
• If the disinfectant solution is reused, check its efficacy by proper methods, such as
using test strip, according to the disinfectant manufacturer’s recommendations
prior to use.
• To maintain sterility of equipment following sterilization, use sterile packaging and
wraps according to national guidelines.
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1.7 Reprocessing before patient procedure
Ch.1
1.7
Reprocessing before patient procedure
WARNING
• Improper storage practices, such as not thoroughly drying external surfaces prior to
storage, will lead to an infection control risk.
• Improper handling, such as touching a reprocessed camera head with
contaminated gloves, placing a reprocessed device on a contaminated hanger or
surface, allowing devices to touch the floor, etc., will recontaminate the device.
NOTE
Some national or professional guidelines recommend reprocessing camera heads
prior to their first use of the day.
Confirm that the camera head has undergone proper reprocessing following its last use and that it has
been stored properly. Check the storage period of reprocessed camera heads, and check for surface
contamination (e.g., dust). Check the expiration date marked on all items and check for tears or
breaches in the sterile packaging. If there are any doubts or questions concerning whether a device is
contaminated, reprocess it again following the instructions given in this manual.
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2.1 Cleaning brush (MAJ-1534, sold separately)
Chapter 2
Function and Inspection of
the Accessory for
Reprocessing
Ch.2
A certain accessory is required for reprocessing the camera head. This chapter describes the function
of the accessory. It also describes how to inspect the accessory before using it to reprocess the
camera head.
2.1
Cleaning brush (MAJ-1534, sold separately)
Figure 2.1
Function
The cleaning brush is used to brush the external surfaces and openings of the camera head.
Inspection
1
2
Check the brush head for loose or missing bristles.
3
Visually check for debris on the bristles of the brush head. If there is debris on the
brush, immerse the brush in the water as described in Section 3.2, “Water (for
reprocessing)” and clean the brush until no debris is observed on the brush.
Check the bristles for any damage. If the bristles are crushed, gently straighten them
with your gloved fingertips.
NOTE
The cleaning brush does not need to be reprocessed prior to its first use.
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2.1 Cleaning brush (MAJ-1534, sold separately)
Ch.2
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3.1 Compatibility summary
Chapter 3
Compatible Reprocessing
Methods and Chemical
Agents
Ch.3
3.1
Compatibility summary
The camera head is compatible with several methods of reprocessing. However, not all reprocessing
methods are compatible with all camera heads. Reprocessing with incompatible methods can cause
equipment damage even if the number of reprocessing cycles is small. For appropriate reprocessing
methods, refer to Table 3.1 and 3.2.
Follow the policies at your local institution when choosing which methods listed in Table 3.1 and 3.2 to
employ.
CAUTION
• Methods listed as “compatible” in Table 3.1 and 3.2 compatible for routine use only
when used according to manufacturer’s instructions. Repeated use and
reprocessing of camera heads leads to gradual wear and tear. Furthermore,
reprocessing methods that employ higher temperatures and more caustic/corrosive
materials may lead to faster deterioration. In general, sterilization processes are
harsher on equipment than disinfection processes. Before each patient procedure,
inspect the camera head for damage, according to the instructions described in this
manual and its companion “OPERATION MANUAL”.
• Instructions provided in this manual regarding material compatibility are not valid
for Olympus devices repaired by a non-Olympus facility. Olympus repairs devices
to manufacturer’s specifications using original equipment manufacturer’s (OEM)
materials. The use of non-OEM materials to repair an Olympus device may affect
the material compatibility of the device with certain reprocessing chemicals or
methods. In the event that your device has been repaired by a non-Olympus facility,
please contact the repair facility for instructions regarding material compatibility.
Olympus distinguishes validated methods in terms of the following two points.
Microbiological efficacy
Material durability
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3.1 Compatibility summary
Microbiological efficacy
If it is stated that a method is “validated” in terms of microbiological efficacy, it means that instruments
have been reprocessed successfully using the standardized method described in this manual.
Ch.3
Material durability
If it is stated that a method is “validated” in terms of material durability, it means that the method can be
adopted as a repetitive reprocessing procedure.
Just because the material durability is confirmed, it does not mean a certain degree of microbiological
effectiveness is guaranteed.
List of compatible methods validated in terms of biological
efficacy and material durability
For sterilization
Steam sterilization (autoclaving)
Ethylene oxide gas sterilization
(gas mixture 20% ethylene oxide gas/80%
CO2, for countries other than the USA)
Ethylene oxide gas sterilization
(100% ethylene oxide gas)
For disinfection
2 – 3.5% glutaraldehyde
For cleaning
Detergent solution
Ultrasonic
cleaning
Camera head
(CH-S190-XZ-E)
(CH-S190-XZ-Q)
Cleaning brush (MAJ-1534)
compatible
Table 3.1
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not compatible
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3.1 Compatibility summary
List of compatible methods validated in terms of material
durability
Low temperature steam and formaldehyde
sterilization*1
STERRAD®NX
Ch.3
STERRAD®200
STERRAD®50/100S*2
Automatic thermal
cleaning/disinfector*1
Camera head
(CH-S190-XZ-E)
*3
(CH-S190-XZ-Q)
Cleaning brush (MAJ-1534)
*3
compatible
not compatible
Table 3.2
*1 This method may not be available in some areas.
*2 ASP tests the microbiological efficacy of Olympus products in sterility. As for the microbiological efficacy,
contact ASP. Also see the “STERRAD® 50/100S/200/NX” instruction manual.
*3 For further details, please contact Olympus.
NOTE
Camera heads that are marked by the words “AUTOCLAVE” or “AUTOCLAVABLE”,
are compatible with steam sterilization (autoclaving).
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3.2 Water (for reprocessing)
3.2
Water (for reprocessing)
Water is used for manual cleaning of the camera head. For this purpose, use either fresh, potable
water or water that has been processed (e.g., filtered, deionized or purified) to improve its chemical
and/or microbiological quality. Consult with your hospital’s infection control committee.
Ch.3
When rinsing the camera head following disinfection, use the water as described in Section 3.5, “Rinse
water”.
3.3
Detergent solution
WARNING
• Excessive foaming prevents detergent solution from properly contacting the
surfaces of the camera head, and may impair effective cleaning.
• Do not reuse detergent solution.
Use a medical-grade, low-foaming, neutral pH detergent. Follow the instructions provided by the
detergent manufacturer regarding concentration, temperature, contact time, and expiration date.
Contact Olympus for the names of specific brands of detergent solution that have been tested for
compatibility with camera heads.
3.4
Disinfectant solution
Use a disinfectant cleared/approved by your national regulatory agency for use in reprocessing flexible
endoscopes. In case national or professional guidelines applicable for your institution define “high-level
disinfection” and require using a high-level disinfectant for the camera heads, follow the requirement.
Follow the disinfectant manufacturer’s instructions regarding activation (if required), concentration,
temperature, contact time, and expiration date.
For further information regarding the compatibility of glutaraldehyde-based or non
glutaraldehyde-based disinfectant solution, contact Olympus.
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3.5 Rinse water
3.5
Rinse water
Use sterile water for rinsing the camera head following disinfection.
If sterile water is not available, use either fresh, potable water or water that has been processed (e.g.,
filtered, deionized, or purified) to improve its chemical and/or microbiological quality. Consult with your
hospital’s infection control committee regarding local policies on water quality.
3.6
Automatic thermal cleaning/disinfection
This method may not be available in some areas.
WARNING
Use only detergents whose feature validated processes in accordance with
national and local laws and/or guidelines. There is an infection risk when using
insufficient detergents.
CAUTION
• Use only washer/disinfector which are intended specifically for cleaning and
disinfection of camera heads by the washer/disinfector’s manufacturer. Use only
washer/disinfector according to ISO 15883-1, 2.
• For details on the operation of the automatic thermal cleaning/disinfector, refer to
its instruction manual.
• Select a program optimized for cleaning camera heads.
• Use only detergents whose compatibility for cleaning camera heads is certified by
the automatic thermal cleaning/disinfector’s manufacturers and which are
approved by a competent authority. Incompatible detergents may considerably
damage Olympus camera heads. Preferably, use enzyme-based agents. Avoid
agents containing highly alkaline or acidic compounds, such as citric or phosphoric
acid. Corrosion of the instrument’s material may occur.
• However, if rinsing with neutralizers after cleaning/disinfection is necessary, make
sure to remove all traces of neutralizers by using the water as described in
Section 3.5, “Rinse water”.
• Make sure that the water inflow into the cleaning units starts with sufficient cold
temperatures (e.g., 20C) to avoid thermal coagulation of protein. Do not use
programs starting with high temperatures (e.g., 93C).
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3.6 Automatic thermal cleaning/disinfection
CAUTION
• Do not use a lubricant in automatic cleaning/disinfection procedures. Malfunction of
camera head may occur.
• Regularly maintain the automatic thermal cleaning/disinfector as recommended by
its manufacturer.
Ch.3
Automatic cleaning/disinfection program
(1)
(2) (3)
(4)
(5)
(6)
Figure 3.1
The washer/disinfector’s program should include at least the following stages:
(1) Pre-cleaning (without detergent, 20C)
(2) Cleaning (with detergent, 40 – 45C, 5 min)
(3) Rinsing
(4) Heating
(5) Thermal disinfection which serves as the final rinsing (e.g., 93C, 10 min)
(6) Drying
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3.7 Ethylene oxide gas sterilization
3.7
Ethylene oxide gas sterilization
The camera head listed as compatible with ethylene oxide gas sterilization in Table 3.1 can be
sterilized by ethylene oxide gas and aerated within the parameters given in Table 3.3 and 3.4. When
performing ethylene oxide gas sterilization, follow all national, professional and institutional
reprocessing protocols as well as the instructions provided by the manufacturer of your sterilization
equipment.
CAUTION
Exceeding the recommended parameters may cause equipment damage.
Parameters for 100% ethylene oxide gas sterilization cycles
Process phase
Sterilization
Aeration
Parameter
Value
Temperature
55C (130F)
Vacuum
(Absolute pressure)
0.05 – 0.07 MPa
(7.25 – 10.15 psia)
Relative humidity
50 – 80%
Ethylene oxide gas
concentration
0.735 – 0.740 mg/cm3
(735 – 740 mg/L)
Exposure time
60 minutes
Minimum aeration
parameters
12 hours in an aeration chamber at 50 –
57C(122 – 135F) or 7 days at room
temperature
Table 3.3
Parameters for 20% ethylene oxide gas/80% CO2 gas sterilization
cycles, for countries other than the USA
Process phase
Sterilization
Aeration
Parameter
Value
Temperature
57C (135F)
Relative pressure
0.1 – 0.17 MPa
Relative humidity
35 – 85%
Ethylene oxide gas
concentration
0.6 – 0.7 mg/cm3
(600 – 700 mg/L)
Exposure time
2 – 4 hours
Minimum aeration
parameters
12 hours in an aeration chamber at 50 –
57C (122 – 135F) or 7 days at room
temperature
Table 3.4
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3.8 Steam sterilization (autoclaving)
3.8
Steam sterilization (autoclaving)
The camera head listed as compatible with steam sterilization in Table 3.1 can be sterilized by steam
within the parameters given in Table 3.5. When steam sterilizing, follow all national, professional, and
institutional reprocessing protocols as well as the instructions provided by the manufacturer of your
sterilization equipment.
Ch.3
WARNING
Steam sterilization of the camera head must be performed according to the
conditions specified in this section. Autoclaving the camera head using a
sterilization cycle that does not meet the specified conditions may result in a failure
to achieve sterilization of the camera head.
CAUTION
• Exceeding the recommended parameters may damage the camera heads.
• Employ the full autoclaving cycle indicated in Table 3.5, including the
vacuum-drying cycle after autoclaving. Without the vacuum-drying cycle, the
camera head may malfunction or become damaged.
Prevacuum steam sterilization cycle
1 Evacuation
2 Steaming and evacuation
3 Heating
4 Sterilization (132 – 134C, 5 min.)
5 Evacuation
6 Drying
Table 3.5
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4.1 Summary of reprocessing workflow
Chapter 4
4.1
Reprocessing Workflow for
the Camera Head and
Accessory
Summary of reprocessing workflow
Ch.4
This chapter describes the workflow for reprocessing the camera head.
WARNING
Deviation from the recommended workflow may pose an infection control risk.
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4.2 Workflow for manually cleaning and disinfecting the camera head and accessory
4.2
Workflow for manually cleaning and disinfecting
the camera head and accessory
Camera head
Ch.4
Cleaning brush
(MAJ-1534)
Patient procedure
Section 5.3, “Manually cleaning the camera head”
Section 5.4, “Manually
disinfecting the camera head”
Section 5.5, “Rinsing the
camera head following
disinfection”
Section 6.2, “Manually cleaning
the accessory”
Section 6.3, “Manually
disinfecting the accessory”
Section 6.4, “Rinsing the
accessory following
disinfection”
Section 8.2, “Storing the disinfected camera head and accessory”
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4.3 Workflow for manually cleaning and sterilizing the camera head and accessory
4.3
Workflow for manually cleaning and sterilizing
the camera head and accessory
NOTE
*1 If required by the local policy of your institution, disinfect and rinse the camera head
manually between manual cleaning and sterilization.
Ch.4
Cleaning brush
(MAJ-1534)
Camera head
Patient procedure
Section 5.3, “Manually cleaning the camera head”
*1
Section 5.6, “Sterilizing the
camera head”
Section 6.2, “Manually cleaning
the accessory”
*1
Section 6.5, “Sterilizing the
accessory”
Section 8.3, “Storing the sterilized camera head and accessory”
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4.4 Workflow for reprocessing the camera head and accessory using an automatic thermal
cleaning/disinfector
4.4
Workflow for reprocessing the camera head and
accessory using an automatic thermal
cleaning/disinfector
Ch.4
Camera head
Cleaning brush
(MAJ-1534)
Patient procedure
Section 5.3, “Manually cleaning the camera head”
Section 7.1, “Reprocessing
the camera head using an
automatic thermal
cleaning/disinfector”
Section 5.6, “Sterilizing the
camera head”
Section 6.2, “Manually cleaning
the accessory”
Section 6.5, “Sterilizing the
accessory”
Section 8.3, “Storing the sterilized camera head and accessory”
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CH-S190-XZ-E/Q REPROCESSING MANUAL