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PowerSpiral (PSF-1) Endoscope Cleaning and Disinfection Checklist
PowerSpiral (PSF-1) Endoscope 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.
PSF-1 Intestinal Videoscope PSF-1
Instructor Name Title Signature
Staff Member Name Signature
Pre-Cleaning 1.
Wear appropriate Personal Protective Equipment. (PPE).
2.
Turn OFF the video processor, light source and PowerSpiral control unit.
3. 4.
When using the endoscope position device (UPD), turn it off.
5.
Before removing the single use PowerSpiral tube from the endoscope, unlock the lock collar as follows;
Straighten the endoscope from the distal end through the connector of the single use PowerSpiral tube.
a. Gently hold the insertion tube as shown below; b. While pressing the release button of the lock collar, slide the lock collar to the unlock position.
c. Confirm that the yellow mark is visible.
Demonstrated
6.
Hold the connector of the single use PowerSpiral tube and remove it from the endoscope carefully. Dispose of the single use PowerSpiral tube.
7.
Prepare a clean 500mls container of water.
8.
Wipe down the entire insertion section of the endoscope from the boot at the control section to the distal end with a lint-free cloth or sponges soaked with water.
9.
Turn ON the suction source and ensure the biopsy valve cap is closed.
10.
Immerse the distal tip in water and depress the suction valve to aspirate the water for 10 seconds or more.
11.
Remove the distal tip from the water and depress the suction valve to aspirate air for 10 seconds or more.
12.
Turn OFF the suction source.
13.
Remove the air/water valve and attach the air/water channel cleaning adapter.
14. 15.
Turn ON the light source and set the airflow regulator to HIGH.
16.
Depress the air/water channel cleaning adapter and flush water for 30 seconds or more.
17.
Release the air/water channel cleaning adapter to flush air for 10 seconds or more.
18. 19
Turn OFF the light source.
Immerse the distal tip in clean water.
Flushing the auxiliary water channel:
a. For manual flushing of the auxiliary water channel: 1. Attach a clean MAJ-855 auxiliary water tube to the auxiliary water inlet. 2. Immerse the distal tip in water. 3. Fill a 30 ml syringe with water, attach to the auxiliary water tube, and flush 30mls of water. 4. Detach the syringe and leave the auxiliary water tube attached to the endoscope.
b. For automated flushing of the auxiliary water channel using the OFP-2 Flushing Pump:
1. Confirm proper attachment of the MAJ-855 (or disposable auxiliary water channel tube and cap MAJ-1652/MAJ-1651) and flushing pump and tubing. 2. Immerse the distal tip in water. Set the water flow on the flushing pump to maximum. 3. Activate the flushing pump for 10 seconds or more 4. Detach the auxiliary tube MAJ- 855/disposable attachment cap MAJ-1652 from the flushing pump. 5. Leave the auxiliary tube MAJ-855 attached to the endoscope.
20. 21.
Disconnect all removable and reusable parts from the endoscope. Transport to reprocessing area in a covered container.
Comments:
Leakage Testing 1.
Fill a basin with clean water.
2.
Detach air/water channel cleaning adapter, suction valve, and biopsy valve from the endoscope.
3. 4. 5.
Connect the leakage tester to the MU-1. (Maintenance unit).
6.
Confirm that both the leakage tester's connector cap and venting connector on endoscope are dry. If wet dry with a lint free cloth.
7.
Connect the leakage tester to the endoscope. Ensure bending section has inflated.
8.
Completely immerse the endoscope in water.
9.
Observe for 30 seconds while angulating the bending section fully in all four directions.
Turn ON the MU-1. Depress pin inside connector cap to confirm that air is being emitted.
series of bubbles emerges from any location, remove 10. Ifthea continuous endoscope from the water. no leak is detected, remove the endoscope from the water and turn 11. IfOFF the MU-1
Demonstrated
12. Disconnect the leakage tester from the MU-1. 30 seconds or until the bending section and the rotation part 13. Wait contracts to its pre-expansion size. the leakage tester connector cap from the venting 14. Disconnect connector.
15. 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, presoaking the endoscope in detergent solution before manually cleaning the endoscope may be required to wet and loosen debris that has dried and hardened onto the endoscope’s surfaces. Refer to section 5.9 of the Reprocessing Manual, “Presoaking the endoscope”.
1.
Fill a basin with fresh detergent solution prepared as recommended by the manufacturer.
2.
Completely immerse the endoscope in the detergent solution. 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. c. Take the insertion section out of the detergent solution and confirm that no debris remains on all external surfaces of the bending section and the insertion tube, paying particular attention to the air/water nozzle and objective lens on the distal tip.
d. If any debris remains on the external surfaces of the bending section and the insertion tube, repeat Steps “b and c” until no debris is observed.
3.
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 cord’s boot, using clean lint-free cloths, sponges, or brushes.
c. Take the control section, the boot, and the universal cord’s boot out of the detergent solution and confirm that no debris remains on all their external surfaces.
d. If any debris remains repeat Steps “b and c” until no debris is observed.
4.
Clean the external surfaces of the endoscope connector and the universal cord.
a. Immerse the endoscope in detergent solution. b. Thoroughly wipe or brush all external surfaces of the endoscope connector and the universal cord, using clean lint-free cloths, sponges, or brushes.
c. Take the endoscope connector and the universal cord out of the detergent solution and confirm that no debris remains on all their external surfaces.
d. If any debris remains repeat Steps “b and c” until no debris is observed.
5.
Use endoscope model-specific brushes to brush 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 degree 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 suction 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. 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 instrument channel port 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.
6.
Brush the rotation part. While brushing the rotation part, be careful not to damage the covering of the rotation part by any metal portion of the brush. Otherwise, the covering of the rotation part may be damaged.
a. Grip the handle of the single use combination cleaning brush (BW-412T) or the brush handle of the channel-opening cleaning brush (MH-507).
b. While immersing the endoscope completely in the detergent solution, brush the groove of the rotation part all around.
c. Clean the bristles of the brush in the detergent solution using your gloved fingertips to remove any debris.
d. While immersing the endoscope completely in the detergent solution, brush two concave corners of the flange at the distal end side of the rotation part all around.
e. Clean the bristles of the brush in the detergent solution using your gloved fingertips to remove any debris.
f. While immersing the endoscope completely in the detergent solution, brush concave corner of the flange at the control section side of the rotation part all around.
g. Clean the bristles of the brush in the detergent solution using your gloved fingertips to remove any debris.
h. Take the rotation part out of the detergent solution and confirm that no debris remains on all its external surfaces.
i. If any debris remains, repeat Steps “b through h” until no debris is observed.
j. When all debris is removed, put the rotation part in the detergent solution.
7.
Attach the suction cleaning adapter to the instrument channel port.
8.
Connect the suction tube from the suction source to the suction connector on the endoscope.
9.
Immerse the distal end of the endoscope and weighted end of the suction cleaning adapter in detergent.
10. Turn ON the suction source. the suction cylinder and aspirate detergent solution for 11. Cover approximately 30 seconds or more.
12. Turn OFF the suction source. 13. Detach the suction tube and the suction cleaning adapter.
Comments:
Manual Cleaning Manual Flushing of Endoscope Channels 1.
Attach the channel plug to the air/water and suction cylinders, and the biopsy valve cap to the instrument channel port.
2. 3. 4. 5. 6.
Attach the injection tube to the endoscope connector. Immerse the suction port of the injection tube into detergent solution. Attach a 30ml syringe to the air/water port of the injection tube. Flush the air/water channel with 180mls of detergent. Flushing of the auxiliary water channel:
a. Attach the auxiliary water tube to the auxiliary water inlet. b. Use a 30ml syringe to flush 30mls of detergent solution into the auxiliary water channel.
7.
Wipe external surfaces of the endoscope/accessories with a clean lint-free cloth, brush, or sponge.
8.
Soak the endoscope and accessories in detergent solution for the time specified by the detergent manufacturer.
9.
Remove the endoscope and accessories from the detergent solution.
endoscope and accessories in clean water, and gently 10. Immerse agitate to rinse.
11.
Use a 30ml syringe to inject 90mls water through the suction channel of the injection tube and 180mls of water through the injection air/water injection tube.
a 30ml syringe to the auxiliary water tube and inject 30mls of 12. Attach water. the endoscope and accessories from the water and place 13. Remove them in a clean basin.
14. Cover the distal end with a clean lint-free cloth.
Demonstrated
a 30ml syringe to inject 90mls of air through each side of the 15. Use injection tube. a 30ml syringe to inject 30mls of air through the auxiliary water 16. Use tube. the channel plug, injection tube, and auxiliary water tube 17. Disconnect from the endoscope. a lint-free cloth to dry all external surfaces of the endoscope, 18. Use channel plug, injection tube, and auxiliary water tube. the accessories as described in the Olympus 19. Reprocess Reprocessing Manual, Chapter 6, Reprocessing the Accessories.
Comments:
Automated Endoscope Reprocessor (AER) High-Level Disinfection AER Type: High Level Disinfectant Type:
1.
Test the disinfectant concentration (i.e., MRC) 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. 5.
Operate the AER according to the AER manufacturer's instructions.
6.
Perform the terminal steps that the AER does not perform (e.g. alcohol and air purge).
Remove the endoscope promptly after the AER cycle is completed.
FOR FACILITY INTERNAL USE ONLY!
Comments:
Demonstrated
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, injection tube, and auxiliary water tube to the endoscope.
4.
Completely immerse the endoscope and accessories in disinfectant solution.
5.
Use a 30ml syringe to forcefully push 90mls of disinfectant into each side of the injection tube and confirm that no bubbles exit the distal tip.
6.
Use a 30ml syringe to forcefully flush 30mls of disinfectant through the auxiliary water tube. If air bubbles still exit the distal tip, repeat the injection.
7.
Disconnect all equipment from the endoscope.
8.
Remove any bubbles that adhere to the surfaces with a gloved finger or clean lint-free cloth.
9.
Soak endoscope and equipment for the time and at the temperature recommended by the disinfectant manufacturer.
Demonstrated
the channel plug, injection tube and auxiliary water tubing 10. Reconnect to the endoscope. the suction port of the injection tube from the disinfectant 11. Remove solution. a 30ml syringe to each port on the injection tube and inject 12. Attach 90mls of air. the auxiliary water tube and use a 30ml syringe to inject 13. Reattach 30mls of air through the auxiliary water tube. the endoscope and accessories from the disinfectant 14. Remove solution.
Comments:
Rinsing 1. 2. 3. 4.
Fill a basin with sterile water, filtered water, or tap water.
5.
Attach the channel plug, injection tube and auxiliary water tube to the endoscope.
Completely immerse the endoscope and equipment in the water. Detach the channel plug, injection tube, and auxiliary water tube. Wipe all external surfaces with a sterile lint-free cloth.
Demonstrated
6.
Use a 30ml syringe to inject 90mls of water through each side of the injection tube.
7.
Flush the auxiliary water channel by using a 30ml syringe to inject 30mls of water.
8. 9.
Remove the endoscope and accessories from the water. Cover the distal tip with a lint-free cloth.
a 30ml syringe to inject 90mls of air through each side of the 10. Use injection tube. the auxiliary water channel by using a 30ml syringe to inject 11. Flush 30mls of air. the channel plug, injection tube and auxiliary water tube from 12. Detach the endoscope.
13. Wipe all external surfaces with a lint-free cloth. Comments:
Alcohol Flush 1.
Attach a reprocessed channel plug, injection tube, and auxiliary water tube to the endoscope.
2.
Immerse suction port of injection tube in 70% isopropyl or ethyl alcohol.
3.
Use a 30ml syringe to inject 90mls of alcohol through the suction channel of the injection tube.
4.
Use a 30ml syringe to inject 30mls of alcohol through the air/water channel of the injection tube.
5.
Remove the suction port from the alcohol and cover the distal tip with a lint-free cloth.
6.
Use a 30ml syringe to inject 90mls of air through the suction channel of the injection tube.
7.
Use a 30ml syringe to inject 90mls of air through the air/water channel of the injection tube.
8.
Attach a reprocessed auxiliary water tube
a. Use a 30ml syringe to inject 30mls of alcohol. b. Use a 30ml syringe to inject 90mls of air.
9.
Detach the injection tube only.
a sterile suction tube from the suction pump to the suction 10. Attach connector on the endoscope.
Demonstrated
a. Turn the suction pump on, and aspirate air for at least 30 seconds or more.
b. Turn the suction pump off. c. Detach the suction tube, channel plug, and auxiliary water tube from the endoscope.
11. Wipe all external surfaces with a lint-free cloth. the inside of the air/water and suction cylinders, and instrument 12. Dry channel port with sterile cotton swabs.
Comments:
Drying the Endoscope with compressed air 1.
Cover the distal end, the control section, and the endoscope connector of the endoscope in sterile lint-free cloths to prevent splashing alcohol from the channel openings.
2.
Feed compressed filtered air of less than 0.5 MPa from the opening of the suction cylinder until no alcohol exits from the distal end, the instrument channel port, and the suction connector of the endoscope.
3.
Feed compressed filtered air of less than 0.5 MPa from the instrument channel port until no alcohol exits from the distal end of the endoscope.
4.
Feed compressed filtered air of less than 0.5 MPa from the large opening of the air/water cylinder until no alcohol exits from the distal end and the water supply connector of the endoscope.
5.
Feed compressed filtered air of less than 0.5 MPa from the two small openings of the air/water cylinder until no alcohol exists from the air supply connector and the air pipe of the endoscope.
6.
Thoroughly dry the inside of the suction cylinder, the air/water cylinder, and the instrument channel port of the endoscope, using sterile cotton swabs.
7.
Thoroughly dry the external surfaces of the endoscope by wiping with sterile lint-free cloths.
Comments:
Demonstrated
Endoscope Storage 1.
Detach all accessories: as applicable following manual alcohol flushing of endoscopes.
a. Detach all valves. b. Uncap the auxiliary water inlet cap.
2. 3.
Ensure all angulation locks are in the free position.
4.
Hang the endoscope so that the universal cord and insertion tube are hanging vertically.
5.
Store the endoscope in a well-ventilated cabinet, according to National and Professional guidelines.
Confirm that the surfaces of the endoscope and accessories are dry.
Comments:
Demonstrated