Reusable Surgical Instruments Instructions for Use

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INSTRUCTIONS FOR USE (EN) REUSABLE SURGICAL INSTRUMENTS

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RUDOLF Medical GmbH + Co. KG Zollerstr. 1, 78567 Fridingen, Germany Tel. +49 7463 9956-0 Fax +49 7463 9956-56 [email protected] www.RUDOLF-med.com D0462 / Rev. J / ACR00358 / 2022-07-18

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0297

WARNINGS AND PRECAUTIONS RUDOLF Medical instruments must be cleaned, disinfected, and sterilized before first use. Protective caps and transport packaging must be removed beforehand. A complete functional check must be carried out before each use. Improper use and overstraining due to twisting / levering can lead to breaks and permanent deformation. Do not use metal brushes or abrasives, as there is a risk of corrosion due to surface damage. The safe combination of instruments with each other or of instruments with implants must be checked by the user before clinical use. Be careful when handling sharp tips and cutting edges - risk of injury. In the case of patients with Creutzfeldt-Jakob disease (CJK), suspected CJK or possible variants of this disease, the applicable national regulations regarding the preparation of instruments must be applied. Never leave instruments in disinfectant solution too long. Follow the instructions of the respective manufacturer. Automated cleaning / disinfection should be preferred to manual cleaning / disinfection, since automated processes can be standardized, reproduced and thus validated.

PRODUCTS This reprocessing instruction applies to reusable surgical and endoscopic instruments supplied by RUDOLF Medical.

PRIOR TO EACH USE: VISUAL AND FUNCTIONAL INSPECTION Check for: External damage (shaft deformed, dents or sharp edges) Correct functioning Detergent or disinfectant residues Free passage through working channels.

GENERAL Reusable surgical instruments from RUDOLF Medical can be used by medical professionals for a surgical procedure and can be reused after qualified reprocessing. The professional user selects the appropriate instruments according to the intended function, the tissue to be manipulated and the anatomical structures.

REPROCESSING INSTRUCTIONS Restrictions - Repeated / frequent reprocessing according to these instructions has only little effect on the durability of the instruments. - The durability of a reusable instrument is essentially determined by wear and damage caused by the application.

PLEASE READ BEFORE PROCESSING AND KEEP IN A SAFE PLACE

Initial treatment at the place of use - The instruments must be reprocessed within 1 hour after use, to prevent dirt from drying on the instruments. - Heavy soiling on the instrument must be removed with a disposable rag, cloth, or tissue immediately after use. - Working channels and lumens must be flushed through at least 3 times immediately after use to avoid blockages.

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Do not use any fixing agents or hot water (> 40 ° C), as this leads to the fixing of residues and can affect the success of the cleaning procedure. Defective instruments must be identified and clearly marked. They are also to be reprocessed.

Transportation - Safe storage and transport of the instruments to the reprocessing site in a closed receptacle / container system to avoid damage to the instruments and contamination to the environment. Preparation for decontamination - The instruments must be disassembled or opened for reprocessing as far as possible without using tools. Manual pre-cleaning - Instruments with difficult to access areas such as lumens, cavities, bores, threads, and slots must be soaked in cold water for at least 5 minutes and rinsed under water with a water jet gun for at least 10 seconds (pulsed procedure). - To support manual cleaning and before automated cleaning in case of heavily encrusted soiling, cleaning must be carried out in the ultrasonic cleaning device (cleaning solution < 40 ° C, sonication time min. 10 min.). - Observe the manufacturer's instructions for the cleaning agent (concentration, temperature, and sonication time). - Vibration can loosen small parts such as screws and nuts. After ultrasound treatment, ensure that the instruments are complete and pay attention to loosened small parts. Automated cleaning - Clean and disinfect the instrument only in suitable washers and disinfectors (WD) and with a procedure / program validated for the WD and this type of instrument (EN ISO 15883). - Instruments with cavities (tubes, shafts, hoses) must be connected to appropriate flushing devices to ensure that these cavities are flushed. - The operating and loading instructions of the WD manufacturers must be observed. - Instruments with joints must be opened approx. 90 ° for cleaning. - When choosing the cleaning agent, please observe the material and properties of the instrument, the cleaning agents recommended by the WD manufacturer for the respective application and the relevant lists and recommendations of the Robert Koch Institute (RKI) and of the Deutsche Gesellschaft für Hygiene und Mikrobiologie (DGHM, German society for hygiene and microbiology).

Detergent for automated cleaning in washers and disinfectors (WD) Process Type Alkaline Enzymatic

Detergent Neodisher® FA deconex® 23 Neutrazym

pH value 12.2

Manufacturer

9.7

Borer

Dr. Weigert

Automated cleaning program with thermal disinfection in the WD using an alkaline OR enzymatic process

Water

Time / min 1

Temp / °C cold

Water

3

cold

Water, 0.5% alkaline detergent OR Water, 0.5% enzymatic detergent

5

Water

3

cold

Water

2

cold

Demineralized water

>5

> 90 max. 93

Process

Reagents

Pre-cleaning Drain Pre-cleaning Drain

Cleaning

Drain Neutralization Drain Rinsing Drain Disinfection * Drying **

55 45

> 20

* Carry out mechanical thermal disinfection by considering the national requirements regarding the A0 value from ISO 15883-1 (A0 = 3000). ** If necessary, manual drying with a lint-free cloth can also be carried out. Dry instrument cavities with sterile compressed air.

MAINTENANCE, CONTROL AND INSPECTION - After cleaning and disinfection, the instruments must be subjected to a visual and functional inspection. The instruments must be macroscopically clean (free of visible residues). Particular attention should be paid to slots, ratchets, locks, and other areas that are difficult to access. - If dirt residues / liquids are still visible, the cleaning and disinfection process must be repeated. - Before each sterilization, the instrument must be assembled and checked for function, wear, and damage (cracks, rust) and replaced, if necessary. - Close instruments with a ratchet only in the first notch of the ratchet before sterilization or keep them open. - After each cleaning and before sterilizing, the moving parts must be oiled and maintained with a physiologically harmless oil (paraffin oil according to

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