PRECLEANING
Wipe debris from insertion tube. Suction enzymatic detergent through the scope after each use until free of debris. Alternate enzymatic detergent and air. Flush air/water channel per manufacturer’s instructions. Attach water resistant cap to video scope. Transport scope separately from accessories in covered container to reprocessing room. Suction enzymatic detergent through biopsy/suction channel until solution is free of debris. Alternate suctioning enzymatic detergent and air several times. Finish with air. Flush air/water channels per manufacturer’s instructions. Attach soaking cap to video scope. Transport scope separately from accessories in covered containers to reprocessing area.
LEAK TEST
Remove adapters and valves. Inflate scope before submerging in water. Visually inspect and leak test scope per manufacturer’s instructions. If damage is detected, contact the manufacturer or repair facility for instructions.
MANUAL CLEANING
Immerse scope in enzymatic detergent when performing all subsequent steps. Wash all debris from exterior of scope. Clean inside all valve openings and elevators. Brush entire suction/accessory channel system including the body, insertion tube and the light guide (umbilical) tube. Repeat until free of debris. Use appropriate adapters to access all channels.
RINSING
Rinse removable parts with clean water. Rinse scope and repeatedly flush all channels. Use appropriate channel adapters where necessary. Purge all water from all channels. Wipe the exterior of scope dry and remove parts using soft, clean, lint-free cloth or sponge. Expel all rinse water by repeatedly flushing all channels with air.
HIGH LEVEL DISINFECTION
Completely immerse scope, removable parts and cleaning apparatus/tools in high-level disinfectant. Inject high-level disinfectant into all channels until solution exits opposite ends of each channel. Cover disinfectant soaking tray with tight-fitting lid. Soak scope for appropriate time and temperature in disinfectant as indicated on the label. Metrex also suggests that customers consult authoritative protocols and guidelines, such as ASTM 1518, ASGE, SGNA, APIC and AORN. After soaking, use channel cleaning adapters to flush air repeatedly through all channels to remove disinfectant. Leaave channel cleaning adapters attached for rinse cycle.
FINAL RINSE
Flush all channels with 70% Isopropyl or Ethyl alcohol followed by air. Dry exterior of scope, valves, etc., using clean, lint-free cloth. Dry channels following manufacturer’s instruction. Dry the inside of the suction and air/water valve housings and connections on the light guide connector.
DRYING
Flush all channels with 70% Isopropyl or Ethyl alcohol followed by air. Dry exterior of scope, valves, etc., using clean, lint-free cloth. Dry channels following manufacturer’s instruction. Dry the inside of the suction and air/water valve housings and connections on the light guide connector.
STORAGE
Store valves and accessories separately from scopes. Store with ETO venting cap in place and/or video soaking cap removed. Hang reprocessed scope vertically so insertion tube and umbilicus do not touch bottom of cabinet and are not looped.
A Guide for Manual Reprocessing of Flexible Immersible Endoscopes
PRECLEANING
Wipe debris from insertion tube. Suction enzymatic detergent through the scope after each use until free of debris. Alternate enzymatic detergent and air. Flush air/water channel per manufacturer’s instructions. Attach water resistant cap to video scope. Transport scope separately from accessories in covered container to reprocessing room. Suction enzymatic detergent through biopsy/suction channel until solution is free of debris. Alternate suctioning enzymatic detergent and air several times. Finish with air. Flush air/water channels per manufacturer’s instructions. Attach soaking cap to video scope. Transport scope separately from accessories in covered containers to reprocessing area.
LEAK TEST
Remove adapters and valves. Inflate scope before submerging in water. Visually inspect and leak test scope per manufacturer’s instructions. If damage is detected, contact the manufacturer or repair facility for instructions.
MANUAL CLEANING
Immerse scope in enzymatic detergent when performing all subsequent steps. Wash all debris from exterior of scope. Clean inside all valve openings and elevators. Brush entire suction/accessory channel system including the body, insertion tube and the light guide (umbilical) tube. Repeat until free of debris. Use appropriate adapters to access all channels.
RINSING
Rinse removable parts with clean water. Rinse scope and repeatedly flush all channels. Use appropriate channel adapters where necessary. Purge all water from all channels. Wipe the exterior of scope dry and remove parts using soft, clean, lint-free cloth or sponge. Expel all rinse water by repeatedly flushing all channels with air.
HIGH LEVEL DISINFECTION
Completely immerse scope, removable parts and cleaning apparatus/tools in high-level disinfectant. Inject high-level disinfectant into all channels until solution exits opposite ends of each channel. Cover disinfectant soaking tray with tight-fitting lid. Soak scope for appropriate time and temperature in disinfectant as indicated on the label. Metrex also suggests that customers consult authoritative protocols and guidelines, such as ASTM 1518, ASGE, SGNA, APIC and AORN. After soaking, use channel cleaning adapters to flush air repeatedly through all channels to remove disinfectant. Leaave channel cleaning adapters attached for rinse cycle.
FINAL RINSE
Flush all channels with 70% Isopropyl or Ethyl alcohol followed by air. Dry exterior of scope, valves, etc., using clean, lint-free cloth. Dry channels following manufacturer’s instruction. Dry the inside of the suction and air/water valve housings and connections on the light guide connector.
DRYING
Flush all channels with 70% Isopropyl or Ethyl alcohol followed by air. Dry exterior of scope, valves, etc., using clean, lint-free cloth. Dry channels following manufacturer’s instruction. Dry the inside of the suction and air/water valve housings and connections on the light guide connector.
STORAGE
Store valves and accessories separately from scopes. Store with ETO venting cap in place and/or video soaking cap removed. Hang reprocessed scope vertically so insertion tube and umbilicus do not touch bottom of cabinet and are not looped.
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Contact Information
Dudullu OSB Mahallesi İMES C Blok 305 Sokak No: 16
Postal Code: 34766 Umraniye Istanbul Turkey
Telephone: +90 216 364 15 00
Fax: +90 216 314 15 69
E-Mail: export@gbl.com.tr