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Instruments Care

Treatment of brand new Instruments
Brand new instruments must be cleaned before the first sterilization or use. Protective caps and protective films must be removed completely, for example in the case of chisels, respirators or micro-surgical instruments

After Use
1-  For machine cleaning, place instrument in a wire basket suitable for the cleaning process (make sure
     cleaning solution and rinse water from machine comes into contact with all parts of instrument)
2-  Preferably dry disposal.
3-  Microsurgical instruments and instruments with fine working ends should not be treated with ultrsound.
     They should be cleaned either manually or in the washing machine. In case of cleaning in a machine
     please use a suitable storage rack.

Manual Cleaning/Disinfection
1-   Place instrument into a suitable disinfectant with active cleaning properties so that all surfaces, inner
      cavities, lumens and openings come into contact with the solution.
2-   After chemical disinfection, always rinse thoroughly with clear, flowing water.
3-   Remove any dirt still clinging to the instrument with a soft synthetic brush. Do not use a scouring or
      metal brush.
4-   Clean any lumens and conduits with soft, round, synthetic brushes. Please note, the lumen and the
      brush must have the same diameter.
5-   Final rinsing to be done with distilled or deionized water.
6-   Dry instrument with an absorbent, soft and lint-free cloth.
7-   Dry lumens and conduits with compressed air.

Machine Cleaning/Disinfection
1-   Select the program according to the material (e.g. stainless instrument steel, aluminium) of the
      instrument to be cleaned.
2-   Final rinsing to be done with deionized water.
3-   Leave sufficient time for drying.
4-   Remove the instrument from the machine immediately after the program is done.

Care/Testing/Storage
1-   Let instrument cool down to room temperature.
2-   Lubricate movable parts (e.g. joints and ends) slightly with special sterilization-capable, vapor-permeable
      lubricant.
3-   After each cleaning, disinfection process, check the instrument to make sure it is clean, it functions
      properly and it has not suffered any damage, e.g. bent, broken, factured or worn parts.
4-   Discard any damaged and defective instruments and replace.

Sterilization
1-   Steam sterilization must be carried out according to a validated stream sterilization process.
2-   When using the fractionnal vacuum method, use the 134°C/2-bar program for sterilization with a
      minimum hold time of 5 minutes.

Autoclaving
1-    Lubricate all instruments which have any "metal to metal" action such as scissors,hemostats, needle
       holders, self-retaining retractors, etc.
2-    Put instruments up for autoclaving either individually or in sets.

After Cleaning
If instruments are to be stored, let them air dry and store them in a clean and dry environment.
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