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Chapter 3  Cleaning, Disinfection and Sterilization Procedures

OSF-3 ENDOSCOPE REPROCESSING MANUAL

3.5

Manual Cleaning

After completing the leakage test, perform manual cleaning according to the 
procedures described below.

Equipment Needed

Prepare the following equipment:

To prevent damage to the endoscope, never immerse it 
together with objects other than the cleaning accessories.

Cleaning the Outer Surface

1.

Fill a basin with water and low-foaming detergent solution at a temperature 
and concentration recommended by the manufacturer. Use a basin which is 
at least 40 cm by 40 cm (16” by 16”) in size and deep enough to allow the 
endoscope to be completely immersed.

2.

Immerse the endoscope and transfer the AW Channel Cleaning Adapter, 
Air/Water and Suction Valves and Biopsy Valve in the basin with detergent 
solution.

3.

With the endoscope immersed, use a soft brush or lint free cloth to 
thoroughly brush and wipe all outside surfaces of the endoscope. Pay 
particular attention to the Air/Water Nozzle opening and ensure that all 
surfaces of the Distal End are cleaned thoroughly (see Figure 3.12).

• Personal Protective Equipment
• Large Basins
• Soft-bristled Tooth brush
• Clean, Lint-free Cloth
• Low-foaming Detergent Solution
• Clean water
• Channel Cleaning Adapter

(MB-19)

• AW Channel Cleaning Adapter

(MB-107)

• All-channel Irrigator

(CW-3)

• Channel Cleaning Brush

(BW-20T)

• Channel-opening Cleaning Brush

(MH-507)

Summary of Contents for OLYMPUS OSF-3

Page 1: ...ompanion manual the OLYMPUS OSF 3 OPERATION MANUAL for inspection and operation information USA CAUTION Federal law restricts this device to sale by or on the order of a physician INSTRUCTIONS SIGMOID...

Page 2: ......

Page 3: ...ories 11 Chapter 3 Cleaning Disinfection and Sterilization Procedures 13 3 1 Required Reprocessing Equipment 13 3 2 Cleaning Disinfection and Sterilization Procedures 19 3 3 Precleaning 20 3 4 Leakage...

Page 4: ...Contents ii OSF 3 ENDOSCOPE REPROCESSING MANUAL...

Page 5: ...1 OSF 3 ENDOSCOPE REPROCESSING MANUAL Symbols The meaning s of the symbol s shown on the back cover of this instruction manual are as follows Manufacturer Authorized representative in the European Co...

Page 6: ...mination resulting from improper cleaning disinfection or sterilization It is strongly recommended that reprocessing personnel have a thorough understanding of and follow all national and local hospit...

Page 7: ...To minimize the risk of transmitting diseases from one patient to another after each examination the endoscope must undergo thorough manual cleaning followed by high level disinfection or sterilizatio...

Page 8: ...ndoscope If you are uncertain as to the ability of your endoscope reprocessor to clean and high level disinfect endoscope including all channels contact the endoscope reprocessor supplier for specific...

Page 9: ...is not durable or does not have sufficient durability against the respective methods stated in the guidelines of each country for destroying or inactivating prions For information on the durability a...

Page 10: ...ibility Summary Olympus endoscopic equipment is compatible with several methods of reprocessing Certain components and accessories however are not compatible with some methods which can cause damage F...

Page 11: ...with autoclaving Steam Sterilization Autoclave ETO Gas Sterilization 2 to 3 2 Glutaraldehyde 70 Ethyl or Isopropyl Alcohol Detergent Solution Ultrasonic Cleaning Endoscope Channel Cleaning Brush BW 2...

Page 12: ...h the U S Food and Drug Administration as sterilant disinfectants which are used according to the time temperature and dilution recommended by the disinfectant manufacturer for achieving high level di...

Page 13: ...els with 70 ethyl or isopropyl alcohol then air dry all internal channels to inhibit the growth of residual bacteria Do not use rinsing water 2 5 ETO Gas Sterilization This instrument or other accesso...

Page 14: ...move toxic ethylene oxide residuals Install the ETO Cap on the Venting Connector of the Endoscope Connector before ETO gas sterilization as shown in Figure 2 1 If ETO gas sterilization is performed wh...

Page 15: ...ing and loading of the instrument in the sterilization device Please verify the sterilization effects by using biological or chemical indicators Also follow the guidelines for sterilization issued by...

Page 16: ...below Allow the packages to dry within the autoclave using the autoclave s drying cycle if available or by opening the door of the autoclave and allowing the packages to air dry Handling a wet packag...

Page 17: ...tion or sterilization of the endoscope may pose an infection control risk to the patient and or operators performing the next procedure with the endoscope 3 1 Required Reprocessing Equipment Preparati...

Page 18: ...ng Water Large Basin for Rinsing Soft brush 70 ethyl or isopropyl Alcohol Large Basin for Leakage Testing Lint free Cloth Disinfectant Solution 30 cm3 30 ml Syringe Channel Cleaning Brush BW 20T AW Ch...

Page 19: ...ter Cylinder and Suction Cylinder during cleaning Used to inject detergent solution disinfectant solution and sterile water into the Air Water and Suction Channels and to flush air through channels to...

Page 20: ...ting Connector of the Endoscope Connector to allow ETO gas sterilization see Figure 3 4 Figure 3 4 Channel opening Cleaning Brush MH 507 The Channel opening Cleaning Brush is used to brush the outer s...

Page 21: ...LY Connects to the Air Water Valve port When the adapter valve is depressed water is fed through the Air Water channel Air is continuously fed when the adapter valve is not depressed see Figure 3 7 Fi...

Page 22: ...t Inspection of the Channel Cleaning Brushes 1 Check that the brush section and the Metal Tip of the distal end are securely in place Check for the loose or missing bristle see Figure 3 3 2 Check for...

Page 23: ...the channels were not used during the previous patient procedure Otherwise insufficient cleaning and disinfection or sterilization of the endoscope may pose an infection control risk to the patient an...

Page 24: ...procedure room immediately following the procedure These steps are to be performed when the Light Source and Suction Pump are turned ON and still connected to the endoscope Equipment Needed Prepare th...

Page 25: ...3 Remove the Distal End of the Insertion Tube from the detergent solution Depress the Suction Valve and aspirate air for 10 seconds 4 Turn the Suction Pump OFF Figure 3 8 Flush Water and Air Into the...

Page 26: ...ce ON and if the Light Source has the Airflow Switch set the switch to maximum HIGH or 3 5 Depress the AW Channel Cleaning Adapter to feed water through the channels for about 30 seconds Release the v...

Page 27: ...e Connector from the Light Source Do not touch the Light Guide immediately after removing it from the Light source because it is extremely hot 5 Transport the endoscope and the container holding the v...

Page 28: ...tor while the Leakage Tester is still connected to the Light Source will not allow the endoscope to depressurize properly and may damage the endoscope When attaching the Leakage Tester s Connector Cap...

Page 29: ...g Section of the endoscope Confirm that there is no location on the endoscope from which a continuous series of bubbles emerges 6 Remove the endoscope from the basin 7 Turn the Maintenance Unit or the...

Page 30: ...size and deep enough to allow the endoscope to be completely immersed 2 Immerse the endoscope and transfer the AW Channel Cleaning Adapter Air Water and Suction Valves and Biopsy Valve in the basin wi...

Page 31: ...el of the endoscope by passing a new cleaning brush or other endo therapy accessories If the brush head is left in the channel it can drop into the patient body during the procedure Depending on the s...

Page 32: ...at a 45 angle into the opening located in the side wall of the Suction Cylinder as illustrated by A in Figure 3 13 Using short strokes feed the brush through the Insertion Tube until it emerges from...

Page 33: ...Suction Cylinder do not forcibly insert the brush beyond the middle of the brush section Otherwise the brush may become stuck in the Suction Cylinder 1 Insert the Channel opening Cleaning Brush into t...

Page 34: ...erse both the endoscope s Distal End and the end of the Channel Cleaning Adapter in detergent solution 4 Depress the Suction Valve and aspirate detergent solution for approximately 30 seconds 5 Turn t...

Page 35: ...g MH 944 and the Injection Tube MH 946 cannot be used Using such models may result in instrument damage 1 Attach the All channel Irrigator s Channel cap to the Instrument Channel Port see Figure 3 16...

Page 36: ...solution into the Air Water and Suction Channel to flush the channels 6 Disconnect the All channel Irrigator from the Endoscope and leave all items immersed The Luer lock of the syringe will provide...

Page 37: ...unt of time and at the temperature recommended by the detergent manufacturer Removing and Rinsing the Endoscope and all Equipment Remove the Endoscope and all equipment from the detergent solution and...

Page 38: ...until water no longer sprays from the Distal End and the Suction Connector of the Light Guide Connector Section 5 Disconnect All channel Irrigator from the Endoscope Dry Outside Surfaces 1 Use a clean...

Page 39: ...llowing the standard procedure described in Section 3 5 Manual Cleaning then disinfect or sterilize the endoscope following the procedures described in Section 3 6 High Level Disinfection or Section 3...

Page 40: ...fection may be reduced 1 Immerse the All channel Irrigator s Filter in disinfectant solution Using the 30 cm3 30 ml syringe flush the disinfectant solution into the Air Water Channel and the Suction C...

Page 41: ...infectant residue If sterile water is not available fresh potable tap water or water which has been processed e g filtered to improve its microbiological quality may be used along with 70 ethyl or iso...

Page 42: ...nnector with your finger and turn the Light Source Air Pump ON If the Light Source has the Airflow Switch set the switch to maximum HIGH or 3 8 Depress and hold the AW Channel Cleaning Adapter for 30...

Page 43: ...g as described in Section 3 3 Precleaning and Section 3 5 Manual Cleaning follow the directions given below 1 Seal the instrument in a package appropriate for ETO gas sterilization according to your h...

Page 44: ...Air Water Valve and AW Channel Cleaning Adapter with brushes etc 2 Using a clean soft brush or lint free cloth meticulously clean the outer surfaces in detergent solution Clean the bristle of the cle...

Page 45: ...ush air to remove water from the inside of the tube 13 Wipe and dry their outer surfaces a clean lint free cloth High Level Disinfection 1 Adjust the concentration and temperature of disinfectant solu...

Page 46: ...pment must be wiped and flushed with 70 ethyl or isopropyl alcohol If Sterile Water is Used 1 Remove the Channel Cleaning Adapter from the basin of disinfectant solution and attach the 30 cm3 30 ml sy...

Page 47: ...tube 7 Wipe off dry excess alcohol with a clean lint free cloth Sterilization ETO Gas Sterilization The Channel Cleaning Brushes and Channel opening Cleaning Brush are not compatible with ETO gas ster...

Page 48: ...dried Residual moisture inhibits sterilization 2 Seal the individual parts or equipment in packages appropriate for steam sterilization autoclaving according to your hospital s protocol 3 Steam steril...

Page 49: ...apter 3 Cleaning Disinfection and Sterilization Procedures before cleaning and disinfection of an endoscope in an endoscope reprocessor If the endoscope reprocessor is used with an endoscope with a la...

Page 50: ...he endoscope reprocessor Otherwise insufficient cleaning and disinfection or sterilization of the endoscope may pose an infection control risk to the patient and or operators performing the next proce...

Page 51: ...shipping the endoscope Routinely storing the endoscope in a humid non ventilated environment such as the Carrying Case may present an infection control risk 1 Before storage of a high level disinfect...

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Page 55: ...reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP OLYMPUS is a registered trademark of OLYMPUS CORPORATION Trademarks product names logos or trade names...

Page 56: ...wer Singapore 248373 Fax 6834 2438 Telephone 6834 0010 Room 1202 NCI Tower A21 Jianguomenwai Avenue Chaoyang District Beijing 100022 PRC Fax 10 6569 3545 Telephone 10 6569 3535 117071 Moscow Malaya Ka...

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