Cleaning - Disinfection - Sterilisation

Cleaning |
Disinfection | Sterilization
Quick Reference Guide
Disinfection

Content
Endoscopes 4
Fiberoptic Light Cables 6
Sheaths and Obturators 6
Camera Head 8
Shaver Handpiece – Drill Handpiece – Sagittal Saw 10
Device Consoles 12
Notes 13
3

Endoscopes
AR-3350-*
AR-3351-*
AR-3355-*
AR-3200-*
AR-30*AW
AR-30*AWR
AR-31*AW
Cleaning and Disinfection (See Also DFU-0073)
It is recommended that endoscopes be reprocessed after use as soon as is
reasonably practical. They can be cleaned manually or in an automatic washer
by using a detergent. Gentle washing cycles with suitable cleaning agents and
disinfectants should always be used for rigid endoscopes. Preference should
be given to cleaners with a neutral pH (e.g. enzymatic cleaners). The instructions
of the manufacturer of the cleaning machine, cleaning agent and disinfectant
must be followed. The cleaning and disinfectant result must be confirmed
by the machine, cleaning agent and disinfectant manufacturers in cooperation
with the user. Always store endoscopes securely and transport them in a
closed container to prevent damage to the endoscopes and contamination of
the environment.
NOTE
Prior to cleaning, remove the
two adapters from the light inlet port.
CAUTION
Endoscopes must not be cleaned in an ultrasonic cleaning unit bath under
any circumstances.
Cleaning Process
■■Pre-rinse with cold water for 1 minute → Drain
■■Pre-rinse with cold water for 3 minutes → Drain
■■Clean with 0.5 % alkaline cleaning agent for 5 minutes at 55 °C (131 °F)
or with 0.5 % enzymatic cleaning agent at 45 °C (113 °F) → Drain
■■Neutralize for 3 minutes with warm tap water (

Fractionated Prevacuum Procedure
Temperature
Duration
Arrangement
Drying
132 - 137 °C (270 - 278 °F)
Minimum 3 minutes
Double-wrapped
Minimum 10 minutes
Method 2: Hydrogen Peroxide Sterilization (STERRAD Procedure)
Endoscopes can be sterilized by the following hydrogen peroxide methods:
STERRAD Systems
■■STERRAD 100S, short cycle
■■STERRAD NX, short cycle
■■STERRAD 100NX, standard cycle
Observe specifications of the manufacturer (ASP, advanced sterilization
products) regarding the corresponding method.
Steris Systems
■■V- Pro ® 1 low-temperature sterilization system
■■V- Pro ® 1 Plus low-temperature sterilization system, non-lumen C system
■■V- Pro ® 1 maX low-temperature sterilization system, non-lumen C system
Observe specifications of the manufacturer Steris regarding the corresponding
method.
Ethylene Oxide Sterilization
The materials of the endoscopes are compatible with ethylene oxide
sterilization.
CAUTION
The endoscopes must not come into contact with metal during steam
sterilization.
CAUTION
Arthrex’s endoscopes which are not marked with the “Autoclave” marking must
not be sterilized with steam. This can cause irreparable damage.
CAUTION
Accelerating the cooling phase can damage the endoscope. Cold water must
not be poured over the endoscopes under any circumstances.
5

Fiberoptic Light Cables
AR-3240-* Cleaning and Disinfection (See Also 950-0031-00)
Scrub the fiberoptic cable with a soft brush and mild detergent until all visible
contamination has been removed, paying particular attention to any crevices
or seams. Always avoid any harsh materials or detergents that can scratch, or
in any way damage, the optical surfaces on each end of the fiber optic cable.
The light cables should run through a full cycle in a hospital-grade washer.
Parameters
Phase
Recirculation Time
(Minutes)
Temperature
Detergent Type and
Concentration
Pre-wash 1 02:00 Cold tap water NA
Enzyme wash 03:00 Hot tap water
Neodisher ® Mediclean Forte
1.872 g/l (pH 10.5 - 11)
Rinse 1 00:15 Hot tap water 60 °C NA
Drying 06:00 90 °C NA
CAUTION
Do not kink fiber optic light cables.
CAUTION
Blue light guide cables are not intended to be cleaned using alkaline
cleaners (ph > 10). These blue light guide cables must be cleaned with
enzymatic cleaners and will be damaged by alkaline cleaners.
Steam Sterilization
Method Cycle Minimum Exposure Exposure Time
Temperature
Steam (wrapped) Prevacuum 132 °C (270 °F) 4 minutes
Steam (wrapped) Gravity 132 °C (270 °F) 15 minutes
Steam (unwrapped) Gravity 132 °C (270 °F) 10 minutes
Hydrogen Peroxide Sterilization (STERRAD)
Light guides are compatible with the STERRAD method. Follow the STERRAD
sterilization guidelines.
Sheaths and Obturators
AR-3370-*
AR-3371-*
AR-3372-*
AR-3373-*
AR-3375-*
AR-3380-*
AR-3300
AR-3301
AR-30*Q
AR-3115Q*
Cleaning and Disinfection (See Also DFU-0073)
It is recommended that endoscopic instruments be reprocessed after use as
soon as is reasonably practical. They can be cleaned manually or in an automatic
washer with the use of a detergent. Gentle washing cycles and suitable
cleaning agents and disinfectants should always be used for rigid endoscopic
instruments. Preference should be given to cleaners with a neutral pH (e.g.
enzymatic cleaners). The instructions of the manufacturer of the cleaning
machine, cleaning agent and disinfectant must be followed.
6

The cleaning and disinfectant result must be confirmed by the machine, cleaning
agent and disinfectant manufacturers in cooperation with the user.
For endoscopic medical instruments having a stopcock, all parts of the stopcock
should be disassembled before cleaning.
Cleaning Process
■■Pre-rinse with cold water for 1 minute → Drain
■■Pre-rinse with cold water for 3 minutes → Drain
■■Clean with 0.5 % alkaline cleaning agent for 5 minutes at 55 °C (131 °F) or
with 0.5 % enzymatic cleaning agent at 45 °C (113 °F) → Drain
■■Neutralize for 3 minutes with warm tap water (

Camera Head
AR-3210-0001
AR-3210-0003
AR-3210-0004
AR-3210-0007
AR-3210-0021
AR-3210-0022
AR-3210-0023
AR-3210-0025
AR-3210-0026
AR-3210-0028
CAUTION
Disconnect the camera head from the camera control unit (CCU) prior to all
cleaning. If the camera head is dented or damaged or the connection sleeve is
torn do not autoclave or immerse it in water. Do not place the camera head or
the accessories in an ultrasound bath.
Cleaning and Disinfection
(See Also 950-0032-00, 950-0041-00, 950-0046-00)
Immediately after use, place the camera head assembly in a container and
soak with enzymatic cleaning solution (e.g. Enzol, Metrizyme or equivalent
solution diluted to proper concentrations according to the instructions of the
cleaning solution manufacturer) in order to prevent blood, protein and other
contaminants from drying onto the camera head.
1. Transfer the camera head into the washer for processing.
2. Make sure the camera head is securely fixed to the unit’s trays or baskets.
Make sure the camera head does not touch other instruments.
3. Do not overload the washer.
4. Remove the camera heads immediately after the automatic procedure has
stopped.
5. Set up and run washer for the wash cycle listed below.
Automatic Washer Cycle Definition
Phase
Recirculation
Time
Temperature
Detergent Type and
Concentration
(Minutes)
Pre-wash 1 02:00 Cold tap water NA
Enzyme wash 03:00 Hot tap water Enzol ® , 1 oz/gallon
Rinse 1 00:15
Hot tap water 60 °C
(194 °F)
NA
Drying 06:00 90 °C (194 °F) NA
Dry the equipment with a soft cloth. Wipe the card edge connector with 70 %
isopropyl alcohol to remove any residual detergent.
8

CAUTION
Do not allow exposed glass windows to air dry. 70 % isopropyl alcohol may be
applied to glass surfaces with a soft cotton applicator to prevent streaks and
spots. Dry the surfaces thoroughly with a cotton applicator after applying the
alcohol.
CAUTION
Inspect the camera head cable for breaks and cuts. Camera heads with
damaged cables should not be sterilized or disinfected.
NOTE
Do not wind the camera cable up too tightly prior to sterilization (minimum
15 cm loops) and avoid kinking it.
Steam Sterilization
Method Cycle Minimum
Exposure
Temperature
Steam (wrapped)
Prevacuum
procedure
Steam (wrapped)
Prevacuum
procedure
Steam
(unwrapped)
Gravity
procedure
Exposure
Time
Drying Time
132 °C (270 °F) 4 minutes 30 minutes
132 °C (270 °F) 15 minutes 30 minutes
132 °C (270 °F) 10 minutes Not specified
NOTE
Following sterilization, allow the device to cool down for a minimum of
15 minutes.
9

Shaver Handpiece – Drill Handpiece – Sagittal Saw
AR-8330F
AR-8330H
AR-8330RH
AR-8332H
AR-8332RH
AR-8340F
AR-8350F
AR-8330SJ
The following applies to all shaver handpieces.
Cleaning
The protective cap must be screwed onto the plug tightly.
Additionally remove the suction regulator as shown.
Options:
a
b
Sterilization
The suction regulator must be completely opened and the protective cap must
be screwed tightly onto the plug.
NOTES on Preparation for Cleaning
If applicable, remove any accessories and cables from the handpiece.
Open all suction regulators and chucks.
Manual Cleaning / Disinfection
(See Also DFU-0154, DFU-0149 and DFU-0240)
1. Rinse and clean as soon as possible after use.
2. Brush the device off thoroughly with a clean, soft brush moistened with a
mild, pH-neutral cleaning agent. Do not use any sharp materials which might
scratch or damage the surface of the product.
3. Remove blood, deposits and stains thoroughly.
4. Do not immerse the product in cleaning solution.
5. Cleaning the cannulated segment:
a. Insert the wire end of a cleaning brush through the cannulation.
b. Pull the brush through completely and repeat until all soiling is removed.
6. Move all of the device’s moving parts to ensure all residue has been
removed. If there is any residue, clean the device again.
7. Point the tip of the device downwards and rinse all remaining traces of
cleaning agent off under running water.
10

8. Use demineralized water, if possible, in order to avoid discoloration of the
metals.
9. Shake all water drops off the devices and wipe the surfaces with a clean
towel.
Machine Cleaning / Disinfection (See Also LI2-00012-EN)
Start precleaning as soon as possible after use (see “Manual Cleaning”). The
procedure should be performed in a single-chamber cleaning and disinfection
machine. For thermal disinfection, according to the “A0 value” concept, the
requirements of DIN EN ISO 15 883-1 must be followed. If there is any residual
moisture on the handpiece once the procedure has finished, this should be
removed by using filtered compressed air.
Minimum Cycle Parameters
■■Pre-rinse for 2 minutes with cold water at 20 ± 5 °C (68 ± 9 °F).
■■Clean for 3 minutes (enzymatic or mild alkaline pH 8 - 10.5)
at 60 ± 5 °C (140 ± 9 °F).
■■Rinse for 15 seconds at 60 ± 5 °C (140 ± 9 °F).
■■Hot rinse cycle for 1 minute at 80 ± 5 °C (176 ± 9 °F).
■■Drying phase for 6 minutes at high temperatures.
NOTE
The following cleaning agents can be used: ENZOL ® Enzymatic, Neodisher ®
Mediclean forte and Thermosept ® alka clean.
CAUTION
Solutions having very low or very high pH levels are not recommended as
they are corrosive to certain metal parts and anodized aluminum and may
damage polymer plastics such as FEP (fluorinated ethylene propylene), ABS
(acrylonitrile butadiene styrene), Ultem, Lexan and Cycolac.
Steam Sterilization
Gravity
Displacement
Steam Sterilization
Cycle
Pre-Vacuum
Cycle
Exposure
Exposure Time Drying Time
Temperature
132 °C – 135 °C
(270 °F – 275 °F)
10 minutes 15 to 30 minutes
121 °C (250 °F) 30 minutes 15 to 30 minutes
132 °C – 135 °C
(270 °F – 275 °F)
4 minutes 20 to 30 minutes
Drying
We recommend a drying cycle of 4 minutes after the autoclave cycles.
11

CAUTION
NEVER allow the plug pins of the shaver console to come into contact with
liquids. Remove dust and moisture with dry compressed air if necessary.
ONLY dry connectors can be connected to the shaver console.
Cooling
The device should not be handled while cooling down.
CAUTION
NEVER place the cable and handpiece in fluids to cool down as this can
damage the cable, the handpiece, the connectors and/or the seals.
Device Consoles
Cart/trolley
Monitor
Camera
console
Shaver console
Fluid
management
console
RF console
Printer
Tablet
Footswitch
Cleaning the Unit Surfaces
1. Turn off the power switch and remove the power cable.
2. Allow the unit to cool down to room temperature.
3. Remove dirt and dust with a soft cloth.
4. Remove solid residues with a damp cloth.
Disinfect the Unit Surfaces
The units/consoles can be cleaned/disinfected with conventional surfactants/
surface disinfectants. Always observe the specifications of the surfactant/
disinfectant manufacturer.
CAUTION
The device must cool down to room temperature. Under no circumstances
should the systems be immersed in liquid.
CAUTION
Take care not to scratch the front surface of monitors, touchscreens and
tablets with any hard or abrasive material.
Dust, fingerprints, grease, etc. can be removed with a soft damp cloth (a small
amount of mild detergent can be used with a damp cloth).
12

Notes
13

Notes
14

http://qr.arthrex.de/0tRj | www.arthrex.com
© Arthrex GmbH, 2016. All rights reserved. LI2-00018-EN_B