This brief video will focus on handling, bedside precleaning, manual cleaning, followed by assembly, inspection and care. The goal is to ensure consistent reprocessing. Please refer to the Instruction for Use (IFU) for additional details on the reprocessing manuals.
Reprocessing of C endoscopes with working and or irrigation channel and without working channel. The miniature endoscopes are sensitive precision instruments which require particular care during reprocessing. This brief video will provide guidance on handling, bedside, pre cleaning at the point of use, manual cleaning and assembly inspection and care to prevent damage during the reprocessing process of the miniatures. Endoscopes manufactured by Carl Stuarts handling of si endoscopes. The optical part of miniature endoscopes consists of an optical fiber bundle in semi flexible and watertight cladding and a fiber optic light cable, an eyepiece and lenses. These components are highly sensitive. Careful handling is necessary to ensure a long service life and consistent quality. Always hold the miniature endoscopes with remote eyepiece by the handle and the eyepiece and never by one part. Only put miniature endoscopes down carefully hard impacts particularly at the distal end may damage the distal lens system or the image wave guide when not in use. Always store miniature endoscopes in their protective sleeves. If available. The distal end of a miniature endoscope is particularly sensitive and is easily damaged at the distal end of a miniature endoscope is a rigid lens system with a length of approximately 10 millimeters. If the miniature endoscope is bent in this area, the lens system will break, do not force instruments or cleaning brushes through the channels as this may damage the cladding ensure that the lens of the distal end is not damaged, do not allow it to be knocked or bumped and do not remove soiling with sharp edged objects under any circumstances to avoid damage to the exterior, do not store or disinfect the miniature endoscope together with sharp objects, never place heavy objects on the miniature endoscope. Bedside pre cleaning at point of use. Step one immediately after use at the point of use such as the operating room, wipe. The miniature endoscope with a soft lint free disposable cloth, moistened with water or with diluted, mild or neutral ph enzymatic cleaner such as Enzo to remove all heavy soiling. Step two due to their small diameter, the channels must be cleaned immediately after use to prevent substances from drying and blocking the channels. The working and irrigation channels of the miniature endoscopes must be rinsed out immediately after use with a syringe filled with cleaning solution or distilled water. If immediate cleaning at the point of use is not feasible place. The c endoscope in a container and soak for no longer than 30 minutes in a diluted, neutral or mild ph enzymatic cleaning solution such as Enzo step three, contain and transport the contaminated endoscope to the decontamination area for cleaning manual cleaning. Step one, prepare a neutral ph enzymatic solution such as enzy diluted to proper concentration per the manufacturer's instructions. Step two, disassemble the device pieces, removing both adapters from the light post. Step three, remove all visible debris with a limp free cloth. Step four, thoroughly rinse the endoscope under running tap water for a minimum of two minutes. Step five, dampen the lowland soft cloth with the neutral Ph enzymatic solution, then wrap the cloth around the proximal end of the endoscope and wipe the entire scope from end to end proximal to distal end step six, fully submerge endoscope in detergent solution allow to soak for a minimum of 10 minutes. Step seven while submerged, attach a 12 mL syringe to the working channel and then draw up cleaning solution until 3 mL is visible in the syringe flush the solution back through the channel. Repeat this process two more times for a total of three flushes, perform three flushes total for each channel. Then allow device to soak for one minute step eight. While immersed brush the inside of the working channel with appropriate lumen cleaning brush as indicated in the ifu three times the brush should be introduced through the working channel wire end first, once the wire exits the distal end pull wire to allow introduction of bristles through working channel, continue to pull wire until the bristles exit the distal end rinse the bristles of the brush repeat this step three times step nine, brush the irrigation channel with lumen cleaning stylet appropriate for the respective scope as indicated in the ifu three times. Insert the stylet into the proximal end of the channel and push through until the stylet exits the distal end, rinse the end of the stylet to remove debris and reintroduce the stylet into the proximal end of the channel. Rinse the style it any time you reintroduce it repeat a minimum of three times or until the style it no longer has visible debris. After passing through the channel 10, you the 12 mL syringe flush the channels with cleaning solution three times using the pull push method step 11 using a soft bristle brush as indicated in the ifu brush external portions of the endoscope three times if debris collects on the brush, rinse the brush and keep brushing until debris is no longer visible on the device or the bristles of the brush. Step. 12, remove the instruments from the cleaning solution and completely immerse in tap water. If your endoscope has working or irrigation channels flush each channel three times with a 12 mL syringe using the pull push method step 13. After the immersion period, remove the endoscope from the rinse water rinse with running tap water for approximately one minute step. 14, dry the exterior of the endoscope with a new soft lint free cloth step 15 flush the channels with air using a syringe, keep flushing until no water droplets exit the distal tip of the device, assembly inspection and care step. One, the clean scope must be visually inspected for cleanliness, completeness, damage and dryness. If residues or contamination are still present, the medical device must be manually cleaned and subjected to a full cleaning procedure. One more time damaged or corroded, medical devices must be withdrawn from use. Plastic parts should be checked for discoloration, porosity and flexibility. Stubborn soiling and deposits can be removed with cleaning paste. Article number is indicated in the ifu for this purpose, some cleaning paste is put on a clean damp cleaning bud and distributed onto the glass surfaces. Subsequent polishing ensures that even stubborn deposits are removed. Then rinse the glass surfaces with sterile water. The medical device must then be subjected to a complete cycle. Once more cleaning paste should only be used if the image as viewed through the endoscope is visibly cloudy or if there are visible deposits on the optical surfaces, it should not be used for routine cleaning step two dry the eye piece and lens with a cotton tipped applicator soaked in a 70% alcohol solution. The fiber area in the light inlet piece in particular must be dried carefully with alcohol disinfectant and cleaning agent residue in the light inlet piece can become burnt by the heat generated during light transmission. When the fiber optic light cable is connected, thereby seriously impairing light transmission step three, a functional check must then be carried out This concludes our instructional video on the reprocessing of miniatures, endoscopes for additional information or to order cleaning accessories. Visit us online at Carls stortz.com or contact your Carl Stortz representative.
