Miele G 7825 Manual
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Loading the machine –Arrange the load so that water can access all surfaces. This ensures that it gets properly cleaned. –Do not place items to be cleaned inside other pieces where they may be concealed. –Hollow instruments must be thoroughly cleaned, internally and externally. –Ensure that instruments with long narrow hollow sections can be flushed through properly before placing them in inserts or connecting them to jets. – Hollow vessels should be inverted and placed in the correct mobile units, modules and inserts to ensure that water can flow in and out of them unrestricted. A cover can be used to reduce the risk of glass breakage during the wash process. – Lightweight items should be secured with a cover net (e.g. an A 6) and small items placed in a mesh tray to prevent them blocking the spray arms or being attracted by the magnetic strip on the automatic mobile unit recognition system. – Deep-sided items should be placed at an angle to make sure water runs off them freely. – Tall, narrow pieces should be placed in the centre of the baskets. This ensures good water coverage.–Mobile units with an adapter must engage correctly. –Modules must be correctly connected in the mobile unit. –The spray arms must not be blocked by items which are too tall or which hang down in their path. If in doubt, test for free movement by manually rotating the spray arms. –It is advisable to use only instruments made of special application steel which are not susceptible to corrosion. – Instruments which cannot withstand high temperatures should be chemically disinfected. Disposable instruments must not be put into the machine for processing. Preparing the load Empty all containers before loading into the machine (paying particular attention to regulations regarding infectious diseases and epidemics). Ensure that acids and residual solvents, especially hydrochloric acid or chlorides, cannot get into the wash cabinet. Unloading instruments Instruments should be unloaded dry ready for further processing. Areas of application 21
Surgical instruments (OP) Surgical instruments should be stored for as short a time as possible before machine processing. The OXIVARIO programme is recommended for instruments where there is a long delay between the time they are used and the time they can be reprocessed. See "Special features" at the end of this booklet. Disinfection of surgical instruments, and of those used for minimal invasive surgery should preferably take place thermally. De-ionised water should be used for the final rinse whenever possible to ensure no marks are left on the load and to avoid corrosion. If the water used contains more than 100 mg chloride/litre there is danger of corrosion. OP-containerscan be disinfected thermally in the CONTAINER programme, or chemically. If anodised aluminium containers are used the final rinse must be carried out with de-ionised water. These containers must notbe processed with an alkaline cleaning agent in a 93 °C programme with 10 minutes holding time (according to § 18 IfSG). Mobile units for surgical instruments and containers are supplied with their own operating instructions.When cleaningnarrow lumen instruments e.g. those used for minimally invasive surgery,an intensive internal cleaning result is imperative. TheVario-TDand OXIVARIOprogrammes are the only ones which offer a thorough enough level of cleaning for this. It is essential that instruments are loaded as directed and that the cleaning agent used is suitable for the programme and for the sensitive instruments being processed. The final rinse must be carried out using fully demineralised water with a conductivity level of ~15S/cm (microsiemens per centimeter). Instruments with very narrow lumen must be manually pre-rinsed where necessary. Follow the instrument manufacturer's instructions on how to handle them. Areas of application 22
Ophthalmology Opthalmic instruments should be cleaned and disinfected in a special mobile injector unit. The top level is fitted with various connections for hollow instruments, e.g. rinsing and suction hand pieces, and cannulae. Instruments are secured to the hose connectors in the mobile injector unit using the silicone holders and connectors in the rack. The lower level of the mobile injector unit is designed to take E 441/1 inserts or E 142 mesh trays for processing solid instruments. Plastic fibre cover nets must not be used in washer-disinfectors which are used to process hollow ophthalmic instruments with narrow lumen. The mobile injector unit for ophthalmic instruments is supplied with its own operating instructions. Areas of application 23
Anaesthetic instruments (AN) Anaesthetic instruments should be thermally disinfected using the DES-VAR-TD-AN programme. If this is not possible, they can be processed using a chemical disinfection programme. The water level in the machine should be increased when using a chemical disinfection programme. To establish the effectiveness of disinfection, consult the manufacturer of the disinfecting agent being used. If the process is not to be followed by sterilisation, the load should be dried completely to avoid the development of water-borne bacteria. A sufficient drying time is, therefore, absolutely essential. Mobile units for anaesthetic instruments are supplied with their own operating instructions. Areas of application 24
Baby bottles (BC) Baby bottles can be processed in E 135 containers in both bottom levels of an E 735/1 mobile unit. An E 364 container with wide-necked teats or an E 458 container with screw connection teats can be processed at the same time on the top level of the mobile unit. –Ensure the level marker on the bottles is machine-washable. –If there is a delay of 4 hours or more before bottles can be washed, fill them with water to prevent residues from drying on. If the process is not to be followed by sterilisation, the load should be dried completely to avoid the development of water-borne bacteria. A sufficient drying time is therefore absolutely essential. Inserts for baby bottles and teats are supplied with their own operating instructions. Loading in an E 735/1 Bottom level with3xE135 Middle level with2xE135 Areas of application 25
Frame E 750 Place the frame centrally in the top level of the E 735/1 mobile unit. Hook one E 135 container onto each side of the frame. The angled positioning of the containers ensures that the jets of water reach right into the bottles. The two blocked corners in the inserts should be located over the positions marked with an X on the drawing. The jets of water cannot get into the bottles properly in these positions to clean them. Areas of application 26
Operating theatre shoes (OS) Polyurethane operating theatre shoes, and/or insoles should be cleaned and chemically disinfected at 60 °C. These can only be thermally disinfected (using programme SHOE-TD-75/2) if the manufacturer states that they are made of a suitably heat-resistant material. To establish the effectiveness of chemical disinfecting agents for disinfection consult the manufacturer. Theatre shoes should be cleaned and disinfectedin a machine installed specifically for this purpose only. Moble unit E 775-2 with a suitable insert e. g. E 930, can be used for this purpose. A large amount of fluff can build up in the machine when cleaning theatre shoes. The filters in the wash cabinet should therefore be checked regularly, and cleaned when necessary. See "Cleaning and care". Areas of application 27
Laboratory glassware (LG) Wide-necked laboratory glassware, e. g. beakers, wide-necked Erlenmeyer flasks and Petri dishes, and cylindrical shaped items e. g. test tubes, can be cleaned and rinsed, internally and externally, by the action of the rotating spray arms. They can be arranged in full, half and quarter inserts in an empty bottom or top basket with spray arms. Narrow-necked items such as narrow- necked Erlenmeyer flasks, conical flasks, measuring flasks and pipettes, require mobile injector units or injector modules. The following instructions relate only to basic preparation and loading of glassware. Loading the machine Removing excess soiling Empty all glassware before loading into the machine (paying particular attention to regulations regarding epidemics). Ensure that no acid or solvent residues, especially hydrochloric acid or chlorides, get into the wash cabinet. Remove all agar residues from Petri dishes. Remove blood clots and residues from test tubes, etc.Remove all stoppers, corks, labels, sealing wax residues, etc. Small parts - such as stoppers and taps - should be secured in suitable basket inserts. Please note Petri dishes and similar should be placed in the correct insert with the soiled side facing the centre. Pipettes should be placed with the mouthpiece facing upwards. Quarter inserts should be placed in the mobile unit with at least 3 cm between them and the edge of the mobile unit. E 741 Mobile injector unit With appropriate modules for wide-necked and/or narrow-necked laboratory glassware on 1-3 levels. Areas of application 28
Transfer trolley for loading and unloading the machine When a disinfection process is being carried out according to nationally laid down hygiene standards (e.g. § 18 IfSG), the contaminated surfaces of the trolley must be disinfected, after the machine has been loaded, using a spray disinfectant in accordance with national health and safety regulations and § 18 IfSG. Disinfecting agents listed by DGHM (German institute for microbiology and hygiene) are also suitable. The height of the transfer trolley can be adjusted using the feet. The height should be set so that the open machine door is held underneath the side catches on the transfer trolley. If the machine is not fitted on a plinth the position of the foot pedal on the transfer trolley may need to be changed.Unscrew foot pedal. Loosen counter nuton adjusting screw. Screw adjusting screwfurther into the foot pedal, so that the stopping point is reached earlier. Re-secure the adjusting screw. Screw the foot pedal back on. Areas of application 29
Hang the mobile unit into the locating slots on the transfer trolley using both hooks. To lift the mobile unit step down on the transfer trolley foot pedal. Push the transfer trolley under the open door on the washer-disinfector as far as it will go. The mobile unit will then sit over the door. Secure the brakes on the wheels. To lower the mobile unit step right down on the foot pedal. At the end of the programme push the transfer trolley up to the washer-disinfector making sure that the door of the machine is held underneath the side catches on the transfer trolley. Then pull the mobile unit out as far as it will go onto the open door, so that it can be lifted up and taken away by the transfer trolley. Areas of application 30