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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 
    						
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