Procedures for cleaning, sterilization, and maintenance of MaxMorespine ® foraminal mirrors
Storage: After surgery, remove the mirror from the mouth of the camera, simply clean the surface with wet gauze, put the mirror into a special disinfection box and lock it, and then run it to the supply room for further treatment.
Immerse: Immerse the mirror for 2 minutes with neutral enzymatic detergent.
Brush: with a special brush on the mirror of the instrument channel and access to the water channel respectively scrub
Mirror clean: with a soft texture of wet gauze clean can not be scratched with hard objects
Cleaning and drying: rinse the channels of the mirror with high pressure water gun, and then dry them with high pressure air gun and put them into the special disinfection box to lock and wait for disinfection
Sterilization: Ethylene oxide. Pre-vacuum autoclave sterilization, low temperature plasma sterilization and so on. It is better to always use one method of sterilization and avoid changing different methods frequently
Note: ⑴ In order to prevent the mirror from falling and collision, always ensure the mirror in the disinfection box when running; The mirror in use, such as the encounter pliers grab protrusion is large when the mirror should be taken out together, to avoid the device caused by too much pressure on the channel, resulting in the damage of the mirror. (3) to avoid the channel position with a mirror.
Instrument classification: puncture needle, dilator, TOM needle, positioning regulator, guide wire, all levels of bone drill and working sleeve, ball head handle all kinds of nucleus pulposus forceps, etc
Cleaning: 1, first with enzyme cleaning agent soak for 2~5 minutes
2. Flush and clean the foreign body in the pipe with high pressure water gun with dilator, TOM needle, all kinds of bone drill and working sleeve, ball head handle and all kinds of nucleus pulposus forceps.
Drying: blow dry with high pressure air gun or drying box
Sterilization: 1, 4 mm bone drills can be sterilized by ethylene oxide or low temperature plasma
2. In addition to the above methods, other pure metal instruments can also be used for high temperature and high pressure sterilization
Precautions for the use of foraminal mirrors and instruments
The endoscope can be sterilized at high temperature (in order to prolong its service life, it is recommended to use low temperature disinfection). Under normal use, the endoscope will be damaged only when the sealing material is aging, which is manifested as leakage of the mirror and blurred image. The designed service life of the foraminal mirror is high temperature circulating disinfection for 100 times. According to common sense can be inferred, the service life of stainless steel, glass, quartz fiber is very long, in the limited working time is impossible to aging, rupture. If the glass lens has a quality problem, the image will not be clear in the first place. And there is no possibility of the glass lens itself coming loose, because the assembly requires pressure, otherwise out of focus it will not be able to image at all. So the new endoscope will not break down naturally during the design trial period.
Disinfection, sterilization and maintenance of foraminal mirror
Sterilization and maintenance of hard mirror
The maintenance principle of hard mirror - handle with care, put separately, avoid collision.
Do not use ultrasonic cleaning
Do not frequently change the sterilization method, it will destroy the sealing of the mirror
A: 134 degrees, 2bar (0.2MPa), 5 minutes (explosion time)
B: Check whether the high temperature and high pressure furnace meets the requirements
C: After high temperature and high pressure sterilization, it must be cooled naturally
Do not use card type high temperature and high pressure disinfection furnace to sterilize the mirror
Recommended sterilization methods for hard lens: 1. Pre-vacuum pressure steam sterilization
2. Ethylene oxide
3. Low temperature plasma
Disinfection, sterilization and maintenance of foraminal lens instruments
Specialized equipment
Use a soft brush to clean the clamp mouth and surface of the instrument. Do not use a metal brush. Wash the instrument with running water of low hardness
All instruments should be removed as far as possible to prevent incomplete cleaning, especially lumen, cracks and joints
After cleaning, rinse with deionized water or mineral free water, and then blow dry, especially in the lumen, otherwise it will cause rust or incomplete sterilization of the instrument
All instrument joint axes, movable connections, valves, etc. Low temperature plasma disinfection (1.5 hours)
Intervertebral foramen
4mm bone drill (first vacuum packing without disinfection)
High temperature and pressure disinfection
Insertion needle and 16G puncture needle (1) (to protect the needle tip)
Needle trocar
Adjust the sleeve
Adjust the sleeve needle
Bone drill (6mm, 7mm, 8mm, 9mm)
The ball head handle
dilator
Grasping forceps
Suction forceps
Work the sleeve
Equipment box
Guide wire 0.7 mm to 1.5 mm
Placement of foraminal lens instruments:
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