A pressure drop caused by leakage leads to the immediate stopping of the wash program which protects the endoscope against internal water damages. The thermal disinfection of the water for the final rinse is the safest and most easily validated method to eliminate any germs which may be in the water system. This method is performed by heating the final rinse water to a temperature of at least 93°C. Since this high water temperature would damage the endoscope it must be cooled to below 60°C where then the disinfected final rinse water can be safely be applied to the endoscope for the final rinse. Properly designed automated endoscope washers can deliver the proper endoscope disinfecting temperatures. Always refer to manufacturers specifications prior to establishing your reprocessing protocol. Temperature Parameters for Cleaning Endoscopes should not be heated over 199,4°F (93°C). Temperature Parameters for Cleaning Flexible scopes should not be heated over 149°F (65°C). Cleaning Surgical Instruments that is fast and effective. Lower Surgical Instrument cleaning conditioning costs. Cleaning conditioning surgical instruments effectively and fast. Replace multiple Instrument cleaning conditioning products. ONE gallon of the all-in-ONE highly concentrated Surgical Instrument Cleaners Conditioners will deliver 512 gallons (1938 liters) of Surgical Instrument Cleaning Conditioning power.
Endoscope Cleaning Brushes should be of the proper diameter so that the tips of the bristles, of the endoscope cleaning brushes, that meet the surface of the endoscope. Clean Endoscopes cleaner with less damage. Surgical Instrument Detergents that deliver the power of 4 enzymes.
Properly designed automated endoscope washers can deliver the proper endoscope disinfecting temperatures. Scopes with the HAMOU head are not suitable for reprocessing via washer decontaminators or washer disinfectors. For the protection of scope surfaces we recommend the use of Purified Water (DI or RO de-mineralized water), at least for the final rinse treatment. A cleaning agent in neutral pH-range (less that 9) can augmented with an enzymatic cleaner. Combination all-in-one Enzymatic Surgical Instrument Cleaner detergent complexes have been shown to be highly effective. Depending on the water quality, it may be necessary to use a cleaning concentrate that softens the source water for the treatments: cold water pre-wash, detergent wash, and purified water rinse/lubrication. When the treatment processes are finished, the scopes should be removed from the reprocessor avoid corrosion. As recommended by virtually all manufacturers of Scopes Surgical Instruments and Instrument Containers, Cleaning Concentrates (alkaline) that require a neutralizing agent (citric acid) should not be used as they can etch instrumentation. Aluminum is highly susceptible to etching. Dyed anodized aluminum parts are not easily identified as aluminum. High level enzymatic formulations (Enzymatic Surgical Instrument Cleaners), in combination with a high level surfactant chemical complex, have been shown to be more effective in removing stains, hard water deposits, and encrusted bioburden, while being safe to use for rigid or flexible scopes. When using a Washer Decontamination Disinfectors Pressure Box for automated cleaning, connect the channels of optics with the insufflating channel to the rinsing connections of the washer rack. This will effectively clean the lumens and working channels while cleaning the surface of the scope. General Procedures for Manual Cleaning of Scopes Endoscope cleaning consists of mechanical and chemical cleaning of internal and external surfaces. This includes brushing and/or flushing of all internal channels with sterile, filtered or drinking-quality water and enzyme-detergent.
Preliminary cleaning should be started before the endoscope is detached from the light source/video processor. This will significantly reduce the overall time expended and the deterioration that results from reprocessing scopes. As soon as the endoscope has been removed from the patient, begin reprocessing, observing the following steps: clear gross debris by sucking detergent through the working channel (250 ml/min) ensure the working channel is not blocked irrigate the air and water channels with water checking for blockages expel any blood, mucus or other debris wipe down the insertion shaft check for bite marks or other surface irregularities detach the endoscope from the light source/video processor transfer the endoscope to a reprocessing room with atmospheric extraction facilities conduct a pressure leak test daily to check the integrity of all channels before reprocessing The next stage involves the dismantling of detachable parts of the endoscope whereby valves and water bottle inlets are removed and detachable tips taken off the insertion tube.