3M attest-290-operators-manual 1200cc Suction Canister Directions for Use

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3M™ Attest
290 Auto-reader
Operator’s Manual
Read and understand all safety information before using this product.
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INTENDED USE
3
2
1
9
4
5
6
1. Cover
2. Incubation/Reader Wells
3. Crusher Well
4. Red Light Positive (+) Indicator
5. Yellow Light (•) Test In Progress Indicator
Intended Use
The 3M incubate and automatically read the 3M 1291 Rapid Readout Biological Indicators (RRBI) and/or 3M Biological Indicators at 60 fluorescence reading at 1 hour for 1291 or 3 hours for 1292.
The 3M designed to allow for further incubation of the 3M 1292 RRBI for a final negative, visual pH color change of the growth media at 24 hours for 1291 and 48 hours for 1292.
TM
AttestTM 290 Auto-reader is designed to
TM
AttestTM 1292 Rapid Readout
TM
AttestTM 290 Auto-reader is also
TM
AttestTM 1291 RRBI and/or 3MTM AttestTM
o
C for a final negative
TM
AttestTM
8
7
6. Green Light Negative (-) Indicator
7. Buzzer Alarm OFF Button
8. Digital Display Panel
9. Time Remaining Button
A positive fluorescence reading or a visual color change indicates a steam sterilization process failure.
Other biological indicators (BIs), are not compatible with this device and cannot be used.
The unit is designed to be used only with the Power Supply module supplied by 3M.
3M © 2003 78-8078-8977-5 Page 1 of 9 Attest 290 Auto-reader
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p
SAFETY INFORMATION
WARNING
To avoid the risk of electric shock, which if not avoided could result in serious injury or death:
- Do not immerse the Attest 290 Auto-
reader in any liquid.
- Use indoors only.
- Disconnect power cord before
cleaning.
- To clean, use only a mild detergent
and wipe with a damp cloth.
- There are no user serviceable parts.
- The Attest 290 Auto-reader must be
returned to the manufacturer for repair.
- Make sure a properly rated power
cord is installed on the Attest 290 Auto-reader power supply.
To reduce the risk of using incompletely sterilized loads:
- Match the color on the exterior label
of the incubator with the same color cap on the RRBI.
- Do not remove RRBI until incubation
cycle is complete.
- Do not use on a vibrating surface.
There is a glass ampule inside the plastic vial of the RRBI. To avoid the risk of injury from flying debris due to a ruptured RRBI, which if not avoided could result in serious injury or death:
- Allow the RRBI to cool for the
recommended time period before crushing.
- Crushing or excessive handling of
the biological indicator before cooling may cause the glass ampule to burst.
- Wear safety glasses and gloves
when removing the RRBI from the sterilizer.
- Wear safety glasses when crushing
the RRBI.
- Handle the RRBI
by the cap when crushing and tapping.
- Do not use your fingers to crush the
glass ampule.
- Do not roll the RRBI between your
WARNING
WARNINGWARNING
fingers to wet the spore strip.
CAUTION
To avoid a potentially hazardous situation, which if not avoided may result in minor or moderate injury:
- Avoid contact with the hot surface of the metal incubator block.
To avoid possible environmental contamination, dispose of the Attest 290 Auto-reader according to applicable governmental regu l ation s.
To avoid RRBI vial from absorbing fluorescent residue from a chemical indicator or tape, place the RRBI vial so it does not come in direct contact with chemical indicators or ta
CAUTION
CAUTIONCAUTION
e.
Explanation of symbols:
Caution – Risk of electric shock
Attention – Refer to accompanying documents
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SAFETY INFORMATION
Power Supply Specifications
Power supply Operating Condition Units
Voltage Range 100-240 Volts AC Frequency 50/60 Hertz Current 1.2 Amps
Environmental Operating Conditions
Environmental Condition Operating Condition Units
Altitude 2500 (max) meters Operating Temperature 16-43 °C Relative Humidity 20-80 (non-condensing) % Voltage Range 12 Volts DC Frequency DC Current 2.4 Amps Installation/Over Voltage Category II Pollution Degree 2
Health and Safety Information
Device Safety Compliance
The Attest 290 Auto-reader complies with the standard IEC/EN 61010-1 as demonstrated by the CB Scheme Certificate and test rep ort that Underwriters Laboratories Inc. (UL) generated.
The Attest 290 Auto-reader is listed as Laboratory equipment and carries the UL and c-UL marks based on compliance to the standards UL 3101-1 and CSA 22.2 No. 1010-1.92.
The Attest 290 Auto-reader complies with the CE mark related to the Low Voltage Directive 73/23/EEC as confirmed in the Declaration of Conformity.
EMC Compliance
The Attest 290 Auto-reader complies with IEC/EN 61326-1 as confirmed in the Certificate of Compliance gene rated by 3M.
The Attest 290 Auto-reader complies with the EMC requirements of the CE mark EMC Directive 89/336/EEC.
The Attest 290 Auto-reader complies with the Australian EMC requirements as confirmed in the Supplier’s Declaration of Conformity that is linked to the C-tick mark.
Note: This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide a reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at their own expense.
This Class A digital apparatus meets all requirements of the Canadian Interference-Causing Equipment Regulations.
Cet appareil numerique de la classe A respecte toutes les exigences due Reglement sur le materiel brouilleur du Canada.
3M © 2003 78-8078-8977-5 Page 3 of 9 Attest 290 Auto-reader
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INSTRUCTIONS FOR USE
Operating Instructions
Start-up
Place unit on a firm level surface. Plug unit into an appropriate AC grounded outlet.
Allow a 30 minute warm-up period before placing RRBIs into the incubatio n wells. The C1 caution code will disappear when proper incubation temperature is reached.
It is recommended that the unit be left on to eliminate warm-up periods. The unit may be
turned off when it is anticipate d that it will not be used for an extended period.
Readout Procedure
Follow this procedure for every RRBI to be read:
Step 1. While wearing gloves and safety glasse s, CLOSE RRBI cap by pressing down.
Step 4. Open the cover and PLACE the RRBI into an
incubation/reader well.
Step 2. CRUSH the glass ampule (containing growth med i a) in the designated crushing well built into the incubator.
Step 5. CLOSE the cover on the Attest 290 Auto-reader and wait for either the red or green indicator light to signal the result.
Step 3. Hold the RRBI by the cap and TAP bottom of the vial on a tabletop until media wets spore strip at bottom of vial. Do not tap vial on unit.
WARNING
WARNING
WARNINGWARNING
Do not remove or change placement of RRBI once it is placed into a well. Doing so may result in loss of results and the RRBI test may be invalid.
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INSTRUCTIONS FOR USE
Wells are color coded to match the cap of each type of biological indicator; i.e. the 1291
RRBI with a blue cap goes into a blue well and the 1292 RRBI with a brown cap goes into a brown well.
A yellow light will come on to indicate the RRBI is incubating in the reader well and should not be touched. A yellow light indicates the results are not available and incubation is in progress.
Do not remove RRBIs until the red (+) or green (-) light indicates the test is complete.
Note: If RRBIs are inadvertently removed before
the incubation period is complete, an alarm will sound and all three lights ( + , •, and -), for that incubation well will light. C2 Caution code will also be displayed. You must
reader well within 10 seconds or the results will be lost.
WWWWARNING
Do not remove or change placement of RRBI once it is placed into a well. Doing so may result in loss of results and the RRBI test may be invalid.
return the RRBI to the
ARNING
ARNINGARNING
All red, yellow and green light s will flash for one second when the cover is opened demonstrating they are functional.
The cover should only be opened when placing additional RRBIs into incub a tion wells or when removing RRBIs at the completion of the designated incubation period.
A positive result (+) will automatically be shown as soon as it is detected. The full incubation p e r iod is required before a negative result (-) is shown. The Attest 1291 RRBI requires 1 hour of incubation and the Attest 1292 RRBI requires 3 hours of incubation before a negative (-) result will be shown. The negative result will be shown automatically after completion of the required incubation time.
The processed indicator and the positive co ntr ol may also be further incubated for a visual pH color change. The final negative reading (media remains purple) for a visual color change is made at 24 hours (1291) or 48 hours (1292). The positive control should show a yellow color change of the growth media. For any incubation beyond 24 hours (1291) or 48 hours (1292), RRBIs should be moved to a humidified environment.
Each facility must establish final read out time in its policy and procedures. The policy should be based on manufactur e r’s instructions for use, sc ientific knowledge, current recommendation practices, applicable compliance requirements, inventory levels, and the risk to the patient if the med ical device is not sterile.
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INSTRUCTIONS FOR USE
Positive Control
Crush, tap and incubate at least one non-processed Attest
1291 or 1292 RRBI to use as the positive control each day that a processed RRBI is incubated and read by the unit. Write a “C” (for “control”) and the date on the label. The positive control can be placed in any incubator well of the unit. The positive control should be the same part number, from the same manufacturing date and lot number as the processed RRBI in the unit.
It is good practice to use a positive control each day a sterilized RRBI is processed. This helps ensure:
- correct incubation temperatures are met.
- viability of spores has not been altered due to improper storage temperature, humidity, or proximity to chemicals
- capability of media to p r omote rapid growth, and
- proper functioning of Attest 290 Auto-reader components.
Interpretation of Results
Each incubation/reader well has three corresponding indicator lights: a red (+), yellow (•) and green (-) light. After placing a RRBI into a corresponding color-coded well, a yellow light will illuminate to indicate that incubation/reading is in progress.
A red light (+), will illuminate and an alarm will sound (if the sound feature is turned on), as soon as a positive RRBI result is detected.
At the end of the specified incubation time, if a negative RRBI result is detected, the green light (-) will illuminate indicating an acceptable sterilization process.
After either the green or red light comes on, the RRBI can be removed from the well. The RRBI should not be removed or touched when the yellow light is on.
The positive (unprocessed) control RRBI must provide a positive fluorescent r e sult ( red light +). Processed RRBI results are not valid until the positive control reads fluor e scent positive (red light +). With the processed RRBI, a positive (red light +) result means a sterilization process failure may have occurred.
The final negative processed RRBI reading for a fluorescence change (green light -) after 1 hour (1291) or 3 hours (1292) indicates an acceptable sterilization process. The positive contro l should read positive (red light +).
If the processed RRBI is further incubated for a visual pH color change, when special studies are desired, the media color change from purple to yellow will also indicate a sterilization failure. The positive control should show a yellow color change at 24 hours (1291) or 48 hours (1292). A final negative color change result (no colo r change), media remains purple , is made at 24 hours (1291) or 48 hours (1292).
Act on any positive result immediately. The p ositive result indicates a sterilization process failure may have occurred. Determine the cause of the positive RRBI following curr ent facility policies and procedures. Always retest the sterilizer and do not use the sterilizer for processing loads u ntil 3 consecutive RRBI results are negative.
Disposal
Dispose of the used Attest RRBI according to your healthcare facility policy.
You may wish to sterilize any positive R RBI prior to disposal.
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FEATURES, CARE AND CLEANING
Features
Audible Alarm
An audible alarm will sound and the positive red (+) light will illuminate for the designated incubation/reader well when a positive result is detected. This provides results in the least amount of time without the need to manual ly take frequent readings. An alarm will also sound if a RRBI is removed from the Attest 290 Auto-reader well before a final result has been detected. Data will be lost if the RRBI is not replaced in the reader/incubation well within 10 seconds.
Alarm On/Off
The audible alarm for positive results can be turned off or on for a particular RRBI. This is accomplished by pressing the "alarm off" button after the alarm has sounded. This will turn off the alarm for that RRBI only. Any positive RRBI results detected in other well s will result in the alarm sounding. Removing the RRBI will reactivate the alarm for that well. Pressing the “alarm off” button will not silence the alarm for error or caution code alarm warnings.
To turn alarm function off (disable), press both the "alarm off" and "time remaining" buttons at the same time. A yellow period will appear on the lower right corner of the display panel to indicate the alarm is disabled. The alarm will be disabled for all positive RRBIs, error codes, and caution code alarm warnings.
Care and Cleaning
WARNING
Always unplug the Attest 290 Auto­reader and allow to cool before cleaning. Do not immerse the unit in liquid.
WARNING
WARNINGWARNING
To turn the alarm function back o n, press the "alarm off" and "time remaining" buttons at the same time. The yellow period on the display panel will turn off, indicating that the alarm is again active.
Time Remaining
When the “time remaining” button is pressed, the incubation time remaining for each individual incubation/reader well that contains a RRBI will be displayed. All three lights for each individual incubation/reader well will illu minate as the time remaining is displayed. The process begins with the incubation/reader well containing a RRBI on the left and proceeds to the right. The time remaining appears in hours until there is less than an hour remaining when it displays minutes remaining.
Temperature Monitoring
The Attest 290 Auto-reader contains an internal temperature self-diagnostic progra m. Should the temperature fall outside the specified range (60ºC +/-2ºC) an error code will be displayed.
Power Cord Retaining Clip
Place the power cord through the power cord­retaining clip on the rear of the Attest 290 Auto­reader near the plug in. This will help to ensure that the power connection does not become inadvertently disconnected.
Clean the exterior surface of the Attest 290 Auto­reader, with the dust cover closed, by wiping it with a damp cloth moistened with a mild detergent. Do not open the dust cover and attempt to clean interior components. If additional cleaning of the wells is required, call for repair or replacement.
Note: The Attest 290 Auto-reader does not contain any user serviceable parts or require any routine maintenance. A ny mal f unctio ns wil l be indica ted b y an error code. Refer to the Troub le Shooting Guide section for error code explanations.
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TROUBLESHOOTING GUIDE
Trouble Shooting Guide
In the event of an error code, unplug the Attest 290 Auto-reader and plug it back in to initiate the self­diagnostic test. If error code re-occurs, call for repair or replacement.
The display panel will indicate malfunctions detected by a specific error code. Refer to the following:
Code Problem Solution
C1 Unit Warm-up Caution Allow a 30 minute warm-up after Incubation block not at temperature Attest 290 Auto-reader is plugged in. (RRBI readings are disabled until incubator block reaches 60ºC +/-2ºC).
C2 RRBI has been removed before incubation Replace RRBI in proper well within 10 seconds. complete. All three lights for affected RRBI will light and alarm will sound if active.
E1 T emperature Control Error Call for repair or replacement. This error will occur if system is no longer able to control the temp erature of the incubator block (60ºC +/-2ºC).
E3 Memory Error. Call for repair or replacement.
E4 Analog-Digital Conversion Error. Call for repair or replacement.
E7 Communications Error Call for repair or replacement. This error will occur if internal communications have failed.
E8 Bulb Error Call for repair or replacement. This error occurs if the system detects that the bulb is too dim to properly read RRBI results.
E9 T ransport Error Call for repair or replacement. This error will occur if the system detects a motor failure or positioni ng problem.
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TROUBLESHOOTING GUIDE
Trouble Shooting Guide (Co nt inued)
Code Problem Solution
Other Unwanted alarm sounds when Turn alarm off, refer to features positive detected. Section.
Other All three lights blink and buzzer sounds. Replace RRBI in incubation/reader RRBI has been removed from well within 10 seconds to prevent incubation/reader well prematurely. loss of data collected.
Other Red, yellow, or green lights do not Specific light burned out. illuminate when expected such as Call for repair or replacement. following insertion of a RRBI or when time remaining butto n is pressed.
Other Negati ve Control Vial
Vial not crushed . Crush vial befo re inserting into well.
Media did not wet the spore strip. Tap vial on table until media wets spore strip.
Control vial was sterilized. Use a non-sterilized vial as a control. Check chemical indicator on label. Other Unexplained positive
Adhesive residue on vial. Do not place tape or labels on vial.
Test vial is absorbing fluorescent Place the vial so it does not come in residue from a chemical indicator or direct contact with chemical tape. indicators or tape.
Repair and Replacement
Attest 290 Auto-readers must be repaired at:
3M Health Care Service Center Suite 200, Bldg. 502 3350 Granada Avenue North Oakdale, MN 55128 1-800-292-6298 Fax: 1-800-770-8016
Outside of the USA, contact your local 3M Subsidiary.
If you have questions, call our Customer Service number: 1-800-292-6298.
3M © 2003 78-8078-8977-5 Page 9 of 9 Attest 290 Auto-reader
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3M Health Care
3M Center Building 275-4E-01 St. Paul, MN 55144-1000 1-800-228-3957
3M © 2003 78-8078-8977-5 Page 10 of 9 Attest 290 Auto-reader
3M Health Care
D-41460 Neuss, Germany
Recycled paper 40% pre-consumer 10% post-consumer Litho in U.S.A. with 3M film, proofing systems and offset plates. Attest is a registered trademark of 3M. 3M 2003 78-8078-8977-5 Rev. D Lit. Code: 70-2009-4089-1
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