14
6.0 Hygiene Plan
What How
Recommendations
When Who
Reusable partsCCleaningDDisinfectionSSterilisation
After each
procedure
Weekly
Monthly
Qualifi ed and trained
staff who are familiar
with reprocessing.
(Please fi ll in the re-
sponsible person ->
use a water-based
overhead marker)
Daily
Instrument management
ENT instruments
X X
2,4,5
X
Immerse instruments into solution immediately after use,
complete wetting is required, air must be removed from
any cavities, after the contact time instruments must be
rinsed with water, have to be dried and sterilised afterwards. Please also observe the ATMOS operating
instructions for ENT instruments.
X
Instrument bowl
X X
4
Cleaning and disinfection (manual)
X
Instrument bowl with cover
X X
4
Cleaning with a brush; afterwards disinfection (manual)
X
Visualisation
ATMOS® Cam 21 / 31
X X
3
Wipe cleaning and wipe disinfection
X
ATMOS® Strobo 21 LED
X X
3
Wipe cleaning and wipe disinfection
X
Flexible scope
X X
1,7,8
X
1)
Immediate pre-cleaning after the procedure
X
Rigid scope
X X
1,7,8
X
1)
Immediate pre-cleaning after the procedure
X
Laryngoscope
X X
1,7,8
X
1)
Immediate pre-cleaning after the procedure
X
Light conductor
X X
3
Wipe cleaning and wipe disinfection
X
Light grip
X X
3
Wipe cleaning and wipe disinfection
X
Microscope
X X
3
Wipe cleaning and wipe disinfection
X
Headlight
X X
3
Wipe cleaning and wipe disinfection
X
Radiofrequency surgery
ATMOS® RS 221 (surface)
X X
3
Wipe cleaning and wipe disinfection
X
Ergonomic handles
X X
1,2,4,5
X
1)
Wipe cleaning and wipe disinfection
X
Bipolar tweezers
X X
1,2,4,5
X
1)
Immediate pre-cleaning after the procedure
cleaning and disinfection (automatic or manual);
use of enzymatic detergents
X
Bipolar electrode
X X
1,2,4,5
X
1)
X
Bipolar electrode cable
X X
1,2,4,5
X
1)
Immediate pre-cleaning after the procedure
cleaning and disinfection (automatic or manual);
use of enzymatic detergents
X
Neutral electrode
X X
1,2,4,5
X
1)
X
Neutral electrode cable
X X
1,2,4,5
X
1)
Immediate pre-cleaning after the procedure
cleaning and disinfection (automatic or manual);
use of enzymatic detergents
X
ENT electrodes
X X
1,2,4,5
X
1)
X
Surfaces
Housing
X X
3
Wipe cleaning and wipe disinfection
X
Roller shutter
X X
3
Wipe cleaning and wipe disinfection
X
System frame
X X
3
Wipe cleaning and wipe disinfection
X
Drawers
X X
3
Wipe cleaning and wipe disinfection
X
Writing surface
X X
3
Wipe cleaning and wipe disinfection
X
Instrument deposit
X X
3
Wipe cleaning and wipe disinfection
X
Mirror pre-heater
X X
3
Wipe cleaning and wipe disinfection
X
Tongue patches and
swab dispenser
X X
3
Wipe cleaning and wipe disinfection,
every day or when refi lling
X
Waste disposal
X X
3
Wipe cleaning and wipe disinfection,
every day or when emptying the canister
X
Instrument tray
X X
3
Wipe cleaning and wipe disinfection, daily when replacing
with new instruments
X
ATMOS MedizinTechnik GmbH & Co. KG
Ludwig-Kegel-Str. 16 79853 Lenzkirch/Germany
Phone +49 7653 689-0 Fax +49 7653 689-190
atmos@atmosmed.de www.atmosmed.de
The above stated hygiene requirements are based on the regulations
according to the Medical Devices Act, the Medical Devices Operator
Ordinance, §18 IfSG and the recommendations of the Robert Koch
Institute.
Defi nition of the required reprocessing steps result from the recommendations of the Robert Koch Institute: „Requirements for
the reprocessing of medical products“. The medical products were
categorised in the risk groups uncritical, semicritical and critical. The
reprocessing measures mentioned in this cleaning and disinfection
plan are a recommendation of ATMOS MedizinTechnik. Any additio-
nal reprocessing measures are at the operator‘s discretion.
All the recommended disinfectants which are stated herein are listed
disinfectants (VAH/RKI) and have been tested on their suitability of
use on the ATMOS
®
S 61 Servant. ATMOS MedizinTechnik cannot
be hold liable for any damage caused by wrong concentration of the
disinfectants or by the application of any other disinfectants.
Patients with suspicion of a clinical disease or who developed a
transmissible spongiform encephalopathy (CJK, vCJK, etc.) have to
be treated at facilities which are able to provide for the necessary
preventive measures against infection. The reprocessing of the reusable instruments and material may only be performed at facilities
which have an externally certifi ed QM Management acc. to DIN EN
ISO 13485.
The Medical Devices Act, IfSG, the RKI directives, BGR 250 and
TRBA 250 always have to be considered.
Important information
Wipe cleaning and wipe disinfection: All surfaces have to be wiped with a clean (disposable) wipe which is damped with disinfectant
solution; the entire surface has to be wiped thoroughly and may not be dried afterwards.
1)
Please observe the manufacturer‘s operating instructions.
2)
Alternative to manual cleaning und disinfection: Wash-
Disinfector 78°C / 172°F
6)
Material dimensionally stable at 134°C
Wrong concentration of disinfectants
may lead to damage!
Recommended disinfectants
3)
Surface disinfection
for coated surfaces:
Green & Clean SK (ATMOS)
Dismozon
®
plus (Bode Chemie)
Kohrsolin
®
FF (Bode Chemie)
Perform
®
(Schülke & Mayr)
Terralin
®
Protect (Schülke & Mayr)
Other surfaces:
Dismozon
®
plus (Bode Chemie)
Kohrsolin
®
FF (Bode Chemie)
Mikrobac
®
forte (Bode Chemie)
Perform
®
(Schülke & Mayr)
Terralin
®
Protect (Schülke & Mayr)
Surface disinfection FD 312 (Dürr Dental)
4)
Instruments - manual disinfection:
Korsolex
®
med AF (Bode Chemie)
Korsolex
®
basic (Bode Chemie)
Korsolex
®
plus (Bode Chemie)
Korsolex
®
extra (Bode Chemie)
neodisher
®
Septo MED (Dr. Weigert)
neodisher
®
Septo 3000 (Dr. Weigert)
Sekusept
®
PLUS (Ecolab)
Sekusept
®
aktiv (Ecolab)
Gigasept
®
Instru AF (Schülke & Mayr)
Gigazyme
®
(Schülke & Mayr)
Gigasept FF neu (Schülke & Mayr)
5)
Instruments - automatic disinfection:
Dismoclean
®
24 Vario (Bode Chemie)
Dismoclean
®
28 alka med (Bode Chemie)
Dismoclean
®
twin basic/twin zyme (Bode Chemie)
neodisher
®
FA (Dr. Weigert)
neodisher
®
MediClean forte (Dr. Weigert)
Thermosept
®
alka clean forte (Schülke & Mayr)
Thermosept
®
RKN-zym (Schülke & Mayr)
7)
Endoscopes - manual disinfection:
Helipur
®
H plus N (BBraun)
Helix
®
Ultra (BBraun)
Korsolex
®
Basic (Bode Chemie)
neodisher
®
MediClean forte (Dr. Weigert)
Sekusept
®
aktiv (Ecolab)
8)
Endoscopes - automatic disinfection:
Korsolex
®
Basic (Bode Chemie)
neodisher
®
MediClean forte (Dr. Weigert)
Gigasept
®
FF neu (Schülke & Mayr)
Endozime
®
AW Plus (Ruhof)
ADAPTACLEAN™ (ASP)
Please see the manufacturer‘s instructions for
concentration, contact time, temperature and
the compatibility of materials.
GA3GB.110100.0 2017-05 Index: 13