Your product meets high standards and is easy to operate. Nevertheless, please
take time to read these instructions carefully. You will become familiarised with
your product and be able to use it to its best.
1.2Target group
These instructions are a component of the product and are intended for the owner, users, operators, as well as servicing personnel. They must be accessible for
this group of persons.
1.3Amendments
The text, graphics and data correspond to the technical status of the product at
the time of going to print. Amendments in the sense of technical development remain reserved.
1.4Symbols and references used
The following symbols and references to occupational safety used throughout
the documentation are important to avoid harm to health and life.
DANGER!
There is an imminent risk to the life and health of persons.
WARNING!
There may be a risk to the life and health of persons.
CAUTION!
A situation for which there is a warning of damage to property and equipment.
NOTE
User tips and useful information on the best possible use of the equipment.
With the EC Declaration of Conformity and the CE mark, we affiirm that this product complies with the basic health and safety requirements in accordance with
Directive 93/42/EEC Annex II (see Chap. 18 "Conformity and certifications")
Hazards may still arise from the product if it is used incorrectly by inadequately
trained personnel or not as intended.
2.1Intended use
This product is exclusively approved for the uses stated in the instructions.
Namely for central sterilisation, substerilisation in surgery, in hospitals, clinical
laboratories and in industry.
2.2Duty of care in handling the device
•Only use original racks, spare parts and accessories
•Load the racks as intended (see Chap. 8 "Loading and identifying racks")
•Daily servicing work on the device must be carried out regularly and in ac-
cordance with regulations (see Chap. 14 "Daily servicing and cleaning work")
•Validation of the programme parameters must be performed regularly (see
Chap. 2.6 "Process validation")
•Installation, deinstallation, servicing or modification must only be carried
out by persons authorised by Belimed
•In the case ofincorrectly installed, operated or maintained devices all
warranty claims are invalidated
2.3Non-intended use
All other applications are considered as non-intended use.
Damages caused by operator error, non-intended use, failure to observe the instructions, operation by untrained personnel, unauthorised modifications and
conversions without the written consent of the manufacturer, are not permitted
and preclude the manufacturer's liability for the ensuing damage to property and
personal injury.
2.4Instruction of personnel
This product must only be used, maintained and repaired by authorised, trained
and briefed personnel. This assumes that these instructions are read and understood.
Responsibilities and competencies in operation, servicing and maintenance
must be clearly defined and observed.
•Laboratory instruments from research and production
•Rigid endoscopes
•Eye instruments
•Neurosurgery
2.6Process validation
The aim of process validation is to achieve a high level of safety in the reconditioning of medical devices in order to afford the operators and patients the greatest possible protection.
Process validation consists of:
a) Type testing / factory testing
b) Process validation consisting of:
•IQ - Installation Qualification
•OQ - Operational Qualification
•PQ - Performance Qualification
c) Routine testing / Annual requalification
(refer to appendix EN ISO 15883-1 November 2001, Chap. 6, Pages 35-37)
6/39
NOTE
Further information on process validation may be obtained from Belimed
Customer Service.
CAUTION!
Validation must only be carried out by authorised persons!
Devices must only be operated with processes validated in accordance with
regulations! Only use components (items to be washed, racks, programmes,
chemicals) which have been validated together.
The safety of operators and patients may be compromised if the devices
used are not validated in accordance with regulations.
CAUTION!
Always observe the specifications from the medical device manufacturer!
The owner is responsible for pre-treatment of medical devices. The best possible
washing results are only to be achieved with correct pre-treatment as intended.
Various treatments fix proteins and may contribute to preserving prion infectivity.
CAUTION!
The air bubbles in the foam prevent pressure building-up in the cleaning system and therefore the best possible contact between the cleaning agent and
the items to be washed.
4.1.1SOPs (Standard Operating Procedures)
The contents of the following criteria and specifications must be regulated:
•Product responsibility
•Transport routes and duration of waste disposal (time for soiling to dry in)
•Type of soiling (blood, ointments, bone meal...)
•Material properties and compatibility of the items to be washed (risk groups
acc. to RKI Ordinance)
•Consideration of all operating instructions and reconditioning regulations for
medical devices
•Necessary knowledge of the medical devices to be reconditioned
•Maintenance plan and regular inspections
Belimed recommends producing work instructions which describe the procedure
within a working process.
4.2Preparing medical devices
CAUTION!
Not all medical devices are suitable for mechanical reconditioning (see Chap.
2.5 "Fields of application for the device")
All inner and outer surfaces must be accessible for cleaning (open valves, taps,
joint instruments...) Special caution is required for the lumen. Disassemble MIC
or other complex instruments according to the manufacturer's specifications.
WARNING!
Only operate the device if it is in a technically faultless condition! Damaged or
defected components must be reported to the technical specialist.
After a prolonged period of disuse (approx. 1 week), the daily servicing work
must be carried out to prepare the device (see Chap.14 "Daily servicing and
cleaning work").
Check the quantity of detergents (see Chap. 16 "Faults")
Switch the device on at the main switch (Fig. 209) with the button. Four
possible display texts may now appear
Performing self-disinfection
(See Chap. 6 "Self-disinfection")
Display text:
Self-disinfection
Start
Program ready
Continue with program flow (see Chap. 7 "User identification")
Microorganisms form in the washing chamber, tubing and DI boiler after a prolonged period of disuse. Following thermal disinfection step, residues of dead
bacteria on the medical device may constitute a risk for patients.
In the case ofactive self-disinfection the owner is requested to perform self-disinfection after a programmed period (24 hours as standard) following the last program run.
NOTE
If there is no mains supply (mains switch OFF) the timer is not active, as the
request for"Self Disinfection Start" always appears when active self-disinfection is switched on.
6.2Starting self-disinfection
Open the door with thebutton
Slide in the empty rack
CAUTION!
Do not wash any items with the self-disinfection program! There is no cold
pre-rinse. There is the risk of excessive foam formation and fixing proteins.
Close the wash compartment door with thebutton
User identification (see Chap. 7 "User identification")
WARNING!
Do not touch the door or its surrounding paneling during the closing process.
A crushing hazard exists.
If any objects are trapped between the panel and door, the technical personnel must be informed to rectify the problem.
If a fault occurs during operation, acknowledge with thebutton
If the fault persists (see Chap. 16 "Faults")
If the fault cannot be rectified, the technical specialist must be informed
DANGER!
If smoke is emitted or water escapes, immediately turn off at the main switch and isolate the device from the mains supply. Inform the technical
specialist.
The end of the program is indicated with an acoustic signal
Display text:
Program name
Correctly Finished
NOTE
For manual loading/unloading, unload the rack back to the US again at the
end of the program. The CS door remains locked.
Self-disinfection is inactive for automatic loading/unloading.
The user must logon each time before using the device. The password identification is forwarded to the printer or the digital documentation system and assigned to the relevant batch.
Detection takes place via the operating panel or by means of barcode reader.
7.1Identification via operating panel
User identification is requested once the device is switched on.
User Name o No.?
--
Inputting the identification number via the operating panel
NOTE
For input via the operating panel we recommend a list of numbers with the
corresponding names (Example 1).
The identification number must lie within the range 11-65. Only the digits 1-6
can be used for a number. (Not possible: 17, 18, 19, 27, 28, 29....)
For an input of No. 0 or 66 "No identification" is output.
Example 1:
No.Name
11M. Smith
12H. Jones
0No Identification
66No Identification
Device ready
Display text:
Program ready
Display text for a prolonged period of disuse (see Chap. 6 "Self-disinfection"):
The loading of racks has a significant influence on the washing outcome. For
correct and intended loading it is absolutely necessary to follow the instructions supplied with the rack.
DANGER!
Always wear protective goggles and gloves when handling the items to be
washed. Soiled items to be washed may cause infections!
8.2Rack identification
The rack identification is forwarded to the printer or the digital document system
and assigned to the relevant batch.
Detection takes place via the operating panel or by means of barcode reader.
8.2.1Rack identification via the operating panel
Display text:
Rack Name o No.?
--
Inputting the identification number via the operating panel
NOTE
The identification number must lie within the range 11-65. Only the digits 1-6
can be used for a number. (Not possible: 17, 18, 19, 27, 28, 29....)
For an input of No. 0 or 66 "No identification" is output.
8.2.2Rack identification via barcode
Display text:
Rack Name o No.?
--
Read barcode
NOTE
The length of the name input is limited to 12 characters. If the no. 0 or 66 is
read"No identification" is output (see Chap. 7.2 "Identification via barcode
reader")
Barcodes can be produced oneself from the Internet (free of charge). (http://www.barcodemagic.com/barcodemagic.html).
The identification of batch content is forwarded to the printer or the digital documentation system and assigned to the relevant batch.
Detection takes place via the operating panel or by means of barcode reader.
9.1Batch content identification via operating panel
Display text:
Read Content No.
No=--?
Inputting the identification number via the operating panel
NOTE
The identification number must lie within the range 11-65. Only the digits 1-6
can be used for a number. (Not possible: 17, 18, 19, 27, 28, 29....)
For an input No. 66 "No identification" is output.
A maximum of 18 objects can be identified. The same number cannot be
input twice. Always complete input with 66.
9.2Batch content identification via barcode
Display text:
Quantity of Contents
--
Reading the batch content with the barcode reader
NOTE
The reading process can be cancelled with thebutton. Always conclude
with no. 66.
Reading is terminated after reaching a max. 18 batch contents.
NOTE
The length of the name input is limited to 12 characters. If the no. 0 or 66 is
read "No identification" is output (see Chap. 7.2 "Identification via barcode
reader")
Barcodes can be produced oneself from the Internet (free of charge). (http://www.barcodemagic.com/barcodemagic.html).
WARNING!
Only operate the device with the original metal paneling! Uncontrolled escape
of water due to a burst pipe or split tubing can cause scalding. Only remove
the metal panel once the device is isolated from the mains supply.
11.2 Washing, disinfecting
Press the required buttonto
This step proceeds automatically for automated program recognition (optional)
NOTE
In the case of "automatic program recognition" check the items to be washed
against the program name!
Program flow
Display text:
P2|____| 13min
Wash 36°C
P2|____| = program step status
13min = remaining run time
Wash = current step
36°C = temperature of washing agent or drying air
Procedure in case of faults:
If a fault occurs during operation, acknowledge with thebutton
If the fault persists (see Chap. 16 "Faults")
If the fault cannot be rectified, the technical specialist must be informed
DANGER!
If smoke is emitted or water escapes, immediately turn off at the main switch and isolate the device from the mains supply. Inform the technical
specialist.
The end of the program is indicated with an acoustic signal
For servicing, switch off the device at the main switch (see Chap. 14.1 "Servicing in general").
NOTE
If the device is switched off at the main switch, the controller is also no longer
active. Consequently, the water level is not checked and, in the case of a broken valve, water can overflow.
WARNING!
Report fault text with process interruption to the technical specialist immediately. Under no circumstances continue working with the device!
Fault texts with process interruption appear during the program flow. The fault
code and the cause of the fault blink alternately on the display (exception Fault
Code 101).
Example:
Leakage Pan
Fault Code 112
16.3 Device does not run
•Is the device switched on at the main switch? (Fig. 209)
•Are the fuses intact? (inspection by the technical specialist)
•Are the washing compartment doors correctly locked? (See Chap. 5 "Preparing the device")
•Fault code on the display? (See Chap. 16 "Faults")
If a modem is installed, the device can be linked with the Belimed Service Centre.
Inform the Service Centre before activating the modem (see Chap. 20 "Organisation Belimed AG".
17.1.1 Activating the connection
Display textDescription
Program ready
XX.XX.XXXX 12:00
Password ?
---
Remote Support
Initialize Modem
Remote Support
Not Connected
Remote Control
Connected
In standby mode press thebutton for 4 seconds
Press thebutton for 4 seconds
Modem connection is established
Modem connection could not be established
Modem connection is established. Device is
remote controlled
17.2 Independent measurement data acquisition IPD
With automatic verification, the ongoing process is interrupted with the relevant
error message. The function can be switched on and off from the operating panel.
For function "On" a process interruption follows, for "Off" only a text on the display.
Activation:
Device must be on the status
Program ready
dd.mm.20yy hh:mm
Press thebutton 3 times until"Verification On/Off" appears
The selection switch (Fig. 231 Pos.3) is used to switch between electrical heating
E (Fig. 231 Pos. 2) for the washing chamber and steam heating D (Fig. 231
Pos.1).
CAUTION!
If the same fault still occurs after switching to steam, the technical specialist
must be informed immediately (see Chap. 16.2 "Fault text with process interruption")
Approval for special persons, especially the issuance of rights, for third-party usage as applicable.
OperatorsPersons who load the device and perform simple washing and servicing work.
LoadingCollective term to describe all items, devices and materials that are inserted into
a washing/disinfection device for the purpose of treatment in a cycle.
Intended useUse of the device in accordance with the information provided in the user infor-
mation.
BoilerClosed vessel in which water is heated indirectly by the flow of a heated medium
by means of a heat exchanger at a pressure higher than atmospheric pressure.
DisinfectionReduction in the number of viable microorganisms on a product to a predefined
level suitable for its continued handling or use.
Performance
qualification
System with which the process cycle can be interrupted or modified depending
on requirements; illustrative and documenting evidence that the device, as it is
installed and operated according to the operating procedures, works durably in
accordance with the predefined criteria and therefore products are obtained that
fulfil their definitions, i.e. the washing/disinfection device delivers products that
are cleaned and disinfected according to the required standard.
Error, error
message
State of a unit in which it is incapable of fulfilling the required function, whereby
the functionality caused by servicing or other planned actions or the absence of
external resources is excluded.
HazardPotential source of damage.
DeviceAggregate of parts or assemblies combined together, of which at least one is
movable with the corresponding drive elements, control and energy circuits
joined together for a specific application, especially for processing, treatment,
transporting or packaging of a material.
Device for
continuous
Device that automatically transports for loading through each individual process
cycle.
operation
GloveAlkali and acid resistant glove
Installation
qualification
Illustrative and documenting evidence that the device has been equipped and installed in accordance with the relevant definitions.
CWCold water
Medical devicesAll individual or interconnected instruments, apparatuses, device materials or
other objects including the software used for he proper function of the medical
device that are determined by the manufacturer for use on persons for the following purposes:
•identification, prevention, monitoring, treatment or alleviation of diseases;
•Identification, monitoring, treatment, alleviation or compensation of injuries or
disabilities;
•examination, replacement or modification of the anatomical structure or of a
physiological process;
•contraception,
and their proper main function in or on the human body is neither achieved by
pharmacological, immunological nor metabolic means, but whose mode of action
may be supported by these means.
WashingRemoval of contamination from the surface to be washed with an aqueous me-
dium with or without process chemicals depending on requirements.
Device for washing and disinfecting medical products and other objects used in
the areas of medicine, dental medicine, pharmaceuticals and veterinary medicine.
Note: Device types are excludes that are designed specifically to wash cloths or
other laundry. Definitions for devices intended for sterilisation or termed as "sterilisers" are specified in other standards , e.g. in EN 285.
Washing/
disinfection device
for instruments
Two-door washing/
Washing/disinfection device intended for washing and disinfecting loads containing surgical instruments, anaesthetic accessories, containers, devices, glass devices and similar objects.
Washing/disinfection device with separate doors for loading and unloading.
disinfection device
RiskCombination of the probability of occurrence of damage or the extent of damage.
RKIThe task assigned to theRobert KochInstitute includes both the observation of
occurrence of diseases and the relevant health hazards for the population, as
well as the deriving and scientifically establishing the required measures for effective protection of the health of the population.
CSClean side
Protective gogglesAlkali and acid resistant fully closed protective goggles
SafetyTerm for a state free of unjustifiable risks or impairment or seen as being free of
hazards.
SOPStandard Operating Procedure is a document describing the approach within an
operational working process. Frequently recurring workflows are described in
texts and provided for the person implementing the task.
ControllerInstallation that controls the washing/disinfection device step-by step through the
required phases of the process cycle(s) or the process according to the defined
process parameters.
FaultIdentification by the automated controller that the prescribed process variable for
the process cycle of the washing/disinfection device are not adhered to.
TankContainer permanently installed in the washing/disinfection device to store solu-
tions consumed during the process.
Technical specialist Technical specialist responsible for performing simple service and maintenance
work on the device.
DoorMechanism for closing and sealing the chamber.
USUnclean side
Validation, process
validation
Documented procedure for achieving, recording and interpreting the required results to demonstrate that a procedure always agrees wit the prescribed specifications.
Lock, lockedMechanical, electrical or other type of mechanism having the purpose of prevent-
ing the execution of hazardous device functions under defined conditions.
VerificationAffirmation by providing objective proof that the defined requirements have been
fulfilled [EN ISO 9000:2000]
DI waterDeionised or demineralised or fully demineralised water (H2O) without the min-
erals (salts, ions) occurring in normal spring water and mains water.
RackMechanism for the correct loading and washing of items.
Washing chamberThe part of the washing/disinfection device in which the load is treated.
Note: Steam generator, piping, e.g. drains and connections, from which the
chamber is separated, are not included.