To avoid the risk of accidents or
damage to the machine it is
essential to read these instructions
before it is installed, commissioned
and used for the first time.
en - GB, AU
M.-Nr. 07 779 871
Contents
Warning and safety instructions .....................................5
Symbols on the appliance .........................................9
This washer-disinfector complies
with all relevant local and national
safety requirements. Please note
that incorrect use can lead to
personal injury and damage to
property.
To avoid the risk of accidents and
damage to the washer-disinfector,
please read these instructions
carefully before starting to use it.
Keep these instructions in a safe
place for reference, and pass them
on to any future user.
Correct application
This washer-disinfector is designed
~
for use with the applications described
in these Operating Instructions only.
Alterations or conversions to the
machine or using it for purposes other
than those for which it was designed
are not permitted and could be
dangerous.
This machine must only be used for
cleaning and disinfecting instruments
or medical devices if the manufacturer
has stated that they are suitable for
machine processing. The
manufacturer's cleaning and
maintenance instructions for
instruments etc. must also be
observed. Miele cannot be held liable
for damage caused by improper or
incorrect use of the machine.
This machine may only be used in
~
non-stationary locations if a risk
assessment of the installation has been
carried out by a suitably qualified
engineer.
Please pay attention to the following
notes to avoid injury and damage.
This washer-disinfector should be
~
commissioned and then maintained by
a Miele authorised and trained service
technician only. To ensure compliance
with the Medical Devices Directive, a
Miele service contract is
recommended. Unauthorised repairs
could be dangerous and jeopordise the
personal safety of the operator, for
which the manufacturer cannot be held
liable.
Do not install the washer-disinfector
~
in an area where there is any danger of
explosion or of freezing conditions.
The electrical safety of this machine
~
can only be guaranteed if connected to
a correctly installed earthing system on
site. It is most important that this basic
safety requirement is present and
regularly tested, and where there is any
doubt the on-site wiring system should
be inspected by a qualified electrician.
The manufacturer cannot be held liable
for damage or injury caused by the lack
of or inadequacy of an effective
earthing system (e.g. electric shock).
This washer-disinfector is intended
~
for indoor use only.
A damaged or leaking machine
~
could be dangerous and compromise
your safety. Disconnect the machine
from the mains immediately and call the
Miele Service Department.
5
Warning and safety instructions
Personnel operating the
~
washer-disinfector should be trained
regularly. Untrained personnel and
children must not be allowed access to
the machine or its controls.
Take care when handling chemical
~
agents such as cleaning agent,
neutralising agent, rinsing agent etc.
These may contain irritant or corrosive
ingredients. Follow all instructions and
safety procedures carefully. Wear
protective gloves and goggles. With all
chemical agents, the manufacturer's
safety instructions and safety data
sheets must be observed.
This washer-disinfector is designed
~
for operation with water and
recommended chemical agents only.
Organic solvents and flammable liquid
agents must not be used in this
machine. These could cause an
explosion, damage rubber and plastic
components in the machine, and cause
liquids to leak out of the machine.
Avoid inhalation of powder cleaners.
~
These cleaning agents can cause
burning in the mouth and throat if
swallowed and can inhibit breathing.
The water in the cabinet must not be
~
used as drinking water.
Do not sit or lean on an open door.
~
The machine could tip up and be
damaged or cause an injury.
Be careful when sorting items with
~
sharp pointed ends and positioning
them in the machine that you do not
hurt yourself or create a danger for
others. Sharp items should be placed in
baskets with the pointed ends facing
downwards.
Please be aware that the
~
washer-disinfector may be operating at
high temperatures. If the door is
opened with the emergency release
cord there is a danger of burning,
scalding or chemical burning.
Where there is a risk of toxic or
~
chemical substances occuring in the
suds solution (e.g. aldehyde in the
disinfecting agent), it is essential to
regularly check door seals and make
sure that the steam condenser is
functioning correctly.
Opening the machine door during a
programme interruption carries
particular risks in such circumstances.
Should personnel accidentally come
~
into contact with toxic vapours or
chemical agents, follow the emergency
instructions given in the manufacturer's
safety data sheets.
Mobile units, baskets, inserts and
~
loads must be allowed to cool down
before they are unloaded. Any water
remaining in containers could still be
very hot. Empty them into the wash
cabinet before taking them out.
Do not touch the heating elements if
~
you open the door during or directly
after the end of a programme: you
could burn yourself. They remain hot for
some time after the end of the
programme.
Never clean the machine or near
~
vicinity with a hose or a pressure
washer.
6
Warning and safety instructions
The machine must be disconnected
~
from the mains electricity supply before
any maintenance or repair work is
carried out. Do not reconnect it until the
maintenance or repair work has been
successfully completed.
The following points should be
observed to assist in maintaining
quality standards when processing
medical devices, in order to protect
patients, and to avoid damage to the
loads being cleaned.
If the washer-disinfector is being
~
used for disinfection in accordance with
official regulations on the control of
epidemics, the steam condenser and
its connections to and from the wash
cabinet must be cleaned and
disinfected whenever any repairs are
carried out or parts replaced.
If it is necessary to interrupt a
~
programme in exceptional
circumstances, this may only be done
by authorised personnel.
The standard of cleaning and
~
disinfection in the disinfection
programmes must be routinely
confirmed by the user. The process
must be thermo-electrically validated
on a regular basis, and checked
against documented control results.
For thermal disinfection, use
~
temperatures and temperature holding
times to achieve the required infection
prophylaxis in accordance with current
health and safety regulations.
Use of chemical agents could under
~
certain circumstances adversely affect
the components of the
washer-disinfector. Follow the
recommendations of the chemical
agent manufacturer. In the event of any
damage or material deterioration,
please contact Miele.
Pre-treatments with cleaning or
~
disinfecting agents can create foam, as
can certain types of soiling and
chemical agents. Foam can have an
adverse effect on the disinfection and
cleaning result.
Foam must not be able to escape
~
from the wash cabinet. It would hinder
the correct functioning of the machine.
Check the process used regularly to
~
monitor foaming levels.
To avoid the risk of damage to the
~
washer-disinfector and any accessories
used with it caused by chemical
agents, soiling and any reaction
between the two please read the notes
in "Chemical Processes and
Technology".
Where a chemical agent is
~
recommended on technical application
grounds (e.g. a cleaning agent), this
does not imply that the manufacturer of
the machine accepts liability for the
effect of the chemical on the items
being cleaned.
Please be aware that changes in
formulation, storage conditions etc.
which may not be publicised by the
chemical manufacturer, can have a
negative effect on the cleaning result.
7
Warning and safety instructions
When using chemical agents such
~
cleaning agent it is essential that the
manufacturer's instructions are
followed. Only use chemical agents for
the purpose they are designed for as
specified by the manufacturer, to the
exclusion of other chemicals, to avoid
such dangers as chemical reactions
and material damage.
In critical applications where very
~
stringent requirements have to be met,
it is strongly recommended that all the
relevant factors for the process, such
as cleaning agent, water quality etc.
are discussed with Miele.
Mobile units, baskets and inserts
~
should only be used for the purpose
they are designed for.
Hollow instruments must be thoroughly
cleaned, internally and externally.
Empty any containers or utensils
~
before arranging them in the machine.
Do not allow any remains of acids or
~
solvents, and in particular hydrochloric
acid or chloride solutions, to get into
the wash cabinet. Similarly avoid any
materials with a corrosive effect.
The presence in compounds of any
solvents should be minimal (especially
those in hazard class A1).
After carrying out any work on the
~
mains water system, the water supply
system to the washer-disinfector must
be vented.
Otherwise, the components in the
machine may become damaged.
Please follow the advice on
~
installation in these instructions and the
separate Installation Instructions.
Ensure that solutions or steam
~
containing hydrochloric acid do not
come into contact with the steel outer
casing of the machine, to avoid any
corrosion damage.
8
Warning and safety instructions
Using accessories
Only use genuine Miele original
~
accessories with this machine. Consult
Miele on the type and application of
such equipment.
Only use Miele mobile units, baskets
~
and inserts in this machine. Using
accessories, mobile units and inserts
made by other manufacturers, or
making modifications to Miele
accessories, can result in
unsatisfactory cleaning and disinfecting
results, for which Miele cannot be held
liable. Any resultant damage would also
invalidate the machine guarantee.
Only use chemical agents which
~
have been approved by their
manufacturer for use in the application
you are using. The chemical agent
manufacturer is responsible for any
negative influences on the material the
load is made from and for any damage
they may cause to the machine.
Disposing of your old machine
Please note that the machine may
~
have contamination from blood or other
bodily fluids in it and must be
decontaminated before disposal.
For environmental and safety reasons,
ensure the machine is completely
drained of any residual water, chemical
residues and cleaning agent. Observe
safety regulations and wear safety
goggles and gloves.
Make the door lock inoperable, so that
children cannot accidentally shut
themselves in. Then make appropriate
arrangements for the safe disposal of
the appliance.
The manufacturer cannot be held
liable for damage caused by
non-compliance with these Warning
and Safety instructions.
Symbols on the appliance
Warning:
Observe the operating
instructions.
Warning:
Danger of electric shock.
9
Intended use
This washer-disinfector can be used to
clean, rinse, thermally disinfect and dry
a wide range of reusable medical
devices used in dental surgeries.
Follow the manufacturer's instructions
(according to EN ISO 17664) on how to
process their items by machine.
Medical devices that can be processed
in this machine include dental
instruments, suction apparatus, transfer
instruments, etc.
Processing instruments by machine
achieves reproducible results and
should be used in preference to
processing them by hand.
Where disinfection is required for the
protection of personnel and patients,
carry out thermal disinfection, e.g.
using the DESIN vario TD programme.
The parameters for thermal disinfection
according to EN ISO 15883-1 (A
3000)
0
are 90 °C (+ 5 °C, - 0 °C) with a holding
time of 5 minutes. The effective area
A
3000 is suitable for deactivating the
0
HBV virus.
National health and safety regulations
regarding disinfection must also be
observed.
The cleaning programme as well as any
chemical agents must be chosen
according to the type of soiling and
load being processed.
The cleaning result must ensure that
the instruments can be disinfected
correctly, that no residues are left
behind, that subsequent sterilisation
can be carried out and that the
instruments can be used again safely.
Medical devices are best reprocessed
using the DESIN vario TD programme.
The use of a suitable carrier (basket,
module, insert etc.) is important to
ensure the adequate cleaning of the
load. Examples are given in the section
"Areas of application".
The washer-disinfector is programmed
to carry out the final rinse with mains
water or with processed water
(optional) of a quality to suit the
application (e.g. aqua destillata,
purified water, de-ionised water,
demineralised water).
The machine complies with EN ISO
15883 for validation purposes.
p / 6 Inlet//drain
kAdd salt
wAdd neutralising agent
HAdd rinsing agent
8 DOS Optical interface for
service technician;
Add liquid cleaning agent
indicator when connected
toaK60DOSmodule.
i Programme selector
fStop
AFreely programmable
programme
E Universal
DPre-rinse
6Drain
varioTD
SPECIAL 93°C-10'
11
Guide to the machine
a Connection for DOS module K 60 at
the rear of the machine
b Service panel
c Filter combination
d Salt reservoir
e Dispenser for powder cleaning agent
12
f Rinsing agent reservoir (with dosage
selector)
g Rinsing agent level indicator
At the rear of the machine:
–
Interface connector RS 232
–
Suction tube for external neutralising
agent container
Caring for the environment
Disposal of the packing
material
The transport and protective packing
has been selected from materials which
are environmentally friendly for disposal
and should be recycled.
Ensure that any plastic wrappings,
bags etc. are disposed of safely and
kept out of the reach of babies and
young children. Danger of suffocation.
Disposal of your old machine
Electrical and electronic machines
often contain materials which, if
handled or disposed of incorrectly,
could be potentially hazardous to
human health and to the environment.
They are, however, essential for the
correct functioning of your machine.
Please do not therefore dispose of it
with your general waste.
Please dispose of it at your local
community waste collection / recycling
centre or contact your dealer for
advice. Ensure that it presents no
danger to children while being stored
for disposal.
13
Opening and closing the door
Electric door lock
This machine is equipped with an
electric door lock.
The door can only be opened when:
the electricity supply to the machine
^
is switched on and
the On/Off switch I-0 is pressed in.
^
To open the door a
Press the door release switch in as
^
far as it will go, and at the same time
grip the handle and open the door.
Do not touch the heating
,
elements if you open the door during
or directly after the end of a
programme; you could burn
yourself. They remain hot for some
time after the end of the programme.
The door cannot be opened after a
programme has been started, and it
remains locked until the end of the
programme. It is still possible to open
the door during the PRE-RINSE D and
DRAIN 6 programmes.
The machine can be programmed (by a
Miele approved service technician) to
open during "Drying".
To open the door with the
emergency release
The emergency release should only
be used when the door cannot be
opened normally, e.g. in the event of
a power failure.
Important note for SPECIAL
programmes - read the notes in the
Warning and Safety instructions.
There is a danger of burning,
scalding and chemical burning if the
door is opened using the
emergency door release cord.
^ Turn the programme selector to f.
^ Switch the machine off with the
On/Off switch I-0.
To close the door
Lift the door upwards and push until it
clicks shut. Do not press the door
release button whilst shutting the door.
14
^
The emergency release cord is
located at the bottom of the machine
behind the service panel. Pull it
downwards to open the door.
Water softener
In order to achieve good cleaning
results, the washer-disinfector needs to
operate with soft water. Hard water
results in the build-up of calcium
deposits on instruments etc. and in the
washer-disinfector.
Mains water with a hardness level
higher than 0.7 mmol/l (4 °dH – German
scale) needs to be softened. This takes
place automatically in the integrated
water softener.
The water softener requires
–
reactivation salt.
The washer-disinfector must be
–
programmed to correspond to the
water hardness in your area.
– Your local water authority will be able
to advise you on the water hardness
in your area.
Where the water hardness fluctuates
e.g. between 1.4 - 3.1 mmol/l (8 - 17
°dH German scale) always programme
the washer-disinfector to the higher
value (3.1 mmol/l in this example).
The built-in water softener has
settings from 1 °dH - 60 °dH (0.2 -
10.8 mmol/l).
In the event of a fault, it will help the
service technician if you know the
hardness of your local water supply.
Enter the water hardness below:
Programming the water
softener
Switch off the machine.
^
Turn the programme selector to f.
^
Press ß and 6 at the same time,
^
hold them in and, whilst doing so,
switch the machine on with the I-0
switch.
The current programme status P.... will
appear in the display.
The indicator light p / 6 will come on.
Press 0 once.
^
E01 will appear in the display.
^ Turn the programme selector one
switch position clockwise (1 o'clock
position).
The number 19 will appear in the
display (the factory water hardness
default setting in °dH, equivalent to
3.4 mmol/l).
^ Press ß as many times as
necessary, or hold it in until the
required value (degree of hardness
in °dH) appears in the display.
See table on the next page for water
hardness settings in °dH, mmol/l and °f.
Once the number 60 has been
reached, the counter will begin again at
0.
^
Press 6.
°dH / mmol/l
SP will appear in the display.
^
Press 6 again.
The setting will now be stored in
memory. The display will clear.
Only use special coarse grained
reactivation salt with granules of
approx.1-4mm.Donotuseother
types of salt such as cooking salt,
agricultural grade or gritting salt. These
may contain insoluble additives which
can impair the functioning of the water
softener. If in doubt consult the Miele
Professional Department.
The salt reservoir holds approx. 2.5
kg of salt.
Inadvertently filling the salt
,
reservoir with cleaning agent will
damage the water softener.
Before filling the salt reservoir make
sure that you have picked up the
right packet of reactivation salt.
Remove the bottom basket from the
^
machine.
Unscrew the salt reservoir cap.
^
Before filling the salt reservoir with
reactivation salt for the first time, you
must fill it with approx. 2.5 litres of
water to enable the salt to dissolve.
Once the washer-disinfector has
been used, there is always sufficient
water in the reservoir.
^
Place the funnel provided in position.
^
Fill carefully with salt.
As it is poured in, displaced water will
run out.
17
Water softener
^ Remove the funnel and wipe any
residual salt off the seal and the
screw threads on the socket.
^ Screw the cap back on firmly.
^ Run the PRE-RINSE D programme to
remove any traces of salt from the
cabinet.
The programme sequence may be
delayed for a few minutes after the
start of the PRE-RINSE D
programme. This is not a fault. The
water softener is being reactivated.
Add salt indicator
Reactivation takes place automatically
during a programme.
The programme sequence indicator
light a k lights up whilst this is
happening.
^ Add salt when the Add salt b k
indicator lights up.
18
Areas of application
This washer-disinfector normally
requires an upper and a lower basket.
Various inserts and special baskets are
also available for a wide variety of
instruments and utensils.
Select baskets and inserts which are
appropriate for the application.
Notes on the individual areas of
application and examples of loading
are given on the following pages.
Before starting a programme you
should carry out a visual check on
the following:
– Is everything correctly
loaded/connected for cleaning?
– Are the lumen or necks of hollow
instruments positioned so that water
can access them unhindered?
– Are the spray arms clean and do
they rotate freely?
At the end of each programme:
Carry out a visual check of the load
–
for cleanliness.
Check that all hollow shafted
–
instruments are still securely located
on their jets.
Any hollow instruments that have
,
become disconnected from their
adapters during processing must be
re-processed.
Check that the lumen of hollow
–
instruments are free of obstruction.
– Check that jets and connectors are
securely held in position in the
baskets or inserts.
Protein test
Cleaning results should be subjected to
periodic protein tests, e.g. with the
Miele test kit.
–
Are the filters clean? Remove any
coarse soiling and clean them
properly if necessary.
–
Is the adapter connecting the water
supply to the spray arms/jets
correctly connected?
–
Are all chemical containers filled
sufficiently?
19
Areas of application
Loading the machine
Arrange the load so that water can
–
access all surfaces. This ensures
that they get properly cleaned.
Do not place items to be cleaned
–
inside other pieces where they may
be concealed.
Hollow instruments must be
–
throughly cleaned, internally and
externally.
Ensure that instruments with long
–
narrow hollow sections can be
flushed through properly before
placing them in inserts or connecting
them to jets.
– Hollow vessels should be inverted
and placed in the correct baskets
and inserts to ensure that water can
flow in and out of them unrestricted.
– Deep-sided items should be placed
at an angle to make sure water runs
off them freely.
–
Tall, narrow, hollow items should be
placed in the centre of the baskets to
ensure better water coverage.
–
Lightweight items should be secured
with a cover net (e.g. an A 6) and
small items placed in a mesh tray to
prevent them blocking the spray
arms.
It is advisable to use instruments
–
made of surgical steel only, as these
are not susceptible to corrosion.
Nickel plated instruments and
–
coloured anodised aluminium
instruments are not suitable for
machine processing.
Plastic items must be thermally
–
stable.
Disposable instruments must not be
–
processed in the machine.
Preparing the load
^ Empty all containers before loading
into the machine (paying particular
attention to regulations regarding
infectious diseases and epidemics).
,
Ensure that acids and residual
solvents, especially hydrochloric
acid or chlorides, do not get into the
wash cabinet.
Loading instruments
Contaminated instruments can be
placed directly in the machine without
pre-treatment (no soaking required).
–
Mobile units or baskets with an
adapter must engage correctly.
–
The spray arms must not be blocked
by items which are too tall or which
hang down in their path.
20
Areas of application
Water connection spring
adapter
Make sure that the spring adapter for
water connection engages correctly
when a basket or injector unit is
inserted in the machine. It must be 4-5
mm higher than the water connection
inlet in the machine.
If it is not, adjust the adapter
accordingly.
Height adjustable top basket
The top basket can be adjusted above
and below the middle position by 2 cm.
Different height items can be
processed in this machine depending
on the position the top basket is set at
and the inserts used.
To adjust the top basket:
Pull out the top basket until a
^
resistance is felt; lift from the runners
and remove.
Unscrew the roller bearings on both
^
sides of the basket with a 7mm
spanner and reposition as required.
^
Loosen lock ring a.
^
Push up adaptor b.
^
Tighten lock ring c.
21
Areas of application
Upper basket/injector unit O 177/1
Left hand side of basket: holder and 28
jets in silicone holders for the direct
injection of hollow instruments. This
ensures adequate cleaning and
disinfection both internally and
externally.
Right hand side of basket: free e.g. for
E 337 insert for upright instruments.
,
To minimise the risk of injury
from instruments that are sharp at
each end, and when arranging
instruments that have a probe
pointing upwards, instruments
should be loaded starting at the
back and working forwards, and
unloaded starting at the front and
working backwards.
Upper basket/injector unit O 177/1
With E 413 insert for 6 thermally stable
suction tubes (e.g. Sirona System).
,
Hollow instruments and tubes
must be dried internally with filtered
compressed air.
This also ensures there are no
blockages.
22
Dental
A special holder AUF 1 (optional extra)
is required for processing hand pieces
and contra angles in top basket
O 177/1.
Separate operating instructions are
supplied with the holder.
Fibre optic hand pieces and contra
angles should be monitored frequently.
Those with fibre optic rods are more
durable than those with fibre optic
strands.
Areas of application
Care should be taken immediately after
treating a patient that as little dental
cement or amalgam, polishing paste
etc. remains on the instruments as
possible. If necessary wipe off excess
with a swab.
Manual cleaning can be carried out if
required after thermal disinfection in
accordance with national health and
safety regulations.
Rhodium plated specula must be
arranged in such a way that they
cannot suffer mechanical damage.
Not all specula with glass are
suitable for machine processing.
Lower basket /carrier U 874/2
for inserts, e.g. E 130 and E 379.
Lower basket /carrier U 874/2
for inserts, e.g. E 131/1 for 5 mesh
trays with support E 146 or 5 mesh
trays with support E 363 for double
ended instruments.
23
Areas of application
E 147/1
for 10 - 12 mouth rinse beakers.
It is preferable for mouth rinse
beakers to be washed in the top
basket. Greater fluctuations in
temperatures and mechanical action
in the bottom basket area can cause
stress cracks and corrosion.
24
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