Changing program parameters .......................................49
Changing wash and rinse parameters ...............................49
Changing the drying parameters ...................................49
Changing the temperature ........................................50
Changing the temperature holding time..............................50
Restoring to factory default settings ...................................51
Setting the time and date............................................52
Process documentation
Cleaning and care
Cleaning the filters in the wash cabinet.................................56
Cleaning the spray arms ............................................58
Baskets and inserts ................................................60
Drying unit (TA) - Maintenance .......................................61
Cleaning the drain pump and non-return valve...........................62
Cleaning the water intake filters.......................................63
Frequently asked questions
After sales service
Caring for the environment
Installation
Electrical connection
Plumbing
Technical data
4
IMPORTANT SAFETY INSTRUCTIONS
This washer-disinfector complies
with all applicable safety
regulations. However, improper use
may cause material damage and/or
personal injury.
Read the operating instructions
carefully before using this
appliance. This will help keep you
safe and avoid damage to the
appliance.
Keep these instructions in a safe,
accessible location.
Intended use
This washer-disinfector is not
~
intended for any purpose that is not
specified in the operating instructions.
Conversions, modifications, and other
unintended uses are considered to be
dangerous. The cleaning and
disinfection processes described
herein apply only to those medical
products that are specifically designed
by the manufacturer to be re-used and
thermally disinfected. Always follow the
instrument manufacturer’s instructions.
This washer-disinfector is intended
~
for stationary indoor use only.
Please pay attention to the following
to maintain safe procedures.
Installation and repair work should
~
only be performed by a Miele
authorized service technician. Work by
unqualified persons could be
dangerous and may void the warranty.
The installation and the work flow of
~
the instruments must be in such a way,
that a recontamination of disinfected
instruments and a mixed up of clean
and dirty instruments is not possible.
AMMI ST79 shows an example of
proper layout and work-flow.
Do NOT install the appliance in an
~
area where there is a risk of explosion
or freezing.
The electrical safety of this
~
appliance is only ensured if it is
connected to a properly grounded
electrical system. It is very important to
verify this fundamental safety feature. If
in doubt have the wiring checked by an
electrician.
A damaged or leaking
~
washer-disinfector may be dangerous
and pose a safety hazard. If you
suspect a leak, shut down the
washer-disinfector and immediately
contact Miele.
As standard, the washer-disinfectors
~
drain water will reach temperatures
greater than 160°F. These temperature
can damage the drain system. In order
to reduce the drainage temperature
Miele offers an optional drain
temperature reduction Kit.
5
IMPORTANT SAFETY INSTRUCTIONS
Operators must be trained on a
~
regular basis. Untrained personnel
should not be allowed access to the
appliance or its controls.
Please do not use the
~
washer-disinfector, before it has been
set up by a Miele Service Technician.
The Technician will perform the initial
set-up and verification of the machine.
Always exercise caution when
~
handling cleaning agents. Some are
corrosive and irritants. Wear safety
glasses and gloves! Always follow the
manufacturer’s safety
recommendations when using cleaning
agents.
The washer-disinfector is designed
~
to operate with water and the
recommended cleaning agents only!
The appliance MUST NOT be used with
organic solvents or flammable liquids.
These may cause an explosion or
damage rubber and plastic
components, which in turn could cause
leaks.
Avoid inhaling powdered products.
~
Never swallow cleaning agents as this
can result in chemical burns to the
mouth and throat, or suffocation.
The water in the wash cabinet is
~
NOT safe to drink!
When operating the
~
washer-disinfector, beware of the high
temperatures involved. Bypassing the
electronic door lock to open the door
carries the risk of burns or scalding.
Allow mobile units, baskets, inserts,
~
and loads to cool before removing
them. Empty any water from hollow
items into the wash cabinet before
removing.
Do not touch the heating elements.
~
They may still be hot enough to cause
burns several minutes after the
program has ended.
NEVER hose down the
~
washer-disinfector or the immediate
vicinity with a water hose, steam
cleaner, or power washer.
Before servicing the
~
washer-disinfector, disconnect it from
the power supply.
To assist in maintaining quality
standards when processing medical
devices (such as surgical
instruments), to protect patients, and
to avoid damage to property, the
following items should be observed!
Only authorized persons should
~
interrupt a program, and only in
exceptional cases.
Do not lean or sit on the open door.
~
This could damage the
washer-disinfector or cause it to tip
over.
Take care when loading items with
~
sharp, pointed ends. Position them in
the wash cabinet so that they do not
pose a risk of injury.
6
It is the responsibility of the operator
~
to check that the required cleaning and
disinfection standards are met. Process
results need to be regularly checked
and documented through inspection.
IMPORTANT SAFETY INSTRUCTIONS
Under certain circumstances, some
~
cleaning agents can cause damage to
the appliance. Consult the cleaning agent
manufacturer for recommendations. For
concerns involving possible damage to
the appliance or materials, please
contact Miele.
Pre-treating (e.g. with cleaners or
~
disinfectants) as well as some types of
soiling and the interaction of cleaning
agents can cause foaming. Foam can
have an adverse effect on cleaning and
disinfection.
Some disinfectant can denaturate
~
proteins which has an adverse effect on
cleaning. Please only use non foaming
and non denaturation cleaners or
disinfectants for manual prewash.
To prevent damage to the
~
washer-disinfector and accessories
from the effects of cleaning agents only
use chemical agents which have been
approved by their manufacturer for use
in the application you are using. Miele
can recommend suitable products.
Even when a cleaning agent is
~
recommended, the appliance
manufacturer takes no responsibility for
the effect of such chemicals on the
items being washed.
Note that formulation changes, storage
conditions, etc. that are not disclosed
by the manufacturer may adversely
affect the cleaning results.
Always follow the manufacturer’s
~
instructions when using cleaning
agents. To avoid possible chemical
reactions, only use cleaning agents for
the applications and purposes intended
by their manufacturer.
For critical applications where very
~
high processing quality requirements
must be met, it is strongly
recommended that all process-related
factors (cleaning agents, water quality,
etc.) be discussed in advance with
Miele.
Use mobile units, baskets and
~
inserts only as instructed by the
manufacturer.
Hollow items must be positioned so
they receive full exposure to wash
water.
Empty all containers and hollow
~
items before loading them in the
washer.
Ensure that no acid or solvent
~
residues, especially hydrochloric acid
or chloride solutions, get inside the
wash cabinet. Any items that can rust
should also be avoided.
Any solvents used should not be
present in more than trace amounts.
To avoid corrosion, ensure that the
~
stainless steel exterior does not come
into contact with solvents containing
hydrochloric acid / vapors.
Whenever work is conducted on the
~
water supply, the supply lines to the
washer must be bled.
Failure to do so can result in damage to
the appliance.
Follow the instructions in this manual
~
and in the Installation manual.
7
IMPORTANT SAFETY INSTRUCTIONS
Accessories
Whatever the application, only Miele
~
accessories should be connected to, or
used in, this machine. Consult Miele on
the type and application of such
equipment.
Use only Miele mobile units, baskets
~
and inserts. If Miele accessories are
altered in any way, or equipment from
another manufacturer is used, cleaning
and disinfection results cannot be
ensured. Damage caused in these
cases may be excluded from the
warranty.
Only use Miele approved cleaning
~
agents. Use of other cleaning agents
may void the warranty and may result is
poor cleaning results.
Please consult Miele Applications
(medical@mieleusa.com) for any
questions regarding detergents and
effects on the items being cleaned.
Symbols on the appliance
Warning:
Observe the operating
instructions!
Warning:
Risk of electric shock!
Disposing your old appliance
Please note that the appliance may
~
be contaminated by blood or other
bodily fluids and must be
decontaminated before disposal.
For safety and environmental
protection, be sure to remove all
chemical residue, in compliance with
safety regulations (wear protective
eyewear and gloves!).
Remove or destroy the door latch, to
prevent children from locking
themselves inside. The appliance can
now be sent for disposal through the
proper resource recovery facilities.
SAVE THESE
INSTRUCTIONS
8
Intended use
This washer-disinfector can be used to
clean, rinse, intermediate-level
thermally disinfect, and dry a wide
range of reusable medical devices in
hospitals, surgery centers, and clinics.
Always follow the surgical instrument
manufacturer’s instructions for
machine-based cleaning. This
washer-disinfector provides an
automated process for the initial steps
of cleaning and intermediate-level
disinfection of re-useable surgical
instruments prior to sterilization
G 7899 is designed for applications
such as:
General Surgical Instruments
^ Reusable, hard-surfaced surgical
instruments such as scissors,
forceps, etc.
^ Stainless steel lumened instruments.
These can be processed but must be
connected to Miele injection ports
according to loading instructions
provided with the specific Miele
accessory.
Minimally Invasive Surgical (MIS)
Instruments
. The
Microsurgical Instruments
Such as instruments used in eye
^
surgery
When processing instruments in the
Miele washer-disinfector you must:
Follow the instrument manufacturer’s
^
instructions for cleaning and
disinfection. Instruments must be
disassembled according to the
manufacturer’s instructions
Follow Miele instructions for proper
^
loading (included with specific
accessories and in the “applications”
section of this manual). Proper
instrument loading and connection of
lumened instruments to injection
ports is required
^ This washer-disinfector is intended to
provide the initial step in
reprocessing of soiled, re-usable
medical devices. Any devices that
contact blood or compromised
tissues must be sterilized prior to
re-use following industry best
practices such as AAMI ST79.
^
Rigid endoscopes
^
Note: The G 7899 is NOT intended
for reprocessing of flexible
endoscopes of any kind.
Containers and utensils
^
Such as kidney dishes, sterilization
containers, trays, etc.
9
Intended use
Processing instruments by machine
achieves reproducible results with less
opportunity for human error when
compared with to manual cleaning.
Thermal disinfection can be carried out
using the Vario TD program which
meets the parameters to achieve
intermediate-level disinfection.
The cleaning program as well as
chemical agents must be chosen
according to the type of soil and load
being processed.
Medical devices are best processed
using the Vario TD program. The final
result will be instruments that are clean,
free of residue, and ready for
subsequent sterilization. Only then can
the instruments be safely used.
The use of a suitable load carrier
(basket, module, insert, etc.) is
important to ensure the adequate
cleaning of the load. Examples are
given in the “Applications” section.
The washer-disinfector can be
programmed to perform the final rinse
with tap water, or with purified water of
a quality to suit the application
(de-ionized, de-mineralized, reverse
osmosis (RO), distilled). We
recommend the use of purified water.
All instruments and accessories
cleaned in the washer-disinfector
(with the exception of non-critical
items) must be sterilized before use.
10
Guide to the machine
a “On/Off” button
b “Door” button
c Display
d “Display” indicator
e “Drying” indicator
f “Start” indicator
g “Start” 6 button
h “Drying” 0 button
i “Display” ß button
to toggle between the:
- actual Temperature in °C
- elapsed time
- active wash blocks
j “8 Dosing Pump” indicator and
optical interface for
service technician.
Also used as an
“add liquid cleaning agent”
indicator when connected
toaK60DOSmodule for
liquid cleaning agent
k Refill “Rinse Aid” indicator
l Refill “Neutralizer” indicator
m “Recharge Softener” indicator
n “Fill/Drain” indicator
o Program sequence display
p Program selector
11
Guide to the machine
a Connection for the optional K 60
DOS module for liquid cleaning
agents
b Service panel
c Combination filter
d Salt reservoir
e Dispenser for powder cleaning agent
12
f Rinse aid reservoir (with dosage
selector)
g Rinse aid level indicator
At the rear of the machine:
–
RS 232 Interface connection
(used for optional process
documentation via a printer or
software)
–
Suction tube for external neutralizing
agent container
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 electrical supply to the machine
^
is on and
the “On/Off” button is pressed.
^
To open the “Door”
Press the door release switch in as
^
far as it will go, and at the same time
grip the handle and and pull the door
open.
Do not touch the heating
,
elements, you could burn yourself.
They remain hot for some time after
the end of the program.
The door cannot be opened after a
wash program has been started, and it
will remain locked until the end of the
program. It is possible however to open
the door during the “Rinse” and “Drain”
programs.
The machine can also be programmed
(by a Miele service technician) to open
during “Drying”.
To close the door
Lift the door and push it until it clicks
shut. Do not press the door release
button while shutting the door.
To open the door using the
emergency release
The emergency release should only
be used when the door cannot be
opened normally, such as in the
event of a power failure.
If the door is opened using the
emergency release cord, there is a
danger or burning or scalding!
Turn the program selector to f.
^
Turn the machine off with the
^
“On/Off” button.
^
The emergency release cord is
located at the bottom of the machine
behind the service panel. Pull it
downwards to open the door.
13
Water softener
Before using the washer-disinfector for
the first time, the water softener should
be programmed. The water should be
softened to avoid calcium deposits on
instruments and in the washer
chamber.
If the water supply is harder or softer
than the default factory setting of
19 gr/gal (340 ppm CaCO
), the setting
3
should be changed. See “Setting the
water softener”.
In order to function properly, the
–
water softener requires a supply of
reactivation salt.
– The washer must be programmed to
match the hardness of the water
supply.
– Your local water authority can
provide information about the
hardness of the tap water in your
area.
If the water hardness is known to
fluctuate, always program the softener
for the highest value.
Setting the water softener
Close the door.
^
Use the On/Off button to turn off the
^
machine.
Turn the program selector to f.
^
Simultaneously press and hold the
^
“Display” ß and “Start” 6 buttons,
while pressing the On/Off button.
The current program version P....
will appear in the display, and the
“Fill/Drain” indicator will light.
Press the “Drying” 0 button once.
^
E01 will appear in the display.
^ Turn the program selector switch to
the one o’clock position.
The number 19 will appear in the
display (this indicates the factory
setting in gr/gal).
Please refer to the “Water softener Settings” table on the following page to
determine the setting you will need.
The built-in water softener can be
programmed between1-60gr/gal
(20 - 1080 ppm).
Please note the water hardness in the
space provided here:
gr/gal or ppm CaCO
This may be needed for any
troubleshooting should problems occur
in the future.
14
^
Press and hold the “Display” ß
button until the required value
appears in the display.
(Once the 60 setting has been
reached, the counter will begin again at
0.)
^
Press “Start” 6.
SP will appear in the display.
3
^
Press “Start” 6 again.
The setting you selected is now stored
in memory. The display light(s) will turn
off.
Only use reactivation salt with granules
of approx.1-4mm.Donotuseother
types of salt such as cooking salt,
agricultural grade or road salt. These
may contain insoluble additives which
can impair the functioning of the water
softener. If in doubt please contact
Miele.
Reactivation salt can be ordered
directly from Miele.
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 there is no fluid
covering the salt reservoir cap.
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
will have to fill the reservoir with
approx. 2/3 gal (2.5 liters) of clean
water to enable the salt to dissolve.
Once the machine has been used,
this will no longer be necessary.
16
^
Place the provided funnel in position.
^
Fill carefully with salt.
As it is poured in, displaced water will
run out.
Remove the funnel and wipe any
^
residual salt off the seal and the
screw threads.
^ Screw the cap back on firmly.
^ Run the “Rinse” program to remove
any traces of salt from the cabinet.
The program sequence may be
delayed for a few minutes after the
start of the “Rinse” program. This is
normal as the water softener is
being reactivated.
Water softener
Add salt indicator
Reactivation will take place
automatically when needed prior to the
start of your selected program. The
“Recharging” indicator lamp a will be
lit during this process.
^ Add salt when the “Recharge
Softener” indicator b lights up.
17
Applications
This washer-disinfector normally
requires a top and bottom basket.
Various inserts and special baskets are
available for a wide variety of
instruments and utensils.
Select baskets and inserts which are
appropriate for the application.
Applications and loading examples are
given on the following pages.
Before starting a program, visually
check the following:
– Is everything correctly
loaded/connected?
– Are the lumen or necks of hollow
instruments positioned so that water
can access them unhindered?
– Are the spray arms clean and do
they freely rotate?
– Are the filters clean? Remove any
coarse soils and clean them if
necessary.
–
Is the adapter connecting the water
supply to the spray arms/jets
connected correctly?
–
Are all chemical containers
sufficiently filled?
At the end of each program:
Visually check the load for
–
cleanliness.
Check that all hollow shafted
–
instruments are still securely
positioned on their jets.
Any hollow instruments that have
,
become disconnected from their
adapters during processing must be
processed again.
Check that the lumen of hollow
–
instruments are free of obstruction.
– Check that jets and connectors are
securely in position in the baskets or
inserts.
Verification testing
For verification of the cleaning process,
periodic testing as outlined in current
best practices documents such as
AAMI ST79 is highly recommended.
While Miele washers automatically
monitor critical parameters such as
time, temperature and dispensing,
periodic verification to ensure proper
soil removal should be part of your
quality and safety program.
Miele also offers process
documentation to support your periodic
verification.
18
Loading the machine
For proper cleaning, arrange the
–
load so that water can access all
surfaces.
Do not place items 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.
Applications
Only process instruments made of
–
surgical steel, as these are less
susceptible to corrosion.
Nickel plated instruments, colored
–
anodized aluminum instruments, or
disposable instruments are not
suitable for machine reprocessing.
Preparing the load
Empty all containers before loading
^
them into the machine.
Ensure that acids and residual
,
solvents, especially those containing
hydrochloric acid or chlorides, do
not get into the wash cabinet.
– Hollow vessels should be inverted
and placed in the correct baskets or
inserts to ensure that water can flow
into and out of them unrestricted.
– Large or concave items should be
placed at an angle to make sure
water runs off them freely.
–
Tall, narrow, hollow items should be
placed in the center 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 from bouncing around
or blocking the spray arms.
–
The spring adapter of the mobile
units or baskets must be correctly
engaged.
–
The spray arms must not be blocked
by items which are too tall or which
hang down in their path.
Loading instruments
Contaminated instruments can be
placed directly in the machine without
pre-treatment (no soaking required).
Always refer to the surgical instrument
manufacturer’s instructions for
cleaning.
,
Chemically pre-treated
instruments must be thoroughly
rinsed before placing them in the
machine.
19
Applications
Water connector spring
adapter
Make sure that the spring adapter to
the water connector 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 as follows.
^ Loosen the lock ring a.
Height adjustable top basket
The top basket can be adjusted above
and below its middle position by 2 cm.
Items of different heights can be
cleaned in this machine by changing
the position of the upper basket.
To adjust the top basket:
Pull out the basket until a resistance
^
is felt; lift it from the runners and
remove.
Loosen the roller bearings on both
^
sides of the basket witha7mm
wrench and reposition it to the height
desired.
^ Re-tighten the roller bearings.
^
Push the adaptor b up.
^
Tighten the lock ring c.
20
Surgical instruments
Surgical instruments should be stored
for as short a time as possible before
cleaning them.
Disinfection of surgical and minimally
invasive instruments is performed
thermally, after they have been
cleaned. Deionized water should be
used for the final rinse to help prevent
spotting and corrosion.
More information regarding the water
quality you can find in the AAMI
publication TIR34:2007
Open up any hinged instruments and
place them in mesh trays so that they
are not touching each other.
Instruments with very narrow lumen
must be manually pre-rinsed where
necessary. Follow the
manufacturer’s instructions on how
to process them.
Applications
21
Applications
ENT
E 373 Insert
E 417 Insert
For ear funnels and ear and nasal
specula. This insert can be placed in
the top or bottom basket.
^ Open the specula before loading so
the water can access all surfaces.
For ENT instruments, such as ear
funnels. The insert can be placed in the
top basket.
The thin chrome plating on ear
funnels can be very sensitive to
neutralizing agents. Make sure your
neutralizer is compatible with your
funnels before washing.
Please note:
The Miele washer-disinfector is
intended for cleaning and
intermediate-level disinfection only.
This cleaning and disinfection
process is intended as a preliminary
step prior to sterilization.
Semi-critical instruments such as
those used for this type of
application should be sterilized
before use.
22
Applications
GYN
E 416 Insert
Insert for gynecology specula.
^ Load as shown in the illustration.
One part specula:
Place opened one part specula
^
between the holders.
Two part specula:
Place the lower parts in the narrow
^
section of the insert (on the left in the
illustration).
Place the upper parts in the wide
^
sections of the insert (on the right in
the illustration).
Specula should always be arranged
so that they do not come into
contact or cover each other.
Please note:
The Miele washer-disinfector is
intended for cleaning and
intermediate-level disinfection only.
This cleaning and disinfection
process is intended as a preliminary
step. Semi-critical instruments such
as those used for this type of
application should be sterilized
before use.
23
Applications
O 177/1 Top injector basket
The left side of the O 177/1, has a
retaining grid with 28 jets in silicone
receptacles for hollow-bodied
instruments. The jets spray the wash
water directly into the instrument so that
the recesses can be thoroughly
flushed, cleaned, and disinfected.
To avoid injury from instruments
,
that are pointed at both ends or
standing instruments with
upward-facing probes, the washer
should be loaded from back to front,
and unloaded from front to back.
The O 177/1 Top basket and E 337/1
insert come with their own
instructions for use.
Depending on the items to be cleaned,
special nozzles, bushings or adapters
are required. Further information can be
obtained from the Miele Professional
Sales Department.
The right side of the O 177/1 is left free
to hold various inserts, such as the
E 337/1 (shown) for standing
instruments.
24
Rigid Endoscopy
O 176/1 Top Injector Basket
Please note that the washer
disinfector is designed for RIGID
Endoscope cleaning and
disinfection only. The endoscopes
must first be disassembled for the
best cleaning results. Always
consult the manufacturer’s
instuctions before processing any
instrument in the washer-disinfector.
To ensure that water can flow in and out
of the hollow parts of instruments,
remove any caps and/or seals. Open
valves and arrange according to the
manufacturer’s instructions.
The left hand side of the basket is left
free for inserts, such as the E 379.
Applications
To minimize the risk of injury
,
from instruments that have a probe
at the end, the washer should be
loaded from back to front and
unloaded from front to back.
This basket should be loaded only with
slightly contaminated items.
25
Applications
Ophthalmology
The “C - Ophtha” program is
especially designed for ophthalmic
applications. This program has an
additional rinse which uses
deionized water.
This program is locked at the factory.
To unlock this program please contact
Miele Technical Service.
To prevent cross contamination
,
of lumen or hollow items, the
treatment of ophthalmic instruments
should only be performed in a
washer-disinfector designed for this
application. Also, do not use plastic
fiber cover nets (Miele nets A2 or
A3) at any time in a washer
disinfector that is also used for
ophthalmic instrument processing.
,
Do not use Rinse Aid or any
other rinsing agents when
processing ophthalmic items.
The E 429 mobile injector can be used
to clean and disinfect surgical,
ophthalmic instruments used in the OR.
The top of the injector unit has
connections for hollow instruments
such as rinsing or suction hand pieces
and cannulae, as well as silicone
holders that are used to secure the
instruments to their hose connections.
The lower level of the E 429 mobile
injector can accommodate E 441/1
inserts or E 142 mesh trays that can be
used for holding solid bodied
instruments.
The E 429 mobile injector unit for
surgical ophthalmic instruments
comes with its own operating
instructions.
,
Use of the E 429 requires a
modification to the water intake path
inside the wash chamber. This
means that the E 429 cannot be
used interchangeably with other
mobile units or baskets.
26
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