Cleaning, Disinfection, And Sterilization Protocols


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CLEANING, DISINFECTION, AND STERILIZATION PROTOCOLS
Respiratory Interventions & Patient Monitoring Solutions
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NOTES: ▪ Always follow your institution’s infection control guidelines. Do not attempt to sterilize
or reuse single-patient use items. ▪ Medtronic recognizes that cleaning, sterilization, sanitation, and disinfection
practices vary widely among healthcare institutions. It is not possible to specify or require specific practices that will meet all needs or to be responsible for the effectiveness of cleaning, disinfection, and other practices carried out in patient care settings. We recommend that users of these products requiring cleaning and disinfection consider standards published by the Association for the Advancement of Medical Instruments (AAMI) as well as the Centers for Disease Prevention and Control (CDC).
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TABLE OF CONTENTS NELLCOR™ PULSE OXIMETRY ..................................................................................... 4
NELLCOR™ PORTABLE SPO2 PATIENT MONITORING SYSTEM (PM10N) ....................................... 4 NELLCOR™ BEDSIDE SPO2 PATIENT MONITORING SYSTEM (PM100N) ........................................ 4 NELLCOR™ BEDSIDE RESPIRATORY PATIENT MONITORING SYSTEM (PM1000N) ........................ 5 NELLCOR™ PULSE OXIMETRY DS-100A SENSOR WITH OXIMAX™ TECHNOLOGY ....................... 5 NELLCOR™ FLEXIBLE SPO2 SENSOR ............................................................................................ 7
MICROSTREAM™ CAPNOGRAPHY ............................................................................... 8
CAPNOSTREAM™ 35 PORTABLE RESPIRATORY MONITOR ........................................................... 8 CAPNOSTREAM™ 20p PORTABLE BEDSIDE MONITOR ................................................................. 8
VIDEO LARYNGOSCOPY .............................................................................................. 9
MCGRATH™ MAC VIDEO LARYNGOSCOPY .................................................................................. 9
MECHANICAL VENTILATION ..................................................................................... 12
PURITAN BENNETT™ 980 SERIES VENTILATOR .......................................................................... 12 PURITAN BENNETT™ 840 SERIES VENTILATOR .......................................................................... 15
REUSABLE VENTILATOR FILTERS .............................................................................. 18
PURITAN BENNETT™ RE/X700 EXPIRATORY FILTER................................................................... 18 PURITAN BENNETT™ RE/X800 EXPIRATORY BACTERIAL FILTER................................................ 19 RE/FLEX™ REUSABLE INSPIRATORY FILTER............................................................................... 19
BRAIN MONITORING .................................................................................................. 20
BIS™ BRAIN MONITORING SYSTEM ............................................................................................ 20
CEREBRAL/SOMATIC OXIMETRY............................................................................... 21
INVOS™ 5100C CEREBRAL/SOMATIC OXIMETER ....................................................................... 21 INVOS™ 7100 SYSTEM................................................................................................................ 22
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NELLCOR™ PULSE OXIMETRY
NELLCOR™ PORTABLE SPO2 PATIENT MONITORING SYSTEM (PM10N)
Cleaning
The monitoring system may be surface-cleaned by using a soft cloth dampened with either a commercial, nonabrasive cleaner or one of the solutions listed below. Lightly wipe all surfaces of the monitoring system. ▪ Quaternary ammonium compounds ▪ Quaternary ammonium compounds in combination with polyhexanide ▪ Alcohols, such as 70% isopropyl ▪ Glucoprotamin ▪ 10% chlorine bleach solution ▪ PDI™* Sani-System™* sanitizer
WARNING: Remove batteries from the monitoring system before cleaning.
NELLCOR™ BEDSIDE SPO2 PATIENT MONITORING SYSTEM (PM100N)
Cleaning
For surface cleaning of the monitoring system, follow institutional procedures or the recommended actions below. Surface cleaning – Periodically surface clean the monitoring system by using a soft cloth dampened with a commercial, nonabrasive cleaner. Lightly wipe the top, bottom and front surfaces of the monitoring system lightly. Avoid spilling liquid on the monitoring system, especially in connector areas, but if a spill occurs, clean and thoroughly dry the monitoring system before reuse. If in doubt about monitoring system safety, refer the monitoring system to a qualified service technician for examination.
WARNINGS: ▪ Do not spray, pour, or spill any liquid on the monitoring system, its accessories, connectors,
switches, or openings in the chassis. ▪ Remove batteries from the monitoring system before cleaning.
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NELLCOR™ BEDSIDE RESPIRATORY PATIENT MONITORING SYSTEM (PM1000N)
Cleaning
For surface cleaning and disinfection of the monitoring system, follow institutional procedures or the recommended actions below. ▪ Surface cleaning – Use a soft cloth dampened with either a commercial, nonabrasive cleaner or a
solution of 70% alcohol in water, lightly wiping the surfaces of the monitoring system. ▪ Disinfection – Use a soft cloth saturated with a solution of 10% chlorine bleach in tap water, lightly
wiping the surface of the monitoring system
WARNING: Do not spray, pour, or spill any liquid on the monitoring system, its accessories, connectors, switches, or openings in the chassis.
NELLCOR™ PULSE OXIMETRY DS-100A SENSOR WITH OXIMAX™ TECHNOLOGY
Cleaning
You can surface clean the Nellcor™ pulse oximetry DS-1OOA sensor by wiping it with a solution such as 70% isopropyl alcohol. If low-level disinfection is required, use a 1:10 bleach solution. Do not use undiluted bleach (5% to 5.25% sodium hypochlorite) or any cleaning solution other than those recommended here because permanent damage to the sensor could occur.
CAUTION: Do not expose the connector pins to cleaning solution as this may damage the sensor.
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1. Saturate a clean, dry gauze pad with the cleaning solution. Wipe all surfaces of the sensor and cable with this gauze pad.
2. Saturate another clean, dry gauze pad with sterile or distilled water. Wipe all surfaces of the sensor and cable with this gauze pad.
3. Dry the sensor and cable by wiping all surfaces with a clean dry gauze pad.
CAUTION: Do not sterilize with irradiation, steam, or ethylene oxide. Such sterilization could damage the sensor.
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NELLCOR™ FLEXIBLE SPO2 SENSOR
Cleaning
It is necessary to clean and disinfect the sensor before attaching it to a new patient. Routine cleaning or low-level disinfection is recommended when using the sensor on the same patient.
To clean the sensor: 1. Disconnect the sensor from the monitor before cleaning or disinfecting. 2. Rinse the sensor and cable with distilled water for at least two minutes. 3. Wipe the cable with a cotton pad soaked in 70% Isopropyl alcohol. 4. Immerse the sensor housing in 70% Isopropyl alcohol for 5 minutes. 1. Allow ten minutes for the sensor, cable, and connector to dry after rinsing.
To disinfect (low-level): 1. Disconnect the sensor from the monitor before cleaning or disinfecting. 2. Rinse the sensor and cable with distilled water for at least two minutes. 3. Prepare 1:10 bleach dilution in distilled water. Wipe the cable with a cotton pad soaked with the
solution of diluted bleach. 4. Immerse the sensor housing in the solution of diluted bleach for five minutes. 5. Rinse the sensor and cable by immersing them in distilled water for five minutes. 6. Allow ten minutes for the sensor, cable, and connector to dry after rinsing.
To disinfect (high-level): 1. Rinse sensor to remove surface dirt – the sensor housing may be fully immersed in liquid. 2. Clean the sensor and patient contact surfaces. Prolystica1 is recommended as a cleaning agent.
Follow the manufacturer’s instructions for use. Immerse the sensor housing in the solution and wipe the inner and outer surfaces with a soft brush or cloth to remove any visible soil. Rinse sensor with water following cleaning and wipe dry prior to disinfection. 3. CIDEX OPA2 is recommended for high-level disinfection. Follow the manufacturer’s instructions for use. Immerse the sensor housing in the solution for 12 minutes and remove. 4. Thoroughly rinse the sensor with water following disinfection (5 minutes minimum distilled water rinse/soak). 5. Manually dry the sensor and verify the sensor, cable, and connector are dry prior to use.
CAUTION: Do not immerse the connector at the sensor cable in liquid.
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MICROSTREAM™ CAPNOGRAPHY CAPNOSTREAM™ 35 PORTABLE RESPIRATORY MONITOR
Cleaning
Germicidal disposable cloth wipes, or wipes moistened with Isopropyl alcohol or 96% Ethanol may be used to clean the monitor. Cleaning with a wipe moistened with these solutions should be followed by wiping the monitor with distilled water. Caustic or abrasive cleaners should not be used to clean the monitor.
WARNING: The device is not sterile. Do not autoclave or sterilize this device. CAUTIONS: ▪ Do not spray or pour any liquid directly on the monitor, accessories, or consumables. ▪ Do no use caustic or abrasive cleaners, or harsh solvents, including petroleum-based or acetone
solutions, to clean the device. ▪ Microstream™ etCO2 consumables are designed for single patient use and are not to be
reprocessed. Do not attempt to clean, disinfect, or blow out the Filterline as the monitor can be damaged.
CAPNOSTREAM™ 20p PORTABLE BEDSIDE MONITOR
Cleaning
To clean the monitor’s surfaces, lightly dampen a cloth with a 70% alcohol solution and wipe all surfaces. Alcohol wipes may also be used. Frequency of the cleaning procedure should be in keeping with hospital policy. To clean the screen, use a damp lint-free cloth.
WARNING: Do not autoclave or sterilize this device.
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CAUTIONS: ▪ Do not spray or pour any liquid directly on the monitor, accessories, or consumables. ▪ Do not use caustic or abrasive cleaners, or harsh solvents, including petroleum-based or acetone
solutions, to clean the device. ▪ If a 1:10 bleach dilution (0.5% to 1% Sodium Hypochlorite solution) in the form of wipes is used to
disinfect external surfaces of the monitor, exposure of the connectors and the display to the bleach solution should be avoided. Repeated cleaning with bleach over time may cause discoloration and residue on the surfaces. ▪ Microstream™ etC02 consumables are designed for single patient use and are not to be reprocessed. Do not attempt to clean, disinfect or blow out the Filterline as the monitor can be damaged.
VIDEO LARYNGOSCOPY
MCGRATH™ MAC VIDEO LARYNGOSCOPY†

Cleaning and Low Level Disinfection
The device and battery should be cleaned and low level disinfected separately after each patient use. Cleaning and low level disinfection should be carried out as per instructions below in accordance with local regulations. Follow hospital policy and protocol when handling and cleaning soiled items.

The following methods have been approved:

Product
McGRATH™ Disposable Laryngoscope Blade
McGRATH™ MAC with McGRATH™ 3.6V Battery removed

Cleaning
Supplied sterile. Do not preprocess.
70% IPA Wipe

McGRATH™ 3.6V Battery

70% IPA Wipe

Low Level Disinfection
Supplied sterile. Do not reprocess. 70% IPA
70% IPA

WARNINGS: ▪ Ensure the device is completely dry before using. ▪ Do not autoclave the device. ▪ Do not reprocess this device in an ultrasonic cleaner.
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Dispose of 70% IPA wipes in accordance with local regulations and hospital policy. When cleaning and low level disinfecting the McGRATH® MAC with the battery unit removed, low level disinfection claims will only apply to exposed surfaces of the McGRATH™ MAC and McGRATH™ 3.6V Battery.
Device Cleaning
Clean with a 70% IPA wipe with the McGRATH™ 3.6V Battery removed. The following process steps should be followed to clean the device: Using a 70% IPA wipe, clean the device systematically working from Steps 1 through 7 (from top to bottom of the device). Ensure that the 70% IPA wipe comes in contact with all surfaces of the device even if no visible soiling is present. Ensure a minimum contact time of 1 minute on all surfaces when using 70% IPA wipes. 1. Monitor: Ensure the 70% IPA wipe gets into the various grooves around the screen. 2. Monitor hinge: Rotate the monitor to the upright position. Feed the 70% IPA wipe into the space
between the monitor and handle to ensure effective penetration. Rotate the monitor to its opposite position and repeat. 3. Battery bay: Ensure all surfaces of the battery bay (with battery removed) are thoroughly treated with the 70% IPA wipe. Ensure that the join between the battery module and the handle is thoroughly treated with the 70% IPA wipe. 4. Handle: Ensure all surfaces of the handle are thoroughly treated with the 70% IPA wipe. 5. Clip and heel area: Take particular care in ensuring that the small metal clip feature is clean, in particular the internal corner between the clip and the surrounding plastic body. 6. CameraStick™: Ensure all surfaces of the camera stick are thoroughly treated with the 70% IPA wipe. 7. Camera lens: Clean the camera lens with the 70% IPA wipe, ensure that the interface between the metal CameraStick™ and camera lens is clean.
Subsequent cleaning should be repeated where visible soiling is still present using a new 70% IPA wipe.
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Cleaning, Disinfection, And Sterilization Protocols