BESTPRACTICE - Isopharm · BESTPRACTICE INSIDETHISISSUE Since ... The periodic testing required by...

© Isopharm Sentry Limited 2013

Isopharm Sentry Limited

ISSUE 13

Tel: +44 (0) 800 840 0105

Guiding you to compliance www.HTM01-05.com

BESTPRACTICE

INSIDETHISISSUE

Since the introduction of HTM 01-05 more and more dental practices are ceasing to use ultrasonic baths, some because practices have moved onto fully automated washer disinfectors, but others because they have been advised that they require expensive validation and testing requirements.

There are many benefi ts to using an ultrasonic bath as part of the decontamination process: Although manual cleaning is an accepted method of cleaning instruments as part of HTM 01-05 essential quality requirements, this method cannot be validated.

Historically the majority of ultrasonic baths in dental practices are relatively small pieces of kit, usually consisting of a small bath, basket, lid and either a manual time clock or digital display. Misinterpretation of HTM 01-05 has led some people to believe that these baths do not meet HTM 01-05 regulations and should therefore be decommissioned leaving practices no choice but to revert back to the un-validated method of manual cleaning.

Where the confusion lies

Many practices, as said, have put their ultrasonic cleaners in the back of the cupboard because they believe them to be non-compliant, reasons given are:

• It doesn’t have a lockable lid

• It doesn’t have a printer or data logger

• It doesn’t have a built in temperature sensor

Many Ultrasonic baths cannot meet these specifi cations; however it is possible to still use the bath within your practice by creating standard operating procedures (SOP) that all staff members follow.

This can be a document, one of which all staff members have signed to say they understand the SOP and it should be on display within the decontamination area.

This document would explain:

• Correct detergent and what the dosage is; how to make up the detergent. If you require a measuring jug for example

• Purchase a thermometer: Document the need for the continuous monitoring of the ultrasonic bath throughout cycles; ensuring that it doesn’t ever exceed 45°C

Ensure that it is documented that staff do not remove the lid of the ultrasonic bath part way through a cycle.

Testing and Validation

The periodic testing required by HTM 01-05 are all tests which can be performed by a suitably competent member of staff. Information for these tests can be found on the ISL website www.HTM01-05.com

Isopharm are of the opinion that if you have a ‘standard’ ultrasonic bath within your practice then you do not require an engineer to visit quarterly or annually to validate this type of ultrasonic as there are no tests that can be performed by an engineer that cannot be performed by a competent person within the practice.

HTM01-05 Instrument Inspection process

TST Strip in every cycle?

Paper, paper everywhere

Ultrasonic Baths:Time to get them back out of the cupboard...

Have you removed your ultrasonic bath because you believe it not to be compliant? Read on to fi nd out why this may be incorrect.

Continued Inside…

© Isopharm Sentry Limited 2013 Guiding you to compliance www.HTM01-05.com

Ultrasonic Baths Time to get them back out of the cupboard Continued…

If you have a fully ‘compliant’ ultrasonic bath such as the Ultrawave Hygea 2 or Walker Electronics Q105 then it would be advisable to have the engineer validate this as these are far more intricate machines.

It is extremely important to ensure that when you are purchasing a new ultrasonic bath, you are sold/purchase a bath that is fit for purpose.

Ensure that you know the manufacturers recommended testing routine and again that it is fit for purpose

For example there are ultrasonic baths which have built in heaters which automatically take the temperature above 45°C which is not acceptable for compliance with HTM 01-05.

For further information visit our website www.HTM01-05.com

HTM01-05 Foil Testing is an easy method for both the User and Validation Engineer to access the level of ultrasonic activity taking place.

ULTRAWAVE HYGEA2

HTM01-05 VALIDATION BUNDLE FOR THE HYGEAPN: UCVALKIT001

HTM01-05 VALIDATION BUNDLE FOR THE Q105PN: UCVALKIT001

WALKER Q105

Tank Size: 285 x 205 x 160mm

Memory card port for digital cycle traceability

Integral printer provides hard copy validation

Electro-magnetic locking lid prevents cycle interruption

Thermostatic over-temperature cut off prevents the risk of protein coagulation

Includes:• FREE ISL Log Book• 25 Cleantrace Pens• Load Check Starter Pack• Foil Test Kit

Includes:• FREE ISL Log Book• 25 Cleantrace Pens• Load Check Starter Pack• Foil Test Kit

Tank Size: 240 x 130 x 100mm

Stainless steel construction

No/Low fluid sensing

Adjustable temperature setting to prevent coagulation of Proteins

Interlocking lid

Automatic degas cycle after cleaning fluid has been changed

Code Description Price

HYGEA2 Ultrasonic Cleaner £2195 +vat


ULTRAQ105 Ultrasonic Cleaner £845 +vat

Why not fit a

When buying a Q105SECURILOG

For Only £150.00 +vat

Only £145.00 +vat

Only £145.00 +vat


HTM01-05 Foil Testing is an easy method for both the User and Validation Engineer to access the level of ultrasonic activity taking place.

Essential Quality requirements

2.4 h) Cleaning and inspection are key parts of satisfactory dental instrument reprocessing. Instruments may be cleaned using an ultrasonic bath, but this should be covered during use to restrict the release of aerosols. Manual cleaning may also be used. Practices should plan for the introduction of washer-disinfectors.

Inspection processes should ensure that the standards of cleaning achieved are visually satisfactory – that is that instruments are free from particulate contamination, salt deposits or marked discoloration. The use of a simple magnifying device with task lighting will improve the value of this part of the process

The inspection should identify:

• Instruments that are blunt, bent or damaged or show any signs of pitting or other corrosion should be discarded or, if appropriate, sent for repair.

• There is free movement of all parts and that joints do not stick.

• The edges of clamping instruments meet with no overlap and that teeth mesh together.

• Scissor edges meet to the tip and move freely across each other with no overlap or rough edges.

• All screws on jointed instruments are tight and have not become loose during use.

• Instruments should be inspected for any visible soiling such as blood or dental materials, especially joints, hinges or the serrated surfaces of jaws, which are diffi cult to clean.

• If there is any residual contamination, the instrument should be rejected and should undergo another cycle of the cleaning process.

At Isopharm Sentry, when we visit dental practices to carry out our CPD onsite training, what we tend to fi nd is that whilst practices have an inspection magnifi cation lamp the majority of practice staff do not use this device and go straight from the cleaning process to the steriliser, omitting the inspection stage. The biggest reason for this being that staff members feel they do not have adequate time to carry out this part of the decontamination process.

However as stated, this part of the decontamination process is critical to ensure adequate sterilisation of instruments.

See more information at www.HTM01-05.com

Visit Isopharm Sentry at the Dentistry Show1st & 2nd March 2013 at the NEC in Birmingham

As part of HTM 01-05 essential quality requirements, HTM01-05 specifi es that each instrument must be visually inspected after cleaning; it further recommends the use of an illuminated magnifi er to improve the ease and effi ciency of the inspection.

Visit us at Stand K25 for

ISOPHARM SENTRY

VERIFIABLE CPD

K25

FREEWe are running training seminars throughout

each day on our stand, covering a range of

Infection Control and Decontamination subjects.Visit us to collect your training itinerary.

Certificatesare providedon the day!

Don’t forget to collect the days training itinerary early or you might miss out!

Guiding you to compliance www.HTM01-05.com

HTM01-05 Instrument Inspection Process


TST Strips, or Emulating Indicators to give them their offi cial title, are a great method of simple cycle validation, being used in the majority of dental practices for many years. Place one on a tray, run a cycle and the colour change tells you a pass or a fail, there is nothing easier.

With HTM01-05 comes the need to store a vast amount of data for every machine used in the decontamination process. Cycle receipts, test records, manual records, it is endless. If the practice makes use of TST strips to verify the performance of the cycle then these also need to be kept.

It is worth noting that there is absolutely nothing in HTM01-05 to say that TST strips or Emulating Indicators need to be used at all. However, they do provide a highly recognisable, not to mention economical, method of cycle validation so their use is generally smiled upon by those auditing a decontamination process.

If the practice decides to make TST Strips part of the validation process, how often should they be used?

Putting a TST Strip in every cycle of the day obviously provides a good level of basic performance validation, but will signifi cantly add to the already mounting stack of hard evidence.

What to look at is what HTM01-05 actually requires. With regards to monitoring each and every cycle HTM01-05 states that if the machine has either a printer or a data logger then these records should be kept.

HTM 01-05 States:4.16 If the sterilizer has an automatic printer, the printout should be retained or copied to a permanent record.

What to look at is what HTM01-05 actually requires. With regards to monitoring each and every cycle HTM01-05 states that if the machine has either a printer or a data logger then these records should be kept.

Therefore, if the machine has either a printer or a data logger attached then it is our opinion that a single Class 6 TST Strip should be used in the fi rst cycle of the day only. This will provide a single TST Strip as evidence to accompany the printout/data stating that steam was present in the chamber (something that printers and data loggers do not tell you), that the cycle was at least 134°C and that this was for over 3 minutes.

If the machine does not have a printer or data logger attached it is our opinion that this is the time to use a Class 6 TST Strip in every cycle as no other validation is taking place on a cycle to cycle basis.

Make sure that only Class 6 TST Strips are used. Class 6 TST (Time/Steam/Temperature) provides the best level of cycle verifi cation compared to other classes of test strip. Class 4 for example will only indicate the presence of steam in the chamber and not the temperature or that the cycle was for over 3 minutes.

Do You Need a TST Strip in Every Sterilisation Cycle?

Since the introduction of HTM 01-05, many dental practices have been given the impression that the use of alcohol-based wipes is prohibited: this is not the case.

HTM 01-05 States:6.57 ‘….Care should be taken in the use of alcohol wipes, which though effective against viruses on clean surfaces- may fi x protein and biofi lm….’

‘NOTE’ Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided.

Providing that a dental practice has a risk assessment and procedure on the use of alcohol based products and their use does not confl ict with the above exert from HTM 01-05 then alcohol wipes can have a place within the dental practice.

Alcohol based wipes are available from the online store at www.HTM01-05.com

ISL HTM01-05 MythbustingCan You Use Alcohol Based Wipes In a Dental Practice?

MythbustingMythbusting


QUESTIONS&ANSWERSISL HTM01-05

Yes alcohol can still be used to disinfect and clean surgeries. It is a common misconception that alcohol wipes are not allowed, However what HTM 01-05 does say is that ‘Care should be taken in the use of alcohol wipes. Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided.’

Basically this means that if there is a large amount of blood present on instruments or on any stainless steel then alcohol should not be used.

Alcohol wipes are quite often preferred to non-alcohol wipes as they have a faster drying time and tend not to smear. Providing you follow the correct application then there is no reason that you cannot use them.

In usual circumstances Masks are effective for only around 20 minutes so therefore the correct process would be to change your mask every 20 minutes.

Now this obviously poses an issue if you are treating a patient for longer than that time period so our opinion is that you should change your mask every 20-30 minutes where possible (in between patients) and when you are treating patients for longer than that ensure you change the mask after the treatment has finished.

TST strips need to be kept for 2 years, or the lifetime of the machine, whichever comes first. HTM 0105 states: 3.19 It is recommended that records be maintained for not less than two years.

HTM 01-05 asks that when you BUY a new ultrasonic that it has a locking lid, however historically ultrasonic baths did not have locking lids. Therefore a practice policy stating that all members of staff understand that the ultrasonic lid must NOT be removed during a cycle, and they must NOT put their hands in the bath when it is mid-cycle should be created.

The reason for this is so that all instruments are ensured a full cycle and that instruments cannot be added half way through and not benefit from the whole ultrasonic cleaning process.

So in short, if you write the policy and explain it to all of your nurses then you can continue to use the baths that you have in the practice without worrying.

Protein residue tests must be performed weekly and it is an essential quality requirement. Protein residue tests should not be confused with the manufacturers soil test.

It is also important to know that the protein residue test is a way of validating the cleaning process prior to sterilisation, therefore we would recommend that protein residue tests are carried out where manual cleaning is the only method of pre cleaning prior to sterilisation.

Can alcohol still be used to disinfect in surgery?

Could you advise me if it is best practice in accordance to the HTM01-05 that face masks are to be disposed of after each patient?

How long should you keep TST strips for?

Do ultrasonic baths have to have a lid that cannot be opened? We have three ultrasonic baths but all 3 of them can be opened during a cycle, can you advise me on this please?

How often do protein tests need to be carried out on ultrasonic cleaners and washer disinfectors?


Lint free cloths: When are they required?Are you using lint free cloths in your practice? Do you know when you should use them and why you are using them?

Isopharm have pulled together the relevant excerpts from HTM01-05 to assist you in answering those questions.

All extracts are taken directly from the Department of Health document HTM 01-05: Decontamination in primary care dental practices.

Section 2 Advice to dentists and practice staff

Chapter 2, Essential quality requirements and best practice

Essential Quality Requirements

2.4 (m) Develop a quality system approach so that the storage of wrapped instruments does not exceed 21 days for instruments sterilized in a non-vacuum (type N) sterilizer or 30 days if sterilized in a vacuum (type B or S) sterilizer (see paragraph 4.31):

(i) Where non-vacuum sterilizers (type N – see paragraph 4.5) are used, post-sterilization drying using disposable non-linting cloths should be supplemented by the packaging of instruments – this will improve resistance to contamination and re-colonisation in storage.

(ii) For vacuum sterilizers (type B or S – see paragraph 4.24), pre-wrapping will extend storage life to 30 days.

(iii) Subject to local policy choice, these measures will help to ensure stock rotation and will tend to limit recontamination of stored instruments. Simple but clear record keeping will be required to make these measures effective.

Chapter 3, Cleaning instruments

Ultrasonic cleaning procedure

3.32 Instruments should be sterilized as soon as possible after cleaning to avoid air-drying (which can result in corrosion and/or microbial growth). For instruments processed in a vacuum sterilizer, before being wrapped, instruments should be dried using a disposable non-linting cloth.

Chapter 4, Sterilization:

Daily testing and housekeeping tasks

4.22 Before carrying out the daily tests, the user should:

• Clean the rubber door seal with a clean, damp, non-linting cloth;

• Check the chamber and shelves for cleanliness and debris;

• Fill the reservoir with freshly distilled or RO water;

• Turn the power source on.

Packaging and related decontamination strategy

4.24 There are three combinations of steam-sterilization and instrument-wrapping strategies that can be used within dental practices:

With a type B vacuum steam sterilizer, instruments will be pre-wrapped using purpose- designed materials that are compatible with the sterilizer.

With a type S sterilizer, instruments may be placed in purpose-designed cassettes. In both cases, instruments should be dry before they are placed in the purpose-designed packaging. Wrapping should take place with a dry product shortly after washing and disinfection. Once the wrapped instruments have been sterilized satisfactorily, the product may be stored for up to 30 days (see paragraph 1.24). Note: instruments need to be dry before they are packaged.

With a displacement steam sterilizer (type N), the instruments will not be wrapped prior to sterilization. Immediately after removal from the sterilizer, instruments may be wrapped using suitable sealed view-packs. Instruments should be dry before being packed.

In addition, the entire tray may be placed within a sealed pack for storage purposes. In both of these instances, storage for up to 21 days is recommended.


Do you find that your decontamination room has sheets of paper everywhere?

One for recording the temperature of the autoclave, one to tell you that you have changed the water in the reservoir, and then there are all those test strips, curled up at the edge, stapled to yet another sheet of paper.

Why not consider getting a dedicated logbook for each piece of equipment that you use in your practice to keep all that important evidence in one place.

Evidence is a key part of what CQC inspectors are looking for to gauge a practice’s compliance.

What better way to prove that you run a tight ship and are in control of all your evidence than to be able to hand them a book where all staff roles and responsibilities are clearly defined, each machine’s varying test requirements are set out, every tick box required is listed, and of course is all complete with the evidence to back it up in the same book.

HTM 01-05 requires that:

11.4 All pieces of decontamination equipment will need a protocol for validation at installation.

11.9 These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Manufacturers should be consulted on the contents of the logbook.

Products from a type N sterilizer may also be transferred for use within the current session. In this instance, while covering the instruments is essential to protect against dust and aerosols, wrapping is not required.

However, the instruments are not regarded as “stored” and should therefore be used or streamed for a further decontamination process within one session. Instruments should be dry before being transferred for clinical use.

4.25 In all three cases, the instruments should be dried using disposable non-linting cloths and be appropriately handled. It is essential to ensure that the cloth is adequately dry and free from contamination. Accordingly, the cloth should be disposed of after each sterilizer load.

Section 3, Engineering, technology and standards

Chapter 10, Procurement of decontamination equipment and instruments.

Policy on new reusable instruments.

10.29 If recommendations include wiping with a detergent solution, then a clean non-linting cloth plus the recommended detergent solution (to wipe the instrument) should be used.

This should be followed by wiping with a clean damp non-linting cloth to remove residues. The instrument should be dried thoroughly using a clean non-linting cloth.

In summary:

• New reusable instruments requiring cleaning with detergent should be done so using a clean non-linting cloth

• Instruments regardless of how they are sterilised should be dried prior to pouching or be dried prior to clinical use if being used within the same session.

For more information visit

www.HTM01-05.com

Paper papereverywhere!

Cycle receipts mount up and there is no easy way of archiving all that hard copy data.

Continued…


Isopharm Sentry has created a set of logbooks which complement the requirements of HTM01-05 extremely well.

All logbooks have one years’ worth of recording data and are broken down into weekly, quarterly and annual requirements. They are designed to fi t in with any test schedule set out by machine manufacturers or HTM 01-05.

Logbooks are available for:

• Ultrasonic baths,• Washer disinfector• Benchtop Steriliser (both vacuum and Non vacuum)

A logbook is also available to allow dental practices, as much as possible, to provide evidence for the manual cleaning process if this is used as the sole method of cleaning prior to sterilisation.

Isopharm has also extended the range of logbooks past the machines to allow dental practices to comply with more aspects of HTM 01-05

ISL Environmental cleaning and Maintenance Logbook provides compliance with:

Section 2 Advise to dentists and practice staffChapter 6 General hygiene principalsCleaning protocols and techniques

6.54 The dental practice should have a local protocol clearly outlining surface- and room-cleaning schedules.

The cleaning process will be most effective if the more contaminated areas are cleaned fi rst. Materials and equipment used to clean clinical areas and other higher-risk areas should be stored separately from those used for general and non- clinical areas.

Simple records should be maintained in accordance with the HCAI Code of Practice.

ISL Surgery ChecklistProvides compliance with

Section 2 Advise to dentists and practice staffChapter 6 General hygiene principalsDecontamination of treatment areas

6.61 The patient treatment area should be cleaned after every session using disposable cloths or clean microfi bre materials – even if the area appears uncontaminated.

6.62 Areas and items of equipment local to the dental chair that need to be cleaned between each patient include:

• local work surfaces; • dental chairs; • curing lamps; • inspection lights and handles; • hand controls including replacement of covers; • trolleys/delivery units; • spittoons; • aspirators; • X-ray units.

6.63 Areas and items of equipment that need to be cleaned after each session include:

• Taps• Drainage points• Splashbacks• Sinks

In addition, cupboard doors, other exposed surfaces (such as dental inspection light fi ttings) and fl oor surfaces, including those distant from the dental chair, should be cleaned daily.

ISL Impression Disinfection Logbook Allows you to evidence that lab work has been disinfected prior to placement in a patients mouth.

Section 2 Advise to dentists and practice staffChapter 7, Impressions, prostheses and orthodontic appliances

7.1 b. All devices should receive disinfection according to the manufacturer’s instructions. This will involve the use of specifi c cleaning materials noted in the CE-marking instructions. After disinfection, the device should again be thoroughly washed. This process should occur before and after any device is placed in a patient’s mouth.

The use of a Datalogger such as Securilog will help to curb the endless fl ow of cycle receipts keeping all process data on your computer.

For more details on Securilog and machine compatibility visit www.HTM01-05.com


HTM01-05 Ultrasonic Cleaner Log BookDecontamination Validation - Simply complete and comply.Provides 12 months of validation record keeping for a single Ultrasonic Cleaner.


Isopharm Sentry Limited, Decontamination Support Centre, Taylors Court, Rotherham, S62 6NU, United Kingdom

Tel: +44 (0) 800 840 0105 | Email: [email protected]

Serial Number

Log Book Start Date

Log Book End Date

HTM01-05 Log Book

Please place this log book where all relevant personnel have access

Ultrasonic Cleaner

Edition3rd

Using the information from your online schedule report, tick below to indicate the frequency of each test:

Daily Weekly Quarterly Annually

Protein Residue Test

Manufacturer Soil Test

Ultrasonic Activity Test

HTM01-05 Washer Disinfector Log BookDecontamination Validation -Simply complete and comply.Provides 12 months of validation record keeping for a single Washer Disinfector.

HTM01-05 Impression Disinfectant Log BookDesigned to allow you to record the disinfection of all lab work before sending to the lab and after receiving the work prior to placement in the mouth.

HTM01-05 Decontamination Flow Chart Laminated PosterThe instrument decontamination process from start to fi nish. Laminated A2 poster.

HTM01-05 Surgery Check List Log BookProvides log sheets and evidence records for key tasks at the start of the day, during the session and at the end of the day.

HTM01-05 Environmental Cleaning Log BookFor impressions, prostheses and appliances, inbound and outbound.

HTM01-05 Benchtop Steriliser Log BookDecontamination Validation - Simply complete and comply.Provides 12 months of validation record keeping for a single Benchtop Steriliser (all cycle types).

HTM01-05 Manual Cleaning Log BookFor HTM01-05 record keeping of an instrument manual cleaning process. Provides a consistent and compliant method of gathering evidence for audit. Provides enough records to log and validate over 1,400 individual cleaning sessions.


LOGUC001 Ultrasonic Cleaner Log Book £30.00 +vat


LOGBS001 Benchtop Steriliser Log Book £30.00 +vat


LOGSU001 Surgery Check List Log Book £30.00 +vat


LOGIM001 Impression Disinfectant Log Book £30.00 +vat


LOGMC001 Manual Cleaning Log Book £30.00 +vat


LOGEN001 Environmental Cleaning Log Book £30.00 +vat


POSTDECONA2 Decontamination Flow Chart £10.95 +vat


LOGWD001 Washer Disinfector Log Book £30.00 +vat

Price




Serial Number

Log Book Start Date

Log Book End Date

Using the information from your online schedule report, tick below to indicate the frequency of each test:

Daily Weekly Quarterly Annually

Protein Residue Test

Manufacturer Soil Test

HTM01-05 Log Book


Washer Disinfector

Edition3rd

HTM01-05 Benchtop Steriliser

Price




Serial Number

Log Book Start Date

Log Book End Date

HTM01-05 Log Book

Type N, Type B & Type S

A type ‘N’ steriliser is also known as a downwards

displacement steriliser. Steam enters the chamber, pushing

the air out prior to sterilisation. This type of

machine is not capable of removing air from difficult

loads so should only be used for unwrapped solid

instruments.

A type ‘B’ steriliser is able toprocess more difficult loads such as wrapped items and holloware. It is able to do

this as the machine removes air from the chamber by creating a vacuum before

applying steam to the load.

A type ‘S’ steriliser can onlysterilise loads that the

manufacturer states themachine can process. Themachine manual should

indicate what can and cannotbe processed, or the

manufacturer themselves willhave this information. If youare unable to clarify this thenyou must treat the machine

as a type ‘N’ steriliser.

TYPE ‘N’ TYPE ‘B’ TYPE ‘S’


Benchtop Steriliser

Edition3rd

Price

Price

Price


ISL Type B Helix & 250 Test Strips

For daily HTM01-05 steam penetration testing of your B Type vacuum steriliser.

Please note that not all vacuum machines can process a B TypeHelix device, contact ISL for more information.

Browne Type B Helix & 250 Test StripsFor daily HTM01-05 steam penetration testing of your B Type vacuum steriliser.

Please note that not all vacuum machines can process a B Type Helix device, contact ISL for more information.

TST Test Strips & LabelsClass 6 TST Indicators for easy routine monitoring of sterilization cycles. Provides colour change pass or fail evidence that can be stored in the machine log book.

Self-Seal Sterilisation PouchesTriple sealed pouches with a clear fi lm. Provides an indicator to show that sterilisation has taken place.

Valisafe Bowie Dick Test PacksFor HTM01-05 Daily Steam Penetration Testing. Pack of 20 tests

SteriPak Bowie Dick Test PacksFor HTM01-05 Daily Steam Penetration Testing. Pack of 20 tests

EschmannType S Helix & 250 Test StripsFor daily HTM01-05 steam penetration testing of your Eschmann Little Sister 5 and Quickvac vacuum steriliser.

Statim Type S HelixFor daily HTM01-05 steam penetration testing of your Statim vacuum steriliser.


HELTB001 ISL Type B Helix & 250 Test Strips £95.00 +vat


HELTS003 Eschmann Type S Helix & 250 Test Strips £275.00 +vat


BOWIE005 Valisafe Bowie Dick Test Packs £58.00 +vat


STRIP001 100 Class 6 TST Test Strip £11.80 +vat

STRIP002 100 Class 6 TST Test Strip (Self Adhesive) £14.60 +vat

LABEL001 200 Class 6 Duplex Traceability TST Labels (Square) £26.80 +vat


POUSS001 100mm x 57mm - Box of 200 £5.20 +vat




HELTS001 Statim Type S Helix (Device Only) £189.00 +vat

HELTS002 250 Statim Type S Helix Test Strips £95.00 +vat


BOWIE004 SteriPak Bowie Dick Test Packs £64.00 +vat


HELTB002 Browne Type B Helix & 250 Test Strips £100.00 +vat

ISL Type B Helix & 250 Test Strips


Please note that not all vacuum machines can process a B Type

Browne Type B Helix & 250


Description Price

EschmannType S Helix & 250

Description Price

For HTM01-05 Daily Steam Penetration Testing.

sterilisation has taken place.


HTM01-05 Disinfectable KeyboardA full size HTM01-05 compliant keyboard with UK Layout. Medical Grade, water-resistant and disinfectable with tactile feedback keys.

ISL Splatter Zone Silicone Cup CoverRevolutionary design to keep your drinks in surgery free from the splatter!

Gel TottleSingle Tottle with uniform clip.

HTM01-05 Disinfectable MouseHTM01-05 compliant mouse. Medical Grade, water-resistant and disinfectable. Available as standard or petit versions.

Sterilisable Mouse MatCan be cleaned, disinfected, or sterilized in autoclave.

HTM01-05 Disinfectable Low Profi le KeyboardA low profi le HTM01-05 compliant keyboard with UK Layout. Medical Grade, water-resistant and disinfectable with tactile feedback keys.

Universal Keyboard Cover


KEYBW003 Low Profi le Disinfectable Keyboard - White £151.00 +vat


MOUSW001 HTM01-05 Disinfectable Mouse - White £75.00 +vat

MOUSB001 HTM01-05 Disinfectable Mouse - Black £75.00 +vat

MOUSP001 HTM01-05 Disinfectable Mouse – Petit - White £75.00 +vat

MOUSP002 HTM01-05 Disinfectable Mouse – Petit - Black £75.00 +vat


KEYBCOV001 Universal Keyboard Cover - Single £10.00 +vat

KEYBCOV003 Universal Keyboard Cover – Pack of 10 £80.00 +vat


KEYBW002 Disinfectable Keyboard - White £151.00 +vat

KEYBB001 Disinfectable Keyboard - Black £151.00 +vat


KEYBW001 Washable Keyboard - White £75.00 +vat

KEYBB002 Washable Keyboard - Black £75.00 +vat


MOUSM001 Pack of 5 Sterilisable Mouse Mats £22.50 +vat


CUPCV001 Pack of 5 Splatter Zone Silicone Cup Covers £15.00 +vat


TOT001 50ml Tottle With Clip £2.99 +vat

HTM01-05 Disinfectable

water-resistant and

Price

Disinfectable Keyboard - White £151.00 +vat

£151.00 +vat

Washable keyboardFully submersible. Provides protection from dirt, germs and spills with sealed inner components and a rigid body featuring drainage holes.

High grade, moisture resistant silicone. This thin cover maintains a clear view of the keyboard without sacrifi cing normal typing use.


Alcohol Free Surface WipesWith Disinfectant & Detergent. Contact time of 30 Seconds.

All Isopharm Sentry Alcohol Free Disinfectant Products Are Tested Against: Hepatitus C Virus, MRSA, E-Coli, Pseudomonas Aeruginosa, Enterococcus Hirae, Mycobacterium Tuberculosis (TB), Closridium Diffi cile (C-Diff), Staphylococcus Aureus, HIV, Aspergillus Niger, Candida Albicans, Penicillium Chrysogenum, Cladosporium, Salmonella Typhimurium, Listeria.

AWT Automatic Water TreatmentInjects a precise amount of “water balance” formulation during each cycle to ensure that your water, regardless of hardness, is perfectly balanced to provide optimum cleaning and decontamination performance.

Bur Bath150ml size with access hole for burs, with removable inner basket and lid.

3EZYME Multi Enzymatic DetergentpH neutral detergent for processing instruments in washer disinfectors and ultrasonic cleaners. Non toxic and safe to use, the detergent searches for residues and begins digesting them upon contact. Can also be used in a manual hand cleaning process.

I-DIS Instrument DisinfectantAldedehyde-free disinfecting concentrate for instruments, burs and endodontic instruments. For all instruments and plastic items, 1 litre makes 100 litre os solution.

Alcohol Based Surface WipesProfessional surface disinfectant wipes formulated for hard surfaces, medical furniture, dental equipment etc. For use in general dental surgeries, hospitals, clinics, and all areas that may present a risk from cross infections.


3ZYME 4 Litre Container £64.95 +vat


BURBA001 150ml Bur Bath £5.95 +vat


AWT001 2 x 500ml Bottles £30.50 +vat

AWT002 6 x 500ml Bottles £78.95 +vat

AWT003 4 Litre Refi ll £70.50 +vat


WIPST001 Tub of 200 Wipes (200 x 200 mm) £3.50 +vat

WIPHS001 Tub of 100 Wipes (135 x 185 mm) £1.75 +vat


DISIN001 2 Litre Container £17.50 +vat

DISIN001 5 Litre Container £29.95 +vat


WIPAF001 Tub of 200 Wipes (200 x 200 mm) £4.50 +vat

WIPAF003 Tub of 100 Wipes (135 x 185 mm) £2.75 +vat



DIPWM001 Single Dipslide £2.95 +vat

DIPWM002 Pack of 10 Dipslides £29.50 +vat

Impression Only DisinfectantFast disinfectant for all kinds of impression material such as silicone, alginates and polyether.

Available as either a liquid or convenient sachet pack.

3 in 1 Disposable Syringe Tips• For use on American style syringes• Easy to use, no adaptor needed• Superior air/water spray• No sharp edges• Helps prevent cross contamination• Helps dentists comply with OSHA

guidelines• Eliminates water leaks

Alpron & Biofi lm Removal System Starter KitThe build-up of biofi lm with a dental unit water line is a natural phenomenon that results in bacterial contamination of the water expressed from the waterlines such that it is not of drinking quality standard.

This system has been designed to eliminate biofi lm and prevent its growth, ensuring drinking water quality.

R2A Agar Water Monitoring DipslidesAllows you to ensure your dental unit is continually producing the correct quality of water, used every three months. Shelf life approximately 3 months.

Soaking TrayRobust soaking tray. Ideal for impressions. Comes with insert for disinfection of crowns. L26cm W11cm D8cm.

Impression Labels


TRAIN002 Soaking Tray £25.95 +vat


LABELIM001 Pack of 100 Labels £15.00 +vat


RIMP005 Impression Disinfectant 5 Litre £64.49 +vat


TIPDS001 Pack of 250 Tips £19.95 +vat


ALPSK001 Alpron Starter Kit £110.00 +vat

Inbound & Outbound Impression DisinfectantFor impressions, prostheses and appliances, inbound and outbound.

Self-Adhesive Impression Disinfection Labels


DISIM001 Impression Disinfectant Powder (30 Sachets x 40g) £31.50 +vat

DISIM002 Impression Disinfectant Powder with scoop (700g Tub) £16.50 +vat

DISIM003 Impression Disinfectant Spray 500 ml £5.95 +vat

DISIM004 Impression Disinfectant 5 Litre Refi ll £39.50 +vat

impression material such as silicone,

Inbound & Outbound Impression

3 in 1 Disposable Syringe Tips


Plug-In Bur HoldersPlug-In offers protection and allows you to see and get to your burs very easily.

More colours and sizes available online.

Flexi-ClipsFlexi-Clips are instrument cassettes that are very open. They allow you to store and arrange your instruments for most procedures.

Flexi-Clip allows safe processing of instruments through the entire decontamination process.

More colours available online.

Perforated Aluminium TraysAluminium trays for use in sterilisers. Perforated to allow steam to pass through during sterilisation.

More colours available online.


BURHP123002 12 Burs up to 3cm long (Blue) £19.50 +vat

BURHP123005 12 Burs up to 3cm long (Yellow) £19.50 +vat


BURHP83003 8 Burs up to 3cm long (Red) £15.40 +vat


BURHP63004 6 Burs up to 3cm long (Green) £12.90 +vat


TRAYA0010 Silver: 280mm x 180mm £8.66 +vat

TRAYA18141 Silver: 180mm x 140mm £7.92 +vat

Dry Cleaning ClothsPack of 300 lint free dry cleaning cloths

Danicentre PPE DispenserWall mounted glove and apron dispenser. Three compartments for different sizes of gloves or a mix of gloves, overshoes, masks etc. Large oval apertures allow easy access to each compartment. The lower horizontal slot is designed to take rolls of aprons. H48cm L56cm D145cm.


LINTCL001 Pack of 300 £27.95 +vat


DANIC001 Danicentre PPE Dispenser £58.00 +vat


CLIPFL0050 Flexi-Clip 20: 260mm x 180mm x 27mm (Blue) £38.88 +vat






Manual Cleaning ThermometerDigital thermometer for monitoring the water temperature when manually cleaning instruments in compliance with HTM01-05.

CleantraceFor HTM01-05 Weekly Protein Residue Testing.

Test IncubatorUsed with Protein Detection Pens for HTM01-05 Weekly Protein Residue Testing.

PCD CEIFor use in the quarterly HTM01-05 cleaning effi cacy test, or as a manufacturer recommended weekly/monthly soil test on your ultrasonic cleaner or washer disinfector.

Browne Test SoilDehydrated test soil, add water, apply and leave to dry. For use in the quarterly HTM01-05 cleaning effi cacy test on your ultrasonic cleaner or washer disinfector.

Load CheckFor use in the quarterly HTM01-05 cleaning effi cacy test, or as a manufacturer recommended weekly/monthly soil test on your ultrasonic cleaner or washer disinfector.

Wash Check


LOADSK001 Starter Kit: Load Check Holder & 4 Load Checks £40.00 +vat

LOADC024 Pack of 24 Load Check £25.20 +vat

LOADC012 Pack of 12 Load Check £12.60 +vat

LOADH001 Load Check Holder £40.00 +vat


THEMC001 Manual Cleaning Thermometer £19.95 +vat


PCDSK002 Starter Kit: PCD Holder & 2 CEI £67.00 +vat

PCDCEI012 Pack of 12 CEI £65.00 +vat

PCDH001 PCD Holder £60.00 +vat


CLEAN025 Pack of 25 Cleantrace Test Pens £52.50 +vat

CLEAN050 Pack of 50 Cleantrace Test Pens £103.20 +vat

CLEAN100 Pack of 100 Cleantrace Test Pens £198 .00 +vat


LAMPB001 Inspection Lamp £35.00 +vat

BULBMERC001 Inspection lamp Replacement Bulb £8.20 +vat


SOILB001 Single Pot £20.00 +vat


INCUB002 Test Incubator £119.95 +vat

Inspection LampFor HTM01-05 Daily Cleaning Effi cacy Visual Checks. Provides a mains powered ‘daylight’ illuminated magnifying lens for visual inspection of processed instruments.

Inspection Lamp

Effi cacy Visual Checks. Provides

illuminated magnifying lens for


WASHSK001 Starter Kit: Wash Check Holder & 4 Wash Checks £46.00 +vat

WASHC024 Pack of 24 Wash Check £28.00 +vat

WASHC012 Pack of 12 Wash Check £16.00 +vat

WASHH001 Wash Check Holder £40.00 +vat

For use in the quarterly HTM01-05 cleaning effi cacy test, or as a manufacturer recommended weekly/monthly soil test on your ultrasonic cleaner or washer disinfector.

Used with Protein Detection Pens for HTM01-05 Weekly Protein Residue Testing.


Walker Electronics Q105 Ultrasonic Cleaner

Why not fi t a

When buying a Q105

• HTM01-05 Compliant Ultrasonic Cleaner• Tank Size: 240 x 130 x 100mm• Stainless steel construction• No/Low fl uid sensing• Adjustable temperature setting to prevent

coagulation of Proteins• Interlocking lid• Automatic degas cycle after cleaning fl uid

has been changed

Includes:An ISL Log Book25 Cleantrace Test PensThe Load Check Starter PackA Foil Test Kit

Aluminium Foil Test KitComplete kit for performing the HTM01-05 Ultrasonic Activity Test (Foil Test).

Aluminium Foil ReelAluminium Foil for use in the HTM01-05 Ultrasonic Activity Test (Foil Test). 50m by 20mm wide

Mesh Clip Bur Holder

NEW: Q105 Validation Bundle

WelzymeBox of 50 Welzyme Detergent Sachets for use with the Walker Electronic range of ultrasonic cleaners.


BURMC001 Mesh Clip Bur Holder £3.99 +vat


FOILK001 Test Kit £48.00 +vat


FOILR001 Aluminium Foil Reel 50m £19.95 +vat


WELZYME Box of 50 Detergent Sachets £46.95 +vat

SECURILOG

For Only £150.00 +vat

For Only£145.00 +vat


ULTRAQ105 Q105 Ultrasonic Cleaner £845.00 +vat

SECKIT003 Securilog Data Logger £150.00 +vat

UCVALKIT001 Q105 Validation Bundle £145.00 +vat

WELZYME Box of 50 Detergent Sachets £46.95 +vat

Popular device for keeping small burs and other small items together when ultrasonic cleaning. 40mm Diameter.

Aluminium Foil Reel

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