Instrument Reprocessing Sterilization Monitoring ... · INSTRUMENT CARE AND REPROCESSING Instrument...

Instrument Reprocessing

Sterilization Monitoring

Evacuation Cleaning

Waterline Treatment

Waterline Monitoring

Infection Control

Monitoring

INSTRUMENT CARE AND REPROCESSING

�� Instrument manufacturers recommend neutral pH products

�� Never soak instruments overnight or over the weekend

�� Never use a disinfectant/sterilant as a holding solution

�� Instruments must remain moist to avoid drying of bioburden

�� Rinse instruments to remove any bioburden or solution remaining on the instruments

�� Distilled or demineralized water is preferred as tap water may leave spots on the instruments

�� Rinse and dry instruments

�� If an instrument is not clean, it cannot be sterilized!�� Wear appropriate personal protective equipment�� Separate dissimilar metals�� Inspect for functionality�� Apply stain remover as needed�� Removes alginate as needed

4 RINSE3 CLEAN2 RINSE1PRE-TREAT

ULTRASONIC

INSTRUMENT WASHER

INSTRUMENT CARE AND REPROCESSING

�� Extends life of the instruments

�� Helps prevent spotting, staining, corrosion and binding hinges

�� Shake off excess before bagging/wrapping instruments

�� Separate dissimilar metals

�� Hinged Instruments MUST BE in open/unlocked position

�� External chemical indicator for critical and semi-critical instruments

�� Internal chemical indicator – Minimum of a class 4 for critical and semi-critical instruments

�� Class B sterilizers: Bowie Dick daily (follow provincial guidelines)

�� Biological indicators – test daily or weekly as per provincial guidelines/standards

�� Pre-treat

�� Rinse

�� Ultrasonic, Automatic Washer or Manual Cleaning

�� Soak in sterilizing solution for recommended time stated on product label, in a covered container

�� Test efficacy of solution on the basis of how often used as per label directions

7 HEATSENSITIVE8STERILIZE65 PACKAGELUBRICATE

Index

Pre-treatET.FoamGzyme3

Multi-purpose DisinfectantsG-NolSuper GermipheneSonibex

CleanReviveTrés CleanGleam IISuper SonicEnzo

LubricateSurgical MilkWash-Checks® UWash-Checks®

PackageChemdye Class 4Chemdye Bowie DickVapor LineProfessional’s Choice

SterilizeGermi-SafeB-SafeSteriSafe

Heat SensitiveGluterateGlute NeutSteri-SoakerCideTest 1 gtTM

EvacuationGobble PlusMicrobex MicrovacL.A. VAC

Waterline CareE2OE|LineE|One

Concentrated Solution These products are concentrated to provide economical infection control solutions. Concentrates save you money, office space, and space in our landfills.

Environmentally Friendly These products are made with natural ingredients for responsible infection control solutions.

Enzyme Boost Enzymes enhance detergent cleaning by breaking down large, hard to remove materials into smaller, easy to remove fragments – with the large stuff out of the way, the surfactants can do their job. Superior performance in the presence of high organic debris!

Partner Products These products go hand in hand. We recommend using them together for optimal results.

1.800.265.9931

10 000+ instruments available | made with the highest quality surgical steel | www.bmtsurgical.com

ASKUS!

0101

020202

0303030404

050505

06060607

070808

09090909

101010

111111

W

ARRANTY

G

U A R A N T E

E

5YEARSAuthorized

dealer for

Concentrate Partner ProductsEnviro Friendly Enzyme Boost 1.800.265.9931

Foaming nozzle reduces aerosols

Partner with Gleam ll once a week to renew your instrument’s shine

GZYME3 | Triple Enzymatic Ultrasonic Cleaner

�� Penetrates and removes organic matter from all surgical and dental instruments, as well as flexible and rigid scopes

�� Quickly loosens and dissolves proteinaceous deposits

�� Bacteriostatic to prevent additional microbial growth

�� Neutral pH formula is mild on instruments

�� Non-corrosive, low foaming, free-rinsing

�� Economical

C

ET.FOAM | Enzymatic Transportation Foam

�� Ready to use, instrument pre-cleaning solution

�� Breaks down bioburden to speed up cleaning process

�� Keeps soiled instruments moist

�� Ideal for use prior to instrument washers – rinse prior to placing in instrument washer

�� Neutral pH, non-corrosive formula will not harm most metals, plastics, rubber or corrugated tubing

�� Free-rinsing

01Pre-treat

1 L

Tangerine Peel1 L

PRE-TREAT

Use appropriate PPE

Handle contaminated instruments carefully to prevent exposure

Use appropriate leak proof containers for dirty instruments - see Steri-Soaker P.9

If cleaning is delayed, keep soiled instruments moist with a gel, spray or foam intended to break down soil - see ET.Foam (Above)

4 L

C 1 L Gzyme3 = 400 L solution

Visit us online to learn more about Germiphene, what’s new, our products & our special promotions. www.germiphene.com

SQUEEZE N’ MEASURE


C

C

C 1 L G-Nol = 128 L solution C 1 L G-Nol =

32 L solution

4 L Super Germiphene = 250 L solution

4 L Sonibex = 80 L solution

02 Multi-purpose Disinfectants

2 L

1 L

G-NOL | Disinfectant Solution

�� Use as a holding solution to disinfect instruments and devices

�� Bactericidal, Tuberculocidal, Fungicidal and Virucidal

�� Economical

�� Super concentrated solution

SUPER GERMIPHENE | Concentrated Disinfectant & Cleaner

�� For use on hard, non-porous surfaces such as metal, stainless steel, porcelain, plastic, floors & walls

�� For use as an instrument pre-soak

�� Excellent compatibility with all instruments

�� Ideal pumice disinfectant

�� Bactericidal, Fungicidal, Virucidal

�� Dual action deodorant, remarkable cleaning

�� Easy to use 2 L Tip N’ Measure bottle

SONIBEX | Ultrasonic Disinfecting Detergent

�� For use on dental instruments, roamers, diamonds, aspirator tips, glass slabs, impression trays, etc.

�� Tuberculocidal, Bactericidal, Virucidal, Fungicidal

�� Removes blood, organic debris, pumice, rouge and soils

�� Neutralizes odours

�� Cleans as well as disinfects instruments prior to sterilization

�� Can be used for manual cleaning

C

C

C

4 L454 mL

4 L

TIP N’ MEASURE BOTTLE

HOLDING SOLUTION DISINFECTION

Concentrate Enviro Friendly Enzyme Boost Partner Products

Partner with Gzyme3 C 2 L Gleam ll =

22 L solution

GLEAM II | Ultrasonic Cleaning Solution

�� Makes your instruments shine


�� Will not harm stainless steel instruments

�� Safe on hard plastics, glass and rubber


REVIVE | Rust & Stain Remover

�� Restores instruments like new

�� Enhances the life and efficiency of stainless steel instruments

�� Reduces instrument replacement costs

�� Naturally derived


TRÉS CLEAN | Tray & Instrument Cleaner

�� Ideal for impression trays, spatulas and other instruments

�� Can be used in ultrasonic machines

�� Safe for all plastics and non oxidizing metals

�� Non rusting

Our friendly customer care team is always ready to help you, or process your order. Call us today. 1.800.265.9931

Clean 03

2 L

Laundry Fresh

C

C

C

1 L

C

C

2 L ReViVe = 25 L solution**Based on regular use

1 L Trés Clean = 20 L solution

2 L 10 L




C 1 box = 252 cycles*1 box = 31 days (8 cycles/day)**Based on 15mL per cycle

C 1 box (48 pouches)= 192 L of solution

04 Clean

UNITDOSE

SUPER SONIC | Ultrasonic Solution

�� Convenient ready to use pouch requires no measuring

�� Formulated to lift and remove proteinaceous and other organic matter such as blood, mucous and tissue from dental instruments


�� Cleans rapidly in less than 1 minute

�� Non corrosive formula contains special rust inhibitors that will not harm stainless steel instruments

30 mL x 48 pouches/box

CLEANING CHECKLIST

Use appropriate PPE

Perform cleaning as soon as possible

Disassemble instruments as per manufacturer’s instructions for use for thorough cleaning

Inspect each instrument for function and cleanliness

ENZO | Instrument Washer Solution

�� Enzyme boost fights hard against organic debris for a clean superior than surfactants alone

�� Phosphate free formula allows you to clean responsibly

�� Neutral pH formula

�� Non corrosive, non foaming

�� Spot free results

3.78 L

C

C

30 mL

TIP: Use ET.Foam if manual cleaning cannot be done immediately. 1.800.265.9931

UNIT DOSE SQUEEZE N’ MEASURE

Ultrasonic Monitoring

C4 L Surgical Milk = 20 L solution

05Lubricate

SURGICAL MILK | Instrument Lubricant

�� Keeps instruments shiny and prevents dulling

�� Clinically tested to be steam penetrable and steam sterilizable

�� Effective in steam, dry or chemical vapour sterilizers

�� Reduces instrument repair and replacement costs

WASH-CHECKS® U | Ultrasonic Cleaning Monitor

�� Checks the effectiveness of the wash process in your ultrasonic cleaner

�� When cleaning conditions are effective, test soil on monitor is dissolved

WASH-CHECKS® | Washer-Disinfector Cleaning Monitor

�� Checks the effectiveness of the instrument cleaning process in washer disinfectors

�� When cleaning conditions are effective, test soil on monitor is dissolved

2 L 4 L

C

50 Test Strips/bag

100 Test Strips/bag

pass failHolder sold separately

Holder sold separately pass fail

Washer/Disinfector Monitoring

Throughout the year Germiphene offers seminars, hands on workshops and in office learn at lunch sessions that provide information so you can make the best decision for your clinic. Our fully trained sales rep team + our Director of Education, Linda McLarty, are committed to providing you with evidenced-based, scientifically sound information.

SterilizationMonitoring




06

VAPOR LINE | Class 5 Integrator

�� For monitoring all steam sterilization conditions (saturated steam, temperature, time)

�� Easy to read results — dark bar migrates through PASS and FAIL for clear reading

250 tests/bag

CHEMDYE CLASS 4 | Chemical Indicator

�� Multi-variable indicator for steam sterilization

�� Blue to black colour change is a permanent indicator that can be used as a record

�� For use in every wrapped cassette

�� 250 Strips can be divided = 500 tests

CHEMDYE BOWIE DICK | Class 2

�� For Class B sterilizers only

�� Monitors the effectiveness of air removal in vacuum-assisted steam sterilizers

�� Designed for cycles of 3.5 minutes at 134˚C or 4 minutes at 132˚C

�� Permanent colour change from purple to green

�� For daily use

250 test strips/box

120 tests/box Starter Kit

TIP: Use Surgical Milk to prevent spotting, staining and instrument rust. 1.800.265.9931

120 test cards + card holder

Can be separated for 500 test strips/box

Package


PACKAGE

Peel pouches should be used for single, light weight items

Do not overload pouches

Each packaging system should have an external and internal chemical indicator for quality assurance

PROFESSIONAL’S CHOICE | Class 4 Pouches

�� Internal/external multi-parameter indicator pouch

�� Constructed of the finest surgical grade paper

�� Multi-layer fracture-free tinted blue film to provide a clean, fibre-free peel

�� 100% Fail resistant, self-adhesive tape to ensure a perfect seal

�� 3 Parameter check (time, temperature, and steam)

�� Safe lead-free printed inks

Package 07

200 pouches/box

SIZE AVAILABILITY

GERMI-SAFE | Spore Testing

�� In-office monitoring for steam sterilization

�� Test results in 24 hours

�� One product for all steam cycles

�� Test up to 14 sterilizers at one time

�� Convenient vial packaging for neat storage and easy inventory check

�� Spore test as per provincial guidelines/standards

Sterilize

SELF-CONTAINED BI STARTER KIT (25 or 100 Vials) SELF-CONTAINED BI VIALS

BI vials 25 x BI vials/box

100 x BI vials/box

++record

notebookincubator & vial crusher

In Office Monitoring

We l ve to hear from you. What can we do to better serve you & your clinic? Please tell us. [email protected]



2.25” x 4” 3.5” x 6.5” 5.25” x 11” 10” x 16”

2.75” x 10” 3.5” x 10” 5.25” x 7.5” 7.5” x 13”


STERISAFE | Biological Sterilizer Monitoring Program

�� Online test results in 24 hours once received

�� Results, forms and record sheets available online

�� 26 Week and 52 Week kits include strips and return envelopes

�� An economic way to perform weekly testing

�� Each kit: 1 test strip + 1 control strip

08 Sterilize

26 WEEK KIT 52 WEEK KIT

26 test strips + 26 control strips


B-SAFE | Biological Sterilizer Monitoring Program

�� Mail in test results in 24 hours once received

�� Online test results available

�� Monthly, weekly and single tests available

�� 12 Month and 13 week kits include calendar for posting PASS stickers

�� Single Kit: 2 test strips + 1 control strip

�� Monthly Kit: 2 test strips + 1 control strip

�� Weekly Kit: 1 test strip + 1 control strip

SINGLE KIT 13 WEEK KIT 12 MONTH KIT


STERILIZE

Load lighter items on top sterilizer shelf

Always follow your sterilizer’s instruction use manual

Do not overload your sterilizer – this is the number one cause of failures

After sterilization, do not handle any visibly wet packages as this will compromise sterility of items inside

Store sterile packages closed, in a clean dry location

Mail In Monitoring & Online Results

Mail In Monitoring

+


+

2 test strips + 1 control strip

+

++

B-Safeclick to login



09Heat Sensitive

Partner with Gluterate C 1 pouch deactivates

1 L glutaraldehyde 2% - 2.5%

Partner with Glute Neut to neutralize solution for disposal

GLUTERATE | Sterilant & Disinfectant Solution

�� 2% Glutaraldehyde solution

�� Ready to use, requires no activation

�� Bactericidal, Fungicidal, Tuberculodical, Virucidal, Sporicidal

�� 10 Hour sterilization, 10 Minute high level disinfection

�� 2 Year shelf life on unused portion

�� Safe for use on all medical and dental instruments and devices, lenses, cements, plastics, rubber, steel, aluminum and brass

GLUTE NEUT | Glutaraldehyde Neutralizer

�� Environmentally friendly, one-step solution for the safe disposal of Glutaraldehyde

�� Fast-acting neutralizer

�� Eliminates vapours, eye and skin irritation

�� Changes solution from yellow to red to assure that neutralization has occurred

4 L

50 g x 16 pouches/box

STERI-SOAKER | Sterilizing Accessory

�� High volume germicide tray for cleaning, disinfecting and sterilizing instruments

�� Compatible with enzyme & detergent cleaners, disinfectants and cold sterilants

�� Calendar on lid conveniently reminds staff when to change the solution: use colour code rings to mark dates

CIDETEST 1 gtTM | Glutaraldehyde Potency Test Strips

�� Easily test the concentration of glutaraldehyde in high level disinfecting and sterilizing solutions

�� Easy to use, fast and clear results, simply dip strip into solution

C

C

Partner with Gluterate, Surgical Milk, Trés Clean, Revive, Super Germiphene, G Nol, & ET. Foam

13 7/8” x 9 5/8” x 5 1/8”

Partner with Gluterate 2% Glutaraldehyde Solution

50 test strips/bottle

50 g

C1 use (4 L soaking tray) = 30 days2 uses (2 L soaking tray) = 60 days4 uses (1 L soaking tray) = 120 days

GlutaraldehydeMonitoring


C 2 L LA. VAC= 67 Uses

10 Evacuation

CGOBBLE PLUS | Evacuation System Cleaner

�� An environmentally friendly combination of enzyme-creating bacteria that immediately break down and “eat” organic matter, resulting in clean and deodorized suction lines

�� Easy to use — measure, dilute and suction right from the bottle

�� Works continuously, producing residual action between uses

�� Contains no harsh or hazardous chemicals

�� Non foaming, amalgam separator friendly

�� Safe on plastics, metals or carbon filters

�� Mild formulation with pH range 7±1

L.A. VAC | Evacuation System Cleaner

�� Natural ingredients quickly dissolve organic waste and residue for clean and deodorized lines

�� Contains lactic acid

�� Biodegradable

�� No harsh or hazardous chemicals

�� No phosphates, phenols, aldehydes or chlorine

�� Will not harm stainless steel, plastic, copper, aluminum or brass

DUAL PURPOSE MICROBEX MICROVAC | Evacuation System Cleaner + Ultrasonic Cleaning Solution

�� 2 in 1 multipurpose cleaner with a unique low foaming multi-enzyme formula

�� Effectively removes organic debris, bioburden and proteinaceous materials

�� Routine use helps avoid costly line repairs and downtime

�� Non corrosive, neutralizes odours, phosphate free

�� Economical

4 L

2 L 10 L

2 L


C 2 L Gobble Plus = 67 Treatments

C

C 4 L Microvac = 400 Uses

C

Enzymatic | Enzymatique

Evacuation System + Ultrasonic Cleaning Solution

Concentrate | Concentré

Solution pour Système d’Évacuation + Nettoyage par Ultrasons

• Low Foaming • Neutralizes Odours • No Phosphates • Biodegradable Enzymes • Non Corrosive* • Non CausticThis package contains sufficient concentration to prepare 400L of working solution.

▶Dilution: 1:100 Ingredients: Enzymes, surfactants

• Peu Moussant • Neutralise les Odeurs • Sans Phosphate • Enzymes Biodégradables • Non Corrosif* • Non CaustiqueCet emballage contient suffisamment de produit concentré pour préparer 400 L de solution.

▶Dilution: 1:100 Ingrédients: Enzymes, surfactants

4 L

Microvac

Germiphene Corporation | 1379 Colborne St E, Brantford ON, N3T 5M1 Made in/Fabriqué au Canada

DUALPURPOSE

DOUBLEUSAGE


WaterlineMonitoring

WaterlineMonitoring

C700mL water bottle:166 uses

2L water bottle:56 uses

CE2OTM | Dental Waterline Treatment

�� Control biofilm and bacteria in your water system, without using harsh chemicals�� Specifically designed for use in independent water bottle systems�� Odourless, colourless, tasteless, neutral pH solution�� Simply squirt into water bottle – No measuring, no mess�� Non foaming, no residue that may clog

E|LINETM COMPLETE CONTROL | Dental Waterline Treatment & Water Quality Check Kit

�� Complete control of your dental water, all in one box�� Evaluate water in-house using test vials and a 37°C dry

block incubator�� Treat any contaminated water with E2O�� Easy to understand, colour coded results�� Test vials also available separately

E|ONETM | Water Quality Indicator

�� 1 Hour results at room temperature OR 30 minutes using 37°C dry block incubator�� User friendly T-Cup included for sampling, filtering and

dispensing water�� One vial tests for bacteria, biofilm & fungi�� Vial contents change colour for easy to understand, clear results

11Waterline Care

SINGLE KIT 18# OF TESTS/KIT

9 # OF TESTS/KITSINGLE KIT

9 test vials+ 3 control vials

+

+ +

250 mL

250 mL E2OTM dental waterline treatment

9 x T-Cups

Total Bacteria + Fungi

E. coli + faecal coliform

Biofilm in waterlines can clog the cooling system in your dental hand pieces resulting in expensive replacement costs!

+incubator & vial crusher

3

Instrument Reprocessing Sterilization Monitoring ... · INSTRUMENT CARE AND REPROCESSING Instrument...

Documents

Transcript of Instrument Reprocessing Sterilization Monitoring ... · INSTRUMENT CARE AND REPROCESSING Instrument...