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Treatment of brand new Instruments
Brand new instruments must be cleaned before the first sterilization or use. Protective caps and protective films must be removed completely, for example in the case of chisels, raspatories or microsurgical instruments.

Cleaning-Disinfection-Sterilization of motor systems and handpieces
Medspine International motor systems and the handpieces require maintenance and are renowned worldwide for their reliability. Premature wear and malfunctions can be avoided by following the instructions for care listed below and the lubricating instructions for the hand pieces in the respective instructions for use. If the devices need repair or maintenance after all, please contact your local Medspine International representative.

After Use

For machine cleaning, place instrument in a wire basket suitable for the cleaning process (make sure cleaning solution and rinse water from machine comes into contact with all parts of instrument).

• Completely dismantle any dismantable instruments.
• Preferably dry disposal.
• For wet disposal, use an active cleaning disinfectant. Rinse the instrument thoroughly with clear, flowing water before machine cleaning and disinfection.
• If necessary, treat with ultrasound according to the manufacture’s instructions:
  – for effective mechanical support during manual cleaning
  – for pre-treatment of instruments with dried-on grime before machine cleaning
  – Microsurgical instruments and instruments with fine working ends should not be treated
  with ultrsound. They should be cleaned either manually or in the washing machine. In case
  of cleaning in a machine please use a suitable storage rack.
  – Clean manually or in a machine. Follow manufacturer’s instructions.

Manual Cleaning/Disinfection

• Place instrument into a suitable disinfectant with active cleaning properties so that all surfaces, inner cavities, lumens and openings come into contact with the solution. Follow the disinfectant manufacturer’s instructions.
• After chemical disinfection, always rinse thoroughly with clear, flowing water. Follow the instructions provided by the manufacturer of disinfectant.
• Remove any dirt still clinging to the instrument with a soft synthetic brush. Do not use a scouring or metal brush.
• Clean any lumens and conduits with soft, round, synthetic brushes. Please note, the lumen and the brush must have the same diameter.
• Final rinsing to be done with distilled or deionized water.
• Dry instrument with an absorbent, soft and lint-free cloth.
• Dry lumens and conduits with compressed air.

Machine Cleaning/Disinfection

• Select the program according to the material (e.g. stainless instrument steel, aluminium) of the instrument to be cleaned. Follow the machine manufacturer’s instructions.
• Final rinsing to be done with deionized water.
• Leave sufficient time for drying.
• Remove the instrument from the machine immediately after the program is done.

Care/Testing/Storage

• Let instrument cool down to room temperature.
• Lubricate movable parts (e.g. joints and ends) slightly with special sterilization-capable, vapor-permeable lubricant (e.g. STERILIT oil spray JG 600 or Lubricant JG 598, physiologically safe according to DAB and § 31 LMBG).
• After each cleaning, disinfection process, check the instrument to make sure it is clean, it functions properly and it has not suffered any damage, e.g. bent, broken, factured or worn parts.
• Discard any damaged and defective instruments and replace.

Storage

• Place instruments with the fine working end and/or microsurgery instruments in a suitable storage racks.
• Secure instruments with lock in the first detent.

Sterilization

Steam sterilization must be carried out according to a validated stream sterilization process (e.g. with a sterilizer meeting the specifications of EN 285 and validate according to EN 554). When using the fractionnal vacuum method, use the 134°C/2-bar program for sterilization with a minimum hold time of 5 minutes.