CLEANING
- Do never allow organic debris to dry on the instruments
- Place groups of instruments of the same metal in ultrasonic cleaner only.
- Do not put sharp instruments together
- Do not use metallic brushes
- Often change the detergent solution
- After disinfection rinse thoroughly all instruments with cold tap water.
- Inspect instruments: items with joints have to be lubricated with special surgical instruments’ lubricant
- Inspect the internal part of the aspiration cannulas
- Note: Microorganisms may be found under debris on inappropriate cleaned items. This makes the sterilization process ineffective.
- With the exception of dental implants only, all components supplied in NON-STERILE condition, even those that enter the oral cavity temporarily, must be CLEANED and DISINFECTED using specific products for medical devices and STERILIZED in autoclave following coherently the instructions for use supplied by the autoclave´s manufacturer.
- Follow manufacturer’s recommendations for proper cleaning products (detergents and disinfectants).
- Follow manufacture’s recommendations formulated specifically for autoclaves and ultrasonic machines: temperatures, exposure time, wrapping for sterilization, maintenance.
- The maintenance and the instructions for micromotors for implants and maxillofacial surgery or microsurgery have to be carefully inspected. Their malfunctioning may compromise the good performance of the surgery.
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Tips during and after surgery
1 during surgery put used instruments in a container filled with distilled water
2 Decontaminating (Paracetic Acid): after surgery, remove carefully all organic debris
3 Deterging (enzimatic) - remove drill stops from the drills
4 remove the drill extention
5 scrub carefully the drills with a soft brush (do not use a metallic brush)
6 bathe the drill irrigation canal (hole) and the lateral holes with an orthodontic wire or an appropriate drill
7 only use neutral PH cleaners
8 rinse instruments under cold tap water
9 put instruments in an ultrasonic container and avoid contact between sharp instruments
10 carefully dry the drills using a air-compressed pistol
11 also dry the internal part of the drills or of any other instruments with irrigation
12 inspect if instruments are damaged
13 reassemble instruments and check if they work
14 wrap the instruments individually
15 place the instruments in the specific container
16 wrap the surgical tray
17 add a label of sterility
18 add a label with the expiry date of sterility
19 place the instruments in the appropriate containers: the heavier at the bottom.
20 do not place too many instruments in the sterilization room as they could cover one another and therefore compromise the sterilization process
21 at the end of sterilization cycle (autoclave), before the drying cycle, leave the door slightly open; then follow the instructions for the drying cycle
22 do not widely open the door before the drying cycle. Fresh air exposure may cause condensation with consequent formation of grey marks on instruments.
WARNING:
- Sterilization do not replace cleaning.
- Do not re-use nor re-sterilize the single-use instruments
Cleaning of Surgical trays:
- First plunge the surgical tray into a decontaminating solution and after into a detergent solution.
- Use 5-9 PH detergents only (higher or lower PH values, destroy the anodized aluminum coating, markings or symbols.
- Wrap and sterilize perforated trays only.
ALWAYS check the correct functioning of sterilizing machines
- Malfunctioning may compromise the sterilization process and damage the sterilized instruments.