Fiber Optic Light Cable, 230 cm, Ø3.5 mm Reprocessing Instructions

10-2021 Copyright © All product illustrations, product descriptions, and texts are the intellectual property of KARL STORZ SE & Co. KG. Their use and reproduction by third parties require the express approval of KARL STORZ SE & Co. KG. All rights reserved.

Table of contents

Table of contents 1

1 Target group ...

4

2 General information ... 2.1 Read the reprocessing instructions ... 2.2 Read the reprocessing instructions for use ... 2.3 Read the instructions for use for the reprocessing unit ... 2.4 National laws and regulations ... 2.5 Additional information on the product ... 2.6 Description of warning messages ...

5 5 5 5 5 5 5

3 Safety ... 3.1 Unsterile product ... 3.2 Contaminated products ... 3.3 Working with process chemicals ... 3.4 Creutzfeldt-Jakob disease ...

7 7 7 7 7

4 Overview of processes ... 4.1 Reprocessing cycle for standard products ...

8 8

5 Requisite materials ...

9

6 Bedside Pre-Cleaning ... 10 6.1 Transport to the reprocessing site ... 10 7 Cleaning and disinfection ... 11 7.1 Reprocessing with manual decontamination ... 11 7.1.1 Pre-cleaning ... 11 7.1.2 Manual cleaning ... 11 7.1.3 Manual disinfection ... 11 7.2 Reprocessing with automated decontamination ... 12 7.2.1 Pre-cleaning ... 12 7.2.2 Automated cleaning / thermal disinfection ... 12 8 Visual inspection ... 13 9 Life span ... 14 9.1 Functional check ... 14 10 Packaging ... 15 11 Sterilization ... 16 11.1 Steam sterilization ... 16 11.2 Hydrogen peroxide (H2O2) – ASP STERRAD® ... 16 11.3 Hydrogen peroxide (H2O2) – STERIS V‑PRO ... 16 11.4 Ethylene oxide (EO) ... 17 11.5 Peracetic acid – STERIS® System 1E® ... 17

NOT APPLICABLE FOR THE US Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Target group

1 Target group These reprocessing instructions are intended for personnel with technical knowledge and expertise in the reprocessing of medical devices.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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General information

2 General information 2.1 Read the reprocessing instructions If the reprocessing instructions are not followed, patients, users, or third parties may be injured or the product may be damaged. Read the reprocessing instructions for the product and its components carefully and follow all the safety notes and warnings.

2.2 Read the reprocessing instructions for use If the reprocessing instructions for use are not followed, patients, users, or third parties may be injured or the product may be damaged. Read and follow the “Cleaning, disinfection, care, and sterilization of KARL STORZ instruments” instructions for use (item no. 96216003). The cleaning, disinfection, and sterilization procedures are explained in detail in the reprocessing instructions for use. The reprocessing instructions for use can be downloaded from www.karlstorz.com.

2.3 Read the instructions for use for the reprocessing unit If the instructions for use are not followed, patients, users, or third parties may be injured or the product may be damaged. Read the instructions for use for the reprocessing unit carefully and follow all the safety notes and warnings. Carry out reprocessing in accordance with the instructions for use for the reprocessing unit.

2.4 National laws and regulations National laws and regulations must be observed in addition to the accompanying documentation.

2.5 Additional information on the product Additional general information on the product can be requested and downloaded from www.karlstorz.com.

2.6 Description of warning messages To prevent any injury to persons or damage to property, the warnings and safety notes in the instructions for use must be observed. The warning messages describe the following levels of danger. WARNING WARNING Designates a possible imminent risk. If this is not avoided, it could lead to death or serious injuries. CAUTION CAUTION Designates a possible imminent risk. If this is not avoided, it could lead to minor injuries.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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General information

NOTICE NOTICE Designates a possibly harmful situation. If this is not avoided, the products could be damaged.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Safety

3 Safety 3.1 Unsterile product The product is not sterile when delivered. The use of non-sterile products poses a risk of infection for patients, users, and third parties. Reprocess the product in line with the reprocessing instructions before initial use and every subsequent use.

3.2 Contaminated products During work on contaminated devices, the guidelines for personal safety must be observed.

3.3 Working with process chemicals Incorrect exposure time, concentration, life span, and range of action of chemicals can lead to a risk of infection for the patient, user, and third parties, as well as damage to the product. Note the information provided by the manufacturer of the chemicals and the microbiological range of action of the chemicals used.

3.4 Creutzfeldt-Jakob disease Products that come into contact with the central nervous system can become contaminated by organic residue containing prions. Prions lead to infection with Creutzfeldt-Jakob disease. If Creutzfeld-Jakob disease has been diagnosed or is suspected: Dispose of the product properly and do not continue to use it.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Overview of processes

4 Overview of processes The following reprocessing procedures have been approved for the product: –

Reprocessing with manual decontamination

–

Reprocessing with automated decontamination

A detailed description of the processes is provided in the respective chapters in these instructions.

4.1 Reprocessing cycle for standard products

Use

Purchasing

Storage Transport

Transport Precleaning Sterilization, release

Packaging

Decontamination Maintenance, functional test

Repair or disposal

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Requisite materials

5 Requisite materials The reprocessing accessories used must be clean and functional. The following reprocessing accessories are required: Application

Material

Initial treatment at the site of use

Moist compresses, possibly disposable cloth

Preparation before cleaning Brushing the surfaces

Brush, item no. 27652

Cleaning and disinfection Manual drying and/or after-drying

Medical compressed air from compressed air gun, item no. 27660 Alternatively: syringe 60 cc

Maintenance Packaging

Standardized and approved packaging

Suitable reprocessing accessories are listed in the following catalog: –

HYGIENE – Care, Sterilization, Storage Techniques (item no. 96211004)

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Bedside Pre-Cleaning

6 Bedside Pre-Cleaning Reprocessing of the product should start within 2 hours of use to ensure the effectiveness of the reprocessing processes listed in the reprocessing instructions. 1.

Wipe the surfaces of the product with a compress or disposable cloth to remove gross soiling, corrosive solutions, and drugs.

2.

Rinse surfaces with cold water.

6.1 Transport to the reprocessing site 1.

Right after using it, place the dry product in a suitable transport container.

2.

Transport the securely positioned product to the site of reprocessing.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Cleaning and disinfection

7 Cleaning and disinfection The following procedures are validated and approved for cleaning and disinfection of the product: –

Manual cleaning and disinfection

–

Automated cleaning: thermal disinfection

7.1 Reprocessing with manual decontamination 7.1.1 Pre-cleaning 7.1.1.1 Brushing surfaces Required materials: –

Brush, item no. 27652

1.

Clean the surfaces of the product under cold running water with a brush.

2.

Brush the surfaces until no residue can be seen any more.

3.

Irrigate the surfaces with cold running water.

7.1.2 Manual cleaning Requisite materials: –

Brush, item no. 27652, for surfaces

1.

Immerse the product completely in the cleaning solution.

2.

Allow to take effect in accordance with the specifications of the chemicals manufacturer.

3.

Clean the brush head.

4.

Irrigate the product with cold water for at least 20 seconds for neutralization.

7.1.3 Manual disinfection Required materials: –

Water of at least drinking water quality according to country-specific regulations

–

Water pressure and compressed air gun (item no. 27660), Alternative: syringe N/A

1.

Immerse the product completely in the disinfectant solution.

2.

Allow to take effect in accordance with the specifications of the chemicals manufacturer.

3.

Use the water gun and rinsing attachment to rinse the product. Alternative: Use the syringe and adaptor to rinse the product at least 3 times with sterile water. WARNING Risk of infection due to residual liquid! If devices are not adequately dried following disinfection, the effectiveness of the validated reprocessing processes is not guaranteed. Use compressed air or a syringe filled with air to dry devices fully following disinfection.

4.

Dry all surfaces, joints, openings, channels, and lumens completely using compressed air or an air-filled syringe.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Cleaning and disinfection

7.2 Reprocessing with automated decontamination 7.2.1 Pre-cleaning 7.2.1.1 Brushing surfaces Required materials: –

Brush, item no. 27652

1.

Clean the surfaces of the product under cold running water with a brush.

2.

Brush the surfaces until no residue can be seen any more.

3.

Irrigate the surfaces with cold running water.

7.2.2 Automated cleaning / thermal disinfection A washer-disinfector for thermostable devices must be used for the device. The washerdisinfector must meet the requirements of standard ISO 15883. The A0 value of the disinfection process must be observed. Required materials: –

Suitable slide-in trolley and, if necessary, suitable instrument holder. The selection must be made in consultation with the manufacturer of the WD.

1.

Place the device in the slide-in trolley and, if necessary, in the instrument holder.

2.

The parameters of the automated cleaning and disinfection process validated by KARL STORZ are specified in the document “Cleaning, Disinfection, Care, and Sterilization of KARL STORZ Instruments” (item no. 96216003).

Steps 1. Pre-irrigation 2. Cleaning 3. Intermediate irrigation 4. Thermal disinfection 5. Drying WARNING Risk of infection due to residual liquid! If devices are not adequately dried following disinfection, the effectiveness of the validated reprocessing processes is not guaranteed. Use compressed air or a syringe filled with air to dry devices fully following disinfection. Check if the product is dry and dry it by hand if necessary, see chapter Visual inspection [p. 13].

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Visual inspection

8 Visual inspection 1.

Check products for the following points: ‒ Visible contamination ‒ Damage and corrosion ‒ Completeness ‒ Dryness

2.

Subject any products displaying visible soiling to another complete cleaning and disinfection process.

3.

Discard damaged and corroded medical devices.

4.

Discard incomplete medical devices or replace missing parts.

5.

Dry the product by hand if necessary.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Life span

9 Life span The end of the product life is largely determined by wear, reprocessing processes, the chemicals used and any damage resulting from use.

9.1 Functional check If the device does not fulfill one of the points listed below or if damage can be identified, see chapter ‘Maintenance, repair, servicing and disposal’ in the instructions for use. The following tests must be carried out to detect functional limitations: 1.

Check the surface of the product for mechanical integrity and changes.

2.

Check the labeling for legibility.

3.

Check the product for mechanical integrity.

4.

Check whether light is transmitted and whether the surface of the light input and light output is dirty or damaged.

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Packaging

10 Packaging The packaging material must always be matched to the sterilization process being used. Required materials: –

Standardized packaging materials and packaging systems that are approved for the product (EN 868 Parts 2–10, EN ISO 11607 Parts 1 + 2, DIN 58953)

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Sterilization

11 Sterilization The sterilization processes described below have been validated and approved for this medical device by KARL STORZ. Select the suitable procedure, taking into consideration the country-specific regulations and in consultation with the device manufacturer.

11.1 Steam sterilization When carrying out sterilization using saturated steam, the steam sterilizer with fractionated pre-vacuum and the sterilization process must meet the requirements of the following standards: –

EN 285 Large steam sterilizers (from 1 StU upward) – requirements and test procedures

–

DIN EN 13060 small steam sterilizers

–

DIN EN ISO 17665 for routine monitoring

Within the scope of validation, the following packaging material was used: –

KLS Martin Group marSafe® container The product must be sterilized using a fractionated prevacuum procedure (DIN EN ISO 17665) with the following parameters: 134°C–137°C with a minimum contact time of 3 minutes and maximum of 18 minutes

11.2 Hydrogen peroxide (H2O2) – ASP STERRAD® WARNING Risk of infection due to inadequate sterilization! Greased or oiled products cannot be adequately sterilized using a low-temperature process. Only products that are not greased or oiled may be sterilized using a low-temperature process. Within the scope of validation, the following packaging material was used: –

KIMBERLY-CLARKTM KC400 KIMGUARDTM STERILIZATION WRAP

–

KIMBERLY-CLARKTM KC600 KIMGUARDTM STERILIZATION WRAP

The following STERRAD® procedures have been validated and approved by KARL STORZ for the device: –

STERRAD® 100S Short Cycle without Booster

–

STERRAD® NX® Standard Cycle

–

STERRAD® 100NX® Standard Cycle

11.3 Hydrogen peroxide (H2O2) – STERIS V‑PRO WARNING Risk of infection due to inadequate sterilization! Greased or oiled products cannot be adequately sterilized using a low-temperature process. Only products that are not greased or oiled may be sterilized using a low-temperature process. Within the scope of validation, the following packaging material was used: –

KIMBERLY-CLARK KC400 KIMGUARD STERILIZATION WRAP

–

KIMBERLY-CLARK KC600 KIMGUARD STERILIZATION WRAP

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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Sterilization

The following STERIS V-PRO procedures have been validated and approved by KARL STORZ for the product: –

STERIS V-PRO 1

–

STERIS V-PRO 1 Plus lumen cycle

–

STERIS V-PRO 1 Plus non-lumen cycle

–

STERIS V-PRO maX lumen cycle

–

STERIS V-PRO maX non-lumen cycle

–

STERIS V-PRO maX flexible cycle

–

STERIS V-PRO 60 flexible cycle

11.4 Ethylene oxide (EO) WARNING Risk of infection due to inadequate sterilization! Greased or oiled products cannot be adequately sterilized using a low-temperature process. Only products that are not greased or oiled may be sterilized using a low-temperature process. Within the scope of validation, the following packaging material was used: –

KIMBERLY-CLARKTM KC400 KIMGUARDTM STERILIZATION WRAP

–

KIMBERLY-CLARKTM KC600 KIMGUARDTM STERILIZATION WRAP

The ethylene oxide procedure with the following parameters is validated according to the ANSI/AAMI/ISO 11135 standard: Process

100% EO

Temperature

55 °C

Rel. humidity

70 %

EO concentration

12 mg/L

Hold time

60 min.

Duration

12 hours

Temperature

55 +/- 4 °C

11.5 Peracetic acid – STERIS® System 1E® Requisite materials: –

STERIS Quick Connect Kit (QCK)

1.

Place the device in the trough and connect the Quick Connect if necessary.

2.

Start the process.

The parameters of the STERIS® System 1E® sterilization process validated by KARL STORZ are specified in the document ‘Cleaning, disinfection, care, and sterilization of KARL STORZ instruments’ (Art. no. 96216003).

Reprocessing instructions • Fiber Optic Light Cable, 230 cm, Ø3.5 mm • 495NA_EN_V3.1_10-2021_RI_CE

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