ACL Workstation Sterilization Try Reprocessing Guide Rev C Oct 2010

Contents Introduction ... 2 Intended Use of Sterilization Trays... 3 Warnings... 3 Cautions ... 3 Instructions... 4 Sterilization Tray Setup... 10 References ... 11

1

Introduction This reprocessing guide provides instructions for the proper cleaning and sterilization of the following sterilization tray: 234-010-520

ACL Workstation Sterilization Tray

234-020-120

Standard Lid

This sterilization tray is intended for use only with the devices listed below. For tray/ device configuration, see the “Sterilization Tray Setup” section of this guide.

2

Part Number

Description

234-010-503

Slider, Modular ACL Workstation

234-010-504

Stationary Post, Modular ACL Workstation

234-010-505

Stationary Clamp, Modular ACL Workstation (Qty 2)

234-010-506

Stationary Tensioner, Modular ACL Workstation

234-010-515

Core Drill Holder, Modular ACL Workstation

234-010-001

Bone Plug Suture Drill (Qty 2)

234-010-516

Bone Plug Splitting Block, Modular ACL Workstation

234-010-517

Drill Guide/Graft Sizer, Modular ACL Workstation

234-010-006

Splitting Wedge

234-010-008

Pkg, Plunger Extension-Combination Drill

234-010-502

Muscle Removal Board, Modular ACL Workstation

234-020-085

6mm Sizing Gauge

234-010-507

6.5mm Sizing Gauge

234-020-086

7mm Sizing Gauge

234-010-508

7.5mm Sizing Gauge

234-020-087

8mm Sizing Gauge

234-010-509

8.5mm Sizing Gauge

234-010-002

9mm Sizing Gauge

234-010-510

9.5mm Sizing Gauge

234-010-003

10mm Sizing Gauge

234-010-511

10.5mm Sizing Gauge

234-010-004

11mm Sizing Gauge

234-010-512

11.5mm Sizing Gauge

234-010-005

12mm Sizing Gauge

234-010-513

12.5mm Sizing Gauge

234-010-514

13mm Sizing Gauge

While these instructions have been validated by the manufacturer as being capable of preparing the tray for re-use, it remains the responsibility of the processor to ensure that the reprocessing (as actually performed, using equipment, materials, and personnel in the reprocessing facility) achieves the desired result. This normally requires validation and routine monitoring of the process.

Intended Use of Sterilization Trays Sterilization trays are plastic and/or metal containers used to hold and protect surgical devices during the sterilization process. They consist of an interlocking tray and lid, which are both perforated to allow the passage of sterilizing agent from outside the tray to the devices placed inside. Sterilization trays typically feature a silicon finger mat or group of device holders that secure devices during the sterilization process. Some models feature stacking internal trays to allow the segregation of devices.

Warnings t
These instructions are validated only for sterilization of the tray and device(s) identified herein. Using combinations or parameters not described in this manual may result in incomplete sterilization. t
These instructions do not replace the cleaning instructions provided with individual devices. Prior to sterilization, clean all devices as specified in their respective user manuals. t
Wear appropriate protective equipment (gloves, eye protection, etc.) when reprocessing any medical device. t
Both the device and the tray must be cleaned prior to sterilization, or incomplete sterilization will result. t
The sterilization tray, its lid, and any internal components have been designed and validated for use as a single system. Do not separate components from the system, for use individually or in combination, or incomplete sterilization may result. t
Inspect the tray and its components for visible damage, such as cracking or chipping, prior to use. Do not use the tray if it is damaged.

Cautions t
Before lifting the tray assembly, verify that the latches connecting the lid to the tray are secure. t
The tray is not designed for use as a shipping container. To avoid damage, remove all devices and pack them separately.

3

Limitations on Reprocessing

t
Proper processing has a minimal effect on the tray. End of life is normally determined by wear and damage due to use. t
Do not cross-sterilize the tray. Using multiple sterilization methods may significantly reduce the performance of the tray. t
Do not leave the tray in solutions longer than necessary. This may accelerate normal product aging. t
Damage incurred by improper processing will not be covered by the warranty.

Instructions Instructions apply to the sterilization tray only. For instructions on how to reprocess the devices, consult their respective instructions for use.

Point of Use

t
Wipe excess soil from the tray using disposable paper towels. t
If an automated cleaning method will be used, rinse the tray in sterile distilled water immediately after use.

Containment and Transportation

Reprocess device(s) / tray as soon as reasonably practical following use.

Preparation for Manual Cleaning

1

4

Disassemble the tray into its individual components: base, lid, and (if applicable) silicon mat. Prepare an enzymatic detergent1 according to the manufacturer’s recommendations. Wipe the entire tray with a clean cloth dipped in detergent. Immerse the tray in the detergent.

5

Soak the tray in the detergent for 15 minutes.

2 3

1 Cleaning was validated using Enzol® at 1 oz/gal. at 35-40°C.

4

Manual Cleaning

1

Brush t
Thoroughly brush the exterior of the tray with a soft-bristled brush, focusing on any mated or rough surfaces. t
Using a pipe cleaner and brush, brush and flush the hard-to-reach areas of the tray. t
Actuate the tray, brushing any movable parts in their extreme open and closed positions.

2 Cleaning was validated using Renu-Klenz™ at ¼ oz/gal. at 35-40°C.

2

Rinse t
Rinse the tray with reverse osmosis/deionized (RO/DI) water at ambient temperature to remove all detergent residues. After all detergent residues have been removed, continue to rinse for a minimum of 30 seconds. t
Drain excess water from the tray and dry it using a clean cloth and filtered pressurized air (40 psi). t
Visually inspect the tray for cleanliness, paying close attention to hard-to-reach areas. If visible soil remains, repeat steps 1 and 2.

3

Soak t
Prepare a non-enzymatic detergent2 according to the manufacturer’s recommendations. t
Fully immerse the tray and inject any mated surfaces with at least 50mL of the detergent. t
Soak the tray for a minimum of 15 minutes.

4

Brush t
Thoroughly brush the exterior of the tray using a soft-bristled brush. t
Inject the prepared detergent into any mated surfaces a minimum of five times. t
Actuate the tray, brushing any movable parts in their extreme open and closed positions. t
Using a pipe cleaner and syringe, brush and flush the hard-to-reach areas of the tray.

5

5

Rinse t
Thoroughly rinse the tray with ambient RO/DI water until all detergent residue is removed. Flush any crevices five times with a syringe. After the detergent residue is removed, continue rinsing for a minimum of 30 seconds. t
Drain the excess water from the tray and dry it with a clean cloth and filtered pressurized air (40 psi). t
Visually inspect the tray for cleanliness, paying close attention to hard-to-reach areas.

Automated Cleaning

1

Rinse t
Disassemble the tray into its individual components: the base, lid, and (if applicable) silicon mat. t
Rinse the tray with RO/DI water at ambient temperature until there is no visible detergent residue. Use a syringe to assist in rinsing. After all detergent residues have been removed, continue to rinse for a minimum of 30 seconds. t
Place the tray in the washer on an incline to facilitate drainage.

6

2

Automated wash t
Program the washer using the settings below.

Recirculation Time

Water Temperature

Detergent (type and concentration)

Pre Wash

2 min.

Cold tap water

-

Enzyme Wash

2 min.

Hot tap water

Enzymatic Detergent3

Wash 1

2 min.

Set point 60°C (140°F)

Non-enzymatic Detergent4

Rinse 1

2 min.

Heated 60°C (140°F)

-

Dry Phase

7 min.

Drying Temperature

-

3 Cleaning was validated using Enzol® at 1 oz/gal. 4 Cleaning was validated using Renu-Klenz™ at ¼ oz/gal.

3

115°C (239°F)

Drying t
Remove the tray from the washer after the completion of the dry phase. t
Dry the tray using a clean soft cloth. Use filtered pressurized air (40 psi) to assist in drying. t
Visually inspect the tray for cleanliness, paying close attention to hard-to-reach areas.

Maintenance

t
No routine maintenance is required for the sterilization tray.

Inspection and Testing

t
Inspect the tray for dents and cracks. If a problem is observed or suspected, the tray should be returned for repair. t
Inspect all components for cleanliness. If fluid or tissue buildup is present, repeat the above cleaning and disinfection procedures.

Packaging for Sterilization

t
Double-wrap the tray unless otherwise noted below.

7

Sterilization

Warning: Assembled instruments will not sterilize completely. Disassemble all instruments prior to placement in the tray for sterilization. t
Prepare the device(s) and the sterilization tray as indicated in the “Sterilization Tray Setup” section below. t
Sterilize the device(s) inside the tray according to the parameters indicated below.

Autoclave (Steam) Gravity

Prevacuum

“Flash” Prevacuum

Wrapping

double

double

-

Temperature

123°C (253°F)

132°C (270°F)

132°C (270°F)

Time

50 minutes

4 minutes

4 minutes

Dry Time

40 minutes

45 minutes

-

Warning: Drying time depends on several variables, including: altitude, humidity, type of wrap, preconditioning, size of chamber, mass of load, material of load, and placement in chamber. Users must verify that drying time set in their autoclave yields dry surgical equipment. Warning: These instructions were developed using the guidance from AAMI TIR 12, ISO 17665 and AAMI ST79 and Stryker recommends users observe these standards.

8

Storage

Trays with non-absorbent liners (such as plastic or silicone-fingered organizing mats) can cause condensate to pool. To preserve sterility, remove devices from standing solution.

Additional Information

N/A

Manufacturer Contact

Stryker Endoscopy 5900 Optical Court San Jose, CA 95138 +1.800.624.2244, +1.408.754.2000 www.stryker.com

9

Sterilization Tray Setup Maximum Weight Load (devices and tray combined)

3.85 kg (8.5lbs)

Internal Stacking

No internal stacking is permitted with this tray.

External Stacking

Do not stack other trays or devices on or below this tray.

Accessories

There are no accessories available for use with this tray.

Device Distribution

Devices should be placed in the tray as illustrated below.

Chemical Indicator* Place the chemical indicator ( ) on the upper-left corner of the tray as illustrated in the following picture. Biological Indicator* Place the biological indicator ( ) on the tip of the instrument as illustrated in the following picture. *Note: Placement of the biological or chemical indicator is not required during sterilization of this tray. If, per hospital procedure, placement of an indicator is desired, the recommended placement sites are as follows.

10

References t
ISO 17664-Sterilization of medical devices-Information to be provided by the manufacturer for the processing of resterilizable medical devices t
ISO 17665-1-Sterilization of health care products - Moist heat - Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices t
ANSI/AAMI ST77-Containment devices for reusable medical device sterilization t
ANSI/AAMI ST79-A comprehensive guide to steam sterilization and sterility assurances in health care facilities t
ANSI/AAMI ST81-Sterilization of medical devices-Information to be provided by the manufacturer for the processing of resterilizable medical devices t
AAMI TIR12-Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities: a guide for device manufacturers

11

ུ਀ਜ਼ུ̦ΠτȜ͈ठঀဥ੔๵ͅ၌ဥ̧̭͉́ͥ͂ୋ௮ࡓͤ͢ͅ࠿બफ͙̳̦́Ȃ ੜၑ౜൚৪͉ठੜၑ̦৘ष࣐ͩͦͥͅঔ୭͈‫ܕܥ‬ȂऺၳȂ૽֥ͤ͢ͅຈါ̈́ࠫ‫ض‬ ̦ං̭ͣͦͥ͂ͬু͈ͣୣහ́‫̞̯̺̩̱̀෇ږ‬ȃ̷͉ͦͅ೒ુȂίυΓΑ͈࠿ બ͂඾ુഎ۬ণ̦ຈါ̯̳͂ͦ͘ȃ

྽޿ဥΠτȜ͈ဥഷ ྽޿ဥΠτȜ͉Ȃ྽޿শͅ‫شٸ‬ဥ‫ͬߓܕ‬වͦ̀༗ࢌ̳ͥ࿒എ́ঀဥ̯ͦͥȂ ίρΑΙΛ·̹͉͘߄௺ୋ͈ယ‫̳́ܕ‬ȃͼϋΗȜυΛ·ΠτȜ̤͍͢‫̥ͣڀ‬ ࢹ଼̯ͦȂ̷̸͈ͦͦ঵̾๷ळ̈́ࢢͬ೒̱̀ΠτȜͅවͥ྽޿स́ΠτȜ ඤ͈‫ͬߓܕ‬྽޿̧́ͥॽழ͙̳́ȃ ྽޿ဥΠτȜ͉ͅ೒ુȂ྽޿ੜၑಎͅ‫ࡥͬߓܕ‬೰̳ͥΏς΋Ȝϋୋέͻϋ΄Ȝ ζΛΠ̹͉͘ΟΨͼΑγσΘȜ̦๵̢̳ͣͦ͘ȃΑΗΛ·‫خ‬ෝ̈́ඤ໐ΠτȜ ͤ͢ͅȂࡢș͈‫ڞͬߓܕ‬ၗ̧́ͥ‫ܥ‬ਅ̜̳ͤ͘͜ȃ

࠙࣬ t
̭͈ͦͣ਀ਜ਼͉Ȃུ੥́අ೰̳ͥΠτȜ̤͍͢‫͈ߓܕ‬྽޿̞͈͙̾̀ͅ࠿ બफ͙̳́ȃུ੥́া̱̞̞̀̈́ழ̵͙ࣣͩ͞ΩριȜΗͬঀဥ̳ͥ͂Ȃ ྽޿̦ະۖ஠̷̤̦̜̳͂̈́ͥͦͤ͘ȃ t
̭͈ͦͣ਀ਜ਼͉Ȃࡢș͈‫·͈௺ັͅߓܕ‬ςȜΣϋΈ਀ਜ਼੥ͅఢ͈ͩͥ͜ ̵͉̜́ͤͭ͘ȃ྽޿ஜͅȂ̳͓͈̀‫ͬߓܕ‬Ȃ‫ڂ‬൚̳ͥξȜΎȜζΣν ͺσ͈ঐা೒ͤͅ஄૆̱̩̺̯̞̀ȃ t
֓ၷ‫ͬߓܕ‬ठੜၑ̳ͥष͉ͅȂ਀నȂ༗ࢌ‫ޢ܉‬൝͈ഐ୨̈́༗ࢌߓͬ಍ဥ ̱̩̺̯̞̀ȃ t
྽޿ஜͅ‫͂ߓܕ‬ΠτȜ͈ၰ༷ͬ஄૆̱̩̺̯̞̀ȃ஄૆̱̤̥̞̀̈́͂Ȃ ྽޿̦ະۖ஠̳̈́ͤ͘ͅȃ 1͈̾ΏΑΞθ̱͂̀ঀဥ̯ ͈̾ΏΑΞθ̱͂̀ঀဥ̯ t
྽޿ဥΠτȜȂ̷͈‫ڀ‬Ȃ̤͍͢ඤ໐ࢹ଼໐຦͉1͈̾ΏΑΞθ̱͂̀ঀဥ̯ ̭ͦͥ͂ͬփ଎̱̀୭ࠗȂ࠿બ̯̞̳ͦ̀͘ȃࢹ଼໐຦ͬΏΑΞθ̥ͣ໦ၗ ̱̀ࡢ༆ͅȪ̹͉͘༆ഷழ̵͙ࣣͩ̀ȫঀဥ̱̞̩̺̯̞̈́́ȃ྽޿̦ະۖ ஠̈́ͥͅ‫̳̜̦ͤͦ͘ޔ‬ȃ t
ঀဥஜͅȂΠτȜ̷͈͞ࢹ଼໐຦ܹͅႨ͞ญၗ͈̈́̓෫అ̦̞̥̈́ণ෇ ́ത࠿̱̩̺̯̞̀ȃ෫అ͈෇͛ͣͦͥΠτȜ͉ঀဥ̱̞̩̺̯̞̈́́ȃ

ಕփ t
‫̹̞ັ͈ڀ‬ΠτȜͬ঵̻ષ̬ͥष͉ͅȂ‫͂ڀ‬ΠτȜ̪ͬ̾̈́ρΛΙ̦̱̽ ̥ͤࡥ೰̯̞̭ͦ̀ͥ͂ͬমஜͅ‫̞̯̺̩̱̀෇ږ‬ȃ t
ུΠτȜ͉Ȃเ௣ဥ͈ယ‫ঀ͈̱̀͂ܕ‬ဥͬփ଎̱̀୭̵̯̞ࠗͦ̀ͭ͘ȃ అੱͬ๰̫̹ͥ͛Ȃ̳͓͈̀‫̱੄ͤ৾ͬߓܕ‬Ȃ༆șͅ༫௡̱̩̺̯̞̀ȃ

169

ठੜၑ̤̫ͥͅଷࡠ

t
ഐ୨̈́਀ਜ਼́ੜၑ࣐̠̭ͬ͂ͤ͢ͅȂུΠτȜ ͅဓ̢ͥ‫ͬޣג‬೩ࡘ̧̳́͘ȃ๊֚ͅȂୋ຦ ਍ྵ͉ঀဥฺ̠ͅཹ࿍͂అੱ͈೾ഽ̥ͣ฻౯ ̧̳́͘ȃ t
ུΠτȜͬໝତ༹͈༷́྽޿̱̞̩̺̯̞̈́́ȃ ໝତ༹͈༷́྽޿̳ͥ͂ȂΠτȜ͈଻ෝ̦ࡐಠͅ అ̷̤̦̜̳̈́ͩͦͥͦͤ͘ȃ t
ུΠτȜͬဣ‫ס‬ಎ́ຈါոષͅಿ̩༶౾̱̈́ ̞̩̺̯̞́ȃ೒ુͤ͢ୋ຦਍ྵ̦ౣ̩̈́ͥ ̷̤̦̜̳ͦͤ͘ȃ t
ະഐ୨̈́ੜၑ֦̳ܳͥͅఅੱ͉༗બచય‫͂ٸ‬ ̳͈̮̈́ͤ́͘ಕփ̩̺̯̞ȃ

਀ਜ਼ ̭͈ͦͣ਀ਜ਼̦ഐဥུ̯͈͉ͦͥ྽޿ဥΠτȜ͈͙̳́ȃ‫͈ߓܕڎ‬ठੜၑ਀ ਜ਼̞͉̾̀ͅȂ̷̸͈ͦͦ‫ঀ͈ߓܕ‬ဥ୰ྶ੥ͬ४ચ̱̩̺̯̞̀ȃ

ঀဥশ

t
ঀ̞৤͈̀βȜΩȜΗ΂σ́ȂΠτȜ̥ͣఱ ̧̈́؄ͦͬ૑̧̳৾ͤ͘ȃ t
ু൲஄૆༹ͬဥ̞ͥાࣣ͉Ȃঀဥࢃ̳̪ͅΠ τȜͬ྽޿૊ၣକ̨̳̳̳́͘ȃ

༗‫͍̤͢ۯ‬࿶௣

‫͂ߓܕ‬ΠτȜ͉Ȃঀဥࢃ̧́ͥࡠͤଇ௸ͅठੜ ၑ̱̩̺̯̞̀ȃ

ဥ਀஄૆͈੔๵

1

ΠτȜུͬఘ Ȃ‫ڀ‬ȂΏς΋ϋୋζΛΠ)̱̜͜! ͦ͊* ͈̈́̓ࢹ଼໐຦ͅ໦ٜ̱̳͘ȃ

2

ιȜ΃Ȝ͈ଔ੻ͅਲ̽̀ࣖள஄૆‫ס‬1ͬ಺ୋ ̱̳͘ȃ ஄૆‫ͅס‬૫̱̹ୄࠩ̈́ື́ΠτȜ஠ఘͬୄ૑ ̱̳͘ȃ

3

1·ςȜΣϋΈ͉Ȃ1 oz/gal. ͈Enzol®ͬ35ȡ40°Ćঀဥ ̱̀࠿બफ͙̳́ȃ

170

4 5

ΠτȜͬ஄૆‫ͅס‬૫೘̱̳͘ȃ Π τ Ȝ ͉ Ȃ ̷ ͈ ͘ ͘ 15໦ ‫ ۼ‬஄ ૆ ‫ͅ ס‬ ૫೘̱̳͘ȃ

ဥ਀஄૆

1

ήρΏ t
਴࿉ήρΏ́ΠτȜ‫ٸ‬࿂஠ఘ̩̭̳̳ͬͤ͘͢ȃ ୪ࣣນ࿂͞ல࿂͉ͅඅͅಕփ̱̳͘ȃ t
Ωͼί·ςȜ΢Ȝͬঀ̽̀ΠτȜ͈ͺ·ΓΑ ̱̩̞ͅ໐໦ͅήρΏ̥̫ͬȂΏςϋΐ̳́ ̨̳̳͘ȃ t
ΠτȜ͈‫خ‬൲໐͉Ȃडఱ‫ٳ‬໾պ౾́͘൲̥̱ ̀ήρΏ̥̫̳ͬ͘ȃ

2

̨̳̳ t
ਔս‫أ‬ഽ͈‫ݙ‬૫൫ȟ౎ͼ΂ϋȪRO/DIȫକͬ ဥ̞Ȃ஄૆‫ॼס‬ᙨ̦̳͓̀ੰ‫̯́ͥͦ͘ݲ‬Π τȜ̨̳̳̳ͬ͘ȃ̳͓͈̀஄૆‫ॼס‬ᙨ͈ੰ ‫ࢃݲ‬Ȃ̯ͣͅड೩30ຟ‫̨̳̳̳͘ۼ‬ȃ t
ΠτȜͬକ୨̱ͤȂୄࠩ̈́ື͂έͻσΗȜ̱ ̹գੀߗ‫ܨ‬Ȫ40psiȫ́‫̳̱̥͘ۋ‬ȃ t
ΠτȜ͈ୄ̯ࠩͬ࿒ণത࠿̱̳͘ȃͺ·Γᾼ̱ ̩̞ႀ֖͉ͅඅͅಕփ̱̩̺̯̞̀ȃॼ؄̦෇ ͛ͣͦͥાࣣ͉ͅȂ਀ਜ਼1͂2ͬठഽ࣐̞̳͘ȃ

3

૫೘ t
ιȜ΃Ȝ͈ଔ੻ͅਲ̽̀๱ࣖள஄૆‫ס‬2ͬ಺ ୋ̱̳͘ȃ t
Π τ Ȝ ͬ ۖ ஠ ͅ ૫ ೘ ̱ Ȃ ୪ ࣣ ນ ࿂ ͅ ड ೩ 50mL͈஄૆‫ͬס‬ಕව̱̳͘ȃ t
ΠτȜ͉Ȃड೩15໦‫ۼ‬૫೘̱௽̫̳͘ȃ

4

2·ςȜΣϋΈ͉Ȃ¼ oz/gal. ͈Renu-Klenz™ͬ35ȡ40Ɏ ́ঀဥ̱̀࠿બफ͙̳́ȃ

ήρΏ t
਴࿉ήρΏ́ΠτȜ‫ٸ‬࿂஠ఘ̩̭̳ͬͤ͢ ̳͘ȃ t
੔๵̱̹஄૆‫ͬס‬Ȃ୪ࣣນ࿂ͅड೩5ٝಕව ̱̳͘ȃ t
ΠτȜ͈‫خ‬൲໐͉Ȃडఱ‫ٳ‬໾պ౾́͘൲̥̱ ̀ήρΏ̥̫̳ͬ͘ȃ t
Ωͼί·ςȜ΢Ȝͬঀ̽̀ΠτȜ͈ͺ·ΓΑ ̱̩̞ͅ໐໦ͅήρΏ̥̫ͬȂΏςϋΐ̳́ ̨̳̳͘ȃ

171

5

ু൲஄૆

1

̨̳̳ t
ΠτȜͬਔս‫أ‬ഽ͈RO/DIକ́਱໦̨̳̳ͅȂ ஄૆‫ॼ͈ס‬ᙨ̳͓ͬ̀ੰ‫̳̱͘ݲ‬ȃࢾ͉Ώςϋ ΐͬঀ̽̀5̨̳̳̳ٝ͘ȃ஄૆‫ॼס‬ᙨ͈ੰ ‫ࢃݲ‬Ȃ̯ͣͅड೩30ຟ‫̨̳̳̳͘ۼ‬ȃ t
ΠτȜ઼ً̥ͣ̈́କ໦ͬෳ੄̱Ȃୄࠩ̈́ື͂ έͻσΗȜ̱̹գੀߗ‫ܨ‬Ȫ40psiȫ́‫̱̥ۋ‬ ̳͘ȃ t
ΠτȜ͈ୄ̯ࠩͬ࿒ণത࠿̱̳͘ȃͺ·ΓΑ ̱̩̞ͅႀ֖͉ͅඅͅಕփ̱̩̺̯̞̀ȃ ̨̳̳ t
ΠτȜུͬఘ Ȃ‫ڀ‬ȂΏς΋ϋୋζΛΠ)̱̜͜! ͦ͊*͈̈́̓ࢹ଼໐຦ͅ໦ٜ̱̳͘ȃ t
ਔս‫أ‬ഽ͈RO/DIକ́Ȃ࿒ͅࡉ̢ͥ஄૆‫ॼס‬ᙨ ̦̩̈́̈́ͥ́͘ΠτȜ̨̳̳̳ͬ͘ȃΏςϋΐͬ ঀ̞Ą̳̳̑ͬ༞੩̱̳͘ȃ̳͓͈̀஄૆‫ॼס‬ ᙨ͈ੰ‫ࢃݲ‬Ȃ̯ͣͅड೩30ຟ‫̨̳̳̳͘ۼ‬ȃ t
ෳକͬ௯ૺ̳̹ͥ͛ΠτȜͬ߹̫̀;΁ΛΏλȜ ͅව̳ͦ͘ȃ

172

2

ু൲஄૆ t
ո‫΁;́࠯ૄ͈ئ‬ΛΏλȜͬ୭೰̱̳͘ȃ

ठ੏۪শ‫ۼ‬

କ‫أ‬

஄स! ȪΗͼί͂ෛഽȫ

ஜ஄̞

2໦

೩‫͈أ‬କൽକ

-

ࣖள஄૆

2໦

ࣞ‫͈أ‬କൽକ

ࣖள஄૆स3

஄૆1

2໦

ΓΛΠεͼϋΠ 60°C

๱ࣖள஄૆स4

̨̳̳1

2໦

‫ح‬෎60°C

-

‫ۋ‬௓௖

7໦

‫ۋ‬௓‫أ‬ഽ 115°C

-

3·ςȜΣϋΈ͉1 oz/gal.͈Enzol® ͬঀဥ̱̀࠿બफ͙̳́ȃ 4·ςȜΣϋΈ͉¼ oz/gal.͈ Renu-Klenz™ͬঀဥ̱̀࠿બफ ͙̳́ȃ

3

‫ۋ‬௓ t
‫ۋ‬௓௖̦ۖၭ̱̹ͣȂΠτȜͬ;΁ΛΏλȜ ̥ͣ৾ͤ੄̱̳͘ȃ t
਴̥̞ͣୄࠩ̈́ື́ΠτȜͬ૑̧̳͘ȃέͻσΗȜ ̱̹գੀߗ‫ܨ‬Ȫ40psiȫ́‫ۋ‬௓ͬ༞੩̱̳͘ȃ t
ΠτȜ͈ୄ̯ࠩͬ࿒ণത࠿̱̳͘ȃͺ·ΓΑ ̱̩̞ͅႀ֖͉ͅඅͅಕփ̱̩̺̯̞̀ȃ

ιϋΞ΢ϋΑ

t
̭͈྽޿ဥΠτȜ͉ͅȂ඾ુഎ̈́ιϋΞ΢ϋ Α͉ຈါ̵̜ͤͭ͘ȃ

ത࠿͂ΞΑΠ

t
ΠτȜ̭͙ܹ͒͞ͅႨ̦̞̥̈́ത࠿̱̳͘ȃ ‫̥ة‬։ુ̦෇͛ͣͦͥાࣣ͞࿚ఴ̦݃ͩͦͥ ાࣣ͉ȂΠτȜͬ༐௣̱̀ਘၑ̤ͬ‫̺̩͛ݥ‬ ̯̞ȃ t
̳͓͈̀ࢹ଼໐຦̦ୄ̜̭ࠩ́ͥ͂ͬത࠿ ̱̳͘ȃఘ‫͞ס‬ழ૕̦ັ಍̱̞̀ͥાࣣ͉Ȃ ષܱ͈஄૆͂કඉ͈਀ਜ਼ͬठ͍࣐̩̺̽̀ ̯̞ȃ

྽޿শ͈༫௡

t
ո‫́ئ‬අͅఈ͈ঐা̦̞̈́ࡠͤȂΠτȜͬඵ ਹͅρΛί̱̳͘ȃ

173

྽޿

࠙࣬ȇழ͙ၛ̹͈̀͘͘‫͉ۖߓܕ‬஠ͅ྽޿̯ ̵ͦͭ͘ȃ྽޿͈̹͛ͅΠτȜͅවͦͥஜͅȂ ̳͓͈̀‫ͬߓܕ‬໦ٜ̱̩̺̯̞̀ȃ t
ո‫͈ئ‬ȶ྽޿ဥΠτȜ͈ΓΛΠͺΛίȷ͈ࣜ ͈਀ਜ਼́Ȃ‫͍̤͢ߓܕ‬྽޿ဥΠτȜ͈੔๵ͬ ࣐̞̳͘ȃ t
ո‫͈ئ‬྽޿ૄ࠯ͅ‫̞̀̿ܖ‬ȂΠτȜඤ͈‫ߓܕ‬ ͬ྽޿̱̳͘ȃ

΂ȜΠ·τȜήȪ૊‫ܨ‬ȫ ਹႁ౾۟

ஜ૯ߗ

ȶέρΛΏνȷ ஜ૯ߗ

ρΛί

ඵਹ

ඵਹ

-

‫أ‬ഽ

123°C

132°C

132°C

শ‫ۼ‬

50໦

4໦

4໦

‫ۋ‬௓শ‫ۼ‬

40໦

45໦

-

࠙࣬ȇ‫ۋ‬௓শ‫͉ۼ‬ȂࣞഽȂ৔ഽȂρΛί͈ ਅ႒ȂஜੜၑȂΙλϋΨȜ͈΍ͼΒȂୟशၾȂ ୟश̳ͥऺၳȂΙλϋΨȜඤ͈́෻౾͈̈́̓་ ତͅջం̱̳͘ȃξȜΎȜ͉Ȃ̤ঀ̞͈΂ȜΠ ·τȜή́୭೰̱̹‫ۋ‬௓শ‫́ۼ‬Ȃ਀੅‫ۋͬܕܥ‬ ௓̧̭́ͥ͂ͬ‫̞̯̺̩̱̀෇ږ‬ȃ ࠙࣬ḙ͈̑ͦͣ਀ਜ਼͉ȂAAMI TIR 12ȂISO 17665ȂAAMI ST79͈‫ͼ΄ڎ‬Θϋᾼ‫ै̞̀̿ܖ‬ ଼̯̞̳ͦ̀͘ȃStrykeŕ͉Ȃ̭͈ͦͣܰ‫ͬڒ‬ਜ਼ ৿̯̠ͦͥ͢ξȜΎȜͅଔ੻̱̳͘ȃ

༗‫ۯ‬

๱‫ݟ‬କ଻ρͼ΢ȜȪίρΑΙΛ·̹͉͘Ώς΋Ȝ! ϋୋέͻϋ΄Ȝ͈̜ͥ༗‫ۯ‬ζΛΠ̈́̓ȫ͈ັ ̞̹ΠτȜ͉́ࠫႺ̷͈̹̤̦̜̳ͥͦͤ͘͘ȃ! ྽޿଻ͬ༗̹̾͛Ȃ̹̹̽͘‫ͤ৾ͬߓܕ̥ͣס‬ ੄̱̩̺̯̞̀ȃ

೏‫ૂح‬༭

‫ڂ‬൚̱̈́

174

ୋ௮ࡓႲ၁୶

Stryker Endoscopy 5900 Optical Court San Jose, CA 95138 ,1.800.624.2244, ,1.408.754.2000 www.stryker.com

175

྽޿ဥΠτȜ͈ΓΛΠͺΛί ! ఱਹၾ໅‫ك‬ ड )‫͂ߓܕ‬ΠτȜ͈ࣣࠗ*

3.85kg

ඤ໐͈́ୟ͙ਹ͇

̭͈ΠτȜ͉́Ȃඤ໐͈́ୟ͙ਹ̵̧͇͉́ͭ͘ȃ

‫ٸ‬໐͈́ୟ͙ਹ͇

ུΠτȜͬఈ͈ΠτȜ͞‫͂ߓܕ‬ਹ͇̞̩̺̯̞̈́́ȃ

ັ௺຦

ུΠτȜͅঀဥ̧́ͥັ௺຦̵͉̜ͤͭ͘ȃ

‫͈ߓܕ‬෻౾

‫͉ߓܕ‬Ȃ‫ئ‬଎͈̠͢ͅΠτȜͅව̩̺̯̞ͦ̀ȃ

‫ͼڠا‬ϋΐΉȜΗ+ ‫ͼڠا‬ϋΐΉȜΗȪ ȫ͉Ȃ‫ئ‬଎͈̠͢ͅΠτȜ ͈ऒષߛͅ෻౾̱̳͘ȃ ୆໤‫ڠ‬എͼϋΐ ΉȜΗ+

୆໤‫ڠ‬എͼϋΐΉȜΗȪ ߓ͈୶౤ͅ෻౾̱̳͘ȃ

ȫ͉Ȃ‫ئ‬଎͈̠͢ͅ‫ܕ‬

ಕȇ୆໤‫ڠ‬എ̹͉͘‫ͼڠا‬ϋΐΉȜΗ͈෻౾͉ȂུΠτȜ͈྽޿ಎͅຈଌ̵͉̜́ͤͭ͘ȃ ພ͈֭਀ਜ਼ͅਲ̽̀ȂͼϋΐΉȜΗ͈෻౾̦བ̱̞͘ાࣣȂଔ੻̯̞ͦ̀ͥ෻౾໐պ͉ո‫͈ئ‬ ೒̳ͤ́ȃ +

176