Steris Reliance Vision Single-Chamber Washer/Disinfector Operating instructions

Brand: Steris

Model: Reliance Vision Single-Chamber Washer/Disinfector

Type: Operating instructions

Introduction Operator Manual 920518-812

This manual contains important information on the proper use and

routine maintenance of the Three-Level Ophthalmic Rack and the

Large Three-Level Ophthalmic Rack. All personnel involved in the

use and routine maintenance of this equipment must carefully

review and comply with the Safety Precautions and instructions

contained in this manual.

These instructions are important to

protect the health and safety of personnel using the

Three-Level

Ophthalmic Rack and the Large Three-Level Ophthalmic Rack to

process items in the Vision® Single-Chamber Washer/Disinfector or

the Vision® Single-Chamber Large Washer/Disinfector, and should be

retained in a conveniently accessible area for quick reference.

Advisory IMPORTANT: A listing of the Safety Precautions to be observed

when using and servicing this equipment can be found in SECTION 1

of this manual. Do not use the equipment until you have become

familiar with this information.

STERIS does not intend, recommend or represent in any way that the

Three-Level Ophthalmic Rack or the Large Three-Level Ophthalmic

Rack be used in the Vision Single-Chamber Washer/Disinfector or

the Vision Single-Chamber Large Washer/Disinfector for the terminal

disinfection or sterilization of any regulated medical device.

The

Three-Level Ophthalmic Rack and the Large Three-Level Ophthalmic

Rack are intended only to perform an initial step in the processing

of soiled, reusable medical devices in the washer/disinfector. If

medical devices will be contacting blood or compromised tissues,

such devices must be terminally processed in accordance with

Good Hospital Practices before each use in human patients.

STERIS does not recommend processing flexible endoscopes, single-

use instruments, rigid telescopes (optical lens), fiber-optic cables,

multi-part instruments that cannot be disassembled, heat-sensitive

devices and coagulating electrodes using the Three-Level Ophthalmic

Rack or the Large Three-Level Ophthalmic Rack in the washer/

disinfector. Processing these types of instruments may result in

instrument or equipment damage as well as improperly cleaned items.

All items processed using the Three-Level Ophthalmic Rack or the

Large Three-Level Ophthalmic Rack in the washer/disinfector must

withstand temperatures of up to 116°C (240°F).

The Three-Level Ophthalmic Rack and the Large Three-Level

Ophthalmic Rack

are specifically designed to only hold items as

outlined in this manual. If there is any doubt about a specific material

or product, contact the instrument manufacturer for recommended

washing techniques.

A WORD FROM STERIS

920518-812 Operator Manual Introduction

Any alteration of this equipment not authorized or performed by

STERIS will void the warranty. Alteration of this equipment which

could adversely affect its operation and efficacy may violate national,

state and local laws or regulations.

Serious incidents that have occurred in relation to this medical

device should be reported to the manufacturer and competent

authority in the country where the incident occurred.

Indications For Use The Three-Level Ophthalmic Rack and the Large Three-Level

Ophthalmic Rack are designed to be used in the Vision Single-

Chamber Washer/Disinfector or the Vision Single-Chamber Large

Washer/Disinfector for the efficient cleaning, rinsing, drying and

intermediate level disinfection of different types of anesthesia

tubing, bags, masks and respiratory goods.

IMPORTANT: The Three-Level Ophthalmic Rack and the Large

Three-Level Ophthalmic Rack are designed to be used only with the

Anesthesia/Respiratory Goods cycle.

Service Information A thorough preventive maintenance program is essential to help

ensure safe and proper washer/disinfector and rack operation. This

manual contains a routine maintenance procedure which should be

followed for satisfactory equipment performance.

Customers are encouraged to contact STERIS concerning extended

service maintenance agreements to give your washer/disinfector

and rack planned maintenance, which will help ensure equipment

performance according to factory specifications. STERIS maintains a

global staff of well-equipped, qualified service technicians to provide

this service, as well as professional repair services. Please contact

STERIS for details.

iii

Introduction Operator Manual 920518-812

Technical

Specifications

Three-Level Ophthalmic Rack:

• Overall Size:

• Low Profile Version: 648 x 648 x 559 mm (25.5 x 25.5 x 22")

• High Profile Version: 648 x 648 x 660 mm (25.5 x 25.5 x 26")

• Weight: 22 kg (49 lb)

• Material: Stainless steel, Plastic, Silicone, Polypropylene

Total Load Capacity (refer to Figure 2-1):

• 2 vitrectomy ophthalmic instrument sets

• 4 cataract ophthalmic instrument sets

Load capacity for cannulated instruments:

• 4 bimanual irrigation handpieces holder

• 4 bimanual aspiration handpieces holder

• 4 phako instrument holder

• 4 micro tweezers instruments holder

• 16 hollow jets Ø 4x60 mm for cannulated instruments

• 4 hollow jets Ø 4x59 mm for cannulated instruments

• 8 hollow jets Ø 4x50 mm for cannulated instruments

• 20 luer-locks male, 4 Luer locks female for cannulated

instruments

• 4 phako tip holder

• 4 quick tip I/A holder

• 7 bulldog instruments holder

• 8 holders for biom lens

Large Three-Level Ophthalmic Rack:

• Overall size: 648 x 825 x 561 mm

• Weight: 26 kg

• Material: Stainless steel, Plastic, Silicone, Polypropylene

Total load capacity:

• 4 vitrectomy ophthalmic instrument sets

• 4 cataract ophthalmic instrument sets

• 2 spare slots for DIN trays

Load capacity for cannulated instruments:

• 4 bimanual irrigation handpieces holder

• 4 bimanual aspiration handpieces holder

(Continued...)

920518-812 Operator Manual Introduction

• 4 phako instrument holder

• 4 micro tweezers instruments holder

• 16 hollow jets Ø 4x60 mm for cannulated instruments

• 4 hollow jets Ø 4x59 mm for cannulated instruments

• 8 hollow jets Ø 4x50 mm for cannulated instruments

• 20 Luer locks male, 4 Luer locks female for cannulated

instruments

• 4 phako tip holder

• 4 quick tip I/A holder

• 7 bulldog instruments holder

• 8 holders for biom lens

Certification The Vision Single-Chamber Washer/Disinfector, compatible with the

Three-Level Ophthalmic Rack, meets the applicable requirements of

certain standards. Refer to washer/disinfector Operator Manual

(P920508-556) for the current list of standards.

The Vision Single-Chamber Large Washer/Disinfector, compatible

with the Large Three-Level Ophthalmic Rack, meets the applicable

requirements of certain standards. Refer to washer/disinfector

Operator Manual (P920518-029) for the current list of standards.

Introduction Operator Manual 920518-812

The base language of this

document is ENGLISH. Any

translation must be made from

the base language document.

Manufactured by:

STERIS Canada ULC

490 boulevard Armand-Paris

Québec ( Q uébec)

Canada G1C 8A3

European Community Representative:

STERIS Ireland Limited

IDA Business and Technology Park

Tullamore

County Offaly

R35 X865

Ireland

Sales and Service -- Europe, Middle-East and Africa:

STERIS

116 Avenue de Magudas, 33185

Le Haillan

FRANCE

Support Service, by email:

Support_EMEA_IPT_SE@steris.com

All other requests, by phone: +33 5 56 93 94 94

Website:

www.steris.com

Sales and Service -- Americas, Oceania and Asia:

STERIS Corporation

5960 Heisley Road

Mentor, Ohio 44060

440-354-2600 • 800-548-4873

920518-812 Operator Manual Introduction

Healthcare

Capital Equipment

vii

920518-812 Operator Manual Table of Contents

A WORD FROM STERIS .......................................................................................... I

Advisory ........................................................................................................................................................... i

Indications For Use ..........................................................................................................................................ii

Service Information ..........................................................................................................................................ii

Technical Specifications .................................................................................................................................iii

Certification......................................................................................................................................................iv

1 SAFETY PRECAUTIONS .....................................................................................1-1

2 LOADING INSTRUCTIONS ..................................................................................2-1

2.1 Three-Level Ophthalmic Rack and Large Three-Level Ophthalmic Rack – Components ................ 2-1

2.2 Three-Level Ophthalmic Rack and Large Three-Level Ophthalmic Rack – Sections ....................... 2-2

2.3 Preparing Instruments ....................................................................................................................... 2-4

2.4 Loading Rack ..................................................................................................................................... 2-4

2.5 Ophthalmic Insert .............................................................................................................................. 2-5

3 OPERATING INSTRUCTIONS .............................................................................3-1

4 UNLOADING INSTRUCTIONS .............................................................................4-1

4.1 Unloading Three-Level Ophthalmic Rack and Large Three-Level Ophthalmic Rack ........................ 4-1

4.2 Visual Inspection ................................................................................................................................ 4-2

5 ROUTINE MAINTENANCE AND REPLACEMENT PARTS ....................................5-1

5.1 Routine Maintenance ......................................................................................................................... 5-1

5.2 Replacement Parts ............................................................................................................................ 5-2

TABLE OF CONTENTS

Section

Number Description Page

viii

Table of Contents Operator Manual 920518-812

2 LOADING INSTRUCTIONS ..................................................................................2-1

2-1 Three-Level Ophthalmic Rack – Components ................................................................................... 2-1

2-2 Ophthalmic Upper Insert ................................................................................................................... 2-2

2-3 Base Rack ......................................................................................................................................... 2-3

2-4 Assembling Ophthalmic Rack ........................................................................................................... 2-3

2-5 Ophthalmic Basket Pre-Loaded ........................................................................................................ 2-4

2-6 Loading Lower Part (Base Rack) ....................................................................................................... 2-5

2-7 Virectomy Ophthalmic Instrument Set ............................................................................................... 2-6

2-8 Load Instruments on Instrument Holder ............................................................................................ 2-6

2-9 Loading Instruments and Tips on Luer Locks (1 of 2) ....................................................................... 2-7

2-10 Loading Instruments and Tips on Luer Locks (2 of 2) ....................................................................... 2-8

2-11 Loading Cannulated Instruments ...................................................................................................... 2-9

2-12 Instrument Holder .............................................................................................................................. 2-9

2-13 Loading Lenses ............................................................................................................................... 2-10

2-14 Loading Instruments on Hollow Jets ............................................................................................... 2-10

2-15 Mounting Protective Cover .............................................................................................................. 2-11

2-16 Loading Micro Tweezers on Protective Cover .................................................................................2-11

2-17 Connecting Tubes ........................................................................................................................... 2-12

2-18 Loaded Three-Level Ophthalmic Rack ............................................................................................ 2-12

5 ROUTINE MAINTENANCE AND REPLACEMENT PARTS ....................................5-1

5.1 Replacement Parts ............................................................................................................................ 5-2

LIST OF ILLUSTRATIONS

Figure

Number Description Page

LIST OF TABLES

Table

Number Description Page

1-1

Safety Precautions Operator Manual 920518-812

The following Safety Precautions must be observed when operating or servicing the Three-Level Ophthalmic

Rack or the Large Three-Level Ophthalmic Rack. WARNING indicates the potential for personal injury and

CAUTION indicates the potential for damage to equipment. For emphasis, certain Safety Precautions are

repeated throughout the manual. It is important to review ALL Safety Precautions before operating or servicing

the equipment.

Strictly following these Safety Precautions enhances the Customer’s ability to safely and effectively utilize the unit

and helps avoid improper maintenance methods which may damage the unit or render it unsafe. It is important to

understand that these Safety Precautions are not exhaustive; Customers are encouraged to develop their own

safety policies and procedures to enhance and complement these Safety Precautions.

WARNING – PERSONAL INJURY AND/OR EQUIPMENT DAMAGE HAZARD:

WARNING – BURN HAZARD:

Always load or unload Three-Level Ophthalmic Rack or the Large Three-Level Ophthalmic Rack on

appropriate loading cart or surface.

Always load and unload the Three-Level Ophthalmic Rack or the Large Three-Level Ophthalmic Rack

facing rack. Trocar ends sticking out of the rack can be extremely sharp and can cause injuries such as

cuts.

Regularly scheduled preventive maintenance is required for safe and reliable operation of this

equipment. Contact STERIS to schedule preventive maintenance or obtain the necessary washer/

disinfector Maintenance Manual if preventive maintenance is done by the Customer.

Repairs and adjustments to this equipment must be made only by STERIS or STERIS-trained service

personnel. Repairs and adjustments performed by unqualified personnel or installation of unauthorized

parts could cause personal injury, result in improper equipment performance, void the warranty or result

in costly damage. Contact STERIS regarding service options.

Three-Level Ophthalmic Rack or Large Three-Level Ophthalmic Rack and items are extremely hot

when cycle is completed. Allow rack and items to cool to room temperature and always wear

appropriate Personal Protective Equipment (PPE) before reaching into chamber.

When cycle is completed, wait until water flow stops before opening door and unloading washer/

disinfector. Hot water or steam may be sprayed through door opening if door is opened too soon. Wear

appropriate Personal Protective Equipment (PPE) whenever reaching into chamber.

SAFETY PRECAUTIONS

1-2

920518-812 Operator Manual Safety Precautions

CAUTION – POSSIBLE EQUIPMENT DAMAGE:

To avoid equipment damage and maximize processing efficiency, always load soiled items as instructed

in this Three-Level Ophthalmic Rack and Large Three-Level Ophthalmic Rack Operator Manual.

To prevent voiding the warranty or damaging the equipment, use only authorized STERIS replacement

parts.

Use nonabrasive cleaners when cleaning the Three-Level Ophthalmic Rack or the Large Three-Level

Ophthalmic Rack. Follow directions on containers and rub in a back-and forth motion (in same direction

as surface grain). Abrasive cleaners will damage stainless steel.

2-1

Loading Instructions Operator Manual 920518-812

2.1 Three-Level

Ophthalmic Rack and

Large Three-Level

Ophthalmic Rack –

Components

See Figure 2-1.

Before using the Three-Level Ophthalmic Rack or the Large

Three-Level Ophthalmic Rack, it is important to become familiar

with the location of the rack components.

IMPORTANT: A listing of the Safety Precautions to be observed when using and servicing this equipment

can be found in SECTION 1 of this manual. Do not use the equipment until you have become familiar with

this information.

Figure 2-1. Three-Level Ophthalmic Rack – Components

Rack Base

Ophthalmic Insert

(Upper Level)

Spray Arm

Large Three-Level Ophthalmic Rack

Shown

LOADING INSTRUCTIONS

2-2

920518-812 Operator Manual Loading Instructions

2.2 Three-level

Ophthalmic Rack and

Large Three-Level

Ophthalmic Rack –

Sections

The rack has three levels; two on the base rack and one level for the

ophthalmic insert.

The ophthalmic insert is designed to hold cannulated ophthalmic

instruments and suction tubes using rack components (instrument

holders, Luer locks, hollow jets, etc.) and has space for two

ophthalmic baskets (large version: four ophthalmic baskets).

4'(ÄÄ

Hollow Jets

(Two Rows)

Bimanual

Aspiration Hand

Pieces Holder

Slots for Lens Holder

Quick Tip I/A

Holder

Protective Cover for

Micro Tweezers Holder

Luer Locks

Phako Instrument

Holders

Phako Tip

Holder

Space for Ophthalmic

Baskets

Figure 2-2. Ophthalmic Upper Insert

Ophthalmic Basket

Large Ophthalmic Upper Insert

Shown

2-3

Loading Instructions Operator Manual 920518-812

The lower section of the rack is divided in two levels and is

equipped with two rotary spray arm assemblies and blue grips.

Lower section has space for two ophthalmic baskets

(large version: four ophthalmic baskets).

Place the Ophthalmic insert into the base rack as shown:

Figure 2-3. Base Rack

Spray Arms

Blue Grips

(2 x)

Figure 2-4. Assembling Ophthalmic Rack

2-4

920518-812 Operator Manual Loading Instructions

2.3 Preparing

Instruments

To prepare instruments for processing, proceed as follows:

• Disassemble all instrument components prior to loading them in

the Three-Level Ophthalmic Rack or the Large Three-Level

Ophthalmic Rackand ophthalmic baskets.

• Fully open all handles, jaws and graspers.

• Manually clean any visible soil on cannulated instruments.

• Pre-load ophthalmic baskets with the appropriate instruments.

• Load a cataract ophthalmic instrument set in an ophthalmic

basket. Place basket on ophthalmic rack lower levels.

• Load a vitrectomy ophthalmic instrument set in an ophthalmic

basket Place basket on the upper level on ophthalmic insert.

• Cannulated ophthalmic instruments and suction tubes are

loaded onto special instrument holders on the ophthalmic insert.

2.4 Loading Rack • Lower Part (Base Rack)

To load the base rack, proceed as follows:

1. Mount ophthalmic insert onto base rack.

2. Pre-load ophthalmic baskets with appropriate instruments.

Cataract ophthalmic instrument set is loaded on base rack.

WARNING – PERSONAL INJURY

AND/OR EQUIPMENT DAMAGE

HAZARD: Always load or unload

Three-Level Ophthalmic Rack or

the Large Three-Level Ophthalmic

Rack on appropriate loading cart

or surface.

Figure 2-5. Ophthalmic Basket Pre-Loaded

2-5

Loading Instructions Operator Manual 920518-812

3. Slide ophthalmic baskets into base rack from the side.

4. Put two cataract ophthalmic instrument sets on each level of

base rack.

5. On the large version there is space for one more ophthalmic

basket on each level of base rack.

2.5 Ophthalmic Insert The upper section of the ophthalmic rack is designed to hold

cannulated ophthalmic instruments and suction tubes using rack

components (instrument holders, Luer locks, hollow jets, etc.).

Furthermore, it can also accommodate two (large version: four)

ophthalmic baskets to process non-cannulated ophthalmic

instruments.

The ophthalmic insert may hold the following items:

• 4 bimanual irrigation handpieces holder

• 4 bimanual aspiration handpieces holder

• 4 phako instrument holder

• 4 micro tweezers instruments holder

• 16 hollow jets Ø 4x60 mm for cannulated instruments

• 4 hollow jets Ø 4x59 mm for cannulated instruments

• 8 hollow jets Ø 4x50 mm for cannulated instruments

• 20 luer-locks male, 4 Luer locks female for cannulated

instruments

• 4 phako tip holder

• 4 quick tip I/A holder

• 7 bulldog instruments holder

• 8 holders for biom lens

CAUTION – POSSIBLE EQUIPMENT

DAMAGE: To avoid equipment

damage and maximize processing

efficiency, always load soiled

items as instructed in this Three-

Level Ophthalmic Rack and Large

Three-Level Ophthalmic Rack

Operator Manual.

Three-Level Ophthalmic Rack Shown

Figure 2-6. Loading Lower Part (Base Rack)

2-6

920518-812 Operator Manual Loading Instructions

To load the ophthalmic insert, proceed as follows.

1. Prepare empty Ophthalmic insert. Mount Ophthalmic insert

onto base rack (if not already done).

2. Pre-load ophthalmic baskets with appropriate instruments;

vitrectomy ophthalmic instrument set is loaded on ophthalmic

insert.

3. Mount instruments onto special instrument holder on

ophthalmic insert.

- There is space for four sets.

- Every set has two cannulated instruments which are connected

with two tubes each.

- Caps are mounted on the hollow jets.

WARNING – PERSONAL INJURY

AND/OR EQUIPMENT DAMAGE

HAZARD: Always load or unload

Three-Level Ophthalmic Rack or

Large Three-level Ophthalmic

Rack on appropriate loading cart

or surface.

Figure 2-7. Virectomy Ophthalmic Instrument Set

CAUTION – POSSIBLE EQUIPMENT

DAMAGE: To avoid equipment

damage and maximize processing

efficiency, always load soiled

items as instructed in this Three-

Level Ophthalmic Rack Operator

Manual.

Figure 2-8. Load Instruments on Instrument Holder

2-7

Loading Instructions Operator Manual 920518-812

Figure 2-9. Loading Instruments and Tips on Luer Locks (1 of 2)

2-8

920518-812 Operator Manual Loading Instructions

Tip

Figure 2-10. Loading Instruments and Tips on Luer Locks (2 of 2)

2-9

Loading Instructions Operator Manual 920518-812

4. Mount cannulated instruments onto special instrument holder

on ophthalmic insert (there is space for four sets). Both

cannulated instruments are connected with one tube each.

Make sure that the bend in the tip of the instrument faces the

tube.

NOTE: Verify instruments are inserted in the correct row (Row

1: back row, Row 2: front row).

5. Insert highlighted instrument into holder. Verify it is inserted

with the front end first.

Figure 2-11. Loading Cannulated Instruments

Figure 2-12. Instrument Holder

2-10

920518-812 Operator Manual Loading Instructions

6. Position biom lenses on lens holder.

7. Put consequent highlighted goods on indicated hollow jet.

- Diameter of hollow jet varies according to size of instrument.

- Verify they are in according order.

Figure 2-13. Loading Lenses

Figure 2-14. Loading Instruments on Hollow Jets

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Steris Reliance Vision Single-Chamber Washer/Disinfector Operating instructions

Brand: Steris

Model: Reliance Vision Single-Chamber Washer/Disinfector

Type: Operating instructions

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Steris Reliance Vision Single-Chamber Washer/Disinfector Operating instructions

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