Steris Reliance Vision Single-Chamber Washer/Disinfector Operating instructions

Brand
Steris
Model
Reliance Vision Single-Chamber Washer/Disinfector
Type
Operating instructions
i
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.
©2022, STERIS Corporation. All rights reserved. Printed in Canada.
A WORD FROM STERIS
ii
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...)
iv
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.
v
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
vi
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
1
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
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
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
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.
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
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 2-14. 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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