Learn how to step-by-step manually clean the KARL STORZ FIVE Scopes with channel, 11302BDXK, 11303BNXK, 11301BNXK. Refer to the IFU for detailed instructions and product numbers for cleaning accessories.
Carl Stortz flexible scopes, reprocessing video. This video covers product numbers 11302 BDX, 11303 BNX and 11301 BNX. The five scope with working channel, your five flexible intubation video. Endoscope from Carl Stortz is designed to provide a long and useful service life, consistent reprocessing as outlined in the IFU is a vital part of overall maintenance and is necessary to help maintain device function. As always refer to the device IFU for further details, bedside pre cleaning at point of use, wipe the entire exterior of the five scope with a soft lint free cloth, moistened with water or a diluted, mild or neutral ph enzymatic cleaning solution such as Enzo. This step is to remove gross debris from the exterior of the flexible endoscope. Flush all channels of the flexible endoscope with water or diluted, mild or neutral ph enzymatic cleaning solution carefully place the five scope into a covered tray or container and transport it to the decontamination area. Ensure the five scope is protected during transport. Complete cleaning of the patient used flexible endoscope should be started within two hours of the bedside pre cleaning to avoid damaging the shaft. Do not use pushing and pulling movements. Dry leakage test if present, remove the pressure compensation cap and all valves and accessories from the five scope inspect the vent port. Confirm that the area is clean. If debris is present carefully, remove the debris with a 70% Isopropyl alcohol wipe. Ensure that both a five scope vent port and leakage tester are completely dry before conducting the leak test, attach the leakage tester to the five scopes vent port using a clockwise push and turn motion until it stops. Pump up the leakage tester until a pressure of 200 millimeters. Mercury is reached fully articulate the distal tip five times in each direction using the control lever, then hold the pressure release button until the pressure drops to 160 millimeters. Mercury. If using an automatic leak tester, set the leak tester pressure to 160 millimeters mercury and turn it on. If the pressure cannot be maintained at that level, do not continue with reprocessing. The scope must be removed from use. Refer to endoscope, return instructions in the if you wet leakage test do not perform a wet leak test in water containing detergent because it is difficult to see bubbles with detergent present while it is pressurized, submerge the entire five scope into a basin or sink containing a minimum of 10 L or roughly 2.6 gallons of room temperature tap water without detergent, ensure the five scope is completely submerged. If surface bubbles are visible on the five scope after submerging, use a syringe filled with water to remove them. The leakage tester should remain outside the basin or sink and should not be immersed while it is submerged, fill all channels with water. Keep the flexible five scope submerged for one minute while fully deflecting the distal tip as follows place the distal tip in the neutral straight position and hold for 15 seconds, articulate the distal tip to the full up position and hold for 15 seconds, articulate the distal tip to the fold down position and hold for 15 seconds place the distal tip in the neutral straight position again and hold for 15 seconds. Look for formation of bubbles on the exterior of the five scope or for a stream of air bubbles if present, use a syringe filled with water to remove them and see if they return. If so. This indicates a leak in the endoscope at that location. If the five scope has a leak as determined by a drop in pressure as seen on the leakage tester or if bubbles are discovered per the steps above immediately, remove the five scope from the water. Hold the pressure release button on the leakage tester or turn off the automated leak tester to reduce the pressure to zero, detached the leakage tester from the five scope and refer to the endoscope. Return instructions for further instructions if the five scope does not leak, remove it from the water bath and press the pressure release button on the leakage tester to drop the pressure to zero or follow the air pumps. Manufacturer instructions for releasing pressure from the five scope. After the pressure drops to zero, detach the leakage tester or automated leak tester from the five scope and proceed to manual cleaning, manual cleaning process. Prepare the diluted, mild or neutral ph enzymatic cleaning solution in the sink or basin. Ensure the video cable is wiped with a cleaning solution, soaked, lint, free cloth. Ensure that the immersion cap has been put securely in place. Attach the rinse tube assembly to the cleaning adapter and attach the cleaning adapter to the suction port, attach a syringe to the rinse tube assembly, plug the ports or close the stop cock of the instrument channel completely immerse the scope in the enzymatic cleaning solution. While the scope is immersed suction up a minimum of 100 mL of cleaning solution through the channel using the syringe discard the solution drawn through the channel in a separate container, remove plugs or open stopcock on the instrument channel, attach a syringe to the instrument port while the scope is immersed suction up a minimum of 100 mL of cleaning solution through the channel. Using the syringe discard the solution drawn through the channel in a separate container, remove rinse tube assembly and cleaning adapter from the suction port while the scope is immersed, use a soft lint free cloth to clean the exterior of the entire five scope at least once if visible debris remains continue wiping until no debris is visible. Use the soft flat cleaning brush to brush the exterior surfaces of the five scope handle including the areas between the deflection lever and handle at least three times if visible debris remains continue brushing until no debris is visible brush, all channel outlets with a short cleaning brush, insert the bristles and rotate a full 360 degrees and remove from the outlet, rub the bristles of the brush to remove any debris and repeat brushing until there are no visible debris on the bristles of the brush. A minimum of three times insert the long cleaning brush pertaining to your scope into the suction port and push through the channel until the brush exits the distal end, rub the bristles to remove any debris and pull the rest of the brush through the channel. Rub the bristles at both ends of the brush to remove any debris and repeat two more times for a minimum of three brush passes if visible debris remains repeat until no visible debris is observed on the brush. Bristles. Refer to the, if U for the brush part numbers brush the instrument channel with a long cleaning brush pertaining to your scope. Insert the brush into the channel, instrument channel port and push through the channel until the brush exits the distal end, then pull the brush completely through the channel out. The distal end rub the bristles at both ends of the brush to remove any debris and repeat brushing until there is no visible debris on the bristles of the brush. Minimum three times, attach the rinse tube assembly to the cleaning adapter and attach the cleaning adapter to the suction outlet, then attach a syringe to the rinse tube assembly, plug the ports or close the stop cocks of the instrument channel. While the scope is immersed, suction up a minimum of 50 mL of cleaning solution through the channel using the syringe, attach a syringe to the instrument port while the scope is immersed, suction up a minimum of 50 mL of cleaning solution through the channel using the syringe. Keep the scope immersed for the manufacturer recommended contact time. For example, at least one minute for Enzo flush, 60 cc of air through all channels to expel the cleaning solution from the channel. After the recommended contact time, remove the flexible scope from the cleaning solution. Discard all disposable cleaning accessories and use new accessories for water rinsing, fill a sink or basin with enough water to completely immerse the endoscope, completely immerse the five scope in the water. Thoroughly wipe the exterior of the entire scope, using a fresh soft lint free cloth, one complete wipe of the entire exterior of the scope should be performed. Attach the rinse tube assembly to the cleaning adapter and attach the cleaning adapter to the suction port. Then attach a syringe to the rinse tube assembly. Plug the ports or close the stop cock of the instrument channel. Draw up a minimum of 50 mL of water into the syringe and flush back through the channel. Then remove the plugs or open stop cock on the instrument channel. Attach a syringe to the instrument port. Draw up a minimum of 50 mL of water into the syringe and flush back through the channel. Flush 60 cc of air through all channels to expel the water from the channel, discard the water and repeat with fresh water for a total of three immersion rinses, remove the scope from the sink or basin and place on a clean or disinfected surface to dry the channels. Flush 60 cc of air through the channel. Dry the exterior of the scope with a new soft lint, free cloth, discard the water and all disposable cleaning accessories. Inspection visually inspect the five scope for cleanliness, damage and dryness. If residues or contamination are still present, the five scope must be manually cleaned and subjected to a full cleaning procedure. Once more check that the deflection is functioning properly by articulating the distal tip in all possible directions. If there is still residual moisture on or in the video endoscope, it must be dried again manually clean the distal lens with a cotton tip, applicator soaked in lens, cleaner or 70% isopropyl alcohol. When cleaning the distal lens, always wipe with a circular motion, proceed to high level disinfection or sterilization. This concludes our instructional video on the cleaning of flexible five scopes for additional information or to order cleaning accessories. Visit us online at Carls storts.com or contact your Carl Stortz representative.
