9. Disinfection
TABLE OF CONTENTS
9. DISINFECTION AND CLEANING..................................3
9.1 Special Terminology......................................... 3
9.2 Disinfection Overview ...................................... 4
9.3 Heat Disinfection .............................................. 6
9.3.1 Heat Clean....................................................6
9.3.2 Automatic Cool Down .................................8
9.3.3 Auto Off (Automatic Soft Power Off) .........9
9.3.4 Heat Clean with Citric Acid.........................9
9.3.4.1 Citric Acid Solution Preparation and
Infusion................................................. 9
9.3.4.2 Automatic Infusion ............................. 11
9.3.4.3 Manual Infusion.................................. 11
9.3.5 Integrated Heat Clean ................................13
9.4 Chemical Disinfection .................................... 14
9.4.1 Single Pass Chemicals ...............................14
9.4.1.1 Chlorine-based Disinfectants.............. 14
9.4.1.2 Amuchina............................................ 15
9.4.2 Dwell Chemicals........................................16
9.4.2.1 Actril, Dialox, and Doxan................... 16
9.4.2.2 Formaldehyde ..................................... 17
9.4.3 Automated Chemical Disinfection.............17
9.4.3.1 Amuchina and Sodium Hypochlorite . 18
9.4.3.2 Actril, Dialox, Doxan, and
Formaldehyde ..................................... 18
9.4.4 Forced Rinse ..............................................19
9.4.5 Disinfect Incoming Water Line .................20
9.4.5.1 Supplies Needed ................................. 20
9.4.5.2 Preconditions ...................................... 20
9.4.5.3 Procedure............................................ 20
9.5 Disinfect Infusion Monitor.............................. 22
9.5.1 Prerinse for Chemical Disinfect.................22
9.5.2 Chemical Infusion......................................24
9.5.3 Recirculation ..............................................25
9.5.4 Forced Rinse ..............................................26
9.5.5 Troubleshooting Chemical Infusion
Problems .................................................26
9.6 Flowpath Cleaning.......................................... 27
9.6.1 Rinse Fluid Path with Vinegar...................27
9.6.1.1 Overview ............................................ 27
9.6.1.2 Supplies Needed ................................. 28
9.6.1.3 Precondition........................................ 28
9.6.1.4 Procedure............................................ 28
157-1278-916, Rev A 9-1
March 2004