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1-2-4-5. Rinsing
WARNING
• Ideally, all nal rinses should be performed with sterile water. However,
if sterile water is not used, use potable water or the water that meets
the requirements of the health care facility.
• The basin that is used to perform rinsing of the endoscope and
accessories must be thoroughly cleaned prior to lling it with rinse water.
• The rinse volumes recommended for removing residual disinfectant
from channels are sufcient for 14-day glutaraldehydes (Cidex Activated
Dialdehyde Solution). If extended shelf-life glutaraldehydes or other FDA-
cleared, commercially available high level disinfectants are used, consult
with the disinfectant manufacturer for details regarding recommended
rinse water volumes.
First rinse
1) Place the endoscope with the inlet seal (OF-B190) and cleaning adapter (OF-B155)
attached in a basin of sterile water that is of sufcient volume to completely immerse
the endoscope.
2) Detach inlet seal (OF-B190), and cleaning adapter (OF-B155) from the endoscope.
Open the cap of inlet seal (OF-B190).
3) Wipe all exterior surfaces of the endoscope, inlet seal (OF-B190), and cleaning
adapter (OF-B155) at least two times with a sterile gauze in order to remove residual
disinfecting solution.
4) While still completely immersed in water, grasp the distal end and control body of
the scope and PVE connector with two hands, and agitate them under the water by
moving them from side to side repeatedly for at least one minute.
Figure 1.27
5) Similarity, grasp inlet seal (OF-B190) and cleaning adapter (OF-B155) and agitate
them under water by moving them from side to side for at least one minute.
6) Attach inlet seal (OF-B190) and cleaning adapter (OF-B155) to the endoscope.
(Figure 1.22, p30)
7) Attach a syringe lled with water to the suction nipple, and ush the suction channel
with at least 35 mL of water. (Figure 1.23, p31)
8) Insert a syringe filled with water to inlet seal (OF-B190) and flush the suction
channel with at least 35 mL of water. (Figure 1.24, p31)
Endoscope
Disinfection
1
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