HTM made easy. Testing Explained... in fact everything you need to know about HTM but were too afraid to ask!

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1 made easy Testing Explained... in fact everything you need to know about but were too afraid to ask! Washer Disinfectors & Washer Disinfector Performance Monitoring Sterilisers & Steriliser Monitoring Ultrasonics & Ultrasonic Cleaner Performance Monitoring Expert advice! Cleaning Solutions Knowledge! Reference to the HTM guidelines The UKʼs leading Mailorder dental supplier Decontamination Accessories

2 PICO Compliance to Best Practice at the touch of a button All Picoʼs (worktop and floor standing) share one touch operation, efficient compliance and give you fully automated traceability, as outlined in the guidelines and standards. PICO Flush PICO XL Patented Pulse Lumen Flushing provides powerful cleaning for hollow or lumened devices. Hand pieces are reprocessed thoroughly inside and out, guaranteeing complex / critical instruments are free from soil residue. Cleans up to 6 handpieces PICO Plus Flush PICO Flush with drying The XL slim under-counter model allows busy surgeries to reprocess high volumes. They carry all the features of benchtops but with higher volume lumen washing / disinfection facilities. Optional extras include drying cycles and Ezee Clip trays for maximum throughput thus optimising efficiency. Cleans up to 8 handpieces PICO XL PICO XL with drying PICO XXL Decon Tower - Is space an issue? The 600mm wide under-counter model allows busy surgeries to reprocess high volumes. They carry all the features of benchtops but with higher volume lumen washing / disinfection facilities. Optional extras include drying cycles and Ezee Clip trays for maximum throughput, optimising efficiency. Cleans up to 12 handpieces This compact unit can be built to accommodate a combination of devices in various configurations, allowing good accessibility in confined spaces. The orientation of the storage and drawer systems assists in the instrument use / reprocessing cycle further helping you with compliance and standardisation to HTM Concealed storage at the base is ideal for detergents and RO units & free glide castors ensure easy manoeuvrability. Call for details PICO XXL PICO XXL with drying Decon Tower - Stainless Steel Decon Tower - Epoxy Coated White 2

3 Washer Disinfectors & Washer Disinfector Performance Monitoring This is the Cleaning Efficacy Test as outlined in Standard PCD Pg 58,13.4 Result Assessment Action needed Reference indicator: Test soil spot completely visible Insufficient cleaning process: Test 1 Spot of test soil completely visible Spot of test soil visible Do not release batch Check wash, temperature, dosage and time The Standard PCD is a consistent reproducible way to monitor the cleaning efficiency of your Ultrasonic washer Stainless steel tray for testing of Valisafe CEI (Cleaning Efficacy Indicator) Conforms to ISO Easy to use - Easy to read Spot of test soil visible Spot of test soil slightly visible Repeat test Successful cleaning process: Spot of test soil completely removed In case of repeated insufficient cleaning process: Call service technician Release batch. No further action needed Valisafe CEI/Standard PCD Kit PCD & 10 CEI tests 75 Valisafe Replacement CEI x 50 CEI tests 138 Valisafe Replacement CEI x 10 CEI tests This is a visual indicator that helps you to identify that the load has been cleaned efficiently and can be used as a daily check. This is the Protein Residue Test as outlined in ProTEST Quick Pg 58,13.4 Test 2 Ready to use rapid protein residue detection system. Protein residue test in accordance with EN ISO compliant Results in 10 minutes Biuret sensitivity Ninhydrin sensitivity Pre-moistened swab Easy to use ProTEST ʻQʼ x Easy to use, this weekly test confirms that the cleaning process retains the capability of removing protein. 3

4 Autoclaves Compliance Best Practice at the touch of a button Vacuum (Type B) Autoclaves PICOclave 21ED 22 litre* PICOclave 17ED 17 litre* Class B vacuum steam steriliser. compliant EN compliant Rapid Vacuum / Standard cycles Touch screen Large 22 litre capacity Class B vacuum steam steriliser. compliant EN compliant Rapid Vacuum / Standard cycles Touch screen Large 17 litre capacity PICOclave 21ED 22L PICOclave 17ED 17L The whole of Europe uses Vacuum Autoclaves - buying less expensive Type N machines may not serve you well in the long run Non Vacuum (Type N) Autoclaves PICOclave 21E - 22 litre* PICOclave 17E - 17 litre* Class N steam steriliser. EN Compliant Class N Non-vacuum Easy to operate 22 litre capacity Class N steam steriliser. EN Compliant Class N Non-vacuum Easy to operate 17 litre capacity PICOclave 21E 22L PICOclave 17E 17L Type N Autoclaves are not suitable for handpieces or hollow lumens! 4

5 Sterilisers & Steriliser Monitoring This is the Daily Steam Penetration Test EN13060 Vacuum Autoclave compliant ONLY B&D Test Pack Pg 25,4.18 EN867 Helix Device Pg 25,4.18 Test 1 OR The Valisafe Bowie & Dick test pack fulfils the requirements of EN 285, EN ISO & EN ISO Independently validated to mirror the original Towel pack For porous loads only Diagnostic capabilities: air removal; wet steam; super heated steam or presence of noncondensable gases Clear and accurate colour change Easy to interpret easy to record B&D Test Pack x This must be used at the start of each day prior to the sterilisation cycle as stated in. The Valisafe EN Helix Device is an accurate, cost effective way of ensuring that your Type B table top sterilizer is performing correctly. Conforms to EN 867 Part 5 Specifically engineered for B type (vacuum assisted) table top sterilizers Daily test requirements as stipulated in national standards Easy to use - Easy to interpret Self adhesive backing for documentation purposes Helix x This must be used daily and gives you the reassurance that your load including dental handpieces, has been processed. This is the Automatic Control Test For dating sterilisation pouches & tape Class 6, 3.5 min Indicator Pg 56 PIP (Process Indicator Pen) Pg 26, 4.24 Test 2 The Class 6 chemical indicators offer the highest level of proof of the achievement of Sterility Assurance in your trays and items. Conforms to EN ISO Class 6 Specifically calibrated to 3.5 min at 134 C cycle Monitors critical parameters; Time; Temperature; Steam For use in every tray or item Clear & abrupt colour change - Easy to interpret Class 6, 3.5 min x This should be used on a daily basis as part as your automatic control test. Conforms to EN ISO (Class 1) Universal application on all sterilization wrapping materials Writes for over 400 M Lead free Cost effective process indicator system Clear stop / Go colour change PIP x Sign & date your pack instead of using autoclave tape 5

6 Ultrasonic, Washer Disinfectors, Autoclaves Compliance to Best Practice at the touch of a button DentaSonic Ultrasonic PICO Washer Disinfector See page 2 for more details Ultrasonic instrument cleaner. compliant HTM 2030 compliant With interlocking lid Ultra quiet Fundamental safety and security Patented Pulse Lumen Flushing provides powerful cleaning for hollow or lumened devices. Hand pieces are reprocessed thoroughly inside and out, guaranteeing complex / critical instruments are free from soil residue. See Washer Disinfector page for more in the range DentaSonic Machine types PICOclave Autoclaves Ultrasonics Ultrasonics are used for cleaning instruments with hinges or intricate parts. Pg 19, 3.21 Washer Disinfectors Washer Disinfectors are used as the preferred method for cleaning dental instruments. Autoclaves Autoclaves are used to sterilise instruments after they are thoroughly cleaned. Pg 17, 3.13 Pg 22, 4.2 Class B vacuum steam steriliser compliant EN compliant Rapid vacuum / Standard cycles Touch screen Large 17 litre capacity / 22 litre See Autoclave page for more in the range See page 4 for more details 6

7 Ultrasonics & Ultrasonic Cleaner Performance Monitoring This is the Ultrasonic Activity Test Test Foil Pg 60,14.4 The foil test is the conventional method of measuring the ultrasonic activity over the whole of the tank; the activity of the Ultrasonic Cleaner is verified by the erosion pattern, which is created on aluminium foil exposed in the bath for a timed period. 20mm Width, 0.015m Gauge. 367m roll Ultrasonic Activity Test 15.6 The ultrasonic activity can be investigated by the erosion pattern created on aluminium foil exposed in the tank for a short period. This activity may not be uniform throughout the tank. Validation tests will determine the pattern variation at defined positions and the time required to produce this pattern The exposure time will depend upon the type of foil used. (Standard test foil is now available to maximise repeatability.) 15.8 The following equipment will be required: aluminium foil provided for ultrasonic cleaner testing; adhesive tape (for example autoclave indicator tape or masking tape); a watch or clock with a second hand; a rule or tape measure. V Autoclave Tape - 19mm, 48 rolls per bag V Autoclave Tape - 24mm, 36 rolls per bag Test 1 Test Foil Roll Conventional test, somewhat time-consuming. This is the Cleaning Efficacy Test Valisafe CEI / Standard PCD Kit Pg 60,14.4 This is the Protein Residue Test & ProTEST Quick Pg 60,14.4 Test 2 The Standard PCD is a consistent reproducible way to monitor the cleaning efficiency of your Ultrasonic cleaner Stainless steel tray for testing of Valisafe CEI (Cleaning Efficacy Indicator) Conforms to ISO Easy to use - Easy to read Valisafe CEI/ PCD 75 Standard PCD Kit 10 CEI tests Ready to use rapid protein residue detection system. Protein residue test in accordance with EN ISO compliant Results in 10 minutes Biuret sensitivity Ninhydrin sensitivity Pre-moistened swab Easy to use 18 month shelf life Replacement CEI x This is a visual indicator that helps you to identify that the load has been cleaned efficiently and can be used as a daily check. ProTEST ʻQʼ x Easy to use, this weekly test confirms that the cleaning process retains the capability of removing protein. 7

8 Cleaning Solutions Go to for more accessories 3E-Zyme (non foaming) Medi-pH-Safe (aluminium friendly) A bacteriostatic triple enzyme cleaner Non foaming and ph neutral detergent Three in one non-corrosive cleanser is safe & fast acting As well as being used in your washer disinfector, this detergent can also be used as a pre-soak and also for ultrasonic cleaning. Fully effective against proteins, lipids, carbohydrates & mucopolysaccharides. A new and unique formulation which gives the cleaning benefits of an alkaline detergent with the protection offered by an enzymatic detergent ph9 composition facilitates fast efficient cleaning at high temperatures. A non foaming detergent and lower dilution rate that is suitable for dental instruments. Especially for use in hard water areas 3E-Zyme x1 (4L) For use in your washer and ultrasonic Medi-pH-Safe x1 (5L) Highly efficient aluminium cleaner safe for use with all dental instruments, but you must read the manufacturers IFU See section 3.19 of the guidelines for best practice cleaning solutions AWT (Automatic H20 Treatment) Enzyme Foam Spray Scale Preventor & Water Conditioner. Neutralising hard water salts to prevent scale deposition within the machine and on cleaned and disinfected surgical instruments Neutralising residues of alkaline cleaning agents on ophthalmic instruments AWT x6 (0.5L) AWT x1 (4L) For use in hard water areas, washers only! Instruments reprocessed as soon as possible after use may be more easily cleaned than those left for a number of hours. Where immediate reprocessing is not possible, Enzyme Foam Spray is intended to maintain a moist or humid environment to aid subsequent decontamination. ph neutral safe and effective for Stainless Steel, aluminium and brass instruments. Foam Spray ml Keep your instruments moist before reprocessing in your washer 8

9 Decontamination Accessories Dux Dental PeelVue+ Sterilising Pouches Autoclave/chemiclave pouch with internal processing indicator. A packaging method for moist heat sterilisation plus storage and presentation of instruments and accessories to the patient Once the peelable film is removed in front of the patient, instruments can remain sterilised on the paper surface. For use in any steam auto/chemiclave. 55mm x 100mm Pouches x mm x 230mm Pouches x mm x 305mm Pouches x mm x 230mm Pouches x mm x 305mm Pouches x mm x 305mm Pouches x mm x 165mm Pouches x mm x 305mm Pouches x mm x 381mm Pouches x mm x 406mm Pouches x mm x 508mm Pouches x Department of Health Guidelines 9

10 Decontamination Accessories Go to for more accessories DE Healthcare Products Sterilisation Rolls Sterilisation rolls in paper and plastic for use with heat sealers. Selection of widths for various uses. 50mm x 200m m mm x 200m m mm x 200m m mm x 200m m DE Healthcare Products Safe R Wipes - Surface wipes Alcohol free surface wipes for cleaning and disinfection of smaller areas. Bactericidal including MRSA - 1 minute. Fungicidal-Candida albicans - 1 minute. Virucidal - HBV, HIV,HCV, H1N1, H5N1-1 minute. Rota-viruses - 1 minute. Alcohol Free Tub x Refill x

11 Decontamination Accessories DE Healthcare Products Safe R Instrument - Lemon Highly effective concentrated instrument liquid for cleaning and disinfection of rotary and hand instruments. Lemon fragrance. Alcohol and aldehyde free. Action Times: Bactericidal and Fungicidal/Levurocidal: 3% (30ml/litre) 15 minutes, 2% (20ml/litre) 30 minutes, 1% (10ml/litre) 60 minutes. Tuberculosis: 3% 60 minutes. Membrane covered viruses (i.e. HBV, HIV, HCV): 3% 15 minutes, 1% 60 minutes. Ultrasonic bath - Bacteria and Fungicidal/Levurocidal: 3% 5 minutes. Alcohol Free Safe R Instrument litres DE Healthcare Products Safe R Impression Liquid Aldehyde free impression cleaner and disinfectant concentrate for all impression materials. Fully immerse impression in the solution for recommended time, rinse and dry thoroughly. Effective: Bacteria, Tb, Candida albicans, HBV, HCV, HIV - 5 minutes. Dilution:- 20ml per 1 litre of water. Alcohol Free Safe R Impression litre See the expert on for advice or call our team 11

12 made easy Enzyme Foam Spray Long Lasting Enzyme Foam Spray "Pre-Soak". Introducing new Enzyme Foam Spray, the newest multi-enzymatic pre soak spray foam that covers your instruments with thousands of ʻenzymatic scrubbing bubblesʼ which immediately start breaking down blood and bio-burden to speed instrument cleaning and turnaround time. Medisafe Enzyme Foam Spray is ideal for keeping soiled surgical instruments moist {endoscopes, laryngoscopes, biopsy forceps, hemostats, etc.} to reduce bio-burden adhesion prior to decontamination and reduce cleaning time. Medisafe Enzyme Foam Spray works FAST with a multi-enzymatic foaming spray which is specifically formulated to attack and breakdown blood, protein, and fat. Enzyme Foam Spray is perfect for all pre-cleaning applications in the CSSD, Operating Room, GI/Endoscopy Suite, Outpatient Surgery Centers, and Dental Centers. Prevents dried-on blood Multi-enzyme Bacteriostatic Environmentally friendly Free-rinsing formula Non-foaming formulation ph neutral Foam Spray ml Keep your instruments moist before reprocessing in your washer Terms and conditions: Offers cannot be used in conjunction with any other offer or gift campaign, discount scheme or finance agreement. Products subject to change without prior notice. In compliance with the Medicines (Advertising) Regulations 1994, Licensed Medicines are excluded from Kent Express Partner Points Scheme. All prices exclude VAT. Medicinal products/offers contained within this flyer are not available to veterinarians, or to be administered to animals. E and OE. Kent Express reserve the right to correct clerical errors and omissions in this flyer. To assist us in improving our service to you, we may record or monitor calls to Kent Express Ltd. A 4.65 handling charge will be applied to all orders under 150 shipped to Southern Ireland. Current prices are available at Phone Fax web: Kent Express Limited, Medcare House, Centurion Close, Gillingham Business Park, Gillingham, Kent ME8 0SB

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