Instrument Cleaning INSTRUMENT CARE 17. Automatic Instrument Washer. Henry Schein Ultrasonic Cleaner. Accessory kit

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1 INSTRUMENT CARE 17 Instrument Cleaning Automatic Instrument Washer Henry Schein Ultrasonic Cleaner Regular use of an Ultrasonic Cleaner is recommended to maintain your instruments, particularly jointed and textured items, in their best condition. Normal cleaning cannot reach into joints, or penetrate the narrow lumens of drill guides for example. Biological residues accumulate and cause stiffening and corrosion. This Unit has a reasonable sized tank with a capacity of 5.7 litres. A 30 minute timer and heater, along with a rear drain outlet and uncluttered wipe down control panel make this unit practical for use in small animal surgeries. Lid and basket are supplied with the unit. Dimensions: Tank: Overall: Capacity: 5.7 litre Accessory kit 29.8 x 15.2 x 15.2cm 32.4 x 17.8 x 27.8cm Also available is a useful Accessory Kit. This contains a Beaker Stand & Positioning Cover, an Auxiliary Pan, Mesh Basket, Bur Tray and ml Beakers. Spinal burs and other small items clean well in ultrasonics but can get lost in a large tank. The Bur Tray keeps these together. Occasionally chemicals other than standard cleaning products may be needed. These can be used in the Beakers supplied, held in the Beaker Stand which is then placed in the cleaner. Provided the fluid level in the cleaner is at the correct level giving good contact with the Beaker, the ultrasonic waves generated will pass through into the fluid in the Beaker, to clean the contents. Suggested cleaning solutions see page 312 Solutions must be low-foaming and recommended for Ultrasonic Cleaners. Products with enzymes such as Rapidex will give the best results. (page 312) HENRY SCHEIN ULTRASONIC CLEANER HS Ultrasonic Cleaning Machine HS Spare Basket HS Accessory Kit Manual instrument cleaning becomes a thing of the past with the updated Pico Evo automated instrument washer. One touch operation with preprogrammed cycles and process validation make operation straightforward. Interior lights and clear door panel allow inspection of the load during processing. Auto dosing of detergent reduces cost of wastage by ensuring the optimum concentration is used per load. Dual spray arms distribute water efficiently throughout the whole chamber. Fast 35 minute cycle includes drying. No vent is required, as the unit has an internal condenser. Instruments are ready to pack immediately for the autoclave. Each cycle can be validated and documented. AUTOMATIC INSTRUMENT WASHER DISINFECTOR MED1360 Automatic Instrument Washer Disinfector* 4, MED1014 Printer MED20070G Medi Logger for Washer MEDINST Installation Carriage is extra for all items marked * Also has a dedicated universal hand piece connector to allow thorough cleaning of your dental hand pieces. The purchase of a machine will also include the following items free of charge: 1 x Carrier which slides into machine 1 x Mesh Tray for larger item cleaning 3 x Holloware Toast Racks for holding Ezee Clip Cassettes 1 x 3Ezyme Detergent 4ltr bottle 1 x AWT 4 ltr Bottle Water Treatment 1 x Bur Basket 1 x Hand Piece Manifold 1 x Ezee Clip Cassette Size 10 Installation requirements: Standard 13A Socket, Hot & Cold Water within 1 metre, access to drainage below the benchtop, shelf for detergent dosing & water treatment containers at or below benchtop. Full details on request. UK based support & engineering. 1 Year Warranty

2 17 INSTRUMENT CARE Repair Service Veterinary Instrumentation has a network of specialists who can repair any surgical instrument. Send the damaged item to us and we will advise if it is worth repairing. For some power tools, it may be necessary to send them back to the original manufacturer for assessment, which may be overseas. All carriage fees will be charged at cost. Routine sharpening and setting of scissors is performed quickly and professionally in our own workshop by Len Richardson, an instrument maker with over 55 years of experience. Instrument Cleaning Brushes and Pipecleaners Instrument Cleaning Agents Rapidex Cleaner - (Now supplied in bulk or water soluble sachets) An effective degreaser and general instrument cleaner. Some users dislike the loose powder format. The new soluble sachets are simply dropped into the ultrasonic bath. No dry powder is released. Ideal for Ultrasonic Cleaners. Also effective as a pre-soak for long standing or difficult residues Tested by the Royal Institute of Public Health RAPIDEX CLEANER RAPIDEX Rapidex Soluble Sachets (Box of 50) RAPIDEXBULK Rapidex Bulk Powder 2.25kg Rapizyme Stainless Steel Instruments are protected from corrosion by a very thin layer of chromium oxide. This should not be damaged by regular wire brushes. Brushes available with Nylon and Stainless Bristles. Orthopaedic Cleaning Brush is Double Ended with superfine soft Stainless Steel Bristles. General instrumentation is the same with Nylon Bristles. One end has 3 rows of Bristels, the other has a single row for delicate work. Pipe Cleaners are 1/8 diameter and 12 long. Absorbant for cleaning and drying. Supplied in packs of 100. INSTRUMENT CLEANING BRUSH CB1 Cleaning Brush Nylon for Gross Contamination CB2 Cleaning Brush Stainless for Large Burs & Reamers CB3 Cleaning Brush Nylon for General Instrumentation CB4 Cleaning Brush Stainless Steel for Orthopaedic CBPIPE Pipe cleaners 1/8 12 Long (Pack of 100) Three new enzymes. Easy to use measured bottle. 2ml per litre dilution. Removes all organic material. Ideal for endoscopes. Low foam for ultrasonics. Completely rinsable. Biodegradeable. Tested by The Royal Institute of Public Health. RAPIZYME RAPIZYME Bottle 0.5 Litre

3 INSTRUMENT CARE 17 Micro 90 Concentrate Liquid general purpose Instrument Cleaner (dilute 1:100) for Ultrasonics. Instrument Lubrication Instrument Oil - (autoclavable) Regular lubrication will keep your instruments working longer. Failure to lubricate will result in stiff joints and ultimately breakages. Low boiling point oils are quickly lost during the autoclaving process. Oils containing Teflon offer significant extra lubrication. Can be autoclaved. MICRO 90 CONCENTRATE Micro 90 1 Litre Dilute 1: INSTRUMENT OIL AUTOCLAVABLE Instrument Lubricating Oil Teflon Drops Perasafe Perasafe is a rapid, instrument compatible, user and environmentally friendly chemical sterilant. Supplied as a safe, space-saving powder Perasafe is activated by simply dissolving in luke-warm tap water. Providing rapid sterilisation and re-use of endoscopy instruments, Perasafe gives confidence to users and patients alike. A unique aldehyde-free formulation gives efficacy without harm to instruments, health risks to nursing staff and avoids the need for special fume extraction or waste disposal systems. Perasafe is a pale blue/ white powder which, when in solution, sterilises within 10 minutes. Suitable for all surgical instruments and fibrescopes. Formulated not to damage surgical instruments. Prepared solution lasts 24 hours. 81g pack makes 5 litres. May be subdivided to make less. PERASAFE Perasafe Cold Sterilant 24 x 81g (5 litre size) Perasafe Cold Sterilant 6 x 81g (5 litre size) Surgical Instrument Lubricant After washing and drying, a regular spray of Instrument Lubricant will prolong working life and improve the function of your jointed instruments. SURGICAL INSTRUMENT LUBRICANT Instrument Lubricating Spray Instrument Lube Diluted with water Instrument Lube becomes an oil emulsion. Instruments are allowed to soak to allow penetration of lube to all working parts. The excess is drained off prior to autoclaving. The water evaporates during autoclaving, leaving a film of oil in the joints. Concentrated solution. Recommended dilution rate 1 part EZEE-Lube to 50 parts water. Clear solution becomes white when diluted. INSTRUMENT LUBE EZEE Lube Instrument Lube 4 Litre (makes 200 litres)

4 17 INSTRUMENT CARE Instrument Marking Protective Autoclavable Tips Colour Coded Identity Rings Strong tear-resistant Silicone Instrument Coding Rings. For Steinman, ESF pins and delicate or sharp instruments. Protect both tips and staff. COLOUR CODED IDENTITY RINGS Coloured Silicone Instrument I.D. Rings x Instrument Marking Tape PROTECTIVE AUTOCLAVABLE TIPS W Protective Tip White up to mm dia Pack BL Protective Tip Blue 2.5-3mm dia Pack G Protective Tip Green up to mm dia Pack R Protective Tip Red up to 4.8mm dia Pack Y Protective Tip Yellow up to mm dia Pack O Protective Tip Flat Orange up to 10mm wide Pack BR BLK Protective Tip Flat Brown up to 16mm dia Pack Protective Tip Flat Black up to 25mm dia Pack Protective Tips Silicone Multi Pack One pack of each colour 160 (8 x 20) Tube Brushes Allows rogue instruments to be returned to their kits. Also useful when going on practical courses. Available as a Kit or in individual rolls. INSTRUMENT MARKING TAPE Instrument Marking Tape (Box 8 colours) (120cm) Y Instrument Marking Tape Single Yellow (300cm) R Instrument Marking Tape Single Red (300cm) BR Instrument Marking Tape Single Brown (300cm) OR Instrument Marking Tape Single Orange (300cm) BLU Instrument Marking Tape Single Blue (300cm) G Instrument Marking Tape Single Green (300cm) W Instrument Marking Tape Single White (300cm) BLK Instrument Marking Tape Single Black (300cm) 8.95 Fine brushes are very useful for cleaning the lumen of drill guides and tissue protectors down to 2mm, particularly where ultrasonic cleaning is not available. Use to remove gross contamination and ensure patency before ultrasonic cleaning. TUBE BRUSHES END02 Tube Brush 12 inch 2mm END03 Tube Brush 12 inch 3mm END04 Tube Brush 12 inch 4mm END05 Tube Brush 12 inch 5mm

5 INSTRUMENT CARE 17 Sharpening Accessories IM3 White Stone Slip To work effectively both scalers and elevators need to be sharp. Regular sharpening will keep your instruments working correctly. Autoclaving Instrument Box Padlock Security Tags - No Indicator This Stone has both flat and rounded surfaces to sharpen elevators and curettes. Use baby oil as lubricant. IM3 WHITE SLIP STONE IM3 White Slip Stone for Curettes and Elevators Diamond Card - Fine Anti-tamper security padlock. Useful for marking instrument boxes. Single use only. Padlock has to be broken to be removed. Good value Supplied in packs of 100 INSTRUMENT BOX PADLOCK SECURITY TAGS - NO INDICATOR PSS100 Disposable Security Padlocks No Indicator (x 100) Instrument Box Padlock Security Tags with Indicator This credit card sized, Diamond Covered Plate is ideal for sharpening Dental Elevators and Luxators. To work efficiently these instruments must be sharp. The diamond is virtually indestructable. An additional advantage is that the lubricant used is water rather than the oil used with sharpening stones. DIAMOND CARD - FINE Flat Diamond Sharpening Card (Fine) Diamond Cone Anti-tamper Security Padlock with steam sterilisation indicator spot. Spot colour changes from pale blue to brown. Single use only. Padlock has to be broken to be removed. Supplied in packs of 20 and 100 INSTRUMENT BOX PADLOCK SECURITY TAGS WITH INDICATOR PSL20 Instrument Box Padlock Security Tag with Indicator (20) 6.50 PSL100 Instrument Box Padlock Security Tag with Indicator (100) Subgingival Curettes must be kept sharp to work efficiently. They should be checked and sharpened at least weekly. The Diamond Cone is indestructable compared with stones which break very easily and uses water rather than oil as a lubricant. Instrument Padlock Security Tags - Repair DIAMOND CONE Diamond Cone 205mm Plastic Test Stick PTS Used to check the sharpness of curettes. The sharp curette will bite when used on the test stick at the angle used on the tooth. If it slips, it is not sharp. PLASTIC TEST STICKS HUF-PTS Plastic Test Sticks Pack of Useful for marking instruments which should be sent for repair. Single use only. Padlock has to be broken to be removed. Supplied in packs of 10 INSTRUMENT PADLOCK SECURITY TAGS - REPAIR PSTR10 Instrument Padlock Security Tag - Repair (10)

6 17 INSTRUMENT CARE Autoclaves Kronos S Autoclave The Kronos Range of Autoclaves The Kronos Range of Autoclaves comply with all the relevant European Directives and Standards, including BS EN Designed and manufactured in Italy, the Kronos are built to the highest standard delivering quality, efficiency, speed, simplicity and reliability. Midmark have a major market presence in Germany, France and Italy, proving to be the professional s choice across Europe. Above all else we realise that what the busy veterinary surgery requires is reliability. The autoclave needs to perform day in day out and not go wrong. If it does go wrong it must be fixed as soon as possible or a service unit provided. This is exactly what Newmed offers. One of the unique features of the Kronos range is that all models incorporate a steam generator, injecting steam directly into the chamber. This enables the Autoclave to operate with some of the fastest cycle times on the market whilst using less power. Both the Kronos B and S class autoclave meet the highest standards required for vacuum sterilisation and are suitable for all wrapped, nonwrapped, solid, hollow and porous loads, meeting the BS EN13060 standard for steam penetration and resulting in dry packs and instruments. Both B and S class autoclaves have the following features: Fast sterilisation times Steam generator to reduce water and energy consumption by up to 50% Internal thermal printer as standard with last 10 cycle reprint facility Optional internal USB data-logger facility Graphic display for easy operation and control Practical water loading from self-priming pump Direct connections for automatic water fill and drainage Separate water loading and drainage tanks for improved hygiene Motor operated door closure with triple safety protection Suitable for all load and instrument types Available in 18 or 23 Litre capacity Up to 52cm chamber length (B&S 23L) one of longest on market - for those larger kits Reversible tray holders and 5 trays as standard Competitively priced Superior build using quality materials ensure reliability and longevity of machine. The Kronos S Series of autoclaves has all the features listed opposite and meets all the regulations which cover vacuum veterinary autoclaves. Both Bowie and Dick and Vacuum Test as specified by the NHS are met. The double-stage vacuum pump evacuates the chamber both prior to the cycle and after the sterilisation process. The graphic display indicates current temperature and pressure plus details of cycle phases. Details of operator errors also displayed An on board printer is standard to provide a permanent record of the complete cycle. Reprint option on previous 10 cylces available. Tray holders carry 5 trays as standard. 5 trays included. Tray holder is reversible and removeable for larger packs. Wrapped packs up to 4.5kg may be sterilised (B23 & S23) Chamber length up to 530mm (23L) Midmark B Autoclave Similar in looks to the Kronos S, the Midmark B includes more advanced technology controlling the vacuum process to remove even more air than the Kronos S prior to heating. This enables the B version to meet the demanding requirements of the Helix test Midmark Customer Service includes: After-sales Service and Maintenance Free Delivery (UK Mainland), Installation, Comissioning and Staff Training on purchase. Service is recommended every 1500 cycles or at least once per year. Manufacturer Trained Engineers. BCAS Accredited. Two Year Warranty (5 Year Warranty on Chamber). Free Technical Support by phone. Customer service includes: After-sales Service and Maintenance Free Delivery (UK Mainland), Installation, Comissioning and Staff Training on purchase. Service is recommended every 1500 cycles or at least once per year. Manufacturer Trained Engineers. BCAS Accredited. Two Year Warranty (5 Year Warranty on Chamber). Free Technical Support by phone. 316

7 INSTRUMENT CARE 17 Midmark B Kronos S Process Indicator Pen (PIP) Motor-operated closure 4 4 Door lock safety Electric Electric Type of Vacuum Fractionated Pre and Post Vacuum Instantaneous Vapourizer 4 4 Test Programs Bowie & Dick Helix/Vacuum Bowie & Dick/Vacuum Onboard Printer 4 Display Graphic Graphic M.T.S. Memory System Test 4 4 Connection to PC 4 4 Connection to demineralizer 4 4 Night Cycle 4 4 Internal water tanks (loading and unloading) 2 2 A really handy Process Indicator Pen (PIP) - you will wonder how you did without it. Conforms to EN ISO Writes on all standard sterilization wrapping materials. Changes colour from purple to green. Clear Stop/ Go colour change. Non toxic and lead free. AUTOCLAVE PEN AUTOPEN Autoclave Pen Autoclave tape Chamber volume in litres Inner Depth mm Inner Width mm No. of Cycles with water loading (indicative) Wrapped sterilizable weight in kg Unwrapped sterilizable weight in kg ,5 3 4, Porous material in kg 1 1,5 0,5 1 Empty machine weight in kg Outer Depth mm Outer Width mm Outer Height mm Supply Voltage v Use to seal bags and boxes. Integral marking changes colour when passed through a full cycle. Note that a change in colour of the tape does not necessarily guarantee that the contents of the bag or pack are sterile. Conforms to ISO Class 1 AUTOCLAVE TAPE 19mm x 50m roll AUTOT12 Autoclave Tape 19mm x 50m roll (12 Pack) AUTOT48 Autoclave Tape 19mm x 50m roll (48 Pack) Steam Sterilization Indicators Mains Frequency Hz Rated Power 2400w 2400w 2400w 2400w KRONOS/ MIDMARK AUTOCLAVES KROS18 Kronos S Autoclave 18 Litre 3, KROS23 Kronos S Autoclave 23 Litre 4, KROB18 Midmark B Autoclave 18 Litre 4, KROB23 Midmark B Autoclave 23 Litre 5, KROTB Thermal Printer Paper (Pack of 10 Rolls) Available in Class 4 Dual Steam Multi Parameter and Class 6 Steam Emulating indicators Class 4 monitors all 121 o C to 134 o C steam sterilization cycles Class 6 monitors critical parameters - Time, Temperature and Steam 5.3 min at 134 o C and 15 mins at 121 o C Clear colour change. STEAM STERILIZATION INDICATORS AUTOINDMP Class 4 Dual Steam Multi Parameter Indicators (500 Pack) AUTOINDE Class 6 Steam Emulating Indicators (250 Pack)

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