Barriers
Midmark recommends the use of disposable barriers on all clinician controls
that may be in contact with clinician hands and ngers during dental
procedures. The use of barriers signicantly reduces the need for chemical
cleaners, thus prolonging the life of the equipment.
Only use barrier material that is intended for use with dental equipment.
Midmark recommends the use of an FDA market-cleared barrier such as
Pinnacle Cover-all™. Follow barrier manufacturer instructions for proper use
of these products.
Cleaning and Disinfecting
In addition to the use of barriers Midmark recommends the use of an EPA
registered and FDA market-cleared cleaner/disinfectant such as Cavicide™
to be used on all clinician controls or surfaces that may come in contact with
dental instruments during dental procedures.
Follow cleaner/disinfectant manufacturer
instructions for proper use of the product.
Care should be taken to avoid excessive
application and pooling of liquids.
Handpiece Accessories
Only use dental handpiece accessories with the delivery system that are FDA
market-cleared and refer to manufacturer’s instructions for proper cleaning
and disinfecting. Either an autoclavable syringe tip or a single use disposable
syringe tip may be used.
Cleaning, Disinfecting and Maintenance
Equipment Alert
AUTOCLAVABLE SYRINGE TIP STERILIZATION
The autoclavable syringe tips supplied with the delivery system must be
sterilized prior to use with each patient, including initial use. Be sure to thoroughly
rinse and clean syringe tips prior to sterilization, any debris may reduce the
effectiveness of the sterilization. Recommended sterilization process is steam
autoclave. Recommended parameters are 125°C (250°F) and 106 kPa (15 PSI) for
40 minutes at temperature and pressure.
General Purpose Cleaning
For general purpose cleaning, use cleaners that are appropriate for the
situation, such as warm water and mild detergents, or a 10% solution of
bleach with water.
Visual Inspection
After cleaning, visually inspect the product for deterioration of covers and
touch pads. Do not use the delivery system if excessive discoloration,
cracking, or other signs of wear are noticeable (see Calling for Service
instructions).
Waterline Maintenance
Waterline maintenance is necessary to keep the count of heterotrophic
bacteria from rising higher than desired levels. The desired level for a
specic location should be determined by any local or regional guidelines.
For example, The United States Centers for Disease Control and
Prevention (CDC) guideline for heterotrophic bacteria is less than or equal
to 500 CFU/mL (colony forming units per milliliter). Midmark recommends
keeping this level under 200 CFU/mL.
Treatment can come in many forms. The most popular methods on the
market currently are tablets and straw/cartridge based systems. Midmark
recommends the use of a straw/cartridge based system that keeps the
bacteria levels in check.
Regular monitoring should also take place to ensure that heterotrophic
bacteria is not exceeding the desired limit. If the level is higher than
desired, a shock treatment of the waterlines should be performed. When
performing a shock treatment, be sure to check with the manufacturer of
the regular treatment regimen being used to ensure chemical compatibility.
Monitoring frequency should be established by your practice. As a
suggestion, Midmark would recommend that you begin by monitoring on
a monthly basis, and make adjustments to the frequency based on test
results.
Per the CDC, routine ushing of the waterlines should be performed
between every patient. Extra ushing maybe needed within Midmark
equipment when tablets are used. Undissolved tablet particles can gather
over time in places within the waterlines, obstructing the line and causing
water ow to slow. By ushing the waterlines, water ow is maximized and
should push any undissolved particles through.
Read all labels
carefully!
© Midmark Corporation 2016
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