ARTIS pheno Clean Guide Job Aid

Effective Date: 04/25/2019 | HOOD05162003007206 Clean Guide Comprehensive cleaning concept ARTIS pheno® – Because infection control matters siemens.com/artis-pheno SIEMENS Healthineers Effective Date: 04/25/2019 | HOOD05162003007206 Clean Guide – Improve infection control Purpose of this document Indications and caution This Clean Guide is a non-binding recommen- Antibiotic-resistant pathogens are not charac- dation developed jointly by Siemens terized by a higher resistance to disinfectants. Healthineers and ECOLAB on how to clean A patient’s infection status (e.g. “septic” and disinfect ARTIS pheno®, and is intended patients with chronic viral disease like HIV both for intermediate and terminal cleaning. and hepatitis, or patients with multi-resistant Adaptations due to application- or region- pathogens like MRSA and MRGN) does not specific requirements need to be considered, necessarily indicate: as well. This document contains ECOLAB and • changes to the intermediate disinfection Siemens Healthineers specific information. of the treatment rooms and ORs or Please also observe the individual product • an extension of the contact time: extra information in the operator manual. wetting of the surfaces is not necessary. All surfaces in the examination rooms must be completely dry before the rooms can be entered or used! In the case of acute infec- tious diseases with non-enveloped viruses or spores, the standard disinfection process must be adjusted (see recommended materials). Caution: • Do not let cleaning liquids seep into the openings of the system, e.g. air openings, gaps between covers. • Use only substances for cleaning and disinfection, which are recommended. 2 ARTIS pheno – Clean Guide · 02.2019 Effective Date: 04/25/2019 | HOOD05162003007206 Recommended materials In this paragraph, we distinguish between materials used to disinfect ARTIS pheno, and those used to disinfect the floor directly surrounding ARTIS pheno: for US-market Floor disinfection Floor disinfection Floor disinfection & ARTIS pheno* & ARTIS pheno* & ARTIS pheno* ARTIS pheno* disinfection disinfection disinfection using disinfection using the (including disinfection the ECOLAB Neutral ECOLAB Quaternary of Clostridium difficile Disinfectant Cleaner Disinfectant Cleaner spores) using the ECOLAB OxyCide™ Daily Disinfectant Cleaner. ECOLAB® Neutral ECOLAB® Quaternary ECOLAB® OxyCide™ ECOLAB® Quaternary Disinfectant Disinfectant Cleaner Daily Disinfectant Cleaner Disinfectant Wipes for EU-market ARTIS pheno ARTIS pheno disinfection Floor disinfection & disinfection Non-enveloped viruses ARTIS pheno disinfection Standard or spores (e.g. hepatitis A, using the ECOLAB Incidin® clostridia, norovirus) Dry Wipe system ECOLAB® Incidin® ECOLAB® Incidin® S ECOLAB® Incidin® Pro 0.5 OxyWipes or ECOLAB® OxyWipes impregnated mops & dry Incidin® S OxyWipes wipes ARTIS pheno – Clean Guide · 04.2019 3 Effective Date: 04/25/2019 | HOOD05162003007206 4 ARTIS pheno – Clean Guide · 02.2019 Effective Date: 04/25/2019 | HOOD05162003007206 General cleaning and disinfection instructions While cleaning and disinfecting, wear gloves with chemical resistance. • Always work from top to bottom and from clean to dirty areas. • After removing blood, discard the wet wipe or mop. Use a new one to continue cleaning. • Use mops and wipes only as long as they leave a closed liquid film on the surface. • Dispose of used mops and wipes according the instructions of your facility. 1. Preparation Disinfection of the floor directly surrounding The start of any intermediate disinfection is ARTIS pheno system: An adequate number determined by the nurse. If necessary, the of mops must be prepared in the morning staff can give instructions to remove drapes (according to the dilution instructions of from areas further away from the patient (e.g. Neutral Disinfectant Cleaner, Quaternary Disin- C-arm) and disinfect those while the patient fectant Cleaner, Oxicide or Incidin Pro and the is present in the examination room instructions for impregnation and saturation of mops at your facility) Drive ARTIS pheno into “cleaning position” (RAO 90°) and activate block radiation and Surface disinfection of ARTIS pheno system: block unit movements • The buckets of Neutral Disinfectant Cleaner, Quaternary Disinfectant Cleaner, Oxicide or If used, remove the drapes from C-arm, Incidin Dry Wipes for disinfection of surfaces patient table, control modules, and footswitch must be filled with respective use solution concentration • Quaternary Disinfectant Wipes, Incidin OxyWipes or Incidin OxyWipes S must be on hand, if needed ARTIS pheno – Clean Guide · 02.2019 5 Effective Date: 04/25/2019 | HOOD05162003007206 2. Intermediate disinfection In case there is visible soiling of the floor: disinfect the floor below and directly around the patient table. Use wet or impregnated dry wipes to disinfect the following surfaces, in the following order (a-i). Use the impregnated mops to disinfect the floor. Work from clean to dirty areas. The surfaces in the OR must be completely dry before entering. Dispose used wipes, mops and, gloves after you have finished cleaning. a) C-arm: wipe from detector to tube b) Patient mattress: wipe from head-end to foot-end c) Control modules: d) Upper- and lower-body radiation protection: wipe • Joysticks, buttons, surfaces from the top down in each case • Give attention to the gaps between 6 ARTIS pheno – Clean Guide · 02.2019 Effective Date: 04/25/2019 | HOOD05162003007206 2. Intermediate disinfection 3. Terminal disinfection of ARTIS pheno® In case there is visible soiling of the floor: disinfect the floor below and directly around the patient table. The procedure of the terminal disinfection is the same as the procedure Use wet or impregnated dry wipes to disinfect the following surfaces, in the following order (a-i). of the intermediate disinfection. Additionally, after step i), the followingsteps Use the impregnated mops to disinfect the floor. Work from clean to dirty areas. of disinfection need to be carried out (before disinfecting the floor): The surfaces in the OR must be completely dry before entering. Dispose used wipes, mops and, gloves after you have finished cleaning. b) Patient mattress: wipe from head-end to foot-end a) C-arm: wipe from detector to tube e) Positioning aids and any other accessories used f) Handles of the monitors • Wipe from the top down in each case j) Mattress: all sides k) Monitor: all sides, remove any residues l) Patient table surface: wipe from the top down m) all surfaces of ARTIS pheno beyond the C-arm: wipe toward the base 4. Cleaning Periodic cleaning of surfaces close to the patient To ensure good hygiene practice, preserve material integrity long-term and avoid any buildup of residues, For cleaning the areas close to the patient, please a regular cleaning step is required. This cleaning step refer to the process for disinfecting these areas of ARTIS pheno, i.e. steps 2 to 4, above. is important, no matter whether cleaner-disinfectants d) Upper- and lower-body radiation protection: wipe c) Control modules: g) Operating light, in this order: h) Footswitch or just disinfectants are used for disinfection. from the top down in each case Cleaning of surfaces not close to the patient • Joysticks, buttons, surfaces • Illuminated area Give attention to the gaps between Surfaces which are not close to the patient do not need A cleaner-disinfectant enables a one-step process in • • Outer surface up to the first joint Handles to be disinfected after each patient, or even every day. most cases, pre-empting a cleaning step preceding • Work from clean to dirty areas. each disinfection step. However, use of a cleaner- The following surfaces have to be cleaned regularly disinfectant does not replace a regular cleaning and only disinfected if there is visible contamination: process. If ARTIS pheno is used heavily, a weekly cleaning step is strongly recommended. Elements beyond the joint of the C-arm: C-arm: cable routing • • Cover of the robot incl. sealing rubbers and rotating elements Surfaces below the patient table • Electrical connections of the table • Accessory rail at the table Cover of the height-adjustable table • Display and display mounts i) If necessary: • Base of the patient table • Trolley Wipe from the top down in each case 6 ARTIS pheno – Clean Guide · 02.2019 ARTIS pheno – Clean Guide · 02.2019 8 Effective Date: 04/25/2019 | HOOD05162003007206 3. Terminal disinfection of ARTIS pheno® The procedure of the terminal disinfection is the same as the procedure of the intermediate disinfection. Additionally, after step i), the following steps of disinfection need to be carried out (before disinfecting the floor): j) Mattress: all sides k) Monitor: all sides, remove any residues l) Patient table surface: wipe from the top down m) all surfaces of ARTIS pheno beyond the C-arm: wipe toward the base 4. Cleaning To ensure good hygiene practice, preserve material Periodic cleaning of surfaces close to the patient integrity long-term and avoid any buildup of residues, For cleaning the areas close to the patient, please a regular cleaning step is required. This cleaning step refer to the process for disinfecting these areas of is important, no matter whether cleaner-disinfectants ARTIS pheno, i.e. steps 2 to 4, above. or just disinfectants are used for disinfection. Cleaning of surfaces not close to the patient A cleaner-disinfectant enables a one-step process in Surfaces which are not close to the patient do not need most cases, pre-empting a cleaning step preceding to be disinfected after each patient, or even every day. each disinfection step. However, use of a cleaner- The following surfaces have to be cleaned regularly disinfectant does not replace a regular cleaning and only disinfected if there is visible contamination: process. If ARTIS pheno is used heavily, a weekly cleaning step is strongly recommended. Elements beyond the joint of the C-arm: • C-arm: cable routing • Cover of the robot incl. sealing rubbers and rotating elements Surfaces below the patient table • Electrical connections of the table • Accessory rail at the table • Cover of the height-adjustable table Display and display mounts ARTIS pheno – Clean Guide · 02.2019 8 Effective Date: 04/25/2019 | HOOD05162003007206 Intermediate disinfection Preparation steps Drive ARTIS pheno® into “cleaning position” Remove drapes from C-arm, patient table, and control modules General Instructions Start of disinfection • While cleaning and disinfecting, a) C-arm: wipe from detector to tube wear gloves with chemical resistance. • Always work from top to bottom and b) Patient mattress: wipe from head-end to foot-end from clean to dirty areas. • After removing blood, discard the c) Control modules: wet wipe or mop. Use a new one to • Joysticks, buttons, surfaces continue cleaning. • Give attention to the gaps between • Use mops and wipes only as long as they leave a closed liquid film on the d) Upper- and lower-body radiation protection surface. • Dispose of used mops and wipes e) Positioning aids and any other accessories used according the instructions of your facility. f) Handles of the monitors g) Operating light: handles, illuminated area and outer surface up to the first angle h) Footswitch i) If necessary: bases of the patient table and trolley Terminal disinfection Continue disinfection j) Mattress: all sides k) Monitor: all sides, remove any residues General Instructions l) Patient table surface The surfaces in the examination room m) All surfaces of the ARTIS pheno beyond the C-arm: must be completely dry before entering. wipe toward the base Use pre-soaked mops to disinfect the floor End of disinfection ARTIS pheno – Clean Guide · 02.2019 9 Effective Date: 04/25/2019 | HOOD05162003007206 On account of certain regional limitations of sales rights and In the interest of complying with legal requirements concerning service availability, we cannot guarantee that all products the environmental compatibility of our products (protection of included in this brochure are available through the Siemens natural resources and waste conservation), we recycle certain sales organization worldwide. Availability and packaging may components. Using the same extensive quality assurance measures vary by country and are subject to change without prior notice. as for factory-new components, we guarantee the quality of these Some/All of the features and products described herein may recycled components. not be available in the United States or other countries. Note: Any technical data contained in this document may vary The information in this document contains general technical within defined tolerances. Original images always lose a certain descriptions of specifications and options as well as standard amount of detail when reproduced. and optional features that do not always have to be present in Caution: Federal law restricts this device to sale by or on the order individual cases. of a physician. Siemens reserves the right to modify the design, packaging, ECOLAB products are not sold by Siemens. They have to be ordered, specifications and options described herein without prior notice. installed, and serviced by way of separate contracts with the vendor Please contact your local Siemens sales representative for the in question. most current information. Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthcare GmbH · Order No. A91AT-23205-70C1-7600 · Printed in Germany · 6935 02190.5 · ©Siemens Healthcare GmbH, 2019