Altomed Microwash Q-Rinse User manual

Microwash Q-Rinse System

altomed.com
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ALT I076 Issue 03/0418
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Contents ........................................................................................................................................................................3
1. Introduction.............................................................................................................................................................4
2. Warning, Cautions and Symbols.......................................................................................................................5
3. Description...............................................................................................................................................................7
3.1 Features ...................................................................................................................................................7
3.2 Function Modes....................................................................................................................................7
3.3 Key Components..................................................................................................................................8
3.4 Front Control Panel..............................................................................................................................9
3.5 Back Panel...............................................................................................................................................11
3.6 Top Panel.................................................................................................................................................12
4. Set up and Operation...........................................................................................................................................13
4.1 Set Up.......................................................................................................................................................16
4.2 Operation: Automated Cycle ...........................................................................................................20
4.3 Operation: Manual Cycle...................................................................................................................21
4.4 Operation: Foot pedal Operation...................................................................................................22
4.5 Operation: Relling bottle ................................................................................................................23
4.6 Operation: Disinfection and Sterilization ....................................................................................24
5. Troubleshooting.....................................................................................................................................................26
6. Maintenance............................................................................................................................................................28
7. Warranty....................................................................................................................................................................29
8. Specications ..........................................................................................................................................................30
9. Supplies and Ordering.........................................................................................................................................32
10. Special Instructions / Notes regarding the Microwash Q-Rinse and Electromagnetic
compatibility (EMC) testing to EN 60601-1-2:2015........................................................................................33
11. Customer and Technical Support ..................................................................................................................37
Contents

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1. Introduction
Altomed supports the surgical community with superior products, technical support and
customer service.
The Microwash Q-Rinse System is built by Altomed in the UK.
• The Microwash Q-Rinse system will help you standardise the rinsing procedure of reusable
surgical instruments and tubing after surgery and prior to processing.
• Its time saving design is an ecient alternative to the manual syringe rinsing method.
• The 15 second automated cycles regulates the necessary ow of uid and air.
• The manual mode allows for easy transition between cycles at any time if required due to
narrow lumen.
• The Microwash Q-Rinse system is recognized globally among the surgical community and is
becoming the standard rinsing procedure for many surgical centres.

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2. Warning, Cautions and Symbols
Carefully read all warnings, cautions and instructions before use. See also Section 11 for electrical
information.
The following warnings and cautions and notes apply to all Microwash Q-Rinse components
unless otherwise specied:
General Warnings
• DO NOT attempt to modify the Microwash Q-Rinse system in any way. Modifying the
Microwash Q-Rinse System may aect the device operation and user safety. Modication will
also void the warranty.
• DO NOT interchange any other manufacturer’s equipment or accessories with the Microwash
Q-Rinse system unless the Altomed Quality Department conrm otherwise. Only use an
Altomed Foot Pedal. The warranty is exclusive to Microwash Q-Rinse System parts and
accessories only.
• DO NOT use the Microwash Q-Rinse in the presence of explosive gases or other ammable
substances.
• DO NOT open any panels on the machine while the Microwash Q-Rinse is plugged in to
avoid electric shock. There are no serviceable parts inside the machine. Contact Altomed
Limited Repairs Department or approved Distributor for repair information. A list of Approved
Distributors is available from Altomed.
• DO NOT aim the tubing at any part of the body while the Microwash Q-Rinse System is
plugged in. The Microwash Q-Rinse operates under pressure.
• DO NOT disconnect the bottle cap or any tubing lines while the system is ON and pressurized.
(If the pressure is not allowed to be safely released, disconnecting the tubing lines can cause
pressurized uid to spray.)
• DO NOT carry the machine by the tubing or the cap.
• DO NOT sterilize the bottle in a peel pouch or with the cap on as it may collapse and be
rendered unusable.
• In the event the uid and air do not pass from the tubing during use. Stop the machine by
pushing the Stop button and contact Altomed for advice on [phone].
• Return the machine to Altomed for inspection if the machine has been dropped and does
not function correctly. Damaged casings need to be replaced to prevent uid ingress. If a
drop has resulted in the case being damaged, return to Altomed or Authorised Distributor for
inspection.

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General Cautions
• Carefully read this manual before initial operation of this system or if an untrained user. If in
any doubt contact Altomed or Authorised Distributor.
• The Microwash Q-Rinse System must only be connected to a grounded electrical receptacle.
• Use of the Microwash Q-Rinse System does not absolve user from following your facility’s
policies and procedures for cleaning or decontamination of surgical instruments. All items
rinsed with the Microwash Q-Rinse should be inspected for cleanliness and integrity prior to
further processing. This is not a disinfection machine.
Symbols Used On The Machine
Name and address of manufacturer.
Altomed catalogue number used for
device identication.
Device lot number used for
traceability.
CE mark. Medical device meets the
current regulatory and legislative
requirements.
Instructions for use. Refer to the
Instruction Manual enclosed with
the device.
WEEE Symbol. Waste electrical
electronic Equipment. Do not
dispose of as general waste. Return
to Altomed or Authorised Distributor
for recycling after end of life
Consult instructions for use for
important cautionary information
(e.g. warnings and precautions)
unable to be printed on the device.
Special Instructions / Notes
regarding the Q-Rinse System and
Electromagnetic compatibility (EMC)
testing to EN 60601-1-2: 2015
The Q-Rinse system is suitable for use in
a professional healthcare facility, except
near HF surgical equipment or outside
the RF shielded room of a medical system
for magnetic resonance imaging where
the intensity of EM disturbances is high,
or in a home healthcare environment.
WARNING: Use of accessories,
transducers and cables other than
those specied or provided by the
manufacturer of this equipment could
result in increased electromagnetic
emissions or decreased electromagnetic
immunity of this equipment and result in
improper operation.
WARNING: Portable RF communications
equipment (including peripherals such
as antenna cables and external antennas)
should be used no closer than 30 cm
(12 inches) to any part of the Q-Rinse
system, including cables specied by the
manufacturer. Otherwise, degradation of
the performance of this equipment could
result.

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3. Description
3.1 Features
3.2 Function Modes
The Microwash Q-Rinse system provides a consistent method for rinsing patient uids and debris
from surgical tubing and instruments. A pressurised stream of air follows the rinse cycle to make
sure that the majority of rinsing uid is cleared from the inner channels. The contaminated
surgical tubing or instruments should be rinsed immediately after use to prevent debris drying
inside the lumen, preferably no later than 30 minutes.
Note: Residual moisture is desired within the inner channels of the medical device and
tubing to prevent any remaining biolm from drying in the lumen. If the medical device to
be rinsed is not being sent for processing straight away ll the lumen with a pre-cleaning
solution such as Ruhof Prepzyme XF or similar. Rinse this out with sterile water for irrigation
(or similar) prior to processing.
Some of the features of the Microwash Q-Rinse system are summarised below.
• One automatic cycle has a uid run of 15 seconds followed by an air cycle of 15 seconds.
• There is a manual override feature to allow the user to select uid or air depending upon the
device being processed
• Positive pressure delivery system
• Selection of adaptors for variety of instrument interfaces, some of which can be cut to size
• 1000ml bottle
• Single connection instrument interface
• Compact countertop-sized unit
• Automatic Mode: Fluid followed by air
• Manual Override
• Fluid Only
• Air Only
• Foot Pedal (Optional)

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Microwash Q-Rinse System: Key Components
Figure 1
Key
1. Bottle cap
2. Quick disconnect (dual)
3. Quick disconnect (single)
4. 1 litre bottle for uid
5. Air/uid tubing
6. Air supply tubing
7. Wire brush
8. Storage tray
9. Front bezel
10. Power supply
11. Power lead
12. Cycle switch (on)
13. Stop switch
14. Footpedal (Optional)
15. Accessory pack
16. Pinch (air and uid) valves
17. Instrument interface tubing
3.3 Key Components

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Front Control Panel
Figure 2
The front control panel contains both the automatic and manual control (cycle) switches in
addition to the Fluid and Air Valves. The front panel functions are described in the order indicated
in Figure 2, from left to right:
Cycles:
Automatic Cycle
Pushing the Cycle switch once will operate the automatic program which consists of two cycles,
each lasting a minimum of 15 seconds, rst uid then air. After completing the Automatic Cycle,
the system will reset itself for the next program
Manual Override Function
To manually override the Automatic Cycle, push the Cycle button a second time. Repeated
pushing of the Cycle button will continue to alternate between uid and air.
Note: If manually overriding the Automatic Cycle, YOU MUST press the Stop Button before
operating the unit again in order to properly reset the Automatic Cycle mode.
3.4 Front Control Panel

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If the uid starts to back up the blue tubing during use, it means the blockage is severe or the
lumen very narrow. If there is a blockage use the wire brush or an impregnated sponge designed
for cleaning lumen (like a Ruhof InstruSponge); if a narrow lumen, then switch to the Air Cycle on
the manual mode to ush away the backed-up uid. Return to the uid path if needed.
Stop:
Push the stop button to interrupt the current operation and reset the system.
Fluid Valve/ air Valve:
These valves open and close in response to the Microwash Q-Rinse system’s timing circuits. The
blue tubing segment between the bottle and the“Y”connection is to be placed in the Fluid Valve.
The clear tubing segment between the bottle and the“Y” connection is to be placed in the Air
Valve.
The amber lights adjacent to the valves illuminate when the valve is open.

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Back Panel
Figure 3
The back panel contains the AIR OUT connector, the POWER IN connector, FOOT PEDAL
connector, and the POWER switch. Refer to Figure 3 for locations of the components of the Back
Panel.
Power Switch:
The Toggle switch turns the unit on or o. The symbol“I”being On and “O”being o
Air Out:
The Air Out connection delivers approximately 30 psi to the uid container. The spring lock
mechanism prevents accidental disconnection of the rear air supply line.
Foot Pedal:
The Foot Pedal connection is for the optional Foot Pedal.
Power In:
Connect the Microwash Q-Rinse Machine to a regulated 12-volt supply by using the Altomed
Power supply REF: A11074 (see Section 9).
3.5 Back Panel

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Top Panel
Figure 4
Top Panel
The top panel features storage compartments for the wire brush and various connectors used to
adapt the Microwash Q-Rinse system to various instruments and tubing. See Figure 4.
A deep well is provided to hold the 1000ml bottle.
3.6 Top Panel

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4. Set up and Operation
This section details the recommended set up and operational procedures for the Microwash
Q-Rinse System.
If in any doubt, contact Customer Services at Altomed Limited on:
Tel: [phone] or E-mail [email protected]
The Microwash Q-Rinse System is designed to interface with a variety of surgical instruments
by using standard luer adaptors. A storage tray is provided on the top of the unit to keep these
adaptors available. A smaller diameter cleaning brush is included to assist in clearing blockages
in metallic lumens.
CAUTION #1
Follow your facility’s Standards of Practice for personnel working in the decontamination,
preparation and sterilization area.
Personal protective equipment (PPE) including gloves, apron, sleeves and visor or protective
eyewear must be worn when cleaning contaminated medical instruments to reduce the risk
of cross contamination.
Users of the Microwash Q-Rinse System must still adhere to the facility’s Standards of Practice
for sterilization and sterility assurance for cleaning medical devices. In the UK this includes
compliance with recommended practices covering the preparation and decontamination
of instruments, see“Choice Framework for Local Policy and Procedures”issued by the
Department of Health.
First Use
• Unpack the Microwash Q-Rinse System, place all the parts on a clean at surface and check to
make sure all the items as in Figure 1 (page 8 above) are present and correct; the Foot Pedal is
an optional extra and is not supplied as part of the System.
• Check to make sure there has been no shipping damage. Contact the Quality Department
at Altomed or the Authorised Distributor in the case of any problems. DO NOT USE ANY
DAMAGED PARTS.
• Remove the short protective segments of silicone tubing from the pinch valves and discard in
the general waste.
• Place the adaptors into the storage compartment on the top panel.
• Place the wire brush alongside the container in the appropriate storing compartment.

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Table 1: Pre-Use Checks
Part
Description
Item
Numbers*
Checks to be carried out
Tubing Set 5 and 6 Check all silicone tubes for signs of wear or physical damage
such as holes, stretches, splits or squashing. If damaged replace.
5 Ensure the“Y”connector is secure in the tubes and not
damaged. If damaged replace.
2 and 3 Ensure the joints around the male connections are all secure
and that the connectors themselves are not damaged. Check for
cracks or chips etc. If damaged replace.
2 Ensure the hexagonal nut on the air/uid tubing connector is
secure, if loose tighten or replace bottle cap.
2 and 3 Ensure the 1 x black gasket on the elbow connector is present
and undamaged and that the 2 x black gaskets on the air/uid
tubing cap connector are also present and not damaged. If
missing or damaged replace.
17 Ensure the luer connector is present and secure in the end of the
interface tubing. If it is missing replace it.
Bottle Cap 1 Ensure the white gasket is secure inside the cap and that it is
not damaged. Check for wrinkles, splits, snaps or squashing. If
damaged replace.
2 and 3 Ensure both the female connectors are secure in the cap and
are not loose or damaged. Check for cracks or chips. If damaged
replace.
2 Check that the metal pin in the air/uid connector is not
damaged and that the metal plate slides down and springs back
up. If damaged replace.
2 Ensure the PTFE (white) tape is secured around the metal air
input connector on the cap. If damaged replace.
1 Ensure there is no damage to the silicone tube, especially
around the connector, and that it is securely on the connector
inside the cap. If damaged replace.
Bottle Cap
Complete
1, 2 and 3 Ensure the male and female connectors are fastened together
and secure. If unable to secure replace bottle cap.
* See Page 8 for “Item”References

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Part
Description
Item
Numbers*
Checks to be carried out
Bottle 4 Ensure there is no physical damage to the bottle, cracks, splits,
holes etc., and that the threads are not damaged and that the
structure is not deformed. Dispose of any failed bottles and
replace with new ones.
4 Ensure the bottle is clean and dry and does not have residues in
the bottom. If dirty clean, may be sterilized if deemed necessary.
Power
Supply and
Lead
10 and 11 Check the grommets, connectors, plugs and wire for any signs of
physical damage, e.g. exposed wires, splits in the cable, cracks in
casing etc. Do not use if there is any sign of damaged
10 and 11 Make sure the connection between the lead and power supply
unit is secure, if loose push together to ensure the connection is
secure.
Q-Rinse
Machine
N/A Check for any physical damage to the casing e.g. cracks, chips
etc., or other physical damage to the valves or switches or
connectors. If damaged replace.
N/A Ensure the four rubber feet are in place and secure to prevent
movement of the machine. If missing replace.
15 Check to make sure the 10 adaptors are present and ready for
use if needed. If missing replace.
Assembled
Q-Rinse
System
N/A Ensure the waste receptacle is designed to accept contaminated
uid waste. If not designated for contaminated waste, source a
suitable receptacle approved by your facility.
6 and 16 Ensure the blue tubing goes into the Fluid Valve and the clear
tubing goes into the Air Valve. Ensure the elbow connector on
the green tubing has clicked securely into place. If not set up
accordingly and re-read the Instruction Manual.
10 and 11 Ensure the Power Supply and lead cannot be splashed or
exposed to water. Use splash protection over sockets if present.
N/A Run an automatic cycle to ensure uid and air ow is correct and
that the switch over between uid and air takes place. Do not
use if the cycle fails, send for repair.

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4.1 Set Up
STEP 1
See Caution #1 and complete all pre-use checks as advised in Table 1 (page 14 above). Position
the machine on a at surface near a grounded wall outlet and close to the facilities waste
receptacle for disposing of contaminated uids (e.g. sink). Ensure there is sucient free space
around the machine to permit proper connection, use and dismantling procedures. Do not
position the device in a way that will make it dicult to readily access the plug.
Plug in the A11047 Altomed power supply (Item 10) into the hospital grade power cord (Item 11)
supplied, (this may dier from the picture in Figure 1 depending upon which country you are
in.) Ensure the machine is not pushed up against a wall or other solid surface causing the power
connector and lead to bend at the back of the machine.
Plug the A11047 Altomed power supply (Item 10) into the back of the Microwash Q-Rinse System
(Figure 5a). Make sure the plug is fully engaged. Plug the power cord (Item 11) into a grounded
wall outlet. A standard wall plug has been supplied to allow the use of splash protection covers if
required.
* See Page 8 for “Item”References
Power Supply Connection
Figure 5a

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STEP 2
Fill the bottle (Item 4) with sterile water for irrigation (or similar) leaving one inch of space from
the top for proper operation. DO NOT OVER FILL. Screw the metal cap (Item 1) onto the bottle
(Item 4). The bottle cap must be securely on the bottle BEFORE it is put into the well!
Place the bottle (Item 4) into the well located on the top of the machine. Position so that the
quick disconnect (single) tting (Item 3) faces the rear of the unit.
Connect the air supply tubing (Item 6) to the metal female connector on the bottle cap. The
tubing will“click”into place when the connection is secure.
STEP 3
At the back of the unit, click the white elbow connector on the air supply tubing (Item 6) into
place (Figure 5b). The elbow connector will“click”when secure. The air supply tubing (Item 6)
MUST be in place before operating the Microwash Q-Rinse System otherwise the pressure will
not build in the container.
Air Supply Connection
Figure 5b

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STEP 4
Connect the air/uid tubing (Item 5) to the quick disconnect (dual) tting (Item 2) on the bottle
cap. It will “click” when the connection is secure.
At the front of the unit, install the rinse lines through the pinch valves (see Figure 5c below). The
BLUE tubing line MUST run through the Fluid valve. The CLEAR line MUST run through the Air
valve.
STEP 5
(Optional footpedal) Only use an Altomed footpedal.
Connection of Optional Footpedal
Figure 5d
Installing Fluid and Air Lines
Figure 5c

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At the back of the Microwash Q-Rinse System, plug in the Foot Pedal connector (see Figure 5d).
Place the Foot Pedal on the oor in a location which is convenient for use. Be constantly aware of
a possible trip hazard.
Turn on the Microwash Q-Rinse System by pressing the power switch on the rear panel (Figure
5e). The symbol“I”being On and “ O”being o.
Switch on the machine
Figure 5e

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4.2 Operation: Automated Cycle
STEP 1
See Caution #1 and complete all pre-use checks as advised in Table 1 (see page 14 above).
Connect the instrument interface tube (Item 17) to the item to be rinsed (Figure 6), use the
adaptor pack (Item 15) and/or A11047 “Y” Dual Rinse Fitting if necessary.
STEP 2
Press the Cycle button (Item 12) once to begin the automated rinse cycle. The amber light next
to the uid valve will light up indicating that the valve is open. After 15 seconds the uid valve
will close and the air valve open. The amber light next to the air valve will now be illuminated.
After 15 seconds the air valve will close, the machine will stop and both amber lights will be
turned o. This completes the automated cycle. See Table 2 (page 26 below) for Troubleshooting
if necessary.
STEP 3
Repeat Steps 1 and 2 for any further lumen on the device.
STEP 4
Inspect the rinsed device for cleanliness and function prior to further processing, e.g. disinfection
or sterilization.
* See Page 8 for “Item”References
Device Connection
Figure 6