Altomed Microwash Q-Rinse User manual

Microwash Q-Rinse System

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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.