Medivators ADVANTAGE PLUS Operating instructions

SITE REQUIREMENTS |1
USER MANUAL
INSTALLATION PACKAGE
SITE REQUIREMENTS

2 |SITE REQUIREMENTS
ADVANTAGE PLUS®is a registered trademark of Medivators Inc.
All company or product names referenced are trademarks of their respective owners.
50098-1520-EN.US Rev B
© 2017 Medivators Inc.
All rights reserved. This publication is protected by copyright. Copying, disclosure to others, or the use of this
publication is prohibited without the express written consent of Cantel Medical.
Cantel Medical reserves the right to make changes in the specications shown herein without notice or
obligation. Contact your Cantel Medical representative or Cantel Medical customer service for more information.

SITE REQUIREMENTS |3
SITE REQUIREMENTS
The purpose of this section is to provide the customer with requirements that need to be met to ensure the ADVANTAGE
PLUS®Endoscope Reprocessor will be properly installed. Checklist provided in Appendix C.
By signing below Customer acknowledges that:
1. Customer reviewed these Site Requirements for the ADVANTAGE PLUS Endoscope Reprocessor(s) indicated in
this document.
2. The customer assumes complete responsibility for meeting each of the specications and requirements set forth
in the Site Requirements, to ensure proper installation and performance of the ADVANTAGE PLUS Endoscope
Reprocessor(s). Failure of the customer to comply with these Site Requirements and any deviation from the
specications set forth herein may compromise the functionality of the reprocessor(s), and/or may cause
operational issues which will not be covered by the Cantel Medical warranty, and are hereby disclaimed by
Cantel Medical.
3. The customer assumes complete responsibility for meeting each of the specications and requirements set
forth in the Site Requirements by the agreed upon installation date by Customer and Cantel Medical. If the
Cantel Medical installation team encounters any delays due to site requirements not meeting specications and
requirements, the Customer will be charged $265.00/hr for stand-by fees, until site requirements are met and
installation activity resumes; or, if it is determined that the delay results in rescheduling the installation to a later
date, the Customer will be charged for all expenses (ights, lodging, and car rental, if applicable), and travel
($200.00/hr) and labor time ($265.00/hr) related to the return installation dispatch.
4. If installation is canceled or moved 48hrs prior to the agreed upon installation date, no fee will be charged.
CUSTOMER REPRESENTATIVE TITLE
SIGNATURE DATE EMAIL
Applicable Document
• ADVANTAGE PLUS Operator ID Form (Appendix A) and Endoscope List Form (Appendix B)

4 |SITE REQUIREMENTS
IMPORTANT! It is the responsibility of the customer to meet ALL requirements to ensure
proper installation of the ADVANTAGE PLUS®Endoscope Reprocessor.
Water Supply refer to Appendix G
WARNING: An emergency eye wash valve WILL NOT meet the water temperature
specications for the ADVANTAGE PLUS Endoscope Reprocessor and should not be used.
• The water supply must be connected to a thermostatic mixing valve set to provide an on-demand water temperature of
35°C ± 2°C (95°F ± 4°F). One mixing valve per reprocessor is REQUIRED.
o The mixing valve must be accessible and located near the pre-lter to aid in adjustment. The mixing valve must include
a thermometer followed by a bypass valve to a drain.
o The ADVANTAGE PLUS Reprocessor requires a thermostatic mixing valve with a temperature range of 35°C ± 2°C
(95°F ± 4°F). It is the responsibility of the facility to purchase, install and maintain this device. PRODUCT BULLETIN:
SUGGESTED LIST OF THERMOSTATIC MIXING VALVES FOR ADVANTAGE PLUS ENDOSCOPE REPROCESSOR
(Appendix E)
o Facility water pressure and temperature can vary greatly. Most thermostatic mixing valves require a pressure differential
of less than 10 PSI (0.70 bar) and a minimum temperature differential of 45°F (7°C) between the hot and cold-water
supplies for optimum operation (see specications of the chosen mixing valve). Therefore, Cantel Medical requires
the addition of pressure regulators on each of the hot and cold-water supply lines prior to entering the thermostatic
mixing valve as well as temperature and pressure gauges on both the hot and cold supply lines. It is the responsibility
of the facility to purchase, install and maintain these devices. Temperature and pressure gauges on the incoming water
lines, provide a means of monitoring the water system of the facility should water temperature issues arise. Consult a
qualied plumber to assist in determining the proper regulators and temperature and pressure gauges to use.
NOTE: Mixing Valve should be located within 4 feet of the reprocessor and be easily accessible
to operators for adjustments.
NOTE: After the mixing valve and before the pre-lter assembly, a path to a drain with a shutoff
valve MUST be installed so the operator can run water through the mixing valve if the water
temperature falls too low and needs to be brought to temperature. This may occur primarily in
colder winter climates after an extended time of non-use.
• The incoming waterline must be a minimum of 1/2” ID providing a ow rate of 1.32 GPM and a Dynamic water pressure
between 40 to 87 PSI at the rst gauge of the Pre-Filtration Unit.
• Water consumption per side is approximately 8 gallons/cycle for a standard endoscope disinfection cycle and 13 gallons/
cycle for an endoscope disinfection cycle with a detergent wash.
o Water consumption for the ADVANTAGE PLUS Endoscope Reprocessor will vary depending on the incoming water
temperatures. The reprocessor will extend the initial ush to allow the water to come up to temperature to meet the
minimum required temperature of the disinfectant.

SITE REQUIREMENTS |5
• The pre-lter assembly (Appendix G) is wall mounted and has the dimensions of 26” H x 38” W x 6” D. It is the
responsibility of the customer to mount and plumb the pre-lter assembly.
o The incoming water connection to the pre-lter assembly is 1/2” NPT on the right-hand side. All ttings and hoses for
the output of the pre-lter assembly are included. The pre-lter assembly must be within ten feet and in the same room
as the ADVANTAGE PLUS®Endoscope Reprocessor. The water supply hose has a maximum working length of ten feet
and cannot be lengthened.
o A shut-off valve must be installed before the pre-ltration system. It is important that the valve be mounted within reach
of the operator.
o One pre-lter system per ADVANTAGE PLUS Reprocessor is required.
o Pre-Filter Assembly must be accessible to allow for easy lter changes.
• Ensure water hardness is less than 12 gpg (200 ppm) for optimal performance
• Potable water is the minimum standard.
• De-ionized water (DI water), due to its corrosive nature cannot be used in ADVANTAGE PLUS Reprocessor
• Reverse Osmosis (RO water) can be used in ADVANTAGE PLUS Reprocessor. If RO water is utilized, the pre-lter system
must still be used. Consult a qualied plumber to assist with sourcing proper mixing valves and components to be used
with RO water.
NOTE: The ADVANTAGE PLUS Endoscope Reprocessors do not require backow protection
for the incoming water supply, nor is a backow protection device installed in the reprocessor.
If building or plumbing codes require backow protection, then please consult your local codes,
standards and/or guidelines, for applicable requirements.
Drain refer to Appendix G
NOTE: ADVANTAGE PLUS Endoscope Reprocessors are Gravity Drained.
• A vented drain system capable of draining 3.17 GPM, 18” or less from the oor will ensure the proper operation of the
ADVANTAGE PLUS Endoscope Reprocessor. The supplied drain line has a 1” ID, 1 3/8” OD and is 3 feet long. Any
additional required length will be customer supplied.
NOTE: Drain needs to accommodate the Bypass valve output line/pipe as well as the
Advantage Reprocessor Drain Line.

6 |SITE REQUIREMENTS
Air Supply
NOTE: The ADVANTAGE PLUS®Endoscope Reprocessor can be purchased with an air
compressor (Appendix D) that requires a dedicated 120 VAC 15-amp circuit.
• If the ADVANTAGE PLUS Endoscope Reprocessor model purchased did not include the air compressor, the system may
utilize house compressed air (dry, oil free) which must meet these required air pressure specications: 58 to 125 PSI with a
minimum ow volume of 1.1 SCFM, maximum particle size of 5 microns, maximum dew point of 7°C (45°F), maximum oil
concentration of 5 mg/m3. It is strongly suggested that a water dryer or separator be placed at or near the reprocessor to
remove as much water as possible from the air.
• A 1/4” ID exible air hose (EPDM, braided, 150 psi minimum) is required to connect the ADVANTAGE PLUS Endoscope
Reprocessor to the house air. The hose connects to a barbed tting on the back of the ADVANTAGE PLUS Endoscope
Reprocessor This is not supplied with the ADVANTAGE PLUS Endoscope Reprocessor.
NOTE: If compressor is installed in a different location than the reprocessor, the customer is
responsible for supplying the required 1/4”ID-1/2” OD tubing and supplies to connect to the
reprocessor.
Electrical Supply
• 120 VAC ± 10%, single phase, 60 Hz, 15 Amp circuit
• A GFI protected outlet (NEMA 5-15R) should be located within the operator’s reach.
• Power consumption is 150 watts at idle, 400 watts during a cycle in one basin, 600 watts during a cycle in both basins,
and a nominal peak of 1000 watts.
• The ADVANTAGE PLUS Endoscope Reprocessor can operate uninterrupted with power losses up to 0.5 seconds. Power
losses greater than 0.5 seconds without proper shutdown may produce system alarms, system shutdown and system
damage.
• A UPS with a minimum rating of 1500 VA/865 watts is REQUIRED. The role of the UPS is solely to protect the computer
and will allow the ADVANTAGE PLUS Endoscope Reprocessor to operate for a short period of time without power allowing
for an orderly shutdown of the computer in the event of a power outage.
NOTE: If Compressor is installed with the ADVANTAGE PLUS Endoscope Reprocessor TWO
NEMA 5-15 receptacles are REQUIRED.
Heat Load
• Idle: 500 BTU/hr.
• Cycle (1 basin): 1400 BTU/hr.
• Cycle (2 basins): 2000 BTU/hr.

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Ventilation
NOTE: It is the Customer’s Responsibility to ensure the room is following this requirement. This
is not a requirement of the ADVANTAGE PLUS®Endoscope Reprocessor but of the chemicals
that are used for disinfection.
• It is a health and safety requirement to have a minimum of 10 air changes per hour in the room. During cycle operation,
chemical vapor may be produced. The air exchange will minimize staff exposure to chemical vapors.
• A 4” exible duct may be connected from the back of the ADVANTAGE PLUS Endoscope Reprocessor to the facility’s
exhaust system to aid in fume extraction. To properly vent the ADVANTAGE PLUS Endoscope Reprocessor 25 CFM at
0.25 inches-water static pressure is required.
• The ADVANTAGE PLUS Endoscope Reprocessor may also be supplied with an active vapor management system to
aid in chemical vapor management. Please refer to the purchase order to determine the correct conguration of the
ADVANTAGE PLUS Endoscope Reprocessor
Dimensions - Elevation Drawing Appendix H and Top-Down Drawing Appendix I
• The ADVANTAGE PLUS Endoscope Reprocessor physical dimensions are 62” H x 49” W x 31” D, weight 400 lbs. Refer to
Figure 1 and Figure 2 below.
• If the optional air compressor is used it may be placed on the oor on either side or the back of the ADVANTAGE PLUS
Endoscope Reprocessor. This will add additional depth (~16”) or width (~16”) to the installation. The physical dimensions
of the compressor are 18” H x 16” W x 20” L with caster wheels, 15” H x 16” W and 20” L with rubber feet, weight 65 lbs.
Alternately, the compressor may be installed remotely (in an adjacent room, closet, wall space). Appendix D
• Space is required on either side of the unit (approximately a combined 12”) for easy access to the internal components. If
this is not available, the ADVANTAGE PLUS Endoscope Reprocessors contains a base with casters allowing the system to
be moved. There must be adequate room for the ADVANTAGE PLUS Endoscope Reprocessor to be moved for access to
accommodate maintenance.
Endoscope & User Information
• To ensure a smooth and trouble-free installation, the customer must supply a complete list of users and endoscopes that
will be reprocessed in the ADVANTAGE PLUS Endoscope Reprocessor.
• Fill out the ADVANTAGE PLUS Endoscope Reprocessor Operator ID (Appendix A) & Endoscope List (Appendix B) forms.
Network/Remote Access refer to Appendix F
• The ADVANTAGE PLUS Endoscope Reprocessor is equipped with a PC-based computer running Windows 7 (SP3) which
will allow full networking along with the capability of remote diagnostics.
• To allow for remote diagnostics an internet connection is required. This is highly recommended.

8 |SITE REQUIREMENTS
Figure 1. Front & Back Dimensions
Figure 2. Side Dimensions & Clearance

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APPENDIX A
USER / OPERATOR ID FOR
MEDIVATORS REPROCESSING SUITE of EQUIPMENT
#PRINT First
and Last Name
Group
A=Administrator
O=Operator
B=Biomed
D-Doctor (if using)
Barcode #
from badge
(if applicable)
Facility
(if applicable)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34

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APPENDIX B
FACILITY ENDOSCOPE LIST
# Model # Serial # Brand Internal ID
Customer
Barcode
(if applicable)
Department
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35

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APPENDIX C
SITE REQUIREMENTS CHECKLIST
This checklist should be utilized to ensure the installation site meets the required specications. If all specications are met,
the site is suitable for the installation and use of the ADVANTAGE PLUS®Endoscope Reprocessor.
Water Supply
Potable water is the minimum standard.
Minimum ow rate of 1.32 GPM (5000 mL per minute) with a DYNAMIC pressure of
40 to 87 PSI
Water Temperature 35°C ± 2°C (95°F ± 4°F), on-demand supplied by a thermostatic
mixing valve. One mixing valve per reprocessor.
The mixing valve must be accessible and within 4 feet of reprocessor.
Hardness, less than 12 gpg (200 ppm)
Pre-lter wall space 26” H x 38” W x 6” D, customer mounted and plumbed.
Installation of Bypass Valve for Draining, Testing, and Warming Supply Water
Installation of Pressure regulators, Pressure Gauges, and Temp Gauges on both the
incoming hot and cold supply lines
Drain 3.17 GPM, with the opening no higher than 18” from the oor, vented
Air Supply
Optional air compressor dedicated, 120 VAC, dedicated 15 Amp circuit
House compressed air requirements: (dry/oil free) 58 to 125 PSI, minimum ow volume
of 1.5 CFM, maximum particle size of 5 microns, maximum dew point of 7°C (45°F),
maximum oil concentration of 5 mg/m3
¼” ID Flexible Air Hose to connect Reprocessor CUSTOMER SUPPLIED
Electrical Supply
120 VAC ± 10%, single phase, 60 Hz, 15 Amp circuit
NEMA 5-15R outlet, GFI protected, accessible by user
Ventilation
Minimum of 10 room air exchanges per hour
Optional ventilation system available, 120 VAC, <1 Amp, adds 7” to the depth
Unit Dimensions
62” H X 49” W X 31” D, 400 lbs.
Add 12” of open space to the total width to aid with service access
Endoscope List ADVANTAGE PLUS AER Endoscope List & Operator ID form completed
Remote Access Internet connection (recommended)

12 |SITE REQUIREMENTS
APPENDIX D
JUN-AIR Compact Oil Free Compressor

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APPENDIX E
WARNING: An emergency eye wash valve WILL NOT meet the water temperature
specications for the ADVANTAGE PLUS®Endoscope Reprocessors and should not
be used.
The ADVANTAGE PLUS Endoscope Reprocessors require a water supply that is tempered to 35°C ± 2° (95°F ± 4°F) with
water at this temperature being available on demand for proper reprocessor operation.
Reprocessor Water pressure Flow Rate
ADVANTAGE PLUS Reprocessor 40 PSI to 87 PSI Minimum of 1.32 GPM for each hot and
cold supply line
To maintain this temperature, we recommend the installation of a thermostatic mixing valve. The valve has both hot and cold
water plumbed into the unit, with an output of properly tempered water available on demand to the pre-ltration system of
the reprocessor. We require one mixing valve be installed per machine and that the mixing valve be installed no further than 4
feet from the ltration system and accessible to the operator. A mixing valve installed at some distance away from the ltration
system is likely to be ineffective at providing water at the correct temperature because of the length of plumbing through
which the water must pass prior to reaching the ltration system.
Because each installation can be unique in terms of facility and plumbing code requirements, Cantel Medical cannot
recommend specic mixing valves for each installation. Experience with prior successful installations has demonstrated that
the valves listed below can be expected to meet most water supply needs. This list cannot be viewed as an endorsement
by Cantel Medical as we do not manufacture, test, validate or certify thermostatic mixing valves. The customer assumes the
responsibility to decide the proper t for their individual installation needs. Due to variations in local codes, please consult your
plumber before selecting a mixing valve.
Manufacturer Valve Series Specications
Honeywell AM-1 1070 Series 70-120°F ± 3°F (21-49° C ± 2°C) at 0.5-10 GPM
WATTS LFMMV 80-120°F ± 3°F (27-49° C ± 2°C) at 0.5-20 GPM
WATTS LFL1170 60-120°F ± 3°F (16-49° C ± 2°C) at 0.5-20 GPM
Symmons 6-102-1 70-110°F at 0.5– 5 GPM
6-200-1 70-110°F at 0.5– 5 GPM
NOTE: Manufacturer part numbers are subject to change without notice.

14 |SITE REQUIREMENTS
APPENDIX F
Endoscope Reprocessor IT FAQ
Medical Equipment Conguration
Question Answer
What CPU is used in the medical device? Intel i3-2120 [email protected] GHz
How many processors are included in the medical device? 1
What OS does the system utilize? Windows 7
Can critical security patches be installed without prior vendor approval? YES
Does the device incorporate a network switch into its design? NO
What anti-virus software is approved by the device manufacturer? Microsoft Security Essentials,
factory installed on new equipment
Which database software and version is installed on the medical device? 2012
Authentication and User Accounts
Question Answer
Must the operator be logged on as an administrator to operate the device? NO, but the default user is an Admin user.
Can the device be made to require user authentication? YES
Does user authentication support Strong Passwords? YES
Does user authentication support password aging? YES
Can the device be part of the facility’s Windows domain? YES
Medical Equipment Conguration
Question Answer
What is the local storage capacity? 200 GB
What is the estimated annual storage consumption? 300 MB
How many years should the storage capacity last? 10+ years
Are scheduled database backups required? NO - Device contains mirrored hard drives (RAID 1)
Are scheduled database backups recommended? YES, Database backup software is installed,
congurable by customer.
Can the database be run off-device? YES, using a central server supported by the facility IT
department
What ePHI data is stored on the local hard drives? Patient ID assigned by facility
Is the medical device HIPPA compliant? YES

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APPENDIX F - continued
Endoscope Reprocessor IT FAQ
Networking
Question Answer
Is local area network connection required for normal operation? NO
Is PC network hardware included in the ADVANTAGE PLUS®AER YES, on-board Ethernet 1 Gbps, RJ45
socket.
Can unutilized ports be closed without negatively impacting device operation? YES
Can the device support DHCP for network address conguration? YES, xed and dynamic addressing is
supported.
How many IP addresses does the device require? One (1)
Is Internet connection required? NO, but Internet access for remote access
is benecial.
Can the system be addressed via a fully qualied domain name (FQDN)? YES
Wireless
Question Answer
Can the device utilize wireless communication? YES, using customer supplied wireless
adapter.
What wireless protocols are used? 802.11n or 802.11g
Is any ePHI transmitted via the wireless link? Only if using central server or off-device
back-up.
Does the device support installation of FIPS 140-2 certied wireless security
clients? NO
Does the device support a bi-directional HL7 interface? NO
Remote Diagnostics
Question Answer
Can Cantel Medical support the system remotely? YES
What are the remote support options? GoToMyPC
Are VPN connections supported? NO

16 |SITE REQUIREMENTS
APPENDIX G
Water ltration unit supplied by Cantel Medical.
NOTE: Facility is responsible for mounting and
plumbing unit
A minimum of 40 PSI dynamic pressure must be
maintained at the rst gauge of the ltration unit
All connections from water ltration unit to the
ADVANTAGE PLUS®Endoscope Reprocessor will be
performed by Cantel Medical.
Tempered water shut off valve
Bypass valve for testing and warming supply water
Temp/pressure gauge for tempered water
Mixing valve
Temp/pressure gauges for hot and cold supply
Pressure regulators for hot and cold supply
Shut off valves for supply lines
Drain must be lower than 18 inches from the oor.
ADVANTAGE PLUS Reprocessor is gravity drained and
will not drain if it is higher than 18 inches.
Example of combined temp/pressure
gauges and mixing valve
For clarication and/or questions regarding site preparation please contact Technical Support
at 1.800.444.4729 or 763-553-3300.

SITE REQUIREMENTS |17
APPENDIX G
Important! Notes Summary
• Potable water is the minimum standard
• One mixing valve per reprocessor
• Mixing valve must be within 4 feet of reprocessor and easily accessible
• Water pressure of 40 to 87 PSI DYNAMIC must be maintained at the rst
gauge of the water ltration unit
• Water consumption is approximately 8 gallons per standard cycle and 13
gallons per cycle if using the detergent wash function
• Water hardness must be less than 12gpg or 200ppm
• De-ionized water can NOT be used in the ADVANTAGE PLUS®Endoscope
Reprocessor
• One pre-lter system per ADVANTAGE PLUS Reprocessor
• A vented drain system capable of draining 3.17 GPM that is 18 inches or
less from the oor is required.

18 |SITE REQUIREMENTS
APPENDIX H
Valve Tag Identication Chart
A1 COLD WATER INLET N.O.
A2 HOT WATER INLET N.O.
A3 SYSTEM DRAIN N.C.
A4 MIXING VALVE OUTLET N.O.
T1 TEMPERATURE GAUGE
MEDIVATOR supplied
Pre-Filter Assembly
20
40 60
80
100
20
40 60
80
100
20
40 60
80
100
.1 Micron 1.0 Micron
.4 Micron
DRAIN WITH AIR GAP
(PLUMB PER LOCAL CODES)
*Shut-Off Valve
*Drain
*Shut-Off Valve
*Drain
Drain Line
Hot
Water
Cold
Water
Mixing
Valve
20
40 60
80
100
A3
A4
A1 A2
T1
4'-2"
2'-6"
5'-3"
1'-10"
1'-10" 8'-6"
5'-5" 4'-11"
5'-9"
10'
3'-2"
2'-2"

SITE REQUIREMENTS |19
APPENDIX I
FS
Area For Water Supply
1'-10"
5'-2" 5'-1"
3'-9"
2'-7"
1'-8"
1'-4"
FS
8"
8'-6"
8"
10'
3'-2"
10"

20 |SITE REQUIREMENTS
www.medivators.com
Medivators Inc.
14605 28th Avenue North
Minneapolis, MN 55447 USA
Toll Free: +1.800.444.4729
Medivators BV
Sourethweg 11
6422PC Heerlen
The Netherlands
Tel: [phone]
Cantel Medical Asia/Pacic Pte. Ltd.
1A International Business Park
#05-01 Singapore 609933
Tel: [phone]
Cantel Medical Devices (China) Co. Ltd.
Unit 804-805, Innov Tower Block A,
Hongmei Road, Xuhui 200233 Shanghai
Tel: [phone]
Fax: [phone]