Medivators DSD-201 User manual

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User
Manual
DSD-201
Endoscope Reprocessing System

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MEDIVATORS®and ACTRIL®are registered trademarks of Medivators Inc.
PENTAX®is a registered trademark of Hoya Corporation.
OLYMPUS®is a registered trademark of Olympus Corporation.
FUJIFILMTM is a trademark of Fujilm Corporation.
MM03-0046 REV L
© 2016 Medivators Inc.
All Rights Reserved.
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 Medivators Inc.
Medivators reserves the right to make changes in the specications shown herein without notice
or obligation. Contact your Medivators representative or Medivators customer service for more
information.

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TABLE OF CONTENTS
Chapter 1 - INTRODUCTION
Using This Manual ..............................................................................................................................5
Safety ................................................................................................................................................6
Intended Use ..............................................................................................................................6
Operator Safety ...........................................................................................................................6
Guidelines ..........................................................................................................................................7
Installation And Maintenance ......................................................................................................7
Water Quality ..............................................................................................................................7
Detergent Solution ......................................................................................................................8
Disinfectant Solution ...................................................................................................................8
Monitoring Disinfectant Potency ..................................................................................................8
Endoscope Precleaning And Testing ............................................................................................9
Cleaning And Disinfection .................................................................................................................10
Professional Guidelines ................................................................................................................... 10
Chapter 2 - OPERATOR CONTROLS
General ............................................................................................................................................11
Control Panel ...................................................................................................................................12
LED Indicators .................................................................................................................................13
LCD Screen .....................................................................................................................................14
Numeric Keypad ..............................................................................................................................15
Function Keys ..................................................................................................................................16
Setting Up The Reprocessor .............................................................................................................18
Load Disinfectant From Basin ................................................................................................... 18
Load Disinfectant With Internal Pump .......................................................................................20
Automatic Disinfectant Dump ...................................................................................................21
Dump Disinfectant With Internal Pump ......................................................................................23
Set The Date ............................................................................................................................25
Set The Time ............................................................................................................................27
Display Software Version ..........................................................................................................29
Water Line Sanitize ...................................................................................................................30
Display Log .............................................................................................................................. 32
Clear Log ..................................................................................................................................33
Clear Disinfectant Cycle Count ..................................................................................................34
Programming The Reprocessor ........................................................................................................35
Input Program ..........................................................................................................................35
Disinfectant Warning Inhibit ......................................................................................................41
Display Temperatures ...............................................................................................................42
Set Heater-on Time .................................................................................................................. 43
Set Heater-off Time ..................................................................................................................44
Display Disinfectant Cycle Count .............................................................................................. 45
Display Time Remaining ...........................................................................................................46
Display State Time ...................................................................................................................47
Print Entire Log ........................................................................................................................48
Print Last Run ...........................................................................................................................49
Set Automatic Printing Enable ...................................................................................................50
Set Delayed Start Date/time .....................................................................................................51
Set Delayed Start Enable ..........................................................................................................53
Enter Diagnostics .....................................................................................................................54

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Chapter 3 - OPERATION
Introduction .....................................................................................................................................55
Cycle Operation ................................................................................................................................56
Startup Phase ........................................................................................................................... 56
Wash Phase ............................................................................................................................. 56
Disinfectant Phase ...........................................................................................................................57
Rinse 1 Phase ..................................................................................................................................57
Rinse 2 Phase ..................................................................................................................................57
Rinse 3 Phase ..................................................................................................................................57
Alcohol Phase ..................................................................................................................................57
Air Phase .........................................................................................................................................58
Pre-start Inspection .........................................................................................................................59
Startup .............................................................................................................................................60
Checking The Potency Level .............................................................................................................61
Overriding The Disinfectant Warning .................................................................................................62
Disinfecting Endoscopes ..................................................................................................................63
Preparing The Endoscope .........................................................................................................63
Leak Testing (Optional) ..................................................................................................................... 64
Running The Disinfection Process ....................................................................................................65
Completing The Disinfection Process ................................................................................................66
Process Interruption .........................................................................................................................67
System Interruption ..........................................................................................................................67
Operator Initiated Interruption ..........................................................................................................67
Shutdown ........................................................................................................................................68
Chapter 4 - MAINTENANCE AND TROUBLESHOOTING
General ............................................................................................................................................69
Collect Coupling Disconnection/connection ...............................................................................70
Disinfectant Filter Cartridge–replace .........................................................................................72
Internal Water Filter–remove .....................................................................................................74
Internal Water Filter–replace .....................................................................................................76
Printer Paper–replace ...............................................................................................................78
Printer Ribbon–replace .............................................................................................................80
Air Filter–replace ......................................................................................................................82
Draining Condensation From Air Chamber .................................................................................84
Troubleshooting Guide .....................................................................................................................86
Error Messages ................................................................................................................................88
APPENDIX
Error Messages ................................................................................................................................92
Log Messages ..................................................................................................................................94
Glossary Of Terms ............................................................................................................................95
Disinfection Cycle Chart ...................................................................................................................96
Custom Program Reference Chart ....................................................................................................99
Setups ...........................................................................................................................................100
Specications ...............................................................................................................................101
Product Warranty ............................................................................................................................102

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INTRODUCTION
Using this Manual
This manual describes the MEDIVATORS®DSD-201 endoscope reprocessor. It also describes the features
of the reprocessor, how to setup and operate the reprocessor, and maintenance and troubleshooting
procedures to keep the reprocessor in good operating order.
Throughout the manual are notes, service notes, cautions, and warnings. These provide additional important
information. An example of each is illustrated below.
Note: A note refers to relevant information not covered in the main body
of the text.
Service: A service note refers to operations or repairs only a trained service
technician may perform.
Caution! A caution describes actions and conditions that may cause damage
to or destruction of the equipment.
Warning! A warning describes actions and conditions that may cause
severe personal injury or death to the operator or patient.
Chapter 1

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Safety
This section outlines general safety guidelines for proper operation and service of the reprocessor. Failure
to follow these guidelines may result in severe injury or death to the patient and/or operator. Read and
understand all operating and service procedures before attempting to operate the reprocessor.
Intended Use
The DSD-201 Endoscope Reprocessor is intended to be used to wash, high-level disinfect and rinse
endoscopes and related accessories between uses. It is intended to be used with a legally marketed high-
level disinfectant solution. It can also be used to leak test endoscopes if equipped with the leak test
capability.
Only properly trained individuals may operate or service the reprocessor. Never use the reprocessor for
any purpose other than the manufacturer’s specic intended purpose.
Operator Safety
Avoid biological contamination and chemical burns–always wear appropriate personal protective
equipment when handling endoscopes or disinfectant solutions. Never open the reprocessor lid or remove
the oating basin lid during operation.
For disinfectant handling guidelines, refer to the American National Standard recommended practice
titled “Safe Use and Handling of Glutaraldehyde-based Products in Health Care Facilities” (AAMI/FDS
ST58, 1996-03-26). The document is available from the Association for the Advancement of Medical
Instrumentation.

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Guidelines
Guidelines are established to ensure patient safety, operator safety, and to maintain reliable reprocessor
operation.
Installation and Maintenance
Proper maintenance will ensure effective disinfection and prolong the life of the reprocessor.
• The reprocessor must be protectively grounded.
• The system default is factory-set for a 20 minute disinfectant immersion period. This period may be
changed in the custom program setting. Verify the program is appropriate for the disinfectant used.
• All pressure regulators are factory-preset. Do not adjust the settings. Contact your Technical Support
representative for assistance.
• Do not allow the sanitizing solution to contact metal components.
• Do not use alcohol or alcohol-based products to clean the reprocessor cabinet as this may cause crazing.
• The hook-ups are not autoclavable and must be reprocessed by low temperature disinfection only.
• Replacement parts must be ordered from the manufacturer to maintain the warranty.
Water Quality
Potable water is the minimum standard. Incoming water must be pre-ltered to minimum of 0.45-microns.
• The high performance 0.2-micron water lter included with the reprocessor is a sterilizing grade
bioretentive lter. The lter removes all microorganisms and particles greater than 0.2-microns.
• The routine maintenance schedule recommends replacing the 0.2-micron water lter every 6 months
or sooner, depending on the pre-ltration system and the quality of the incoming water.
• Incoming water supply (upstream of the external pre-ltration system) should be shut-off at the end
of every work day.

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Detergent Solution
If the user decides to incorporate a pre-wash in the reprocessing cycle MEDIVATORS recommends the use
of a detergent solution that has bacteriostatic properties to inhibit bacterial growth in the detergent reservoir
and detergent line. The detergent should be low foaming and free-rinsing neutral in pH recirculation.
Caution! Never use household detergent in the reprocessor.
Disinfectant Solution
Select a low-foaming, high level disinfectant specically manufactured for high-level medical instrument
disinfection. The product must be capable of destroying M. tuberculosis.
Consult the product label for appropriate contact time and temperature when programming the
disinfection cycle.
Monitoring Disinfectant Potency
High Level Disinfectant (HLD) testing must be performed before each reprocessing cycle. The minimum
required concentration (MRC) testing of the high level disinfectant (HLD), ensures the HLD is at an
effective level of potency, so that it can be used to disinfect an endoscope or medical device. Testing the
potency prior to starting a reprocessing cycle, conrms the disinfectant’s MRC potency, and that it can be
used to achieve high level disinfection of an endoscope or medical device.
Use only the disinfectant manufacturer’s recommended test strips to test the potency of the HLD. If the
high level disinfectant is below the minimum required concentration, then discard the used disinfectant
and replace it with new disinfectant, prior to initiating a reprocessing cycle. Refer to the test strip
manufacturer’s instructions, for further details and step-by-step use instructions.

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Endoscope Precleaning and Testing
All endoscopes must be precleaned prior to disinfection. Follow the endoscope manufacturer instructions
and established professional guidelines to properly preclean the endoscope.
• Endoscopes with elevator wire channels require additional manual cleaning and
disinfection steps.
• Leak test endoscopes prior to disinfection procedures.
Cleaning and Disinfection
Always follow established professional guidelines while cleaning and disinfecting endoscopes.

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Professional Guidelines
The following organizations have published recommended guidelines.
Society of Gastroenterology Nurses & Associates
401 North Michigan Ave.
Chicago, IL 60611-4267
Tel: [phone]
Fax: [phone]
http://www.sgna.org/
Association for Professionals in Infection Control &
Epidemiology, INC.
1275 K Street, NW, Suite 1000
Washington, DC 20005-4006
Tel: [phone]
Fax: [phone]
http://www. [email protected]
American Society for Gastrointestinal Endoscopy
13 Elm Street
P.O. Box 1565
Manchester, MA 09144-1314
Tel: [phone]
Fax: [phone]
http://www.asge.org/
American Society for Testing & Materials
100 Bar Harbor Drive
West Conshohocken, PA 19428-2959
Tel: [phone]
Fax: [phone]
http://www.astm.org/
Association of Operating Room Nurses
2170 So. Parker Rd., Suite 300
Denver, CO 80231-5711
Tel: [phone]
Fax: [phone]
http://www.aorn.org/
Canadian Society of Gastroenterology
Nurses & Associates
P.O. Box 366
36 Adelaide Street East
Toronto, Ontario M5C 2J5
http://www.webray.com/csgna
British Society of Gastroenterology
3 St. Andrews Place
Regents Park, London NW1 4LB
01144-171-387-3534
[email protected].

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Chapter 2
OPERATOR CONTROLS
General
This chapter describes the operator controls, and how to set up and program the reprocessor.
Figure 1 DSD-201 Internal Components
Control Panel
Drain Valve
Disinfectant Return
Valve
Process Indicators
Station BStation A
Air Valves
Reservoir Cover
Disinfectant Filter
Temperature Control
Disinfectant
Reservoir
Regulator
Air Compressor
Lid
Water Filter
Beeder Valve
Basin
Detergent Reservoir
Drain Line (rear side)
Pump Override
Switch
Disinfectrant
Pump
Water Filter
Incoming Water
Air Filter

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Control Panel
The control panel allows the operator to specify settings, view system messages, errors and warnings, and
operate the reprocessor. This section describes each function of the control panel.
LED Indicators
LCD Panel
Keypad
Function Keys
Figure 2 Control Panel
A: Heat On? 1:47
Al Fr 08 Dec 00

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LED Indicators
The LED indicators alert the operator to system functions and errors. There are four types of indicators
used on the reprocessor control panel.
Status Indicators
The status indicators blink if an error occurs, or if the STOP button is pressed. The upper indicator
identies Station A. The lower indicator identies Station B.
Station Indicators
The station indicators identies that the disinfection station is in use. The LED illuminates when the
station is in use.
Cycle Phase Indicators
The phase indicators identify which cycle phase the system is performing. The LED illuminates (or
blinks) to indicate the present cycle phase.
Warning Indicators
The warning indicators alert the operator to system errors, or other conditions requiring
immediate attention. The upper indicator identies Station A. The lower indicator identies Station B.
Figure 3 Indicators
Warning
Indicators
Status
Indicators
Station
Indicator
Phase
Indicators
Station A
Flush
Disinfect
Rinse 2
Rinse 1
Alcohol
Air
A: Heat On? 1:47
A1 Fr 08 Dec 00
W
A
R
N
I
N
G
S
T
A
T
U
S
Station
Indicator
Phase
Indicator

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LCD Screen
The LCD screen displays system messages and prompts the operator during system setup.
• User Prompt displays messages and queries. “A:” represents Station A. “B:” represents Station B
• Station/Program displays the current operating program.
• Program status indicators identify a station as “idle”, “stopped”, “resetting” or
“running”.
• Station stopped is indicated by alternating + and *.
• Station running is indicated by alternating : and |.
• Station resetting is indicated by alternating R and r.
• Station idle has no indicator.
Station A
Flush
Disinfect Rinse 2
Rinse 1
Alcohol
Air
A: Heat On? 1:47
A1 Fr 08 Dec 00
Time
Date
Day of Week
Station /
Program
User Prompt
Station idle
Station running
Program status indicators
Station resetting
Station stopped
R r
*
|
Figure 4 LCD Screen

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Numeric Keypad
The numeric keypad allows the operator to enter numeric information.
• The * key can also be used as a “Cancel” or a “Backspace” button.
• The # key can also be used as an “Enter” button.
1 2 3
4 5 6
7 8 9
*0 #
Figure 5 Numeric Keypad

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Function Keys
The function keys control the operation of the reprocessor.
• ID Data
Press this button to enter the endoscope identication or serial number, operator ID number, patient
ID number, and physician ID number into the log. Each ID entry can contain up to ten digits. This
function is only active when the station is idle.
• Program
Press this button to select a disinfection program. Enter the program number on the keypad. This
function is only active when the station is idle.
• Add Air
When the station is idle press this button, then the START button to air purge the scope. Otherwise,
this function will append an add air cycle to the end of the currently running cycle. Pressing the
button again will remove the add air cycle.
• Heater On
Press this button to toggle the reservoir heater on or off. The LED illuminates when the heater is ON.
• Disinfect Dump
Press this button, then the START button to dump the disinfectant. This function is only active when
the station is idle.
• Set Up
Press this button to access system functions.
• Enter
Press this button to accept settings, or to start some system functions.
• Cancel
Press this button to reject settings, reset an alarm, or abort a disinfection cycle.
• Reject an incorrect user entry by pressing the CANCEL button. The previous value is restored,
or the previous screen is displayed.
• Abort the currently running cycle by pressing the CANCEL button, then the ENTER button.
• Reset an alarm by pressing the CANCEL button, then the ENTER button.
• Station Select
Press this button to select Station A or Station B.
• Start
Press this button to start a disinfection cycle or resume an interrupted cycle, or to start some system
functions.
• Stop
Press this button to pause a disinfection cycle, acknowledge a warning message, or stop a system
function.

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Figure 6 Function Keys

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Setting Up the Reprocessor
 LOAD DISINFECTANT FROM BASIN
Use this function to load fresh disinfectant into the reprocessor.
1. Connect the restrictor adapter to the reprocessor basin connection.
2. Replace the disinfectant lter.
3. Press STATION SELECT button to choose Station A or Station B.
4. Press the SETUP button.
• Enter 1 on the keypad, then press the ENTER button.
5. Press the START button
• The LCD displays a reminder message to “Attach Restrictor”. Press the START button again after
verifying the restrictor is connected.
• For Optional Leak Tester: There is a 40 second test as the leak tester activates.
6. Pour 4 gallons (15 liters) of disinfectant into the basin. Allow the disinfectant to transfer to
the reservoir.
• All disinfectant must be loaded into the basin within the rst 28 minutes.
7. Press the CANCEL button when all the disinfectant has transferred to advance to the rinse cycle.
An “Aborted” message is displayed on the screen—this is normal.
--or--
8. Allow the reprocessor to load for 30 minutes, then perform a rinse cycle. A “Completed” message
is displayed on the screen after the load cycle.

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Warning! Avoid possible chemical burns. Always wear
personal protective equipment (gloves, goggles) when
handling disinfectant.
Warning! Avoid possible slip injuries. Clean up any
spills immediately.
Caution! If the reprocessor uses heated disinfectant reservoirs,
verify the heaters are ON. Allow the reservoir to pre-heat for a
minimum of 2 hours before processing an endoscope.
Note: Perform a Setup 16 to verify the cycle count is “ZERO”.
Figure 7 Load Disinfectant Screen
A: Load Dis

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 LOAD DISINFECTANT WITH INTERNAL PUMP
1. Disconnect the disinfectant lter tube from the top of the reservoir.
2. Replace the disinfectant lter.
3. Connect the lter tube to the rigid adapter tube.
4. Place the rigid end of the adapter into the disinfectant container.
5. Connect the exible adapter tube between the 3-way valve tube and the top of the reservoir
to be lled.
6. Rotate the 3-way valve until it points out from the cabinet wall.
7. Locate the chemical loading switch on the upper right side of the cabinet wall. Press and hold the
switch until 4 gallons (15 liters) of disinfectant is pumped into the reservoir.
8. Rotate the 3-way valve back to the original position.
9. Reconnect the disinfectant ller tube.
Warning! Avoid possible chemical burns. Always wear
personal protective equipment (gloves, goggles) when
handling disinfectant.
Warning! Avoid possible slip injuries. Clean up any
spills immediately.
Note: Perform a Setup 16 to verify the cycle count is “zero”.