MELAG MELAtherm 10 Assembly instructions

Dear Dr.
We should like to extend our thanks for the expression of trust in our company which you have displayed through the
purchase of this MELAG device.
As an owner-run and operated family concern founded in 1951, we have a long history of successful specialization in
hygiene products for practice-based use. Our focus on innovation, quality and the highest standards of operational
reliability has established MELAG as the world’s leading manufacturer in the instrument treatment and hygiene field.
You, our customer are justified in your demand for the best products, quality and reliability. Providing "competence in
hygiene" and "Quality – made in Germany", we guarantee that these demands will be met. Our certified quality
management systems is subject to close monitoring: one instrument to this end is our annual multi-day audit conducted
in accordance with ISO 13485 and ISO 9001. This guarantees that all MELAG products are manufactured and tested in
accordance with strict quality criteria.
The MELAG management and team.
Instructions for the use and
care of the accessories
MELAtherm® 10

General guidelines
General guidelines
Please read these accessories usage advice very carefully before using the accessories in the MELAtherm10. They
include important safety information.
Please store this document carefully and in close proximity to the washer-disinfector. They represent a component of the
product.
Validity
The information contained in this document applies to the accessories which it describes and which are designed
exclusively for use in conjunction with the MELAtherm®10 washer-disinfector.
The most up-to-date accessories usage advice is found on the MELAG download centre under www.melag.de.
About this document
Symbols used
Symbol
Explanation
Indicates a dangerous situation, which if not avoided, could entail slight to life-
threatening injuries.
Draws your attention to a situation, which if not avoided, could result in damage to the
instruments, the practice fittings or the device.
Draws your attention to important information.
Formatting rules
Accentuation
Explanation
see …
Reference to another text section within this document

Contents
Contents
Optimizing the cleaning performance and value-
retention of the instruments..............................7
Principles of the load configuration ..................9
The 6 segment principle ................................................9
The Flex System..........................................................10
Accessories for exterior cleaning ...................11
Basis baskets ..............................................................11
Basis basket without injector rail..............................11
Basis basket with injector rail (incl. 11 blind screws)11
Basis basket with injector rail (incl. 11 nozzles and
clamp springs)..........................................................12
Basis basket with injector rail (incl. 2 central filters).12
Insert racks..................................................................17
Insert rack for 3 MELAstore-Trays/ sieve cassettes.17
Insert rack for 4 MELAstore-Trays/sieve cassettes..17
Insert rack for MELAstore-Tray 50 (12
pcs.)/MELAstore-Tray 100 (6 pcs.)..........................18
Insert rack for 5 trays / 10 half-trays.........................19
Instruments and washing baskets ...............................20
Instrument basket compact......................................20
Instrument basket standard......................................20
Instrument basket >G<.............................................20
Needle tip plate for instrument basket......................21
Small parts container ...............................................22
Stackable insert racks and baskets (flex system)........23
Flex basket 1............................................................23
Flex basket 2............................................................23
Flex basket 3............................................................23
Flex basket 6............................................................24
Injectior basket Flex 1 ..............................................25
Insert rack for impression trays, scissors and clamps
.................................................................................26
Insert rack for hinged instruments............................28
Flex basket specula .................................................29
Attachments for stackable baskets (Flex system)........30
Ear speculum attachment Flex 1..............................30
Ear speculum attachment Flex 2..............................31
Ear speculum attachment Flex 3..............................32
Attachment for flex basket with brackets..................33
Bracket for Flex attachment.....................................34
Instrument holder for flex baskets (60 pcs.).............35
Sieve cassettes and inserts.........................................36
Sieve cassette..........................................................36
Dividing insert for sieve cassette..............................37
Protrusion guard for the sieve cassette....................37
Protective insert for the sieve cassette.....................38
MELAstore-Tray 50..................................................39
MELAstore-Tray 100................................................39
MELAstore-Tray 200................................................39
Accessories for interior cleaning ....................41
Connectors and adapters for instruments....................41
Injector nozzle..........................................................41
Clamp spring for injector nozzle...............................42
Irrigation sleeve for instruments with Ø 2-11 mm.....42
Adapter (male) for Luer-Lock ...................................45
Adapter (female) for Luer/Luer-Lock........................45
Adapters for tips.......................................................46
Adapter for tips M3.0 x 0.5 mm, external thread.....46
Adapter for tips M3.6xPH1.5 P0.5, internal thread...46
Adapter for tips M3.0 x 0.35 mm, external thread ..46
Marking discs for adapters for tips ...........................47
Adapters for transfer instruments.................................49
Selection aid for the use of adapters for transfer
instrument ................................................................49
Adapters for ISO connector (INTRA coupling).........50
Adapter for KaVo turbines (MULTIflex connection)..50
Adapter for Sirona Classic........................................51
W&H turbine adapter................................................53
Filter disc housing with ceramic filter disc................53
Universal adapter (incl. 3 inserts and ceramic filter
disc) .........................................................................55
Distance sleeve........................................................57
Adapter for exterior spray channels .........................58
Double distributor.....................................................59
Triple distributor (incl. ceramic filter disc).................60
Filter inserts.................................................................62
Ceramic filter disc (10 pcs.)......................................62
Metal filter disc.........................................................63
Central filer for injector rail .......................................64
Sealing elements.........................................................65
Silicone sealing cap, green (10 pcs.) .......................65
Silicone sealing cap, blue (10 pcs.)..........................66
White silicone sealing cap (10 pcs.).........................66
Sealing screw for injector rail and distributor............67
Seal (male) for Luer-Lock.........................................67
Seal (female) for Luer/Luer-Lock..............................68
Hoses and hose connections.......................................69
Connection for hoses with interior Ø 6 mm, external
thread.......................................................................69

Contents
Connection for hoses with interior Ø 6mm, internal
thread.......................................................................70
Silicon hose Ø 10/6 mm, running metre...................70
Hose extension with screw connections...................71
Examples for basic configurations..................72
Basic configuration for the ENT practice......................72
Basic configuration for the gynaecological practice.....72
Basic configuration for the dental practice...................73
Basic configuration for the OMF surgery .....................73

Safety instructions
5
Safety instructions
When using the MELAtherm10 accessories, please ensure that you observe the following safety
instructions as well as those outlined in the following chapters.
Instruments/accessories
For your own safety and to avoid injuries when loading the instrument and washing baskets,
always wear gloves or other suitable hand protection.
Use only those instruments designed by their manufacturer for automatic treatment in a washer-
disinfector. Please ensure that you observe the information provided by the instrument
manufacturers ISO 17664. It is especially important to observe the manufacturer's information
when treating newly purchased instruments for the first time.
Use original accessories from MELAG. We cannot provide a guarantee for non-MELAG
accessories, even if they are in possession of validation.
When using additional accessories from other manufacturers to secure instruments, especially
hollow-bodied instruments, it is necessary to observe the information contained in the
manufacturer's operating manual.
If using accessories from other manufacturers, above all hoses, please ensure that they are heat-
resistant up to 95 °C. This applies above all to hoses.
Use only those process agents approved by MELAG. Observe the operating and safety
information from the process agent manufacturer. MELAG does not accept any liability for the use
of any process agents not approved by MELAG.
Take care when arranging sharp and pointed instruments and do so in a manner that prevents all
danger of injury. Loading should best be performed from back to front. Wear suitable protective
gloves.
Comply with pre-determined loading patterns established within the scope of the validation
procedure.
Load
Ensure the correct arrangement of the instruments. Avoid spray shadow and repeated stacking of
the instruments.
Storage
Store all accessories in a dry atmosphere protected from corrosive objects or media.
Disposal
Accessory parts which display strong signs of wear e.g abrasion, cracks or corrosion must be
disposed of correctly.

General instructions for preparation and treatment
6
General instructions for preparation and treatment
1 Hollow-bodied instruments
1.1 The automatic decontamination of hollow-bodied instruments requires that they be arranged in
the washer-disinfector on adapters on the injector rail or via suitable load elements to ensure
sufficient throughflow. Universal dental aspirator tips with 11 mm and 16 mm connections can
be treated in instrument baskets in a standing position. The distal end must point upwards. This
must be considered separately during validation.
1.2 After decontamination, complex hollow bodies such as transfer instruments must be dried using
medical compressed air to remove residual moisture. Comply with all relevant national
specifications.
1.3 Before and after decontamination, check the instruments for a secure position on the adapters,
the hose connections or the injector nozzles. The instruments must not be able to become
detached during the program run. If this happens, they require further decontamination in the
washer-disinfector.
1.4 When using the basis basket in conjunction with an injector rail, please ensure that you always
push the basis basket against the rear wall of the chamber to the fullest extent, so that the
injector rail locks on to the connection fitting on the inner wall of the washing chamber.
1.5 Observe the treatment instructions provided in the user manual of the washer-disinfector
regarding transfer instruments and ophthalmological instruments.
1.6 The operator is responsible for validating the procedure in combination with special load
accessories Especial attention is to be accorded to the feed line to the hollow-bodied
instruments.
1.7 Treat only those hollow-bodied instruments which guarantee sufficient and reproducible rinsing.
Before treatment, check the hollow-bodied instruments for passage by rinsing them with water
of a minimum quality equal to drinking water.
2 Injector rails and distributor
2.1 Sufficiently high rinse pressure is important for the cleaning. Always place instruments on the
adapter. If possible, seal non-used adapters with the suitable silicone sealing cap. Seal the
unused connections on the injector rail with sealing screws (art. no. 80140).
3 Adapters for transfer instruments
3.1 Please note that leading manufacturers of transfer instruments recommend drying the
spray/air/water channels immediately after treatment using medical compressed air. In doing so,
it is necessary to maintain the patency of the channels.
3.2 This must then be followed by maintenance using maintenance and care products/oils approved
by the instrument manufacturer.

Optimizing the cleaning performance and value-retention of the instruments
7
Optimizing the cleaning performance and
value-retention of the instruments
The following important treatment instructions ensure that your washer-disinfector achieves the best
possible cleaning performance and ensures the value-retention of your instruments. Further information is
to be found in the brochure "Instrument Reprocessing" from the Arbeitskreis Instrumentenaufbereitung AKI
(download from www.a-k-i.org) or from your instrument manufacturer.
1 Wet/dry storage
1.1 Wettened instruments should be stored dry. Ensure that they are stored protected from light and
heat. Keep the period of storage as short as possible.
1.2 Instruments which present organic residue (e.g. blood) after patient treatment could benefit from
pre-soaking in a suitable treatment solution. Please ensure the correct process agent chosen
for prior soaking is compatible with the washer-disinfector process agents. Otherwise, we
recommend dry storage.
1.3 If pre-soaking is to be performed, the instruments must be rinsed thoroughly with running water
before insertion in the washer-disinfector (WD) to prevent the solution from entering the device.
1.4 Instruments may not be soaked overnight in water. Storage in demineralized/distilled water is
also associated with negative effects connected with treatment residue (blood etc.).
2 Preparation and pre-cleaning
2.1 If instruments are to be subject to manual preparation for cleaning, please ensure that no media
or tools/resources are deployed which could damage the surface of the instruments. Never use
any aggressive cleaning fluids, wire brushes or metal scourers. Information regarding correct
instrument treatment is available from your instrument manufacturer.
2.2 Insoluble treatment substances (e.g. dental cement, root canal disinfectants, alginates, silicon
etc.) must be cleaned manually directly after use. Consult the product data sheets of the
treatment substances.
2.3 Other substances can also necessitate manual pre-cleaning. These include ultrasound gels and
other auxiliary substances.
2.4 Hollow body articles (transfer instruments, cannulas etc.) are to be checked for passage. Please
observe the specialist information in the user manual.
2.5 Instruments must be dismantled for treatment in accordance with the manufacturer's
specifications.
2.6 Corroded Instruments must be separated. Crusted instruments must be subject to a basic
cleaning/servicing.
2.7 The KRINKO/BfArM (2012) recommends that instruments of the risk class “Semi-critical B” and
“Critical B” should be subject to pre-cleaning directly after use.
2.8 The complete cleaning and disinfection of surgical aspirators requires manual pre-cleaning of
the interior lumen. Subsequent suction (e.g. using the dental unit) of a minimum of 200 ml water
through the surgical aspirator immediately or 10 minutes (at the latest) after treatment will
achieve sufficient pre-cleaning. A comparable or more intensive pre-cleaning is permissible.
3 Loading instructions
3.1 Generally, ensure that the pattern of loading does not cause any spray shadow. When using
wash trays from other manufacturers, ensure that their design (large-scale covered areas) do
not generate spray shadow.
3.2 Instruments with non-dismountable joints or closable instruments (e.g. tweezers) must be open
for treatment.
3.3 Easily scratched instruments (e.g. dental mirrors) must be inserted separately with sufficient
clearance between the objects. Preparation in a wash tray can cause damage e.g. to the mirror
surface.
3.4 When using sieve cassettes, ensure that instruments are separated and do not drop masse to
the bottom. "Loose material" should be avoided as a matter of course. To do so, you can use
the dividing inserts from the MELAG accessories range.

Optimizing the cleaning performance and value-retention of the instruments
8
3.5 Treat only those instruments in the washer-disinfector which have been expressly authorized for
this purpose by the manufacturer. As a rule, these instruments are marked with this symbol,
either directly or in the treatment instructions.
3.6 If required, order the treatment instructions from the respective manufacturer in accordance with
EN ISO 17664.
3.7 Comply with the treatment instructions provided by the instrument manufacturer, especially
those pertaining to computability with process agents.
3.8 Do not treat any disposable instruments. Disposable instruments are usually marked with this
symbol:
3.9 Observe the information provided in the user manual regarding special instruments (dental
transfer instruments, ophthalmological instruments, instruments with interior lumen).
3.10 If you use non-MELAG accessories to treat instruments in the device, ensure that the
compatibility of the accessories with the device and instruments.
4 Routine checks
4.1 Check the filters (e.g. in the adapters for transfer instruments) and sieves (coarse and fine filter)
regularly and clean/replace where necessary.
4.2 Perform the routine controls in accordance with the user manual. The coarse and fine filters
should be checked for soiling and cleaned where necessary.
4.3 Check the plastic parts (e.g. inserts) for wear at regular intervals and replace them if necessary.
5 Selecting suitable programs
5.1 Normal up to strongly soiled instruments: Universal-Program.
Use the Intensive-Program if the Universal-Program does not provide sufficient cleaning power.
5.2 Particularly heavily soiled instruments: Intensive-Program.
5.3 Un-soiled or only lightly-soiled instruments Quick-Program.
5.4 Ophthalmologic instruments: Ophthalmo-program. DI water required!
6 Process agents
6.1 In order to avoid cleaning problems, we have specified the use of process agents adapted to
each other. These were set on the machine during installation. Information regarding the
product settings is to be found in the installation record or on the container labels.
7 General guidelines
7.1 Please note that no common household agents developed for use with a dishwasher cleaner,
aroma tabs etc. or indeed any other form of household agents - aluminium foil to prevent the
development of stains, vinegar, soda etc. - are used in the cleaning and disinfection device for
any purpose whatsoever. These substances impair the treatment process and can cause
damage to both the device and the instruments being treated. When metered correctly, the
process agents specified for the washer-disinfector achieve the best possible cleaning effects
and render superfluous the use of additional agents.
7.2 Ensure that the coarse and fine sieves are inserted before removing the rinse arms. This
prevents the entry of particles of dirt or rinse arms fastening parts into the pump pit.
7.3 Before the coarse and fine filters can be removed for cleaning, it is necessary to check for the
presence of any small particles in the filter. These must be removed before the sieve can be
removed so that they do not enter the device interior (observe the risk of injury).
7.4 After filling with regenerating salt, a short rinsing program should be started to remove any
residual salt from the washing chamber.
7.5 Avoid long stand times after the rinse-program.
7.6 The metering hose should be de-aerated with water before longer pauses (>2 weeks). Please
read and observe the information regarding these steps contained in the cleaning and
disinfection device user manual.

Principles of the load configuration
9
Principles of the load configuration
The 6 segment principle
All accessories are placed in the basis basket with or without an injector rail. The surface of the basis
basket is divided into six segments to ensure the optimal use of space.
The size of all insert racks, instrument baskets, washing baskets and flex baskets correspond to one or
more segments of the basis basket. To this end, the next pages provide one of the following diagrams for
each accessory.

Principles of the load configuration
10
The Flex System
The so-called Flex System was developed on the basis of the 6 segment principle. The flex system
consists of instrument baskets of various sizes. The flex baskets can be subject to variable combinations
and stacked. This system ensures the optimal use of space in the washing chamber of the washer-
disinfector.
Flex baskets may be stacked in max. 2 levels. Attachments for stackable flex baskets can also be used.
WARNING
Stacking more than two baskets on each other in the washing chamber increases the risk of spray
shadow.
Stack no more than a max. of two Flex baskets.
The following example shows one of a number of many further possible combinations:
Ear speculum
attachment for flex
basket 1
Flex basket 1
Flex basket 3
Ear speculum
attachment for flex
basket 2