Cios Alpha Clean Guide Job Aid

Effective Date: 13 May 2021 | HOOD05162003188547 Clean Guide Comprehensive cleaning concept Cios Spin, Cios Alpha & Cios Flow – Because infection control matters siemens-healthineers.com/cios 3D SIEMENS Healthineers Effective Date: 13 May 2021 | HOOD05162003188547 Clean Guide – Improve infection control Purpose of this document Indications and caution This CleanGuide is a non-binding recommenda- Antibiotic-resistant pathogens are not charac- tion developed jointly by Siemens Healthineers terized by a higher resistance to disinfectants. and ECOLAB on how to clean and disinfect A patient’s infection status (e.g., “septic” the Cios mobile C-arm, and is intended both patients with chronic viral disease like HIV for intermediate and terminal cleaning. Adap- and hepatitis or patients with multi-resistant tations due to application- or region-specific pathogens like MRSA and MRGN) does not requirements need to be considered, as well. necessarily indicate: This document contains information specific to • changes to the intermediate disinfection ECOLAB and Siemens Healthineers. Please also of the treatment rooms and ORs or observe the individual product information in • an extension of the contact time: extra the operator manual. wetting of the surfaces is not necessary. All surfaces in the treatment rooms and ORs must be completely dry before the rooms can be entered or used! In the case of acute infec- tious diseases with non-enveloped viruses or spores, the standard disinfection process must be adjusted (see recommended materials). Caution: • Do not let cleaning liquids seep into the openings of the system, e.g., air openings, gaps between covers. • Use only recommended materials for cleaning and disinfection. 2 Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 Effective Date: 13 May 2021 | HOOD05162003188547 Recommended materials In this paragraph, we distinguish between material used to disinfect the Cios mobile C-arm, and those used to disinfect the floor directly surrounding the mobile C-arm: for US-market Floor disinfection Floor disinfection Floor disinfection & Cios Cios mobile C-arm & Cios mobile C-arm & Cios mobile C-arm mobile C-arm disinfection disinfection using the disinfection using disinfection using the (including disinfection of ECOLAB Quaternary the ECOLAB Neutral ECOLAB Quaternary Clostridium difficile spores) Disinfectant Wipes Disinfectant Cleaner Disinfectant Cleaner using the ECOLAB OxyCide™ Daily Disinfectant Cleaner ECOLAB® ECOLAB® Quaternary ECOLAB® OxyCide™ ECOLAB® Quaternary Neutral Disinfectant Disinfectant Cleaner Daily Disinfectant Cleaner Disinfectant Wipes for EU-market ECOLAS Cios mobile C-arm Cios mobile C-arm Floor disinfection & disinfection disinfection Cios mobile C-arm Standard Non-enveloped viruses disinfection using the or spores (e.g. hepatitis A, ECOLAB Incidin clostridia, norovirus) Dry Wipe system ECOLAB® Incidin® ECOLAB® Incidin® ECOLAB® Incidin® OxyWipes OxyFoam Pro 0.5 impregnated mops & dry wipes Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 3 Effective Date: 13 May 2021 | HOOD05162003188547 JEMEN ......................... .................. :::::::: AL 4 Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 Effective Date: 13 May 2021 | HOOD05162003188547 General cleaning and disinfection instructions While cleaning and disinfecting, wear gloves with chemical resistance. • Always work from top to bottom (top down) and from clean to dirty areas. • After removing blood, discard the wet wipe or mop. Use a new one to continue cleaning. • Use mops and wipes only as long as they leave a closed liquid film on the surface. • Dispose of used mops and wipes according the instructions of your facility. 1. Preparation Disinfection of the floor in the direct environ- The OR nurse determines when to start any ment of the mobile C-arm: An adequate intermediate disinfection. If necessary, the OR number of mops must be prepared as needed staff can give instructions to remove drapes for use (according to the dilution instructions from areas further away from the patients for Incidin® Pro, and the instruction for impreg- (e.g., C-arm) and disinfect those while the nation of mops at your facility). patient is present in the OR. Surface disinfection of the mobile C-arm: The mobile C-arm should be moved to the The buckets of Incidin® Dry Wipes for edge of the operating room. If the patient is • disinfection of surfaces must be filled still in the operating room, the disinfection of with Incidin Pro 0.5 %. the mobile C-arm must not take place directly in the vicinity of the patient. Afterwards the • Incidin® OxyWipes must be on hand. drapes should be carefully removed and disposed of, to reduce the risk of contamina- tion (when removing, turn inwards and make sure that any remaining liquids, etc., are not distributed during disposal. If used, remove the drapes from C-arm, patient table and control units.) Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 5 Effective Date: 13 May 2021 | HOOD05162003188547 2. Intermediate disinfection If there is visible soiling of the floor: disinfect the floor of soiled areas before starting the actual surface below and directly around the mobile C-arm. Visual disinfection workflow. inspection of all surfaces on the C-arm, C-arm chassis as well as all surfaces of the monitor cart for visible Use wet or impregnated dry wipes to disinfect the contamination. Proceed with targeted wipe disinfection following surfaces, in the following order: a) Monitor cart: display, mouse and handles SIEMENS Healthineers Cios Flow b) Mobile C-arm: handles c) Mobile C-arm: handswitch 88 Trumpf Medical Carbon floatline d) Mobile C-arm touch user interface/remote user interface e) Tableside docking for remote f) Mobile C-arm: FD from top, front to bottom control unit 6 Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 Effective Date: 13 May 2021 | HOOD05162003188547 Note: The following workflow is based on the availability Use the impregnated mops to disinfect of the floor® of fast-acting surface disinfectants and therefore works work from clean to dirty areas. strictly from clean to dirty. If disinfectants with longer residence times are used, it may make sense for reasons The surfaces in the OR must be completely dry of infection prevention to first disinfect surfaces near the before the next usage. In addition, the residence patient and then the distant surfaces. time before reuse is to wait until dry. Healthineers g) Mobile C-arm FD (front) h) Mobile C-arm FD (bottom) i) C-arm: inner surface 00:00:00 - j) C-arm: single tank from top to bottom k) If possible, lift C-arm vertically with motorisation. .MODE l) Wireless footswitch Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 7 Effective Date: 13 May 2021 | HOOD05162003188547 3. Terminal disinfection of the mobile C-arm The terminal disinfection procedure differs in some but is supplemented by the following activities respects from intermediate disinfection. The most (have the C-arm raised beforehand; see item i). important change is that on C-arm main unit and the monitor cart, all surfaces get wipe-disinfected. The sequence of disinfection work remains unchanged, 3D 10 cm m) Fins below the horizontal unit n) Lifting column of the C-arm of the C-arm o) Mobile C-arm: outer rail surfaces and cabling 4. Cleaning To ensure good hygiene practice, preserve material A cleaner-disinfectant enables a one-step process in integrity long-term and avoid any build-up of residues, most cases, pre-empting a cleaning step preceding a regular cleaning step is required. This cleaning step each disinfection step. However, use of a cleaner- is important, no matter whether cleaner-disinfectants disinfectant does not replace a regular cleaning or just disinfectants are used for disinfection. process. If the mobile C-arm is used heavily, a weekly cleaning step of all regularly disinfected surfaces is strongly recommended. 8 Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 Effective Date: 13 May 2021 | HOOD05162003188547 Intermediate disinfection Preparation Steps (mobile C-arm not in direct vicinity of patient) Remove drapes from C-arm, patient table and control units General Instructions Start of disinfection • While cleaning and disinfecting, wear Visual inspection of all surfaces on the C-arm, C-arm chassis gloves with chemical resistance. as well as all surfaces of the monitor cart for visible contamina- • Always work from top to bottom (top tion. Proceed with targeted wipe disinfection of soiled areas. down) and from clean to dirty areas. • Always use a new wet wipe or mop a) Monitor cart: display, mouse and handles after removing blood. b) Mobile C-arm: handles • Use mops and wipes only as long as they leave a closed liquid film on the c) Mobile C-arm: handswitch surface. • Dispose of used mops and wipes d) Mobile C-arm touch user interface/remote user interface according the instruc-tions of your facility. e) Remote control dock • This order only applies when using fast- f) Mobile C-arm: FD from top, front to bottom acting surface disinfectants. For longer exposure times, it may be useful to first g) Mobile C-arm FD (front) disinfect the surfaces near the patient and then the distant ones. h) Mobile C-arm FD (bottom) i) C-arm inner surface j) C-arm single tank from top to bottom k) If possible, lift C-arm vertically with motorisation l) Wireless footswitch Terminal disinfection Continue disinfection m) Fins below the horizontal unit of the C-arm n) Lifting column of the C-arm o) Mobile C-arm: outer rail surfaces and cabling Use pre-soaked mops for General Instructions disinfect of the floor The surfaces in the OR must be completely dry before entering. End of disinfection Cios Spin, Cios Alpha & Cios Flow – Clean Guide · 03.2021 9 Effective Date: 13 May 2021 | HOOD05162003188547 On account of certain regional limitations of sales rights and In the interest of complying with legal requirements concerning service availability, we cannot guarantee that all products the environmental compatibility of our products (protection of included in this brochure are available through the Siemens natural resources and waste conservation), we recycle certain sales organization worldwide. Availability and packaging may components. Using the same extensive quality assurance measures vary by country and are subject to change without prior notice. as for factory-new components, we guarantee the quality of these Some/All of the features and products described herein may recycled components. not be available in the United States or other countries. Note: Any technical data contained in this document may vary The information in this document contains general technical within defined tolerances. Original images always lose a certain descriptions of specifications and options as well as standard amount of detail when reproduced. and optional features that do not always have to be present in Caution: Federal law restricts this device to sale by or on the order individual cases. of a physician. Siemens reserves the right to modify the design, packaging, ECOLAB products are not sold by Siemens. They have to be ordered, specifications and options described herein without prior notice. installed, and serviced by way of separate contracts with the vendor Please contact your local Siemens sales representative for the in question. most current information. Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthcare GmbH · Printed in Germany · 12413 0622 online · ©Siemens Healthcare GmbH, 2022