Cleaning Guide - USA

Cleaning Guide CIARTIC Move Purpose of this document This cleaning guide is a non-binding recommendation on how to clean and disinfect the CIARTIC Move mobile C-arm, and is intended both for intermediate and terminal cleaning. Adaptations due to application- or region-specific requirements need to be considered, as well. Please also observe the individual product information in the operator manual. Indications and caution Antibiotic-resistant pathogens are not characterized by a higher resistance to disinfectants. A pa- tient’s infection status (e.g., “septic” patients with chronic viral disease like HIV and hepatitis or patients with multi-resistant pathogens like MRSA and MRGN) does not necessarily indicate: • changes to the intermediate disinfection of the treatment rooms and ORs or • an extension of the contact time: extra wetting of the surfaces is not necessary. All surfaces in the treatment rooms and ORs must be completely dry before the rooms can be en- tered or used! In the case of acute infectious 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, or gaps between covers. 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 to the instructions of your facility. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date: 21 Apr 2023 | HILS 2224 Job Aid Effective Date: 12 June 2024 | QR700009803 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 1. Preparation Disinfection of the floor in the direct environment of the mobile C-arm: An adequate number of mops must be prepared as needed for use. The OR nurse determines when to start any intermediate disinfection. If necessary, the OR staff can give instructions to remove drapes from areas further away from the patients (e.g., C-arm) and disinfect those while the patient is present in the OR. The mobile C-arm should be moved to the edge of the operating room. If the patient is still in the operating room, the mobile C-arm's disinfection must not occur directly in the vicinity of the pa- tient. Afterward, the drapes should be carefully removed and disposed of to reduce the risk of contamination (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.) Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 2 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 2. Intermediate disinfection If there is visible soiling of the floor, disinfect the floor below and directly around the mobile C- arm. Visual inspection of all surfaces on the C-arm, C-arm chassis as well as all surfaces of the monitor cart for visible contamination. Proceed with targeted wipe disinfection of soiled areas be- fore starting the actual surface disinfection workflow. Use wet or impregnated dry wipes to disin- fect the following surfaces in the following order: a) Monitor cart: display, mouse, and handles To block the touch function of the monitor while cleaning, briefly press the power button on the backside. ......................................................................... Menu Right Left Exit Power An info message will be displayed on the monitor. Briefly press the power button again to re-activate the touch function. Touch functionality disabled (cleaning mode). Press Power Button to re-enable. Select patient |1/2| Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 3 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 3D 30 b) Mobile C-arm: handles c) Mobile C-arm: hand control To prevent accidental movement of the C-arm while cleaning the C handles, make sure to block the movement by pressing the lock button on the base handle panel. 199 d) Mobile C-arm: touch user interface /remote user interface e) Mobile C-arm: FD from top, front to bottom Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 4 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 f) Mobile C-arm FD (front) g) Mobile C-arm FD (bottom) h) C-arm: inner surface i) C-arm: single tank from top to bottom Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 5 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 (0 ) 9 101 - 0 0 w1 81 181 ( 0) j) If possible, lift C-arm vertically with motorization k) Wireless / wired footswitch Note: The workflow is based on the availability of fast-acting surface disinfectants and, therefore, works strictly from clean to dirty. If disinfectants with longer residence times are used, it may make sense for reasons of infection prevention to first disinfect surfaces near the patient and then the distant surfaces. Use the impregnated mops to disinfect the floor work from clean to dirty areas. The surfaces in the OR must be completely dry before the next usage. In addition, the residence time before re- use is to wait until dry. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 6 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 3. Terminal disinfection The terminal disinfection procedure differs from intermediate disinfection in some respects. The most important change is that all surfaces on the C-arm main unit and the monitor cart are wipe- disinfected. The sequence of disinfection work remains unchanged but is supplemented by the following activities (have the C-arm raised beforehand; see item j). 3D 3D SIEMENS Healthineers l) Lifting column of the C-arm m) Mobile C-arm: outer rail surfaces and cabling (for instructions on cleaning the wheels, refer to the wheel cleaning guide) 4. Cleaning A regular cleaning step is required to ensure good hygiene practices, preserve material integrity long-term, and avoid any build-up of residues. This cleaning step is important, whether cleaner disinfectants or disinfectants are used for disinfection. A cleaner disinfectant usually enables a one-step process, pre-empting a cleaning step preceding each disinfection step. However, the use of a cleaner disinfectant does not replace a regular cleaning process. If the mobile C-arm is used heavily, a weekly cleaning step of all regularly disinfected surfaces is strongly recommended. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 7 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 Intermediate disinfection Preparation Steps (mobile C-arm not in direct vicinity of patient) Remove drapes from C-arm, patient table, and control units Start of disinfection Visual inspection of all surfaces on the C-arm, C-arm chassis as General Instructions well as all surfaces of the monitor cart for visible contamina- tion. Proceed with targeted wipe disinfection of soiled areas. • While cleaning and disinfecting, wear gloves with chemical resistance. a) Monitor cart: display, mouse, and handles • Always work from top to bottom (top-down) and from clean to dirty areas. b) Mobile C-arm: handles • Always use a new wet wipe or mop after re- c) Mobile C-arm: handswitch moving blood. d) Mobile C-arm touch user interface/remote user interface • Use mops and wipes only as long as they leave a closed liquid film on the surface. e) Mobile C-arm: FD from top, front to bottom • Dispose of used mops and wipes accord- ing to the instructions of your facility. f) Mobile C-arm FD (front) This order only applies when using fast- g) Mobile C-arm FD (bottom) • acting surface disinfectants. For longer expo- sure times, it may be useful to first disinfect h) C-arm inner surface the surfaces near the patient and then the i) C-arm single tank from top to bottom distant ones. j) If possible, lift C-arm vertically with motorization k) Wireless / wired footswitch Continue disinfection Terminal disinfection l) Lifting column of the C-arm m) Mobile C-arm: outer rail surfaces and cabling Use pre-soaked mops for General Instructions disinfecting the floor The surfaces in the OR must be completely dry before entering. End of disinfection Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 8 of 9 Healthineers Job Aid | Cleaning Guide Effective Date: 12 June 2024 | QR700009803 Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or In- structions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Opera- tor Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety infor- mation like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functional- ity”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fic- tional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers HQ I Siemens Healthi- neers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date 21 Apr 2023 | HILS 2224 SIEMENS Page 9 of 9 Healthineers