OR POU
What disposable item must be removed from an instrument arm before wiping its tip?
Tip Cover Accessory (MCS Tip Cover)
What type of cleaning brush should not be used on our instrumentation?
Stainless Steel Wire Brush
What magnification should be used when inspecting?
4x magnification, lighting is helpful when inspecting.
Which wall chart contains the sterilization parameters?
Prep & Pack
Can all instruments be fully submerged under water or a cleaning mixture?
Yes, all instruments can be fully submerged during cleaning.
What solution must be used for priming dV arms and endoscopes?
Cold water or ph-neutral solution.
What is the minimum recommended cycle time for the ultrasonic?
15 minutes
How should a technician lubricate the instrument arm?
Apply 1–2 drops of lubricant to the cable, pulley, and pivot pin. Move the tip in all directions to ensure the lubricant has spread to all hard-to-reach areas.
What is the proper way to load a wrapped tray into a low-temp gas sterilizer?
Pull out sterilizer rack, Pick-up and Put-down wrapped tray (no sliding nor dragging), push rack back in sterilizer.
*Helps avoid holes in the blue wrap.
What solution is recommended for use for the Final Rinse step in Decon?
Critical water (RO, DI, or distilled).
*Our IFU states that critical water is recommended per AAMI standards. Some facilities will still use regular faucet, potable water due to lack of critical water. The decision lies with the hospital and its policy.
The 3 button flush ports, located underneath the Flush Release tab.
Which washer cycle should a technician select when sending an instrument arm through the washer-disinfector?
Thermal Disinfection Cycle
185-199, 1-5 minutes
What is a cannula gage pin, and how do we use this?
Drop the cannula gage pin through the top of the cannula.
The gage pin should pass through the cannula with ease.
If the gage pin gets stuck, the cannula is damaged.
What cycles are validated on the Sterrad 100NX for the Intuitive-manufactured endoscope trays?
Xi: Express and Duo
dV5: Express, Duo, and Flex
What steps are eliminated during Automated Reprocessing cleaning of the instrument arms?
Flush, Rinse, Ultrasonic
What is the proper transport preparation for the endoscope?
Ensure POU is complete, place endoscope in correct position in the original tray/container or in transport bin, lock lid, and safely transport to SPD.
What are the recommended flushing times for all instrument arms and endoscopes?
20 Seconds per port
Describe how to properly dry an endoscope.
Drain all the water from flush ports, housing, and base.
Dry tip with a cloth
Dry all surfaces of endoscope and cable with cloth
Compressed Air can be used but it optional.
What is another term commonly used to refer to steam sterilizers, and what are its sterilization parameters?
Autoclave;
270 degrees; 4 minute exposure time; 30-50 minute dry time.
Common cleaning products used in Decon that shouldn't be used on any da Vinci/Schoelly product, especially tips, are ____.
Please provide at least two products.
Wire brushes, polishing paste, polishing powder, abrasive pads.
What solution must never be used on any da Vinci component?
Saline.
*It is corrosive and can lead to premature end of life.
What are the recommended soak times for manual cleaning of the instrument arms, endoscope, and accessories?
Instrument Arm - 30 minutes
Endoscope - 15 minutes
Accessory Group 1 (Cannulas/Obturator/Gauge Pin/ IRK) - 10 Minutes
Energy Cords - No Soak Time
What are the common areas on the instrument arm that should be checked for integrity before packaging? Please name at least 3.
Bioburden
Broken or Frayed Cables
Bent or Broken Jaws/Tips
Cracked/Damaged Housing
Flush Tube in Port 1
What cycles are both the Schoelly NIR Camera and its Summit Medical tray validated for on most V-PRO equipment?
Lumen and Non-Lumen.
*Applies to V-PRO 1 Plus, V-PRO maX, and V-PRO maX 2, which are the most common V-PRO models we see.
MCS tips will naturally discolor over time and staff should not expect the tips to remain "shiny". What is the name of the chemical reaction that naturally occurs to cause this discoloration?
Iron oxidation.
*Iron oxidation occurs naturally over time as energy is applied to metal.
*The discoloration can occur with first use if it's a long case.
*Important to train OR and SPD staff on this so 1) OR staff doesn't expect shiny and 2) SPD staff don't use abrasive products on the tips that removes the passivation layer (non-stick layer).