Machine-Based Washing and Disinfection of Minimally Invasive Instruments -- MEDICA - World Forum for Medicine


Miele & Cie. KG, Vertriebsgesellschaft Deutschland

Machine-Based Washing and Disinfection of Minimally Invasive Instruments

New training DVD from Miele: Correct and efficient loading of injector units

The mobile injector units used on Miele washer-disinfectors accommodate widely varying loads and a variety of minimally invasive instruments, irrespective of design, diameter and connection requirements, in one and the same batch. But how is a mobile unit best loaded and how are nozzles and connectors used to best avail? This question is beautifully answered by a new training DVD from Miele, explaining loading, positioning and the connection of instruments on compact and modular mobile units in three videos.

As minimally invasive, or microvasive, surgery is on the rise and in the face of new developments in theatre technology coupled with growing instrument complexity, higher standards of machine-based cleaning are called for. Consequently, the new DVD focuses on user benefits and is aimed at employees in CSSD units in hospitals and outpatient surgeries.

After providing a general overview of Miele medical products, machine features and a comprehensive range of associated services, the DVD goes on to demonstrate loading a compact mobile unit with laparoscopic instruments. After disassembling and positioning standard instruments, the first video addresses special cases and points out possible pitfalls. The second video demonstrates loading a modular mobile unit with instruments from the same surgical discipline. With the aid of a modular system, two to three instrument sets can be reprocessed simultaneously, hence each type of module is explained and shown: One such module is for longer shafted instruments; a second module is for short instruments and instrument sections. This video also illustrates the use of wire drums to accommodate fibre optics.

One modular mobile unit is fitted with urological instruments with particularly narrow lumens. This aspect is covered in the third video. This mobile unit caters in particular for instruments used in cystoscopies and transurethral resection. Here, the process of connecting instruments to adapters for internal irrigation is described in great detail.

After reprocessing, regular random samples should be taken to provide an indication of cleaning efficacy. For this purpose, Miele offers a simple, semi-quantitative test method in the form of a kit, which is also briefly presented on the DVD. In combination with a relatively cheap reflectometer, this method even allows quantitative assessment.

Clients requiring further information can request brochures and electronic files from Miele Professional. This comprehensive package represents a significant contribution on Miele's part towards quality assurance in the field of instrument reprocessing.