Spirometry. Operating Manual. Part 4: Hygiene and disinfection for custo spiro mobile. Operating characteristics:

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Operating Manual Spirometry 1 Safety 2 Hardware 3 Software Hygiene Part : Hygiene and disinfection for custo spiro mobile Operating characteristics: for custo spiro mobile with custo diagnostic MHY 0007 DK 1708 Version 001 27/06/2017

2017 custo med GmbH This Operating Manual may not be copied in its entirety or in part, duplicated in any form or by any means or translated into another language without the prior written consent of custo med GmbH. The manufacturer reserves the right to change the information in this Operating Manual without prior notice. The current version can be downloaded from our website: www.customed.de. CAUTION: This Operating Manual is part of a modular system consisting of four parts. All four parts must be downloaded from the Internet or from a CD to ensure the Operating Manual is complete. MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite 2

Operating Manual Spirometry 1 Safety 2 Hardware 3 Software Hygiene Part : Hygiene and disinfection for custo spiro mobile Table of contents.1 General notes....2 Important notes...5.3 Cleaning and disinfection of custo spiro mobile...5. Disinfection of the measuring head and the measuring screen...5.5 Disinfection of the handhold...5.6 Disinfection of the nose clip...6.7 Approved cleaning agents and disinfectants...6.8 custo spiro protect bacterial and viral filters...7.9 Disposal of used custo spiro protect bacterial and viral filters...7 Cleaning overview at a glance...8 MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite 3

Spirometry Hygiene and disinfection for custo spiro mobile.1 General notes The cleaning and disinfection procedures depend on the risk of infection and whether or not custo spiro protect bacterial and viral filters are used. Basically, it is recommended to use the custo spiro protect bacterial and viral filter. WITHOUT A CUSTO SPIRO PROTECT FILTER WITH A CUSTO SPIRO PROTECT FILTER After EACH examination: After EACH examination: Weekly or after 100 examinations: Clean and disinfect the inside and outside of the measuring head (instrument disinfection) Disinfect the entire device and all its components (wipe disinfection) Dispose of the custo spiro protect filter in a proper manner Check the device for linearity and proper functioning and calibrate it if necessary Dry and calibrate the device Disinfect the entire device on the outside (wipe disinfection) Disinfect the measuring head (instrument disinfection) Without the use of a custo spiro protect filter, custo spiro mobile and all its components have to be completely disinfected (also from the inside) after each examination. In the case of infectious patients, it must be ensured that the consumables are disposed of in a safe and proper manner. custo spiro protect bacterial and viral filter With the use of a custo spiro protect filter, custo spiro mobile and all its components have to be disinfected on the outside after each examination. The following must be noted: For infectious patients: custo spiro mobile and all the parts that have come into contact with the patient during the examination must be disinfected on the outside. custo spiro protect and the nose clip must be disposed of in a proper manner. For all other patients: custo spiro mobile and all the parts that have come into contact with the patient during the examination (including the nose clip), must be disinfected on the outside. custo spiro protect must be disposed of with general household waste. Independent of performing cleaning and disinfection after each patient, it is recommended that all parts of the device are thoroughly cleaned and disinfected once a week. MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite

Spirometry Hygiene and disinfection for custo spiro mobile.2 Important notes Use only cleaning agents and disinfectants that have been approved by custo med. Unsuitable agents could damage the device. The handhold of the device must not be immersed in liquids. The measuring head is suitable for cleaning in an ultrasonic bath. Ensure that the measuring head is completely dry before the next measurement..3 Cleaning and disinfection of custo spiro mobile Disassembling custo spiro mobile for cleaning and disinfection Detach the measuring head from the handhold. To do so, press the unlocking button and detach the measuring head upwards. Make sure that the sealing ring is not damaged. Draw the mouthpiece out of the measuring head. Clean or disinfect as soon as possible after use. MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite 5

Spirometry Hygiene and disinfection for custo spiro mobile. Disinfection of the measuring head and the measuring screen Reprocessing type: Instrument disinfection Note: If necessary, carry out a pre-cleaning (e.g. ultrasonic bath). After instrument disinfection, rinse the measuring head and the mouthpiece thoroughly with deionised, distilled water. Shake the water out of the measuring head and wipe down the surfaces with a single-use cloth. Disinfectant residues must be completely removed..5 Disinfection of the handhold Reprocessing type: Wipe disinfection Note: Make sure that no moisture gets inside the handhold (e.g. via the sensor). Reassemble the device the unlocking button must engage when the measuring head is fitted..6 Disinfection of the nose clip Reprocessing type: Wipe disinfection.7 Approved cleaning agents and disinfectants Wipe disinfection: Meliseptol Wipes sensitive (B.Braun) Meliseptol Foam pure (B.Braun) (use with a soft, lint-free cloth) Note: Please observe the manufacturer's instructions Instrument disinfection: Helipur H plus N (B.Braun) as a solution of max. % Note: Please observe the manufacturer's instructions Note: The approved disinfectants can be replaced by products from other manufacturers provided they are equivalent in terms of disinfection and materialcompatibility. For more information, contact your partner for hygiene and disinfection. MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite 6

Spirometry Hygiene and disinfection for custo spiro mobile.8 custo spiro protect bacterial and viral filter When using custo spiro protect bacterial and viral filters, the necessity to clean and disinfect the pulmonary function testing device is minimised but not entirely eliminated. A filter is only to be used for a single patient and after the examination it must be disposed of in a safe and proper manner..9 Disposal of used custo spiro protect bacterial and viral filters According to the Waste Catalogue Ordinance (WCO), contaminated bacterial and viral filters (and nose clips) are classified as waste whose collection and disposal is subject to special requirements in view of the prevention of infection and are categorised with waste code AS 18 01 03. The disposal method also depends on the amount of contaminated waste. In clinics and medical practices which focus on treating patients with the corresponding diseases (e.g. active tuberculosis) (i.e. not only in sporadic individual cases), the filter and the nose clip must be disposed of in a separate container (tear-resistant, labelled with the biohazard symbol). Note the Law on the Prevention and Control of Infectious Diseases ( 17 IfSG: Objects tainted with notifiable pathogens). In principle, this requirement also applies in the case of small quantities of contaminated waste. However, disinfection of individual parts is possible (any disinfectant, the part does not require any further consideration). You can then dispose of filters and nose clips with normal waste (domestic waste in a medical practice). See the "Directive on the proper disposal of waste from health care facilities". MHY 0007 DK 1708 Version 001 27/06/2017 custo med GmbH [] Hygiene and disinfection Spirometry, custo spiro mobile Seite 7

Cleaning overview at a glance Product Wipe disinfection Washing with Miscellaneous a disinfectant custo cardio 100/110/130/300 custo cardio 200/00 and electrodes S custo screen 300/00/pediatric Blood pressure cuff S custo flash 500/510/510V/501/501L custo watch custo kybe custo guard custo belt electrode belt custo belt extender custo ECG cable guard 3 / cable adapter custo spiro mobile S Carrying cases, carrying belt, neck strap S Special reprocessing necessary more information can be found in the respective Operating Manual Manufacturer's contact details: custo med GmbH Maria-Merian-Straße 6 85521 Ottobrunn Germany Phone: +9 (0) 89 710 98-00 Fax: +9 (0) 89 710 98-10 E-mail: info@customed.de Internet: www.customed.de