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General Considerations

Conventional cleaning

All the Absoanchor^® instruments must be cleaned thoroughly according to the cleaning material manufacturer ’s instructions just after disinfection. This will prevent any deposits from drying on the surface of the instruments which will make cleaning even more difficult. In order to avoid corrosion and discoloration, please follow the cleaning material manufacturer’s instructions carefully regarding concentration, duration and temperature.

In general the following points should be observed :
1) Concentration : the concentrate must be entirely dissolved before the instruments are added.
2) Duration : never overnight, never over the weekend.
3) Temperature : maximum 25°C/77°F.

Any deposits, soiling etc. must be entirely removed using a soft brush (never use a metal brush, scouring agent,scouring pads or too much force). Movable instruments must be cleaned in opened position. The cleaning material must be renewed daily in order to avoid corrosion of the instruments and evaporation and contamination of the solution.

Ultrasonic cleaning

When using ultrasonic unit for cleaning, please follow the manufacturer’s instructions for use.

In general the following points should be observed :
1) The unit must be filled to the marked level with water and a suitable disinfectant and or cleaning liquid. Please follow the cleaning material manufacturer’s directions regarding concentration, duration and temperature.
2) The instruments must be completely covered with the cleaning liquid.
3) The instruments must be placed into a special basket inside the ultrasonic unit for cleaning (in order to prevent damage, the instruments must never be placed loosely into the unit).
4) Movable instruments must be placed into the unit in opened position for cleaning.
5) The cleaning solution should be renewed in short intervals as a dirty cleaning solution can cause corrosion damage to the instruments.

Please note : When using a combination of disinfectant and cleaning liquid together the points describing disinfection and cleaning may be combined.

Rinsing and drying

With any type of disinfectant and cleaning method the same rule applies; any residues of disinfectant and cleaning materials as well as other deposits must be removed entirely from the surface and from the instrument joints. If there are still residues left on the instruments the whole cycle must be repeated in order to avoid damage. The instruments must be thoroughly rinsed immediately after disinfection and cleaned using clear water, free of any salt content, or distilled water (no tap water). In order to avoid water marks, the instruments must be dried carefully. It is advisable to dry them with compressed air. If rinsing is missed or not all the residue in entirely removed and the instruments are not dried adequately, it may lead to discoloration and corrosion on the instruments during the next sterilization process.

Sterilization

Hot air sterilization is not recommended due to the wear and tear on the instruments and the case, resulting in blunt and unsightly equipment.

Apart from following the steam sterilizer’s instructions for use, the following points should be observed :
1) Sterilize at a temperature of 121°C/249°F for a minimum duration of 20minutes.
(or 134°C/275°F, 10minutes etc.)
2) A sterilization temperature of over 180°C/356°F can cause discoloration of the instruments.

Only carefully cleaned, dried corrosion-free instruments may be sterilized. Badly cleaned and poorly dried instruments can result in corrosion damage. If rusty instruments are sterilized together with instruments which are in a good condition, the spotless instruments will become ruined (flash rust). Such instruments must be sorted out and these defects removed. Movable instruments must be sterilized in an opened position. Only distilled water and water free of any salts may be used in the steam sterilizer. If tap water is used, the tiniest contamination (such as rust particles) can cause discoloration and result in damage to the instruments and sterilizing unit. The instruments must not be held in a moist condition for too long . The door to the sterilizing unit must be opened immediately after the process has ended and if necessary the instruments dried using sterile cloths. The instruments must be stored sterile.

Step by step sterilization procedures including Microimplants using the kit case

1. Cut the plastic envelope with scissors (Fig. 1).
2. Take out the microimplant sterilization package (Fig. 2).
3. Place the microimplant sterilization package into the kit case with other instruments
including metal scissors (Fig. 3).
4. Insert the kit case into the cotton package (Fig. 4).
5. Insert the kit case into the autoclave (Fig. 5) or EO gas sterilizer (Fig. 6). Follow the instruction of manufacturer.
*LHD-B-TG should not be sterilized with autoclave (use EO gas).

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6

Microimplant installation procedures into driver

1. Cut the microimplant sterilization package just above the microimplant head area (Fig. 7).
2. Grip the screw portion of microimplant using microimplant sterilization package and Insert the driver tip into the microimplant sterilization package (Fig. 8).
3. Take out the microimplant using hand driver (Fig. 9).

Fig. 7

Fig. 8

Fig. 9

Sterilized Package - No need sterilization

1. Detach clear plastic film from paper sheet (Fig. 10 & 11).
2. Remove the silicone cap of microimplant containing bottle (Fig. 12).
3. Grip the narrow part of the bottle with fingers and insert driver tip to the head of microimplant (Fig. 13).
4. Take out the microimplant attached with the driver (Fig. 14).

Fig. 10

Fig. 11

Fig. 12

Fig. 13

Fig. 14