c)
Design not as specified. Not incompliance with applicable
codes and standards.
d)
Components not easy accessible for maintenance and
servicing. Safety devices not provided as specified.
e)
Controls and indicators missing or not as specified.
f)
Sterilizers not installed as specified.
h)
i)
Utilities including water, steam, drainage and air not
provided as specified.
j)
Metal used in fabrication not type specified. Has sharp
corners, burrs, dents, and deformities.
k)
Bolted connections not as specified. Missing stripped,
cross-threaded screws, bolts and nuts.
l)
Welded joints and seams are not grinded smooth to match
surfaces.
3)
Tests:
a)
Test Conditions:
(1)
Apparatus and instruments used for testing the
washer-sterilizer(s) should be so installed as not to
hinder accurate operation. The instruments should be
calibrated at least annually to assure laboratory
accuracy.
(2)
The tests should be conducted in an ambient
temperature maintained between 18 and 35 C (65 and
95 F).
b)
Test Load:
(1)
The sterilizer(s) should be loaded with two trays
containing 100 surgical instruments including
retractors, forceps, and hemostats.
(2)
A spore strip inoculated with a mixture of population
of bacillus stearothermophilus subtilus population
adjusted to surviving 120 C (250 F) for 20 seconds
and killed when exposed to 132 C (270 F) for 2
minutes, placed amid the instruments in each tray.
(3)
Install a thermocouple in the
washer-sterilizer-chamber-drain-line fitting; connect
the wire to a potentiometer.
c)
Washing and Sterilizing Test:
(1)
Program the controls for a complete wash and sterilize
cycle.
(2)
Actuate the cycle and record the time.
(3)
Actuate the potentiometer.
(4)
When the cycle-phase light indicates that the
sterilizing phase of the cycle has begun, record the
time.
(5)
Record the time when the end-of-cycle alarm first
sounds.
(6)
No more than 26 minutes should have elapsed between
the time that control was initially actuated for the
cycle and the time the end-of-cycle alarm sounded.
The potentiometer reading from the thermocouple in the
chamber-drain line should have been 132 C - 134 C
(270 F - 274 F) for not less than 3 minutes.
d)
Sterilizing Efficiency Test.
(1)
Place the instruments trays in the chamber of the
washer-sterilizer and program the controls for a 10
minute sterilizing cycle.
11710-5