care NCDC-Cleanser

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1 Medical White Oil in an oil pen Optimum cleaning with care As an instrument manufacturer the company Helmut Zepf developed a product line for the optimum processing of dental instruments, in close cooperation with a renowned manufacturer of disinfectant and cleaning agents. An underestimated part of the instruments in a dental practice is damaged during the daily hygiene cycle; sometimes the instruments are nearly completely destroyed. The potential reasons are widely spread and need a close observation. ProActive-Cleanser The use of abrasive cleaning agents, metal brushes, the failure to comply with specified timelines etc. are only an extract of possible reasons. In order to support the practice team or the hygiene manager in particular, we now offer care products for an optimal and safe processing with our products AdCon, and ProActive-Cleanser. For further information: Medical White Oil AdCon / Seitingen-Oberflacht, Germany Tel.: +49 (0) 7464 / Fax: +49 (0) 7464 / info@zepf-dental.com Internet:

2 Health is top priority please always use safety clothing AdCon Effective pre-cleaning for instruments reach your goal more quickly with less chemicals 2 AdCon Cleansing Foam for an intensive but not protein fixated pre-cleaning of all instruments AdCon is a surface active and germ reducing cleaning foam. AdCon undercuts protein residues as well as body fluids. These particular characteristics prevent organic residues from drying as these residues could result in incrustation with crevice corrosion and pitting corrosion. By carrying out a pre-treatment with AdCon the cleaning will be much more efficient and gentle no matter whether you clean your instruments manually or automatically! AdCon is the ideal solution for users who have to consider longer periods before cleaning. 80% of the instruments' damages are due to crevice corrosion and pitting corrosion. The reasons are protein incrustations. So far, aggressive cleaning agents have been used in order to remove incrustations which resulted in several other disadvantages. With AdCon such handling errors are actively prevented. The cleanings become more gentle and efficient. The lifetime of your instruments will be considerably improved. Application: Spray AdCon on the used instruments after the treatment. Allow 5-10 minutes to take effect. Afterwards please rinse the instruments with water and process them as usual. Composition: Complexing agent (EDTA), parabens, biguanide in a water and glycol based solution AdCon Cleansing foam in a spray bottle, 500 before after and during the usage of AdCon AdCon Packing unit 6 bottles Tel.: +49 (0) / Manufacturer: ALPRO MEDICAL GMBH, Mooswiesenstr. 9, St. Georgen, Germany

3 Instruments cleaning and disinfection highly effective liquid concentrate for cleaning and disinfection of rotating and general dental instruments is a liquid solution free of aldehyde and phenol for cleaning and high performance disinfection for the use in a dip tank or ultra-sonic bath. is used universally for surgical and rotating instruments. The ready-to-use solution is gentle on materials and has a low electrical conductivity. Therefore, electrolytic effects, which have led to pitting corrosion when the instruments were not processed immediately, are prevented. The new formula protects all instruments from corrosion. is VAH / DGHM certified. 3 Area of application: 1.) General dental and surgical instruments (diagnostic, conservative and surgical instruments) e.g. extraction forceps, root elevators, mouth mirrors, stiff and flexible endoscopes etc. 2.) Rotating dental instruments e.g. steel, diamond, surgical drills and cutters, crown spreaders, endodontic instruments, rubber polishers etc. Application: We recommend to use in a solution with 0.5 %. For the preparation of the readyto-use solution, mix for example 5 of concentrate with 995 of water (please refer to the dosing table). For shorter reaction times you can mix a higher concentrated ready-to-use solution and clean the instruments in an ultrasonic bath (please refer to the range of effects). Put the instruments for cleaning and disinfection in the ready-to-use solution. Remove the instruments after the recommended time and rinse them with appropriate water (deionized water). Consequently use a nylon brush for heavy contaminations with flowing water and repeat the disinfection process. Afterwards all instruments need to be sterilized. Practical dispensing bottle Spectrum of activity (at high protein load): bactericidal incl. TBC and MRSA, yeasticidal (according to VAH) economical 0.5 % = 60 min. / 2.0 % = 30 min. quick 3.0 % = 10 min. / 4.0 % = 5 min. in ultrasonic bath limited virucidal effect (according to RKI): enveloped viruses incl. HBV, HCV, HIV, Herpes simplex, Influenza (H1N1 + H5N1), BVDV, Vaccinia 0.5 % = 60 min. / 1.0 % = 10 min. non enveloped viruses such as Adeno, Noro, Polio according to EN % = 10 min. in ultrasonic bath (at 55 C / 131 F) CJD-prophylaxis, meets the requirement of the RKI (ph 10) Durability ready for use solution: unused = 30 days used = 7 days Composition / 100 g : Bis(aminopropyl)dodecylamine 3.5 g, Cocospropylenediamineguanidiniumacetate 2.2 g, Dodecyltrimethylenediamine 7.0 g; Rest ad 100 g: tensides, solubilizer, complexing agent, deionized water Liquid concentrate in a dispensing bottle 1 L. This gives you 200 litres ready-to-use solution Packing unit 4 bottles Liquid concentrate in a 50 sample bottle Manufacturer: ALPRO MEDICAL GMBH, Mooswiesenstr. 9, St. Georgen, Germany

4 Health is top priority please always use safety clothing ProActive-Cleanser Instrument cleaning without disinfection in a higher concentration an acid basic cleanser 4 ProActive-Cleanser an acid liquid solution in a dispensing bottle The ProActive-Cleanser is an acid high performance cleanser for all dental and surgical instruments. The ProActive solution is ideal for pre-cleansing of new products. In a higher concentration as acid basic cleanser to clean already incrusted residues e.g. protein, flash rust, lime and oil. ProActive activates the chrome components of high-alloy medical steel, whereby the development of the natural chromium oxide layer is accelerated and intensified. The instruments are therefore again resistant to corrosion. Cleaning and passivation in one step. Application: 1-2% concentration in an ultra-sonic bath as pretreatment. 5 % concentration for an acid basic cleaning or heavy contaminations. The cleaned instruments need to be rinsed with clear deionized water afterwards. An operating temperature of 60 C (140 F) will increase the cleaning and passivation. We recommend a waiting time of 24 hours after the usage of ProActive-Cleanser in a higher concentration so that a new passivation layer can be built. It makes sense to carry out an acid basic cleaning every 6 months. Contains: Phosphoric acid > 50 %, tensides, additives ProActive-Cleanser Liquid concentrate in a dispensing bottle 1 L. This gives you litres ready-to-use solution. As acid basic cleaning or heavy contamination 20 litres ProActive-Cleanser Packing unit 4 bottles ProActive-Cleanser Liquid concentrate in a 50 sample bottle Instrument with incrementations Dosage DosAge tabletable Ready-to-use solution NCDC- / ProActive-Cleanser Concentrate Konzentrat 0.5 % 1 L 2 L 4 L 5 L 10 L % % 10 2 % 20 3 % 30 4 % 40 5 % % % L 1 L 2 L Example: 10 L of solution ready for use (2 %) = 200 concentrate L of water After acid basic cleaning Table ProPErtIES product properties 1. AdCon ProActive-Cleanser VAH / DGHM certified concentrate ready to use solution disinfection bactericidal tuberculocidal yeasticidal limited virucidal eff. / RKI virucidal / EN HBV effective HIV effective HCV effective CJD-profilaxis aldehyde-free formaldehyde-free phenol-free concentration for use [%] minim. contact time [min.] All information is based on specifications of the manufacturer Tel.: +49 (0) / Manufacturer: ALPRO MEDICAL GMBH, Mooswiesenstr. 9, St. Georgen, Germany

5 Manual processing of new instruments Guideline for the ideal procedure after receipt of the goods 5 RECEIPT OF GOODS 1. Receipt of goods 2. Checking of function and cleanliness New instruments have to be checked before cleaning for function and transportation damages. PRE-TREATMENT ProActive-Cleanser is ideal for pre-cleansing, used in an ultrasonic bath with 1-2 %. 3. Pre-cleaning in an ultrasonic bath 4. Rinsing with deionized water Please use deionized water. Deionized water helps to avoid water spots. DRYING Use compressed air or air dry instruments. Check cleaniless before sterilization. 5. Checking of function and cleanliness 6. Oling with Medical White Oil MAINTENANCE If flexible instruments, e.g. extraction forceps are clean, they are oiled with medical white oil or STERILIZATION Please consider the instructions of the device manufacturer. STORAGE 7. Sterilization in appropriate sterilization container 8. Sterilization with closed container

6 Health is top priority please always use safety clothing Manual instrument processing We recommend the manual instrument processing 6 APPLICATION Please consider the maximum contamination period of 15 minutes. PRE-TREATMENT Please treat the instruments with AdCon 15 minutes after usage the latest in order to prevent incrementations. 1. Contaminated instruments 2. Foam with AdCon Rinse with clear water. + DISINFEKTION WIth in an ultrasonic bath. Please use deionized water. Deionized water helps to avoid water spots. 3. Rinse instruments with water 4. Ultrasonic bath with DRYING Use compressed air or air dry instruments. Check function and cleaniless before sterilization. MAINTENANCE If flexible instruments, e.g. extraction forceps are clean, they are oiled with medical white oil or Rinse with deionized water 6. Drying of the rinsed instruments STERILIZATION Please consider the instructions of the device manufacturer. STORAGE 7. Checking of function and cleanliness 8. Oling with Medical White Oil Tel.: +49 (0) / Sterilization in appropriate sterilization container 10. Sterilization with closed container

7 Troubleshooting PROBLEM 1 ACID BASIC Please follow the instructions on page 4 or on the label of ProActive-Cleanser. 7 Heavy incrustations before / after Remedy: acid basic cleaning PROBLEM 2 PRE-TREATMENT Please treat the instruments with AdCon the latest 15 minutes after usage in order to prevent incrementations. Before: risk of incrustation After: pre-cleaning = end of lying time Remedy: foam instruments with AdCon PROBLEM 3 Metal brushes destroy the passive layer of the instrument surface Cleaning Brush with nylon bristles One side with three rows, one side with one row, double-sided, packing unit 3 pieces Remedy: cleaning brushes with nylon bristles

8 Please consider our "Application guidance of autoclavable instruments and accessories according to DIN EN ISO 17664:2004" Optimal instrument processing We recommend the manual instrument cleaning SUBSEQUENT Check upstream processes INCOMING GOODS Visual inspection and functionality test Cleaning and rinsing to remove any residues with ProActive-Cleanser RETURN SHIPMENT Instruments for rework / replacement to Helmut Zepf Medizintechnik GmbH ACIDIC BASIC ProActive-Cleanser Against incrementations and severe incrustations DRYING NOT OK manual or with compressed air CLEANLINESS MAINTENANCE OILING Medical White Oil FUNCTION NOT OK STERILIZATION DISINFECTION with clear water MECHAN. PREPARATION Steam Autoclave In the tray, acc. to the RKI guidelines and due to GUV-A A1 with clear water AdCon PRE-TREATMENT FOAMING acc. to BGV C8 MANUAL INSTRUMENT PREPARATION DISINFECTION Incrementations max. immersion time 15 minutes APPLICATION / CONTAMINATION K5-CARE-1E Seitingen-Oberflacht, Germany Tel.: +49 (0) 7464 / Fax: +49 (0) 7464 / info@zepf-dental.com Internet:

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