Surgisonic Inservice

SurgiSonic® 1211X Inservice YouTube Video
This basic SurgiSonic® 1211X in-service will 1) identify the machine parts and how to set up the machine, 2) how to clean regular tubular surgical instruments, 3) how to clean loose instruments, 4) how to clean robotic tubular surgical instruments using our patented technology.

In-Service: SurgiSonic® 1211X Tubular Surgical Instrument Cleaning Machine

The SurgiSonic® 1211X surgical instrument cleaning machine combines ultrasonic action/suction/and filtration to individually clean up to six submersible non-robotic tubular surgical instruments, or three submersible *da Vinci® robotic instruments, inside and out. A basket is included for cleaning loose instruments in a separate cycle.

PART I: Identify the machine parts and how to set up and run the machine.

PART II: How to clean non-robotic tubular surgical instruments.

PART III: How to clean loose instruments.

PART IV: How to clean robotic tubular surgical instruments using our patented technology.

PART I: SurgiSonic® 1211X Identification of Components and Setting Up the Machine

The SurgiSonic® 1211X is easy to set up, easy to use, and easy to maintain.

The ultrasonic tank is sitting on a shelf that is attached to the suction pump housing.

NOTE: Rinse all instruments under running water before and after cleaning and rinsing them in the SuperSonic® 1211X.

1. Attach drain tubing: Reach inside the hole on the left side of the machine and pull out the drain tubing. Attach tubing to drain valve and place open end into a sink. Point handle down to close valve.
2. Plug in machine: Reach inside the hole on the right side of the machine and carefully pull out the electric cord that is attached to the timer dial and insert the plug-end into a 110/120 VAC wall outlet.
3. Fill ultrasonic tank: Fill the ultrasonic tank with 5 gallons of warm, 115° water.
4. Add enzyme cleaner: Add 5 ounces of pH neutral SurgiSoak® enzyme cleaner to the ultrasonic bath water.

NOTE: NEVER run ultrasonic tank without 5 gallons of water in the tank and a lid placed on top of it.
NOTE: NEVER hang suction chambers, empty or engaged, outside of tank while pumps are on.
NOTE: NEVER use any type of caustic/corrosive/or coagulating substances in, or on, the SurgiSonic®.

Rinse Cycle:
1. With timer off, empty cleaning solution from the ultrasonic tank.
2. Close drain valve.
3. Refill tank with 5 gallons of water.
4. Repeat instrument set up.
5. Cover ultrasonic tank with lid.
6. Set pump speed to normal.
7. Set timer for 5 minutes.

The SurgiSonic® comes with six individual, inline, #3312 SurgiSuction® suction chambers, filters, suction pumps, and fluid return tubes already attached to the pump housing unit.

The three in-line suction chambers and filters on the left side are individually attached to pumps #1, #2, and #3.
The three in-line suction chambers and filters on the right side are individually attached to pumps #4, #5, and #6.

CONTROLS FOR RUNNING THE MACHINE ARE LOCATED ON THE FRONT OF THE PUMP HOUSING:

On the front of the pump housing there is a circuit breaker, a timer dial, and a pump cleaning switch.

5. Pump switch: The small metal switch to the right of the timer dial controls the suction pump speed.
•The NORMAL, up, pump switch position is used to clean most instruments.
•The OFF, middle, pump switch turns off the pumps.
•The FAST, down, pump switch position is used for a quicker cleaning time or higher suction power to clean older, clogged, tubular instruments.
NOTE: Set the suction pump cleaning speed BEFORE turning on the timer dial.
NOTE: NEVER change pump speed while machine is on.

6. Timer dial: The timer dial turns on the machine for up to 30 minutes.
NOTE: NEVER turn timer dial past 30 minutes; if turned past 30 minutes the timer dial will break.
NOTE: NEVER turn timer dial on until after:
1. The ultrasonic tank has been filled with 5 gallons of cleaning solution,
2. the instruments have been set up and lowered into the ultrasonic bath,
3. the lid has been placed on the ultrasonic tank,
4. and the speed has been set.
NOTE: Normal cleaning cycles are 15 minutes: Use fast speed 30 minute cycle to clean clogged instruments.
NOTE: NEVER hang suction chambers outside of the ultrasonic bath while machine is running.

Rinse Cycle:
1. With timer off, empty cleaning solution from the ultrasonic tank.
2. Close drain valve.
3. Refill tank with 5 gallons of water.
4. Repeat instrument set up.
5. Cover ultrasonic tank with lid.
6. Set pump speed to normal.
7. Set timer for 5 minutes.

PART II:  SurgiSonic® 1211X Inservice for Cleaning Non-Robotic Tubular Instruments

NOTE: Rinse all instruments under running water before and after cleaning and rinsing them in the SurgiSonic® 1211X

The SurgiSonic® 1211X comes fitted with six #3312 SurgiSuction® suction chambers. These suction chambers were designed to MAXIMIZE the amount of suction applied to the distal end and interior shaft of the inserted non-robotic tubular instrument. These six suction chambers come fitted with six #3212 medium hole, latex free, rubber nipples for cleaning instruments 5mm to 10mm in diameter, The SurgiSonic® also comes with six #3205 small hole rubber nipples for inserting instruments 1.7mm to 5mm in diameter, and six #3215 large hole rubber nipples for inserting instruments 10mm to 12mm in diameter.

1. Set up machine: Close drain valve, plug cord into 110/120 outlet, fill tank with 5 gallons of warm, 115° water.
2. Add Enzyme cleaner: Add 5 oz of SurgiSoak® pH neutral enzyme cleaner.
3. Fit rubber caps onto suction chambers: Fit a small/medium/or large hole, latex free, rubber nipple onto each #3312 SurgiSuction® suction chamber to accommodate the shaft diameter of the instrument to be cleaned.
4. Attach instrument: Insert the entire distal, jaw/hinge, area of the non-robotic tublar surgical instrument into the suction chamber through the properly sized hole in the attached rubber nipple and lower into the ultrasonic bath.
5. Place lid on ultrasonic tank.
6. Set pump speed: Place metal switch in the up position for normal, middle for off, and down for fast.
7. Set timer dial: Set for 15 minutes to start cleaning cycle, or 30 minutes for clogged instruments.

Rinse cycle:
1. With timer off, open drain valve to empty cleaning solution from the ultrasonic tank.
2. Close drain valve.
3. Refill tank with 5 gallons of water.
4. Repeat instrument set up.
5. Cover tank.
6. Set pump speed to normal.
7. Set timer for 5 minutes.

NOTE: NEVER hang suction chambers, empty or engaged, outside of the ultrasonic bath while machine is on.
NOTE: A fast speed 30 minute cycle is recommended for cleaning clogged instruments for the first time.
NOTE: NEVER clean loose instruments at the same time as inserted tubular instruments!

PART III:  SurgiSonic® 1211X Inservice for Cleaning Loose Instruments

NOTE: Rinse all instruments under running water before and after cleaning and rinsing them in the SurgiSonic® 1211X.

The #3620 basket for cleaning loose instruments comes with the SurgiSonic® 1211X.

TO CLEAN:
1. Set up machine and add enzymes as stated above.
2. Lower loaded loose instrument basket into the ultrasonic bath over the attached, empty suction chambers.
3. Cover with lid.
4. Set pump speed to normal.
5. Turn timer on for 15 minutes.

TO RINSE:
1. With timer off, open drain valve to empty solution from the ultrasonic bath.
2. Close drain valve.
3. Refill tank with 5 gallons of water.
4. Repeat instrument set up.
5. Cover tank.
6. Set pump speed to normal.
7. Set timer for 5 minutes.

NOTE: NEVER clean loose instruments at the same time as inserted tubular instruments!

PART IV:  SurgiSonic® 1211X For Cleaning da Vinci® Robotic Tubular Instruments

Patented Cleaning Process – Independently Tested for Cleaning Effectiveness; exceeded AAMI TIR 30.

Because a tight seal separates the jaw/pulley end from the shaft/control box end, TBJ, Inc. has developed a patented dual hook-up method for independently cleaning both the distal and the proximal segmented areas of a *da Vinci® robotic instrument at the same time. Three *da Vinci® robotic instruments, including the S, Si, or Xi, can be cleaned at the same time using this dual hook-up method.

NOTE: Rinse all robotic instruments under running water before and after cleaning and rinsing them in the SurgiSonic® 1211X.

Two different types of suction chambers are used for this dual hook-up method.

#3315 SurgiScrub® scrubbing
 chamber with #3212 nipple

Before cleaning

After cleaning

The # 3200  male to male luer slip
connector is used to attach the control
box/and shaft of the da Vinci® robotic
instrument to the # 3312 SurgiSuction™
suction chamber

The # 3312 SurgiSuction™ suction
 chamber was designed to apply a
maximum amount of suction to the
interior shaft of robotic & non-robotic
tubular instruments

MACHINE SET UP – LEFT SIDE:
· Remove the three SurgiSuction™ suction chambers from the plastic filter tubing on the left hand side.
· Attach a #3212 medium hole nipple onto each of the three #3315 SurgiScrub® scrubbing chambers.
· Attach the three fitted SurgiScrub® scrubbing chambers to the filter tubing on the left hand side.

MACHINE SET UP – RIGHT SIDE:
· Attach a #3212 medium hole rubber nipple onto each of the three #3312 SurgiSuction™ suction chambers that are already attached to the right side filter tubing.

DUAL HOOK UP FOR CLEANING SUBMERSIBLE *da Vinci® ROBOTIC TUBULAR INSTRUMENTS:

The same set-up instructions apply for attaching the S, Si and Xi *da Vinci® instruments to the SurgiSonic®

TO CLEAN:
1. Close drain valve.
2. Fill ultrasonic tank with 5 gallons of warm, 115° water.
3. Add 5 oz. of SurgiSoak® enzyme cleaner.
4. Plug machine into a 110/120 VAC wall outlet.
INSTRUMENT INSTALLATION – LEFT SIDE
5. Insert the entire jaw/pulley area of the ∗da Vinci® robotic instrument into the SurgiScrub® scrubbing chamber.
INSTRUMENT INSTALLATION – RIGHT SIDE
6. Insert one end of the male to male luer slip connector into the #2, output, hole of the ∗da Vinci® control box. Next,
insert the other end of the male to male luer slip connector into the medium hole rubber nipple that has been fitted onto
the SurgiSuction® suction chamber. Holding both ends, carefully lower instrument into tank.
7. Cover tank with lid.
8. Set pump speed to normal.
9. Set timer dial for 15 mintues.

NOTE: A fast speed 30 minute cycle is recommended for cleaning clogged instruments for the first time.
NOTE: NEVER clean loose instruments at the same time as inserted tubular instruments!