TREATMENT METHOD FOR A SERVICE WATER SUPPLY UNIT
20180296304 ยท 2018-10-18
Assignee
Inventors
Cpc classification
B08B9/027
PERFORMING OPERATIONS; TRANSPORTING
B08B9/021
PERFORMING OPERATIONS; TRANSPORTING
A61L2202/24
HUMAN NECESSITIES
B08B9/20
PERFORMING OPERATIONS; TRANSPORTING
A61C1/0076
HUMAN NECESSITIES
B08B3/10
PERFORMING OPERATIONS; TRANSPORTING
B08B3/08
PERFORMING OPERATIONS; TRANSPORTING
A61C19/002
HUMAN NECESSITIES
B08B3/02
PERFORMING OPERATIONS; TRANSPORTING
International classification
A61C1/00
HUMAN NECESSITIES
B08B9/02
PERFORMING OPERATIONS; TRANSPORTING
B08B9/027
PERFORMING OPERATIONS; TRANSPORTING
B08B9/20
PERFORMING OPERATIONS; TRANSPORTING
Abstract
Method for treating a service water supply unit of a dental treatment unit, wherein the method has the following sequence of treatment steps: cleaning the service water supply unit using a cleaning agent, preferably a cleaning liquid or a cleaning foam; disinfecting the service water supply unit using a disinfecting agent, preferably a disinfecting liquid.
Claims
1. A method, for treating a service water supply unit of a dental treatment unit, comprising the following steps, in order: (VS1) cleaning the service water supply unit using a cleaning agent (VS3) disinfecting the service water supply unit using a disinfecting agent
2. The method according to claim 1, wherein the service water supply unit comprises: a pressurized water vessel, a vessel receptacle for accommodating a pressurized water vessel, having a compressed air inlet for connecting the service water supply unit to a compressed air source, a compressed air port via which compressed air originating from the compressed air inlet can be introduced into the pressurized water vessel, and having a service water port via which the service water which is to be delivered from the pressurized water vessel by the compressed air introduced into the pressurized water vessel can be dispensed to the dental treatment unit, and wherein the sequence of treatment steps further comprises: cleaning the vessel receptacle and/or the pressurized water vessel using a cleaning agent disinfecting the vessel receptacle and/or the pressurized water vessel using a disinfecting agent
3. The method according to claim 1, wherein the cleaning, at least in part, proceeds mechanically by way of wiping, scrubbing and/or brushing.
4. The method according to claim 1, wherein the cleaning proceeds with a flowing or stationary cleaning agent.
5. The method according to claim 1 further comprising the step of: (VS2) rinsing off any residues of the cleaning agent used during mechanical cleaning after mechanical cleaning and before disinfection by means of a rinsing liquid.
6. The method according to claim 5, wherein the rinsing liquid is sterile and chosen from the group consisting, in particular autoclaved, filtered, distilled, bidistilled and deionized water.
7. The method according to claim 1, wherein disinfection of the pressurized water vessel proceeds by means of immersion disinfection and comprises the following steps: placing the pressurized water vessel into a disinfection tank filled with the disinfecting agent such that the pressurized water vessel is completely covered by the disinfecting agent and an interior volume of the pressurized water vessel remains free of air bubbles, allowing the disinfecting agent to act for a contact time, removing the pressurized water vessel from the disinfection tank.
8. The method according to claim 1, wherein the disinfection of the pressurized water vessel proceeds by means of internal filling level disinfection and comprises the following steps: completely filling an interior volume of the pressurized water vessel with the disinfecting agent, allowing the disinfecting agent to act for a contact time, emptying the interior volume of the pressurized water vessel.
9. The method according to claim 1, wherein the disinfecting agent intended for internal disinfection is selected from the group or consisting of one of more of: aldehydes, aldehyde releasers, alkylamines or alkylamine derivatives, amphoteric surfactants, inorganic acids, chlorine-releasing compounds, chloramides, glycol derivatives, guanidines or guanidine derivatives, iodine-releasing compounds, alkalies, organic acids, peroxide compounds, phenols or phenol derivatives, phenol ethers, pyridine derivatives, quaternary compounds, heavy metal compounds, metal compounds and/or thiocyanates.
10. The method according to claim 1, wherein the disinfection of the pressurized water vessel proceeds by means of external spraying or wiping disinfection and comprises one or more of the following steps: spraying the exterior surface of the pressurized water vessel with the disinfecting agent and allowing the disinfecting agent to act for a contact time, and wiping the exterior surface of the pressurized water vessel by means of a cloth, rag or sponge or by means of a brush, impregnated or provided with the disinfecting agent.
11. The method according to claim 1, wherein, during cleaning and/or during disinfection of the vessel receptacle an interior underside of the vessel receptacle, which underside in proper operation faces the pressurized water vessel and from which the service water port projects, is treated, an interior side face of the vessel receptacle, which in proper operation faces the pressurized water vessel and rests against the latter and does not include the service water port, is treated, and the service water port and the compressed air port are treated.
12. The method according to claim 1, wherein, during cleaning and/or during disinfection of the pressurized water vessel an exterior face of the pressurized water vessel, which face in proper operation faces the vessel receptacle and into which the service water port projects, is treated, an exterior side face of the pressurized water vessel, which side face in proper operation faces the pressurized water vessel and rests against the latter, is treated, and an interior volume of the pressurized water vessel is treated, beginning with an interior bottom of the pressurized water vessel.
13. The method according to claim 1, wherein the sequence of treatment steps is repeated after at most one month of operation.
14. A method for defining a sequence of treatment steps for treating a service water supply unit of a dental treatment unit, wherein the method has the steps: (S1) providing a service water supply unit of a dental treatment unit, (S2) specifying a group of defined test points, (S3) selecting at least one of, the test points actually present on the service water supply unit from the specified group of defined test points, (S4) selecting a first test point to be tested from the subgroup of the plurality of test points actually present on the service water supply unit, to which a relevance criterion applies, (S5) applying a defined test soil, namely a protein test soil and/or a bacterial test soil, to the first test point to be tested, (S6) subjecting the first test point to be tested to a (respective) cleaning step which is selected from a specified group of treatment steps, wherein the cleaning step is carried out with a specified cleaning duration and a specified cleaning intensity, and then, (S7) subjecting the first test point to be tested to a disinfection step which is selected from the specified group of treatment steps, wherein the disinfection step is carried out with a specified disinfection duration and a specified disinfection concentration, (S8) detecting a reduction in the test soil at the test point, (S9) documenting or saving the sequence of the cleaning step carried out with a specified cleaning duration and a specified cleaning intensity and the disinfection step carried out with a specified disinfection duration and a specified disinfection concentration, if the detected reduction falls below a specified threshold.
15. The method according to claim 14, comprising the following steps: (S10) excluding the respectively selected cleaning step and/or the respective disinfection step from the group of treatment steps if the detected reduction does not fall below a specified threshold, (S5) applying a defined test soil, namely a protein test soil and/or a bacterial test soil, to the first test point to be tested, (S6) subjecting the first test point to be tested to a different/modified cleaning step which is selected from a specified group of remaining treatment steps, wherein the cleaning step is carried out with a specified cleaning duration and a specified cleaning intensity and/or (S7) subjecting the first test point to be tested to a different/modified disinfection step which is selected from the specified group of remaining treatment steps, wherein the disinfection step is carried out with a specified disinfection duration and a specified disinfection concentration, (S8) detecting a reduction in the test soil at the test point, (S9) documenting or saving the sequence of the cleaning step carried out with a specified cleaning duration and a specified cleaning intensity and the disinfection step carried out with a specified disinfection duration and a specified disinfection concentration, if the detected reduction falls below a specified threshold.
16. The method according to claim 14, comprising the step of: increasing the cleaning duration and/or cleaning intensity and/or changing the cleaning method if the detected reduction in a protein test soil does not fall below a specified threshold.
17. The method according to claim 14, comprising the step of: increasing the disinfection duration and/or disinfection concentration and/or disinfection method if the detected reduction in a bacterial test soil does not fall below a specified threshold.
18. The method according to claim 14, wherein the specified threshold corresponds to a reduction by at least 4 log steps, preferably 5 log steps.
19. The method according to claim 14, wherein the group of defined test points comprises the following test points: internal walls of tubes, internal faces of tanks, external faces of tanks, disinfecting agent metering system, seals, valves, filters, particulate filters, retrogradely contaminable/contaminated open vessel systems, retrogradely contaminable/contaminated tube systems, grooves, indentations, connectors, receiving devices, closures, inner walls of vessels, inner walls of pressure vessels, outer walls of vessels, outer walls of pressure vessels, threaded closures, threaded connectors, threads, push fittings, valve membranes, pumps, pump membranes, dead flow zones, surfaces, nozzles or push-fit nozzles.
20. The method according to claim 14, wherein the relevance criterion is one of the following characteristics of the test point: water-conveying, contact with water spray, contact with water splashes, contact with condensation water, contact with atmospheric humidity, indentations, grooves or dead zone.
21. The method according to claim 2, wherein cleaning in part proceeds mechanically and includes wiping, and disinfection proceeds solely by means of wiping disinfection, wherein a first cleaning sequence (RS1) involves cleaning a thread of the vessel receptacle and of the pressurized water vessel, a subsequent second cleaning sequence (RS2) involves cleaning the head underside of the pressure vessel receptacle, a subsequent third cleaning sequence (RS3) involves internally cleaning the pressure vessel (pressurized water vessel (90)), a subsequent fourth cleaning sequence (RS4) involves externally cleaning the pressure vessel, and a subsequent first disinfection sequence (DS1) involves disinfecting the thread in the vessel receptacle and in the pressurized water vessel, a subsequent second disinfection sequence (DS2) involves disinfecting the head underside of the pressure vessel receptacle, a subsequent third disinfection sequence (DS3) involves internally disinfecting the pressure vessel and a subsequent fourth disinfection sequence (DS4) involves externally disinfecting the pressure vessel
22. The method according to claim 2, wherein cleaning in part proceeds mechanically and includes wiping, cleaning includes immersion bath cleaning, and disinfection proceeds by means of wiping disinfection and by means of immersion disinfection, wherein a first cleaning sequence (RS1) involves cleaning a thread of the vessel receptacle and of the pressurized water vessel, a subsequent second cleaning sequence (RS2) involves cleaning the head underside of the pressure vessel receptacle, a subsequent third cleaning sequence (RS3) involves internal immersion bath cleaning of the pressure vessel (pressurized water vessel (90)), a subsequent fourth cleaning sequence (RS4) involves external immersion bath cleaning of the pressure vessel, and a subsequent first disinfection sequence (DS1) involves internally and externally disinfecting the pressure vessel in the immersion bath, a subsequent second disinfection sequence (DS2) involves disinfecting the thread in the head and pressure vessel by means of wiping disinfection and a subsequent third disinfection sequence (DS3) involves disinfecting the head underside of the pressure vessel receptacle by means of wiping disinfection
Description
[0071] Exemplary embodiments of the invention are now described below with reference to the drawings. Further advantages, features and details of the invention are revealed by the following description of the preferred exemplary embodiments with reference to the drawings, in which:
[0072]
[0073]
[0074]
[0075]
[0076]
[0077]
[0078]
[0079]
[0080]
[0081] By means of the introduced compressed air DL, service water BW located in the pressurized water vessel 90 is supplied via a service water feed line 230 of the medical treatment unit 200, in the present case a dental unit. In the medical treatment unit 200 provided as a dental unit, the service water BW is in turn supplied to a drill or a rinsing head.
[0082] The service water supply unit 100 is shown in greater detail in
[0083] The service water supply unit 100 comprises a vessel receptacle 80 on which, in the exemplary embodiment represented here, is arranged a cylindrical pressurized water vessel 90. The biocide-containing service water BW which is to be output via the service water port 30 is placed in the pressurized water vessel 90. By means of a switch 40 provided in the cylindrical lid part 60, compressed air present at the compressed air inlet 10 can be released and the service water BW provided in the service water vessel 90 can be discharged from the service water port 30 by means of compressed air DL.
[0084]
[0085]
[0086] First of all, the pressurized water vessel 90 (cf.
[0087] A first treatment step VS1 involves cleaning the service water supply unit using a cleaning agent. By way of example, cleaning in the first treatment step VS1 is carried out using a liquid, alkaline cleaning agent with a pH of 8.
[0088] Cleaning proceeds at least in part mechanically and includes scrubbing which is repeated a number of times. The first treatment step VS1 involves cleaning both the vessel receptacle 80 and the pressurized water vessel 90 (cf.
[0089] A subsequent second treatment step VS2 involves rinsing off by means of a rinsing liquid any residues of the cleaning agent used during the mechanical cleaning after the mechanical cleaning. The rinsing liquid is autoclaved water. The second treatment step VS2 involves rinsing off of both the vessel receptacle 80 and the pressurized water vessel 90 (cf.
[0090] A subsequent third treatment step VS3 involves disinfecting the service water supply unit using a disinfecting agent. The third treatment step VS3 involves disinfecting the pressurized water vessel 90 by way of example by means of immersion disinfection in a disinfecting liquid which contains dimethoxytetrahydrofuran. The vessel receptacle 80 (cf.
[0091] In order to avoid recontamination, the vessel receptacle 80 is advantageously cleaned firstly on the lower inner side UI (cf.
[0092]
[0093] A first step S1 involves providing a service water supply unit of a dental treatment unit, for example a service water supply unit 100 as shown in
[0094] A second step S2 involves specifying a group of defined test points. The group of defined test points includes the following test points: internal walls of tubes, internal faces of tanks, external faces of tanks, disinfecting agent metering system, seals, valves, filters, particulate filters, retrogradely contaminable/contaminated open vessel systems, retrogradely contaminable/contaminated tube systems, grooves, indentations, connectors, receiving devices, closures, inner walls of vessels, inner walls of pressure vessels, outer walls of vessels, outer walls of pressure vessels, threaded closures, threaded connectors, threads, push fittings, valve membranes, pumps, pump membranes, dead flow zones, surfaces, nozzles or push-fit nozzles.
[0095] A third step S3 involves selecting a plurality of test points actually present on the service water supply unit from the specified group of defined test points. In the present exemplary embodiment, the method is described by way of example on the basis of the service water supply unit 100 shown in
[0096] The service water supply unit 100 shown in
[0097] The fourth step S4 involves selecting a first test point to be tested from the subgroup of the plurality of test points actually present on the service water supply unit, to which a relevance criterion applies. The relevance criterion in the present case is water-conveying. An inner wall of the pressure vessel is accordingly selected as the first test point to be tested.
[0098] A fifth step S5 involves applying a defined test soil, by way of example a protein test soil, to the first test point to be tested, namely the inner wall of the pressure vessel.
[0099] A sixth step S6 involves subjecting the first test point to be tested to a cleaning step which is selected from a specified group of treatment steps, wherein the cleaning step is carried out with a specified cleaning duration and a specified cleaning intensity. Cleaning proceeds by way of example with a liquid, alkaline cleaning agent with a pH of 8. Cleaning here proceeds at least in part mechanically and includes scrubbing which is not repeated.
[0100] A seventh step S7 involves subjecting the first test point to be tested to a disinfection step which is selected from the specified group of treatment steps, wherein the disinfection step is carried out with a specified disinfection duration and a specified disinfection concentration. By way of example, the pressurized water vessel and thus the test point inner wall of the pressure vessel is disinfected by means of immersion disinfection for 5 minutes in a disinfecting liquid which contains 5% dimethoxytetrahydrofuran. An eighth step S8 involves detecting a reduction in the test soil at the test point.
[0101] A ninth step S9 involves documenting or saving the sequence of the cleaning step carried out with a specified cleaning duration and a specified cleaning intensity and the disinfection step carried out with a specified disinfection duration and a specified disinfection concentration, preferably in a database, if the detected reduction falls below a specified threshold.
[0102] By way of example, a reduction by 5 log steps should apply as the specified threshold. Since cleaning in the sixth step S6 is carried out by scrubbing without repetition, the specified reduction by 5 log steps in the protein test soil is for example not achieved.
[0103] The sequence actually carried out in the ninth step S9 is thus not saved as an advantageous sequence. The sequence actually carried out can, should a specified reduction not be achieved, be saved as an inexpedient sequence.
[0104] A tenth step S10 involves excluding the respectively selected cleaning step from the group of treatment steps, since the detected reduction does not fall below a specified threshold. By way of example, a single mechanical scrubbing is excluded from the group of treatment steps.
[0105] It is explained below by way of example how the method can be carried out iteratively. A further step S5 involves once again applying a defined test soil, namely the protein test soil, to the first test point to be tested, in the present case the test point inner wall of the pressure vessel. In order to ensure comparability of the measurements, a new pressure vessel is advantageously provided.
[0106] A further step S6 involves subjecting the first test point to be tested to a different or modified cleaning step which is selected from a specified group of remaining treatment steps. By way of example, the scrubbing step should be modified by being repeated three times.
[0107] A further step S8 involves detecting a reduction in the test soil at the test point. By way of example, a reduction by 5 log steps should apply as the specified threshold. Since cleaning in the further step S6 is carried out by scrubbing with three repeats, the specified reduction by 5 log steps in the protein test soil is for example achieved.
[0108] A further step S9 involves documenting or saving the sequence of the cleaning step carried out with a specified cleaning duration and a specified cleaning intensity and the disinfection step carried out with a specified disinfection duration and a specified disinfection concentration, preferably in a database, since the detected reduction falls below the specified threshold.
[0109] A second test point to be tested can then be selected from the subgroup of the plurality of test points actually present on the service water supply unit, for example for the test point outer walls of the pressure vessel to which the relevance criterion contact with water spray applies. This is shown by way of example in
[0110]
[0111] The vessel 95 in
[0112]
[0113] A preparation step VB1 involves impregnating or providing at least one cloth with a mildly alkaline cleaning agent (cleaning cloth). At least one cloth is likewise impregnated or provided with an alcohol-based disinfecting agent (disinfecting agent cloth). The preparation step VB1 likewise involves removing the pressurized water vessel 90 (cf.
[0114] A first cleaning sequence RS1 of the bottle system involves cleaning the threads in the head and pressure vessel, namely the internal thread 81 and the external thread 91 (cf.
[0115] A second cleaning sequence RS2 involves cleaning the head underside of the pressure vessel receptacle. To this end, using a new cleaning cloth, the underside of the head is cleaned in a radial movement starting from the outer edge towards the middle of the face. The face should be taken to mean the underside of the base plate 70 visible in
[0116] A third cleaning sequence RS3 involves internally cleaning the pressure vessel (cf.
[0117] A fourth cleaning sequence RS4 involves externally cleaning the pressure vessel. To this end, a new cleaning cloth is picked up and the emptied pressure vessel is held externally in one hand with the opening downwards and the completely unfolded cleaning cloth is placed with the other hand on the upper closed outer end of the cylindrical vessel and, using a radial wiping movement encompassing 360?, the vessel is cleaned externally from top to bottom. The fourth cleaning sequence RS4 is preferably repeated 3?.
[0118] A subsequent first disinfection sequence DS1 of the bottle system involves disinfecting the threads in the head and pressure vessel, namely the internal thread 81 and the external thread 91 (cf.
[0119] A second disinfection sequence DS2 involves disinfecting the head underside of the pressure vessel receptacle. To this end, using a new disinfecting agent cloth, the underside of the head is disinfected in a radial movement starting from the outer edge towards the middle of the face. The face should be taken to mean the underside of the base plate 70 visible in
[0120] A third disinfection sequence RS3 involves internally disinfecting the pressure vessel (cf.
[0121] A fourth disinfection sequence DS4 involves externally disinfecting the pressure vessel. To this end, a new disinfecting agent cloth is picked up and the emptied pressure vessel is held externally in one hand with the opening downwards and the completely unfolded disinfecting agent cloth is placed with the other hand on the upper closed outer end of the cylindrical vessel and, using a radial wiping movement encompassing 360?, the vessel is disinfected externally from top to bottom. The fourth disinfection sequence DS4 is preferably repeated 3?.
[0122] The described cleaning sequences RS1, RS2, RS3 and RS4 and/or the described disinfection sequences DS1, DS2, DS3 and DS4 are preferably carried out in the described order.
[0123]
[0124] A preparation step VB1 involves impregnating or providing at least one cloth with a mildly alkaline cleaning agent (cleaning cloth). At least one cloth is likewise impregnated or provided with an alcohol-based disinfecting agent (disinfecting agent cloth). A mildly alkaline cleaning agent for an immersion bath and a disinfecting agent for an immersion bath are furthermore prepared. At least one brush, a sponge, and/or a(n unimpregnated) cloth are also prepared as required. The preparation step VB1 initially involves removing the pressurized water vessel 90 (cf.
[0125] A first cleaning sequence RS1 of the bottle system involves cleaning the threads in the head and pressure vessel, namely the internal thread 81 and the external thread 91 (cf.
[0126] A second cleaning sequence RS2 involves cleaning the head underside of the pressure vessel receptacle. To this end, using a new cleaning cloth, the underside of the head is cleaned in a radial movement starting from the outer edge towards the middle of the face. The face should be taken to mean the underside of the base plate 70 visible in
[0127] A third cleaning sequence RS3 involves internally cleaning the pressure vessel (cf.
[0128] A fourth cleaning sequence RS4 involves internally cleaning the pressure vessel (cf.
[0129] A subsequent first disinfection sequence DS1 involves internally and externally disinfecting the pressure vessel. The pressure vessel is here placed in the disinfecting agent immersion bath in such a manner that the vessel is completely filled with disinfecting agent. The disinfecting agent vessel is left in the immersion bath for the stated disinfecting agent contact time. The disinfecting agent vessel is then rinsed off and dried.
[0130] A subsequent second disinfection sequence DS2 involves disinfecting the threads in the head and pressure vessel, namely the internal thread 81 and the external thread 91 (cf.
[0131] A subsequent third disinfection sequence DS3 involves disinfecting the head underside of the pressure vessel receptacle. To this end, using a new disinfecting agent cloth, the underside of the head is disinfected in a radial movement starting from the outer edge towards the middle of the face. The face should be taken to mean the underside of the base plate 70 visible in
[0132] Using the disinfecting agent cloth, a slot (cf.
[0133] The described cleaning sequences RS1, RS2, RS3 and RS4 and/or the described disinfection sequences DS1, DS2 and DS3 are preferably carried out in the described order.