Everything You Need to Know About Medical Washer Disinfectors
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Everything You Need to Know About Medical Washer Disinfectors

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A medical washer disinfector is a machine that cleans medical tools. It also disinfects them in hospitals and clinics. The machine uses automatic cycles to get rid of germs and dirt. Automated medical washer-disinfector units are safer than cleaning by hand.

  • They follow the same cleaning steps each time. This makes sure every medical washer works the same way.

  • They remove tough biofilms from tools. This helps stop infections.

  • Staff are safer because they do not touch strong chemicals as much.

  • Hospitals can keep track of every cleaning cycle. This helps them follow rules for infection control devices.

  • Automated medical washer-disinfectors lower the risk of infection. They help keep patients safe.

Hospitals trust medical washer-disinfector systems to keep tools safe. These medical washer units are important for stopping infections.

Key Takeaways

Medical washer-disinfectors clean and disinfect tools by themselves. This helps lower infection risks. It keeps patients and staff safe. These machines use steps like washing, rinsing, heating, and drying. These steps make sure tools are always safe and clean. Medical washer-disinfectors do more than medical washers. They add a disinfection step. They also check each cleaning cycle for good results. Hospitals pick different washer-disinfectors for their needs. They look at size, how much they hold, and special features. This helps them follow strict safety rules. Hospitals must take care of these machines often. They test them and follow FDA rules. This keeps the machines working well. It also helps hospitals stop infections.

Medical Washer Disinfector Basics

Medical Washer Disinfectors

What Is a Medical Washer Disinfector?

A medical washer disinfector is a machine used in hospitals and clinics. It cleans, decontaminates, disinfects, and dries medical tools. These tools include things like surgical instruments and anesthesia equipment. Hollowware is also cleaned in these machines. The healthcare industry calls these machines Class II devices. This means they must follow special safety rules. The FDA gives advice about these rules. There are both medical washers and medical washer-disinfectors. Washer-disinfectors add a step for disinfection. The FDA changed the name "general use" washers to "medical washer." This makes it clear what the machine is for.

Note: Medical washer-disinfectors must meet strict standards. These rules help lower risks like infection, device damage, and chemical exposure.

Aspect

Description

Definition

Device that cleans, decontaminates, disinfects, and dries medical devices.

Classification

Class II (special controls)

Special Controls

FDA advice, agreed standards, user training

Subtypes

1. Clean, high level disinfection, dry (needs 510(k))
2. Clean, low/intermediate disinfection, dry (sometimes does not need 510(k))

Risks

Infection, device damage, chemical exposure, electrical problems, software issues

Terminology

"Medical washer" and "medical washer-disinfector" show what they do

Core Functions

Medical washer-disinfectors do several important jobs in each cycle. They use mechanical cleaning to get rid of dirt and germs. The process has these main steps:

  1. Pre-wash: Water and soap take off visible dirt.

  2. Main wash: Hotter water and chemicals break down biofilms and proteins.

  3. Final rinse: Hot water or other agents wash away leftovers and disinfect.

  4. Thermal disinfection: Heat kills any germs left.

  5. Drying: Air removes water to stop contamination.

These steps give high level disinfection and steady results. The machines use both moving parts and chemicals. This mix helps clean and disinfect better. Medical washer-disinfectors mean less hand scrubbing is needed. They lower the chance that staff will touch chemicals. They also help hospitals keep records of each cleaning cycle for infection control devices.

Hospitals trust medical washer-disinfectors for safety and good results. The machines always give strong cleaning and high level disinfection.

Importance in Healthcare

Medical washer-disinfectors are very important for stopping infections. They keep patients and staff safe by making sure tools are clean. Hospitals have strict rules for cleaning and disinfection. Medical washer-disinfectors help them follow these rules. They also help infection control devices work well.

The machines give many benefits:

  • Cleaning and high level disinfection are the same every time

  • Lower risk of infection from dirty tools

  • Better safety and results for staff and patients

  • Less chance of tool damage from hand cleaning

  • Good records for checks and inspections

Medical washer-disinfectors help healthcare work better overall. They let hospitals keep high standards for cleaning, disinfection, and infection control. Hospitals and clinics count on these machines to give safe, effective care every day.

Medical Washer vs. Medical Washer-Disinfector

Key Differences

A medical washer and a medical washer-disinfector both clean tools. They do not work in the same way. A medical washer uses water and sometimes soap to wash off dirt. It does not always get rid of germs. A medical washer-disinfector adds another step. It uses heat or chemicals to kill germs after cleaning.

Studies show that a medical washer-disinfector cleans better than a medical washer. The microbial reduction is much higher with a washer-disinfector. A medical washer only using water does not remove as many germs. A medical washer-disinfector uses automatic cycles. It checks the temperature and looks for blockages. It also gives error alerts if something is wrong. These features help it clean tools the same way every time. A medical washer does not have these checks. It may leave more germs or dirt on the tools.

Feature

Medical Washer

Medical Washer-Disinfector

Cleaning Method

Water, sometimes soap

Water, soap, heat/chemicals

Disinfection Step

No

Yes

Process Monitoring

No

Yes

Microbial Reduction

Lower

Higher

Validation and Records

Limited

Full

Note: A medical washer-disinfector meets new cleaning standards. It helps hospitals follow strict infection control rules.

When to Use Each

Hospitals pick a medical washer or a medical washer-disinfector based on what they need. A medical washer is good for simple cleaning jobs. It works for tools that do not need strong disinfection. Staff use a medical washer for things like bedpans or other non-critical items.

A medical washer-disinfector is used for tools that touch blood or body fluids. It cleans and disinfects things like surgical instruments, endoscopes, and dental tools. Hospitals use it when they need strong cleaning and proof that germs are gone. A medical washer-disinfector also helps when staff want less hand cleaning and more safety.

Use a medical washer:

  • For non-critical items

  • When only basic cleaning is needed

  • For quick, simple jobs

Use a medical washer-disinfector:

  • For surgical or invasive tools

  • When high-level disinfection is needed

  • To meet strict infection control rules

A medical washer-disinfector works better for complex tools. It matches new cleaning standards. It also keeps records for every cleaning cycle, which helps with inspections.

Types of Medical Washer-Disinfectors

Medical washer-disinfectors come in many sizes and shapes. Hospitals and clinics pick the best type for their needs. Each kind helps clean and disinfect in different places.

Undercounter Models

Undercounter medical washer-disinfectors fit under counters in small rooms. They are good for dental offices, clinics, and labs. These models save space but still clean well. They can wash surgical tools, dental tools, and lab items.

Most undercounter models are about 600 mm wide and 850 mm high. They can clean up to 8 DIN trays at one time. These medical washer-disinfectors use automatic cycles for every wash. They help clinics follow hygiene rules and keep staff safe.

Large-Capacity Units

Large-capacity medical washer-disinfectors are for big hospitals. They clean many tools at once. These units help central sterile supply departments. They have faster cycles, use less water, and clean more items. Hospitals use them for surgical tools and other important items.

Large-capacity medical washer-disinfectors help hospitals meet tough cleaning needs. They work for lots of surgeries and strict hygiene rules.

Specialized Designs

Some medical washer-disinfectors have special features. They clean unique tools or do special jobs. Some models have racks for endoscopes or dental tools. Others use special soaps or drying agents.

  • Some medical washer-disinfectors use enzymatic or alkaline detergents for tough dirt.

  • Rinse agents and lubricants help keep tools working well.

  • Descalers stop water scale from building up in the machine.

Tip: Specialized medical washer-disinfectors help clinics clean hard-to-wash items and keep up with new cleaning standards.

Cleaning and Disinfection Process

Main Stages

A medical washer-disinfector uses several steps to clean and disinfect. Each step is important for safety and good results. The table below lists the five main stages and what they do:

Stage

Purpose

1. Point-of-use cleaning

Removes contaminants right after use to lower bioburden.

2. Transport to decontamination

Moves instruments safely in closed containers to stop cross-contamination.

3. Manual cleaning

Uses brushing, flushing, and soaking to get rid of organic matter.

4. Mechanical washing

Uses a medical washer-disinfector for automated cleaning and disinfection.

5. Visual inspection

Checks for cleanliness before sterilization to confirm no residue remains.

A medical washer-disinfector makes cleaning and disinfection better by using machines. Hospitals use these machines for things like surgical instruments and dental tools. They trust each cycle to give high level disinfection.

Chemicals Used

Medical washer-disinfectors use different chemicals to help clean and disinfect. Some common ones are glutaraldehyde, peracetic acid, sodium hypochlorite, chlorine dioxide, and hydrogen peroxide. Glutaraldehyde is strong and kills tough bacteria. Peracetic acid works fast and kills many germs, even spores. Sodium hypochlorite and chlorine dioxide are also strong but do not work as well if tools are still dirty. Quaternary ammonium compounds are used for low-level disinfection, mostly in Europe. How well each chemical works depends on how it is used, how much is used, and how long it stays on the tools.

Bar chart comparing the effectiveness spectrum of chemicals used in medical washer-disinfectors

Hospitals choose chemicals based on the type of medical washer and the tools they need to clean. Picking the right chemical helps the machine clean better and work well.

Instrument Compatibility

A medical washer-disinfector can clean many kinds of tools. It works for things like surgical instruments, dental tools, anesthesia equipment, and labware. Some tools, like ones with long or thin tubes, need extra care. The machine may not clean these well if the tube is very thin or very long. Cleaning must happen before high level disinfection or sterilization to get rid of all dirt. Hospitals should check tools for damage before using a medical washer. They also need to use the right detergent for each tool.

  • Always follow the manufacturer's instructions for the medical washer.

  • Pick detergents that match the instrument's metal or plastic.

  • Rinse well to remove any leftover chemicals.

  • Inspect tools for cracks or breaks.

  • Sterilize items that enter sterile tissue after cleaning and disinfection.

  • Use high level disinfection for items that touch mucous membranes.

How well cleaning and disinfection work depends on using the right agents and steps. Some studies found that 17% of surgical tools still had protein left after cleaning. Hospitals use ATP readers and other tools to check if each cycle is safe and works well. Cleaning and disinfection get better when staff use the right chemicals and follow every step.

FDA and 510(k) Submission

Regulatory Overview

The FDA says a medical washer-disinfector is a Class II device. It must clean, decontaminate, disinfect, and dry tools like surgical instruments and anesthesia equipment. The FDA uses special rules for these machines. There is a guidance document called "Class II Special Controls Guidance Document: Medical Washers and Medical Washer-Disinfectors." This document helps companies know what rules to follow. The FDA wants every medical washer-disinfector to meet these rules. If a device only cleans or does low-level disinfection, it might not need a 510(k) submission. But if it does high-level disinfection, it always needs a 510(k) submission. The FDA lists these rules in 21 CFR § 880.6992.

Aspect

Details

Device Identification

Cleans, decontaminates, disinfects, and dries medical devices

FDA Classification

Class II (special controls)

Special Controls

Guidance document for medical washer-disinfectors

Regulatory Requirements

High-level disinfection needs 510(k) submission; low-level may be exempt

Relevant Regulation

21 CFR § 880.6992

The FDA also accepts international standards. ISO 15883-1 and ISO 15883-2 give rules for medical washer-disinfectors. These rules cover cleaning, thermal disinfection, and performance tests. ISO 15883-5 explains how to test cleaning. ISO 16142-1 lists safety and performance rules for medical devices. The FDA updates its guidance to match new rules and standards.

Compliance Steps

A medical washer-disinfector must follow steps for FDA approval. The FDA wants a 510(k) submission before a company can sell a medical washer-disinfector in the United States. The guidance document explains each step. The process has these parts:

  1. The company sends a 510(k) premarket notification to the FDA.

  2. The FDA checks the submission using its guidance for medical washer-disinfectors.

  3. The company gives data to show the medical washer-disinfector is safe and works well.

  4. The guidance lists what information the FDA wants to see.

  5. The 510(k) submission must use the format in 21 CFR Part 807.

  6. The Infection Control Devices Branch and the Division of General and Restorative Devices check the data.

  7. The FDA lets people comment on the guidance document.

  8. The FDA updates the guidance when rules change.

The FDA gives companies 12 months to follow new rules. It wants performance testing for every medical washer-disinfector. The guidance document helps companies follow ISO standards. The FDA wants every medical washer to meet the newest safety and cleaning rules. The guidance helps companies keep up with new rules and standards.

Standard

Scope and Focus

Publication Year

Notes

ISO 15883-1

General requirements, terms, definitions, and tests for washer-disinfectors

2024

Latest revision published in 2024

ISO 15883-2

Requirements and tests for washer-disinfectors using thermal disinfection

2024

Updated for thermal disinfection of reusable medical devices

ISO 15883-5

Performance requirements and test methods for cleaning efficacy

2021

Specifies test procedures for cleaning effectiveness

ISO 16142-1

Essential principles of safety and performance for medical devices

2016

General safety and performance principles for medical washer-disinfectors

Note: The FDA guidance document and ISO standards help every medical washer-disinfector meet strict cleaning and safety rules. Companies must follow these steps for every 510(k) submission.

Maintenance and Selection Tips

Routine Care

Medical washer-disinfectors need regular care to work well. Many problems happen because of clogged filters or blocked spray arms. Using the wrong detergent or having leaks can also cause trouble. Staff can stop these problems by doing simple tasks:

  • Take out and clean strainers and filters often.

  • Make sure spray arms and nozzles move freely.

  • Use the correct detergent and measure the amount.

  • Check door seals for any damage.

  • Run test cycles to check heat and if cycles finish.

  • Watch for leaks or parts that look worn out.

  • Have a trained technician do a yearly service.

  • Only use approved replacement parts.

Tip: Doing these steps helps meet rules like EN15883 and HTM 01-05. It also keeps every cleaning cycle safe and effective.

Testing and Validation

Hospitals must test and check each medical washer-disinfector. This proves cleaning and disinfection work as needed. The ANSI/AAMI ST15883-1:2009/(R)2023 standard gives rules for how to test and check. Staff use tests like the Soil Test, Biotrace Pro-tect, and Protein Test Kit. These tests show if cleaning works well. ISO 15883-5:2021 gives new ways to test and asks for proof of cleaning. Labs use germs to test disinfection and measure how many are killed after a cycle. Hospitals must follow FDA rules and guidance to keep up with laws.

Validation happens on a set schedule:

  1. Each week: Check water quality and bacteria.

  2. Every three months: Use full test kits for cleaning and disinfection.

  3. Each year: Do all validation steps and check how well it works.

This routine makes sure every medical washer-disinfector is safe and works well.

Choosing the Right Medical Washer

Picking a medical washer-disinfector depends on many things. Hospitals look at size, features, and cost. The table below shows what to think about:

Selection Factor

Details

Capacity

Number of trays or tools per cycle

Model Type

Undercounter, large-capacity, or specialized

Inserts and Accessories

Racks for special tools, drying options

Cost

Price range from $117 to $18,090; new, demo, or used

Brand and Warranty

Trusted brands, warranty coverage

Features

Automation, drying, water/chemical supply, stainless steel build

Compliance

Meets FDA guidance, 510(k) submission, and international standards

Reviews and Support

Customer feedback, service availability

Prices change based on model, features, and brand. Models with more automation or drying cost more money. Hospitals should check if the medical washer-disinfector meets all rules and guidance. They should also look for proof of safety and good results before buying.

Conclusion

Medical washer-disinfectors help stop infections by giving safe cleaning cycles. They follow strict rules to keep tools clean. Hospitals use each medical washer to lower infection risks. They also make sure they follow FDA rules. Taking care of the machines and having a good plan helps them last longer. This also keeps them working well. Hospitals should check the rules, finish the 510(k) submission, and pick the right medical washer-disinfector for their needs. Talking to vendors helps with rules, standards, and 510(k) steps. Keeping up with new rules and standards helps every medical washer-disinfector reach infection control goals.

FAQ

What is the main purpose of a medical washer?

A medical washer helps clean and disinfect medical tools. It takes away dirt and germs from instruments. Hospitals use it to protect patients from harm. The machine follows strict rules for each cleaning cycle. Staff trust it because it gives good results every time.

How does guidance affect the use of a medical washer?

Guidance gives important rules for using a medical washer. It tells staff how to clean and test the machine. Hospitals follow these rules to keep everyone safe. Guidance helps staff use the right steps each time. It also helps with training for new workers.

Why is a 510(k) submission important for a medical washer?

A 510(k) submission proves the medical washer meets FDA rules. It shows the machine is safe and does its job well. Hospitals need this for high-level disinfection cycles. Guidance explains what information to send in. The FDA checks every 510(k) submission carefully.

What types of instruments can a medical washer clean?

A medical washer can clean things like surgical tools, dental items, and labware. It works for many different shapes and sizes. Guidance lists which items are safe to clean in the machine. Staff look at instruments before each cleaning cycle. Hospitals use it to clean tools every day.

How often should staff follow guidance for maintenance?

Staff should use guidance every day for care and checks. They look at filters, spray arms, and detergent levels often. Guidance tells them when to run test cycles too. Hospitals use guidance for weekly and yearly checks as well. This keeps the medical washer working its best.

Tip: Always check the newest guidance before using or taking care of a medical washer.


HEALICOM MEDICAL EQUIPMENT CO.,LTD 

Healicom Medical Equipment Co.,Limited

Healicom Medical Equipment Co.Limited. is a leading professional supplier with Medical equipments in China.

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