Instructions For Use

Product Description

Inspection and Cleaning

Visually inspect surgical guides, with magnification if needed, to ensure that they are free of debris.  If not, manually clean prior to cold-sterilization/high-level disinfection.

Manual Cleaning (if required)

Presoak in isopropyl alcohol (IPA) (Do not exceed 5 min. soak). Brush away remaining debris. Rinse with clean water and allow to fully dry before placing into any sealed containers (if applicable). 

WARNING

Surgical Guides cannot be disinfected properly unless they are thoroughly cleaned; free of debris. 

No Activation Is Required

Record the date the container was opened on the container label, or in a log book. After opening, the solution remaining in the container can be used for up to 75 days (providing the 75 days does not extend past the expiration date listed on the container) until used.

Record the date the solution was poured out of the original container into a secondary container in a log book (separate from the one mentioned above), or on a label affixed to the secondary container. The solution in the secondary container can be used for a period up to 14 days. The product must be discarded after 14 days even if the MetriCide OPA Plus Solution Test Strip indicates a concentration above the MRC. 

High-Level Disinfection

Immerse device completely, filling all lumens and eliminating air pockets, in MetriCide OPA Plus Solution for a minimum of 12 minutes at 20°C (68°F) or higher to destroy all pathogenic microorganisms.  Remove device from the solution and rinse thoroughly following the rinsing instructions below. 

Rinsing Procedure

• Following removal from MetriCide OPA Plus Solution, thoroughly rinse the semi-critical medical device by immersing it completely in a large volume (e.g. 9 liters) of water. Use sterile water if available, otherwise potable water is acceptable.  
• Keep the device totally immersed for a minimum of one minute in duration, unless a longer time is specified by the reusable device manufacturer. 
• Manually flush all lumens with large volumes (not less than 100 mL) of rinse water unless otherwise noted by the device manufacturer. 
• Remove the device and discard the rinse water. Always use fresh volumes of water for each rinse. Do not reuse the water for rinsing or any other purpose. 
• Repeat the procedure TWO (2) additional times, for a total of THREE (3) RINSES, with large volumes of fresh water to remove MetriCide OPA Plus Solution residues. Residues may cause serious side effects.

Monitoring of Germicide

• During reuse, it is recommended that the MetriCide OPA Plus Solution be tested with the MetriCide OPA Plus Test Strips prior to each use. This is to ensure that the Minimum Recommended Concentration (MRC) of orthophthalaldehyde is present.  
• During the usage of MetriCide OPA Plus Solution as a highlevel disinfectant, it is recommended that the thermometer and timer be utilized to ensure that the optimum conditions are met.

Post-Processing Handling and Storage of Reusable Devices

Caution

• Disinfection instructions are provided above for convenient reference.  Always follow the instructions stated by the manufacturer of the disinfectant. 
• Failure to follow rinsing instructions exactly has resulted in reports of chemical burns, irritation, and staining of the mouth, throat, and esophagus and stomach.