"What Do The Ophthalmologists Think About The Cox Dry Heat Sterilizer?"


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TABLE OF Contents                                                                       

Accessories      2

 Optional Hand Piece Drawer      2

 

Materials Integrity      2

 

Cautions                3

 

Safety Notes on Temperature    3-4

Operating Instructions    4-6

Maintenance/Service      6

Error Codes      7

Biological testing      8

Warranty    9-10

Parts List/Order Form     11

Accessories

 

The Cox sterilizer comes equipped with one drawer, the removable basket for the drawer, a tool for changing baskets and a cooling rack upon which to place the hot baskets. Depending on the size of your practice, you may wish to purchase additional baskets and drawers. Also included are an instrument rack, and a mesh basket (burr holder) for sterilizing small/lightweight items.

 

Optional Hand Piece Drawer

 

An optional drawer is available which is ideal for heat processing hand pieces. The drawer is designed to channel the sterilizer’s airflow into the hand piece’s air and water lines (see pages 4 & 5 for hand piece sterilization instructions).

To order the drawer (P/N H-18-100CS) call Alfa at 800-762-1586.

 

Material Integrity

 

Tests have been conducted on various surgical and dental instruments as to compatibility with the 375 degree F (190 C) temperatures. Generally, medical and dental stainless and carbon steel hand instruments are safe in the Cox sterilizer. Caution should be used with plastic and rubber goods. When in doubt, consult the instrument manufacturer.

 

Cautions

 

Ř     Use only a properly grounded and fuse outlet (110V 60 cycle or a 220/240V 50 cycle). A separate circuit is recommended.

 

Ř     During operation, the exterior surface of the sterilizer remains comfortable to the touch; however the interior of the drawer and the sterilized instruments will be hot. Use only the handle to carry the drawer. Optional Cooling Rack is available. To order (P/N PCOX001) call Alfa at 800-762-1586.

 

Ř     The sterilizer is designed for use with metal instruments. While many new plastics, Teflon and rubber products can be used in a high temperature environment, extreme care should be used in sterilizing these materials until compatibility has been confirmed.

 

Ř     When sterilizing packaged instruments, use only dry heat packaging material suitable for 375 degrees F (190 C) temperatures.

 

Ř     Instruments that have been wiped with alcohol must be allowed to dry before being placed in the sterilizer.

 

 

Safety Notes Concerning Temperature

 

The temperature in the Cox sterilizer is controlled by computer logic, which precisely maintains temperature throughout the sterilization chamber. The temperature control is extremely sensitive and maintains 375 degrees F (190 C).

 

After room temperature instruments are placed in the sterilizer, the temperature may drop a few degrees depending on the size of the load. If the temperature drops below 372 degrees F (189 C), the cycle will not begin until 375 degrees F (190 C) has been re-established.

 

During warm up, the temperature read out will not display in the temperature window until 260 degrees F (127 C) has been reached.


It is important for the drawer to be in the sterilizer at all times during operation, otherwise the heating element will continually operate to compensate for the lower temperature caused by room temperature air entering the sterilizer.

 

Do not open the drawer during a sterilization cycle. Also, do not add an instrument during a cycle, as it may not be sterilized.

 

 

Operating Instructions

 

At The Start Of The Day Before turning the sterilizer on, remove the drawer and visually inspect the chamber. Re-insert the drawer into the sterilizer and push and release the ON STANBY/OFF button and allow the sterilizer to heat to 375 degrees F (190 C). This will take about 9 minutes.

 

The temperature read out will begin at 260 degrees F (127 C).

Note: When pressing the sterilizer buttons, do not hold them down for any length of time as this will lead to an E-12 Error Code (see Error Codes section).

 

The sterilizer is very energy efficient and should be left on all day, as its electrical consumption is minimal.

 

Before beginning a sterilization cycle, be sure instruments are clean and free of gross debris. (For information about which instruments can be safely sterilized, see Materials Integrity – page 2).

 

 

To Sterilize

 

Instruments, which are to be sterilized in Cycles I and II, need not to be dried prior to placing them in the sterilizer, however instruments which are packaged for Cycle III must be dried before packaging.

  

Instruments that have been placed in a holding, ultrasonic, or cold chemical disinfectant solution must be thoroughly rinsed before sterilization.

 

Failure to thoroughly remove extraneous agents prior to sterilization could lead to surface staining of instruments.

 

 

Cycle I – 6 Minutes

 

To sterilize unwrapped instruments, place them in the drawer, insert the drawer in the sterilizer then push and release the Cycle I button.

 

Be sure to place burrs, diamonds and other small items in the accessory mesh basket. At the end of 6 minutes, a beep will sound and a “6 C” will appear in the time window on the face of the sterilizer indicating the cycle has been completed.

 

Immediately after removing the drawer with the sterilized instruments, remove the hot basket from the drawer and place it on the cooling rack using the basket removal tool. The basket containing the sterilized instruments may continue to cool on the cooling rack.

 

 

Cycle II – 8 Minutes

Hand Piece Sterilization Instructions

To sterilize air rotor hand pieces or medical drills with internal tubing, the following protocol should be used:

 

Ř     Clean the hand piece (flush water lines by running the hand piece for 30 seconds); thoroughly scrub with detergent and water to remove adherent material. Remove old lubricant and debris from turbine head by spaying a hand piece cleaner/solvent into the air drive. Do not use a cleaner/lubricant.

Ř     Place thoroughly clean hand pieces in the drawer.

Note: If the optional hand piece drawer has been purchased, it can b

used in lieu of the standard drawer. Simply lay the hand pieces in the mesh notches in the drawer and fit the connecter end of the hand piece onto the circular opening at the end of the drawer.

To sterilize hand pieces, select Cycle II. When the beeps sounds and a “8C” appears in the time window at the end of 8 minutes, promptly remove and cool the instruments and insert the drawer with the other basket into the sterilizer. Remember to lubricate the hand piece prior to use.

 

 

The End Of The Day

 

Push and release the ON STANDBY/OFF button. The sterilizer will go into standby mode while the cooling fan operates for 10 minutes.

 

At the end of ten minutes, the sterilizer will automatically shut off. If the sterilizer is connected to a wall outlet controlled on/off switch, do not turn the switch off or in any way disrupt the power supply while the sterilizer is in cool down mode.

 

 

Maintenance – Service

 

The Cox sterilizer is designed for minimum maintenance and easy service. It is constructed of high quality stainless steal which may be cleaned with any non abrasive stainless steel leaner and can be externally disinfected with the disinfected of your choice.

 

All of the common components used in the sterilizer’s construction are long life, heavy-duty parts that require no maintenance. If anything needs to be replaced, an authorized service representative should be called or call Alfa at 800-762-1586.

 

Error Codes

 

Any failure in performance will be signaled by an error code.

 

If one of the following error codes appear, unplug the sterilizer, wait several seconds and then plug it back in. This will re-establish the error detect logic and will eliminate false error codes that may occur. If the error code persists, call your authorized service representative or Alfa Medical.

 

Process Failures:

E-12

 

Temperature Probe:

E-21

 

Heater Drive:

E-30

E-31

Biological Testing

 

The American Dental Association, United States Air Force, Joint Commission of Accreditation of Hospitals, and the Centers for Disease Control recommend biological indicator tests to verify to sterilizer’s performance.

 

For monitoring dry heat, biological indicators containing bacillus subtilis should be used. Spore strips, as well as test services are widely available through universities and commercial services. To order any of these items, call Alfa at 800-762-1586.

 

The following spore strip is recommended:

 

1.     Weigh the spore strip envelope with a jumbo paper clip.

Note: Be careful not to puncture the envelope.

 

2.     Place the weighted strip in the drawer.

 

3.     With the sterilizer operating at 375 degrees F (190 C) place the drawer containing the spore strip in the sterilizer.

 

4.     Start the test cycle by staring Cycle I, II, or III.

 

5.     When the beep sounds, remove the spore strip for culturing.

Warranty Policy

             I.      Cox Sterilizers Inc. (hereafter Cox) hereby warrants all Cox Rapid Dry Heat Transfer Sterilizers and accessories thereto (collectively the product) supplied by Cox to be freed from defects, whether material and/or workmanship, under normal use, until one year after date of purchase from Cox by the initial customer, provided the product has been used with all of any instructions furnished in respect of the product.

Notwithstanding the foregoing, this warranty applies only if:

a)     The defective product is received back, transportation prepaid, no later than 1 year after date of purchase from Cox by the initial customer. Proof of purchase must be supplied: otherwise, manufacturing date will be used to determine warranty period.

b)    Cox agrees that if there is a defect, and that such defect, in the opinion of Cox, has not been caused by misuse, abuse or accident. Wrong voltage, alterations, use of components not supplied by Cox, damage which occurred during transportation beyond original transportation to the initial customer and -

 

c)     The serial number of the defective product, or the product from which a defective component has been taken, has not been altered, defaced or removed.

          II.      Cox’s only obligation if the foregoing warranty does apply is to repair or replace defective material and/or workmanship, and therefore all other expenses whatsoever, including but not limited to, transportation and installation expenses, are not the responsibility of Cox. For clarity, the only labor expense Cox will pay to fix any defect covered by this warranty is labor performed by Cox and its facility.

       III.      The foregoing warranty is exclusive and is in lieu of all other warranties (whether written, oral or implied, but not limited to all

 

Warranties of description, quality, merchantability and fitness for any particular purpose) and Cox shall not be liable for incidental exemplary and/or consequential damages, including, but not limited to, loss of profits.

 

      IV.      No agent, employee or representative of Cox has any authority to bind Cox to any representation or warranty relating to any product other than as specifically provided in this warranty.

 

 
 


 
 
 
 

Alfa Medical 
59 Madison Ave, Hempstead, NY 11550 
eMail 1-800-748-1259 fax 516-489-9364