German Quality • Precision Instruments • Your Confidence Integra LifeSciences Corporation 311 Enterprise Drive Plainsboro, NJ 08536 www.Integra-LS.com JARIT 9 Skyline Drive Hawthorne, NY 10532 www.jarit.com 800-431-1123

Our mission is s i n g u l a r ly d e d i c at e d to t h e d e s i g n , production and service of the world’s finest surgical instruments. Our steadfast c o m m i t m e n t to t h e surgical community p r o v i d e s i n n o vat i o n a n d quality within a u n i q u e l y c o s t- e f f e c t i v e delivery system.

CardioVascular J ARIT. . . THE INSTRUMENT PE O PLE JARIT IS INSTRUMENTS... For more than 30 years JARIT has provided its customers quality, innovation and integrity in surgical instrumentation. With corporate headquarters in Hawthorne, New York and operation headquarters in Tuttlingen, Germany, JARIT has been able to offer its customers the combination of American ingenuity and German excellence. JARIT IS COMMITMENT… We are committed to deliver high quality surgical instruments in today’s intense health care cost environment. In addition, JARIT is committed to identifying new and innovative technology....

REGISTERED TRADEMARKS All JARIT Instruments are unconditionally guaranteed against defects in material and workmanship. JARIT will, at its option and without charge, either repair or replace any instrument which JARIT determines to be defective in material or workmanship when used for its intended surgical purpose. All instruments sold by JARIT are warranted only to the original purchaser and only against defects in workmanship or materials which under the intended use render such instruments inoperable. All JARIT CARB-BITE and JARIT CARB-EDGE instruments are further warranted for a period of...

Cardio Vascular - TABLE OF CONTENTS Toll Free: (800) 654-2873 • Fax: (609) 275-5363 • www.integra-surgical.com • www.Jarit.com

INSTRUMENT CARE AND HANDLING Every hospital owns many thousands of dollars worth of surgical instruments.The care and maintenance that these instruments receive is critical to their performance during surgery and to the cost containment efforts of the hospital.With consistent and proper technique during the use, care, and handling of these surgical instruments, the hospital can expect several years of use from its investment in these quality products. MANUFACTURE Metallurgical research has enabled instrument makers to produce accurate, long-lasting surgical instruments. The steel used in most...

CardioVascular DECONTAMINATION AND STERILIZATION PROCEDURES As with any decontamination procedure, personnel should follow accepted guidelines for hand washing, the use of protective attire, etc. as recommended by A.A.M.I. Standards and Recommended Practice, “Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities”, ANSI/AAMI ST79:2006. Disinfection or sterilization cannot be accomplished without first thoroughly cleaning medical devices/equipment. I. SURGICAL INSTRUMENT CARE AND HANDLING CAUTION Always consult the package insert and/or instructions for use...

DECONTAMINATION AND STERILIZATION PROCEDURES Step 5. Rinse: Thoroughly rinse instruments by immersing in tap water and wiping with a clean, soft cloth. Flush lumens until water runs clear. Step 6. Ultrasonic Cleaning and Rinsing: Follow the recommendations of the ultrasonic manufacturer regarding cycle times, detergents, proper placement of the instrument tray, and conditioning (“degassing”) of the cleaning solution, etc. Use an ultrasonic cleaner to remove soil from hard to reach surfaces such as grooves, crevices, lumens, instruments with moving parts, etc., after gross soil has been removed...

CardioVascular DECONTAMINATION AND STERILIZATION PROCEDURES C. PREPARING INSTRUMENTATION FOR STERILIZATION Prepare instrument sets for sterilization using a wrapper, pouch or rigid sterilization container that is appropriate for the method of sterilization to be used. The Association for the Advancement of Medical Instrumentation (AAMI) and individual sterilizer manufacturers, as well as medical device manufacturers, provide guidance for the proper preparation of surgical instrument trays for sterilization. Some sterilizer manufacturers can also provide information regarding wet pack problem...

DECONTAMINATION AND STERILIZATION PROCEDURES As with any decontamination procedure, personnel should follow accepted guidelines for hand washing, the use of protective attire, etc. as recommended by A.A.M.I. Standards and Recommended Practice, “Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities”, ANSI/AAMI ST79:2006. Disinfection or sterilization cannot be accomplished without first thoroughly cleaning medical devices/equipment. II. RIGID ENDOSCOPE CARE AND HANDLING WARNING Consult individual national infection control/prevention protocols for specific...

CardioVascular DECONTAMINATION AND STERILIZATION PROCEDURES Step 8. Dry: Endoscopes must be thoroughly dried with a soft cloth before sterilization or storage. Remaining moisture may result in corrosion. Gentle medical grade compressed air may be used to dry the lumen. B. MECHANICAL DECONTAMINATION Only use mechanical washing/decontamination equipment programs, and solutions that are designed and recommended by the washer manufacturer as safe and effective for processing rigid endoscopes. The risk of damage to the endoscope with mechanical cleaning methods can be much higher than cleaning the...

MAINTENANCE PROCEDURES Improper, ineffective, and insufficient maintenance can greatly reduce the life of an instrument and will invalidate the instrument’s warranty. We cannot make any statement about how long an instrument will last. Designed and crafted to exacting specifications, instruments will perform for a reasonable number of years when the following steps are observed: Protect Instruments: The most effective method of dealing with instrument problems is to prevent them from occurring. The use of “treated water”, careful preliminary cleaning, the use of neutralized pH solutions, adherence...