RUMEX 7-143 Slade Terao Nucleus Splitter Instruction Manual

NEW INSTRUMENTS
+ Instruments Handling Manual AFFORDABLE INNOVATIONS

HOW TO PLACE AN ORDER

All the orders can be easily placed and paid online according to your shipping location directly via one of RUMEX web stores or through your local RUMEX representatives.
If your shipping country is USA you are welcome to order at rumex.us
If your shipping country is within Europe please visit rumex.eu to make your order.
For other regions visit rumex.com and fi nd your local RUMEX representative.
Pricing
The pricing policy may vary from region to region. If you are an international customer, please ask your local distributor for the current prices.
Shipping
We provide our retail customers with two delivery options: via local distributor or by direct shipment from our warehouses. Purchasing with our company is simple and convenient. Processing orders quickly and effi ciently is a matter of primary importance to us!
Warranty conditions
For all instruments, RUMEX provides a lifetime warranty against any manufacturing or material defects. After carrying out a due expert analysis, if the defect was not caused by the improper handling or misuse, we will provide you either a 100 % compensation or a free of charge exchange of a defective instrument for a new one. In some cases when instruments are improperly used or mishandled this may lead to occurrence of nonmanufacturing defects which are not covered by RUMEX lifetime warranty. to avoid such cases please readcarefully and always follow our sterilization and care instructions or consult our customer service for proper handling instructions.
+ 1 727 535 9600 (for USA, Canada)
+ 371 6616 3182 (for Europe, Asia, Africa, Latin America)

EXPANDED RANGE OF STAINLESS STEEL INSTRUMENTS

MOST POPULAR INSTRUMENTS ARE NOW AVAILABLE IN STAINLESS STEEL!

TITANIUM

• Immune to rust
• Resistant to mechanical, chemical, temperature stress
• Anti-magnetic
• Lightweight

STAINLESS STEEL

• High strength and resistance to brittle fracture
• Hardened by heat treatment – increased durability
• Best for blades and instrument tips – enhanced sharpness and accuracy

TITANIUM OR STAINLESS STEEL?

• FORCEPS
• NEEDLE HOLDERS
• SPECULUMS
• MARKERS
• GAUGES
• FORCEPS
• NEEDLE HOLDERS
•  RUMEX UNIVERSAL HANDLE
  AND A VARIETY OF OTHER INSTRUMENTS CAN BE ORDERED IN STEEL!

CHOOSE THE MATERIAL YOU PREFER!

SPECULUMS

14-045T Lancaster Eye Speculum, Adjustable Mechanism with Locking Nut
Solid-shaped slightly curved blades fi t orbital margin, keep eyelashes from the surgical area, and provide optimal view.

Non-refl ective fi nish eliminates refl ection from the microscope

14-052T Slade-Murdoch Speculum

Parallel retraction design
Quick installation and removal due to self-locking mechanism
Curved blades facilitate laser docking without increasing external pressure.

CATARACT

16-2853 IOL Injector NaviJect ™
For hydrophobic and hydrophilic foldable single-piece IOLs
Titanium push-type IOL injector for easy and effi cient one-handed implantation of single-piece foldable IOLs

*R2-40405 PVA Spears
STERILE**
Compressed lint-free PVA spears are ideal for controlling and absorbing fl uid in and around the orbital area during cataract and refractive procedures.

4-033S Small-Incision Capsulorhexis Forceps with Double Cross-Action and Scale
Double cross-action contributes to free movements in the anterior chamber, prevents the hyperextension of the incision.

FEMTOCATARACT

7-149S Escaf Prechopper
2.00 mm incision

The tip is truncated so as not to hurt the edge of capsulorhexis when it is small.Fractures cataract with hardness less than 4+. Completes breakdown after Femtosecond or Ultrachopper use. Tolerates capsulorhexis smaller than 5 mm in diameter without injuring the capsule edges.

7-1167S Crozafon Prechopper

Reduced thickness of the blades to use on shallow anterior chambers
Provides easy releasing of entrapped gas bubbles for safer hydrodissection.

REFRACTIVE

ICL
4-21432 12-003T
Zaldivar – Kraff ICL Pacman Forceps, Tip Only Vitreoretinal Instrument Handle, Squeeze Model

Two fi ngers linear actuation Specially designed gripping area for amplifi ed control 360° rotation To load the ICL® inside the cartridge Atraumatic ridges and the gentle curve at the tips to grasp the ICL® without damage
A view-port on the upper jaw for perfect visualization
Two fi ngers linear actuation Specially designed gripping area for amplifi ed control 360° rotation To load the ICL® inside the cartridge Atraumatic ridges and the gentle curve at the tips to grasp the ICL® without damage A view-port on the upper jaw for perfect visualization

3-183T LRI Marker, Intra-Op

Low-profi le for easy positioning of the marker Central opening for better centration when marking

Thin beveled blades on the rotatable head precisely locate arcuate marks along the axis even without the use of ink.
No smear and running of ink

30, 45 and 60 degree marks

CORNEAL – DSEK, DSAEK, DMEK

3-0230 Abdullayev Scleral Marker for Keratoplasty

For corneas with large scleral rim Improves scleral rim trimming

3-0231
Abdullayev Corneal Marker for Keratoplasty

Central marking point
Improves centration of cornea during DSAEK microkeratome preparation.
Facilitates placement of donor corneas on to donor punch.
3-024T Abdullayev I & II Marker (for DSAEK/DMEK Grafts)

CORNEAL – DSAEK
3-204T John DSAEK Double-Ended Marker 8.00/9.00 mm Marker 8.00/9.00 mm

Used to mark recipient and donor cornea.
Combines popular diameters of 8.00 and 9.00 mm.
A circular mark on recipient’s cornea serves as a guiding mark for descemetorhexis.
4-254S Lambright-Abdullayev Ultrathin DSAEK Grasping/Inserting Forceps

CORNEAL – DMEK
4-261S Abdullayev DMEK Grasping Forceps

VITREORETINAL

ONE-PIECE VITREORETINAL INSTRUMENTS WITH RUMEX FLUSHING SYSTEM

The tip can be easily cleaned without disassembling Special fl ushing cannula is provided for free

1. Insert the cannula into the fl ushing port as illustrated
2. Adjust a syringe to rinse with distilled water, alcohol, dry with air
3. Sterilize the instrument in the regular way

Exquisite gripping/cutting fuction Anti-glare matte fi nishing Exquisite gripping/cutting fuction
Two fi ngers linear actuation Specially designed gripping area for amplifi ed control 360° rotation
ILM

| Eckardt End-Gripping Forceps
12-410-23H 23 Ga
12-410-25H 25 Ga
---|---
| Tano Asymmetrical End-Gripping Forceps
12-411-23H 23 Ga
12-411-25H 25 Ga
| Asymmetrical End-Grasping Forceps
12-420-23H 23 Ga
12-420-25H 25 Ga
| End-Grasping Forceps Expanded space between branches
12-4013H 23 Ga
12-4013-25H 25 Ga
Enhanced visualization!

ERM

| Gripping Forceps with a “crocodile” platform
12-304-23H 23 Ga
12-304-25H 25 Ga
---|---
| Pick Forceps
12-325-23H 23 Ga
12-325-25H 25 Ga
| Gripping Forceps with a sandblasted platform
12-301-23Н 23 Ga
12-301-25H 25 Ga
| Curved Subretinal Scissors
Curvature radius 12.00 mm
12-209-23H 23 Ga
12-209-25H 25 Ga

**Disposable Diamond Dusted ILM Elevators*
12-7523, 23 GA
12-7525, 25 GA
STERILE   **

The shape of the tip helps to create a precise edge to facilitate ILM removal.
**DISPOSABLE INSTRUMENTS WITH PLASTIC HANDLE***

ILM

**| Eckardt End-Gripping Forceps
12-410-23DP 23 Ga
12-410-25DP 25 Ga
12-410-27DP 27 Ga
---|---
| Curved Scissors
12-209-23DP 23 Ga
12-209-25DP 25 Ga
12-209-27DP 27 Ga
**| Vertical Scissors 45°
12-202-23DP 23 Ga
12-202-25DP 25 Ga

ERM

| Gripping Forceps with a “crocodile“ platform
12-304-23DP 23 Ga
12-304-25DP 25 Ga
12-304-27DP 27 Ga
---|---
| Straight Scissors
12-211-23DP 23 Ga
12-211-25DP 25 Ga
12-211-27DP 27 Ga

**DISPOSABLE BACKFLUSH ONE-PIECE INSTRUMENTS***

| with Blunt Tip
12-5164H 23 Ga x 34 mm
12-5156H 25 Ga x 34 mm
12-5492H 27 Ga x 34 mm
---|---
| with Silicone Brush Tip
12-5162H 23 Ga x 34 mm
12-5160H 25 Ga x 34 mm
12-5167H 27 Ga x 34 mm
| with Silicone Soft Tip
12-5161H 23 Ga x 34 mm
12-5152H 25 Ga x 34 mm
12-5491H 27 Ga x 34 mm

*DISPOSABLE ONE STEP TROCAR SYSTEMS
Each set includes:**

• Trocar knife with preloaded trocar cannula – 3 pcs
• Self-sealing trocar cannula (preloaded) – 3 pcs
• Universal infusion line – 1 pc

Trocar Cannula Inserter
The tip of the plastic handle serves as a caliper/scleral marker (2 dimensions: 3.00 and 4.00 mm).
Universal Infusion Line for BSS

STERILIZATION TRAYS

ALUMINUM STERILIZATION TRAYS

• Manufactured from an anodized aluminum alloy to prevent corrosion and ensure long-term use
• Faster drying due to high thermal conductivity of alloy
• Lightweight for easy transportation and handling

OTHER SIZES ARE AVAILABLE!

CARE AND CLEANING INSTRUCTIONS

INSTRUCTIONS FOR USE
We at RUMEX guarantee our instruments against manufacturing defects, but the lifespan of reusable instruments lies within proper handling and care. To help your instruments preserve their initial conditions, we strongly recommend you to read the instructions below carefully before use.
A common misconception that “stainless steel” or “titanium” have extreme durability and are indestructible is in need of correction: these metals still might be affected by chemical, mechanical, thermal attacks and etc.
However, if you are aware of metal characteristics and understand how to handle them, the lifespan of the instruments may be enlarged.
A particular care should be taken after microsurgical instruments as they have very delicate working tips.
These instructions are general recommendations, cleaning guidelines of the solutions and equipment manufacturer and your institution, especially those regarding temperature, time of exposure and concentration, should be observed.
INSPECTION
It is essential that the instrument is inspected before use. Please conduct this inspection under a microscope or magnification lens. If a problem is detected, notify us immediately. Once the instrument is examined and accepted, IT SHOULD BE CLEANED BEFORE PLACING IT IN THE STERILIZATION TRAY.
Stage 1: DESINFECTION
Soaking

1. For effective cleaning of instruments it is recommended to start pre-treatment as soon as possible, no later than 30 minutes after surgery is completed. The cleaning/disinfection should be carried out within the next two hours.
2. Use distilled/demineralized water to prepare the working solution.
3. Water temperature should be as specified in the manufacturer’s instructions. Water layer above the instruments should be no less than 1 cm (.39 inches).
4. Make sure the disinfectant is free of aldehydes, glutaraldehydes. Stainless steel tools must not be exposed for a long time to media which can promote corrosion (for example, chloride or iodine ions). This also applies to the vapors of the substances mentioned. Do not immerse stainless steel instruments in an isotonic solution (e.g. physiological saline solution) as stress corrosion cracking and pitting may occur.
5. Carry out disinfection according to the mode, indicated in the instructions of product manufacturer. Disinfectant solution should not foam.
6. Instruments with hinges and joints must be handled open.

Rinsing

1. Place the products in a container with distilled/demineralized water and wash off the remaining solution with thorough rinsing of all lumens for 5 minutes.
2. Then rinse with distilled water.

Stage 2: PRE-STERILIZATION CLEANING
Never skip this cleaning stage as residues on instruments such as care agents and the ones of package materials may form stains and depositions in course of sterilization.
MANUAL CLEANING
It is imperative to follow the rules:

1. As much moisture as possible must be eliminated from all instrument’s parts since moisture promotes corrosion.
2. Only detergents and cleaners specially designed for use on surgical stainless steel or titanium instruments are acceptable for use in the cleaning process. Cleaning guidelines of the solution manufacturer and your institution should be observed.
3. Thorough cleaning immediately after use is essential for the longevity of the instrument. We recommend that the established surgical instrument cleaning procedures of your institution be followed using these instructions as a guideline.
4. The cleaning/disinfecting solutions should be exchanged daily.

Steps of manual cleaning in solution

1. Use distilled/demineralized water to prepare the working solution. Use chemicals with non-protein fixing process and with/without anti-microbial effects. Prepare the solution according to the manufacturer’s instructions.

2. The detachable products should be disassembled prior to be immersed into the solution. Products with locks should be immersed open with preliminary several working movements done inside the solution for its better penetration into hard-to-reach areas of the instruments. Make sure that there are no air bubbles in the cavities and all the inner surfaces are affected.

3. Soak according to the mode, indicated in the instructions of product manufacturer. We recommend soaking instruments in a detergent with pH level between 6-9 for 10 min at 40°C/104°F. Disinfection agent should be aldehyde-free.

4. Wash each product with a brush or a cotton-gauze sponge. Use a syringe to wash the lumens of the instruments. Remove all macroscopically visible dirt.
   WARNING! Never use abrasive powders or steel wool to remove stubborn stains – these can damage the superfine finish of an instrument and can actually help cause corrosion of stainless instruments.

5. Place the products in a container with distilled/demineralized water and wash off the remaining solution with thorough rinsing of all lumens for 5 minutes. Repeat the procedure if necessary.

6. Then rinse with distilled water to prevent spotting. Instruments with lumens should be flushed out at least five times at the beginning and at the end of the cleaning (10 ml/0.34 fl.oz distilled or deionized water to be used each time).

7. Dry instruments carefully before sterilization with a hot air blower or lint-free cloth. Compressed air is preferred. Sterile compressed air should be used to insufflate cavities of the instruments.

8. The cleaning results must be visually inspected. The instruments must be visibly clean.

ULTRASONIC CLEANING
An ultrasonic cleaner could also be used in the instrument cleaning process, but not as the sole cleaning method. The instrument should, at the very least, be flushed with distilled water prior to being placed into the equipment. A five to ten minutes cycle in the ultrasonic cleaner should be sufficient.
The following rules should be followed:

1. Fill the bath with room temperature water. The temperature higher than 45°C (113°F) can lead to encrustation due to denaturation of the protein.

2. Use detergent to soak the instruments. A distilled/demineralized water should be used to prepare the working solution. Make it according to the manufacturer’s instructions. Newly prepared cleaning solutions require degassing prior to the first use.

3. Place instruments next to each other without stacking them.

4. When carrying out ultrasonic cleaning, all parameters specified by the manufacturer of the cleaning agent, such as exposure time and concentration, must be observed.

5. The use of ultrasonic baths and strong cleaning fluids (alkaline pH> 9 or acid pH <5) can shorten the lifespan of the products. Make sure the appropriate agents are chosen for performing the procedure.

6. Place the instruments on silicone fingertip mat, previously put into the ultrasonic bath with the solution. When using deionized water or cleaning solution fully submerge the instruments. Change the ultrasonic solution from ultrasound cleaner after each use.Instruments with hinges and joints must be handled open to minimize the obscured surface areas. The detachable products should be disassembled prior to be immersed into the solution. Products with locks should be immersed open with preliminary several working movements done inside the solution for its better penetration into hard-to-reach areas of the instruments.
   Large instruments should be placed vertically in order not to create acoustic shadows.
   WARNING! Special care should be taken to make certain that the tip of the instrument does not come into contact with the sides of the ultrasonic container, as this could damage the instrument.

7. Carry out the cleaning procedure. Turn on ultrasonic bath. 3 minutes exposure at frequencies of around 35 kHz would be sufficient. Use soft bristled nylon brush to clean all the parts of the instrument, inside and outside.

8. Place the products in a container with distilled/demineralized water and wash off the remaining solution with thorough rinsing of all lumens for 5 minutes. Repeat the procedure if necessary.

9. Then rinse with distilled water to avoid water spots.

10. Dry the instruments before sterilization. A lint free cloth may be used for manual drying. Sterile compressed air should be used to insufflate cavities of the instruments.

WARNING! DO NOT apply ultrasonic cleaning to diamond knives or instruments with delicate tips (e.g. vitreoretinal and microincisional tips, choppers, hooks, manipulators and etc.)
AUTOMATED CLEANING

1. Baskets in the form of nets with large holes are recommended to be used in special washing equipment. Be sure to use tool holders in the basket. Place instruments inside them without overloading.
2. Make sure that the large instruments don’t obscure other ones and don’t create spray shadows.
3. Sort tools by similar metals, avoiding contact between dissimilar ones. This type of contact can cause galvanic corrosion.
4. Use a solution suitable for washing equipment with low foaming property.
5. Use a neutralizer, which not only neutralizes alkali, but also reduces surface tension of the liquid during  drying, accelerating it, and minimizing stains.
6. Set the program for the cleaning step. The chosen program must be suitable for the products and include the appropriate number of rinsing cycles.

For automated cleaning and disinfection thermal and chemo-thermal disinfection options are available.
During thermal processes disinfection is carried out at temperatures above 65°C (149°F). A reprocessing program may include the following steps:

1. Pre-wash with cold water to remove dirt and foaming substances.
2. Cleaning is performed with use of suitable pH-neutral or alkaline products added to hot or cold distilled water at temperatures of 40-60°C (104-140°F) for at least 5 minutes.
3. Intermediate rinse in hot or cold distilled water with acidic neutralizer added in order to facilitate the removal of remaining alkaline disinfectants.
4. Second intermediate rinse in hot or cold distilled water without additives should follow.
5. Thermal disinfection and final rinse is performed at temperatures of 80-95°C (176-203°F).
6. Drying might be carried out in washer/disinfector or in other possible ways. Sterile compressed air should be used to insufflate cavities of the instruments.

Chemo-thermal disinfection is suitable for heat-sensitive products. The temperature is limited in all rinsing stages and during the step of drying.
Cleaning is performed normally at < 65°C (149°F). A reprocessing program may include the following steps:

1. Pre-wash with cold water to remove dirt and foaming substances.
2. Cleaning is performed with use of suitable pH-neutral or alkaline products added to hot or cold distilled water at temperatures of 40-60°C (104-140°F) for at least 5 minutes.
3. Intermediate rinse in hot or cold distilled water followed by chemo-thermal disinfection. Special cleaning agent, compatible with machine-disinfection, is used.
4. Intermediate rinse in hot or cold distilled water without additives.
5. Final rinsing with distilled water at higher temperature.
6. Drying might be carried out in washer/disinfector or in other possible ways. Sterile compressed air should be used to insufflate cavities of the instruments.
7. The cleaning device must be regularly maintained, checked and validated in accordance with internal and manufacturer requirements.
8. When processing the ophthalmic instruments we recommend using the additional intermediate rinsing with water in the washing programs before the final rinse.

Additional rinsing outside the washing equipment is not required.
A combination of processing stages 1 and 2 is allowed.
WARNING! Tools with blind holes, long narrow tips (e.g. tips, cannulas, handpieces and etc), hinges (3-joint instruments) need more attention during cleaning process. The temperature at all stages of the process should not exceed 170°C (338°F).
Aspiration speculums require additional cleaning of silicone tubes prior to be sterilized.
First, soak the instrument in the soap solution at temperature of 50°C (122°F) and keep it there for 15 min. After that wash the instrument with brush and cotton/gauze pad. Take the instrument out of soap bath and wash it under streaming water for 3 min. Rinse the instrument with distilled or deionized water. Then attach a syringe filled with warm water into the luer lock and rinse the silicone tubes of the instrument. Finally, blow them with air by forcing one or two syringes full of air through the tubes.
LUBRICATION
Moving parts and working mechanisms of the Rumex instruments should be lubricated occasionally with a medical grade instrument lubricant (especially after an ultrasonic bath) to ensure the smooth operation of the working mechanism. The lubricant must be biocompatible, suitable for steam sterilization and vapor-permeable. No silicone oil should be applied. The paraffin/white oil based lubricants are allowed to be used. After cleaning process let the instruments cool down to room temperature prior to their actuation, as otherwise metal abrasion may develop when the details of the tools rub against each other. This may destroy the instruments’ functionality.
The recommended directions of the instrument lubricant manufacturer and your institution should be observed.
Stage 3: STERILIZATION
Surgical instruments should be stored at room temperature in dry rooms in the sterilizing trays of proper size and lined with soft silicone mats. Instruments should not touch each other. We recommend using protective tips made of soft silicone tubing of the proper size and thickness. Do not use rubber or plastic protective tips, as they can melt during autoclaving and cause damage of instruments.
WARNING! Never store the instruments close to the chemicals.
Stainless steel and titanium instruments can be sterilized via steam autoclaving, chemical disinfectants, ethylene oxide gas, or even dry hot air. Gas and dry chemical sterilization are the best methods for stainless steel instruments, but it takes a lengthy time period to accomplish the desired result. The most practical method of sterilization is heat or steam, which require less time, however, these methods can be damaging to delicate instruments. Please, be sure that you and the members of your staff have read and understood the instructions supplied by the manufacturer of your particular sterilizer.
STERILIZATION CYCLES
Finally, the instrument should be sterilized prior to the next surgical procedure.
WARNING! Only clean and disinfected products can be sterilized.
For lumen instruments (e.g. tips, cannulas, handpieces) the gravity procedure is not suitable!
RUMEX instruments can be sterilized using any of the following methods:

100 % ETO cycles|
---|---
Concentration ETO| 850±50mg/l
Temperature| 37-47°C (99-117°F)
Exposure time| 3–4 hours
Humidity| 70 % RH minimum
Drying Cycle| 1 hour

WARNING! ETO method is not recommended for diamond knives sterilization.

| Steam Autoclaving| | “Flash” Autoclaving|
---|---|---|---|---
Sterilizer Type| Gravity Displacement| Prevacuum| Gravity Displacement| Prevacuum
Sample Config.| wrapped| wrapped| unwrapped| unwrapped
Temperaturet| +132eC| +132`C| +132t| +132t
Temperature°F| +270°F| +270°F°| +270°F| +270°F
Exposure Time| 34 minutes| 3 minutes| 10 minutes| 3 minutes
Drying Cycle| min. 10 minutes| min. 10 minutes| min. 10 minutes| min. 10 minutes

WARNING! The sterilization steam must not contain any impurities.
Gas plasma sterilization is not recommended as delicate instruments might be physically damaged when exposed to low pressure.
The above-mentioned sterilization cycles represent the industry standards and should be capable of producing a sterile device. Due to variations in sterilization equipment and device bioburden in clinical use, RUMEX
International Co. is not able to provide specific cycle parameters. It is the responsibility of each user to perform the validation and verification of the sterilization cycle to ensure an adequate sterility assurance level for our products.
WARNING! Follow the guidelines of the processing times. The rapid sterilization process should be reserved for emergency processing only and should not be used for routine instrument sterilization. Longer sterilization period and higher temperatures can lead to premature aging of instruments.
Fully demineralized water for rinsing and correct loading must be used to prevent staining!
The color of titanium instruments may change due to development of different properties of oxide layers. Such discoloration does not bring a safety risk, as well as water stains on the surface of the instruments. They don’t affect the biocompatibility, functionality, and lifetime of the instruments. However, discoloration may affect the visual inspection of the tools (e.g. determining residual dirt). To prevent the color change of titanium instruments, use only neutral or mild alkaline cleaning agents. While using them, do not exceed a temperature of 70°C (158°F).
RECOMMENDED PRODUCTS FOR CARE AND CLEANING

Product name, Manufacturer| Description| Composition| Processing stage| Compatibility
---|---|---|---|---
SEKUSEPT Activ, Ecolab Deutschland GmbH| Disinfectant for automatic and manual
processing of tools| ≥ 30% oxygen-based bleaching agents; <5% non-ionic surfactants, phosphonates;    50% sodium perborate monohydrate; 25% tetraacetylethylenediamine; active antimicrobial components, nonionic surfactants, corrosion  nhibitor;  рН of 2% solution: 7.4-8.4| Disinfection; Pre-sterilization
cleaning; Sterilization| Compatible. Discoloration of
metal, residual detergent or
water film formation may
occur.
Neodisher MediClean Forte, Dr. Weigert GmbH & Co.| Detergent for automatic and manual cleaning of surgical instruments.Prevents reprecipitation of protein residues.| < 5% non-ionic and anionic surfactants; enzymes; pH: 10.4-10.8| Pre-sterilization cleaning| Compatible. Discoloration of
metal, residual detergent or
water film formation may
occur.
Neodisher MediKlar, Dr. Weigert GmbH & Co.| Rinser for automatic and manual cleaning of surgical instruments. Recommended for use with MediClean forte. Prevents reprecipitation of protein residues.| < 5% anionic surfactants, polycarboxylates; 5 – 15% non-ionic surfactants also preservatives; 2-octyl- 2H-isothiazol-3-one, a mixture of: 5-Chloro-2-methyl-2h-isothiazol-3-one [EC- no.247-500-7] and 2-Methyl-2H-isothiazol-3-one; pH: 5.9-6.9| Pre-sterilization cleaning| Compatible
Neodisher MediKlar, Dr. Weigert GmbH & Co.| Rinser for automatic and manual cleaning of surgical instruments. Recommended for use with MediClean forte. Prevents reprecipitation of protein residues.| < 5% anionic surfactants, polycarboxylates;                      5 – 15% non-ionic surfactants also preservatives;
2-octyl-2H-isothiazol-3-one, a mixture of: 5-Chloro-2-methyl-2h- isothiazol-3-one [EC-no.247-500-7] and
2-Methyl-2H-isothiazol-3-one; pH: 5.9-6.9| Pre-sterilization cleaning| Compatible
ERIZYME, KiiltoClean FARMOS Oy| Detergent for hand treatment, washer
disinfectors and ultrasonic treatment| non-ionic surfactants (< 5%); amphoteric surfactants (< 5%); complexing agent (5-15%); monopropylene glycol (15-30%); anti-foaming agent; enzymes;
pH: 7.5| Pre-sterilization cleaning| Compatible
ERISAN OXY+, KiiltoClean FARMOS Oy| Disinfectant in disposable sachets| sodium percarbonate 30 – <50%; citric acid 15 – <30%;
tartaric acid 5 – <15%; pH: 5.9-6.9| Disinfection; Pre-sterilization
cleaning; Sterilization| Compatible

AT THE END OF THE SURGICAL DAY
Instruments should be washed clean of all residues, dried and inspected after each use. Be sure to inspect every microsurgical instrument at the end of your surgical day. Please conduct this inspection under a microscope or magnification lens. If a damaged instrument is detected, repair or replace it. Washing, drying and inspecting the instrument under magnification helps to ensure that the instrument is kept in proper condition for the next surgical procedure.

RUMEX International Company
14240 Carlson Circle, Building K,
Suite 8, Tampa, FL 33626
USA & Canada
+1 (727) 535 9600
+1 (877) 77 RUMEX (Toll-Free)
+1 (727) 535 8300
Europe, Asia, Africa, Latin America
+371 6616 3182
rumex@rumex.com
www.rumex.com

Documents / Resources

| RUMEX 7-143 Slade Terao Nucleus Splitter [pdf] Instruction Manual
7-143 Slade Terao Nucleus Splitter, 7-143, Slade Terao Nucleus Splitter, Terao Nucleus Splitter, Nucleus Splitter, Splitter
---|---

References

• RUMEX titanium and stainless steel instruments for ophthalmic surgery — Rumex.COM
• Ophthalmic Instruments and Consumables – Rumex EU
• RUMEX International – Manufacturer of Ophthalmic Surgical Instruments – Rumex US
• RUMEX titanium and stainless steel instruments for ophthalmic surgery — Rumex.COM

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